Pesquisa | SciELO

; Miglioranza, Marcelo Haertel Camarozano, Ana Cristina Lopes, Marly Maria Uellendahl Cerci, Rodrigo Julio Siqueira, Maria Eduarda Menezes de Torreão, Jorge Andion Rochitte, Carlos Eduardo Felix, Alex

Arquivos Brasileiros de Cardiologia

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Dez 2023, Volume 120 Nº 12 elocation e20230646

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

https://doi.org/10.36660/abc.20230646

[SciELO Preprints] - Brazilian Guidelines for In-office and Out-of-office Blood Pressure Measurement – 2023
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Feitosa, Audes Diógenes de Magalhães Barroso, Weimar Kunz Sebba Mion Júnior, Décio Nobre, Fernando Mota-Gomes, Marco Antonio Jardim, Paulo Cesar Brandão Veiga Amodeo, Celso Camargo, Adriana Alessi, Alexandre Sousa, Ana Luiza Lima Brandão, Andréa Araujo Pio-Abreu, Andrea Sposito, Andrei Carvalho Pierin, Angela Maria Geraldo Paiva, Annelise Machado Gomes de Spinelli, Antonio Carlos de Souza Machado, Carlos Alberto Poli-de-Figueiredo, Carlos Eduardo Rodrigues, Cibele Isaac Saad Forjaz, Cláudia Lúcia de Moraes Sampaio, Diogo Pereira Santos Barbosa, Eduardo Costa Duarte Freitas, Elizabete Viana de Cestário , Elizabeth do Espírito Santo Muxfeldt, Elizabeth Silaid Lima Júnior, Emilton Campana, Erika Maria Gonçalves Feitosa, Fabiana Gomes Aragão Magalhães Consolim-Colombo, Fernanda Marciano Almeida, Fernando Antônio de Silva, Giovanio Vieira da Moreno Júnior, Heitor Finimundi, Helius Carlos Guimarães, Isabel Cristina Britto Gemelli, João Roberto Barreto Filho, José Augusto Soares Vilela-Martin, José Fernando Ribeiro, José Marcio Yugar-Toledo, Juan Carlos Magalhães, Lucélia Batista Neves Cunha Drager, Luciano Ferreira Bortolotto, Luiz Aparecido Alves, Marco Antonio de Melo Malachias, Marcus Vinícius Bolívar Neves, Mario Fritsch Toros Santos, Mayara Cedrim Dinamarco, Nelson Moreira Filho, Osni Passarelli Júnior, Oswaldo Valverde de Oliveira Vitorino, Priscila Valverde de Oliveira Miranda, Roberto Dischinger Bezerra, Rodrigo Pedrosa, Rodrigo Pinto Paula, Rogério Baumgratz de Okawa, Rogério Toshiro Passos Póvoa, Rui Manuel dos Santos Fuchs, Sandra C. Inuzuka, Sayuri Ferreira-Filho, Sebastião R. Paffer Fillho, Silvio Hock de Jardim, Thiago de Souza Veiga Guimarães Neto, Vanildo da Silva Koch, Vera Hermina Gusmão, Waléria Dantas Pereira Oigman, Wille Nadruz, Wilson

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Data de publicação: 2023-09-23

Resumo: En Es Pt

Hypertension is one of the primary modifiable risk factors for morbidity and mortality worldwide, being a major risk factor for coronary artery disease, stroke, and kidney failure. Furthermore, it is highly prevalent, affecting more than one-third of the global population. Blood pressure measurement is a MANDATORY procedure in any medical care setting and is carried out by various healthcare professionals. However, it is still commonly performed without the necessary technical care. Since the diagnosis relies on blood pressure measurement, it is clear how important it is to handle the techniques, methods, and equipment used in its execution with care. It should be emphasized that once the diagnosis is made, all short-term, medium-term, and long-term investigations and treatments are based on the results of blood pressure measurement. Therefore, improper techniques and/or equipment can lead to incorrect diagnoses, either underestimating or overestimating values, resulting in inappropriate actions and significant health and economic losses for individuals and nations. Once the correct diagnosis is made, as knowledge of the importance of proper treatment advances, with the adoption of more detailed normal values and careful treatment objectives towards achieving stricter blood pressure goals, the importance of precision in blood pressure measurement is also reinforced. Blood pressure measurement (described below) is usually performed using the traditional method, the so-called casual or office measurement. Over time, alternatives have been added to it, through the use of semi-automatic or automatic devices by the patients themselves, in waiting rooms or outside the office, in their own homes, or in public spaces. A step further was taken with the use of semi-automatic devices equipped with memory that allow sequential measurements outside the office (ABPM; or HBPM) and other automatic devices that allow programmed measurements over longer periods (HBPM). Some aspects of blood pressure measurement can interfere with obtaining reliable results and, consequently, cause harm in decision-making. These include the importance of using average values, the variation in blood pressure during the day, and short-term variability. These aspects have encouraged the performance of a greater number of measurements in various situations, and different guidelines have advocated the use of equipment that promotes these actions. Devices that perform HBPM or ABPM, which, in addition to allowing greater precision, when used together, detect white coat hypertension (WCH), masked hypertension (MH), sleep blood pressure alterations, and resistant hypertension (RHT) (defined in Chapter 2 of this guideline), are gaining more and more importance. Taking these details into account, we must emphasize that information related to diagnosis, classification, and goal setting is still based on office blood pressure measurement, and for this reason, all attention must be given to the proper execution of this procedure.

