Pesquisa | SciELO

Resumo A produção de tintas utilizando resíduos de beneficiamento de granito e mármore é uma nova alternativa para contribuir com o desenvolvimento sustentável na construção civil. Entretanto, a carência de estudos sobre a composição e o desempenho dessas tintas inviabiliza a disseminação desse novo material de construção. Logo, este estudo tem como objetivo investigar a composição dessas tintas utilizando ferramentas estatísticas para obter produtos com desempenho compatível com regulamentações técnicas e tintas comerciais. As formulações de tintas foram definidas através de um planejamento de misturas quaternárias. O teor de sólidos, pH, viscosidade, poder de cobertura e resistência à abrasão foram determinados para todas as amostras. As tintas produzidas com resíduos de granito apresentaram melhor poder de cobertura e resistência à abrasão, pois o resíduo de granito apresenta granulometria mais fina, além de ser predominantemente composto por sílica. Por fim, as tintas produzidas neste estudo e as tintas comerciais apresentaram comportamento semelhante, o que corrobora com o aproveitamento do resíduo do processamento de rochas ornamentais na produção de tintas. civil Entretanto Logo quaternárias sólidos pH viscosidade amostras fina sílica fim semelhante

Abstract The production of paints using waste from granite and marble processing is a new alternative to contribute to sustainable development in civil construction. However, the lack of studies on the composition and performance of these paints makes the dissemination of this new construction material unfeasible. Therefore, this study aims to investigate the composition of these paints using statistical tools to obtain products with performance compatible with technical regulations and commercial paints. The paint formulations were defined through a quaternary mixture planning. The solids content, pH, viscosity, hiding power, and abrasion resistance were determined for all samples. The paints produced with granite waste showed better hiding power and abrasion resistance, as granite waste has a finer granulometry, in addition to being predominantly composed of silica. Finally, the paints produced in this study and the commercial paints showed similar behavior, which supports the use of waste from the processing of ornamental rocks in paint production. However unfeasible Therefore planning content pH viscosity samples granulometry silica Finally behavior

https://doi.org/10.1590/s1678-86212024000100758

[SciELO Preprints] - Guidelines on the Diagnosis and Treatment of Hypertrophic Cardiomyopathy – 2024
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Fernandes, Fabio Simões, Marcus V. Correia, Edileide de Barros Marcondes-Braga, Fabiana G. Coelho-Filho, Otavio Rizzi Mesquita, Cláudio Tinoco Mathias-Junior, Wilson Rochitte, Carlos Eduardo Ramires, Felix José Alvarez Alves, Silvia Marinho Martins Montera, Marcelo Westerlund Lopes, Renato Delascio Oliveira-Junior, Mucio Tavares Scolari, Fernando L. Avila, Walkiria Samuel Canesin, Manoel Fernandes Bacal, Fernando Bocchi, Edimar Alcides Moura, Lídia Ana Zytynski Saad, Eduardo Benchimol Scanavacca, Mauricio I. Valdigem, Bruno Pereira Cano , Manuel Nicolas Abizaid , Alexandre Ribeiro, Henrique Barbosa Lemos-Neto, Pedro Alves Ribeiro, Gustavo Calado de Aguiar Jatene, Fabio Biscegli Dias, Ricardo Ribeiro Beck-da-Silva, Luis Rohde, Luis Eduardo P. Bittencourt, Marcelo Imbroinise Pereira, Alexandre Krieger, José Eduardo Villacorta, Humberto Martins, Wolney de Andrade Figueiredo-Neto, José Albuquerque de Cardoso , Juliano Novaes Pastore, Carlos Alberto Jatene, Ieda Biscegli Tanaka, Ana Cristina Sayuri Hotta, Viviane Tiemi Romano, Minna Moreira Dias Albuquerque, Denilson Campos de Mourilhe-Rocha, Ricardo Hajjar, Ludhmila Abrahão Brito, Fabio Sandoli de Caramelli , Bruno Calderaro, Daniela Farsky, Pedro Silvio Colafranceschi , Alexandre Siciliano Pinto, Ibraim Masciarelli Vieira , Marcelo Luiz Campos Danzmann, Luiz Claudio Barberato , Silvio Henrique Mady, Charles Martinelli-Filho, Martino Torbey , Ana Flavia Malheiros Schwartzmann, Pedro Vellosa Macedo, Ariane Vieira Scarlatelli Ferreira , Silvia Moreira Ayub Schmidt, Andre Melo , Marcelo Dantas Tavares de Lima-Filho, Moysés Oliveira Sposito, Andrei C. Brito, Flavio de Souza Biolo, Andreia Madrini-Junior, Vagner Rizk, Stéphanie Itala Mesquita, Evandro Tinoco

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Data de publicação: 2024-04-08

Resumo: Pt Es En

A cardiomiopatia hipertrófica (CMH) é uma forma de doença do músculo cardíaco de causa genética, caracterizada pela hipertrofia das paredes ventriculares. O diagnóstico requer detecção por métodos de imagem (Ecocardiograma ou Ressonância Magnética Cardíaca) de qualquer segmento da parede do ventrículo esquerdo com espessura > 15 mm, sem outra causa provável. A análise genética permite identificar mutações de genes codificantes de diferentes estruturas do sarcômero responsáveis pelo desenvolvimento da CMH em cerca de 60% dos casos, permitindo o rastreio de familiares e aconselhamento genético, como parte importante do manejo dos pacientes e familiares. Vários conceitos sobre a CMH foram recentemente revistos, incluindo sua prevalência de 1 em 250 indivíduos, não sendo, portanto, uma doença rara, mas subdiagnosticada. A vasta maioria dos pacientes é assintomática. Naqueles sintomáticos, a obstrução do trato de saída do ventrículo esquerdo (OTSVE) é o principal distúrbio responsável pelos sintomas, devendo-se investigar a sua presença em todos os casos. Naqueles em que o ecocardiograma em repouso ou com Manobra de Valsalva não detecta gradiente intraventricular significativo (> 30 mmHg), devem ser submetidos à ecocardiografia com esforço físico para detecção da OTSVE.   Pacientes com sintomas limitantes e grave OTSVE, refratários ao uso de betabloqueadores e verapamil, devem receber terapias de redução septal ou uso de novas drogas inibidoras da miosina cardíaca. Por fim, os pacientes adequadamente identificados com risco aumentado de morta súbita podem receber medida profilática com implante de cardiodesfibrilador implantável (CDI).

La miocardiopatía hipertrófica (MCH) es una forma de enfermedad cardíaca de origen genético, caracterizada por el engrosamiento de las paredes ventriculares. El diagnóstico requiere la detección mediante métodos de imagen (Ecocardiograma o Resonancia Magnética Cardíaca) que muestren algún segmento de la pared ventricular izquierda con un grosor > 15 mm, sin otra causa probable. El análisis genético permite identificar mutaciones en genes que codifican diferentes estructuras del sarcómero responsables del desarrollo de la MCH en aproximadamente el 60% de los casos, lo que permite el tamizaje de familiares y el asesoramiento genético, como parte importante del manejo de pacientes y familiares. Varios conceptos sobre la MCH han sido revisados recientemente, incluida su prevalencia de 1 entre 250 individuos, por lo tanto, no es una enfermedad rara, sino subdiagnosticada. La gran mayoría de los pacientes son asintomáticos. En los casos sintomáticos, la obstrucción del tracto de salida ventricular izquierdo (TSVI) es el trastorno principal responsable de los síntomas, y su presencia debe investigarse en todos los casos. En aquellos en los que el ecocardiograma en reposo o la maniobra de Valsalva no detecta un gradiente intraventricular significativo (> 30 mmHg), deben someterse a ecocardiografía de esfuerzo para detectar la obstrucción del TSVI. Los pacientes con síntomas limitantes y obstrucción grave del TSVI, refractarios al uso de betabloqueantes y verapamilo, deben recibir terapias de reducción septal o usar nuevos medicamentos inhibidores de la miosina cardíaca. Finalmente, los pacientes adecuadamente identificados con un riesgo aumentado de muerte súbita pueden recibir medidas profilácticas con el implante de un cardioversor-desfibrilador implantable (CDI).

