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Existem diferenças entre homens e mulheres quanto aos fatores associados à ingestão de cálcio? cálcio
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Luz, Renata
; Barros, Marilisa Berti de Azevedo
; Medina, Lhaís de Paula Barbosa
; Assumpção, Daniela de
; Barros Filho, Antonio de Azevedo
.
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Abstract The scope of this article is to verify if there are differences in factors associated with calcium intake between men and women. It is based on a study conducted with data from a health survey in a sample of 1641 individuals aged 20 years or more living in the urban area of the city of Campinas, in the State of São Paulo. Calcium intake was obtained from a 24-hour recall (24hr recall method) and analyzed according to sociodemographic variables, health behavior, frequency of meals and body mass index (BMI). The existence of associations was verified by multiple linear regression tests, and it was detected that the profile of associated factors differed between genders. Physical exercise in the leisure context was only associated with calcium intake in males, while skin color, smoking, income, overweight/obesity, and frequency of having breakfast only revealed an association in females. Schooling and having snacks were associated with calcium intake in both sexes. The analysis of the associated factors indicates segments of the female and male population in which the importance of calcium intake needs to be more closely examined. Furthermore, it highlights the importance of conducting health analyses stratified by sex due to the different behavioral patterns that prevail between the sexes. women 164 2 Campinas Paulo 24hour hour 24 24hr hr method variables behavior BMI. BMI . (BMI) tests genders males color smoking income overweightobesity overweight obesity overweight/obesity females sexes examined Furthermore 16 (BMI 1
Resumo O objetivo do artigo é verificar se existem diferenças entre os sexos quanto aos fatores que se associam à ingestão de cálcio. Estudo realizado com dados de inquérito de saúde, em amostra de 1.640 indivíduos de 20 anos ou mais residentes no município de Campinas-SP. A ingestão de cálcio foi obtida por meio de um recordatório de 24 horas (R24h) e analisada segundo variáveis sociodemográficas, de comportamentos de saúde, frequência de refeições e índice de massa corporal (IMC); a presença de associações foi verificada por meio de testes de regressão linear múltipla. O perfil de fatores associados à ingestão de cálcio diferiu entre os sexos. A prática de atividade física no contexto de lazer só se associou ao consumo de cálcio no sexo masculino, enquanto cor da pele, tabagismo, renda, excesso de peso e frequência do café da manhã mostraram associação apenas no sexo feminino. Escolaridade e realização de lanches intermediários mostraram-se associadas à ingestão de cálcio em ambos os sexos. A análise aponta segmentos da população feminina e masculina em que a importância da ingestão de cálcio precisa ser mais enfatizada; além disso, alerta para a importância do desenvolvimento de análises de saúde estratificadas por sexo em decorrência de diferentes padrões comportamentais que prevalecem entre os sexos. 1640 1 640 1.64 2 CampinasSP. CampinasSP Campinas SP. SP Campinas-SP R24h Rh R h (R24h sociodemográficas IMC (IMC) múltipla masculino pele tabagismo renda feminino mostraramse enfatizada disso 164 64 1.6 (IMC 16 6 1.
2.
Adesão ao tratamento medicamentoso anti-hipertensivo no Brasil: revisão sistemática e meta-análise antihipertensivo anti hipertensivo Brasil metaanálise meta análise
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Coelho, Juliana Chaves
; Guimarães, Mayra Cristina da Luz Pádua
; Vaz, Ana Katly Martins Gualberto
; Meira, Karina Cardoso
; Santos, Juliano dos
; Lee, Renata Jae Won
; Drager, Luciano Ferreira
; Pierin, Angela Maria Geraldo
.
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Abstract This article aims to evaluate the adherence to antihypertensive treatment prevalence in the Brazilian population based on peer-reviewed studies which used instruments exclusively designed and/or adapted for this purpose. A systematic review with meta-analysis based on the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The search was carried out in the BDENF, SciELO, Cuiden, PsycINFOe, CINAHL, Embase, LILACS, and MEDLINE databases, as well as the AgeLine, Google Scholar and ScienceDirect academic search engines. The protocol was registered with PROSPERO (CRD42021292689). Random effects models were used for a meta-analysis of the prevalence obtained from individual studies. A total of 104 studies were included in the meta-analysis on antihypertensive treatment in the Brazilian population, totaling 38,299 patients. The most used instrument was the four-item Morisky-Green Test (49.5%). The adherence prevalence estimated by the meta-analysis was 44.4% (95%CI: 39.12%-49.94%, I2 = 91.17, p < 0.001), showing high heterogeneity. The adherence to antihypertensive treatment prevalence found in national studies was unsatisfactory, demonstrating that this problem continues to be a major challenge. peerreviewed peer reviewed andor or purpose metaanalysis meta analysis MetaAnalyses Meta Analyses PRISMA. PRISMA . (PRISMA) BDENF SciELO Cuiden PsycINFOe CINAHL Embase LILACS databases AgeLine engines CRD42021292689. CRD42021292689 CRD (CRD42021292689) 10 38299 38 299 38,29 patients fouritem four item MoriskyGreen Morisky Green 49.5%. 495 49.5% 49 5 (49.5%) 444 44 4 44.4 95%CI 95CI CI 95 (95%CI 39.12%49.94%, 39124994 39.12% 49.94%, 39 12 94 39.12%-49.94% I 9117 91 17 91.17 0.001, 0001 0.001 , 0 001 0.001) heterogeneity unsatisfactory challenge (PRISMA CRD4202129268 (CRD42021292689 1 3829 3 29 38,2 49.5 (49.5% 44. 9 39.12%49.94% 3912499 3912 39.12 4994 49.94% 39.12%-49.94 911 91.1 000 0.00 00 CRD420212926 (CRD4202129268 382 2 38, 49. (49.5 39.12%49.94 391249 391 39.1 499 49.94 39.12%-49.9 91. 0.0 CRD42021292 (CRD420212926 (49. 39.12%49.9 39124 39. 49.9 39.12%-49. 0. CRD4202129 (CRD42021292 (49 39.12%49. 39.12%-49 CRD420212 (CRD4202129 (4 39.12%49 39.12%-4 CRD42021 (CRD420212 ( 39.12%4 39.12%- CRD4202 (CRD42021 CRD420 (CRD4202 CRD42 (CRD420 CRD4 (CRD42 (CRD4 (CRD
Resumo O objetivo do artigo é avaliar a prevalência de adesão ao tratamento anti-hipertensivo na população brasileira, com base nos estudos revisados por pares, que utilizaram instrumentos elaborados e/ou adaptados exclusivamente para este fim. Revisão sistemática com meta-análise, baseada nas recomendações do Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A busca foi realizada nas bases BDENF, SciELO, Cuiden, PsycINFOe, CINAHL, Embase, LILACS, MEDLINE, e nos buscadores acadêmicos AgeLine, Google Scholar e ScienceDirect. O protocolo foi registrado no PROSPERO (CRD42021292689). Modelos de efeitos aleatórios foram usados para meta-análise das prevalências obtidas dos estudos individuais. Incluíram-se 104 estudos na meta-análise sobre tratamento anti-hipertensivo na população brasileira, totalizando 38.299 pacientes. O instrumento mais utilizado foi o teste de Morisky-Green de quatro itens (49,5%). A prevalência de adesão estimada pela foi de 44,4% (IC95%: 39,12%-49,94%, I2 = 91,17, p < 0,001), apresentando alta heterogeneidade. A prevalência de adesão ao tratamento anti-hipertensivo encontrada nos estudos nacionais foi insatisfatória, demonstrando que essa problemática continua sendo um grande desafio. antihipertensivo anti hipertensivo brasileira pares eou ou fim metaanálise, metaanálise meta análise, análise MetaAnalyses Meta Analyses PRISMA. PRISMA . (PRISMA) BDENF SciELO Cuiden PsycINFOe CINAHL Embase LILACS MEDLINE AgeLine ScienceDirect CRD42021292689. CRD42021292689 CRD (CRD42021292689) individuais Incluíramse Incluíram se 10 38299 38 299 38.29 pacientes MoriskyGreen Morisky Green 49,5%. 495 49,5% 49 5 (49,5%) 444 44 4 44,4 IC95% IC95 IC (IC95% 39,12%49,94%, 39124994 39,12% 49,94%, 39 12 94 39,12%-49,94% I 9117 91 17 91,17 0,001, 0001 0,001 , 0 001 0,001) heterogeneidade insatisfatória desafio (PRISMA CRD4202129268 (CRD42021292689 1 3829 3 29 38.2 49,5 (49,5% 44, IC9 (IC95 39,12%49,94% 3912499 3912 39,12 4994 49,94% 9 39,12%-49,94 911 91,1 000 0,00 00 CRD420212926 (CRD4202129268 382 2 38. 49, (49,5 (IC9 39,12%49,94 391249 391 39,1 499 49,94 39,12%-49,9 91, 0,0 CRD42021292 (CRD420212926 (49, (IC 39,12%49,9 39124 39, 49,9 39,12%-49, 0, CRD4202129 (CRD42021292 (49 39,12%49, 39,12%-49 CRD420212 (CRD4202129 (4 39,12%49 39,12%-4 CRD42021 (CRD420212 ( 39,12%4 39,12%- CRD4202 (CRD42021 CRD420 (CRD4202 CRD42 (CRD420 CRD4 (CRD42 (CRD4 (CRD
3.
