Abstract Background: Emergence Delirium (ED) is an essential condition in the immediate postoperative period. Systematic review and meta-analysis of randomized controlled trials have concluded that the effect of ketamine on postoperative delirium remains unclear. The present study sought to evaluate if the intraoperative use of ketamine for postoperative analgesia is associated with postoperative ED in laparoscopic surgeries. Methods: A prospective observational study was performed in the PostAnesthetic Care Unit (PACU) to evaluate patients who had undergone laparoscopic surgery under a rigid intraoperative anesthesia protocol from July 2018 to January 2019. Patients submitted to laparoscopic surgery for cholecystectomy, oophorectomy, or salpingectomy with a score ≥1 on the Richmond Assessment Sedation Scale (RASS) or ≥2 on the Nursing Delirium Screening Scale (Nu-DESC) were considered to have ED. t-test, Chi-Square test or Fisher’s exact tests were used for comparison. Results: One hundred and fifteen patients were studied after laparoscopic surgery. Seventeen patients (14.8%) developed ED, and the incidence of ED in patients who received ketamine was not different from that of other patients (18.3% vs. 10.6%, p = 0.262). Patients with ED had more postoperative pain and morphine requirement at the PACU (p = 0.005 and p = 0.025, respectively). Type of surgery (general surgery, OR = 6.4, 95% CI 1.2‒35.2) and postoperative pain (OR = 3.7, 95% CI 1.2‒11.4) were risk factors for ED. Conclusion: In this study, no association was found between ED and intraoperative administration of ketamine in laparoscopic surgeries. Type of surgery and postoperative pain were risk factors for ED. Background (ED period metaanalysis meta analysis unclear surgeries Methods (PACU 201 2019 cholecystectomy oophorectomy 1 ≥ RASS (RASS 2 NuDESC Nu DESC (Nu-DESC ttest, ttest t test, t-test ChiSquare Chi Square Fishers Fisher s comparison Results 14.8% 148 14 8 (14.8% 18.3% 183 18 3 (18.3 vs 106 10 6 10.6% 0.262. 0262 0.262 . 0 262 0.262) 0005 005 0.00 0025 025 0.025 respectively. respectively respectively) general 64 4 6.4 95 1.2‒35.2 12352 35 37 7 3.7 1.2‒11.4 12114 11 Conclusion 20 14.8 (14.8 18.3 (18. 10.6 026 0.26 26 000 00 0.0 002 02 0.02 6. 9 1.2‒35. 1235 3. 1.2‒11. 1211 14. (14. 18. (18 10. 0.2 0. 1.2‒35 123 1.2‒11 121 (14 (1 1.2‒3 12 1.2‒1 ( 1.2‒ 1.2 1.

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

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

ABSTRACT Littoral cell angioma is an extremely rare splenic vascular tumor originating from the cells lining the splenic red pulp sinuses. Approximately 150 cases of littoral cell angioma have been reported since 1991. Its clinical manifestation is usually asymptomatic and is mostly diagnosed as an incidental finding through abdominal imaging. Herein, we present a case of littoral cell angioma in a 41-year-old woman with no previous comorbidities, which initially presented as a nonspecific splenic lesion diagnosed on imaging in the emergency room. The patient was treated through laparoscopic intervention. sinuses 15 1991 Herein 41yearold yearold 41 year old comorbidities room intervention 1 199 4 19

ABSTRACT The increase in urbanization poses a significant threat to biodiversity, leading to the alteration of natural habitats and intensified competition between native and exotic species. The house sparrow, Passer domesticus (Linnaeus, 1758) is a globally widespread exotic and invasive species known for its environmental adaptability. However, recent studies have indicated that degrees of urbanization and microhabitat characteristics can influence house sparrow populations in diverse ways. In this study, we investigated the abundance, temporal variation, and microhabitat use of house sparrows across three areas with varying degrees of urbanization: urban areas (consisting of residential areas, paved streets, and squares), anthropic fields (including pastures and cultivated fields), and forests in Jacaraú, Northeastern Brazil. From October 2017 to September 2018, we employed the point count method to compare the abundance of house sparrows among the different areas. A total of 1880 records of house sparrows were obtained, with 56.3% observed in urban areas, 43.7% in anthropic fields, and none in the forest, indicating significant variations among the study areas. Throughout the year, active birds were observed in both urban areas and anthropic fields. Although no variations in bird abundance were found among the months in urban areas, a significant difference was observed in March (higher abundance) and October (lower abundance) in anthropic fields. The most frequently utilized microhabitats by house sparrows were ground surfaces, man-made structures, and artificial perches, whereas trees were the least used microhabitats. Our findings confirm that both habitat and microhabitat characteristics play crucial roles in determining the abundance and distribution patterns of the species in Brazil. Furthermore, our results suggest that house sparrows avoid using forests, and these environments can act as barriers to the species’ distribution. These findings enhance our understanding of the ecological dynamics of house sparrows in Brazil and provide valuable insights for management. biodiversity Linnaeus, Linnaeus (Linnaeus 1758 adaptability However ways variation consisting streets squares, squares , squares) including fields) Jacaraú 201 2018 188 obtained 563 56 3 56.3 437 43 7 43.7 forest year higher lower surfaces manmade man made structures perches Furthermore management 175 20 18 5 56. 4 43. 17 2 1

