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Abstract Large quantities of residual cooking oil are being increasingly generated in various sectors, as it is often improperly disposed of and causes serious environmental problems. A commonly used alternative is the use of lipases in enzymatic hydrolysis, since it is rather attractive to several sectors, in addition to allowing the use of products generated thereof, such as: free fatty acids, diacylglycerols, monoacylglycerols and free glycerol, moreover, it is capable of operating in mild temperature and pressure conditions. Therefore, the present study aimed to evaluate alternatives for the hydrolysis of residual frying oil by evaluating the efficiency of different types of supports and heating systems using free and immobilized forms of lipase from Burkholderia cepacia (BCL) and Porcine pancreas (PPL) as biocatalyst. Polyhydroxybutyrate (PHB), niobium oxide (Nb2O5) and chitosan (CHIT) were evaluated as support for immobilizing BCL and PPL lipases, and superior results were found regarding the hydrolytic activity of immobilization derivatives using PHB and Nb2O5. Among the heating systems under evaluation, the highest percentage of residual oil hydrolysis was found using the ultrasound system for both free and immobilized lipases, reaching 57.91% hydrolysis for lipases immobilized on Nb2O5 and 61.11% hydrolysis for the derivative immobilized on PHB. The operational stability of both biocatalysts was evaluated using similar half-life time values for both. Thus, it was observed that the ultrasound system was efficient in improving lipase performance in the hydrolysis of free fatty acids, once this unconventional heating system is quite promising for accelerating such enzymatic reactions. sectors problems thereof acids diacylglycerols glycerol moreover conditions Therefore (BCL (PPL biocatalyst PHB, , (PHB) NbO Nb O (Nb2O5 CHIT (CHIT evaluation 5791 57 91 57.91 Nb2O 6111 61 11 61.11 halflife half life Thus reactions (PHB (Nb2O 579 5 9 57.9 611 6 1 61.1 57. 61.

https://doi.org/10.1590/1678-4324-2024220625

Breast Imaging Reporting and Data System (BI-RADS®): a success history and particularities of its use in Brazil BIRADS® BIRADS BI RADS® RADS (BI-RADS®) (BI-RADS® (BI-RADS
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Merjane, Vanessa

; Perin, Douglas Marcel Puricelli

; Bacha, Patrícia Martins Gomes El

; Miranda, Beatriz Medicis Maranhão

; Bitencourt, Almir Galvão Vieira

; Iared, Wagner

Revista Brasileira de Ginecologia e Obstetrícia

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2024, Volume 46 elocation e-rbgo6

Resumo: En | Texto: En | PDF: En

Abstract BI-RADS® is a standardization system for breast imaging reports and results created by the American College of Radiology to initially address the lack of uniformity in mammography reporting. The system consists of a lexicon of descriptors, a reporting structure with final categories and recommended management, and a structure for data collection and auditing. It is accepted worldwide by all specialties involved in the care of breast diseases. Its implementation is related to the Mammography Quality Standards Act initiative in the United States (1992) and breast cancer screening. After its initial creation in 1993, four additional editions were published in 1995, 1998, 2003 and 2013. It is adopted in several countries around the world and has been translated into 6 languages. Successful breast cancer screening programs in high-income countries can be attributed in part to the widespread use of BI-RADS®. This success led to the development of similar classification systems for other organs (e.g., lung, liver, thyroid, ovaries, colon). In 1998, the structured report model was adopted in Brazil. This article highlights the pioneering and successful role of BI-RADS®, created by ACR 30 years ago, on the eve of publishing its sixth edition, which has evolved into a comprehensive quality assurance tool for multiple imaging modalities. And, especially, it contextualizes the importance of recognizing how we are using BI-RADS® in Brazil, from its implementation to the present day, with a focus on breast cancer screening. BIRADS® BIRADS BI RADS® RADS BI-RADS descriptors management auditing diseases 1992 (1992 1993 1995 1998 200 2013 languages highincome high income BIRADS®. RADS®. e.g., eg e g (e.g. lung liver thyroid ovaries colon. colon . colon) Brazil BIRADS®, RADS®, 3 ago edition modalities And especially day 199 (199 20 201 e.g. (e.g 19 (19 2 e.g 1 (1 (

https://doi.org/10.61622/rbgo/2024ar06

Importance of genetic cancer risk assessment as a strategy to stratify risk and provide precision prevention in high-risk patients and families highrisk high
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Ashton-Prolla, Patricia