Clinical Characteristics of Genuine Acute Autoimmune Hepatitis
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Oliveira, Elze Maria Gomes
; Amaral, Ana Cristina de Castro
; Oliveira, Patricia Marinho Costa
; Lanzoni, Valéria Pereira
; Perez, Renata Mello
; Narciso-Schiavon, Janaína Luz
; Whale, Raul Carlos
; Carvalho-Filho, Roberto José
; Silva, Antonio Eduardo Benedito
; Ferraz, Maria Lucia Cardoso Gomes
.
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GE-Portuguese Journal of Gastroenterology
- Métricas do periódico
Abstract Introduction: Autoimmune hepatitis (AIH) has a spectrum of symptoms ranging from asymptomatic disease to acute severe hepatitis, chronic hepatitis, and decompensated cirrhosis. The acute presentation is not rare and could represent genuine acute AIH (GAAIH) or acute exacerbation of chronic autoimmune hepatitis. We aimed to identify the prevalence, clinical features, and prognostic factors associated with GAAIH and compare these cases with acute exacerbation of chronic AIH. Methods: This cross-sectional observational study evaluated patients with acute AIH presentation, defined as total bilirubin >5 times the upper limit of normality (xULN) and/or alanine aminotransferase >10 xULN, and no prior history of liver disease. Histology findings of acute disease defined GAAIH. Bivariate analyses were performed to identify factors associated with the GAAIH, when compared with acute exacerbation of chronic AIH. Results: Seventy-two patients with acute presentation of AIH were included and six (8.3%) of them presented GAAIH. Comparative analysis between patients with GAAIH and patients with acute exacerbation of chronic AIH revealed that prothrombin activity (96% [74-100] vs. 61% [10-100]; p = 0.003) and albumin levels (3.9 ± 0.2 g/dL vs. 3.4 ± 0.5 g/dL; p < 0.001) were higher in patients with GAAIH. The International Autoimmune Hepatitis Group score was higher in patients with acute exacerbation of chronic AIH (18.5 [8-23] vs. 16.5 [15-17]; p = 0.010). Compared to 15.2% of acute exacerbation of chronic AIH, complete therapeutic response to treatment was achieved in 67.7% of cases with GAAIH (p = 0.018). Conclusions: GAAIH was rare (8.3%), and patients with this presentation exhibited more preserved liver function tests, suggesting that most cases presenting with loss of function are acute exacerbation of chronic AIH. Additionally, patients with GAAIH had a better complete therapeutic response, suggesting a more preserved liver function at presentation, and early diagnosis has a positive therapeutic implication.
Resumo Introdução: A hepatite autoimune (HAI) apresenta um espectro de sintomas que varia de doença assintomática a hepatite aguda grave, hepatite crónica e cirrose descompensada. A apresentação aguda não é rara e pode representar hepatite autoimune aguda genuína (HAIAG) ou exacerbação aguda de hepatite autoimune crónica (EAHAIC). O nosso objetivo foi identificar a prevalência, caraterísticas clínicas e fatores prognósticos associados à HAIAG, e comparar esses casos com EAHAIC. Métodos: Estudo observacional, transversal, incluindo doentes com apresentação aguda de HAI, definida como bilirrubina total > 5 vezes o limite superior da normalidade (xLSN) e/ou ALT > 10 xLSN, e sem história prévia de doença hepática. HAIAG foi definida pela presença de achados histológicos de doença aguda. Análises bivariadas foram realizadas para identificar fatores associados à HAIAG, quando comparado com o EAHAIC. Resultados: Foram incluídos setenta e dois doentes com apresentação agu-da de HAI, dos quais seis (8.3%) com HAIAG. A análise comparativa entre doentes com HAIAG e doentes com EAHAIC mostrou que a atividade de protrombina (96%(74-100) versus 61% (10-100; p=0.003) e os níveis de albumina (3,9 ± 0,2 g/dL vs. 3,4 ± 0,5 g/dL; p < 0,001) foram significativamente mais elevados em pacientes com HAIAG. O score do Grupo Internacional de Hepatite Autoimune foi mais elevado em doentes com EAHAIC (18.5 (8-23) versus 16.5 (15-17); p=0.010). A resposta terapêutica completa ao tratamento foi alcançada em 66.7% dos casos de HAIAG (vs. 15,2% na EAHAIC, p=0,018). Conclusões: A HAIAG é rara (8.3%), e os doentes com esta apresentação mostraram testes de função hepática mais preservados, sugerindo que a maioria dos casos com perda de função são EAHAIC. Além disso, os doentes com HAIAG tiveram maior taxa de resposta terapêutica completa, sugerindo que uma função hepática mais preservada na apresentação e o diagnóstico precoce tem uma implicação terapêutica positiva.
4.
Assessment of sexual and body esteem in postpartum women with or without perineal laceration: a cross-sectional study with cultural translation and validation of the Vaginal Changes Sexual and Body Esteem Scale laceration crosssectional cross sectional
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de Souza, Renata Stefânia Olah
; Luz, Adriana Gomes
; Zielinski, Ruth
; Sarian, Luis Otavio Zanatta
; Juliato, Cassia Raquel Teatin
; Lara, Lucia Alves da Silva
; Brito, Luiz Gustavo Oliveira
.
