Abstract Chemotherapy stands out as the main systemic treatment strategy against cancer and still faces problems related to multidrug resistance and severe side effects. Copper-based drugs have been widely explored in medicinal chemistry, since copper is an essential metal for physiological activities with antineoplastic effects. In this context, the present study aimed to evaluate the recombinogenic/mutagenic and anticarcinogenic potential of the complex CBP-01 - [Cu(bta)(1,10-phen)ClO4] (Hbta = 4,4,4-trifluoro-1-phenyl-1,3-butanedione and 1,10-phen =1,10-phenanthroline) - through the Somatic and Recombination test (SMART) and the Epithelial Tumor Test (ETT) in Drosophila melanogaster, compared with carboplatin (CARB) and cisplatin (CIS) effects. According to our results, CARB and CIS induced a high frequency of mutant spots, which was not verified at higher concentrations of CBP-01. In addition, CBP-01 exhibited mutagenic/recombinogenic potential only at the lowest concentration and after biometabolization. Subsequently, in the ETT test, CBP-01 did not demonstrate carcinogenic effect. Lastly, epithelial tumors were identified in flies treated with CARB and CIS, which were modulated by the CBP-01 complex. Therefore, CBP-01 modulates genotoxicity of other compounds and is a promising metal-based drug for the development of a new anticancer agent or for optimization of therapeutic regimens. effects Copperbased Copper based chemistry context recombinogenicmutagenic recombinogenic mutagenic CBP01 CBP 01 CBP-0 Cubta1,10phenClO4 Cubta110phenClO4 CubtaphenClO Cu bta 1,10 phen ClO4 1 10 ClO [Cu(bta)(1,10-phen)ClO4 Hbta 4,4,4trifluoro1phenyl1,3butanedione 444trifluoro1phenyl13butanedione trifluorophenylbutanedione 4,4,4 trifluoro phenyl 1,3 butanedione 4 3 1,10phen 110phen =1,10phenanthroline 110phenanthroline phenanthroline =1,10 =1,10-phenanthroline SMART (SMART (ETT melanogaster (CARB (CIS results spots CBP01. 01. addition mutagenicrecombinogenic biometabolization Subsequently effect Lastly Therefore metalbased regimens CBP0 0 CBP- Cubta1 10phenClO4 Cubta phenClO Cubta1,10phenClO Cubta110phenClO 110 1,1 [Cu(bta)(1,10-phen)ClO 4trifluoro1phenyl1 3butanedione 444 4,4, 13 1, 10phen 10phenanthroline =1,1 10phenClO 11 trifluorophenyl 4trifluoro1phenyl 44 4,4 =1, 4, =1

ABSTRACT Wild birds have great prominence in the transmission of diseases to humans, mainly due to their ease of access to human populations, raising concerns about the potential impact of that proximity on public health. The present study reports ARV and PBV occurrence in wild birds from an environmental protection area in the Amazon biome, in Pará state, Brazil. We obtained 155 fecal specimens from 47 species of wild birds for RNA extraction, ARV and PBV detection utilizing molecular methods, nucleotide sequencing, and phylogenetic analysis. ARV prevalence was 0.6% (1/155), being positive in an individual of Myrmotherula longipennis, and PBV prevalence was 1.29% (2/155), affecting two individuals of Guira guira. The PBV strains were assigned to genogroup I based on phylogenetic analysis, and they shared a strong phylogenetic link with strains isolated from different geographic locations. The ARV strain was more closely related to strains that had previously circulated in the same region. The presence of ARV and PBV in this habitat suggests that infection cycles of these agents occur naturally in the wild ecosystem, potentially triggering transmission events between bird species and humans. This is the first study on ARV detection in wild birds in Brazil and the first report on the occurrence of PBV in wild Guira guira. Additional studies are required to determine the epidemiology, origin, evolution, and emergence of new potentially pathogenic viruses in the Amazon. humans populations health biome state 15 4 extraction methods sequencing analysis 06 0 6 0.6 1/155, 1155 1/155 , 1 (1/155) longipennis 129 29 1.29 2/155, 2155 2/155 2 (2/155) guira locations region ecosystem epidemiology origin evolution 0. 115 1/15 (1/155 12 1.2 215 2/15 (2/155 11 1/1 (1/15 1. 21 2/1 (2/15 1/ (1/1 2/ (2/1 (1/ (2/ (1 (2 (

RESUMO As aves silvestres têm grande destaque na transmissão de doenças ao homem, principalmente pela facilidade de acesso à população humana, levantando preocupações sobre o potencial impacto dessa proximidade no contexto da saúde pública. O presente estudo relata a ocorrência de ARV e PBV em aves silvestres de uma área de proteção ambiental no bioma Amazônico. Obtivemos 155 espécimes fecais de 47 espécies de aves silvestres, que foram submetidos a extração de RNA, detecção de ARV e PBV por técnicas moleculares, sequenciamento nucleotídico e análise filogenética. A prevalência de infecção por ARV foi 0,6% (1/155), sendo positivo em um indivíduo de Myrmotherula longipennis, e a prevalência de PBV foi 1,29% (2/155), afetando dois insdivíduos de Guira guira. A análise filogenética agrupou as cepas de PBV no genogrupo I, mostrando intensa relação filogenética com cepas isoladas de outras regiões geográficas. A cepa de ARV esteve mais relacionada filogeneticamente a cepas previamente circulantes na mesma região. Este é o primeiro estudo sobre detecção de ARV em aves silvestres no Brasil e o primeiro relato sobre a ocorrência de PBV em Guira guira. A circulação de ARV e PBV nesse ambiente demonstra que os ciclos desses agentes estão ocorrendo de forma natural no ecossistema silvestre, o que pode desencadear possíveis eventos de transmissão entre as espécies aviárias e humanos. Estudos adicionais são necessários para determinar a epidemiologia, origem, evolução e surgimento de novos vírus potencialmente patogênicos na Amazônia. homem humana pública Amazônico 15 4 RNA moleculares 06 0 6 0,6 1/155, 1155 1/155 , 1 (1/155) longipennis 129 29 1,29 2/155, 2155 2/155 2 (2/155) guira I geográficas região silvestre humanos epidemiologia origem Amazônia 0, 115 1/15 (1/155 12 1,2 215 2/15 (2/155 11 1/1 (1/15 1, 21 2/1 (2/15 1/ (1/1 2/ (2/1 (1/ (2/ (1 (2 (

