Abstract Concrete is a material susceptible to different degradation mechanisms that can lead to the formation of expansive products resulting from external sulfate attack (ESA). In this context, supplementary cementing materials (SCMs), like fly ash, metakaolin, silica fume, and rice husk ash, have effectively suppressed the effects caused by ESA. However, each SCM may present different behavior depending on the exposure conditions, sulfate type, SO 4 2- concentration, etc. Thus, this study presents a multicriteria decision-making analysis of fixed binder content for mortars (1: 3.2 a/agl=0.60) aiming to achieve the best performance against ESA (exposure to Na 2 SO 4 or MgSO 4 ). The criteria selected for the decision-making analysis are the sustainability impact of the mixture, economic performance, and the effect of ESA on the mechanical properties and durability of the mortars. The results indicate that the most suitable composition for aggressive environments containing Na 2 SO 4 was the mortar containing 10% rice husk ash and, for exposure to MgSO 4 , the use of fly ash in the same proportion. . (ESA) context SCMs, SCMs (SCMs) metakaolin fume However conditions type concentration etc Thus decisionmaking decision making 1 (1 32 3 3. a/agl=0.60 aagl060 aagl agl 0 60 ) mixture 10 proportion (ESA (SCMs ( a/agl=0.6 aagl06 6 a/agl=0. aagl0 a/agl=0 a/agl= a/agl

Resumo O concreto é um material suscetível a diferentes mecanismos de degradação que podem causar a formação de produtos expansivos, como o ataque externo por sulfatos. As adições minerais, como a cinza volante, o metacaulim, a sílica ativa e a sílica de casca de arroz são opções que possuem sua eficácia comprovada em argamassas e concretos expostos a ambientes com sulfatos. O presente estudo busca, por meio de um método de análise multicritérios de decisão, realizar a escolha do teor de aglomerante em argamassas (1: 3,2 a/agl=0,60) que apresentar melhor desempenho frente ao ataque externo por sulfato de sódio (Na2SO4) e magnésio (MgSO4). Tendo uma base de dados pré-definida, foram escolhidos critérios e subcritérios para composição da matriz hierárquica, levando em consideração a sustentabilidade, desempenho econômico das diferentes composições e o efeito do ataque químico nas propriedades mecânicas e na durabilidade das argamassas. Ao final da análise, a composição mais indicada para ambientes agressivos contendo Na2SO4 foi a argamassa contendo 10% de sílica da casca de arroz em substituição parcial ao cimento Portland e, para a exposição ao MgSO4, a utilização de cinza volante na mesma proporção. expansivos sulfatos minerais metacaulim busca decisão 1 (1 32 3 2 3, a/agl=0,60 aagl060 aagl agl 0 60 NaSO Na SO (Na2SO4 MgSO4. MgSO4 MgSO . (MgSO4) prédefinida, prédefinida pré definida, definida pré-definida hierárquica sustentabilidade Na2SO 10 proporção ( a/agl=0,6 aagl06 6 (Na2SO (MgSO4 a/agl=0, aagl0 (MgSO a/agl=0 a/agl= a/agl

Resumo: O avanço da tecnologia da informação tem levado ao aumento do uso da estatística como uma ferramenta de análise de dados em diversas áreas acadêmicas. A estatística tornouse um requisito essencial em qualquer programa de estudo, devido à variedade de aplicações na indústria e na investigação. Portanto, os programas educativos no ensino superior precisam formar graduados que possuam conhecimentos estatísticos teóricos e aplicados. Existem diferentes ferramentas tecnológicas estatísticas, cada uma com as suas próprias vantagens e desvantagens para análise de dados. Porém, neste trabalho o software estatístico Jamovi foi considerado por ser um recurso tecnológico versátil, gratuito e de código aberto. Com base no exposto, este artigo estuda o impacto da integração do software Jamovi no ensino de estatística na área de Engenharia Civil. A população do estudo foi de 40 estudantes do Mestrado em Planejamento Físico de Obras Civis da Universidade Estadual do Sul de Manabí, durante os meses de novembro a dezembro de 2023. A metodologia aplicada foi observacional analítica com design quantitativo, para esse fim técnicas estatísticas descritivas e inferenciais fo ram utilizadas. Os resultados mostraram um desempenho superior das pessoas que utilizaram o Jamovi em comparação aos que utilizaram o MS Excel. Isto foi corroborado por meio de análises descritivas e testes de hipóteses. De acordo com os resultados concluiuse que Jamovi facilitou o processo de ensino e aprendizagem de estatística na Engenharia Civil.

Resumen. El avance de la tecnología de la información ha llevado a un aumento en el empleo de la estadística como una herramienta para analizar datos en diversas áreas académicas. La estadística se ha convertido en un requisito primordial en cualquier programa de estudio, debido a la variedad de aplicaciones en la industria y la investigación. Por consiguiente, los programas educativos en la educación superior necesitan formar graduados que posean conocimientos estadísticos teóricos y aplicados. Existen diferentes herramientas tecnológicas esta dísticas, cada una con sus propias ventajas y desventajas para el análisis de datos. Sin embargo, en este trabajo se ha considerado el software estadístico Jamovi por ser un recurso tecnológico versátil, gratuito y de código abierto. A raíz de lo expuesto, este artículo estudia el impacto de la integración del software Jamovi en la enseñanza de la estadística en el área de la Ingeniería Civil. La población de estudio fue de 40 estudiantes de la Maestría en Planificación Física de Obras Civiles de la Universidad Estatal del Sur de Manabí, durante los meses de noviembre a diciembre de 2023. La metodología aplicada fue observacional analítica con un diseño cuantitativo, para ello se emplearon técnicas estadísticas descriptivas e inferenciales. Los resultados mostraron un rendimiento superior de las personas estudiantes que utilizaron Jamovi en comparación con quienes emplearon Excel. Esto se corroboró mediante análisis descriptivos y pruebas de hipótesis. De acuerdo con los resultados, se pudo concluir que Jamovi facilitó el proceso de enseñanza y aprendizaje de la estadística en la Ingeniería Civil.