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Revista Brasileira de Ginecologia e Obstetrícia
- Métricas do periódico
Objective: We aimed to translate and determine cultural validity of the Vaginal Changes Sexual and Body Esteem Scale (VSBE) for Brazilian Portuguese language in postpartum women who underwent vaginal delivery with or without perineal laceration and cesarean section. Methods: A cross-sectional study conducted virtually, with online data collection through a survey with 234 postpartum women of 975 that were invited. Clinical, sociodemographic, and psychometric variables from the VSBE questionnaire were analyzed (content validity index, internal consistency, test-retest reliability, construct/structural and discriminant validity). Multivariate analysis was performed to explore associated factors with the presence of perineal laceration. Results: One-hundred fifty-eight women experienced vaginal delivery, of which 24.79% had an intact perineum, 33.33% had perineal laceration, and 9.4% underwent episiotomy; and 76 participants had cesarean sections. Women with perineal laceration were older, presented dyspareunia and previous surgeries than women without perineal laceration (p<0.05). For VSBE, a high internal consistency (Cronbach's α > 0.7) was observed, but it did not correlate with Body Attractiveness Questionnaire and Female Sexual Function Index; however, it correlated with the presence of women sutured for perineal laceration. Moreover, VSBE presented good structural validity with two loading factors after exploratory factor analysis. VSBE also demonstrated discriminant validity between the presence or absence of perineal laceration. The presence of urinary incontinence (UI) (OR=2.716[1.015-4.667];p=0.046) and a higher VSBE total score (OR=1.056[1.037-1.075];p<0.001) were the only factors associated with perineal laceration. Conclusion: Vaginal Changes Sexual and Body Esteem Scale demonstrated appropriate translation and good internal consistency, discriminant/construct validity and reliability. Vaginal Changes Sexual and Body Esteem Scale total score and presence of UI were associated with women that underwent perineal laceration. Objective (VSBE section Methods crosssectional cross sectional virtually 23 97 invited Clinical sociodemographic content index testretest test retest reliability constructstructural construct validity. . validity) Results Onehundred One hundred fiftyeight fifty eight 2479 24 79 24.79 perineum 3333 33 33.33 94 9 4 9.4 episiotomy 7 sections older p<0.05. p005 p p<0.05 0 05 (p<0.05) Cronbachs Cronbach s 0.7 07 observed Index however Moreover (UI OR=2.7161.0154.667p=0.046 OR271610154667p0046 ORp OR=2.716 1.015 4.667 p=0.046 OR 2 716 1 015 667 046 (OR=2.716[1.015-4.667];p=0.046 OR=1.0561.0371.075p<0.001 OR105610371075p0001 OR=1.056 1.037 1.075 p<0.001 056 037 075 001 (OR=1.056[1.037-1.075];p<0.001 Conclusion discriminantconstruct 247 24.7 333 3 33.3 9. p00 p<0.0 (p<0.05 0. 7161 0154 667p OR=2.7161.0154.667p=0.04 OR271610154667p004 OR2716 OR=2.71 1015 1.01 4667 4.66 p0046 p=0.04 71 01 66 04 (OR=2.716[1.015-4.667];p=0.04 0561 0371 075p OR=1.0561.0371.075p<0.00 OR105610371075p000 OR1056 OR=1.05 1037 1.03 1075 1.07 p0001 p<0.00 03 00 (OR=1.056[1.037-1.075];p<0.00 24. 33. p0 p<0. (p<0.0 OR=2.7161.0154.667p=0.0 OR271610154667p00 OR271 OR=2.7 101 1.0 466 4.6 p004 p=0.0 6 (OR=2.716[1.015-4.667];p=0.0 OR=1.0561.0371.075p<0.0 OR105610371075p00 OR105 OR=1.0 103 107 p000 (OR=1.056[1.037-1.075];p<0.0 p<0 (p<0. OR=2.7161.0154.667p=0. OR271610154667p0 OR27 OR=2. 10 1. 46 4. p=0. (OR=2.716[1.015-4.667];p=0. OR=1.0561.0371.075p<0. OR105610371075p0 OR10 OR=1. (OR=1.056[1.037-1.075];p<0. p< (p<0 OR=2.7161.0154.667p=0 OR271610154667p OR2 OR=2 p=0 (OR=2.716[1.015-4.667];p=0 OR=1.0561.0371.075p<0 OR105610371075p OR1 OR=1 (OR=1.056[1.037-1.075];p<0 (p< OR=2.7161.0154.667p= OR= p= (OR=2.716[1.015-4.667];p= OR=1.0561.0371.075p< (OR=1.056[1.037-1.075];p< (p OR=2.7161.0154.667p (OR=2.716[1.015-4.667];p OR=1.0561.0371.075p (OR=1.056[1.037-1.075];p
5.
Existem diferenças entre homens e mulheres quanto aos fatores associados à ingestão de cálcio?
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Luz, Renata
; Barros, Marilisa Berti de Azevedo
; Medina, Lhaís de Paula Barbosa
; Assumpção, Daniela de
; Barros Filho, Antonio de Azevedo
.
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Resumo O objetivo do artigo é verificar se existem diferenças entre os sexos quanto aos fatores que se associam à ingestão de cálcio. Estudo realizado com dados de inquérito de saúde, em amostra de 1.640 indivíduos de 20 anos ou mais residentes no município de Campinas-SP. A ingestão de cálcio foi obtida por meio de um recordatório de 24 horas (R24h) e analisada segundo variáveis sociodemográficas, de comportamentos de saúde, frequência de refeições e índice de massa corporal (IMC); a presença de associações foi verificada por meio de testes de regressão linear múltipla. O perfil de fatores associados à ingestão de cálcio diferiu entre os sexos. A prática de atividade física no contexto de lazer só se associou ao consumo de cálcio no sexo masculino, enquanto cor da pele, tabagismo, renda, excesso de peso e frequência do café da manhã mostraram associação apenas no sexo feminino. Escolaridade e realização de lanches intermediários mostraram-se associadas à ingestão de cálcio em ambos os sexos. A análise aponta segmentos da população feminina e masculina em que a importância da ingestão de cálcio precisa ser mais enfatizada; além disso, alerta para a importância do desenvolvimento de análises de saúde estratificadas por sexo em decorrência de diferentes padrões comportamentais que prevalecem entre os sexos.
Abstract The scope of this article is to verify if there are differences in factors associated with calcium intake between men and women. It is based on a study conducted with data from a health survey in a sample of 1641 individuals aged 20 years or more living in the urban area of the city of Campinas, in the State of São Paulo. Calcium intake was obtained from a 24-hour recall (24hr recall method) and analyzed according to sociodemographic variables, health behavior, frequency of meals and body mass index (BMI). The existence of associations was verified by multiple linear regression tests, and it was detected that the profile of associated factors differed between genders. Physical exercise in the leisure context was only associated with calcium intake in males, while skin color, smoking, income, overweight/obesity, and frequency of having breakfast only revealed an association in females. Schooling and having snacks were associated with calcium intake in both sexes. The analysis of the associated factors indicates segments of the female and male population in which the importance of calcium intake needs to be more closely examined. Furthermore, it highlights the importance of conducting health analyses stratified by sex due to the different behavioral patterns that prevail between the sexes.
6.
Adesão ao tratamento medicamentoso anti-hipertensivo no Brasil: revisão sistemática e meta-análise
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Coelho, Juliana Chaves
; Guimarães, Mayra Cristina da Luz Pádua
; Vaz, Ana Katly Martins Gualberto
; Meira, Karina Cardoso
; Santos, Juliano dos
; Lee, Renata Jae Won
; Drager, Luciano Ferreira
; Pierin, Angela Maria Geraldo
.
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Resumo O objetivo do artigo é avaliar a prevalência de adesão ao tratamento anti-hipertensivo na população brasileira, com base nos estudos revisados por pares, que utilizaram instrumentos elaborados e/ou adaptados exclusivamente para este fim. Revisão sistemática com meta-análise, baseada nas recomendações do Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A busca foi realizada nas bases BDENF, SciELO, Cuiden, PsycINFOe, CINAHL, Embase, LILACS, MEDLINE, e nos buscadores acadêmicos AgeLine, Google Scholar e ScienceDirect. O protocolo foi registrado no PROSPERO (CRD42021292689). Modelos de efeitos aleatórios foram usados para meta-análise das prevalências obtidas dos estudos individuais. Incluíram-se 104 estudos na meta-análise sobre tratamento anti-hipertensivo na população brasileira, totalizando 38.299 pacientes. O instrumento mais utilizado foi o teste de Morisky-Green de quatro itens (49,5%). A prevalência de adesão estimada pela foi de 44,4% (IC95%: 39,12%-49,94%, I2 = 91,17, p < 0,001), apresentando alta heterogeneidade. A prevalência de adesão ao tratamento anti-hipertensivo encontrada nos estudos nacionais foi insatisfatória, demonstrando que essa problemática continua sendo um grande desafio.