La hipertensión arterial (HTA) es uno de los principales factores de riesgo modificables para la morbilidad y mortalidad en todo el mundo, siendo uno de los mayores factores de riesgo para la enfermedad de las arterias coronarias, el accidente cerebrovascular (ACV) y la insuficiencia renal. Además, es altamente prevalente y afecta a más de un tercio de la población mundial. La medición de la presión arterial (PA) es un procedimiento OBLIGATORIO en cualquier atención médica o realizado por diferentes profesionales de la salud. Sin embargo, todavía se realiza comúnmente sin los cuidados técnicos necesarios. Dado que el diagnóstico se basa en la medición de la PA, es claro el cuidado que debe haber con las técnicas, los métodos y los equipos utilizados en su realización. Debemos enfatizar que una vez realizado el diagnóstico, todas las investigaciones y tratamientos a corto, mediano y largo plazo se basan en los resultados de la medición de la PA. Por lo tanto, las técnicas y/o equipos inadecuados pueden llevar a diagnósticos incorrectos, subestimando o sobreestimando valores y resultando en conductas inadecuadas y pérdidas significativas para la salud y la economía de las personas y las naciones. Una vez realizado el diagnóstico correcto, a medida que avanza el conocimiento sobre la importancia del tratamiento adecuado, con la adopción de valores de normalidad más detallados y objetivos de tratamiento más cuidadosos hacia metas de PA más estrictas, también se refuerza la importancia de la precisión en la medición de la PA. La medición de la PA (descrita a continuación) generalmente se realiza mediante el método tradicional, la llamada medición casual o de consultorio. Con el tiempo, se han agregado alternativas a través del uso de dispositivos semiautomáticos o automáticos por parte del propio paciente, en salas de espera o fuera del consultorio, en su propia residencia o en espacios públicos. Se dio un paso más con el uso de dispositivos semiautomáticos equipados con memoria que permiten mediciones secuenciales fuera del consultorio (AMPA; o MRPA) y otros automáticos que permiten mediciones programadas durante períodos más largos (MAPA). Algunos aspectos en la medición de la PA pueden interferir en la obtención de resultados confiables y, en consecuencia, causar daños en las decisiones a tomar. Estos incluyen la importancia de usar valores promedio, la variación de la PA durante el día y la variabilidad a corto plazo. Estos aspectos han alentado la realización de un mayor número de mediciones en diversas situaciones, y diferentes pautas han abogado por el uso de equipos que promuevan estas acciones. Los dispositivos que realizan MRPA o MAPA, que además de permitir una mayor precisión, cuando se usan juntos, detectan la hipertensión de bata blanca (HBB), la hipertensión enmascarada (HM), las alteraciones de la PA durante el sueño y la hipertensión resistente (HR) (definida en el Capítulo 2 de esta guía), están ganando cada vez más importancia. Teniendo en cuenta estos detalles, debemos enfatizar que la información relacionada con el diagnóstico, la clasificación y el establecimiento de objetivos todavía se basa en la medición de la presión arterial en el consultorio, y por esta razón, se debe prestar toda la atención a la ejecución adecuada de este procedimiento.

A hipertensão arterial (HA) é um dos principais fatores de risco modificáveis para morbidade e mortalidade em todo o mundo, sendo um dos maiores fatores de risco para doença arterial coronária, acidente vascular cerebral (AVC) e insuficiência renal. Além disso, é altamente prevalente e atinge mais de um terço da população mundial. A medida da PA é procedimento OBRIGATÓRIO em qualquer atendimento médico ou realizado por diferentes profissionais de saúde. Contudo, ainda é comumente realizada sem os cuidados técnicos necessários. Como o diagnóstico se baseia na medida da PA, fica claro o cuidado que deve haver com as técnicas, os métodos e os equipamentos utilizados na sua realização. Deve-se reforçar que, feito o diagnóstico, toda a investigação e os tratamentos de curto, médio e longo prazos são feitos com base nos resultados da medida da PA. Assim, técnicas e/ou equipamentos inadequados podem levar a diagnósticos incorretos, tanto subestimando quanto superestimando valores e levando a condutas inadequadas e grandes prejuízos à saúde e à economia das pessoas e das nações. Uma vez feito o diagnóstico correto, na medida em que avança o conhecimento da importância do tratamento adequado, com a adoção de valores de normalidade mais detalhados e com objetivos de tratamento mais cuidadosos no sentido do alcance de metas de PA mais rigorosas, fica também reforçada a importância da precisão na medida da PA. A medida da PA (descrita a seguir) é habitualmente feita pelo método tradicional, a assim chamada medida casual ou de consultório. Ao longo do tempo, foram agregadas alternativas a ela, mediante o uso de equipamentos semiautomáticos ou automáticos pelo próprio paciente, nas salas de espera ou fora do consultório, em sua própria residência ou em espaços públicos. Um passo adiante foi dado com o uso de equipamentos semiautomáticos providos de memória que permitem medidas sequenciais fora do consultório (AMPA; ou MRPA) e outros automáticos que permitem medidas programadas por períodos mais prolongados (MAPA). Alguns aspectos na medida da PA podem interferir na obtenção de resultados fidedignos e, consequentemente, causar prejuízo nas condutas a serem tomadas. Entre eles, estão: a importância de serem utilizados valores médios, a variação da PA durante o dia e a variabilidade a curto prazo. Esses aspectos têm estimulado a realização de maior número de medidas em diversas situações, e as diferentes diretrizes têm preconizado o uso de equipamentos que favoreçam essas ações. Ganham cada vez mais espaço os equipamentos que realizam MRPA ou MAPA, que, além de permitirem maior precisão, se empregados em conjunto, detectam a HA do avental branco (HAB), HA mascarada (HM), alterações da PA no sono e HA resistente (HAR) (definidos no Capítulo 2 desta diretriz). Resguardados esses detalhes, devemos ressaltar que as informações relacionadas a diagnóstico, classificação e estabelecimento de metas ainda são baseadas na medida da PA de consultório e, por esse motivo, toda a atenção deve ser dada à realização desse procedimento.