Abstract: Advances in information technology have led to an increased use of statistics as a tool for analyzing data in various academic fields. Statistics has become a primary requirement in any curriculum because of its wide range of applications in the industry and for research purposes. Higher education programs therefore need to prepare graduates with both theoretical and applied statistical knowledge. There are several statistical technology tools for data analysis, each with its own advantages and disadvantages. This article examines Jamovi, a statistical software that is versatile, free and open source, and the impact of this tool on the teaching of statistics for civil engineering. The study involved 40 students of the Masters in Physical Planning of Civil Works of the Universidad Estatal del Sur de Manabí, and was carried out during the months of November to December 2023. The study applied an analytical observational methodology with a quantitative design, using descriptive and inferential statistical techniques. The results showed a better performance of the students who used Jamovi com pared to those who used MS Excel. This was supported by descriptive analysis and hypothesis testing. The results led to the conclusion that Jamovi facilitated the teaching and learning process of statistics in civil engineering.

Objective: To describe the early outcomes of resective colorectal surgery for Deep Infiltrating Endometriosis (DIE) in women treated at private center over the past 6 years. Materials and Methods: This cross-sectional study presents the clinical evolution of surgically treated patients with colorectal resections for DIE diagnosis between 2016 and 2022 at Clínica INDISA. They were grouped into discoid resections (Group I) and segmental resections (Group II). Results: Of patients operated for DIE between 2016 and 2022, 160 underwent colorectal resections, with 56 in Group I and 104 in Group II. The demographic characteristics of both groups were similar, except for smoking habits, which showed a predominance in Group II. The analysis of surgical variables (approach type, conversion rate, anastomotic height, and protective ostomy) showed a similar distribution in both groups. Regarding postoperative outcomes, Group I showed a significant decrease in solid food resumption time, 2 vs 3 days (p = 0.001). The initiation of intestinal transit, hospitalization days, and presence of Clavien-Dindo complications >= 3 did not present significant differences between both groups. Discussion: Endometriosis significantly affects women worldwide, with limited evidence reporting colorectal surgery outcomes comparing both techniques, demonstrating that management in specialized centers yields better results. Conclusion: When comparing these two techniques of colorectal resection in DIE, we conclude that patients undergoing discoid resection have an earlier resumption of solid food intake without significant differences in the remaining studied variables.

Resumen Objetivo: Describir los resultados tempranos de la cirugía resectiva colorrectal por Endometriosis Infiltrante Profunda (EIP) en mujeres intervenidas en centro clínico privado, durante los últimos 6 años. Material y Método Estudio transversal que muestra la evolución clínica de pacientes intervenidas quirúrgicamente con resecciones colorrectales por diagnóstico de (EIP), entre los años 2016-2022 en Clínica Indisa. Se agruparon en resecciones discoidales (Grupo I) y segmentarias (Grupo II) Resultados: De los pacientes operados por (EIP) entre los años 2016 al 2022, 160 pacientes fueron sometidas a resecciones colorrectales, 56 en el Grupo I y 104 en el grupo II. Las características demográficas de ambos grupos fueron similares, con excepción del hábito tabáquico que mostró un predominio en el Grupo II. El análisis de las variables quirúrgicas (tipo de abordaje, tasa de conversión, altura de la anastomosis y ostomía de protección) mostró una distribución similar en ambos grupos. En relación a la evolución postoperatoria, el Grupo I presentó una disminución significativa en el tiempo de realimentación con sólidos de 2 vs 3 días (p = 0,001). El inicio del tránsito intestinal, días de hospitalización y presencia de complicaciones Clavien-Dindo > = 3, no presentó diferencias significativas entre ambos grupos. Discusión: La endometriosis afecta, significativamente, a mujeres en todo el mundo, existiendo escasa evidencia que reporte los resultados de las cirugías colorrectales que comparen ambas técnicas, demostrando que el manejo en centros especializados tiene mejores resultados. Conclusión: Al comparar estas dos técnicas de resección colorrectal en DIE, concluimos que los pacientes operados por resección discoidal tienen una realimentación más temprana sin diferencias significativas en el resto de las variables estudiadas.