; Achatz, Maria Isabel Waddington

; Moreira, Miguel Angelo Martins

; Palmero, Edenir Inez

; Soares, Diogo Cordeiro de Queiroz

; Ferraz, Victor Evangelista de Faria

; Caires, Inacelli Queiroz de Souza

; Guindalini, Rodrigo Santa Cruz

; Gifoni, Ana Carolina Leite Vieira Costa

Revista da Associação Médica Brasileira

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2024, Volume 70 Supl. 1 elocation e2024S117

Resumo: En | Texto: En | PDF: En

https://doi.org/10.1590/1806-9282.2024s117

Humanized care in the Intensive Care Unit: discourse of Angolan nursing professionals Unit
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Sili, Eurico Mateus

; Nascimento, Eliane Regina Pereira do

; Malfussi, Luciana Bihain Hagemann de

; Hermida, Patrícia Madalena Vieira

; Souza, Ana Izabel Jatobá de

; Lazzari, Daniele Delacanal

; Martins, Marisa da Silva

Revista Brasileira de Enfermagem

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2023, Volume 76 Nº 2 elocation e20220474

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

RESUMEN Objetivos: analizar percepción de enfermeros de una Unidad de Cuidados Intensivos en Angola sobre atenciones humanizadas e identificar recursos necesarios para su implementación. Métodos: estudio cualitativo, descriptivo, realizado con 15 profesionales en junio-octubre/2020, en una Unidad de Cuidados Intensivos de Angola. Los datos fueron recolectados mediante entrevista semiestructurada; análisis basado en técnica del Discurso del Sujeto Colectivo. Resultados: emergieron cinco ideas centrales: tres referentes a la percepción de la atención humanizada (“De la visión integral y empatía a un conjunto de acciones en todos los momentos de la atención”, “Humanizar es extender atención a familiares y acompañantes”, “Atención humanizada implica establecimiento de vínculo de confianza, garantía de atención individualizada”); y dos sobre los recursos necesarios para esa atención (“Necesidad de infraestructura - recursos humanos y materiales”, “Capacitación profesional y atención humanizada están interconectados”). Consideraciones Finales: la atención humanizada involucra objetividad y subjetividad; incluye familiares. Hay necesidad de infraestructura adecuada para proporcionarlo. Objetivos implementación Métodos cualitativo descriptivo 1 juniooctubre/2020, juniooctubre2020 juniooctubre junio octubre/2020, octubre 2020 junio-octubre/2020 semiestructurada Colectivo Resultados centrales De atención, , atención” Humanizar acompañantes, acompañantes acompañantes” Atención confianza individualizada individualizada”) Necesidad materiales, materiales materiales” Capacitación interconectados. interconectados . interconectados”) Finales subjetividad proporcionarlo juniooctubre/2020 juniooctubre202 octubre2020 octubre/2020 202 junio-octubre/202 individualizada” interconectados” juniooctubre/202 juniooctubre20 octubre202 octubre/202 20 junio-octubre/20 juniooctubre/20 juniooctubre2 octubre20 octubre/20 2 junio-octubre/2 juniooctubre/2 octubre2 octubre/2 junio-octubre/ juniooctubre/ octubre/ junio-octubre

ABSTRACT Objectives: to analyze the perception of nursing professionals in an intensive care unit in Angola about humanized care and identify resources necessary for its implementation. Methods: a qualitative, descriptive study conducted with 15 professionals in June-October/2020 in intensive care unit in Angola. The data were collected through semi-structured interviews; analysis based on the collective subject discourse technique. Results: five central ideas emerged: three related to the perception of humanized care (“From integral vision and empathy to a set of actions in all phases of care”, “Humanizing is extending care to family members and companions”, “Humanized care requires the establishment of a bond of trust and guarantee of individualized care”); and two on the resources necessary for this care (“Need for infrastructure - human and material resources”, “Professional training and humanized care are interconnected”). Final Considerations: humanized care involves objectivity and subjectivity; it includes family members. An adequate infrastructure can provide it. Objectives implementation Methods qualitative 1 JuneOctober/2020 JuneOctober2020 JuneOctober June October/2020 October 2020 June-October/202 semistructured semi structured interviews technique Results emerged From care, , care” Humanizing companions, companions companions” Humanized care”) Need resources, resources” Professional interconnected. interconnected . interconnected”) Considerations subjectivity JuneOctober/202 JuneOctober202 October2020 October/202 202 June-October/20 interconnected” JuneOctober/20 JuneOctober20 October202 October/20 20 June-October/2 JuneOctober/2 JuneOctober2 October20 October/2 2 June-October/ JuneOctober/ October2 October/ June-October