Abstract Objective: to describe mortality and disability-adjusted life years (DALYs) due to laryngeal cancer attributable to occupational and behavioral risk factors in Brazil. Methods: this is an ecological study with data from the 2019 Global Burden of Disease. Mortality and DALY rates for laryngeal cancer attributable to occupational (sulfuric acid and asbestos) and behavioral (tobacco and alcohol) risks were obtained from 1990 and 2019. Results: in 2019, the mortality rate from laryngeal cancer attributable to occupational hazards (sulfuric acid and asbestos) totaled 0.28 (95%UI: 0.17; 0.43) and 0.03 (95%UI: 0.02; 0.04), whereas and DALY rates, 7.33 (95%UI: 4.28; 11.44) and 0.64 (95%UI: 0.35; 0.03) in men and women in Brazil, respectively. Sulfuric acid configured the main occupational risk for the disease. The rates attributable to tobacco (mortality: −45.83%; DALYs: −47.36%) and occupational hazards (mortality: −23.20%; DALYs: −26.31%) decreased in Brazil but increased in some Northern and Northeastern states. Conclusion: laryngeal cancer mortality and burden attributable to occupational factors decreased in the period (although less than that for smoking), reinforcing the importance of actions to reduce the impact of occupational risks, such as the regulatory measures applied to tobacco. Objective disabilityadjusted disability adjusted DALYs (DALYs Methods 201 Disease sulfuric asbestos alcohol 199 Results 028 0 28 0.2 95%UI 95UI UI 95 (95%UI 0.17 017 17 0.43 043 43 003 03 0.0 0.02 002 02 0.04, 004 0.04 , 04 0.04) 733 7 33 7.3 4.28 428 4 11.44 1144 11 44 064 64 0.6 0.35 035 35 respectively disease (mortality −45.83% 4583 45 83 −47.36% 4736 47 36 −23.20% 2320 23 20 −26.31% 2631 26 31 states Conclusion although smoking, smoking smoking) 19 2 0. 9 0.1 01 1 0.4 00 73 3 7. 4.2 42 11.4 114 06 6 0.3 −45.83 458 8 −47.36 473 −23.20 232 −26.31 263 4. 11. −45.8 −47.3 −23.2 −26.3 −45. −47. −23. −26. −45 −47 −23 −26 −4 −2 −

Resumo Objetivo: descrever a mortalidade e os anos de vida ajustados pela incapacidade disability-adjusted life years – DALYs) para câncer de laringe no Brasil atribuíveis a fatores de risco ocupacionais e comportamentais. Métodos: estudo ecológico com dados do estudo Global Burden of Disease 2019. Foram obtidas taxas de mortalidade e de DALYs para o câncer de laringe atribuíveis aos riscos ocupacionais (ácido sulfúrico e amianto) e comportamentais (tabaco e álcool), de 1990 e 2019. Resultados: no Brasil, em 2019, a taxa de mortalidade por câncer de laringe atribuível aos riscos ocupacionais (ácido sulfúrico e amianto) foi 0,28 (II95%: 0,17;0,43) no sexo masculino e 0,03 (II95%: 0,02;0,04) no feminino, e a de DALYs foi 7,33 (II95%: 4,28;11,44) e 0,64 (II95%: 0,35;0,03), respectivamente. O ácido sulfúrico foi o principal risco ocupacional para a doença. Houve redução das taxas atribuíveis ao tabaco (mortalidade:-45,83%; DALYs:-47,36%) e aos riscos ocupacionais (mortalidade:-23,20%; DALYs:-26,31%), no Brasil, com aumento em alguns estados das regiões Norte e Nordeste. Conclusão: houve redução na mortalidade e na carga do câncer de laringe atribuível aos fatores ocupacionais no período, porém menor em comparação ao tabagismo, reforçando a importância de ações para reduzir o impacto dos riscos ocupacionais, como as medidas regulatórias aplicadas ao tabaco. Objetivo disabilityadjusted disability adjusted Métodos 2019 amianto álcool, álcool , álcool) 199 Resultados 028 0 28 0,2 II95% II95 II (II95% 0,170,43 017043 0,17 0,43 17 43 0,17;0,43 003 03 0,0 0,020,04 002004 0,02 0,04 02 04 0,02;0,04 feminino 733 7 33 7,3 4,2811,44 4281144 4,28 11,44 4 11 44 4,28;11,44 064 64 0,6 0,350,03, 035003 0,35 35 0,35;0,03) respectivamente doença mortalidade45,83% mortalidade4583 45,83% 45 83 (mortalidade:-45,83% DALYs47,36% DALYs4736 47,36% 47 36 DALYs:-47,36% mortalidade23,20% mortalidade2320 23,20% 23 20 (mortalidade:-23,20% DALYs26,31%, DALYs2631 26,31% 26 31 DALYs:-26,31%) Nordeste Conclusão período tabagismo 201 19 2 0, II9 (II95 170 0,170,4 01704 017 0,1 043 0,4 1 0,17;0,4 00 020 0,020,0 00200 002 004 0,02;0,0 73 3 7, 2811 4,2811,4 428114 428 4,2 1144 11,4 4,28;11,4 06 6 350 0,350,03 03500 035 0,3 0,35;0,03 mortalidade45 mortalidade45,83 mortalidade458 4583 45,83 8 (mortalidade:-45,83 DALYs47 DALYs47,36 DALYs473 4736 47,36 DALYs:-47,36 mortalidade23 mortalidade23,20 mortalidade232 2320 23,20 (mortalidade:-23,20 DALYs26 DALYs26,31% DALYs263 2631 26,31 DALYs:-26,31% (II9 0,170, 0170 01 0,17;0, 0,020, 0020 0,02;0, 281 4,2811, 42811 42 4, 114 11, 4,28;11, 0,350,0 0350 0,35;0,0 mortalidade4 mortalidade45,8 458 45,8 (mortalidade:-45,8 DALYs4 DALYs47,3 473 47,3 DALYs:-47,3 mortalidade2 mortalidade23,2 232 23,2 (mortalidade:-23,2 DALYs2 DALYs26,31 263 26,3 DALYs:-26,31 (II 0,170 0,17;0 0,020 0,02;0 4,2811 4281 4,28;11 0,350, 0,35;0, mortalidade45, 45, (mortalidade:-45, DALYs47, 47, DALYs:-47, mortalidade23, 23, (mortalidade:-23, DALYs26,3 26, DALYs:-26,3 0,17; 0,02; 4,281 4,28;1 0,350 0,35;0 (mortalidade:-45 DALYs:-47 (mortalidade:-23 DALYs26, DALYs:-26, 4,28; 0,35; (mortalidade:-4 DALYs:-4 (mortalidade:-2 DALYs:-26 (mortalidade:- DALYs:- DALYs:-2 (mortalidade: DALYs: (mortalidade