https://doi.org/10.1590/SciELOPreprints.7057

Is there an association between quadriceps muscle endurance and performance on activities of daily living in individuals with COPD? COPD
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Castellari, Carolina Benedetti

; Luiz, Rodrigo Pereira

; Ike, Daniela

; Gomes, Evelim Leal Freitas Dantas

; Politti, Fabiano

; Costa, Dirceu

Fisioterapia em Movimento

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2023, Volume 36 elocation e36103

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

Resumo Introdução A doença pulmonar obstrutiva crônica (DPOC) é caracterizada por fluxo aéreo limitado associado à resposta inflamatória e manifestações sistêmicas, como dispneia, além de inatividade física e intolerância ao exercício. A soma dessas alterações pode levar à fadiga muscular periférica e exercer impacto no desempenho das atividades de vida diária (AVD). Objetivo Investigar a possível associação entre fadiga muscular periférica e desempenho em AVD em indivíduos com DPOC e comparar os resultados com indivíduos saudáveis da mesma faixa etária. Métodos Indivíduos com diagnóstico de DPOC e voluntários saudáveis com idade igual ou superior a 60 anos foram submetidos a avaliações de fadiga muscular periférica (por meio de eletromiografia de superfície) e desempenho no teste Glittre-ADL. Resultados Foram avaliados nove indivíduos com DPOC e dez controles. O tempo médio de contração isométrica do quadríceps foi de 72 [38] e 56 [51] segundos, respectivamente. O tempo de execução do teste de AVD foi de 6,18 [4,09] e 3,67 [1,3] minutos para DPOC e grupo controle, respectivamente, com diferença significativa entre os grupos (p < 0,05). No entanto não encontrou-se correlação significativa entre as avaliações. Conclusão Não encontrou-se associação entre a fadiga muscular do quadríceps e o desempenho nas AVD na amostra estudada. Na comparação intergrupos, os indivíduos com DPOC apresentaram pior tempo de execução das AVD, mas não encontrou-se diferença significativa em relação à fadiga muscular do quadríceps. (DPOC sistêmicas dispneia exercício AVD. . (AVD) etária 6 superfície GlittreADL. GlittreADL Glittre ADL. ADL Glittre-ADL controles 7 38 [38 5 51 [51 segundos respectivamente 618 18 6,1 4,09 409 4 09 [4,09 367 3 67 3,6 1,3 13 1 [1,3 controle p 0,05. 005 0,05 0 05 0,05) encontrouse encontrou se estudada intergrupos (AVD [3 [5 61 6, 4,0 40 [4,0 36 3, 1, [1, 00 0,0 [ 4, [4, [1 0, [4

Abstract Introduction Chronic obstructive pulmonary disease (COPD) is characterized by limited airflow associated with inflammatory response and systemic manifestations, such as dyspnea, as well as physical inactivity and intolerance to exercise. The sum of these changes can lead to peripheral muscle fatigue and exert an impact on the performance of activities of daily living (ADL). Objective To investigate the possible association between peripheral muscle fatigue and performance on ADL in individuals with COPD, and to compare the results to those of healthy age-matched individuals. Methods Individuals with a diagnosis of COPD and healthy volunteers aged 60 years or older were submitted to evaluations of peripheral muscle fatigue (using surface electromyography) and performance on the Glittre-ADL test. Results Nine individuals with COPD and ten controls were evaluated. Median isometric quadriceps contraction time was 72 [38] and 56 [51] seconds, respectively. Execution time on the ADL test was 6.1 [4] and 3.6 [1.3] minutes for COPD and control group respectively, with a significant difference between groups (p < 0.05). However, no significant correlation was found between the evaluations. Conclusion No association was found between quadriceps muscle fatigue and performance on ADL in the sample studied. In the intergroup comparison, the individuals with COPD exhibited worse ADL time execution, but no significant difference was found regarding quadriceps muscle fatigue. (COPD manifestations dyspnea exercise ADL. . (ADL) agematched age matched 6 using electromyography GlittreADL Glittre evaluated 7 38 [38 5 51 [51 seconds respectively 61 1 6. 4 [4 36 3 3. 1.3 13 [1.3 p 0.05. 005 0.05 0 05 0.05) However studied comparison execution (ADL [3 [5 [ 1. [1. 00 0.0 [1 0.