Hypertrophic cardiomyopathy (HCM) is a form of genetically caused heart muscle disease, characterized by the thickening of the ventricular walls. Diagnosis requires detection through imaging methods (Echocardiogram or Cardiac Magnetic Resonance) showing any segment of the left ventricular wall with a thickness > 15 mm, without any other probable cause. Genetic analysis allows the identification of mutations in genes encoding different structures of the sarcomere responsible for the development of HCM in about 60% of cases, enabling screening of family members and genetic counseling, as an important part of patient and family management. Several concepts about HCM have recently been reviewed, including its prevalence of 1 in 250 individuals, hence not a rare but rather underdiagnosed disease. The vast majority of patients are asymptomatic. In symptomatic cases, obstruction of the left ventricular outflow tract (LVOT) is the primary disorder responsible for symptoms, and its presence should be investigated in all cases. In those where resting echocardiogram or Valsalva maneuver does not detect significant intraventricular gradient (> 30 mmHg), they should undergo stress echocardiography to detect LVOT obstruction. Patients with limiting symptoms and severe LVOT obstruction, refractory to beta-blockers and verapamil, should receive septal reduction therapies or use new drugs inhibiting cardiac myosin. Finally, appropriately identified patients at increased risk of sudden death may receive prophylactic measure with implantable cardioverter-defibrillator (ICD) implantation.

https://doi.org/10.1590/SciELOPreprints.8394

Laying parameters of meat quails breeders submitted to lighting programs at growing phase
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Watanabe, Germana Costa Aguiar

; Watanabe, Pedro Henrique

; Mello, Marcelle Craveiro Abreu de

; Santos, Edibergue Oliveira dos

; Cordeiro, Carla Nágila

; Nepomuceno, Rafael Carlos

; Gomes, Thalles Ribeiro

; Freitas, Ednardo Rodrigues

Ciência Rural

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2024, Volume 54 Nº 2 elocation e20230090

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

ABSTRACT: When applied at growing phase, lighting program aims to obtain quails with body weight and physiological maturity suitable for the beginning of laying. This study evaluated lighting programs at growing phase on performance, sexual maturity and egg quality of meat quail breeders (Coturnixcoturnix) at laying phase. From 7 to 49 days of age, 300 female meat quails were subjected to three lighting programs (natural, intermittent and continuous), with 5 replicates of 20 birds each. At 49 days of age, 240 quails were transferred to a shed, maintaining the same experimental conditions. Meat quails submitted to continuous and intermittent lighting programs had higher weight of reproductive system and lower ages for first egg production and to reach 50% of egg production (P < 0.05). Quails submitted to natural lighting had lower feed intake from 49 to 70 and 71 to 92 days of age and worse feed conversion up to 114 days of age. Continuous and intermittent lighting programs resulted in more precocious quails compared to natural lighting program. Quails submitted to natural lighting at growing phase presented lower egg production during all periods, not differing for birds submitted to continuous and intermittent programs from the second period (71 to 92 days of age). Intermittent and continuous lighting result in better feed conversion of breeding quails up to 114 days and a higher percentage of laying (49 to 136 days), reducing the number of days to produce the first egg and to reach 50% of laying, in relation to natural lighting. ABSTRACT performance Coturnixcoturnix (Coturnixcoturnix 4 30 natural, (natural continuous, , continuous) 2 each 24 shed conditions 50 P 0.05. 005 0.05 . 0 05 0.05) 9 11 periods (7 age) (4 13 days, days) 3 00 0.0 1 ( 0.

RESUMO: Quando aplicado na fase de crescimento, o programa de luz visa obter codornas com peso corporal e maturidade fisiológica adequados para o início da postura. Este estudo avaliou programas de iluminação na fase de crescimento sobre o desempenho, maturidade sexual e qualidade dos ovos de codornas de corte reprodutoras (Coturnix coturnix) na fase de postura. Durante o período de sete a 49 dias de idade, 300 codornas de corte fêmeas foram submetidas a três programas de iluminação (natural, intermitente e contínuo), com cinco repetições de 20 aves cada. Aos 49 dias de idade, 240 codornas foram transferidas para um galpão, mantendo a mesma distribuição experimental e submetidas às mesmas condições. As aves submetidas aos programas de iluminação contínuo e intermitente na fase de crescimento apresentaram maiores peso relativo do sistema reprodutivo e consequentemente menores idades para produção do primeiro ovo e para atingir 50% da produção de ovos (P < 0.05). As aves que receberam apenas iluminação natural apresentaram menor consumo de ração nos períodos de 49 a 70 e 71 a 92 dias de idade e pior conversão alimentar até 114 dias de idade. Os programas de iluminação contínua e intermitente na fase de crescimento resultaram em codornas mais precoces quando comparados as aves submetidas ao programa de iluminação natural. Codornas submetidas a programa de luz natural na fase de crescimento apresentaram menor produção de ovos durante todos os períodos, não diferindo das aves submetidas a programas contínuos e intermitentes a partir do segundo período (71 a 92 dias de idade). A iluminação intermitente e contínua na fase de crescimento resulta em melhor conversão alimentar de codornas reprodutoras até 114 dias e maior percentual de postura (49 a 136 dias), reduzindo o número de dias para produzir o primeiro ovo e atingir 50% de postura, em relação a iluminação natural.. RESUMO desempenho Coturnix coturnix 4 30 natural, (natural contínuo, , contínuo) 2 cada 24 galpão condições 50 P 0.05. 005 0.05 . 0 05 0.05) 7 9 11 (7 idade) (4 13 dias, dias) 3 5 00 0.0 1 ( 0.

https://doi.org/10.1590/0103-8478cr20230090

Comparison of nutritional status and growth curves of children and adolescents in the city of Goiânia, Goiás: cross-sectional study Goiânia Goiás crosssectional cross sectional
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Alves, Rafael Ribeiro

; Baptista, Tadeu

; Marques, Vitor Alves

; Silva, Weder Alves da

; Silva, Marcelo Henrique

; Santos, Douglas de Assis Teles

; Vieira, Carlos Alexandre

Sao Paulo Medical Journal

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2024, Volume 142 Nº 2 elocation e2022643

Resumo: En | Texto: En | PDF: En

ABSTRACT BACKGROUND: Nutritional status and growth curves can affect cognitive development, increase the risk of infection, and contribute to the development of chronic diseases. Its etiology is related to food, socioeconomic, and maternal conditions. However, to date, no data on these parameters exist in the state of Goiás, Brazil. OBJECTIVE: To compare the nutritional status and growth curves of children and adolescents in the city of Goiânia, Goiás, Brazil. DESIGN AND SETTING: This was a cross-sectional study. A total of 529 individuals were recruited from a primary health center in the municipality. METHODS: To assess nutritional status, the sample was divided into three categories: 3–4, 5–10, and 11–19 years, with z-score classification considering body mass index for age. The classification of growth curves was performed considering the median height values for age, assuming two references: (a) young Brazilian population and (b) one recommended for international use. The independent sample T-test was used to compare anthropometric variables. RESULTS: The results showed that the classification of eutrophics represents a predominant percentage between both sexes (men: 03–04 = 55.4%; 05–10 = 57.6%; 11–19 = 53.5 % and women: 03–04 = 53.5%; 05–10 = 63.9%; 11–19 = 56.9%), and growth curves showed differences in specific periods in both sexes. CONCLUSIONS: It can be concluded that children and adolescents from the city of Goiânia present as predominance the eutrophic nutritional status, followed by the risk of overweight, underweight, obesity, and malnutrition of both sexes. BACKGROUND infection diseases food socioeconomic conditions However date Goiás Brazil OBJECTIVE SETTING crosssectional cross sectional study 52 municipality METHODS categories 34 3 4 3–4 510 5 10 5–10 1119 11 19 11–1 years zscore z score age references (a b (b use Ttest T test variables RESULTS men (men 0304 03 04 03–0 55.4% 554 55 0510 05 05–1 57.6% 576 57 6 535 53 53. women 53.5% 63.9% 639 63 9 56.9%, 569 56.9% , 56 56.9%) CONCLUSIONS overweight underweight obesity 3– 51 1 5–1 111 11– 030 0 03– 55.4 051 05– 57.6 63.9 56.9 5– 55. 57. 63. 56.