ABSTRACT Objective: The objective of the research was to carry out a comparative study between Smith & Nephew ® or Zimmer ® prostheses with thick versus thin polyethylene, in patients undergoing primary total knee arthroplasty, during a short-term follow-up. Thus, the objective was to analyze the survival of the implants in question under the clinical and radiographic aspect. Methods: The sample was divided into two groups: Group 1 with thick polyethylene and group 2 with thin polyethylene. A clinical analysis of the patients was carried out and the implants were checked for loosening. Results: The groups were similar when compared. According to the Ahlbäck classification, 83% of the patients were in groups IV and V. The median functional score in the postoperative period was similar between the two groups. Postoperatively, the tibiofemoral angle fluctuated between 5 and 6 0 valgus on average. Two complications were observed in each group. None of the evaluated patients presented implant loosening Conclusion: Patients treated with thick polyethylene had the same functional score as the control group, as well as the absence of radiographic changes in this short-term follow-up, with implant survival and a similar rate of complications between both groups. Level of evidence III, Retrospective study. Objective arthroplasty shortterm short term followup. followup follow up. up follow-up Thus aspect Methods Results compared classification 83 V Postoperatively average Conclusion followup, up, III 8

RESUMO Objetivo: O objetivo desta pesquisa foi realizar um estudo comparativo entre as próteses Smith & Nephew ® e Zimmer ®, com polietileno espesso versus o fino, em pacientes submetidos à artroplastia total primária do joelho, durante um seguimento de curto prazo. Dessa forma, foi analisada a sobrevida dos implantes em questão sob o aspecto clínico e radiográfico. Métodos: A amostra foi dividida em dois grupos: grupo 1 com polietileno espesso e grupo 2 com polietileno fino. Foi realizada análise clínica dos pacientes e verificado se ocorreu soltura dos implantes. Resultados: Os grupos tiveram resultados semelhantes quando comparados. Segundo a classificação de Ahlbäck, 83% dos pacientes eram dos grupos IV e V. A mediana do escore funcional no pós-operatório foi similar entre os grupos. No pós-operatório o ângulo tíbio-femoral oscilou na média entre 5 e 6 0 de valgo. Foram observadas duas complicações em cada grupo. Nenhum dos pacientes avaliados apresentou soltura do implante. Conclusão: Os pacientes tratados com o polietileno espesso apresentaram o mesmo escore funcional do grupo controle, assim como ausência de alterações radiográficas nesse seguimento de curto prazo, com sobrevida do implante e índice de complicações similar entre ambos os grupos. Nível de evidência III, Estudo retrospectivo. Objetivo fino joelho prazo forma radiográfico Métodos Resultados comparados Ahlbäck 83 V pósoperatório pós operatório tíbiofemoral tíbio femoral valgo Conclusão controle III retrospectivo 8

Abstract Background: Loxoscelism refers to a set of clinical manifestations caused by the bite of spiders from the Loxosceles genus. The classic clinical symptoms are characterized by an intense inflammatory reaction at the bite site followed by local necrosis and can be classified as cutaneous loxoscelism. This cutaneous form presents difficult healing, and the proposed treatments are not specific or effective. This study aimed to evaluate the protective effect of mesenchymal stromal cells-derived secretome on dermonecrosis induced by Loxosceles intermedia spider venom in rabbits. Methods: Sixteen rabbits were distributed into four groups (n = 4). Except for group 1 (G1), which received only PBS, the other three groups (G2, G3, and G4) were initially challenged with 10 μg of L. intermedia venom, diluted in 100 μL of NaCl 0.9%, by intradermic injection in the interscapular region. Thirty minutes after the challenge all groups were treated with secretome, except for group 2. Group 1 (G1-control group) received intradermal injection (ID) of 60 μg of secretome in 0.15 M PBS; Group 2 (G2) received 0.9% NaCl via ID; Group 3 (G3) received 60 μg of secretome, via ID and Group 4 (G4), received 60 μg of secretome by intravenous route. Rabbits were evaluated daily and after 15 days were euthanized, necropsied and skin samples around the necrotic lesions were collected for histological analysis. Results: Rabbits of G1 did not present edema, erythema, hemorrhagic halo, or necrosis. In animals from G2, G3, and G4, edema appeared after 6h. However, minor edema was observed in the animals of G2 and G3. Hemorrhagic halo was observed in animals, six hours and three days after, on G2, G3, and G4. Macroscopically, in G4, only one animal out of four had a lesion that evolved into a dermonecrotic wound. No changes were observed in the skin of the animals of G1, by microscopic evaluation. All animals challenged with L. intermedia venom showed similar alterations, such as necrosis and heterophilic infiltration. However, animals from G4 showed fibroblast activation, early development of connective tissue, neovascularization, and tissue re-epithelialization, indicating a more prominent healing process. Conclusion: These results suggest that secretome from mesenchymal stromal cells cultured in a xeno-free and human component-free culture media can be promising to treat dermonecrosis caused after Loxosceles spiders bite envenoming. Background genus loxoscelism effective cellsderived derived Methods n 4. . 4) G , (G1) PBS (G2 G3 L 09 0 9 region G1control Gcontrol control (ID 6 015 0.1 0.9 (G3 (G4) route euthanized analysis Results erythema 6h h However Macroscopically wound evaluation alterations infiltration activation neovascularization reepithelialization, reepithelialization re epithelialization, epithelialization re-epithelialization process Conclusion xenofree xeno free componentfree component envenoming (G1 (G 01 0. (G4