Objective: To describe morbidity and mortality associated with colorectal prostheses (CP) and identify factors associated with their complications during the 2007 to 2022 at INDISA Clinic. Material and Method: Retrospective cross-sectional study based on clinical registry. Results: 49 CPs were installed with 100% clearing success. 87.8% in left colon. The main etiology was malignant 91.8% and 85.7% were primary colorectal. 34 were installed with palliative intention, 12 as a bridge to elective surgery (BTS) and 3 for benign pathology. There were 13 (26.5%) patients with adverse effects (7 strictures, 4 perforations and 2 migrations). Associated mortality was 4.1% (2 patients). The complicated group was younger, with more advanced oncological stages and rectosigmoid stenosis (p < 0.005). Those under 50 years of age had 5 times higher risk of some complication (OR = 5.0; 95% CI: 1.09-23.0; p = 0.039). Discussion: The use of CPs has low short-term morbidity and mortality. Its main use is as palliative treatment or BTS in malignant colorectal obstruction. It's a high clearance rate. It is associated with less morbidity than emergency surgery, a lower ostomy rate, and a higher lymph node harvest. Installation as a bridge is also associated with a higher rate of primary anastomosis. Our group showed a higher complication rate in those with advanced and younger tumors. Conclusion: The use of CPs is safe, with low morbidity and mortality. The main indication is in obstructive colorectal neoplasia as palliative treatment. Young patients and advanced colorectal tumors with peritumoral nodes have a higher risk of complications.

Resumen Objetivo: Describir morbimortalidad asociada al uso de prótesis colorrectales (PC) e identificar factores asociados a sus complicaciones durante los años 2007 a 2022 en Clínica INDISA. Material y Método: Estudio transversal retrospectivo basado en registro clínico. Resultados: Se instalaron 49 PC con un 100% de éxito de desobstrucción. El 87,8% en colon izquierdo. La etiología principal fue la patología maligna 91,8% y el 85,7% de ellos fueron primarios colorrectales. Se instalaron 34 como tratamiento paliativo (TP), 12 como puente a cirugía electiva (PCE) y 3 por patología benigna. La tasa de complicaciones fue de 26,5% (7 estenosis, 4 perforaciones y 2 migraciones). La mortalidad asociada fue de 4,1% (2 pacientes). El grupo de complicados fue más joven, con etapas oncológicas más avanzadas y con estenosis en rectosigmoides(p < 0,005). Los menores de 50 años tuvieron 5 veces más riesgo de alguna complicación (OR = 5,0;IC95%:1,09-23,0; p = 0,039). Discusión: El uso de PC tiene baja morbimortalidad. Su uso principal es como TP o PCE en obstrucción colorrectal maligna, con alta tasa de desobstrucción. Está asociado con menor morbilidad que la cirugía de urgencia, menor tasa de ostomía y mayor cosecha ganglionar. La instalación como puente se asocia además a mayor tasa de anastomosis primaria. Nuestra serie mostró mayor tasa de complicación en aquellos con tumores avanzados y más jóvenes. Conclusión: El uso de PC es seguro y con baja morbimortalidad. La principal indicación es en neoplasia colorrectal obstructiva como TP. Tienen mayor riesgo de complicación los pacientes jóvenes y los tumores colorrectales avanzados con ganglios peri tumorales.

Abstract The brachial plexus is an important anatomical structure composed of roots, trunks, divisions, cords, and terminal branches. For the appropriate evaluation of its components, we must know its anatomical references; these allow us to locate the pathologies in the different imaging modalities. MRI is the imaging evaluation method of choice. We present the protocol used in our center. We can divide brachial plexus pathologies into two main categories: traumatic and non-traumatic. Traumatic pathology is the most common, in which there are findings to determine whether the lesion is preganglionic or postganglionic. Non-traumatic pathology includes post-radiation plexopathy, acute brachial neuritis, primary and secondary tumors, peripheral neuropathies, and thoracic outlet syndrome. In this review, we describe the main characteristics of these pathologies, with representative radiological cases.

Resumen El plexo braquial es una importante estructura anatómica compuesta por raíces, troncos, divisiones, cordones y ramas terminales. Para la adecuada evaluación de sus componentes debemos conocer sus referencias anatómicas, estas permiten localizar las patologías en las distintas modalidades de imagen. La resonancia magnética es el método de evaluación por imágenes de elección. Presentamos el protocolo usado en nuestro centro. Las patologías del plexo braquial podemos dividirlas en dos categorías principales: traumáticas y no traumáticas. La patología traumática es la más frecuente, en la que existen hallazgos para determinar si la lesión es preganglionar o posganglionar. Entre la patología no traumática está la plexopatía post-radiación, neuritis braquial aguda, tumores primarios y secundarios, neuropatías periféricas y síndrome del outlet torácico. En esta revisión describimos las principales características de estas patologías, con casos radiológicos representativos.

ABSTRACT Background: Chest wall perforator flaps are a good option for immediate breast reconstruction after conservative surgery. Objective: The aim of this study was to describe the clinical results of an algorithm for using chest wall perforator flaps for breast reconstruction after breast-conserving surgery for breast cancer. Material and methods: We conducted a descriptive and retrospective study. The information was retrieved from the medical records of the patients diagnosed with breast cancer who underwent breast-conserving surgery and required reconstruction using chest wall perforator flaps between January 2020 and March 2022. The indications included volume deficit, contour defect and asymmetry. The vascular pedicle of the flap was evaluated by color Doppler ultrasound in all cases, which allowed us to follow an algorithm for selecting the best flap option. Results: Twenty flaps were made in 19 patients. Mean age: 52 years ± 11 (range 30-76). There were no intraoperative complications. One patient required reoperation due to a hematoma with compression of the vascular pedicle of the flap with partial flap loss, and another flap presented superficial epidermolysis. There were no cases of complete flap loss. All the patients underwent postoperative radiation therapy without loss of volume or retractions. Mean follow-up was 15 months. At 6 months, patients rated the results as excellent, good, and fair in 7, 11, and 2 cases, respectively. Conclusion: The selection of local perforator flaps to correct breast defects after conservative surgery, using preoperative color Doppler ultrasound to identify the vascular pedicle and a specific algorithm, allowed us to obtain satisfactory aesthetic results without the need for alloplastic elements or subsequent revisions.