Abstract This study aimed to assess the fatigue resistance of molars lacking a coronary remnant, using zero, one, two, or three fiberglass posts. Forty caries/crack-free human molars with coronal portions removed at the pulp chamber floor were randomly allocated into four groups (n=10). Following endodontic treatment, posts (Whitepost DC/DC.E 0.5, 1.0, FGM) were silanized (silane agent, Angelus) and cemented with a resin cement (RelyX U200, 3M ESPE). Resin composite cores (Z350, 3M ESPE) were built, and metal crowns were fabricated and cemented using the same luting system. Samples underwent cyclic fatigue testing at 45°, applying load in the occlusal surface at 10 Hz and 100 N initial load for 10,000 cycles, with 50 N increments every 10,000 cycles until failure. Fatigue failure load and cycles for failure data were recorded and subjected to survival analysis through Kaplan-Meier and Mantel-Cox post hoc tests, and Weibull analysis. Fractography patterns of failed crowns were qualitatively analyzed. The group without posts exhibited the lowest fatigue performance (p < 0.05) for both fatigue failure load and cycles to failure. Superior fatigue performance was observed in the three-post group, followed by groups with one or two posts, corroborated by the Weibull characteristic strength parameter. Weibull moduli were similar among conditions. All specimens exhibited failure involving detachment of the restorative set (posts/core/crown) with a portion of the dental remnant, without tooth fracture. Thus, when restoring mandibular molars without crown remnants, the use of fiberglass posts promotes greater fatigue resistance to oblique loads. remnant zero caries/crackfree cariescrackfree caries/crack free caries crack n=10. n10 n n=10 . (n=10) treatment Whitepost DCDCE DC E 05 0 5 0.5 1 1.0 FGM silane agent Angelus RelyX U200 U M ESPE. ESPE Z350, Z350 Z (Z350 built system 45 45° 10000 000 10,00 KaplanMeier Kaplan Meier MantelCox Mantel Cox tests analyzed p 0.05 005 threepost parameter conditions posts/core/crown postscorecrown core (posts/core/crown fracture Thus remnants loads crackfree cariescrack n1 n=1 (n=10 0. 1. U20 Z35 (Z35 4 1000 00 10,0 0.0 n= (n=1 U2 Z3 (Z3 10, (n= (Z (n

Resumo O objetivo deste estudo foi avaliar a resistência à fadiga de molares sem um remanescente coronário, utilizando zero, um, dois ou três pinos de fibra de vidro. Quarenta molares humanos livres de cárie e fissuras, com porções coronárias removidas ao nível do assoalho da câmara pulpar, foram alocados aleatoriamente em quatro grupos (n=10). Após o tratamento endodôntico, os pinos (Whitepost DC/DC.E 0.5, 1.0, FGM) foram silanizados (agente silano, Angelus) e cimentados com um cimento resinoso autoadesivo (RelyX U200, 3M ESPE). Núcleos de resina composta (Z350, 3M ESPE) foram construídos, coroas metálicas foram fabricadas e cimentadas usando o mesmo sistema de cimentação. As amostras foram submetidas a testes de fadiga cíclica a 45°, aplicando carga na superfície oclusal a 10 Hz e carga inicial de 100 N por 10.000 ciclos, com incrementos de 50 N a cada 10.000 ciclos até a ocorrência da falha. Os dados de carga de falha por fadiga e ciclos até a falha foram registrados e submetidos à análise de sobrevivência por meio de testes post hoc de Kaplan-Meier e Mantel-Cox, além de análise de Weibull. Os padrões de fratura das coroas que falharam foram analisados qualitativamente. O grupo sem pinos apresentou o desempenho mais baixo em fadiga (p < 0,05) tanto para carga de falha por fadiga quanto para ciclos até a falha. Um desempenho superior em fadiga foi observado no grupo com três pinos, seguido pelos grupos com um ou dois pinos, corroborado pelo parâmetro de resistência característica de Weibull. Os módulos de Weibull foram semelhantes entre as condições. Todas as amostras apresentaram falha envolvendo desprendimento do conjunto restaurador (pinos/núcleo/coroa) com uma porção do remanescente dentário, sem fratura do dente. Portanto, ao restaurar molares mandibulares sem remanescente coronário, o uso de pinos de fibra de vidro promove uma maior resistência à fadiga a cargas oblíquas. coronário zero fissuras pulpar n=10. n10 n n=10 . (n=10) endodôntico Whitepost DCDCE DC E 05 0 5 0.5 1 1.0 FGM agente silano Angelus RelyX U200 U M ESPE. ESPE Z350, Z350 Z (Z350 construídos cimentação 45 45° 10000 000 10.00 KaplanMeier Kaplan Meier MantelCox, MantelCox Mantel Cox, Cox Mantel-Cox qualitativamente p 0,05 005 condições pinos/núcleo/coroa pinosnúcleocoroa núcleo coroa (pinos/núcleo/coroa dentário dente Portanto oblíquas n1 n=1 (n=10 0. 1. U20 Z35 (Z35 4 1000 00 10.0 0,0 n= (n=1 U2 Z3 (Z3 10. 0, (n= (Z (n