https://doi.org/10.1590/fm.2023.36103

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

Revista Brasileira de Terapia Intensiva

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Dez 2022, Volume 34 Nº 4 Páginas 418 - 425

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

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.

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,

https://doi.org/10.5935/0103-507x.20220209-pt

Physicochemical characteristics of lamb meat fed with cottonseed associated with calcium lignosulphonate
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Lima, Leandro Pereira

; Cruz, Cristiane Leal dos Santos Farias, Thon Jovita Wanderley Júnior, Marcus Andrade Junqueira, Rodrigo Soares Oliveira, Ana Rosa Alves de Cordeiro, Carla Fabrícia de Araújo Gusmão Filho, José Dantas

Acta Scientiarum. Animal Sciences

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2022, Volume 44 elocation e54682

Resumo: En | Texto: En | PDF: En

ABSTRACT. The physicochemical characteristics of the meat from lambs fed diets containing whole or disintegrated cottonseed, associated or not with calcium lignosulfonate (LignoCaSO3), were evaluated. Thirty non-castrated Dorper x Santa Inês lambs, with an average of 24.9 ± 3.6 kg and four months of age were confined for 60 days in collective stalls and distributed in a completely randomized design with six replications. After slaughter, by means of contrasts, the averages of the parameters of the semimembranous and semitendinosus muscles were analyzed. The cottonseed increased cooking loss and ash, and reduced muscle weight, water holding capacity and red intensity. The disintegration of the cottonseed reduced the shear force in diets without LignoCaSO3, increased the protein and the loss by cooking and reduced the pH in the diets with the additive. The luminosity values increased with the disintegration of the cottonseed in diets with and without LignoCaSO3. The addition of LignoCaSO3 increased the weight of the muscle, protein, ash, pH, shear strength and the intensity of red. Moisture, lipids and yellow intensity were not influenced by the diets. Even changing the physical-chemical characteristics, the cottonseed with or without LignoCaSO3 does not change the quality of the meat.

https://doi.org/10.4025/actascianimsci.v44i1.54682

The Effect of Psychotherapy on Anxiety, Depression, and Quality of Life of Patients with Heart Failure: A Randomized Clinical Trial
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Rocha, Isaura

; Cavalcanti, Ana Dantas

; Figueiredo, Lyvia

; Pereira, Juliana

; Oliveira, Samara de

; Cruz, Danilo da

; Freitas, Rodrigo de

; Mesquita, Evandro Tinoco

International Journal of Cardiovascular Sciences

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Abr 2021, Volume 34 Nº 2 Páginas 188 - 196

Resumo: En | Texto: En | PDF: En

Abstract Background Patients with heart failure often experience depression, anxiety, and impacts on quality of life. Psychotherapeutic interventions have been used for chronic conditions, including cardiovascular diseases, showing improvement in mental health. However, no studies have assessed the effects of a psychological intervention using psychoanalysis on patients with heart failure. Objective To assess the effect of short-term psychotherapy on depressive symptoms, anxiety, and quality of life of patients seen at a specialty clinic. Method A randomized clinical trial with scales to assess outcomes before and after psychotherapy, under the perspective of psychoanalysis, with 12 weekly sessions. The Beck Depression Inventory, the Beck Anxiety Inventory, and the Minnesota Living with Heart Failure Questionnaire were used. The mean initial and final scores for quality of life, anxiety, and depression were compared using Student’s t-test for independent samples when distribution was normal, or Mann-Whitney test when distribution was non-normal. A bivariate p-value < 0.05 was considered statistically significant for all analyses. Results This study involved 32 patients, 50% were female, mean age was 64.3±11.6, and most participants were New York Heart Association (NYHA) functional class I (56.3%). For anxiety (p = 0.196), there was no statistically significant difference between groups. For quality of life and depression, there was a statistical difference (p = 0.009 and 0.035, respectively), with a medium effect (Cohen’s d = 0.593) on quality of life. Conclusion Short-term psychotherapy in outpatients with heart failure showed an impact on depression and quality of life but did not improve anxiety. Int J Cardiovasc Sci. 2020; [online].ahead print, PP.0-0

https://doi.org/10.36660/ijcs.20190190 279 downloads

Micro-CT evaluation of maxillary first molars: interorifice distances and internal anatomy of the mesiobuccal root
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TONELLI, Stéphanie Quadros