Abstract This article aims to evaluate the adherence to antihypertensive treatment prevalence in the Brazilian population based on peer-reviewed studies which used instruments exclusively designed and/or adapted for this purpose. A systematic review with meta-analysis based on the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The search was carried out in the BDENF, SciELO, Cuiden, PsycINFOe, CINAHL, Embase, LILACS, and MEDLINE databases, as well as the AgeLine, Google Scholar and ScienceDirect academic search engines. The protocol was registered with PROSPERO (CRD42021292689). Random effects models were used for a meta-analysis of the prevalence obtained from individual studies. A total of 104 studies were included in the meta-analysis on antihypertensive treatment in the Brazilian population, totaling 38,299 patients. The most used instrument was the four-item Morisky-Green Test (49.5%). The adherence prevalence estimated by the meta-analysis was 44.4% (95%CI: 39.12%-49.94%, I2 = 91.17, p < 0.001), showing high heterogeneity. The adherence to antihypertensive treatment prevalence found in national studies was unsatisfactory, demonstrating that this problem continues to be a major challenge.
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.
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; Pereira-Colavite, Alessandre
; Anichtchenko, Alexander
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; 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
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; Aragão, Allan C.
; Santos, Allan P.M.
; Migotto, Alvaro E.
; Mendes, Amanda C.
; Cunha, Amanda
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; Sousa, Ana A.T. de
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; Peronti, Ana L.B.G.
; Henriques-Oliveira, Ana L.
; Prudente, Ana L.
; Tourinho, Ana L.
; Pes, Ana M.O.
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; Wengrat, Ana P.G. da Silva
; Dornellas, Ana P.S.
; Molin, Anamaria Dal
; Puker, Anderson
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; Roza, André S.
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; Lima, Aurino F. de
; Barros, Ávyla R. de A.
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; 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
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; Moreira, Gilson R.P.
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; Maurício, Giovanni N.
; Marconato, Gláucia
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; Oliveira, Ismael B. de
; Franz, Ismael
; Fernandes, Itanna O.
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; S. Campos-Filho, Ivanklin
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; Morselli, João P.
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; Martin, João P.I.
; Grazia, Jocélia
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; Pacheco, José F.
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; Ribeiro, José R. Inácio
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; Santos, Josenilson R. dos
; Câmara, Josenir T.
; Teixeira, Joyce A.
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; Ferrer, Juliano
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; 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.
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; 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.
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; 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
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; Silveira, Luiz F.L.
; Iniesta, Luiz F.M.
; Tencatt, Luiz F.C.
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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.
“It’s not all about the disease”: do treatment and socioeconomic status affect perceived impact and satisfaction of patients treated for cutaneous leishmaniasis? Its It s disease disease” leishmaniasis
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Carvalho, Carolina Di Pietro
; Luz, João Gabriel Guimarães
; Carvalho, Amanda Gabriela de
; Carvalho, Renata Di Pietro
; Pires, Herton Helder Rocha
; Dias, João Victor Leite
.
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Revista da Sociedade Brasileira de Medicina Tropical
- Métricas do periódico
ABSTRACT Background: This cross-sectional study compared the general impact of cutaneous leishmaniasis (CL) and patient satisfaction with treatment and health services as perceived by those undergoing different therapeutic regimens in an endemic region in South-Eastern Brazil. We also investigated the factors associated with both outcomes (general impact and satisfaction). Methods: We included 84 patients with CL treated between 2018 and 2019 with intravenous meglumine antimoniate, liposomal amphotericin B, or intralesional meglumine antimoniate therapy. Data were collected through interviews that assessed sociodemographic characteristics, comorbidity status, access and use of health services for CL diagnosis and treatment, and the items of the Cutaneous Leishmaniasis Impact Questionnaire (CLIQ). The CLIQ is a psychometric questionnaire previously validated to assess the general impact of CL on patient satisfaction with treatment and health services. Multivariate logistic regression analysis was used to identify the factors associated with high CL impact and low patient satisfaction. Results: The general impact of CL and patient satisfaction with treatment and health services were not significantly associated with the therapeutic regimen. High CL impact was associated with low family income (odds ratio [OR]:3.3; 95% confidence interval [CI]:1.0-10.3), occurrence of complications/adverse effects during treatment (OR:7.7; 95%CI:2.4-25.6), and additional costs during diagnosis and/or treatment (OR:12.1; 95% CI:2.8-52.4). Low satisfaction was associated with high disease impact (OR: 9.5; 95% CI:2.7-33.9), occurrence of complications/adverse effects (OR:4.2; 95% CI:1.3-13.0), and high family income (OR:7.1; 95%CI:1.7-28.2). Conclusions: Our data support public health policies aimed at reducing the impact of CL and its treatment as well as the use of therapy with fewer adverse effects. Background crosssectional cross sectional (CL SouthEastern South Eastern Brazil . satisfaction) Methods 8 201 B characteristics status CLIQ. (CLIQ) Results regimen odds OR3.3 OR33 OR 3.3 3 [OR]:3.3 95 CI1.010.3, CI10103 CI 1.0 10.3 , 1 0 10 [CI]:1.0-10.3) complicationsadverse complications OR7.7 OR77 7.7 7 (OR:7.7 95%CI2.425.6, 95CI24256 95%CI 2.4 25.6 2 4 25 6 95%CI:2.4-25.6) andor OR12.1 OR121 12.1 12 (OR:12.1 CI2.852.4. CI28524 2.8 52.4 52 CI:2.8-52.4) (OR 9.5 9 5 CI2.733.9, CI27339 2.7 33.9 33 CI:2.7-33.9) OR4.2 OR42 4.2 (OR:4.2 CI1.313.0, CI13130 1.3 13.0 13 CI:1.3-13.0) OR7.1 OR71 7.1 (OR:7.1 95%CI1.728.2. 95CI17282 1.7 28.2 28 95%CI:1.7-28.2) Conclusions 20 (CLIQ OR3 OR3. 3. [OR]:3. CI1 010 CI1.010.3 CI1010 1. 103 10. [CI]:1.0-10.3 OR7 OR7. 77 7. (OR:7. CI2 425 95%CI2.425.6 95CI2425 95CI 24 2. 256 25. 95%CI:2.4-25.6 OR12 OR12. 121 12. (OR:12. 852 CI2.852.4 CI2852 524 52. CI:2.8-52.4 9. 733 CI2.733.9 CI2733 27 339 33. CI:2.7-33.9 OR4 OR4. 42 4. (OR:4. 313 CI1.313.0 CI1313 130 13. CI:1.3-13.0 71 728 95%CI1.728.2 95CI1728 17 282 28. 95%CI:1.7-28.2 [OR]:3 01 CI1.010. CI101 [CI]:1.0-10. (OR:7 95%CI2.425. 95CI242 95%CI:2.4-25. OR1 (OR:12 85 CI2.852. CI285 CI:2.8-52. 73 CI2.733. CI273 CI:2.7-33. (OR:4 31 CI1.313. CI131 CI:1.3-13. 72 95%CI1.728. 95CI172 95%CI:1.7-28. [OR]: CI1.010 CI10 [CI]:1.0-10 95%CI2.425 95CI24 95%CI:2.4-25 (OR:1 CI2.852 CI28 CI:2.8-52 CI2.733 CI27 CI:2.7-33 CI1.313 CI13 CI:1.3-13 95%CI1.728 95CI17 95%CI:1.7-28 [OR] CI1.01 [CI]:1.0-1 95%CI2.42 95CI2 95%CI:2.4-2 CI2.85 CI:2.8-5 CI2.73 CI:2.7-3 CI1.31 CI:1.3-1 95%CI1.72 95CI1 95%CI:1.7-2 [OR CI1.0 [CI]:1.0- 95%CI2.4 95%CI:2.4- CI2.8 CI:2.8- CI2.7 CI:2.7- CI1.3 CI:1.3- 95%CI1.7 95%CI:1.7- CI1. [CI]:1.0 95%CI2. 95%CI:2.4 CI2. CI:2.8 CI:2.7 CI:1.3 95%CI1. 95%CI:1.7 [CI]:1. 95%CI2 95%CI:2. CI:2. CI:1. 95%CI1 95%CI:1. [CI]:1 95%CI:2 CI:2 CI:1 95%CI:1 [CI]: 95%CI: CI: [CI] [CI
9.