Abstract Introduction: Transarterial chemoembolization (TACE) is the first-line treatment for patients with intermediatestage hepatocellular carcinoma (HCC). For patients without an adequate response, current finding suggests that treatment with molecular target agents, approved for advanced stage, might present benefits. However, this requires a preserved liver function. This study aims to evaluate possible predictors of early deterioration of hepatic reserve, prior to TACE refractoriness, in a cohort of patients treated with TACE. Methods: Retrospective analysis of 99 patients with Child-Pugh class A and intermediate-stage HCC who underwent TACE as the first-line treatment. All patients were submitted to a bio-chemical and medical evaluation prior to initial TACE and every month afterward. Response to initial TACE was evaluated at 1 month. The time to Child-Pugh class deterioration before TACE refractoriness was assessed. Results: Ninetynine patients were included. Objective response rate (ORR) to initial TACE was assessed as present in 59 (63.4%) and as absent in 34 (36.6%) patients. Liver decompensated before TACE refractoriness in 51 (51.5%) patients, and the median time to liver decompensation was 14 (IQR 8-20) months after first TACE. In multivariate analysis, beyond up-to-7 criteria (HR 2.4, p = 0.031), albumin <35 mg/dL (HR 3.5, p < 0.001) and absence of ORR (HR 2.4, p = 0.020) were associated with decreased overall survival free of liver decompensation. Moreover, beyond up-to-7 criteria, albumin <35 mg/dL and absence of ORR associated negatively with 6-month survival free of liver decompensation. Our model created using those variables was able to predict liver decompensation at 6 months with an AUROC of 0.701 (p = 0.02). Conclusions: The absence of ORR after initial TACE, beyond up-to-7 criteria and albumin <35 mg/dL, was a predictive factor for early liver decompensation before TACE refractoriness in our population. Such patients might benefit from treatment escalation to systemic therapy, in monotherapy or in combination with TACE.

Resumo Introdução: A quimioembolização transarterial (TACE) é o tratamento de primeira linha para doentes com carcinoma hepatocelular (HCC) em estadio intermédio. Em doentes sem resposta adequada, a evidência atual sug-ere que o tratamento com agentes de alvo molecular, aprovado para estágio avançado, pode apresentar benefícios. Porém, isso requer função hepática preservada. O objetivo deste estudo é avaliar possíveis preditores de deterioração precoce da reserva hepática, antes da refratariedade ao TACE, em uma coorte de doentes tratados com TACE. Métodos: Análise retrospectiva de noventa e nove doentes com Child-Pugh classe A e HCC em estadio intermédio que foram submetidos a TACE como tratamento de primeira linha. Todos os doentes foram submetidos a uma avaliação bioquímica e médica antes do TACE inicial e a cada mês após. A resposta ao TACE inicial foi avaliada em 1 mês. O tempo para a deterioração da classe Child-Pugh antes da refratariedade a TACE foi avaliado. Resultados: Noventa e nove doentes foram incluídos. A resposta radiológica objetiva (ORR) ao TACE inicial foi avaliada como presente em 59 (63.4%) e ausente em 34 (36.6%) doentes. Descompensação hepática ocorreu, antes da refratariedade a TACE, em 51 (51.5%) doentes e o tempo médio para a descompensação hepática foi de 14 (IQR 8-20) meses, após o primeiro TACE. Na análise multivariada, além dos critérios up-to-7 (HR 2,4, p = 0.031), albumina <35 mg/dL (HR 3,5, p < 0.001) e ausência de ORR (HR 2,4, p = 0.020) foram associados a diminuição da sobrevida livre de descompensação hepática. Além disso, a sobrevida de 6 meses livre de descompensação hepática apresentou associação, além dos critérios up-to-7, albumina <35 mg/dL e ausência de ORR. Foi criado um modelo com essas variáveis, capaz de prever a descompensação hepática com AUROC de 0,701 (p = 0.02). Conclusões: A ausência de ORR após TACE inicial, além dos critérios up-to-7 e albumina <35 mg/dL foram fatores preditivos para descompensação hepática antes da refratariedade a TACE na nossa população. Esses doentes podem beneficiar do escalonamento do tratamento para a terapia sistêmica, em monoterapia ou em combinação com TACE.