RESUMO Objetivos: analisar a percepção dos profissionais de enfermagem de uma Unidade de Terapia Intensiva em Angola sobre cuidados humanizados e identificar recursos necessários para sua implementação. Métodos: estudo qualitativo, descritivo, realizado com 15 profissionais em junho outubro/2020, em Unidade de Terapia Intensiva de Angola. Os dados foram coletados mediante entrevista semiestruturada; análise baseada na técnica do Discurso do Sujeito Coletivo. Resultados: emergiram cinco ideias centrais: três referentes à percepção do cuidado humanizado (“Da visão integral e empatia a um conjunto de ações em todos os momentos do cuidado”, “Humanizar é estender cuidado aos familiares e acompanhantes”, “Assistência humanizada requer estabelecimento de vínculo de confiança e garantia de cuidado individualizado”); e duas sobre os recursos necessários para esse cuidado (“Necessidade de infraestrutura - recursos humanos e materiais”, “Capacitação profissional e cuidado humanizado estão interligados”). Considerações Finais: o cuidado humanizado envolve objetividade e subjetividade; inclui os familiares. Há necessidade de infraestrutura adequada para proporcioná-lo. Objetivos implementação Métodos qualitativo descritivo 1 outubro2020 outubro 2020 outubro/2020 semiestruturada Coletivo Resultados centrais Da cuidado, , cuidado” Humanizar acompanhantes, acompanhantes acompanhantes” Assistência individualizado individualizado”) Necessidade materiais, materiais materiais” Capacitação interligados. interligados . interligados”) Finais subjetividade proporcionálo. proporcionálo proporcioná lo. lo proporcioná-lo outubro202 202 outubro/202 individualizado” interligados” outubro20 20 outubro/20 outubro2 2 outubro/2 outubro/

https://doi.org/10.1590/0034-7167-2022-0474

CONTORNANDO A URGÊNCIA NA ADOLESCÊNCIA: O FIO TÊNUE DA CLÍNICA EM INSTITUIÇÃO ADOLESCÊNCIA
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Silva, Patrícia Martins Guimarães Vieira da

; Muñoz, Nuria Malajovich

Ágora: Estudos em Teoria Psicanalítica

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2023, Volume 26 elocation e264550

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

ABSTRACT: We approach, in the present work, the subjective urgency in adolescence, having as orientation the practice of psychoanalysis applied to the field of mental health. We situate the subjective urgency and point out clinical impasses related to its management, relating them to the way in which the discontent presents itself today. From clinical fragments, we discuss the clinical-institutional approach, point out the importance of listening to the detail and emphasize the analyst’s place as a partner, helping to build an alterity that supports the crossing of adolescence. ABSTRACT approach work adolescence health management today fragments clinicalinstitutional institutional analysts analyst s partner

RESUMO: Abordamos, no presente trabalho, a urgência subjetiva na adolescência, tendo como orientação a prática da psicanálise aplicada ao campo da saúde mental. Situamos a urgência subjetiva e apontamos impasses clínicos relativos ao seu manejo, relacionando-os ao modo como o mal-estar se apresenta na atualidade. A partir de fragmentos clínicos, discutimos a abordagem clínico-institucional, pontuamos a importância da escuta do detalhe e ressaltamos o lugar do analista como parceiro, ajudando a construir uma alteridade que dê suporte à travessia da adolescência. RESUMO Abordamos trabalho adolescência mental manejo relacionandoos relacionando os malestar mal estar atualidade clínicoinstitucional, clínicoinstitucional clínico institucional, institucional clínico-institucional parceiro

https://doi.org/10.1590/1809-4414-2023-003

Body mass index and gestational weight gain: relevance in gestational diabetes and outcomes - A retrospective cohort study
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Rosinha, Patrícia Mendonça Oliveira

; Dantas, Rosa Alexandra Barbosa

; Alves, Márcia Inês Paiva

; Azevedo, Teresa Cristina Maia Ferreira

; Inácio, Isabel Maria Ramos

; Ferreira, Sara Gabriela Esteves

; Pedrosa, Carla Alexandra Vieira

; Ferreira, Marília Sousa

; Sousa, Isabel Maria Albuquerque

; Costa, Joana Guimarães Martins da

Archives of Endocrinology and Metabolism

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Abr 2022, Volume 66 Nº 2 Páginas 261 - 268