RESUMEN Antecedentes: los colgajos perforantes perimamarios son de gran utilidad en la reconstrucción mamaria inmediata en cirugía conservadora. Objetivo: describir los resultados del empleo de un algoritmo sobre colgajos perforantes perimamarios en la reconstrucción mamaria inmediata después de cirugía conservadora por cáncer de mama. Material y métodos: se llevó a cabo un estudio retrospectivo descriptivo. Se revisaron las historias clínicas de las pacientes operadas entre enero de 2020 y diciembre de 2022 por carcinoma de mama con cirugía conservadora y que requirieron reconstrucción con colgajos perimamarios. Las indicaciones incluyeron déficit de volumen, defecto de contorno y asimetría. Se evaluó el pedículo vascular del colgajo mediante Doppler color en todos los casos, lo que permitió seguir un algoritmo para la selección de la mejor opción de colgajo. Resultados: se realizaron 20 colgajos en 19 pacientes. Promedio de edad: 52 años ± 11 (rango 30-76). No existieron complicaciones intraoperatorias. Una paciente requirió reoperación por compresión del pedículo vascular del colgajo por hematoma, con la pérdida parcial, y otro colgajo sufrió epidermólisis superficial. No hubo pérdidas totales de ningún colgajo. Todas recibieron radioterapia posoperatoria y no experimentaron pérdida de volumen ni retracciones. Con un promedio de seguimiento de 15 meses, las pacientes valoraron los resultados a 6 meses como excelente en 7, bueno en 11 y regular en 2. Conclusión: la selección de colgajos perforantes locales para corregir defectos mamarios después de cirugía conservadora, mediante el examen con Doppler color preoperatorio para la identificación del pedículo vascular y un algoritmo específico, permitió obtener resultados estéticos satisfactorios sin requerir elementos aloplásticos ni revisiones posteriores.

Objective: To describe the experience in laparoscopic resective colorectal surgery in older than 75 years old, during 2004 to 2019 in INDISA Clinic. Material and Methods: It’s a transversal study about all the elective laparoscopic surgeries with colorectal anastomosis in elderly people, based on electronic clinical records. Results: 48 full laparoscopic surgeries, the majority by colorectal cancer (89.6%) shows optimal quality indicators about nodal harvest in 73.2%. The median duration of hospital stay after surgery was 6 days with 30 days mortality of 2.1%. These results are comparable to the international reports. Discussion: The laparoscopic approach in elderly patients has benefits over the open approach with acceptable morbility and mortality. The intraoperatory balance between surgical risk/security and oncologic prognostic it’s a factor to consider in the decision-making process besides the morbility by the age and the own functional reserve. Conclusion. It’s the first series in Chile about over 75 years patients with laparoscopic resective colorectal surgery. Is feasible and secure to do minimal invasive surgery with acceptable morbility and mortality. Only the age isn’t a contraindication to laparoscopic colorectal surgery. It’s necessary more studies with mayor number of patients to known better the national results and long-term results.

Resumen Objetivo: Describir la experiencia en cirugía colorrectal resectiva laparoscópica en mayores de 75 años durante los años 2004 a 2019 en Clínica INDISA. Material y Método: Estudio transversal de las cirugías electivas por vía laparoscópica en mayores de 75 años, en los que se realizó anastomosis colorrectal, basado en el registro clínico electrónico. Resultados: Un total de 48 cirugías completamente laparoscópicas, la mayoría por cáncer colorrectal (CCR) (89,6%), mostraron indicadores de calidad óptima en la cosecha ganglionar en el 73,2%. Con una mediana de estadía de 6 días y una mortalidad a 30 días de 2,1% (un caso), comparable a las series internacionales. Discusión: El abordaje laparoscópico en pacientes ancianos tiene beneficios por sobre la vía abierta y presenta morbimortalidad aceptable. El balance intraoperatorio entre riesgo/seguridad quirúrgica y pronóstico oncológico es un factor a tener en cuenta en la toma de decisiones, junto con las patologías inherentes al grupo etario y la reserva funcional de cada paciente en particular. Conclusión: Se trata de la primera serie nacional de pacientes sobre 75 años sometidos a cirugía colorrectal resectiva electiva vía laparoscópica. Es factible y seguro en estos pacientes realizar cirugía mínimamente invasiva con morbimortalidad aceptable. La edad por sí sola no representa una contraindicación para la cirugía colorrectal laparoscópica. Es necesario contar con estudios de mayor volumen para conocer mejor la realidad nacional y los resultados a largo plazo.