; SOUSA-NETO, Manoel Damião

; LEONI, Graziela Bianchi

; BRITO-JÚNIOR, Manoel

; PEREIRA, Rodrigo Dantas

; OLIVEIRA, Pedro Augusto Xambre de

; NUNES, Eduardo

; SILVEIRA, Frank Ferreira

Brazilian Oral Research

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2021, Volume 35 elocation e060

Resumo: En | Texto: En | PDF: En

Abstract: This study aimed to describe the morphometric relationship of root canal orifices on the pulp floor in the presence/absence of mesiobuccal second canal (MB2) in the maxillary first molars and other aspects of its internal anatomy. Sixty-two maxillary first molars were scanned by micro-CT. The presence of the MB2 canal was verified. The distance between the center points of the MB1, MB2, distobuccal (DB), and palatal (P) canal orifices on the pulp floor were measured (MB1-MB2, MB1-DB, MB2-DB, MB1-P, and DB-P). The MB1-P to DB-P ratio was calculated. The distances between the anatomic apex and the MB1 and MB2 apical foramina were measured. The length of the band-shaped isthmus was also measured. Student's t-test was applied to verify the association between the presence of an MB2 canal, the interorifice distances, and the ratio of the MB1-P to DB-P distance (α = 5%). The MB2 canal was present in 43 roots (69.35%). Statistics showed significant differences when MB2 was present for the largest MB1-P distance (p < 0.05) and higher values for the MB1-P to DB-P ratio (p < 0.05). A band-shaped isthmus was detected in 25.8% of MB roots. The mean distance from the apical foramen to the isthmus floor ranged from 1.74 for MB1 canals to 1.42 for MB2 canals. Canal orifice distances on the pulp floor may predict the presence of MB2 canals. There was a high incidence of isthmus, accessory canals, and apical delta in the critical apical zone in MB roots of maxillary first molars.

https://doi.org/10.1590/1807-3107bor-2021.vol35.0060 359 downloads

A micro-CT evaluation of the performance of rotary and reciprocating single-file systems in shaping ability of curved root canals
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SOUSA-NETO, Manoel Damião

; CROZETA, Bruno Monguilhott

; LOPES, Fabiane Carneiro

; MAZZI-CHAVES, Jardel Francisco

; PEREIRA, Rodrigo Dantas

; SILVA-SOUSA, Alice Corrêa

; AMARAL, Mariana Carvalho de Andrade

; STEIER, Liviu

; JACOBS, Reinhilde

; SILVA-SOUSA, Yara Teresinha Corrêa

Brazilian Oral Research

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2020, Volume 34 elocation e039

Resumo: En | Texto: En | PDF: En

Abstract To compare the shaping ability of different single-file systems in the preparation of mesial curved canals of mandibular molars using micro-CT technology. Fifteen mesial roots of mandibular molars with two independent and curved canals (n = 30) were selected, scanned at a resolution of 26.7 μm anatomically matched, and distributed into three groups (n = 10), according to the preparation system: WaveOne 25.08, Reciproc 25.08, and OneShape 25.06. A final micro-CT scanning was performed, data sets were registered with their respective counterparts, and compared regarding the three-dimensional (volume, surface area, and structure model index - SMI) and two-dimensional (perimeter, area, roundness, major and minor diameters) parameters, as well as, canal transportation, using ANOVA and post hoc Tukey tests (α = 5%). Overall, no difference was observed between groups regarding area, perimeter, volume, surface area, and canal transportation (p > 0.05). Within group, no canal transportation was significantly higherobserved in the apical third (0.10 ± 0.05 mm) compared to coronal (0.08±0.040 mm) and middle (0.07 ± 0.03 mm) thirds (p < 0.05). Structure model index (SMI) was statistically higher after preparation with OneShape instrument (0.36 ± 0.26) compared to other systems (p < 0.05). Within the parameters of this study, similar shaping ability was observed in the preparation of mesial curved root canals of mandibular molars with Reciproc, OneShape and WaveOne systems.

https://doi.org/10.1590/1807-3107bor-2020.vol34.0039 858 downloads

10.

Comment on the study Coronary Artery Bypass Surgery in Brazil: Analysis of the National Reality Through the Bypass Registry that was presented at the 46th Congress of the Brazilian Society of Cardiovascular Surgery, Nova Lima, BH, Brazil, April 5 and 6, 2019
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Dallan, Luís Alberto O.

; Paez, Rodrigo Pereira

; Hossne Junior, Nelson Américo Santo, José Amalth do Espírito Berwanger, Otavio Santos, Renato Hideo Nakagawa Kalil, Renato Abdala Karam Jatene, Fabio B. Cavalcanti, Alexandre Biasi Zilli, Alexandre Cabral Bettiati Jr, Luiz Carlos Figueira, Fernando Augusto Marinho dos Santos D’Azevedo, Stephanie Steremberg Pires Soares, Marcelo José Ferreira Fernandes, Marcio Pimentel Ardito, Roberto Vito Bogdan, Renata Andrea Barberio Campagnucci, Valquíria Pelisser Nakasako, Diana Rodrigues, Clarissa Garcia Rodrigues Junior, Anilton Bezerra Cascudo, Marcelo Matos Atik, Fernando Antibas Lima, Elson Borges Nina, Vinicius José da Silva Heluy, Renato Albuquerque Azeredo, Lisandro Gonçalves Henrique Junior, Odilon Silva Mendonça, José Teles de Silva, Katharina Kelly de Oliveira Gama Pandolfo, Marcelo Lima Júnior, José Dantas de Faria, Renato Max Santos, Jonas Gonçalves dos Coelho, Guilherme Henrique Biachi Pereira, Sergio Nunes Senger, Roberta Buffolo, Enio Caputi, Guido Marco Oliveira, Juliana Aparecida Borges de Gomes, Walter J.