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective: To evaluate the influence of maternal pre-pregnancy body mass index (BMI) and gestational weight gain (GWG) on blood glucose levels at diagnosis of gestational diabetes mellitus (GDM) and obstetric/neonatal outcomes. Subjects and methods: Retrospective cohort study including 462 women with GDM and singleton pregnancy delivered in our institution between January 2015 and June 2018 and grouped according to BMI/GWG. Results: The diagnosis of GDM was more likely to be established in the 1st trimester (T) in women with obesity than in normal-weight (55.8% vs 53.7%, p = 0.008). BMI positively and significantly correlated with fasting plasma glucose (FPG) levels in the 1stT (rs = 0.213, p = 0.001) and 2ndT (rs = 0.210, p = 0.001). Excessive GWG occurred in 44.9% women with overweight and in 40.2% with obesity (p < 0.001). From women with obesity, 65.1% required pharmacological treatment (p < 0.001). Gestational hypertension (GH) was more frequent in women with obesity (p = 0.016). During follow-up, 132 cesareans were performed, the majority in mothers with obesity (p = 0.008). Of the 17 large-for-gestational-age (LGA) birthweight delivered, respectively 6 and 9 were offsprings of women with overweight and obesity (p = 0.019). Maternal BMI had a predictive value only for macrosomia [aOR 1.177 (1.006-1.376), p = 0.041]. BMI and GWG positively correlated with birthweight (rs = 0.132, p = 0.005; rs = 0.188, p = 0.005). Conclusion: Maternal obesity is related with a major probability of diagnosis of GDM in 1stT, fasting hyperglycemia in 2ndT and a more frequent need for pharmacological therapy. Pre-gestational obesity is associated with GH, cesarean delivery and fetal macrosomia.

https://doi.org/10.20945/2359-3997000000463

Body mass index and gestational weight gain: relevance in gestational diabetes and outcomes - A retrospective cohort study
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Rosinha, Patrícia Mendonça Oliveira

; Dantas, Rosa Alexandra Barbosa

; Alves, Márcia Inês Paiva

; Azevedo, Teresa Cristina Maia Ferreira

; Inácio, Isabel Maria Ramos

; Ferreira, Sara Gabriela Esteves

; Pedrosa, Carla Alexandra Vieira

; Ferreira, Marília Sousa

; Sousa, Isabel Maria Albuquerque

; Costa, Joana Guimarães Martins da

Archives of Endocrinology and Metabolism

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2022, Nº ahead

Resumo: En | Texto: En | PDF: En

https://doi.org/10.20945/2359-3997000000463

Fatal Brazilian spotted fever in a healthy military man during field training in Rio de Janeiro city, southeastern Brazil
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Pacheco-Silva, Ana Beatriz

; Martins, Ezequias Batista

; López, Angie Jeannine Rios

; Detepo, Paula João Tomas

; Mamani, Roxana Flores

; Japiassú, André Miguel

; Lupi, Otilia

; Mendes, Tulio Vieira

; Pina-Costa, Anielle de

; Calvet, Guilherme Amaral

; Bressan, Clarisse da Silveira

; Silva, Michele Fernanda Borges da

; Ogino, Liana Lumi

; Assis, Matheus Ribeiro da Silva

; Marques, Amanda Meneleu

; Dias, Cristina Maria Giordano

; Borchert, Juliana Mildward

; Lemos, Elba Regina Sampaio de

; Brasil, Patrícia

Revista do Instituto de Medicina Tropical de São Paulo

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2022, Volume 64 elocation e77

Resumo: En | Texto: En | PDF: En

ABSTRACT Brazilian spotted fever, a zoonotic disease transmitted by ticks, is caused by Rickettsia rickettsii. We report a fulminant case of this zoonosis in a healthy 46-year-old military man in the urban region of Rio de Janeiro city, in October, 2021. Ticks and capybaras (Amblyomma sculptum, Hydrochoerus hydrochaeris, respectively) were identified in the military fields, pointing to the participation of this large synanthropic rodent, recognized as an efficient amplifier host of Rickettsia rickettsii in Brazil. As the military population is considered a risk group for spotted fever, it is necessary to alert health professionals to the importance of the early detection of the disease and its adequate management, mainly in populations that are particularly at risk of exposure to ticks, in order to avoid fatal outcomes.

https://doi.org/10.1590/s1678-9946202264077

Colistin-resistant Escherichia coli belonging to different sequence types: genetic characterization of isolates responsible for colonization, community- and healthcare-acquired infections
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Paiva, Yrving

; Nagano, Debora Satie

; Cotia, Andre Luis Franco

; Guimarães, Thais

; Martins, Roberta Cristina Ruedas

; Perdigão Neto, Lauro Vieira

; Côrtes, Marina Farrel

; Marchi, Ana Paula

; Corscadden, Louise

; Machado, Anna Silva

; Paula, Alexandre Inácio de

; Franco, Lucas Augusto Moyses

; Neves, Patricia Regina

; Levin, Anna Sara

; Costa, Silvia Figueiredo

Revista do Instituto de Medicina Tropical de São Paulo

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2021, Volume 63 elocation e38