RESUMO A associação entre síndrome de Guillain-Barré (SGB) e citomegalovírus (CMV) já é bem estabelecida na literatura, tendo sido primeiramente relatada em 1967. Porém, essa associação é rara em pacientes transplantados de órgãos sólidos, apesar da incidência de infecção sintomática por CMV ser maior nesta população. Devido ao seu potencial de gravidade, alta morbidade e mortalidade, a possibilidade de SGB não pode ser afastada em caso de complicação neurológica em pacientes transplantados. Neste relato, é descrito um caso de SGB secundária a CMV em um paciente transplantado renal de 8 anos de idade, na faixa etária pediátrica, intervalo com ainda maior escassez de relatos sobre essa associação. O paciente apresentava sorologia (IgG e IgM) negativa para CMV em exames pré-transplante, enquanto o doador possuía IgG positiva, havendo dessa forma alto risco de desenvolvimento da doença. A abertura do quadro clínico ocorreu cerca de dois meses após a realização do transplante, com sintomas e evolução clássicos de SGB. São discutidos os aspectos clínicos, diagnósticos, de tratamento e de evolução da doença, além da relação com as evidências presentes na literatura mundial. GuillainBarré Guillain Barré (SGB (CMV 1967 Porém sólidos população gravidade mortalidade relato idade pediátrica IgM prétransplante, prétransplante pré transplante pré-transplante positiva doença clínicos diagnósticos mundial 196 19 1

ABSTRACT The association between Guillain-Barré syndrome (GBS) and cytomegalovirus (CMV) is already well established in the literature, first reported in 1967. However, this association is rare in solid organ transplant patients, although the incidence of symptomatic CMV infection is higher in this population. Due to its potential severity, high morbidity and mortality, the possibility of GBS cannot be ruled out in the case of neurological complications in transplant patients. In this report, a case of GBS secondary to CMV is described in an eight-year-old kidney transplant patient in the pediatric age group, an interval with an even greater scarcity of reports on this association. The patient had negative antibodies (IgG and IgM) for CMV in pre-transplant tests, while the donor had positive IgG antibodies, meaning a higher risk of developing the disease. The clinical condition began approximately two months after the transplant, with classic symptoms and the evolution of GBS. The clinical aspects, diagnosis, treatment and evolution of the disease are discussed, in addition to the evidence in the world literature. GuillainBarré Guillain Barré (GBS (CMV literature 1967 However patients population severity mortality report eightyearold eight year old group IgM pretransplant pre tests aspects diagnosis discussed 196 19 1

Abstract Objective To assess the efficacy, safety, and acceptability of misoprostol in the treatment of incomplete miscarriage. Data sources The PubMed, Scopus, Embase, Web of Science, Cochrane Library, and Clinical Trials databases (clinicaltrials.gov) were searched for the relevant articles, and search strategies were developed using a combination of thematic Medical Subject Headings terms and text words. The last search was conducted on July 4, 2022. No language restrictions were applied. Selection of studies Randomized clinical trials with patients of gestational age up to 6/7 weeks with a diagnosis of incomplete abortion and who were managed with at least 1 of the 3 types of treatment studied were included. A total of 8,087 studies were screened. Data collection Data were synthesized using the statistical package Review Manager V.5.1 (The Cochrane Collaboration, Oxford, United Kingdom). For dichotomous outcomes, the odds ratio (OR) and 95% confidence interval (CI) were derived for each study. Heterogeneity between the trial results was evaluated using the standard test, I2 statistic. Data synthesis When comparing misoprostol with medical vacuum aspiration (MVA), the rate of complete abortion was higher in the MVA group (OR = 0.16; 95%CI = 0.07–0.36). Hemorrhage or heavy bleeding was more common in the misoprostol group (OR = 3.00; 95%CI = 1.96–4.59), but pain after treatment was more common in patients treated with MVA (OR = 0.65; 95%CI = 0.52–0.80). No statistically significant differences were observed in the general acceptability of the treatments. Conclusion Misoprostol has been determined as a safe option with good acceptance by patients. efficacy safety miscarriage PubMed Scopus Embase Science Library clinicaltrials.gov clinicaltrialsgov clinicaltrials gov (clinicaltrials.gov articles words 4 2022 applied 67 6 7 6/ included 8087 8 087 8,08 screened V51 V 5 V.5. Collaboration Oxford Kingdom. Kingdom . Kingdom) outcomes OR 95 CI (CI study test I statistic MVA, , (MVA) 0.16 016 0 16 95CI 0.07–0.36. 007036 0.07–0.36 07 36 0.07–0.36) 3.00 300 00 1.96–4.59, 196459 1.96–4.59 96 59 1.96–4.59) 0.65 065 65 0.52–0.80. 052080 0.52–0.80 52 80 0.52–0.80) treatments 202 808 08 8,0 V5 V.5 9 (MVA 0.1 01 00703 0.07–0.3 3.0 30 19645 1.96–4.5 0.6 06 05208 0.52–0.8 20 8, V. 0. 0070 0.07–0. 3. 1964 1.96–4. 0520 0.52–0. 2 007 0.07–0 196 1.96–4 052 0.52–0 0.07– 19 1.96– 05 0.52– 0.07 1.96 0.52 0.0 1.9 0.5 1.