Brazilian Journal of Cardiovascular Surgery

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Ago 2019, Volume 34 Nº 4 Páginas 504 - 506

Resumo: En | Texto: En | PDF: En

https://doi.org/10.21470/1678-9741-2019-0606 335 downloads

11.

Coronary Artery Bypass Surgery in Brazil: Analysis of the National Reality Through the BYPASS Registry
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Paez, Rodrigo Pereira

; Hossne Junior, Nelson Américo Santo, José Amalth do Espírito Berwanger, Otavio Santos, Renato Hideo Nakagawa Kalil, Renato Abdala Karam Jatene, Fabio B. Cavalcanti, Alexandre Biasi Zilli, Alexandre Cabral Bettiati Jr, Luiz Carlos Figueira, Fernando Augusto Marinho dos Santos D'Azevedo, Stephanie Steremberg Pires Soares, Marcelo José Ferreira Fernandes, Marcio Pimentel Ardito, Roberto Vito Bogdan, Renata Andrea Barberio Campagnucci, Valquíria Pelisser Nakasako, Diana Rodrigues, Clarissa Garcia Rodrigues Junior, Anilton Bezerra Cascudo, Marcelo Matos Atik, Fernando Antibas Lima, Elson Borges Nina, Vinicius José da Silva Heluy, Renato Albuquerque Azeredo, Lisandro Gonçalves Henrique Junior, Odilon Silva Mendonça, José Teles de Silva, Katharina Kelly de Oliveira Gama Pandolfo, Marcelo Lima Júnior, José Dantas de Faria, Renato Max Santos, Jonas Gonçalves dos Coelho, Guilherme Henrique Biachi Pereira, Sergio Nunes Senger, Roberta Buffolo, Enio Caputi, Guido Marco Oliveira, Juliana Aparecida Borges de Gomes, Walter J.

Brazilian Journal of Cardiovascular Surgery

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Abr 2019, Volume 34 Nº 2 Páginas 142 - 148

Resumo: En | Texto: En | PDF: En

Abstract Introduction: Coronary artery bypass grafting (CABG) is the most frequently performed heart surgery in Brazil. Recent international guidelines recommend that national societies establish a database on the practice and results of CABG. In anticipation of the recommendation, the BYPASS Registry was introduced in 2015. Objective: To analyze the profile, risk factors and outcomes of patients undergoing CABG in Brazil, as well as to examine the predominant surgical strategy, based on the data included in the BYPASS Registry. Methods: A cross-sectional study of 2292 patients undergoing CABG surgery and cataloged in the BYPASS Registry up to November 2018. Demographic data, clinical presentation, operative variables, and postoperative hospital outcomes were analyzed. Results: Patients referred to CABG in Brazil are predominantly male (71%), with prior myocardial infarction in 41.1% of cases, diabetes in 42.5%, and ejection fraction lower than 40% in 9.7%. The Heart Team indicated surgery in 32.9% of the cases. Most of the patients underwent cardiopulmonary bypass (87%), and cardioplegia was the strategy of myocardial protection chosen in 95.2% of the cases. The left internal thoracic artery was used as a graft in 91% of the cases; the right internal thoracic artery, in 5.6%; and the radial artery in 1.1%. The saphenous vein graft was used in 84.1% of the patients, being the only graft employed in 7.7% of the patients. The median number of coronary vessels treated was 3. Operative mortality was 2.8%, and the incidence of cerebrovascular accident was 1.2%. Conclusion: CABG data in Brazil provided by the BYPASS Registry analysis are representative of our national reality and practice. This database constitutes an important reference for indications and comparisons of therapeutic procedures, as well as to propose subsequent models to improve patient safety and the quality of surgical practice in the country.

https://doi.org/10.21470/1678-9741-2018-0313 1270 downloads

12.