ABSTRACT. Two experiments were carried out to evaluate the effects of protease addition to the diet of broilers at a higher level (1× or 2×) than the nutritional value proposed for the enzyme. The first experiment, 1280 day-old chicks (Cobb500®) were randomly allocated (randomized block design, 2×2+1 factorial arrangement), five treatments, eight replicates containing 32 birds/replicate. Treatments consisted: control diet without protease (CD); CD + 1× nutritional value of the enzyme (CDM1); CD + 2× nutritional value of the enzyme (CDM2); CDM1 + protease; and CDM2 + protease. The experimental period was 42 days. The mean weight (AFW), feed intake (FI), weight gain (WG), feed conversion, and carcass yield were evaluated. Significant differences were observed for AFW, WG, FI, abdominal fat yield, and feet percentage in the carcass. In the second experiment, 120 Cobb500® chicks at 14 days of age were allotted in a completely randomized design, 2×2+1 factorial arrangement, five treatments, six replicates with four birds/replicate. The treatments were consistent with the first experiment. Significant improvements in the nitrogen balance were observed for the broilers that received protease. The use of the enzyme tested is recommended with the recommended nutritional matrix, improving the zootechnical indices of broilers. ABSTRACT 1 (1 2 experiment 128 dayold day old Cobb500 Cobb (Cobb500® design 221 2×2+ arrangement , arrangement) 3 birdsreplicate birds replicate birds/replicate consisted (CD) CDM (CDM1) (CDM2) 4 AFW (AFW) FI (FI) WG (WG) conversion evaluated 12 matrix ( Cobb50 (Cobb500 22 2×2 (CD (CDM1 (CDM2 (AFW (FI (WG Cobb5 (Cobb50 (CDM (Cobb5 (Cobb

ABSTRACT Analysis of residual stresses in welded joints by TIG process using base metal ASTM A131 AH36 comparing different joint design, some specimens were machined with joint in “V” shape and others in “U” shape. It was also correlated with finishing with a single oscillating pass or with straight double pass. The results were performed using the DCP method (displacement of coordinated points). The specimens were welded according to the standards (manufacturing and qualification) AWS D1.1. After welding, holes were made in the thermally affected zone in the central region of the welding axis, which were then referenced on a coordinate measuring table. Then, the welds were subjected to a post weld heat treatment (PWHT) and measured the displacements of the holes caused after PWHT in coordinate plan, allowing the calculation of the residual stresses. The results demonstrated lower stress levels in “U” design joints and good applicability of the DPC method. A A13 AH AH3 V “V U “U displacement points. points . points) manufacturing qualification D11 D D1 1 D1.1 axis table Then (PWHT plan A1 D1.

RESUMO Análise de tensões residuais realizada em juntas soldadas pelo processo TIG utilizando metal de base ASTM A131 AH36 comparando diferentes projetos de junta. Uma parte com chanfro usinado em formato de “V” e outra em forma de “U”. Também foi correlacionado variáveis de acabamento com passe único oscilante ou com passe duplo retilíneo. O resultado das tensões foi obtido através do método DPC (deslocamento de pontos coordenados). Os corpos de prova foram soldados segundo as normas (fabricação e qualificação) AWS D1.1. Após a soldagem foram realizadas furações na zona termicamente afetada nas mediações centrais do eixo de soldagem em uma mesa de medição por coordenadas. As soldas foram submetidas a tratamento térmico para alívio de tensões (TTAT) e mensurou-se os deslocamentos dos furos causados pelo TTAT, possibilitando o cálculo das tensões residuais. Os resultados demostraram menores níveis de tensões juntas em “U” e boa aplicabilidade do método DPC. A A13 AH AH3 junta V “V U. U . retilíneo deslocamento coordenados. coordenados coordenados) fabricação qualificação D11 D D1 1 D1.1 coordenadas TTAT (TTAT mensurouse mensurou se “U A1 D1.

Resumo O objetivo deste artigo é levantar as características demográficas dos prefeitos eleitos, enfatizando os candidatos que se declaram empresários, e analisar se esse perfil tem melhores resultados quanto ao desempenho, medidos com base na situação fiscal e no Índice de Educação Básica (IDEB) do município. Para tanto, o trabalho foi dividido em duas partes. Na primeira, por meio de regressão logística, buscou-se encontrar o perfil do candidato eleito, centrando-se no fato de ele ser empresário. Na segunda seção do artigo, com o emprego da metodologia de regressão multinível, foi analisado se tal perfil escolhido pelos eleitores era responsável por um desempenho superior. Com relação aos resultados, apesar de os empresários constituírem a maioria entre os candidatos, essa característica não foi significativa para o sucesso eleitoral. Na segunda parte da pesquisa, de modo geral os resultados não encontraram correlação entre o perfil dos eleitos e o desempenho da gestão municipal. Somente a idade do prefeito foi significativa na questão fiscal dos municípios. Dessa forma, os empresários não apresentam resultados diferentes da média, o que permite pressupor que esse grupo não tem melhores habilidades e julgamentos.