Abstract Background Surgical treatment of symptomatic extracranial carotid stenosis is well established for preventing neurological events and should adhere to optimal quality standards. However, there is growing concern as to whether results of controlled trials are replicable in real-world settings. Objectives To assess a symptomatic carotid stenosis population that underwent surgery and its short-term outcomes in a real-world context at a professional training center. Methods Observational study using data collected from medical records from January 2012 to January 2023. Patients undergoing operations for other carotid diseases and with concomitant heart surgery were excluded. Results A total of 70 patients undergoing angioplasty or carotid endarterectomy were included. Population subsets undergoing angioplasty or endarterectomy were similar. Differences in anesthetic modality and a longer operative time in the carotid endarterectomy subgroup were statistically significant. There were 4 cases of stroke, only 3 of which (2 minor and 1 major) were related to the index lesion. Thus, the rate of major operation-related stroke was 1.43% and the rate of any lesion-related stroke was 4.29%. There was 1 case of AMI in the angioplasty group and there were no deaths in the sample. The overall rate of major adverse cardiovascular events was 5.71%. There were no statistical differences between the endarterectomy and angioplasty groups regarding the main outcomes. Conclusions The rates of outcomes of ischemic stroke, acute myocardial infarction, death, and major adverse cardiovascular events at this center are in line with the rates reported by randomized controlled trials, demonstrating the feasibility of carotid surgery in centers with teaching programs. standards However realworld real world settings shortterm short term 201 2023 excluded 7 included similar significant 2 ( lesion Thus operationrelated operation 143 43 1.43 lesionrelated 429 29 4.29% sample 571 5 71 5.71% infarction death programs 20 202 14 1.4 42 4.29 57 5.71 1. 4.2 5.7 4. 5.

Resumo Contexto A abordagem cirúrgica para estenose carotídea sintomática está consolidada na literatura para a prevenção de eventos neurológicos, devendo seguir padrões ótimos de qualidade. Entretanto, há uma crescente preocupação relacionada à possibilidade ou não de replicar os dados dos trabalhos controlados no mundo real. Objetivos Avaliar a população com estenose carotídea sintomática submetida a cirurgia e seus desfechos de curto prazo em um contexto de mundo real em um centro de formação profissional. Métodos Tratou-se de um estudo observacional realizado por meio de coleta de dados em prontuário de janeiro de 2012 a janeiro de 2023. Foram excluídos pacientes operados por outras etiologias e com cirurgia cardíaca concomitante. Resultados Foram incluídos 70 pacientes submetidos a angioplastia ou endarterectomia carotídea. Os subgrupos populacionais submetidos a angioplastia ou endarterectomia foram semelhantes. Houve diferença estatisticamente relevante quanto à modalidade anestésica e ao tempo cirúrgico maior para o subgrupo de endarterectomia carotídea. Houve quatro casos de acidente vascular encefálico isquêmico, e três deles estavam relacionados à lesão, sendo dois menores e um maior. Dessa forma, a taxa de acidente vascular encefálico maior relacionado à lesão foi de 1,43% e de qualquer acidente vascular encefálico relacionado à lesão, de 4,29%. A taxa total de eventos adversos cardiovasculares maiores foi de 5,71%. Houve um caso de infarto agudo do miocárdio no grupo angioplastia e nenhum óbito. Não houve diferença estatística entre os grupos de endarterectomia e angioplastia quanto aos desfechos principais. Conclusões Os desfechos acidente vascular encefálico isquêmico, infarto agudo do miocárdio, óbito e eventos adversos cardiovasculares maiores neste centro são semelhantes aos encontrados em estudos clínicos randomizados, demonstrando viabilidade da manutenção deste tratamento em centros com programas de ensino. neurológicos qualidade Entretanto profissional Tratouse Tratou se 201 2023 concomitante 7 isquêmico forma 143 1 43 1,43 429 4 29 4,29% 571 5 71 5,71% principais randomizados ensino 20 202 14 1,4 42 2 4,29 57 5,71 1, 4,2 5,7 4, 5,

ABSTRACT Objective: To assess the relationship between celiac disease and the prevalence of dental caries in children and adolescents and also evaluate if dental enamel defects in celiac children predispose to dental caries. Material and Methods: Searches were performed in the following databases: PubMed, Scopus, Cochrane Library, Latin American and Caribbean Literature on Health Sciences, and OpenGrey. The risk of bias was assessed using the Newcastle-Ottawa Scale. DMFT/dmft and DMFS/dmfs data of observational studies that compared the prevalence of caries between children and adolescents with celiac disease and healthy individuals. Meta-analysis was performed using a random effects model. Heterogeneity between studies was estimated using Cochran’s Q test, and inconsistency was measured using I2 statistics. Results: Of the 121 studies retrieved, 17 were selected, and 12 were included in the meta-analysis. The prevalence of caries in the primary dentition (dmft) did not differ between celiac patients and controls [SMD = -0.35; 95% CI (-0.83; 0.13); p = 0,15; I2 = 89%]. There was also no difference in the prevalence of caries in permanent teeth (DMFT) between groups [SMD = -0.44; 95% CI (-1.02; 0.14); p = 0.14; I2 = 95%]. Conclusion: Celiac disease is not a determinant factor in the development of dental caries in children and adolescents compared to the control group. Objective Methods databases PubMed Scopus Library Sciences OpenGrey NewcastleOttawa Newcastle Ottawa Scale DMFTdmft DMFT dmft DMFSdmfs DMFS dmfs individuals Metaanalysis Meta analysis model Cochrans Cochran s test I statistics Results retrieved 1 selected metaanalysis. metaanalysis meta analysis. meta-analysis (dmft SMD 0.35 035 0 35 -0.35 95 0.83 083 83 (-0.83 0.13 013 13 0.13) 0,15 015 15 89%. 89 89% . 89%] (DMFT 0.44 044 44 -0.44 1.02 102 02 (-1.02 0.14 014 14 0.14) 95%. 95%] Conclusion group 0.3 03 3 -0.3 9 0.8 08 8 (-0.8 0.1 01 0,1 0.4 04 4 -0.4 1.0 10 (-1.0 0. -0. (-0. 0, 1. (-1. -0 (-0 (-1 - (- (