Resumo: En | Texto: En | PDF: En

ABSTRACT The plasmid-mediated colistin-resistance gene named mcr-1 has been recently described in different countries and it became a public health challenge. Of note, few studies have addressed the spread of Escherichia coli harboring the mcr-1 gene in both, community and hospital settings. A total of seven colistin-resistant E. coli carrying mcr-1, collected from 2016 to 2018, from community (n=4), healthcare-acquired infections (n=2) and colonization (n=1) were identified in three high complexity hospitals in Sao Paulo, Brazil. These colistin-resistant isolates were screened for mcr genes by PCR and all strains were submitted to Whole Genome Sequencing and the conjugation experiment. The seven strains belonged to seven distinct sequence types (ST744, ST131, ST69, ST48, ST354, ST57, ST10), and they differ regarding the resistance profiles. Transference of mcr-1 by conjugation to E. coli strain C600 was possible in five of the seven isolates. The mcr-1 gene was found in plasmid types IncX4 or IncI2. Three of the isolates have ESBL-encoding genes (blaCTX-M-2, n=2; blaCTX-M-8, n=1). We hereby report genetically distinct E. coli isolates, belonging to seven STs, harboring the mcr-1 gene, associated to community and healthcare-acquired infections, and colonization in patients from three hospitals in Sao Paulo. These findings point out for the potential spread of plasmid-mediated colistin-resistance mechanism in E. coli strains in Brazil.

https://doi.org/10.1590/s1678-9946202163038 332 downloads

10.

Safety issues of raw milk: evaluation of bacteriological and physicochemical characteristics of human milk from a bank in a teaching hospital, focusing on Staphylococcus species
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Salerno, Tatiana

; Siqueira, Amanda Keller

; Pinto, José Paes de Almeida Nogueira

; Cunha, Maria de Lourdes Ribeiro de Souza da

; Silvestre, Patrícia Kelly

; Condas, Larissa Anuska Zeni

; Lara, Gustavo Henrique Batista

; Pereira, Juliano Gonçalves

; Silva, Aristeu Vieira da

; Listoni, Fernando José Paganini

; Martins, Lorrayne de Souza Araújo

; Motta, Rodrigo Garcia

; Ribeiro, Márcio Garcia

Revista do Instituto de Medicina Tropical de São Paulo

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2021, Volume 63 elocation e54

Resumo: En | Texto: En | PDF: En

ABSTRACT Many infants are nurtured with milk supplied by human banks, whose bacteriological and physical-chemical profiles are a major issue. We investigated the bacteriological and physical-chemical characteristics, as well as genotypic and phenotypic and profiles of Staphylococcus species isolated from 240 samples of breast milk from a bank in a teaching hospital. Dornic acidity of milk revealed that 95.4% (229/240) had acceptable limits (< 8.0 oD). Caloric intake showed a wide variation in cream content (4%), fat (4%) and energy values (559.81 Kcal/L). Staphylococcus (105/186 or 56.5%) and Enterobacter (25/186 or 13.4%) were the most prevalent genera, although other microorganisms were identified, including Klebsiella pneumoniae and Pseudomonas aeruginosa. Amoxicillin/clavulanic acid (125/157 or 79.6%), vancomycin (115/157 or 73.2%), and cephalexin (112/157 or 71.3%) were the most effective antimicrobials. High resistance rates of isolates were found to penicillin G (141/157 or 89.8%), ampicillin (135/157 or 86%), and oxacillin (118/157 or 75.2%). Multidrug resistance to ≥ 3 antimicrobials occurred in 66.2% (123/186) of the isolates. Residues of microbial multiplication inhibitory substances were found in 85% (204/240) of samples. Among the coagulase-positive-CPS and negative-CoNS staphylococci, the mecA gene was detected in 53.3% (8/15) and 75% (30/40), respectively. Genes sea, seb and sec were detected in 20% (3/15) of CPS, while tsst-1 was detected in 13.34% (2/15). In addition, 13.3% (2/15) of S. aureus were toxin-producers. Genes sea, seb and sec were detected in 90% (36/40), 5% (2/40) and 15% (6/40) CoNS, respectively. Enterotoxin production was identified in 5% (2/40) of CoNS. The identification of multidrug-resistant bacteria, staphylococci species toxin-producers harboring methicillin-resistance genes, and residues of microbial multiplication inhibitory substances reinforce the need for a continuous vigilance of milk quality offered to infant consumption by human banks.

https://doi.org/10.1590/s1678-9946202163054 198 downloads

11.