Vernalization temperature and maturation point of seed cloves on garlic production and quality
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Luz, José Magno Queiroz
; Oliveira, Carlos Inácio Garcia de
; Silva, Sérgio Macedo
; Oliveira, Túlio Garcia
; Castoldi, Renata
.
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ABSTRACT Brazilian producers have been seeking to improve garlic productivity and quality via vernalization at negative temperatures. However, more concrete information about the application and effects of this technique on the productivity and quality of noble garlic varieties is lacking. Moreover, there are also questions about the use and influence of seed cloves at different maturation points on this crop’s yield. Therefore, the objective of this work was to evaluate the effects of vernalization temperatures and different maturation points of seed cloves on the yield and quality of noble garlic cultivars. Three experiments were conducted using the Ito cultivar over three garlic planting seasons in Cristalina, GO, Brazil. The experimental design followed a 3 x 3 factorial scheme: three vernalization temperature ranges (-1 to -3 °C; 1 to 3 °C; and 2 to 4 °C) and three seed clove maturation points (normal, early and late). Plant height, aboveground fresh mass, bulbar ratio, and bulb yield and quality were evaluated after harvesting. The negative vernalization temperature had significant results with the highest garlic yields occurring in all three planting seasons, with a considerable increase in the quantity of bulbs with better commercial value (‘class 6’) and a decrease in the quantity of ‘discard’ bulbs. In comparison to the other temperatures, negative vernalization temperatures also yielded higher fresh plants in all evaluated seasons. The normal maturation point resulted in gains in total bulb yield. The use of below-zero vernalization temperatures increased the productivity of the garlic cultivar Ito under the conditions found in Brazil. However lacking Moreover crops crop s Therefore cultivars Cristalina GO Brazil scheme (- - °C C normal, (normal late. late . late) height mass ratio harvesting ‘class class 6 6’ ‘discard discard belowzero below zero (
RESUMO Os produtores brasileiros têm buscado melhorar a produtividade e a qualidade do alho, aplicando a técnica de vernalização com temperaturas negativas. No entanto, faltam informações mais concretas sobre os efeitos e aplicação desta técnica na produtividade e qualidade do alho nobre. Existem dúvidas também sobre o uso de bulbilhos-sementes com diferentes pontos de maturação e sua influência na produção desta cultura. Portanto, o objetivo do trabalho foi avaliar os efeitos de temperaturas de vernalização, incluindo temperaturas negativas e diferentes pontos de maturação do bulbilho-semente, sobre a produtividade e a qualidade do alho-nobre. Foram conduzidos 3 experimentos, em três épocas de plantio de alho, com a variedade Ito, nas condições de Cristalina, GO, Brasil. O delineamento experimental foi em esquema fatorial 3 x 3, sendo três faixas de temperatura de vernalização (-1 a -3 ºC; 1 a 3 ºC e 2 a 4 ºC) e três pontos de maturação de bulbilho-semente (precoce, normal e tardio). Foram avaliadas altura de plantas, massa fresca da parte aérea e razão bulbar, além de produtividade e qualidade de bulbos, após a colheita. Nas três épocas de plantio, a temperatura negativa de vernalização proporcionou, significativamente, as maiores produtividades de alho, elevando consideravelmente a quantidade de bulbos de melhor valor comercial (‘classe 6’), e reduzindo a quantidade de bulbos do tipo ‘descarte’. As temperaturas negativas de vernalização também proporcionaram maior massa de plantas, em todas as épocas avaliadas. O ponto de maturação normal proporcionou ganhos de produtividade total de bulbos. O uso de temperaturas negativas na vernalização proporciona incrementos na produtividade de alho cultivar Ito, nas condições brasileiras. entanto nobre bulbilhossementes bulbilhos sementes cultura Portanto bulbilhosemente, bulbilhosemente bulbilho semente, semente alhonobre. alhonobre alho-nobre experimentos Ito Cristalina GO Brasil (- - precoce, precoce (precoce tardio. tardio . tardio) plantas bulbar colheita significativamente ‘classe classe 6, 6 , 6’) ‘descarte. descarte ‘descarte ‘descarte’ brasileiras ( 6’
10.
Digital technology for the prevention of healthcare-related infections in critical care healthcarerelated healthcare related
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Pontes, Letícia
; Tibério, Bárbara Alessandra
; Pereira, Jéssica de Fátima Gomes
; Luz, Renata Rodrigues da
.
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RESUMEN Objetivo: Desarrollar tecnología digital para integración de paciente y familia al equipo de cuidados de Unidad de Cuidados Intensivos, objetivando subsidiar a la toma de decisión para prevención de infecciones relacionadas a la atención de salud. Método: Investigación metodológica, de producción tecnológica, en tres etapas: preproducción; producción; postproducción, en hospital de enseñanza en el Sur Brasileño. Participaron 16 enfermeros de Unidad de Cuidados Intensivos. Resultados: Producidos seis vídeos: Orientaciones generales sobre Unidad de Cuidados Intensivos; Previniendo infecciones: higiene de manos; Neumonitis relacionada a ventilación mecánica; Infección primaria de la corriente sanguínea y Infección del tracto urinario relacionadas al catéter. Consideraciones finales: La tecnología propuesta desarrollada objetiva auxiliar enfermeros en el acercamiento de pacientes y familiares a rutinas del ambiente de cuidados intensivos, para proporcionar seguridad en el contacto del paciente de Unidades de Cuidados Intensivos con familiares y participación activa para prevención de infecciones relacionadas a la atención de salud. Objetivo salud Método metodológica tecnológica etapas preproducción postproducción Brasileño 1 Resultados vídeos manos mecánica catéter finales intensivos
ABSTRACT Objective: To develop digital technology for patient and family integration into the Intensive Care Unit care team, aiming to subsidize decision-making for the prevention of infections related to healthcare. Method: Methodological research of technological production in three phases: pre-production, production, and post-production in a teaching hospital in southern Brazil. Sixteen intensive care unit nurses participated. Results: The research produced six videos: general guidelines on the Intensive Care Unit, Preventing infections: hand hygiene; Pneumonia associated with mechanical ventilation; Catheter-associated primary bloodstream infection; Catheter-related urinary tract infection. Final considerations: The proposed technology was developed and aims to assist nurses in bringing patients and families closer to the routines of the intensive care environment to provide safety in the contact of the patient of intensive care units with family members and in the active participation for the prevention of infections related to healthcare. Objective team decisionmaking decision making healthcare Method phases preproduction, preproduction pre pre-production postproduction post Brazil participated Results videos hygiene ventilation Catheterassociated Catheter infection Catheterrelated considerations
RESUMO Objetivo: Desenvolver tecnologia digital para integração de paciente e família à equipe de cuidados da Unidade de Terapia Intensiva, visando subsidiar a tomada de decisão para prevenção das infecções relacionadas à assistência à saúde. Método: Pesquisa metodológica, de produção tecnológica, em três fases: pré-produção; produção; pós-produção, em hospital de ensino no Sul do Brasil. Participaram 16 enfermeiros de Unidade de Terapia Intensiva. Resultados: Produziram-se seis vídeos: Orientações gerais sobre Unidade de Terapia Intensiva; Prevenindo infecções: higienização das mãos; Pneumonia associada à ventilação mecânica; Infecção primária da corrente sanguínea associada ao cateter; Infecção do trato urinário relacionada ao cateter. Considerações finais: A tecnologia proposta foi desenvolvida e visa auxiliar enfermeiros na aproximação de pacientes e familiares às rotinas do ambiente de cuidados intensivos, para proporcionar segurança no contato do paciente de Unidades de Terapia Intensiva com familiares e na participação ativa para prevenção de infecções relacionadas à assistência à saúde. Objetivo saúde Método metodológica tecnológica fases préprodução pré pré-produção pósprodução, pósprodução pós produção, pós-produção Brasil 1 Resultados Produziramse Produziram se vídeos mãos mecânica cateter finais intensivos
11.