Resumo Objetivo Avaliar a eficácia, segurança e aceitabilidade do misoprostol no tratamento do aborto incompleto. Fontes de dados Os bancos de dados PubMed, Scopus, Embase, Web of Science, Cochrane Library e bancos de dados de Ensaios Clínicos (clinicaltrials.gov) foram pesquisados para os artigos relevantes, e estratégias de busca foram desenvolvidas usando uma combinação de termos temáticos de Medical Subject Headings e palavras de texto. A última pesquisa foi realizada em 4 de julho de 2022. Nenhuma restrição de idioma foi aplicada. Seleção dos estudos Foram incluídos ensaios clínicos randomizados com pacientes com idade gestacional até 6/7 semanas com diagnóstico de aborto incompleto e que foram manejadas com pelo menos um dos três tipos de tratamento estudados. Um total de 8.087 estudos foram selecionados. Coleta de dados Os dados foram sintetizados usando o pacote estatístico Review Manager V.5.1 (The Cochrane Collaboration, Oxford, United Kingdom). Para resultados dicotômicos, o odds ratio (OR, na sigla em inglês) e o intervalo de confiança (IC) de 95% foram derivados para cada estudo. A heterogeneidade entre os resultados do ensaio foi avaliada usando o teste padrão, estatística I2. Síntese dos dados Ao comparar misoprostol com aspiração a vácuo médico (MVA, na sigla em inglês), a taxa de aborto completo foi maior no grupo MVA (OR = 0,16; IC95% = 0,07–0,36). Hemorragia ou sangramento intenso foi mais comum no grupo do misoprostol (OR = 3,00; 95%CI = 1,96–4,59), mas a dor após o tratamento foi mais comum em pacientes tratados com MVA (OR = 0,65; 95%CI = 0,52–0,80). Não foram observadas diferenças estatisticamente significativas na aceitabilidade geral dos tratamentos. Conclusão O misoprostol tem se mostrado uma opção segura e com boa aceitação pelos pacientes. eficácia PubMed Scopus Embase Science clinicaltrials.gov clinicaltrialsgov clinicaltrials gov (clinicaltrials.gov relevantes texto 2022 aplicada 67 6 7 6/ estudados 8087 8 087 8.08 selecionados V51 V 5 1 V.5. The Collaboration Oxford Kingdom. Kingdom . Kingdom) dicotômicos OR, OR inglês IC (IC 95 estudo padrão I2 I MVA, (MVA inglês, , 0,16 016 0 16 IC95 0,07–0,36. 007036 0,07–0,36 07 36 0,07–0,36) 3,00 300 3 00 95CI CI 1,96–4,59, 196459 1,96–4,59 96 59 1,96–4,59) 0,65 065 65 0,52–0,80. 052080 0,52–0,80 52 80 0,52–0,80) tratamentos 202 808 08 8.0 V5 V.5 9 0,1 01 IC9 00703 0,07–0,3 3,0 30 19645 1,96–4,5 0,6 06 05208 0,52–0,8 20 8. V. 0, 0070 0,07–0, 3, 1964 1,96–4, 0520 0,52–0, 2 007 0,07–0 196 1,96–4 052 0,52–0 0,07– 19 1,96– 05 0,52– 0,07 1,96 0,52 0,0 1,9 0,5 1,

Abstract Introduction: This study aimed to assess the clinical, economic, and humanistic impact of short-bowel syndrome/chronic intestinal failure (SBS/CIF) in Portugal. Methods: This is a retrospective multicenter cohort chart review study, with a cross-sectional component for quality-of-life (QoL) evaluation. Inclusion criteria comprised patients with SBS/CIF, aged ≥1 year, with stable parenteral nutrition (PN). Data collection included patient chart review over a 12-month period and patient/caregiver self-report and SF-36/PedsQL™ questionnaires. Main endpoints comprised clinical and PN characterization, healthcare resource use (HRU), direct costs, and patient QoL. Results: Thirty-one patients were included (11 adults and 20 children). Patients’ mean age (standard deviation [SD]) was 57.9 (14.3) years in adults and 7.5 (5.0) years in children, with a mean time since diagnosis of 10.2 (5.9) and 6.6 (4.2) years, respectively. PN was administered for a mean of 5.2 and 6.6 days/week in adults and children, respectively; home PN occurred in 81.8% of adults and 90.0% of children for a mean of 9.6 and 10.8 months/year, respectively. The mean annual number of hospitalizations was 1.9 and 2.0 which lasted for a mean of 34.0 and 29.4 days in adults and children, respectively. Twenty-one and forty hospitalization episodes were reported in adults and children, respectively, of which 71.4% and 85.0% were due to catheter-related complications. Mean annual direct costs per patient amounted to 47,857.53 EUR in adults and 74,734.50 EUR in children, with PN and hospitalizations as the main cost-drivers. QoL assessment showed a clinically significant impaired physical component in adults and a notable deterioration in the school functioning domain in children. Conclusion: In Portugal, SBS/CIF patient management is characterized by a substantial therapeutic burden and HRU, translating into high direct costs and a substantial impairment of the adults’ physical function and children’s school functioning.