Práticas de enfermeiros de um hospital universitário na continuidade do cuidado para a atenção primária
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Oliveira, Lays Souza de

; Costa, Maria Fernanda Baeta Neves Alonso da

; Hermida, Patrícia Madalena Vieira

; Andrade, Selma Regina de

; Debetio, Juanah Oliveira

; Lima, Larissa Martins Novaes de

Escola Anna Nery

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2021, Volume 25 Nº 5 elocation e20200530

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

Resumo Objetivo compreender as práticas dos enfermeiros de um hospital universitário na continuidade do cuidado para a atenção primária. Método estudo exploratório, descritivo e qualitativo, realizado entre agosto e novembro de 2019, em hospital universitário no Sul do Brasil, com 21 enfermeiros e a diretora de Enfermagem, aplicando-se, respectivamente, um instrumento on-line na plataforma Survey Monkey e uma entrevista semiestruturada. Os dados coletados foram submetidos à Análise de Conteúdo segundo Minayo. Resultados emergiram três categorias: práticas dos enfermeiros; fortalezas e fragilidades e competências para a continuidade do cuidado. Na admissão e alta, os enfermeiros realizam entrevista e exame físico do paciente. Os pontos positivos foram a comunicação e o conhecimento do contexto familiar da equipe multiprofissional hospitalar e os negativos, a falta de sistema informatizado, a integração dos profissionais do hospital com a atenção primária, o enfermeiro gestor de altas e o protocolo de contrarreferência. A continuidade do cuidado requer, dos enfermeiros, experiência profissional, conhecimento sobre a rede de atenção, habilidades de comunicação, liderança e tomada de decisão. Conclusão e implicações para a prática os enfermeiros compreendem a importância da continuidade do cuidado, entretanto, algumas fragilidades encontradas na instituição dificultam a realização dessas práticas.

Abstract Objective to understand the practices of nurses from a university hospital in the continuity of care for primary care. Method an exploratory, descriptive, and qualitative study, conducted between August and November 2019, in a university hospital in Southern Brazil, with 21 nurses and the director of Nursing, applying, respectively, an online instrument in the Survey Monkey platform and a semi-structured interview. The data collected was submitted to Content Analysis according to Minayo. Results three categories emerged: nurses’ practices; strengths and weaknesses, and competencies for continuity of care. On admission and discharge, nurses interview and physically examine the patient. The positive aspects were communication and knowledge of the family context by the multiprofessional hospital team, and the negative aspects were the lack of a computerized system, the integration of hospital professionals with primary care, the nurse discharge manager and the counter-reference protocol. Continuity of care requires from nurses professional experience, knowledge about the care network, communication skills, leadership, and decision making. Conclusion and implications for practice nurses understand the importance of continuity of care, however, some weaknesses found in the institution make it difficult to carry out these practices.

Resumen Objetivo conocer las prácticas de los enfermeros de un hospital universitario en la continuidad de los cuidados de la atención primaria. Método estudio exploratorio, descriptivo y cualitativo, realizado entre agosto y noviembre de 2019, en un hospital universitario del sur de Brasil, con 21 enfermeros y la Directora de Enfermería, aplicando, respectivamente, instrumento online en la plataforma Survey Monkey y una entrevista semiestructurada. Los datos recogidos se sometieron a un análisis de contenido según Minayo. Resultados emergiron tres categorías: prácticas de los enfermeros; fortalezas y fragilidades y competencias para la continuidad del cuidado. En el momento del ingreso y del alta, los enfermeros entrevistan y realizan una exploración física del paciente. Los aspectos positivos fueron la comunicación y el conocimiento del contexto familiar por parte del equipo multiprofesional del hospital, y los negativos la falta de un sistema informatizado; la integración de los profesionales del hospital con la atención primaria; la enfermera gestora del alta y el protocolo de contrarreferencia. La continuidad de los cuidados requiere la experiencia profesional de los enfermeros, el conocimiento de la red asistencial, la capacidad de comunicación, el liderazgo y la toma de decisiones. Conclusión e implicaciones para la práctica Los enfermeros entienden la importancia de la continuidad de los cuidados, sin embargo, algunas debilidades encontradas en la institución dificultan la implementación de estas prácticas.

https://doi.org/10.1590/2177-9465-ean-2020-0530 230 downloads

12.