https://doi.org/10.1590/1516-3180.2022.0643.r1.010623

Impact of pre-operative weight loss on non-alcoholic fatty liver disease histopathology and insulin resistance in individuals undergoing bariatric surgery: a propensity matched cross-sectional comparison preoperative pre operative nonalcoholic non alcoholic surgery crosssectional cross sectional
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Maldonado, Fábio Henrique Ribeiro

; Mega, Paulo Ferreira

; Germano, Carlos Wustemberg

; Dias, Luana Leite Castilho

; Callejas, Guilherme Hoverter

; Gestic, Martinho Antonio

; Utrini, Murillo Pimentel

; Chaim, Felipe David Mendonça

; Callejas-Neto, Francisco

; Chaim, Elinton Adami

; Cazzo, Everton

Sao Paulo Medical Journal

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2024, Volume 142 Nº 1 elocation e2022663

Resumo: En | Texto: En | PDF: En

ABSTRACT BACKGROUND: The effect of weight loss (WL) on histopathological aspects of non-alcoholic fatty liver disease (NAFLD) may provide further insights into the dynamics of hepatic recovery after WL. OBJECTIVE: To analyze the effects of pre-operative WL on insulin resistance- and NAFLD-related histology in individuals undergoing bariatric surgery (BS) with or without pre-operative WL. DESIGN AND SETTING: A matched cross-sectional study was conducted at a public university hospital and a private clinic in Campinas, Brazil. METHODS: An analytical, observational, cross-sectional study was conducted using prospectively collected databases of individuals who underwent BS and liver biopsy at either a public tertiary university hospital (with pre-operative WL) or a private clinic (without pre-operative WL). Random electronic matching by gender, age, and body mass index (BMI) was performed and two paired groups of 24 individuals each were selected. RESULTS: Of the 48 participants, 75% were female. The mean age was 37.4 ± 9.6. The mean BMI was 38.9 ± 2.6 kg/m2. Fibrosis was the most common histopathological abnormality (91.7%). Glucose was significantly lower in the WL group (92 ± 19.1 versus 111.8 ± 35.4 mg/dL; P = 0.02). Significantly lower frequencies of macrovesicular steatosis (58.3% versus 95.8%; P = 0.004), microvesicular steatosis (12.5% versus 87.5%; P < 0.001), and portal inflammation (50% versus 87.5%; P = 0.011) were observed in the WL group. CONCLUSION: Pre-operative WL was significantly associated with lower frequencies of macro- and mi- crovesicular steatosis, portal inflammation, and lower glycemia, indicating an association between the recent trajectory of body weight and histological aspects of NAFLD. BACKGROUND (WL nonalcoholic non alcoholic NAFLD (NAFLD OBJECTIVE preoperative pre operative resistance NAFLDrelated related (BS SETTING crosssectional cross sectional Campinas Brazil METHODS analytical observational . gender (BMI 2 selected RESULTS 4 participants 75 female 374 37 37. 96 9 6 9.6 389 38 38. 26 2. kgm2 kgm kg m2 m kg/m2 91.7%. 917 91.7% 91 7 (91.7%) 92 (9 191 19 1 19. 1118 111 8 111. 354 35 35. mg/dL mgdL mg dL 0.02. 002 0.02 0 02 0.02) 58.3% 583 58 3 (58.3 95.8% 958 95 0.004, 0004 0.004 , 004 0.004) 12.5% 125 12 5 (12.5 87.5% 875 87 0.001, 0001 0.001 001 0.001) 50% 50 (50 0.011 0011 011 CONCLUSION Preoperative Pre macro mi glycemia 9. kg/m 91.7 (91.7% ( 11 00 0.0 58.3 (58. 95.8 000 0.00 12.5 (12. 87.5 (5 0.01 01 91. (91.7 0. 58. (58 95. 12. (12 87. (91. (1 (91

https://doi.org/10.1590/1516-3180.2022.0663.r1.24042023

Dietary inclusion of parboiled whole rice bran on production of meat quails
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Freitas, Ednardo Rodrigues

; Gomes, Thalles Ribeiro

; Nepomuceno, Rafael Carlos

; Santos, Edibergue Oliveira dos

; Watanabe, Pedro Henrique

; Nascimento, Germano Augusto Jerônimo do

Revista Ciência Agronômica

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2024, Volume 55 elocation e20218090

Resumo: En | Texto: En | PDF: En

ABSTRACT The use of non-conventional feeds in poultry farming can reduce production costs, mainly because of its low cost, availability and chemical composition. Thus, parboiled whole rice bran (PWRB) appears as a potential use in feeding quails. Two experiments were carried out to evaluate the effects of the inclusion of PWRB in the diet of quails. In each experiment, a total of 288 seven-day-old European quails of both sexes, were distributed in a completely randomized design with six treatments and six replicates of eight quails each. The treatments consisted in the inclusion of PWRB in the proportions of 0; 5; 10; 15; 20 and 25% (first) and 0; 8; 16; 24; 32 and 40% (second). In the first experiment, a linear reduction in feed intake and weight gain was observed with the inclusion of PWRB above 5%, with no significant effect on feed conversion and carcass characteristics. However, there was no loss in the performance and carcass characteristics of quails fed with different levels of PWRB in comparison to the control group. In the second, it was observed that the inclusion of PWRB above 8% promoted a linear reduction in feed intake, weight gain and improvement in feed conversion, with no significant effect on carcass characteristics. However, quails fed 40% PWRB showed reduced intake and weight gain when compared to the control group. The use of PWRB provided an improvement in economic viability. Considering the effect on growth, PWRB can be used in the feeding of meat quails up to 32%. nonconventional non conventional costs cost composition Thus (PWRB experiment 28 sevendayold seven day old sexes 0 5 10 15 2 25 (first 8 16 24 3 40 second. second . (second) 5% However group viability growth 32% 1 4 (second

https://doi.org/10.5935/1806-6690.20230062

RANGE OF MOTION AFTER BONE BLOCK PROCEDURES FOR SHOULDER INSTABILITY: SYSTEMATIC REVIEW INSTABILITY
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Lara, Paulo Henrique Schmidt

; Ribeiro, Leandro Masini

; Andreoli, Carlos Vicente

; Pochini, Alberto de Castro

; Belangero, Paulo Santoro

; Ejnisman, Benno

Acta Ortopédica Brasileira

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2024, Volume 32 Nº spe1 elocation e273366