Resumo Introdução: Este estudo teve como objetivo avaliar o impacto clínico, económico e social da síndrome do intestino curto/falência intestinal crónica (SIC/FIC) em Portugal. Métodos: Estudo de coorte retrospectivo e multicêntrico de revisão dos processos clínicos incluindo uma componente transversal para avaliação da qualidade de vida (QV). Os critérios de elegibilidade incluíram doentes com SIC/FIC, idade ≥1 ano, em nutrição parenteral (NP) e clinicamente estáveis. A recolha de dados incluiu a revisão dos processos clínicos ao longo de um período de 12 meses e a aplicação de questionários auto-administrados a doentes e cuidadores e de questionários de QV (SF-36/ PedsQL™). Os indicadores principais foram a caracterização clínica e da NP, a utilização de recursos de saúde, custos diretos e QV dos doentes. Resultados: Foram incluídos 31 doentes (11 adultos e 20 crianças). A idade média (desvio padrão: DP) foi de 57.9 (14.3) anos nos adultos e de 7.5 (5.0) nas crianças com um tempo médio desde o diagnóstico de 10.2 (5.9) e 6.6 (4.2) anos, respetivamente. A NP foi administrada durante uma média de 5.2 e 6.6 dias por semana, em adultos e crianças respetivamente, em 81.8% e 90.0% dos adultos/crianças foi feita em casa durante uma média de 9.6 ou 10.8 meses por ano, respetivamente. O número médio anual de hospitalizações foi de 1.9 (1.6) e 2.0 (1.5) com uma duração média de 34.0 (47.4) e 29.4 (32.3) dias, em adultos e crianças, respetivamente. Foram reportados 21 e 40 episódios de hospitalização em adultos/crianças, dos quais 71.4% e 85.0% foram devido a complicações relacionadas ao uso de cateter. Os custos diretos anuais médios por doente ascenderam a 47,857.53 EUR nos adultos e a 74,734.50 EUR nas crianças, sendo que os maiores responsáveis foram a NP e as hospitalizações. A avaliação da QV mostrou um comprometimento clinicamente significativo da componente física nos adultos e uma deterioração relevante da dimensão escolar nas crianças. Conclusões: A gestão dos doentes com SIC/FIC em Portugal é caracterizada por uma sobrecarga substancial a nível terapêutico e de utilização de recursos de saúde, o que se traduz em elevados custos diretos e comprometimento substancial da componente física nos adultos e do desempenho escolar nas crianças.

RESUMEN El presente artículo aborda las Tecnología de la Información y las Comunicaciones (TIC) y su integración a la formación profesional pedagógica como necesidad primordial que se manifiesta en el profesorado encargado de la formación de maestras y maestros de la educación primaria del nivel medio superior que forma parte del sistema de educación en Cuba. El objetivo es valorar la formación profesional pedagógica del maestro primario de nivel medio superior con relación a la preparación para el uso de las TIC vinculada al desempeño de la función docente metodológica. Se realizó una investigación exploratoria-descriptiva con enfoque mixto, en el 2021. Participaron los 45 docentes de la Escuela Pedagógica “Rubén Bravo Álvarez” del municipio Bayamo de la provincia de Granma, Cuba. Se utilizó la encuesta, con un cuestionario semiestructurado, como instrumento de recolección de datos. Los resultados revelaron insuficiente uso de las TIC en la formación profesional pedagógica, porcentajes relativamente medio en la enseñanza aprendizaje, actitudes positivas y negativas hacia las tecnologías del profesorado, lo cual influye en el desempeño de la función docente metodológica.

ABSTRACT This article addresses Information and Communication Technology (ICT) and its integration into professional pedagogical training as a primary need that manifests itself in the teachers in charge of the training of teachers of primary education of the upper secondary level that form part of the education system in Cuba. The objective is to assess the pedagogical professional training of the primary teacher of upper secondary level in relation to the preparation for the use of ICT linked to the performance of the methodological teaching function. Exploratory-descriptive research with a mixed approach was carried out in 2021. The 45 teachers from the “Rubén Bravo Álvarez” Pedagogical School of the Bayamo municipality of the Granma province, Cuba participated. The survey, with a semi-structured questionnaire, was used as a data collection instrument. The results revealed insufficient use of ICT in professional pedagogical training, relatively medium percentages in teaching-learning, positive and negative attitudes towards teacher technologies, which influences the performance of the methodological teaching function.

ABSTRACT BACKGROUND: Knowledge of clinical and laboratory differences between chromosomal and undefined causes aids etiological research on non-obstructive azoospermia. OBJECTIVE: Compare clinical and laboratory differences between men with non-obstructive azoospermia due to chromosomal anomalies versus undefined causes DESIGN AND SETTING: A cross-sectional retrospective study conducted at a public university hospital in Campinas (Brazil) METHODS: All men aged 20–40 years with non-obstructive azoospermia were included in the analysis. RESULTS: The 107 cases included 14 with Klinefelter syndrome (KS) (13%), 1 with mosaic KS, 4 with sex development disorders (2 testicular XX, 1 NR5A1 gene mutation, and 1 mild androgen insensitivity syndrome) (4%), 9 with other non-obstructive azoospermia etiologies (8%), and 79 with undefined causes. The 22 chromosomal anomaly cases (14 KS, 1 mosaic KS, 2 testicular XX, 4 sex chromosome anomalies, and 1 autosomal anomaly) were compared with the 79 undefined cause cases. The KS group had lower average testicular volume, shorter penile length, and lower total testosterone levels but greater height, arm span, serum luteinizing hormone (LH) and follicle stimulating hormone (FSH) levels, and gynecomastia frequency (absent in the undefined group and affecting more than half of the KS group). Patients with testicular XX DSD had LH, FSH, and penile length data intermediate between the KS and undefined cause groups, testicular volume similar to the KS group, and other data similar to the undefined group. CONCLUSION: Clinical and laboratory data differentiate men with non-obstructive azoospermia and chromosomal anomalies, particularly KS and testicular XX, from those with undefined causes or other chromosomal anomalies. BACKGROUND nonobstructive non obstructive OBJECTIVE SETTING crosssectional cross sectional Brazil (Brazil METHODS 2040 20 40 20–4 analysis RESULTS 10 (KS 13%, 13 13% , (13%) ( NRA NR NR5A mutation 4%, 4% (4%) 8%, 8 8% (8%) 7 (1 height span LH (LH FSH (FSH absent . group) groups CONCLUSION 204 20– (13% (4% (8% (13 (4 (8