Study of Commercial Additive Effects on the Poly(methyl methacrylate) Exposed to Gamma Irradiation by Viscosimetric Analysis Polymethyl Poly methyl methacrylate
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Aquino, Kátia Aparecida da Silva
; Oliveira, Dandara Luz Souza de
; Santos, Renata Francisca da Silva
; Araújo, Elmo Silvano
.
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Poly(methyl methacrylate) (PMMA) is a polymer with applications in the medical and aerospace industries that require resistance to gamma radiation. However, the effects caused by gamma radiation on PMMA properties may make its application in situations of exposure to gamma radiation unfeasible. In this study, the impact of commercial additives on the radiolytic stabilization of PMMA will be studied through viscosimetric assays. In a preliminary trial, additives with different mechanisms of action were tested, and the efficacy of two additives (Tinuvin 770 and Tinuvin 622) hindered amine stabilizers (HAS) types were registered. PMMA films with the additives at different concentrations were exposed to gamma radiation and studied through viscosimetric molar mass and G-value. The Tinuvin 622 at 0.3 wt% showed the best performance in the radiolytic stabilization of p PMMA films at the 20-50 kGy range. Antagonism was observed when Tinuvin 700 and Tinuvin 622 mixture was studied in different proportions. These results show the potential of commercial additives, initially produced for other purposes, in the radiolytic stabilization of PMMA. Polymethyl Poly methyl methacrylate (PMMA However unfeasible study assays trial tested 77 HAS (HAS registered Gvalue. Gvalue G value. value G-value 62 03 0 3 0. wt 2050 20 50 20-5 range 70 proportions purposes 7 6 205 2 5 20-
12.
Discriminative value of pulse wave velocity for arterial stiffness and cardiac injury in prediabetic patients
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Firmino, Stella Maris
; Goulart, Cássia da Luz
; Gregorio, João Paulo
; Wende, Klaus Werner
; Yuamoto, Fernanda Yuri
; Kummer, Lana
; Curcelli, Emílio Martins
; Heubel, Alessandro Domingues
; Kabbach, Erika Zavaglia
; Santos, Polliana Batista
; Borghi-Silva, Audrey
; Mendes, Renata Gonçalves
; Leal, Ângela Mérice de Oliveira
; Roscani, Meliza Goi
.
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Abstract Background Prediabetes (PD) is defined as impaired fasting glucose and/or impaired glucose tolerance (IGT) and may be associated with high risk of cardiovascular injury. It is recommended that PD patients be screened for signs of arterial stiffness and cardiovascular injury to reinforce therapeutic strategies. Objectives To identify pulse wave velocity values discriminative for arterial stiffness and cardiovascular injury in PD patients. Methods A cross-sectional study was conducted with PD (N=43) and normoglycemic (N=37) patients who underwent clinical evaluation, arterial stiffness assessment by carotid-femoral pulse wave velocity (cfPWV) using SphygmoCor, laboratory blood analysis, investigation of morphological and functional cardiac variables by transthoracic echocardiogram, and assessment of carotid intima-media-thickness (CIMT) by carotid ultrasonography. A statistical analysis was performed using SPSS software and values of p<0.05 were considered significant. Results A cfPWV cut-off value of 6.9 m/s was identified for IGT (Sensitivity [SE]: 74% and Specificity [SP]: 51%). Comparison of general data and risk factors between subsets with values above and below this cutoff value revealed higher rates of fasting glucose (p=0.02), obesity (p=0.03), dyslipidemia (p=0.004), early signs of left ventricle (p=0.017) and right ventricle (p=0.03) impaired diastolic function, and elevated CIMT in subjects with cfPWV ≥ 6.9m/s (p=0.04). Conclusions In PD patients, a cfPWV cutoff of 6.9 m/s was considered a discriminative value for arterial stiffness. These findings highlight the value of early investigation of cardiovascular injury and aggressive therapy strategies with good control of risk factors in PD. (PD andor or (IGT crosssectional cross sectional N=43 N43 N 43 (N=43 N=37 N37 37 (N=37 evaluation carotidfemoral femoral (cfPWV SphygmoCor echocardiogram intimamediathickness intima media thickness (CIMT ultrasonography p005 p 0 05 p<0.0 significant cut off 69 6 9 6. ms m s Sensitivity SE [SE] 74 SP [SP] 51%. 51 51% . 51%) p=0.02, p002 p=0.02 , 02 (p=0.02) p=0.03, p003 p=0.03 03 p=0.004, p0004 p=0.004 004 (p=0.004) p=0.017 p0017 017 (p=0.017 (p=0.03 function 69ms 9m p=0.04. p004 p=0.04 04 (p=0.04) N=4 N4 4 (N=4 N=3 N3 3 (N=3 p00 p<0. [SE 7 [SP 5 p=0.0 (p=0.02 p000 p=0.00 00 (p=0.004 p=0.01 p001 01 (p=0.01 (p=0.0 (p=0.04 N= (N= p0 p<0 p=0. (p=0.00 (p=0. (N p< p=0 (p=0 p= (p= (p
Resumo Contexto O pré-diabetes (PD) é definido como glicemia de jejum alterada e/ou tolerância à glicose alterada (TGA) e pode estar associado a alto risco de lesão cardiovascular. Recomenda-se discriminar quais pacientes com PD podem apresentar sinais de rigidez arterial e lesão cardiovascular para reforçar as estratégias terapêuticas. Objetivos Identificar os valores discriminativos da velocidade de onda de pulso determinantes de rigidez arterial e lesão cardiovascular em pacientes com PD. Métodos Estudo transversal em pacientes com PD (N=43) e normoglicêmicos (N=37) submetidos a avaliação clínica, avaliação da rigidez arterial pela velocidade da onda de pulso carótido-femoral (cfPWV) utilizando SphygmoCor, análise laboratorial de sangue, investigação de alterações morfológicas e variáveis cardíacas funcionais por ecocardiograma transtorácico e avaliação da espessura íntima-média carotídea (EIMC) pela ultrassonografia da carótida. A análise estatística foi realizada no software SPSS, e valores de p<0,05 foram considerados significativos. Resultados Foi identificado um valor de corte cfPWV de 6,9 m/s para TGA (sensibilidade 74% e especificidade 51%). A comparação dos dados e fatores de risco entre valores acima e abaixo do valor de corte estabelecido revelou glicemia de jejum elevada (p=0,02), obesidade (p=0,03), dislipidemia (p=0,004), sinais precoces de função diastólica prejudicada do ventrículo esquerdo (p=0,017) e ventrículo direito (p=0,03) e maior EIMC em cfPWV ≥6,9m/s (p=0,04). Conclusões Em pacientes com PD, o cfPWV de 6,9 m/s foi considerado um valor discriminativo de rigidez arterial. Esses achados reforçam que a investigação precoce da lesão cardiovascular e uma estratégia com terapia agressiva são valiosas no controle dos fatores de risco na PD. prédiabetes pré diabetes (PD eou ou (TGA Recomendase Recomenda se terapêuticas N=43 N43 N 43 (N=43 N=37 N37 37 (N=37 clínica carótidofemoral carótido femoral (cfPWV SphygmoCor sangue íntimamédia íntima média (EIMC carótida SPSS p005 p 0 05 p<0,0 significativos 69 6 9 6, ms m s sensibilidade 74 51%. 51 51% . 51%) p=0,02, p002 p=0,02 , 02 (p=0,02) p=0,03, p003 p=0,03 03 p=0,004, p0004 p=0,004 004 (p=0,004) p=0,017 p0017 017 (p=0,017 (p=0,03 69ms 9m p=0,04. p004 p=0,04 04 (p=0,04) N=4 N4 4 (N=4 N=3 N3 3 (N=3 p00 p<0, 7 5 p=0,0 (p=0,02 p000 p=0,00 00 (p=0,004 p=0,01 p001 01 (p=0,01 (p=0,0 (p=0,04 N= (N= p0 p<0 p=0, (p=0,00 (p=0, (N p< p=0 (p=0 p= (p= (p
13.