Abstract This study analyzes the demographic characteristics of elected mayors in Brazil, emphasizing those who are business owners. The research observes whether mayors with a background as business owners obtain better performance in office, which is evaluated through the municipality’s fiscal situation and the IDEB (basic education development index) score. The research was conducted in two parts. The first part used logistic regression and sought to identify the profile of elected mayors. The second part analyzed whether mayors who were business owners obtained a superior performance using the multilevel regression model. The study observed that the majority of mayors had a background as business owners, but this characteristic was not significant to explain electoral success. The results of the second part did not find a correlation between mayors who are business owners and their performance. The only demographic characteristic relevant to explain differences in municipalities’ fiscal results was the mayor’s age. Therefore, mayors who were business owners did not present results different from those who have other backgrounds, which allows us to assume that this group does not have better skills and judgments. One of the limitations of this study is that the characteristic of being a business owner was obtained by self-declaration.

Resumen El objetivo de este artículo es sondear las características demográficas de los alcaldes electos elegidos, con énfasis en los candidatos que se declaran emprendedores, y analizar si este perfil tiene mejores resultados de desempeño, medido por la situación fiscal del municipio y el puntaje del IDEB (Índice de Desarrollo de la Educación Básica). Para ello, el trabajo se dividió en dos partes. En la primera, mediante regresión logística, se buscó encontrar el perfil del candidato elegido. En la segunda parte del artículo se analizó si el perfil elegido por los votantes era responsable de un desempeño superior. La metodología utilizada fue la de regresión multinivel. En cuanto a los resultados, a pesar de que los empresarios fueron mayoría entre los candidatos, esta característica no fue significativa para explicar el éxito electoral. En general, en la segunda parte de la investigación, los resultados no demostraron correlación entre el perfil de los elegidos y el desempeño de la gestión municipal. Solo la edad del alcalde fue significativa para explicar el tema fiscal de los municipios. De esta forma, los emprendedores no presentan resultados diferentes a la media, lo que nos permite concluir que este grupo no tiene mejores habilidades y juicios. Entre las limitaciones de este trabajo, está la cuestión de que la variable “emprendedor” haya sido declarada libremente por los candidatos.

Purpose: Multicriteria methods have gained traction in both academia and industry practices for effective decision-making over the years. This bibliometric study aims to explore and provide an overview of research carried out on multicriteria methods, in its various aspects, over the past forty-four years. Design/Methodology/Approach: The Web of Science (WoS) and Scopus databases were searched for publications from January 1945 to April 29, 2021, on multicriteria methods in titles, abstracts, and keywords. The bibliographic data were analyzed using the R bibliometrix package. Findings: This bibliometric study asserts that 29,050 authors have produced 20,861 documents on the theme of multicriteria methods in 131 countries in the last forty-four years. Scientific production in this area grows at a rate of 13.88 per year. China is the leading country in publications with 14.14%; India with 10.76%; and Iran with 8.09%. Islamic Azad University leads others with 504 publications, followed by the Vilnius Gediminas Technical University with 456 and the National Institute of Technology with 336. As for journals, Expert Systems With Applications; Sustainability; and Journal of Cleaner Production are the leading journals, which account for more than 4.67% of all indexed literature. Furthermore, Zavadskas E. and Wang J have the highest publications in the multicriteria methods domain regarding the authors. Regarding the most commonly used multicriteria decision-making methods, AHP is the most favored approach among the ten countries with the most publications in this research area, followed by TOPSIS, VIKOR, PROMETHEE, and ANP. Practical implications: The bibliometric literature review method allows the researchers to explore the multicriteria research area more extensively than the traditional literature review method. It enables a large dataset of bibliographic records to be systematically analyzed through statistical measures, yielding informative insights. Originality/value: The usefulness of this bibliometric study is summed in presenting an overview of the topic of the multicriteria methods during the previous forty-four years, allowing other academics to use this research as a starting point for their research.

RESUMO Um dos principais serviços ecossistêmicos prestados à agricultura em todo o mundo é a redução de pragas por inimigos naturais. No entanto, a composição da paisagem afeta várias dimensões do controle de pragas, e o habitat não agrícola ao redor dos campos agrícolas mostra respostas variáveis entre diferentes regiões do globo. Nesse trabalho, danos por herbivoria e abundância de pragas foram comparados entre duas paisagens com distintas cobertura e uso do solo (1 - conservada, com alta complexidade estrutural; e 2- degradada, com baixa complexidade). As observações de campo foram realizadas em plantios experimentais de goiabeiras, no Cariri Paraibano, uma das regiões mais secas da Caatinga. Os resultados obtidos demonstram que danos provocados por insetos da ordem Orthoptera, especialmente gafanhotos, bem como sua abundância, foram significativamente menores na paisagem com de alta complexidade estrutural. Portanto, esses resultados apoiam a hipótese que danos às culturas e a abundância de pragas são menores em paisagens com alta complexidade estrutural. Além disso, os resultados são muito importantes para as regiões semiáridas, pois fornecem informações sobre a relação entre a estrutura da paisagem e os danos à cultura em uma lacuna regional. Como as regiões semiáridas são ecossistemas criticamente ameaçados em todo o continente americano, paisagens agrícolas sustentáveis com ações de restauração florestal podem ajudar essas regiões a alcançar o desenvolvimento sustentável.