Abstract Few long-term studies assess the discoloration induced by hydraulic calcium silicate-based cement on dental structures. In addition, as far as we know, no long-term study has assessed the discoloration induced by these cement on composite resin. Objective This in vitro study aimed to assess, during a period of two years, the discoloration potential of different hydraulic calcium silicate-based cements (hCSCs) on the enamel/dentin structure and composite resin restoration. Methodology A total of 40 enamel/dentin discs were obtained from bovine incisors, and 40 composite resin discs (10 mm in diameter × 2 mm thick) were fabricated. A 0.8 mm-deep cavity was made in the center of each disc and filled with the following hCSCs (n=10): Original MTA (Angelus); MTA Repair HP (Angelus); NeoMTA Plus (Avalon); and Biodentine (Septodont). An initial color measurement was performed (T0 - baseline). After 7, 15, 30, 45, 90, 300 days, and two years, new color measurements were performed to determine the color (ΔE00), lightness (ΔL’), chroma (ΔC’), hue differences (ΔH’), and whiteness index (WID). Results For enamel/dentin, the ΔE00 was significant among groups and periods (p<0.05). NeoMTA Plus had the greatest ΔE00. The NeoMTA Plus group had the greatest ΔE00 after two years for composite resin. Significant reduction in lightness was observed for all groups after two years (p<0.05). The most significant WID values were observed after 30 days for Biodentine (enamel/dentin) and MTA Repair HP groups (composite resin) (p<0.05). Conclusions The hCSCs changed the colorimetric behavior of both substrates, leading to greater darkening over time. The Bi2O3 in the Original MTA seems relevant in the short periods of color change assessment. longterm long term silicatebased silicate based structures addition know (hCSCs enameldentin enamel dentin restoration 4 incisors 10 (1 thick fabricated 08 0 8 0. mmdeep deep n=10 n10 n (n=10) Angelus (Angelus) Avalon (Avalon) Septodont. Septodont . (Septodont) T0 T (T baseline. baseline baseline) 7 15 45 90 ΔE00, ΔE , (ΔE00) ΔL, ΔL (ΔL’) ΔC, ΔC (ΔC’) ΔH, ΔH (ΔH’) WID. (WID) ΔE0 p<0.05. p005 p p<0.05 05 (p<0.05) 3 (enamel/dentin substrates time BiO Bi O Bi2O assessment 1 ( n=1 n1 (n=10 (Angelus (Avalon (Septodont 9 (ΔE00 (ΔL’ (ΔC’ (ΔH’ (WID p00 p<0.0 (p<0.05 n= (n=1 (ΔE0 (ΔL (ΔC (ΔH p0 p<0. (p<0.0 (n= (ΔE p<0 (p<0. (n p< (p<0 (p< (p

Abstract The COVID-19 health emergency that began in 2019 continues, to this day, to affect a large percentage of the world population. In order to deter its progress, countries have generated various health protocol strategies, including the readjustment of their educational systems. Thus, face-to-face learning was replaced with online classes, and teaching staff were tasked with generating the adjustments necessary to provide continuity to learning processes — at least, to the extent to which their contexts allowed them to. The complexity of this task has called for leaders whose practices, in tandem with all members of the educational community, may invigorate the pedagogical, management and communicational processes involved, as this ever-evolving context demands. This article presents the construction of meanings and leadership practices of 5 leaders in early child educational centers in Chile during the years 2020 and 2021. We worked under a comprehensive-interpretive paradigm, a qualitative approach, and a grounded theory situated design. Our data collection instrument were narrative interviews. We studied the data through content analysis and using the software ATLAS.ti 9.0. The findings here presented highlight the importance of leadership practices in educational work and show some characteristics of early childhood education, a level of education at which leadership processes are located and tend towards care, the distribution of tasks, and trust. COVID19 COVID 19 COVID-1 201 continues day population progress strategies systems Thus facetoface face classes least community pedagogical involved everevolving ever evolving demands 202 2021 comprehensiveinterpretive comprehensive interpretive paradigm approach design interviews ATLASti ATLAS ti 90 9 0 9.0 care tasks trust COVID1 1 COVID- 20 9. 2

Resumen La emergencia sanitaria ha permanecido activa afectando a gran porcentaje de la población mundial. Los países han generado diversas estrategias con la finalidad de frenar su avance a través de protocolos sanitarios, junto con la readecuación de los sistemas educativos. Las clases presenciales se trasladaron a una modalidad on-line, donde el profesorado de acuerdo con sus contextos generó las adecuaciones que aportaron continuidad a los procesos. La complejidad de esta tarea requiere de líderes cuyas prácticas permitan dinamizar los procesos pedagógicos, de gestión y comunicación con todos los miembros de la comunidad educativa en congruencia con los cambiantes acontecimientos. Este artículo presenta la construcción de significados y prácticas de liderazgo utilizadas por cinco líderes de Salas Cuna y Jardines Infantiles públicos en Chile durante los años 2020 y 2021. Para ello se trabajó bajo un paradigma comprensivo- interpretativo; un enfoque cualitativo y un diseño situado en la Teoría Fundamentada. Como instrumento de recolección de datos se utilizaron entrevistas narrativas. El estudio de los datos fue realizado a través de análisis de contenido y mediante la utilización del Software Atlas.ti versión 9.0. Los hallazgos presentados relevan la importancia de las prácticas de liderazgo en el trabajo educativo. Igualmente muestra las características propias del nivel de educación parvularia, donde los procesos de liderazgo son situados y propenden al cuidado, la distribución de tareas y la confianza. mundial sanitarios educativos online, online on line, line on-line pedagógicos acontecimientos 202 2021 comprensivo interpretativo Fundamentada narrativas Atlasti Atlas ti 90 9 0 9.0 educativo parvularia cuidado confianza 20 9. 2