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

ABSTRACT Objective: to determine the surgical indications for glenoid bone grafting associated with better postoperative ranges of motion. Methods: This systematic review was conducted according to PRISMA. The included studies were subdivided according to the criteria used to indicate glenoid bone graft surgery: group for radiological indications only (Group R), group for radiological indications associated with clinical indications (Group R + C), and group for arthroscopic indications (Group A). The extracted and evaluated data were the range of motion of the shoulder. Results: in the electronic search conducted in October 2022, 1567 articles were selected. After applying the inclusion criteria, 14 articles were selected for the systematic review. Regarding the ranges of motion, group A had the highest number of statistically positive results together with group R. Group A showed positive results in elevation parameters, loss of lateral rotation in adduction, and medial rotation in abduction. Group R showed positive results in lateral rotation in adduction and loss of lateral rotation in adduction. On the other hand, Group R + C was the one that presented the highest number of statistically negative results, in the following parameters: elevation, lateral rotation in abduction, loss of lateral rotation in adduction, and medial rotation in abduction. Conclusion: the subgroups presented variable results in the evaluated parameters; however, the groups with arthroscopic and radiological indications showed the highest number of positive results, with the latter group showing the best results regarding lateral rotation. Level of Evidence II, Systematic Reviews. Objective Methods PRISMA surgery R, , R) C, C) A. . A) shoulder Results 2022 156 1 parameters abduction hand Conclusion however II Reviews 202 15 20 2

RESUMO Objetivo: Determinar as indicações cirúrgicas de enxertia óssea da glenoide associadas aos melhores arcos de movimento no pós-operatório. Métodos: De acordo com o Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), 14 artigos de um total de 1.567, selecionados em busca eletrônica, foram escolhidos para a revisão sistemática. Os estudos incluídos foram subdivididos de acordo com os critérios de indicação da cirurgia: indicações somente radiológicas (grupo R), indicações radiológicas associadas a indicações clínicas (grupo R + C) e indicações artroscópicas (grupo A). Os dados avaliados foram os arcos de movimento do ombro. Resultados: Em relação aos arcos de movimento, os grupos que apresentaram a maior quantidade de resultados estatisticamente positivos foram o A – parâmetros elevação, perda de rotação lateral em adução e rotação medial em abdução – e o R – parâmetros rotação lateral em adução e perda de rotação lateral em adução. O grupo R + C apresentou a maior quantidade de resultados estatisticamente negativos nos parâmetros elevação, rotação lateral em abdução, perda de rotação lateral em adução e rotação medial em abdução. Conclusão: Os grupos de indicações artroscópicas e radiológicas apresentaram a maior quantidade de resultados positivos, sendo que o último apresentou os melhores resultados em relação à rotação lateral. Nível de Evidência II, Revisão Sistemática. Objetivo pósoperatório. pósoperatório pós operatório. operatório pós-operatório Métodos MetaAnalyses Meta Analyses PRISMA, PRISMA , (PRISMA) 1 1567 567 1.567 eletrônica sistemática cirurgia R, R) A. . A) ombro Resultados elevação Conclusão II Sistemática (PRISMA 156 56 1.56 15 5 1.5 1.

https://doi.org/10.1590/1413-785220243201e273366

Male reproductive tract disorders in equids: 87 cases (2014-2022) equids 8 20142022 2014 2022 (2014-2022 2014202 201 202 (2014-202 201420 20 (2014-20 20142 2 (2014-2 (2014- (2014 (201 (20 (2 (
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Ramos, Gabriel M.

; Veado, Henrique Caetano

; Ribeiro, Elissa

; Castro, Márcio B.

; Sousa, Davi Emanuel R.

; Ximenes, Fábio H.B.

; Teixeira-Neto, Antonio Raphael

; Campebell, Rita de Cássia

; Câmara, Antônio Carlos L.

Pesquisa Veterinária Brasileira

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2024, Volume 44 elocation e07338

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

ABSTRACT: Male reproductive tract disorders (MRTDs) are common in equids and may represent a significant proportion of the caseload of equine practitioners. Herein, we determined the frequency, clinico-pathological findings, and therapeutics of MRTDs in equids from a 9-year survey of the clinical records of a Veterinary Teaching Hospital in Midwestern Brazil. During this period, 87 affected equids presented 100 MRTDs distributed in 17 different diagnoses. Forty-three (49.4%) equids presented MRTDs affecting the glans penis or preputial skin fold. Testicles, scrotum, and spermatic cords disorders were diagnosed in 32 (36.8%) horses. Of the remaining 12 (13.8%) horses, six presented two different MRTDs on two distinct anatomical areas, and five animals exhibited the same disease, affecting two different anatomical locations. Only one horse presented three distinct MRTDs on two anatomical regions. Habronemiasis was the most frequent MRTD detected in 26% of the diagnoses, followed by miscellaneous wounds (14%), cryptorchidism (13%), inguinal hernia (13%), funiculitis (9%), paraphimosis (6%), squamous cell carcinoma (5%), urethrolithiasis (3%), preputial abscesses, and orchitis (2% each). Phimosis, ulcerative posthitis, epididymitis, hydrocele, papillomatosis, teratoma, and testicular torsion accounted for 1% each. Sixty-three (72.5%) equids received hospital discharge, 18 (20.6%) were humanely euthanized, and six (6.9%) died. This study detected the most relevant MRTDs that affected over 7.5% in a survey of 1,154 equids referred for hospital care. Our finding highlights that MRTDs may be debilitating and life-threatening conditions, and they can potentially impact the reproduction of equids in the region. This knowledge may support equine practitioners in elaborating proper sanitary and management protocols to prevent and reduce the incidence of most MRTDs recorded, improving equid production and welfare. ABSTRACT (MRTDs Herein frequency clinicopathological clinico pathological findings 9year year 9 Brazil period 8 10 1 diagnoses Fortythree Forty 49.4% 494 49 4 (49.4% fold Testicles scrotum 3 36.8% 368 36 (36.8% horses 13.8% 138 13 (13.8% areas disease locations regions 26 14%, 14 14% , (14%) 13%, 13% (13%) 9%, 9% (9%) 6%, 6 6% (6%) 5%, 5 5% (5%) 3%, 3% (3%) abscesses 2% 2 (2 each . each) Phimosis posthitis epididymitis hydrocele papillomatosis teratoma Sixtythree Sixty 72.5% 725 72 (72.5% discharge 20.6% 206 20 (20.6% euthanized 6.9% 69 (6.9% died 75 7 7.5 1154 154 1,15 care lifethreatening life threatening conditions region recorded welfare 49.4 (49.4 36.8 (36.8 13.8 (13.8 (14% (13% (9% (6% (5% (3% ( 72.5 (72.5 20.6 (20.6 6.9 (6.9 7. 115 15 1,1 49. (49. 36. (36. 13. (13. (14 (13 (9 (6 (5 (3 72. (72. 20. (20. 6. (6. 11 1, (49 (36 (1 (72 (20 (4 (7