Polymicrobial Leakage and Retention of MTA and Portland Cement in a Model of Apexification
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Brito-Júnior, Manoel

; Sá, Maria Aparecida Barbosa de

; Nobre, Sérgio Avelino Mota

; Faria-e-Silva, André Luis

; Pereira, Rodrigo Dantas

; Camilo, Carla Cristina

; Silveira, Frank Ferreira

; Sousa-Neto, Manoel Damião

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

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2019, Volume 19 elocation e4435

Resumo: En | Texto: En | PDF: En

Abstract Objective: To evaluate the sealing capacity and retention of apical barriers made with mineral trioxide aggregate (MTA) and Portland cement (PC). Material and Methods: Fifty-six bovine incisors were sectioned 8 mm above and 12 mm below the cement-enamel junction. The root canal was enlarged with a diamond drill to create a standard 2.5 mm diameter opening. Apical sheets of 5 mm thickness were placed using white MTA-Angelus or white PC. Fifteen samples of each material were exposed to human saliva in a dual chamber apparatus and casting was evaluated at 30 days. Samples without apical barriers and fully sealed samples were used as positive and negative controls (n = 3), respectively. Data were analyzed by Fisher's exact test (p<0.05) after 3 periods: 1 to 10 days (P1); days 11 to 20 (P2); and days 21 to 30 (P3). Then, three 1 mm thick sections were obtained at the apical level of other root samples of each material (n = 10) and the push-out test was performed Results: The leakage rates in P1, P2 and P3 were 60%, 73.3% and 100% for the MTA; and 73.3%, 86.7% and 100% for CP, with no significant difference between materials, regardless of the period analyzed. There were no significant differences between the bond strengths for both cements (p>0.05) Conclusion: Mineral trioxide aggregate and Portland cement apical barriers presented similar sealing ability and bond strength values.

https://doi.org/10.4034/pboci.2019.191.108 251 downloads

13.

How to improve root canal filling in teeth subjected to radiation therapy for cancer
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Paiola, Fabiana de Góes Lopes, Fabiane Carneiro Mazzi-Chaves, Jardel Francisco Pereira, Rodrigo Dantas Oliveira, Harley Francisco Queiroz, Alexandra Mussolino de Sousa-Neto, Manoel Damião de

Brazilian Oral Research

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2018, Volume 32 elocation e121

Resumo: En | Texto: En | PDF: En

Abstract The aim of this study was to evaluate the influence of radiation therapy on root canal sealer push-out bond strength (BS) to dentin and the sealer/dentin interface after different final irrigation solutions (NaOCl, EDTA, and chitosan). Sixty-four maxillary canines were distributed into two groups (n=30): non-irradiated and irradiated with 60 Gy. Canals were prepared with Reciproc-R50 and subdivided (n=10) for final irrigation (NaOCl, EDTA, chitosan) and filled. Three dentin slices were obtained from each root third. The first slice of each third was selected for BS evaluation, and the failure mode was determined by stereomicroscopy. SEM analysis of the sealer-dentin interface was performed in the remaining slices. Two-way ANOVA and Tukey's tests (α=0.05) were used. Lower BS (P<0.0001) was obtained after irradiation (2.07±0.79 MPa), regardless of the final irrigation solution used. The NaOCl group (P<0.001) had the lowest BS in the irradiated (1.68±0.72) and non-irradiated (2.39±0.89) groups, whereas the EDTA (irradiated: 2.14±0.77 and non-irradiated: 3.92±1.54) and chitosan (irradiated: 2.37±0.73 and non-irradiated: 3.51±1.47) groups demonstrated a higher BS (P<0.05). The highest values were observed in the coronal third (3.17±1.38) when compared to the middle (2.74±1.36) and apical ones (2.09±0.97)(P<0.0001). There were more cohesive failures and more gaps in irradiated specimens, regardless of the final solution. The present study showed that radiation was associated with a decrease in BS, regardless of the final solution used, whereas chitosan increased BS in teeth subjected to radiation therapy.

https://doi.org/10.1590/1807-3107bor-2018.vol32.0121 1552 downloads

14.

SOIL FAUNA AS BIOINDICATOR OF RECOVERY OF DEGRADED AREAS IN THE CAATINGA BIOME
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LIMA, KHADIDJA DANTAS ROCHA DE CAMARA, RODRIGO CHAER, GUILHERME MONTANDON PEREIRA, MARCOS GERVASIO RESENDE, ALEXANDER SILVA DE

Revista Caatinga

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Jun 2017, Volume 30 Nº 2 Páginas 401 - 411

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

RESUMO Atualmente, há poucas informações sobre a recuperação de áreas onde ocorre a extração de piçarra na Caatinga. Objetivou-se avaliar o emprego da fauna edáfica como bioindicadora da qualidade do solo em áreas com e sem a adição de topsoil (CT e ST, respectivamente), em plantios florestais para a recuperação de áreas de extração deste recurso mineral. Considerou-se a mata nativa de Caatinga (MT) como referencial. Foram instaladas 10 armadilhas em três réplicas para cada tratamento, em delineamento em blocos casualizados em esquema de parcelas subdivididas, no final da estação chuvosa,em diferentes épocas (0, 1, 3 e 6 anos depois). Capturou-se um total de 45.740 organismos, distribuídos em 36 grupos taxonômicos, com o predomínio de Acari, Diptera, Entomobryomorpha, Formicidae, Poduromorpha e Symphypleona, em todos os tratamentos (ST, CT, MT). Nove grupos (25% do total) apresentaram ocorrência restrita. Os valores de riqueza e diversidade foram maiores na MT, seguidos do CT e ST. Não houve um padrão definido para a uniformidade e abundância total da comunidade. A maioria dos grupos apresentou inibição na abundância nos tratamentos testados em relação à MT, mas este efeito negativo foi relevante no ST, em comparação com o CT. A similaridade entre ST e CT foi elevada, e muito baixa com a MT. A complexidade ecológica da comunidade da fauna edáfica foi maior na MT. A fauna edáfica funcionou como bioindicadora da qualidade do solo, que foi maior em CT, na comparação com ST.