ABSTRACT. The influence of harvest method on proximate composition, protein oxidation, and texture profile of beef from Nellore cattle were investigated. Longissimus lumborum (LL) muscles were obtained from twelve grain-fed Nellore carcasses. The animals were slaughtered after stunning (STU; n=6) or without stunning (WST; n=6) and after 24 hours postmortem, the LL was sliced into 2.54-cm steaks, packed under aerobic conditions, and stored at 4°C for nine days. Proximate composition was analyzed on day 0, whereas protein oxidation (carbonyl content) and texture profile (hardness, chewiness, cohesiveness, and springiness) were evaluated on days 0, 3, 6, and 9. STU and WST steaks exhibited similar proximate composition, hardness, and chewiness (p > 0.05). WST steaks exhibited greater protein oxidation and lower cohesiveness than their STU counterparts on day 0 (p < 0.05). Concerning the storage period, WST steaks demonstrated a decrease in springiness and a more pronounced increase in cohesiveness than their STU counterparts (p < 0.05). These results indicated that the harvest method influenced LL protein oxidation and texture profile from Bos indicus cattle. ABSTRACT investigated (LL grainfed grain fed carcasses (STU n=6 n6 n 6 (WST 2 postmortem 2.54cm 254cm cm 2.54 54 conditions 4C C 4 carbonyl content hardness (hardness 3 9 p 0.05. 005 0.05 . 05 0.05) period n= 54cm 254 2.5 5 00 0.0 25 2. 0.

ABSTRACT Objective To compare the sociodemographic and clinico-functional characteristics of patients admitted to a stroke unit immediately before and during two different COVID-19 pandemic phases. Methods This exploratory study was conducted in the stroke unit of a public hospital in Brazil. Patients consecutively admitted to a stroke unit for 18 months with primary stroke aged ≥20 years were included and divided into three groups: G1: Pre-pandemic; G2: Early pandemic; and G3: Late pandemic. The sociodemographic and clinico-functional characteristics of the groups were compared (α=0.05). Results The study included 383 individuals (G1=124; G2=151; G3=108). The number of risk factors (higher in G2; p≤0.001), smoking (more common in G2; p≤0.01), type of stroke (ischemic more common in G3; p=0.002), stroke severity (more severe in G2; p=0.02), and level of disability (more severe in G2: p≤0.01) were significantly different among the groups. Conclusion A greater number of serious events and risk factors including smoking and higher level of disability was observed in patients in the beginning of the pandemic than in the late phases. Only the occurrence of ischemic stroke increased in the late phase. Therefore, these individuals may have an increased need for rehabilitation services monitoring and care during their lifespan. Additionally, these results indicate that health promotion and prevention services should be strengthened for future health emergencies. clinicofunctional clinico functional COVID19 COVID 19 COVID-1 phases Brazil 1 20 ≥2 G1 G Prepandemic Pre Pre-pandemic G2 G3 α=0.05. α005 α α=0.05 . 0 05 (α=0.05) 38 G1=124 G1124 124 (G1=124 G2=151 G2151 151 G3=108. G3108 G3=108 108 G3=108) p≤0.001, p0001 p p≤0.001 , 001 p≤0.001) p≤0.01, p001 p≤0.01 01 p=0.002, p0002 p=0.002 002 p=0.002) p=0.02, p002 p=0.02 02 p=0.02) phase Therefore lifespan Additionally emergencies COVID1 COVID- 2 ≥ α00 α=0.0 (α=0.05 3 G1=12 G112 12 (G1=12 G2=15 G215 15 G310 G3=10 10 p000 p≤0.00 00 p00 p≤0.0 p=0.00 p=0.0 α0 α=0. (α=0.0 G1=1 G11 (G1=1 G2=1 G21 G31 G3=1 p0 p≤0. p=0. α=0 (α=0. G1= (G1= G2= G3= p≤0 p=0 α= (α=0 (G1 p≤ p= (α= (G (α

ABSTRACT Health care workers (HCW) are the frontline workforce for COVID-19 patient care and, consequently, are exposed to SARS-CoV-2 infection due to close contact to infected patients. Here, we evaluate the prevalence of SARS-CoV-2 infection among HCW from an infectious disease hospital, reference center for COVID-19 care in the metropolitan area of Sao Paulo city, Brazil. Among 2,204 HCW, 1,417 (64.29%) were subjected to detection of anti-SARS-CoV-2 antibodies by chemiluminescent immunoassay. Out of the total, 271 (19.12%) presented anti-SARS-CoV-2 antibodies. Prevalence varied according to HCW categories. The highest prevalence was observed in workers from outsourced companies, cooks and kitchen assistants, hospital cleaning workers, and maintenance workers. On the other hand, resident physicians and HCW from the institution itself presented lower prevalence (nurses, nursing assistants, physicians, laboratory technicians). Social and environmental factors are important determinants, associated with exposure in the hospital environment, which can determine the greater or lesser risk of infection by pathogens that spread rapidly by air. (HCW COVID19 COVID 19 COVID-1 consequently SARSCoV2 SARSCoV SARS CoV 2 SARS-CoV- patients Here city Brazil 2204 204 2,20 1417 1 417 1,41 64.29% 6429 64 29 (64.29% antiSARSCoV2 antiSARSCoV anti anti-SARS-CoV- immunoassay total 27 19.12% 1912 12 (19.12% categories companies assistants hand nurses, nurses (nurses technicians. technicians . technicians) determinants environment air COVID1 COVID- SARS-CoV 220 20 2,2 141 41 1,4 64.29 642 6 (64.29 anti-SARS-CoV 19.12 191 (19.12 22 2, 14 4 1, 64.2 (64.2 19.1 (19.1 64. (64. 19. (19. (64 (19 (6 (1 (