RESUMO: Distúrbios do trato reprodutivo masculino (DTRMs) são comuns em equídeos e podem representar uma proporção significativa da casuística de hipiatras. Determinamos a frequência, os achados clínico-patológicos e a terapêutica de DTRMs em equídeos a partir de um levantamento de nove anos dos registros clínicos em um Hospital Veterinário no Centro-Oeste do Brasil. Nesse período, 87 equinos afetados apresentaram 100 DTRMs distribuídos em 17 diagnósticos diferentes. Quarenta e três (49,4%) equídeos apresentaram DTRM afetando a glande peniana ou pregas de pele prepucial. Distúrbios dos testículos, escroto e cordão espermático foram diagnosticados em 32 (36,8%) equinos. Dos 12 (13,8%) equinos restantes, seis apresentaram dois DTRMs diferentes em duas áreas anatômicas distintas, e cinco animais exibiram a mesma doença em duas localizações anatômicas diferentes. Apenas um cavalo apresentou três DTRMs distintas em duas regiões anatômicas. A habronemíase foi a DTRM mais frequente detectada em 26% dos diagnósticos, seguida por feridas diversas (14%), criptorquidismo (13%), hérnia inguinal (13%), funiculite (9%), parafimose (6%), carcinoma de células escamosas (5%), uretrolitíase (3%), abscessos prepuciais e orquite (2% cada). Fimose, postite ulcerativa, epididimite, hidrocele, papilomatose, teratoma e torção testicular representaram 1% cada. Sessenta e três (72,5%) equídeos receberam alta hospitalar, 18 (20,6%) foram sacrificados humanitariamente e seis (6,9%) morreram. Este estudo detectou as DTRMs mais relevantes que afetaram 7,5% dos pacientes em um levantamento de 1.154 equídeos encaminhados para atendimento hospitalar. Este achado destaca que as DTRMs podem ser condições debilitantes e com risco de morte, e podem impactar potencialmente a reprodução de equídeos na região. Este conhecimento pode ajudar os hipiatras a elaborar protocolos sanitários e de manejo adequados para prevenir e reduzir a incidência da maioria das DTRMs registradas, melhorando a produção e o bem-estar dos equídeos. RESUMO (DTRMs frequência clínicopatológicos clínico patológicos CentroOeste Centro Oeste Brasil período 8 10 1 49,4% 494 49 4 (49,4% prepucial testículos 3 36,8% 368 36 (36,8% 13,8% 138 13 (13,8% restantes 26 14%, 14 14% , (14%) 13%, 13% (13%) 9%, 9 9% (9%) 6%, 6 6% (6%) 5%, 5 5% (5%) 3%, 3% (3%) 2% 2 (2 cada . cada) Fimose ulcerativa epididimite hidrocele papilomatose 72,5% 725 72 (72,5% hospitalar 20,6% 206 20 (20,6% 6,9% 69 (6,9% morreram 75 7 7,5 1154 154 1.15 morte região registradas bemestar bem estar 49,4 (49,4 36,8 (36,8 13,8 (13,8 (14% (13% (9% (6% (5% (3% ( 72,5 (72,5 20,6 (20,6 6,9 (6,9 7, 115 15 1.1 49, (49, 36, (36, 13, (13, (14 (13 (9 (6 (5 (3 72, (72, 20, (20, 6, (6, 11 1. (49 (36 (1 (72 (20 (4 (7

https://doi.org/10.1590/1678-5150-pvb-7338

Role of Computed Tomography Angiography in the Short-Term Follow-up of Aortic Coarctation Repair ShortTerm Short Term Followup Follow up
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Cardoso, Mariana Ribeiro Rodero

; Crestani, Ariela Maltarolo

; Souza, Antônio Soares

; Braga, Fernanda Del Campo Braojos

; Brun, Marília Maroneze

; Murakami, Alexandre Noboru

; Cajueiro, Francisco Candido Monteiro

; Marchi, Carlos Henrique De

; Croti, Ulisses Alexandre

Brazilian Journal of Cardiovascular Surgery

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2024, Volume 39 Nº 1 elocation e20230220

Resumo: En | Texto: En | PDF: En

ABSTRACT Introduction: Coarctation of the aorta (CoA) is a narrowing of the thoracic aorta that often manifests as discrete stenosis but may be tortuous or in long segment. The study aimed to evaluate pre and post-surgical aspects of pediatric patients submitted to CoA surgical correction and to identify possible predisposing factors for aortic recoarctation. Methods: Twenty-five patients were divided into groups according to presence (N=8) or absence (N=17) of recoarctation after surgical correction of CoA and evaluated according to clinical-demographic profile, vascular characteristics via computed angiotomography (CAT), and other pathological conditions. Results: Majority of males (64%), ≥ 15 days old (76%), ≥ 2.5 kg (80%). There was similarity between groups with and without recoarctation regarding sex (male: 87% vs. 53%; P=0.277), age (≥ 15 days: 62.5 vs. 82%; P=0.505), and weight (≥ 2.5 kg: 87.5 vs. 76.5; P=0,492). Altered values of aortic root/Valsalva diameter, proximal transverse arch, and distal isthmus, and normal values for aorta prevailed in preoperative CAT. Normal values for the aortic root/Valsalva sinus diameter were observed with and without recoarctation, the same for both groups regarding ascending and descending aorta in postoperative CAT. No significant difference for altered values of proximal transverse arch and alteration in distal isthmus was observed. Conclusion: No predictive risk for recoarctation was observed. CTA proved to be important in CoA diagnosis and management, since CoA is mainly related with altered diameter of aortic root/sinus of Valsalva and proximal and distal aortic arch/isthmus, however, it failed to show predictive risk for recoarctation. Introduction (CoA segment postsurgical post Methods Twentyfive Twenty five N=8 N8 N 8 (N=8 N=17 N17 17 (N=17 clinicaldemographic clinical demographic profile CAT, CAT , (CAT) conditions Results 64%, 64 64% (64%) 1 76%, 76 76% (76%) 25 2 5 2. 80%. 80 80% . (80%) male (male 87 vs 53% 53 P=0.277, P0277 P P=0.277 0 277 P=0.277) ( 625 62 62. 82% 82 P=0.505, P0505 P=0.505 505 P=0.505) 875 87. 76.5 765 P=0,492. P0492 P=0,492 492 P=0,492) rootValsalva root Conclusion management rootsinus archisthmus arch/isthmus however N= (N= N=1 N1 (N=1 (CAT 6 (64% 7 (76% (80% P027 P=0.27 27 P050 P=0.50 50 76. P049 P=0,49 49 (N (64 (76 (80 P02 P=0.2 P05 P=0.5 P04 P=0,4 4 (6 (7 (8 P0 P=0. P=0, P=0 P=

https://doi.org/10.21470/1678-9741-2023-0220

10.

Evaluation of chemical attributes of soils: definition of management zones in silvipastoral system soils
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Filho, Reinaldo Baldotto Ribeiro

; Oliveira, Carlos Henrique Rodrigues de

; Oliveira, Fabricia Benda de

; Dan, Mauricio Lima

; Burak, Diego Lang

; Angelos, Jacyelli Sgranci

; Conceição, Maria Eduarda Marques da

; Zucolotto, Mateus Zava

; Souza, Angélica Croce de

; Marques, Jamilly de Assis

Revista Ambiente & Água

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2024, Volume 19 elocation e2957

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

Abstract Soil chemical analysis is a fundamental to achieve optimal cultivation conditions in a productive silvopastoral system, essential for the planning and management of this activity. The objective of this research is to map the spatial distribution of nutrients in the soil in a 5-year-old silvopastoral system composed of brachiaria-brizantha and jacarandá-da-bahia, and to analyze the effect of tree density and canopy on nutrient levels. The study was conducted at the experimental area of the Capixaba Institute for Research, Technical Assistance, and Rural Extension (INCAPER) in the district of Pacotuba, ES. The delimitation of the work area was done using geographic information systems, to create a regular grid of points to enable systematic soil sampling. A total of 75 disturbed soil samples were collected at depths of 0-0.10 m to obtain quantitative soil nutrient data. High-quality images obtained using a remotely piloted aircraft (RPA) allowed for the overlay of soil nutrient data, pasture data, forest inventory data, and sample plot data to assist in comparative analyses. This enabled identification of the areas with lower canopy development, particularly in the northeast portion. By cross-referencing the spatialized soil nutrient data with the data obtained through RPA, it was possible to correlate them with the lower or higher development of the system. The use of RPA, together with a georeferenced database, proved to be an innovative and powerful tool to support decision-making, allowing for the monitoring of system evolution and serving as a basis for evaluating the relationship between chemical elements and tree canopies. activity 5yearold yearold 5 year old brachiariabrizantha brachiaria brizantha jacarandádabahia, jacarandádabahia jacarandá da bahia, bahia jacarandá-da-bahia levels Research Assistance INCAPER (INCAPER Pacotuba ES systems sampling 7 00.10 0010 0 0.10 10 0-0.1 Highquality High quality RPA (RPA analyses portion crossreferencing cross referencing database decisionmaking, decisionmaking decision making, making decision-making canopies 00 00.1 001 010 0.1 1 0-0. 00. 01 0. 0-0 0-