ABSTRACT One of the major ecosystem services delivered to agriculture worldwide is the reduction of pests by natural enemies. However, the landscape composition affects multiple dimensions of pest control, and non-crop habitat surrounding farm fields shows variable responses across geographies. Here, crop damage and pest abundance were compared between local farms with two antagonistic land cover and land use aspects (1- High conservation, landscape with high structural complexity; 2- High degradation, landscapes with low complexity). The field data were collected at experimental guava orchards in the Cariri Paraibano, one of the driest regions in the Brazilian Caatinga. The results show that damage caused by orthopterans and their abundance was significantly smaller in the landscape with high structural complexity. Therefore, the results support the hypothesis that crop damage and pest abundance are smaller in landscapes with high structural complexity. Additionally, the results are very important for the dryland regions as they provide information about the relationship between landscape structure and crop damage plus pest abundance in a regional gap. As drylands are critically endangered in all American continents, sustainable agricultural landscapes with the application of natural cover restoration can help drylands to achieve sustainable development.

Resumen: Niño con 11 años, propuesto para exéresis de recidiva de astrocitoma pilocítico del cerebelo con hipertrofia de las amígdalas linguales a condicionar vía aérea difícil no previsible. La hipertrofia de las amígdalas linguales es subdiagnosticada y se suele asociar a amigdalectomía previa en más de la mitad de los casos. Su ocurrencia y no reconocimiento, puede originar situaciones de vía aérea difícil, con alta morbilidad asociada.

Abstract: Eleven years old children, proposed for resection of pylocitic astrocytoma of cerebellum, presented with lingual tonsil hypertrophy causing a unpredictable difficult airway approach. The presence of a lingual tonsil hypertrophied isn’t diagnosed most of the times, with their occurrence being associated with previous tonsillectomy in more than half of the cases. Its occurrence, and non-identification, can originate scenarios of difficult airway approach, with a higher morbility association.

ABSTRACT Background: The correlation between angioarchitecture and clinical presentation of brain arteriovenous malformation (bAVM) remains a subject of debate. Objective: The main purpose of the present study was to assess the correlation between angioarchitectural characteristics of bAVM and clinical presentation. Methods: A retrospective review of all consecutive patients presenting a bAVM who underwent a cerebral angiography at Beneficencia Portuguesa Hospital in São Paulo between January 2006 and October 2016 was carried out. Patients were divided in five groups: group 1 - hemorrhage; group 2 - seizure; group 3 - headache; group 4 - progressive neurological deficits (PND); group 5 - incidental). Results: A total of 183 patients were included, with group 1 comprising 56 cases, group 2 49 cases, group 3 41 cases, group 4 28 cases, and group 5 9 cases. Regarding hemorrhage presentation, a statistical correlation was observed with female gender (P < 0.02), Spetzler-Martin 3B (P < .0015), and lesions with low flow (P < 0.04). A positive association was found between group 2 and age less than 36 years (P < 0.001), male sex (P < 0.018), presence of superficial lesions not classified as SM 3B (P < 0.002), presence of venous ectasia (p <0.03), and arterial steal phenomenon (P < 0.03). Group 4 was associated with older age (P < 0.01). Conclusions: Angioarchitectural characteristics can be correlated with some clinical presentations as well as with some clinical data, making it possible to create predictive models to differentiate clinical presentations. Background (bAVM debate Objective Methods 200 201 out groups seizure headache PND (PND) incidental. incidental . incidental) Results 18 included cases P 0.02, 002 0.02 , 0 02 0.02) SpetzlerMartin Spetzler Martin B .0015, 0015 .0015 .0015) 0.04. 004 0.04 04 0.04) 0.001, 0001 0.001 001 0.001) 0.018, 0018 0.018 018 0.018) 0.002, 0002 0.002 0.002) p <0.03, 003 <0.03 03 <0.03) 0.03. 0.03 0.03) 0.01. 0.01 01 0.01) Conclusions data 20 (PND 00 0.0 .001 000 0.00 <0.0 0. .00 <0. .0 <0