Resumo Fundamento: A identificação de fatores de riscos na cirurgia cardiovascular auxilia na previsibilidade resultando na otimização de desfechos e redução de custos. Objetivo: Identificação dos preditores de risco pré e intraoperatórios para internação prolongada após cirurgia de revascularização do miocárdio (CRM) no Estado de São Paulo. Métodos: Análise transversal no banco de dados REPLICCAR II, registro prospectivo, consecutivo, multicêntrico que incluiu cirurgias de revascularização miocárdica realizadas entre agosto de 2017 e julho de 2019. O desfecho principal foi o tempo de internação prolongado, definida como período de pós-operatório superior a 14 (quatorze) dias. Para a identificação dos preditores foram realizadas análises de regressão logística uni- e multivariada. Os valores de p menores de 0,05 foram considerados significativos. Resultados: A mediana de idade foi de 63 (57-70) anos e 26,55% eram do sexo feminino. Dos 3703 pacientes analisados, 228 (6,16%) apresentaram longa permanência hospitalar (LPH) após a CRM e a mediana da internação foi de 17 (16-20) dias. Foram preditores da LPH após a CRM: idade >60 anos (OR 2,05; IC95% 1,43 - 2,87; p<0,001); insuficiência renal (OR 1,73; IC95% 1,29 - 2,32; p<0,001) e transfusão de hemácias no intraoperatório (OR 1,32; IC 1,07 - 2,06; p=0,01). Conclusão: Nesta análise, a idade > 60 anos, insuficiência renal e a transfusão de hemácias no intraoperatório foram preditores independentes de LPH após a CRM. A identificação destas variáveis pode ajudar no planejamento estratégico multiprofissional visando melhoria de resultados e otimização de recursos no estado de São Paulo. Fundamento custos Objetivo (CRM Paulo Métodos II prospectivo consecutivo 201 2019 prolongado pósoperatório pós operatório 1 quatorze (quatorze dias uni multivariada 005 0 05 0,0 significativos Resultados 6 5770 57 70 (57-70 2655 26 55 26,55 feminino 370 analisados 22 6,16% 616 16 (6,16% (LPH 1620 20 (16-20 >6 OR 2,05 205 2 IC95 143 43 1,4 2,87 287 87 p<0,001 p0001 001 1,73 173 73 129 29 1,2 2,32 232 32 1,32 132 107 07 1,0 2,06 206 06 p=0,01. p001 p=0,01 . 01 p=0,01) Conclusão análise 00 0, 577 5 7 (57-7 265 26,5 37 6,16 61 (6,16 162 (16-2 2,0 IC9 4 1, 2,8 28 8 p<0,00 p000 1,7 12 2,3 23 3 1,3 13 10 p00 p=0,0 (57- 26, 6,1 (6,1 (16- 2, p<0,0 p0 p=0, (57 6, (6, (16 p<0, p=0 (5 (6 (1 p<0 p= ( p<

Abstract Background: Identifying risk factors in cardiovascular surgery assists in predictability, resulting in optimization of outcomes and cost reduction. Objective: This study aimed to identify preoperative and intraoperative risk predictors for prolonged hospitalization after coronary artery bypass grafting (CABG) surgery in the state of São Paulo, Brazil. Methods: A cross-sectional analysis using data from the REPLICCAR II database, a prospective, consecutive, multicenter registry that included CABG surgeries performed between August 2017 and July 2019. The primary outcome was a prolonged hospital stay (PHS), defined as a postoperative period exceeding 14 days. Univariate and multivariate logistic regression analyses were performed to identify the predictors with significance set at p <0.05. Results: The median age was 63 (57-70) years and 26.55% of patients were female. Among the 3703 patients analyzed, 228 (6.16%) had a PHS after CABG, with a median hospital stay of 17 (16-20) days. Predictors of PHS after CABG included age >60 years (OR 2.05; 95% CI 1.43-2.87; p<0.001); renal failure (OR 1.73; 95% CI 1.29-2.32; p <0.001) and intraoperative red blood cell transfusion (OR 1.32; 95% CI 1.07-2.06; p=0.01). Conclusion: Age >60 years, renal failure, and intraoperative red blood cell transfusion were independent predictors of PHS after CABG. The identification of these variables can help in multiprofessional strategic planning aimed to enhance results and resource utilization in the state of São Paulo. Background predictability reduction Objective (CABG Paulo Brazil Methods crosssectional cross sectional database prospective consecutive 201 2019 PHS, , (PHS) 1 days 005 0 05 <0.05 Results 6 5770 57 70 (57-70 2655 26 55 26.55 female 370 analyzed 22 6.16% 616 16 (6.16% 1620 20 (16-20 60 >6 OR 2.05 205 2 95 1.432.87 143287 1.43 2.87 43 87 1.43-2.87 p<0.001 p0001 001 p<0.001) 1.73 173 73 1.292.32 129232 1.29 2.32 29 32 1.29-2.32 <0.001 0001 1.32 132 1.072.06 107206 1.07 2.06 07 06 1.07-2.06 p=0.01. p001 p=0.01 . 01 p=0.01) Conclusion (PHS 00 <0.0 577 5 7 (57-7 265 26.5 37 6.16 61 (6.16 162 (16-2 > 2.0 9 432 1.432.8 14328 143 1.4 287 2.8 4 8 1.43-2.8 p<0.00 p000 1.7 292 1.292.3 12923 129 1.2 232 2.3 3 1.29-2.3 <0.00 000 1.3 13 072 1.072.0 10720 107 1.0 206 1.07-2.0 p00 p=0.0 <0. (57- 26. 6.1 (6.1 (16- 2. 1.432. 1432 1. 28 1.43-2. p<0.0 1.292. 1292 12 23 1.29-2. 1.072. 1072 10 1.07-2. p0 p=0. <0 (57 6. (6. (16 1.432 1.43-2 p<0. 1.292 1.29-2 1.072 1.07-2 p=0 < (5 (6 (1 1.43- p<0 1.29- 1.07- p= ( p<