Resumo A análise química do solo é uma prática fundamental para obter as condições ideais de cultivo em um sistema silvipastoril produtivo, além de ser essencial para o planejamento e manejo dessa atividade. Nesse sentido, esta pesquisa tem como objetivo mapear a distribuição espacial dos nutrientes no solo em um sistema silvipastoril de 5 anos composto por brachiaria-brizantha e jacarandá-da-bahia, analisar o efeito da densidade das árvores e das copas nos teores de nutrientes e espacializar os dados. O estudo foi realizado na área experimental do Instituto Capixaba de Pesquisa, Assistência Técnica e Extensão Rural (INCAPER), localizada no distrito de Pacotuba, ES. A delimitação da área de trabalho foi realizada com o uso de sistemas de informações geográficas, abrangendo a área cultivada, para criar uma malha regular de pontos para permitir a amostragem sistemática do solo. Foram coletadas 75 amostras deformadas de solo nas profundidades de 0-0,10 m para obtenção dos teores de nutrientes do solo. As imagens de alta qualidade obtidas pelo uso de aeronaves remotamente pilotadas (ARP) permitiram sobrepor os dados de nutrientes do solo, de pastagem, do inventário florestal e das parcelas amostrais para auxiliar nas análises comparativas. Isso possibilitou a identificação de áreas com menor desenvolvimento das copas, principalmente na porção nordeste. Por meio do cruzamento dos dados de espacialização dos nutrientes do solo com os dados obtidos com o uso de ARP, foi possível correlacioná-los quanto ao menor ou maior desenvolvimento do sistema. Assim, a utilização de aeronaves remotamente pilotadas, juntamente com banco de dados georreferenciado, mostrou-se uma ferramenta inovadora e poderosa para apoio na tomada de decisões em sistemas silvipastoris, possibilitando o acompanhamento da evolução do sistema, e servir como base para avaliar a relação entre os elementos químicos e as copas das árvores. produtivo atividade sentido brachiariabrizantha brachiaria brizantha jacarandádabahia, jacarandádabahia jacarandá bahia, bahia jacarandá-da-bahia Pesquisa INCAPER, INCAPER , (INCAPER) Pacotuba ES geográficas cultivada 7 00,10 0010 0 0,10 10 0-0,1 ARP (ARP pastagem comparativas nordeste correlacionálos correlacioná los Assim georreferenciado mostrouse mostrou se silvipastoris (INCAPER 00 00,1 001 010 0,1 1 0-0, 00, 01 0, 0-0 0-

https://doi.org/10.4136/ambi-agua.2957

11.

COVID-19 IN INFLAMMATORY BOWEL DISEASE: SHOULD WE BE MORE CAREFUL WITH THE USE OF SALICYLATES? COVID19 COVID 19 COVID-1 DISEASE SALICYLATES COVID1 1 COVID-
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MACEDO, Mariana Rolim Fernandes

; SOBREIRA, Carlos Arthur Fernandes

; LAVOR, Carola Braz de

; RÔLA, Camila Ribeiro

; ROLIM, Ticiana Maria de Lavor

; PESSOA, Francisco Sérgio Rangel de Paula

; GIRÃO, Milena Santana

; FREIRE, Caio César Furtado

; SIEBRA, Ranna Caroline Bezerra

; MELO, Isabele de Sá Silveira

; SOUZA, Marcellus Henrique Loiola Ponte de

; BRAGA, Lucia Libanez Bessa Campelo

; MELLO, Liana Perdigão

; SILVA, Débora Bezerra

; FARIAS, Luís Arthur Brasil Gadelha

; OLIVEIRA, Maura Salaroli de

; PERDIGÃO NETO, Lauro Vieira

; LEVIN, Anna Sara

Arquivos de Gastroenterologia

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2024, Volume 61 elocation e23195

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

ABSTRACT Backgrounds: Fortunately, much has been studied about COVID-19 in patients with inflammatory bowel diseases (IBD). Evidence suggests that these patients do not appear to be at increased risk of severe COVID-19. However, there are still some uncertainties regarding the clinical manifestations of COVID-19 in patients with immune-mediated diseases. Objective: This study aimed to describe the main symptoms of COVID-19 and their frequency in IBD patients and evaluate the impact of the IBD therapeutic drugs on clinical presentation of COVID-19 and to determine factors associated with COVID-19 in this population. Methods: Adult patients with IBD from three tertiary-care public, teaching hospitals in Ceará, Northeastern Brazil, were evaluated during one scheduled appointment from March to December 2020. Patients with possible or confirmed COVID-19 were compared with patients without COVID-19. Furthermore, incidences of each symptom were evaluated based on the use of IBD therapeutic drugs. Results: A total of 515 patients with IBD were included in the study: 234 with CD, and 281 with UC. Of these, 174 patients (34%) had possible/confirmed COVID-19 of whom 156 (90%) were symptomatic. Main symptoms were fever (65%) and headache (65%); gastrointestinal symptoms occurred in one third of patients and were higher than COVID-19 in general population. The factors associated with having COVID-19 were female gender (OR 1.71, 95%CI: 1.17-2.50); contact at home (OR 5.07, 95%CI: 3.31-7.78) and outside the home (OR 3.14, 95%CI: 2.10-4.71) with a case of COVID-19; work outside of the home (OR 1.87, 95%CI: 1.26-2.78); family history of COVID-19 (OR 2.29, 95%CI 1.58-3.33) use of salicylate (OR 1.71, 95%CI: 1.17-4.28); and asthma (OR 7.10, 95%CI: 1.46-34.57). Conclusion: IBD patients at high risk of COVID-19 infection may need to avoid salicylate therapy but further studies are necessary to confirm this association. Backgrounds Fortunately COVID19 COVID 19 COVID-1 IBD. . (IBD) COVID19. 19. However immunemediated immune mediated Objective population Methods tertiarycare tertiary care public Ceará Brazil 2020 Furthermore Results 51 23 CD 28 UC 17 34% 34 (34% possibleconfirmed 15 90% 90 (90% symptomatic 65% 65 (65% OR 171 1 71 1.71 95CI CI 95 1.172.50 117250 1.17 2.50 2 50 1.17-2.50) 507 5 07 5.07 3.317.78 331778 3.31 7.78 3 31 7 78 3.31-7.78 314 14 3.14 2.104.71 210471 2.10 4.71 10 4 2.10-4.71 187 87 1.87 1.262.78 126278 1.26 2.78 26 1.26-2.78) 229 29 2.29 1.583.33 158333 1.58 3.33 58 33 1.58-3.33 1.174.28 117428 4.28 1.17-4.28) 710 7.10 1.4634.57. 1463457 1.46 34.57 46 57 1.46-34.57) Conclusion association COVID1 COVID- (IBD 202 (34 9 (90 6 (65 1.7 172 1.172.5 11725 117 1.1 250 2.5 1.17-2.50 0 5.0 317 3.317.7 33177 331 3.3 778 7.7 3.31-7.7 3.1 104 2.104.7 21047 210 2.1 471 4.7 2.10-4.7 18 8 1.8 262 1.262.7 12627 126 1.2 278 2.7 1.26-2.78 22 2.2 583 1.583.3 15833 158 1.5 333 1.58-3.3 1.174.2 11742 428 4.2 1.17-4.28 7.1 4634 1.4634.57 146345 146 1.4 3457 34.5 1.46-34.57 20 (3 (9 (6 1. 1.172. 1172 11 25 2. 1.17-2.5 5. 3.317. 3317 3. 77 7. 3.31-7. 2.104. 2104 21 47 4. 2.10-4. 1.262. 1262 12 27 1.26-2.7 1.583. 1583 1.58-3. 1.174. 1174 42 1.17-4.2 463 1.4634.5 14634 345 34. 1.46-34.5 ( 1.172 1.17-2. 3.317 3.31-7 2.104 2.10-4 1.262 1.26-2. 1.583 1.58-3 1.174 1.17-4. 1.4634. 1463 1.46-34. 1.17-2 3.31- 2.10- 1.26-2 1.58- 1.17-4 1.4634 1.46-34 1.17- 1.26- 1.463 1.46-3 1.46-