RESUMO Antecedentes: A correlação entre a angioarquitetura e a apresentação clínica da Malformação Arteriovenosa do cérebro (MAVc) permanece um assunto de debate. Objetivos: Correlacionar as características angioarquiteturais das MAVc com a apresentação clínica. Métodos: Estudou-se pacientes consecutivos atendidos no Hospital Beneficência Portuguesa-SP, entre 2006 a 2016. Após análise geral, criaram-se cinco grupos de acordo com a apresentação clínica: 1- Hemorragia; 2 - Epilepsia; 3 - Cefaléia; 4 - Déficit Neurológico Progressivo (DNP) e 5 - Incidental. Características epidemiológicas (clínica e topografia) e angioarquiteturais (Classificação de Spetzler-Martin Modificada - SMM; Fluxo intranidal; Aneurismas arteriais, intranidais e venosos; Ectasia venosa; Congestão venosa; “Roubo” arterial; Vascularização dural; Drenagem Venosa Profunda) foram analisadas. Resultados: 183 pacientes foram incluídos e analisados globalmente. Após essa etapa, foram divididos nos grupos: 1 - 56 casos (30,6%); 2 - 49 casos (26,7%); 3 - 41 casos (22,4%); 4 - 28 casos (15,3%) e 5 - 9 casos (4,9%). Principais achados foram referentes a apresentação hemorrágica, na qual observamos correlação estatística positiva com o sexo feminino (P<0,02), lesões classificadas como SMM 3B (P<0,0015) e baixo fluxo (P<0,04). Relacionado à epilepsia, encontramos significância estatística que possibilitou a correlação com pacientes com idade inferior a 36 anos (P<0,001), sexo masculino (P<0,018), lesões superficiais (P<0,002), presença de ectasia venosa (P<0,003) e “roubo” arterial (P<0,01). Pacientes com DNP se apresentam com idade superior aos demais (P<0,01). Conclusões: Após análise multivariada, foi possível separar as MAV em grupos de acordo com as características angioarquiteturais, comprovando que algumas dessas características estão fortemente relacionadas a determinada manifestação. Antecedentes (MAVc debate Objetivos Métodos Estudouse Estudou PortuguesaSP, PortuguesaSP Portuguesa SP, SP Portuguesa-SP 200 2016 geral criaramse criaram Hemorragia Epilepsia Cefaléia (DNP Incidental topografia Classificação SpetzlerMartin Spetzler Martin intranidal arteriais venosos Roubo “Roubo dural Profunda analisadas Resultados 18 globalmente etapa 30,6% 306 30 6 (30,6%) 26,7% 267 26 7 (26,7%) 22,4% 224 22 (22,4%) 15,3% 153 15 (15,3% 4,9%. 4,9% . (4,9%) hemorrágica P<0,02, P002 P P<0,02 , 0 02 (P<0,02) B P<0,0015 P00015 0015 (P<0,0015 P<0,04. P004 P<0,04 04 (P<0,04) epilepsia P<0,001, P0001 P<0,001 001 (P<0,001) P<0,018, P0018 P<0,018 018 (P<0,018) P<0,002, P0002 P<0,002 002 (P<0,002) P<0,003 P0003 003 (P<0,003 roubo “roubo P<0,01. P001 P<0,01 01 (P<0,01) Conclusões multivariada manifestação 20 201 30,6 (30,6% 26,7 (26,7% 22,4 (22,4% 15,3 (15,3 4,9 (4,9% P00 P<0,0 (P<0,02 (P<0,001 (P<0,04 P000 P<0,00 00 (P<0,018 (P<0,002 (P<0,00 (P<0,01 30, (30,6 26, (26,7 22, (22,4 15, (15, 4, (4,9 P0 P<0, (P<0,0 (30, (26, (22, (15 (4, P<0 (P<0, (30 (26 (22 (1 (4 P< (P<0 (3 (2 ( (P< (P

RESUMO Objetivo: Caracterizar os estilos de vida dos assistentes administrativos de um hospital, para definição de estratégias de promoção de saúde no local de trabalho. Método: Estudo quantitativo, descritivo, de caráter transversal, realizado junto a assistentes administrativos (N = 167) de um hospital português de média dimensão. Os dados foram coletados através de um questionário (QEV&PS-SO), para caracterização sociodemográfica e análise dos determinantes de saúde relacionados com estilos de vida. Resultados: Observou-se que 54% da amostra não praticava exercício físico, 52% fazia quatro ou menos refeições por dia, 29% apresentava hábitos tabágicos, 51% tinha insônia e 45% não fazia vigilância de saúde, assim como 51,5% apresentava excesso de peso ou obesidade e 63% apresentava risco aumentado ou muito aumentado para desenvolvimento de complicações metabólicas. Não se identificaram diferenças significativas em relação ao peso, prática de exercício físico ou estresse em função do sexo ou idade. Conclusão: Os resultados sustentam a necessidade do desenvolvimento de programas de intervenção com estratégias dirigidas à promoção de estilos de vida saudáveis junto aos trabalhadores das instituições de saúde, a serem integradas, de forma compreensiva, no âmbito da saúde ocupacional.