Abstract The aim of this study was to evaluate the convergence between the domains of the Autoquestionnaire Qualité de Vie Enfant image (AUQUEI) and the Child Perceptions Questionnaire (CPQ8-10) in the mixed dentition. A sample of 676 children aged 8 to 10 years responded to the health-related quality of life (HRQoL) and oral health-related quality of life (OHRQoL) questionnaires using the AUQUEI and the CPQ8-10, respectively. Clinical (dental caries and malocclusion) and socioeconomic variables were assessed. The validity of convergence between scores (total and per domain) of the two instruments was assessed by Spearman correlation analysis, considering that non-zero coefficient values represented a correlation between scores. The median was calculated to compare the scores of each questionnaire relative to the variables, and the nonparametric Mann-Whitney test was applied to determine statistically significant differences between the categories. A weak significant correlation (between 0.30 and 0.50) was observed between the domains and the total scores of instruments (p < 0.05), except for the leisure domain (p > 0.05). Participants with a lower family income had worse HRQoL (p < 0.05), and those with caries and malocclusion experience had worse OHRQoL (p < 0.05). In conclusion, the AUQUEI and CPQ8-10 instruments showed a weak correlation. Income and clinical variables had a negative impact on the AUQUEI and CPQ8-10, respectively. (AUQUEI CPQ810 CPQ CPQ8 (CPQ8-10 dentition 67 1 healthrelated health related (HRQoL (OHRQoL CPQ810, 10, respectively dental analysis nonzero non zero MannWhitney Mann Whitney categories 030 0 30 0.3 0.50 050 50 p 0.05, 005 0.05 , 05 0.05) 0.05. . conclusion CPQ8-1 CPQ81 (CPQ8-1 6 03 3 0. 0.5 5 00 0.0 CPQ8- (CPQ8- (CPQ8 (CPQ

Resumen El índice de conectividad hidrosedimentológica determina el grado de posibilidad de que los sedimentos de una zona determinada lleguen a un punto de control. Comprender la dinámica que ocurre con los sedimentos requiere el uso de variables que representen la morfología y las condiciones ambientales involucradas en el espacio y el tiempo. Esta investigación propuso el análisis de modelos, identificando las principales variables que explican la conectividad de los sedimentos y observando sus influencias y frecuencia de uso. A partir de 35 artículos específicos que abordaron modelos de conectividad de sedimentos, se encontró una representatividad importante del uso de modelos digitales de elevación en el 85% de los trabajos, con énfasis en variables de pendiente, área de drenaje, además del uso del suelo. La rugosidad, a pesar de ser sumamente importante, se utilizó únicamente con datos tabulados, pudiendo así ser un elemento a detallar en nuevos modelos. control tiempo 3 85 trabajos pendiente drenaje suelo rugosidad tabulados 8

Resumo O índice de conectividade hidrossedimentológica determina o grau de possibilidade que os sedimentos de uma determinada área chegue a um ponto de controle. Compreender a dinâmica que ocorre com os sedimentos requer o uso de variáveis que representam a morfologia e as condições ambientais envolvidas no espaço e no tempo. Esta pesquisa propõe a análise de modelos, identificando as principais variáveis que explicam a conectividade de sedimentos e observando as influências e frequências de uso delas. Com base em 35 artigos específicos que trataram de modelos de conectividade de sedimentos, foi constatada uma representatividade importante do uso de modelos digitais de elevação em 85% dos trabalhos, com destaque para variáveis de declividade, área de drenagem, além do uso da terra. A rugosidade, apesar de extrema importância, foi usada apenas com dados tabelados, podendo assim ser um elemento a ser detalhado em novos modelos. controle tempo delas 3 85 trabalhos declividade drenagem terra rugosidade importância tabelados 8