ABSTRACT Information on the recovering of areas of gravel extraction of the Caatinga biome are scarce. Thus, the objective of this work was to assess the soil fauna as bioindicator of soil quality, evaluating areas with addition of topsoil (WAT) and control areas (CWT) without the addition of topsoil used for forest plantations, which were implemented for recovering gravel extraction areas. A native forest of the Caatinga biome (NFC) was taken as a reference. Ten traps with three replicates were installed in each area, which were evaluated in a randomized block design in split-plot arrangement at the end of the rainy season of different years, 0, 1, 3 and 6 years after the experiment implementation. A total of 45,740 specimens were captured. These specimens were from 36 taxonomic groups. The Acari, Diptera, Entomobryomorpha, Formicidae, Poduromorpha and Symphypleona were the predominant groups in all areas (WAT, CWT and NFC). Nine groups (25% of the total) had restricted occurrence. The fauna richness and diversity were higher in the NFC, followed by the WAT and CWT. The uniformity and total abundance of the soil fauna community showed no defined patterns. The abundance of most groups was inhibited in the treatments evaluated, compared with NFC, however, this adverse effect was more significant in CWT compared with WAT. The CWT and WAT had high similarity and both had very low similarity with NFC. The ecological complexity of soil fauna community was higher in NFC. The soil fauna was efficient as a bioindicator of soil quality, which was higher in WAT, compared with CWT.

https://doi.org/10.1590/1983-21252017v30n215rc 2177 downloads

15.

The Brazilian Registry of Adult Patient Undergoing Cardiovascular Surgery, the BYPASS Project: Results of the First 1,722 Patients
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Gomes, Walter J. Moreira, Rita Simone Zilli, Alexandre Cabral Bettiati Jr, Luiz Carlos Figueira, Fernando Augusto Marinho dos Santos D' Azevedo, Stephanie Steremberg Pires Soares, Marcelo José Ferreira Fernandes, Marcio Pimentel Ardito, Roberto Vito Bogdan, Renata Andrea Barberio Campagnucci, Valquíria Pelisser Nakasako, Diana Kalil, Renato Abdala Karam Rodrigues, Clarissa Garcia Rodrigues Junior, Anilton Bezerra Cascudo, Marcelo Matos Atik, Fernando Antibas Lima, Elson Borges Nina, Vinicius José da Silva Heluy, Renato Albuquerque Azeredo, Lisandro Gonçalves Henrique Junior, Odilon Silva Mendonça, José Teles de Silva, Katharina Kelly de Oliveira Gama Pandolfo, Marcelo Lima Júnior, José Dantas de Faria, Renato Max Santos, Jonas Gonçalves dos Paez, Rodrigo Pereira Coelho, Guilherme Henrique Biachi Pereira, Sergio Nunes Senger, Roberta Buffolo, Enio Caputi, Guido Marco Santo, José Amalth do Espírito Oliveira, Juliana Aparecida Borges de Berwanger, Otavio Cavalcanti, Alexandre Biasi Jatene, Fabio B.

Brazilian Journal of Cardiovascular Surgery

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Abr 2017, Volume 32 Nº 2 Páginas 71 - 76

Resumo: En | Texto: En | PDF: En

Abstract Objective: To report the early results of the BYPASS project - the Brazilian registrY of adult Patient undergoing cArdiovaScular Surgery - a national, observational, prospective, and longitudinal follow-up registry, aiming to chart a profile of patients undergoing cardiovascular surgery in Brazil, assessing the data harvested from the initial 1,722 patients. Methods: Data collection involved institutions throughout the whole country, comprising 17 centers in 4 regions: Southeast (8), Northeast (5), South (3), and Center-West (1). The study population consists of patients over 18 years of age, and the types of operations recorded were: coronary artery bypass graft (CABG), mitral valve, aortic valve (either conventional or transcatheter), surgical correction of atrial fibrillation, cardiac transplantation, mechanical circulatory support and congenital heart diseases in adults. Results: 83.1% of patients came from the public health system (SUS), 9.6% from the supplemental (private insurance) healthcare systems; and 7.3% from private (out-of -pocket) clinic. Male patients comprised 66%, 30% were diabetics, 46% had dyslipidemia, 28% previously sustained a myocardial infarction, and 9.4% underwent prior cardiovascular surgery. Patients underwent coronary artery bypass surgery were 54.1% and 31.5% to valve surgery, either isolated or combined. The overall postoperative mortality up to the 7th postoperative day was 4%; for CABG was 2.6%, and for valve operations, 4.4%. Conclusion: This first report outlines the consecution of the Brazilian surgical cardiac database, intended to serve primarily as a tool for providing information for clinical improvement and patient safety and constitute a basis for production of research protocols.

https://doi.org/10.21470/1678-9741-2017-0053 1883 downloads

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