IMPACTO-MR: um estudo brasileiro de plataforma nacional para avaliar infecções e multirresistência em unidades de terapia intensiva IMPACTOMR IMPACTO MR IMPACTO-MR
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Tomazini, Bruno M
; Nassar Jr, Antonio Paulo
; Lisboa, Thiago Costa
; Azevedo, Luciano César Pontes de
; Veiga, Viviane Cordeiro
; Catarino, Daniela Ghidetti Mangas
; Fogazzi, Debora Vacaro
; Arns, Beatriz
; Piastrelli, Filipe Teixeira
; Dietrich, Camila
; Negrelli, Karina Leal
; Jesuíno, Isabella de Andrade
; Reis, Luiz Fernando Lima
; Mattos, Renata Rodrigues de
; Pinheiro, Carla Cristina Gomes
; Luz, Mariane Nascimento
; Spadoni, Clayse Carla da Silva
; Moro, Elisângela Emilene
; Bueno, Flávia Regina
; Sampaio, Camila Santana Justo Cintra
; Silva, Débora Patrício
; Baldassare, Franca Pellison
; Silva, Ana Cecilia Alcantara
; Veiga, Thabata
; Barbante, Leticia
; Lambauer, Marianne
; Campos, Viviane Bezerra
; Santos, Elton
; Santos, Renato Hideo Nakawaga
; Laranjeiras, Ligia Nasi
; Valeis, Nanci
; Santucci, Eliana
; Miranda, Tamiris Abait
; Patrocínio, Ana Cristina Lagoeiro do
; Carvalho, Andréa de
; Sousa, Eduvirgens Maria Couto de
; Sousa, Ancelmo Honorato Ferraz de
; Malheiro, Daniel Tavares
; Bezerra, Isabella Lott
; Rodrigues, Mirian Batista
; Malicia, Julliana Chicuta
; Silva, Sabrina Souza da
; Gimenes, Bruna dos Passos
; Sesin, Guilhermo Prates
; Zavascki, Alexandre Prehn
; Sganzerla, Daniel
; Medeiros, Gregory Saraiva
; Santos, Rosa da Rosa Minho dos
; Silva, Fernanda Kelly Romeiro
; Cheno, Maysa Yukari
; Abrahão, Carolinne Ferreira
; Oliveira Junior, Haliton Alves de
; Rocha, Leonardo Lima
; Nunes Neto, Pedro Aniceto
; Pereira, Valéria Chagas
; Paciência, Luis Eduardo Miranda
; Bueno, Elaine Silva
; Caser, Eliana Bernadete
; Ribeiro, Larissa Zuqui
; Fernandes, Caio Cesar Ferreira
; Garcia, Juliana Mazzei
; Silva, Vanildes de Fátima Fernandes
; Santos, Alisson Junior dos
; Machado, Flávia Ribeiro
; Souza, Maria Aparecida de
; Ferronato, Bianca Ramos
; Urbano, Hugo Corrêa de Andrade
; Moreira, Danielle Conceição Aparecida
; Souza-Dantas, Vicente Cés de
; Duarte, Diego Meireles
; Coelho, Juliana
; Figueiredo, Rodrigo Cruvinel
; Foreque, Fernanda
; Romano, Thiago Gomes
; Cubos, Daniel
; Spirale, Vladimir Miguel
; Nogueira, Roberta Schiavon
; Maia, Israel Silva
; Zandonai, Cassio Luis
; Lovato, Wilson José
; Cerantola, Rodrigo Barbosa
; Toledo, Tatiana Gozzi Pancev
; Tomba, Pablo Oscar
; Almeida, Joyce Ramos de
; Sanches, Luciana Coelho
; Pierini, Leticia
; Cunha, Mariana
; Sousa, Michelle Tereza
; Azevedo, Bruna
; Dal-Pizzol, Felipe
; Damasio, Danusa de Castro
; Bainy, Marina Peres
; Beduhn, Dagoberta Alves Vieira
; Jatobá, Joana D’Arc Vila Nova
; Moura, Maria Tereza Farias de
; Rego, Leila Rezegue de Moraes
; Silva, Adria Vanessa da
; Oliveira, Luana Pontes
; Sodré Filho, Eliene Sá
; Santos, Silvana Soares dos
; Neves, Itallo de Lima
; Leão, Vanessa Cristina de Aquino
; Paes, João Lucidio Lobato
; Silva, Marielle Cristina Mendes
; Oliveira, Cláudio Dornas de
; Santiago, Raquel Caldeira Brant
; Paranhos, Jorge Luiz da Rocha
; Wiermann, Iany Grinezia da Silva
; Pedroso, Durval Ferreira Fonseca
; Sawada, Priscilla Yoshiko
; Prestes, Rejane Martins
; Nascimento, Glícia Cardoso
; Grion, Cintia Magalhães Carvalho
; Carrilho, Claudia Maria Dantas de Maio
; Dantas, Roberta Lacerda Almeida de Miranda
; Silva, Eliane Pereira
; Silva, Antônio Carlos da
; Oliveira, Sheila Mara Bezerra de
; Golin, Nicole Alberti
; Tregnago, Rogerio
; Lima, Valéria Paes
; Silva, Kamilla Grasielle Nunes da
; Boschi, Emerson
; Buffon, Viviane
; Machado, André Sant’Ana
; Capeletti, Leticia
; Foernges, Rafael Botelho
; Carvalho, Andréia Schubert de
; Oliveira Junior, Lúcio Couto de
; Oliveira, Daniela Cunha de
; Silva, Everton Macêdo
; Ribeiro, Julival
; Pereira, Francielle Constantino
; Salgado, Fernanda Borges
; Deutschendorf, Caroline
; Silva, Cristofer Farias da
; Gobatto, Andre Luiz Nunes
; Oliveira, Carolaine Bomfim de
; Dracoulakis, Marianna Deway Andrade
; Alvaia, Natália Oliveira Santos
; Souza, Roberta Machado de
; Araújo, Larissa Liz Cardoso de
; Melo, Rodrigo Morel Vieira de
; Passos, Luiz Carlos Santana
; Vidal, Claudia Fernanda de Lacerda
; Rodrigues, Fernanda Lopes de Albuquerque
; Kurtz, Pedro
; Shinotsuka, Cássia Righy
; Tavares, Maria Brandão
; Santana, Igor das Virgens
; Gavinho, Luciana Macedo da Silva
; Nascimento, Alaís Brito
; Pereira, Adriano J
; Cavalcanti, Alexandre Biasi
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Revista Brasileira de Terapia Intensiva
- Métricas do periódico
ABSTRACT Objective: To describe the IMPACTO-MR, a Brazilian nationwide intensive care unit platform study focused on the impact of health care-associated infections due to multidrug-resistant bacteria. Methods: We described the IMPACTO-MR platform, its development, criteria for intensive care unit selection, characterization of core data collection, objectives, and future research projects to be held within the platform. Results: The core data were collected using the Epimed Monitor System® and consisted of demographic data, comorbidity data, functional status, clinical scores, admission diagnosis and secondary diagnoses, laboratory, clinical, and microbiological data, and organ support during intensive care unit stay, among others. From October 2019 to December 2020, 33,983 patients from 51 intensive care units were included in the core database. Conclusion: The IMPACTO-MR platform is a nationwide Brazilian intensive care unit clinical database focused on researching the impact of health care-associated infections due to multidrug-resistant bacteria. This platform provides data for individual intensive care unit development and research and multicenter observational and prospective trials. Objective IMPACTOMR, IMPACTOMR IMPACTO MR, MR careassociated associated multidrugresistant multidrug resistant bacteria Methods selection collection objectives Results System status scores diagnoses laboratory stay others 201 2020 33983 33 983 33,98 5 Conclusion trials 20 202 3398 3 98 33,9 2 339 9 33,
RESUMO Objetivo: Descrever o IMPACTO-MR, um estudo brasileiro de plataforma nacional em unidades de terapia intensiva focado no impacto das infecções por bactérias multirresistentes relacionadas à assistência à saúde. Métodos: Descrevemos a plataforma IMPACTO-MR, seu desenvolvimento, critérios para seleção das unidades de terapia intensiva, caracterização da coleta de dados, objetivos e projetos de pesquisa futuros a serem realizados na plataforma. Resultados: Os dados principais foram coletados por meio do Epimed Monitor System® e consistiram em dados demográficos, dados de comorbidades, estado funcional, escores clínicos, diagnóstico de internação e diagnósticos secundários, dados laboratoriais, clínicos e microbiológicos e suporte de órgãos durante a internação na unidade de terapia intensiva, entre outros. De outubro de 2019 a dezembro de 2020, 33.983 pacientes de 51 unidades de terapia intensiva foram incluídos no banco de dados principal. Conclusão: A plataforma IMPACTO-MR é um banco de dados clínico brasileiro de unidades de terapia intensiva focado na pesquisa do impacto das infecções por bactérias multirresistentes relacionadas à assistência à saúde. Essa plataforma fornece dados para o desenvolvimento e pesquisa de unidades de terapia intensiva individuais e ensaios clínicos observacionais e prospectivos multicêntricos. Objetivo IMPACTOMR, IMPACTOMR IMPACTO MR, MR saúde Métodos Resultados System demográficos comorbidades funcional secundários laboratoriais outros 201 2020 33983 33 983 33.98 5 principal Conclusão multicêntricos 20 202 3398 3 98 33.9 2 339 9 33.