RESUMO Contexto: Felizmente, muito se tem estudado sobre a COVID-19 em pacientes com doenças inflamatórias intestinais (DII). As evidências sugerem que esses pacientes não parecem ter risco aumentado de COVID-19 grave. Mas ainda se tem algumas incertezas com relação às manifestações clínicas da COVID-19 em portadores de doenças imunomediadas. Objetivo: Este estudo teve como objetivo descrever os principais sintomas da COVID-19 e sua frequência em pacientes com DII e avaliar o impacto dos medicamentos utilizados no tratamento das DII na apresentação clínica da COVID-19. Métodos: Pacientes adultos com DII de três hospitais públicos terciários de ensino do Ceará, Nordeste do Brasil, foram avaliados em consulta ambulatorial no período de março a dezembro de 2020. Pacientes com COVID-19 possível ou confirmada foram comparados com pacientes sem COVID-19. Além disso, as incidências de cada sintoma foram avaliadas com base no uso de medicamentos utilizados para tratamento da DII. Resultados: Foram incluídos no estudo 515 pacientes com DII: 234 com DC e 281 com RCU. Destes, 174 pacientes (34%) tinham COVID-19 possível/confirmado, dos quais 156 (90%) eram sintomáticos. Os principais sintomas foram febre (65%) e dor de cabeça (65%); sintomas gastrointestinais ocorreram em um terço dos pacientes, sendo mais frequentes do que na população geral com COVID-19. Os fatores associados a ter COVID-19 foram sexo feminino (OR 1,71, IC95%: 1,17-2,50); ter contato com caso de COVID-19, tanto intradomiciliar (OR 5,07; IC95%: 3,31-7,78) como fora do domicílio (OR 3,14; IC95%: 2,10-4,71); trabalhar fora de casa (OR 1,87; IC95%: 1,26-2,78); história familiar de COVID-19 (OR 2,29, IC95% 1,58-3,33), uso de salicilato (OR 1,71, IC95%: 1,17-4,28) e asma (OR 7,10; IC95%: 1,46-34,57). Conclusão: Pacientes com DII com alto risco de infecção por COVID-19 podem precisar evitar a terapia com salicilatos, mas mais estudos são necessários para confirmar esta associação. Contexto Felizmente COVID19 COVID 19 COVID-1 . (DII) grave imunomediadas Objetivo COVID19. 19. Métodos Ceará Brasil 2020 disso Resultados 51 23 28 RCU Destes 17 34% 34 (34% possívelconfirmado confirmado possível/confirmado 15 90% 90 (90% sintomáticos 65% 65 (65% OR 171 1 71 1,71 IC95 IC 1,172,50 117250 1,17 2,50 2 50 1,17-2,50) COVID19, 19, 5,07 507 5 07 3,317,78 331778 3,31 7,78 3 31 7 78 3,31-7,78 3,14 314 14 2,104,71 210471 2,10 4,71 10 4 2,10-4,71) 1,87 187 87 1,262,78 126278 1,26 2,78 26 1,26-2,78) 229 29 2,29 1,583,33, 158333 1,58 3,33 , 58 33 1,58-3,33) 1,174,28 117428 4,28 1,17-4,28 7,10 710 1,4634,57. 1463457 1,46 34,57 46 57 1,46-34,57) Conclusão salicilatos associação COVID1 COVID- (DII 202 (34 9 (90 6 (65 1,7 IC9 172 1,172,5 11725 117 1,1 250 2,5 1,17-2,50 5,0 0 317 3,317,7 33177 331 3,3 778 7,7 3,31-7,7 3,1 104 2,104,7 21047 210 2,1 471 4,7 2,10-4,71 1,8 18 8 262 1,262,7 12627 126 1,2 278 2,7 1,26-2,78 22 2,2 583 1,583,33 15833 158 1,5 333 1,58-3,33 1,174,2 11742 428 4,2 1,17-4,2 7,1 4634 1,4634,57 146345 146 1,4 3457 34,5 1,46-34,57 20 (3 (9 (6 1, 1,172, 1172 11 25 2, 1,17-2,5 5, 3,317, 3317 3, 77 7, 3,31-7, 2,104, 2104 21 47 4, 2,10-4,7 1,262, 1262 12 27 1,26-2,7 1,583,3 1583 1,58-3,3 1,174, 1174 42 1,17-4, 463 1,4634,5 14634 345 34, 1,46-34,5 ( 1,172 1,17-2, 3,317 3,31-7 2,104 2,10-4, 1,262 1,26-2, 1,583, 1,58-3, 1,174 1,17-4 1,4634, 1463 1,46-34, 1,17-2 3,31- 2,10-4 1,26-2 1,583 1,58-3 1,17- 1,4634 1,46-34 2,10- 1,26- 1,58- 1,463 1,46-3 1,46-

https://doi.org/10.1590/s0004-2803.24612023-155

12.

Curva de Aprendizagem da Mortalidade Hospitalar da Substituição da Válvula Aórtica Transcateter: Insights do Registro Nacional Brasileiro Transcateter
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Bernardi, Fernando Luiz de Melo

; Abizaid, Alexandre A.

; Brito Jr, Fábio Sândoli de

; Lemos, Pedro A.

; Siqueira, Dimytri Alexandre Alvim de

; Costa, Ricardo Alves

; Leite, Rogério Eduardo Gomes Sarmento

; Mangione, Fernanda Marinho

; Thiago, Luiz Eduardo Koenig São

; Mangione, José A.

; Lima, Valter Correia de

; Oliveira, Adriano Dourado

; Marino, Marcos Antônio

; Cardoso, Carlos José Francisco

; Caramori, Paulo R. A.

; Tumelero, Rogério

; Portela, Antenor Lages Fortes

; Prudente, Mauricio

; Henriques, Leônidas Alvarenga

; Souza, Fabio Solano

; Bezerra, Cristiano Guedes

; Prado Jr, Guy F. A.