Medical students with performance difficulties need wide support: Initial results of an academic tutoring program
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Bellodi, Patrícia Lacerda

; Dolhnikoff, Marisa

; Jacomo, Alfredo Luiz

; Jorge, Alexander Augusto de Lima

; Ferraro, Alexandre Archanjo

; Germani, Ana Claudia Camargo Gonçalves

; Tannuri, Ana Cristina Aoun

; Tess, Beatriz Helena Carvalho

; Caramelli, Bruno

; Malheiros, Denise Maria Avancini Costa

; Tibério, Iolanda de Fátima Lopes Calvo

; Otoch, José Pinhata

; Silva, Luiz Fernando Ferraz da

; Castro, Luiz Henrique Martins

; Zerbini, Maria Cláudia Nogueira

; Dolhnikoff, Marisa

; Martins, Milton de Arruda

; Souza, Rogério de

; Francisco, Rossana Pulcineli Vieira

Clinics

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2021, Volume 76 elocation e2495

Resumo: En | Texto: En | PDF: En

BACKGROUND: Even students with previous academic success may face challenges that affect their academic performance. Many medical schools offer programs to students at the risk of academic failure, to ensure that they succeed in the course. OBJECTIVE AND METHODS: In this report we describe a pioneering academic tutoring program developed at a Brazilian medical school and discuss the initial results of the program based on the feedback from tutors and data regarding the progression of students in the medical course. RESULTS: In 2018, 33 students enrolled into the program. Students' performance difficulties were mainly associated with mental health problems and socioeconomic vulnerability. Of the 33 students, 27 (81.8%) were assisted by the Mental Health Support Service and 16 (48.5%) were assisted by the Social Assistance Service. In addition to the planning academic activity class load, tutors were able to assist students in solving socioeconomic issues, carrying out personal support interventions with the promotion of self-esteem, and presenting suggestions for behavioral changes in their routine. For most students (72%), the action plan proposed by the tutors was successful. Eight of the 14 (57%) students in the fourth year progressed to the final two years of in-hospital practical training (internship). CONCLUSIONS: The Academic Tutoring Program showed positive results for most of the students. Close monitoring and tutor intervention allowed students with poor academic performance to overcome the low performance cycle. These important tasks demand time and energy from tutors, and institutional recognition of these professionals is essential for the successful maintenance of the program.

https://doi.org/10.6061/clinics/2021/e2495 377 downloads

13.

Diretriz Brasileira de Cardio-oncologia – 2020
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Hajjar, Ludhmila Abrahão

; Costa, Isabela Bispo Santos da Silva da

; Lopes, Marcelo Antônio Cartaxo Queiroga

; Hoff, Paulo Marcelo Gehm

; Diz, Maria Del Pilar Estevez

; Fonseca, Silvia Moulin Ribeiro

; Bittar, Cristina Salvadori

; Rehder, Marília Harumi Higuchi dos Santos

; Rizk, Stephanie Itala

; Almeida, Dirceu Rodrigues

; Fernandes, Gustavo dos Santos

; Beck-da-Silva, Luís

; Campos, Carlos Augusto Homem de Magalhães

; Montera, Marcelo Westerlund

; Alves, Sílvia Marinho Martins

; Fukushima, Júlia Tizue

; Santos, Maria Verônica Câmara dos

; Negrão, Carlos Eduardo

; Silva, Thiago Liguori Feliciano da

; Ferreira, Silvia Moreira Ayub

; Malachias, Marcus Vinicius Bolivar

; Moreira, Maria da Consolação Vieira

; Valente Neto, Manuel Maria Ramos

; Fonseca, Veronica Cristina Quiroga

; Soeiro, Maria Carolina Feres de Almeida

; Alves, Juliana Barbosa Sobral

; Silva, Carolina Maria Pinto Domingues Carvalho

; Sbano, João

; Pavanello, Ricardo

; Pinto, Ibraim Masciarelli F.

; Simão, Antônio Felipe

; Dracoulakis, Marianna Deway Andrade

; Hoff, Ana Oliveira

; Assunção, Bruna Morhy Borges Leal

; Novis, Yana

; Testa, Laura

; Alencar Filho, Aristóteles Comte de

; Cruz, Cecília Beatriz Bittencourt Viana

; Pereira, Juliana

; Garcia, Diego Ribeiro

; Nomura, Cesar Higa

; Rochitte, Carlos Eduardo

; Macedo, Ariane Vieira Scarlatelli

; Marcatti, Patricia Tavares Felipe

; Mathias Junior, Wilson

; Wiermann, Evanius Garcia

; Val, Renata do

; Freitas, Helano

; Coutinho, Anelisa

; Mathias, Clarissa Maria de Cerqueira

; Vieira, Fernando Meton de Alencar Camara

; Sasse, André Deeke

; Rocha, Vanderson

; Ramires, José Antônio Franchini

; Kalil Filho, Roberto

Arquivos Brasileiros de Cardiologia

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Nov 2020, Volume 115 Nº 5 Páginas 1006 - 1043

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

https://doi.org/10.36660/abc.20201006 4180 downloads

14.