14.
Computed tomography analysis of fascial space involvement demonstrates correlations with laboratory tests, length of hospital stays and admission to the intensive care unit in odontogenic infections tests
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Silva, Renata de Jesus da
; Barbosa, Raphaella Ayres Lima
; Okamura, Fabio Kenji
; Luz, João Gualberto Cerqueira
.
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Brazilian Journal of Otorhinolaryngology
- Métricas do periódico
Abstract Objectives: Odontogenic infections are frequent and can spread, leading to complications such as sepsis and the need for admission to an Intensive Care Unit (ICU). The purpose of this study was to perform a computed tomography analysis of the fascial space involvement and correlate with personal data, laboratory tests, length of hospital stays and admission to the ICU in patients with odontogenic infections who required hospitalization. Methods: Patients with odontogenic infections admitted between June 2017 and May 2018 were prospectively evaluated. The fascial spaces involved were studied using computed tomography with contrast. The possible correlations of tomographic findings with comorbidities, nutritional status, the causative tooth, laboratory tests, length of hospital stays and admission to the ICU were analyzed. Results: We identified 66 cases of odontogenic infections which were admitted in the period analyzed. The involvement of primary spaces (86.7%) predominated, followed by secondary ones (8.7%), and cervical (4.6%). The most frequently involved fascial spaces were submandibular (27.1%), buccal (20.8%), sublingual (18.3%), submental (16.7%), and others (17.1%). There were significant differences between laboratory tests (p < 0.001), mean hospital stays (p < 0.001), and admissions to the ICU (p < 0.001) depending on the number of fascial spaces involved. There was no influence of comorbidities, nutritional status, or causative tooth on fascial space involvement. Conclusion: There was a relationship between greater involvement of fascial spaces assessed by computed tomography and higher values of laboratory tests, more extended hospitalization stays and admission to the ICU. Level of evidence: Level 2b. Objectives spread . (ICU) data Methods 201 evaluated contrast comorbidities status analyzed Results 6 86.7% 867 86 7 (86.7% predominated 8.7%, 87 8.7% , 8 (8.7%) 4.6%. 46 4.6% 4 (4.6%) 27.1%, 271 27.1% 27 1 (27.1%) 20.8%, 208 20.8% 20 (20.8%) 18.3%, 183 18.3% 18 3 (18.3%) 16.7%, 167 16.7% 16 (16.7%) 17.1%. 171 17.1% 17 (17.1%) p 0.001, 0001 0.001 0 001 Conclusion evidence 2b b (ICU 86.7 (86.7 8.7 (8.7% 4.6 (4.6% 27.1 2 (27.1% 20.8 (20.8% 18.3 (18.3% 16.7 (16.7% 17.1 (17.1% 000 0.00 00 86. (86. 8. (8.7 4. (4.6 27. (27.1 20. (20.8 18. (18.3 16. (16.7 17. (17.1 0.0 (86 (8. (4. (27. (20. (18. (16. (17. 0. (8 (4 (27 (20 (18 (16 (17 ( (2 (1
15.
PRODUCTIVITY AND QUALITY OF POTATOES UNDER DIFFERENT POTASSIUM FERTILIZER SOURCES
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OLIVEIRA, ROBERTA CAMARGOS DE
; SANTOS JUNIOR, NILSON ERITO TIMÓTEO DOS
; FERRAZ-ALMEIDA, RISELY
; LANA, REGINA MARIA QUINTÃO
; CASTOLDI, RENATA
; LUZ, JOSE MAGNO QUEIROZ
.
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RESUMO O objetivo deste trabalho foi avaliar o acúmulo de potássio e cloreto na produtividade e qualidade de tubérculos de batata, cultivar Asterix, sob aplicação de duas fontes de fertilizante potássico (KCl e K2SO4.2MgSO4) e combinações destes. O delineamento experimental foi em blocos casualizados, com cinco tratamentos e quatro repetições, em esquema fatorial com parcela subdividida. A presença de cloreto na fertilização potássica acima de 61,8% da dose recomendada afeta o crescimento das plantas de batata, com menor acúmulo de matéria seca na parte aérea. Isso não ocorre nos tubérculos devido à menor translocação de nutrientes para os tubérculos. O acúmulo de K é variável entre os níveis, dependendo dos íons companheiros das fontes. Ao longo do ciclo, a quantidade de cloreto aumenta na parte aérea e tubérculos com o aumento da % de KCl. A produtividade total é afetada pelo uso da combinação das doses da fonte de potássio, com produtividade máxima de 41,3 t ha-1 com a associação entre 64,5% KCl e 36,5% KCl and K2SO4.2MgSO4. Os sólidos solúveis não variaram com as fontes na dose de 180 kg ha-1 K2O.
ABSTRACT The objective of this study was to evaluate potassium and chloride accumulation in, and the yield and quality of the potato tubers of the Asterix cultivar, under the application of two potassium fertilizer sources (KCl and K2SO4.2MgSO4) and their combinations. The experimental design was a randomized complete block with five treatments and four replications in a factorial scheme with a subdivided plot. The presence of greater than 61.8% of the recommended dose of chloride in potassium fertilization affects potato plant growth, with less dry matter accumulation in the aerial part. This does not occur in the tubers because of lower nutrient translocation to the tubers. K accumulation varies between levels depending on the companion ions of the sources. Throughout the cycle, the amount of chloride increased in the aerial parts and tubers with an increase in the percentage of KCl. The total productivity is affected by the use of a combination of potassium sources in different proportions, with a maximum yield of 41.3 t ha-1 with a combination of 64.5% KCl and 36.5% K2SO4.2MgSO4. Soluble solids did not vary with the sources at a dose of 180 kg ha-1 K2O.
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