Abstract The hydro-sedimentological connectivity index determines the degree of possibility that sediments from a given area reach a control point. To understand the dynamics that occur with sediments, the use of variables that represent the morphology and environmental conditions involved in space and time is necessary. This research proposed the analysis of models, identifying the main variables that explain the connectivity of sediments and observing their influences and frequency of use. Based on 35 specific articles that addressed sediment connectivity models, an important representativeness of the use of digital elevation models was found in 85% of the studies, emphasizing slope variables, drainage area, and land use and cover. Roughness was used only with tabulated data, despite being extremely important, thus being able to be an element to be detailed in new models. hydrosedimentological hydro sedimentological point necessary 3 85 studies cover data 8

Abstract Objective: To show the experience of a Latin American public hospital, with SNM in the management of either OAB, NOUR or FI, reporting feasibility, short to medium-term success rates, and complications. Methods: A retrospective cohort was conducted using data collected prospectively from patients with urogynecological conditions and referred from colorectal surgery and urology services between 2015 and 2022. Results: Advanced or basic trial phases were performed on 35 patients, 33 (94%) of which were successful and opted to move on Implantable Pulse Generator (GG) implantation. The average follow-up time after definitive implantation was 82 months (SD 59). Of the 33 patients undergoing, 27 (81%)reported an improvement of 50% or more in their symptoms at last follow-up. Moreover, 30 patients (90%) with a definitive implant reported subjective improvement, with an average PGI-I "much better" and 9 of them reporting to be "excellent" on PGI-I. Conclusion: SNM is a feasible and effective treatment for pelvic floor dysfunction. Its implementation requires highly trained groups and innovative leadership. At a nation-wide level, greater diffusion of this therapy among professionals is needed to achieve timely referral of patients who require it. Objective hospital OAB FI feasibility mediumterm medium term rates complications Methods 201 2022 Results 3 94% 94 (94% GG (GG followup follow up 8 SD 59. 59 . 59) undergoing 2 81%reported 81reported 81% 81 50 followup. up. Moreover 90% 90 (90% PGII PGI I much better excellent "excellent PGII. I. Conclusion dysfunction leadership nationwide nation wide level it 20 202 (94 5 (90 (9 (

RESUMO Este estudo teve como objetivo analisar as características físicas dos ovos de galinhas caipiras var. Suras. Foram analisados um total de 100 ovos, onde diversos parâmetros físicos, tais como pesagem do ovo inteiro, medição do diâmetro equatorial e altura do ovo, classificação da cor da casca, miragem para verificação da presença de fendas na casca, determinação da altura da câmara de ar, classificação da cor da gema, verificação da presença de manchas de carne e manchas de sangue, medição da largura e comprimento do albúmen, medição do diâmetro da gema, pesagem da gema, e pesagem da casca. Foram posteriormente determinados o peso do albúmen por diferença entre o peso do ovo e pesos da casca e gema, determinação percentual dos diferentes constituintes do ovo, shape index (índice de forma) e shell index (índice de casca). A análise estatística foi realizada pelo GLM programa SAS (SAS Institute). O resultado comparando as médias de cada parâmetro estudado demonstrou que os ovos da variedade Sura em ambas as classes comerciais (Grande e Pequenos), possuem formato mais arredondado, com casca marrom clara e gema mais alaranjada. Portanto, os parâmetros avaliados confirmam que os ovos provenientes de galinhas var. Suras possuem características que podem favorecer nichos de mercado e assim incentivar a produção destas aves, mantendo a biodiversidade e contrariando a extinção das mesmas. var 10 físicos inteiro ar sangue índice forma . casca) Institute. Institute Institute) Grande Pequenos, Pequenos , Pequenos) arredondado alaranjada Portanto aves mesmas 1

ABSTRACT This study aimed to analyze the physical characteristics of eggs from free-range hens of the Sura variety. One hundred eggs underwent assessment of various physical parameters, namely, whole egg weight, equatorial diameter, egg height, shell color, presence of cracks via candling, air chamber height, yolk color, presence of flesh and blood spots, albumen width and length, yolk diameter, yolk weight, and shell weight. Additional analyses included determining the albumen weight (calculated by subtracting the weights of the shell and yolk from the total egg weight), percentages of egg components, shape index, and shell index. Statistical analyses were conducted using GLM SAS software (SAS Institute). The results revealed distinct physical traits; eggs from the Sura variety, regardless of size class (large or small), typically have a more rounded shape, light brown shells, and more orange yolks. These findings confirm that Sura variety eggs possess unique characteristics that could appeal to specific market niches, potentially promoting the production of these birds, supporting biodiversity, and aiding in the prevention of their extinction. freerange free range parameters namely diameter height color candling spots length calculated , weight) components index Institute. Institute . Institute) traits large small, small small) shells yolks niches birds biodiversity extinction

Abstract: All of the world's productive sectors are being impacted by the phenomenon known as digitalization, but different economies are experiencing this phenomenon in different ways due to a variety of internal and external factors at play in the businesses. According to official statistics, they make up 97% of the nation's commercial fabric and generate a sizable amount of employment (about 60%) and gross domestic product (GDP) for the nation. By categorizing Paraguayan MSMEs by economic sector, size, and age, the goal of this paper is to examine the influence of digitalization drivers in this context. In order to achieve this purpose, data was collected through a survey during the months of April to September 2022. The findings show that MSMEs' owners value the key forces influencing digitization. On the other hand, they point out to the fact that varied behaviors are displayed depending on the business sector, size, and age of the company, which calls for specialized tactics and attention to improve digitalization in MSMEs.