Urea incorporated into ordered mesoporous silica for potential cosmetic application
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Leite-Silva, Vânia Rodrigues

; Silva, Camila Vieira da

; Higuchi, Celio Takashi

; Silva, Heron Dominguez Torres da

; Duque, Marcelo Dutra

; Andréo-Filho, Newton

; Lopes, Patrícia Santos

; Martins, Tereza Silva

Brazilian Journal of Pharmaceutical Sciences

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2020, Volume 56 elocation e17560

Resumo: En | Texto: En | PDF: En

Urea’s thermal instability and burning on sensitive skin can cause problems for cosmetic formulations. To overcome these drawbacks, urea was incorporated into ordered mesoporous silica (SBA-15). SBA-15 was synthesized using tetraethyl orthosilicate and Pluronic® P123 in an acid medium. Urea (20 wt.%) was incorporated into calcined SBA-15 by the incipient wetness impregnation method. Several techniques were used to characterize the samples. Skin hydration and transepidermal water loss were measured using Corneometer® CM 825 PC and Tewameter® 300 TM. Results showed that the structural properties of SBA-15Urea were similar to pure SBA-15, indicating that SBA-15 remained structured even after urea incorporation. Nitrogen physisorption data showed the volume and surface area of the pores in SBA-15Urea were much lower than those in SBA-15, demonstrating that urea was deposited inside the mesopores. In vivo moisturization studies revealed that SBA-15Urea was not able to reduce transepidermal water loss compared to the other products and control, while forming a non-occlusive surface film on the skin. We conclude that incorporation of urea in the pores of the inorganic SBA-15 matrix is a promising approach to enhancing its stability and providing a prolonged moisturizing effect.

https://doi.org/10.1590/s2175-97902020000317560 164 downloads

15.

DO CHOQUE COM A REALIDADE À ESTABILIZAÇÃO: JUSTIFICATIVAS PARA AS INTERVENÇÕES DA EDUCAÇÃO FÍSICA NOS CENTROS DE ATENÇÃO PSICOSSOCIAL DE GOIÂNIA
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Furtado, Roberto Pereira

; Sousa, Marcel Farias de

; Oliveira, Marcos Flávio Mércio de

; Furtado, Patrícia Santiago Vieira

; Pasquim, Heitor Martins

; Neves, Ricardo Lira de Rezende

Movimento

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2020, Volume 26 elocation e26099

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

Resumo: Este artigo analisa as justificativas das intervenções relacionadas com o núcleo da Educação Física relatadas por professores que trabalham nos Centros de Atenção Psicossocial (CAPS) de Goiânia. Trata-se de um estudo de abordagem qualitativa em que foram realizadas entrevistas semiestruturadas com 18 professores que trabalhavam nestes serviços. Para a análise dos dados foram utilizados procedimentos de análise de conteúdo. Os resultados indicaram que ao iniciarem seus trabalhos nos CAPS os professores dão sequência às atividades já existentes ou constroem propostas a partir das condições estruturais presentes. Na fase da estabilização e consolidação, estruturam suas ações com melhor fundamentação teórica e com maior interlocução com as necessidades dos usuários identificadas pela equipe ou por eles mesmos. Nesta fase, o professor se percebe integrado com a equipe e passa a ser mais reconhecido pelos outros profissionais.

Abstract: This paper analyzes the justifications for interventions focused on Physical Education reported by teachers working at the Goiânia’s Psychosocial Care Centers (CAPS). It is a qualitative study, and semi-structured interviews were conducted with 18 teachers. The data were examined through content analysis. The results indicated that, when teachers start working at the CAPS, they follow existing activities or create proposals based on structural conditions available. In the stabilization stage, they organize their actions with better theoretical foundation and greater communication with users’ needs identified by the team or by themselves. Teachers see themselves integrated to the team and gain recognition from other professionals at this stage.

Resumen: Este artículo analiza las justificaciones de las intervenciones relacionadas con el núcleo de Educación Física, reportadas por profesores que trabajan en los Centros de Atención Psicosocial (CAPS) de Goiânia. Se trata de un estudio cualitativo en el que se realizaron entrevistas semiestructuradas a 18 profesores que trabajaban en estos servicios. Se utilizaron procedimientos de análisis de contenido para el análisis de datos. Los resultados indicaron que cuando inician su trabajo en el CAPS los docentes mantienen las actividades existentes o construyen nuevos proyectos según las condiciones estructurales presentes. En la fase de estabilización y consolidación, estructuran sus acciones con mejor fundamento teórico y con mayor diálogo con las necesidades de los usuarios identificados por el equipo o por él mismo. En esta etapa, el docente se siente más integrado con el equipo y es más reconocido por los otros profesionales.

https://doi.org/10.22456/1982-8918.105151 882 downloads

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