ABSTRACT Objective: To characterize the lifestyles of administrative assistants in a hospital, in order to define health promotion strategies in the workplace. Method: A quantitative, descriptive, cross-sectional study, carried out with administrative assistants (N = 167) of a medium-sized Portuguese hospital. The data were collected through a questionnaire (QEV&PS-SO) for sociodemographic characterization and analysis of health determinants related to lifestyles. Results: It was observed that 54% of the sample did not practice physical exercise, 52% had four or fewer meals a day, 29% were smokers, 51% had insomnia, and 45% had no health surveillance, as well as 51.5% were overweight or obese and 63% had an increased or very increased risk of developing metabolic complications. No significant differences were identified in relation to weight, physical exercise or stress according to sex or age. Conclusion: The results support the need to develop intervention programs with strategies aimed at promoting healthy lifestyles among workers in health institutions, to be comprehensively integrated within the scope of occupational health.

RESUMEN Objetivo: Caracterizar los estilos de vida de los auxiliares administrativos de un hospital, para definir estrategias de promoción de la salud en el trabajo. Método: Estudio cuantitativo, descriptivo, transversal, realizado con auxiliares administrativos (N = 167) de un hospital portugués de tamaño medio. Los datos fueron recolectados a través de un cuestionario (QEV&PS-SO), para la caracterización sociodemográfica y el análisis de los determinantes de la salud relacionados con los estilos de vida. Resultados: Se observó que el 54% de la muestra no practicaba ejercicio físico, el 52% hacía cuatro o menos comidas al día, el 29% era fumador, el 51% tenía insomnio, el 45% no tenía vigilancia de salud, así como el 51,5% tenía sobrepeso u obesidad y el 63% tenía un riesgo aumentado o muy aumentado de desarrollar complicaciones metabólicas. No se identificaron diferencias significativas en relación con el peso, el ejercicio físico o el estrés según el sexo o la edad. Conclusión: Los resultados respaldan la necesidad de desarrollar programas de intervención con estrategias dirigidas a la promoción de estilos de vida saludable entre los trabajadores de las instituciones de salud, para ser integradas integralmente en el ámbito de la salud ocupacional.

RESUMO: A qualidade da casca está diretamente ligada à boa aceitabilidade do produto pelos consumidores, enquanto a indústria se preocupa com as perdas econômicas. Períodos prolongados de postura, doenças, nutrição, idade da ave e genética podem influenciar a qualidade dos ovos. Objetivou-se avaliar a influência do ambiente, idade da ave e período de armazenamento nas características físicas da casca de ovos de poedeiras comerciais. Foram utilizados 288 ovos de poedeiras Hy-line, distribuídos em um delineamento inteiramente casualizado em fatorial triplo 3x2x4, sendo os fatores: três idades (31, 62 e 88 semanas), temperatura de armazenamento (ambiente e refrigerado), e quatro períodos de armazenamento (um, 10, 20 e 30 dias), totalizando 24 tratamentos, com quatro repetições de três ovos. Avaliou-se a resistência, percentual e espessura da casca. Foram observadas diferenças, uma vez que os ovos armazenados em temperatura ambiente apresentaram diminuição na resistência de casca. Ovos de poedeiras em idade avançada (88 semanas) apresentaram pior resistência de casca em relação às demais idades, enquanto ovos provenientes de poedeiras jovens (31 semanas) apresentaram maior espessura de casca. A idade avançada da poedeira reduziu a qualidade de casca dos ovos, independentemente do ambiente de armazenamento. Ainda, os ovos armazenados em geladeira apresentaram melhor qualidade e integridade da casca em comparação com os armazenados ao ambiente.

ABSTRACT: Eggshell quality is directly linked to the good acceptability of the product by consumers, whereas the industry is concerned with economic losses. Prolonged periods of laying, diseases, nutrition, bird age and genetics can influence egg quality. This study aimed to examine the influence of the environment, bird age and storage period on the physical characteristics of the shell of eggs from commercial laying hens. The experiment involved 288 eggs from Hy-line hens, which were distributed in a completely randomized design with a triple 3×2×4 factorial arrangement represented by three ages (31, 62 or 88 weeks), two storage temperatures (ambient or refrigerated), and four storage periods (one, 10, 20 or 30 days), totaling 24 treatments. Four replications were used with three eggs each. Eggshell strength, percentage and thickness were measured. Differences were observed, with the eggs stored at room temperature exhibiting lower shell strength. Laying eggs at an advanced age (88 weeks) resulted in decreased eggshell strength as compared with the other ages, whereas the eggs from young layers (31 weeks) had a thicker shell. The advancing age of the laying hens reduced eggshell quality, regardless of the storage environment. Nonetheless, the eggs stored in the refrigerator showed better eggshell quality and integrity than those stored at ambient temperature.