; Freitas, Leandro Zacaris Figueiredo

; Nogueira, Ederlon Ferreira

; Meireles, George César Ximenes

; Pope, Renato Bastos

; Guerios, Enio

; Andrade, Pedro Beraldo de

; Santos, Luciano de Moura

; Marchi, Mauricio Felippi de Sá

; Fundão, Nelson Henrique Fantin

; Ribeiro, Henrique Barbosa

Arquivos Brasileiros de Cardiologia

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2024, Volume 121 Nº 7 elocation e20230622

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

Abstract Background Robust data on the learning curve (LC) of transcatheter aortic valve replacement (TAVR) are lacking in developing countries. Objective To assess TAVR’s LC in Brazil over time. Methods We analyzed data from the Brazilian TAVR registry from 2008 to 2023. Patients from each center were numbered chronologically in case sequence numbers (CSNs). LC was performed using restricted cubic splines adjusted for EuroSCORE-II and the use of new-generation prostheses. Also, in-hospital outcomes were compared between groups defined according to the level of experience based on the CSN: 1st to 40th (initial-experience), 41st to 80th (early-experience), 81st to 120th (intermediate-experience), and over 121st (high-experience). Additional analysis was performed grouping hospitals according to the number of cases treated before 2014 (>40 and ≤40 procedures). The level of significance adopted was <0.05. Results A total of 3,194 patients from 25 centers were included. Mean age and EuroSCORE II were 80.7±8.1 years and 7±7.1, respectively. LC analysis demonstrated a drop in adjusted in-hospital mortality after treating 40 patients. A leveling off of the curve was observed after case #118. In-hospital mortality across the groups was 8.6%, 7.7%, 5.9%, and 3.7% for initial-, early-, intermediate-, and high-experience, respectively (p<0.001). High experience independently predicted lower mortality (OR 0.57, p=0.013 vs. initial experience). Low-volume centers before 2014 showed no significant decrease in the likelihood of death with gained experience, whereas high-volume centers had a continuous improvement after case #10. Conclusion A TAVR LC phenomenon was observed for in-hospital mortality in Brazil. This effect was more pronounced in centers that treated their first 40 cases before 2014 than those that reached this milestone after 2014. (LC (TAVR countries TAVRs s time 200 2023 CSNs. CSNs . (CSNs) EuroSCOREII newgeneration new generation prostheses Also inhospital hospital CSN st th initialexperience, initialexperience , (initial-experience) earlyexperience, earlyexperience early (early-experience) intermediateexperience, intermediateexperience intermediate (intermediate-experience) highexperience. highexperience high (high-experience) 201 >40 (>4 ≤4 procedures. procedures procedures) 005 0 05 <0.05 3194 3 194 3,19 2 included 80781 80 7 8 1 80.7±8. 771 7±7.1 4 118 #118 Inhospital In 86 6 8.6% 77 7.7% 59 5 9 5.9% 37 3.7 initial, initial- early, early- intermediate, intermediate- highexperience, high-experience p<0.001. p0001 p p<0.001 001 (p<0.001) OR 057 57 0.57 p0013 013 p=0.01 vs experience. experience) Lowvolume Low volume highvolume 10 #10 20 202 (CSNs (initial-experience (early-experience (intermediate-experience (high-experience >4 (> ≤ 00 <0.0 319 19 3,1 8078 80.7±8 7±7. 11 #11 8.6 7.7 5.9 3. p000 p<0.00 (p<0.001 0.5 p001 01 p=0.0 #1 > ( <0. 31 3, 807 80.7± 7±7 8. 7. 5. p00 p<0.0 (p<0.00 0. p=0. # <0 80.7 7± p0 p<0. (p<0.0 p=0 < 80. p<0 (p<0. p= p< (p<0 (p< (p

Resumo Fundamento Dados robustos sobre a curva de aprendizagem (LC) da substituição da válvula aórtica transcateter (TAVR) são escassos nos países em desenvolvimento. Objetivo Avaliar a LC da TAVR no Brasil ao longo do tempo. Métodos Analisamos dados do registro brasileiro de TAVR de 2008 a 2023. Pacientes de cada centro foram numerados cronologicamente em número sequencial de caso (NSC). A LC foi realizada usando um spline cúbico restrito ajustado para o EuroSCORE-II e o uso de próteses de nova geração. Ainda, os desfechos hospitalares foram comparados entre grupos definidos de acordo com o nível de experiência, com base no NSC: 1º ao 40º caso (experiência inicial), 41º ao 80º caso (experiência básica), 81º ao 120º caso (experiência intermediária) e 121º caso em diante (experiência alta). Análises adicionais foram conduzidas de acordo com o número de casos tratados antes de 2014 (>40 e ≤40 procedimentos). O nível de significância adotado foi p <0,05. Resultados Foram incluídos 3194 pacientes de 25 centros. A idade média foi 80,7±8,1 anos e o EuroSCORE II médio foi 7±7,1. A análise da LC demonstrou uma queda na mortalidade hospitalar ajustada após o tratamento de 40 pacientes. Um patamar de nivelamento na curva foi observado após o caso 118. A mortalidade hospitalar entre os grupos foi 8,6%, 7,7%, 5,9%, e 3,7% para experiência inicial, básica, intermediária e alta, respectivamente (p<0,001). A experiência alta foi preditora independente de mortalidade mais baixa (OR 0,57, p=0,013 vs. experiência inicial). Centros com baixo volume de casos antes de 2014 não mostraram uma redução significativa na probabilidade de morte com o ganho de experiência, enquanto centros com alto volume de casos antes de 2014 apresentaram uma melhora contínua após o caso de número 10. Conclusão Observou-se um fenômeno de LC para a mortalidade hospitalar do TAVR no Brasil. Esse efeito foi mais pronunciado em centros que trataram seus 40 primeiros casos antes de 2014 que naqueles que o fizeram após 2014. (LC (TAVR desenvolvimento tempo 200 2023 NSC. NSC . (NSC) EuroSCOREII geração Ainda º inicial , inicial) básica básica) alta. alta) 201 >40 (>4 ≤4 procedimentos. procedimentos procedimentos) 005 0 05 <0,05 319 2 80781 80 7 8 1 80,7±8, 771 7±7,1 4 118 86 6 8,6% 77 7,7% 59 5 9 5,9% 37 3 3,7 p<0,001. p0001 p<0,001 001 (p<0,001) OR 057 57 0,57 p0013 013 p=0,01 vs inicial. 10 Observouse Observou se 20 202 (NSC >4 (> ≤ 00 <0,0 31 8078 80,7±8 7±7, 11 8,6 7,7 5,9 3, p000 p<0,00 (p<0,001 0,5 p001 01 p=0,0 > ( <0, 807 80,7± 7±7 8, 7, 5, p00 p<0,0 (p<0,00 0, p=0, <0 80,7 7± p0 p<0, (p<0,0 p=0 < 80, p<0 (p<0, p= p< (p<0 (p< (p

https://doi.org/10.36660/abc.20230622

13.

Diretriz sobre Diagnóstico e Tratamento da Cardiomiopatia Hipertrófica – 2024 202 20 2
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Fernandes, Fabio

; Simões, Marcus V.

; Correia, Edileide de Barros

; Marcondes-Braga, Fabiana Goulart

; Coelho-Filho, Otavio Rizzi

; Mesquita, Cláudio Tinoco

; Mathias Junior, Wilson

; Antunes, Murillo de Oliveira

; Arteaga-Fernández, Edmundo

; Rochitte, Carlos Eduardo

; Ramires, Felix José Alvarez

; Alves, Silvia Marinho Martins

; Montera, Marcelo Westerlund

; Lopes, Renato Delascio

; Oliveira Junior, Mucio Tavares de

; Scolari, Fernando Luis

; Avila, Walkiria Samuel

; Canesin, Manoel Fernandes

; Bocchi, Edimar Alcides

; Bacal, Fernando

; Moura, Lidia Zytynski

; Saad, Eduardo Benchimol

; Scanavacca, Mauricio Ibrahim

; Valdigem, Bruno Pereira

; Cano, Manuel Nicolas

; Abizaid, Alexandre Antonio Cunha

; Ribeiro, Henrique Barbosa

; Lemos Neto, Pedro Alves

; Ribeiro, Gustavo Calado de Aguiar

; Jatene, Fabio Biscegli

; Dias, Ricardo Ribeiro

; Beck-da-Silva, Luis

; Rohde, Luis Eduardo Paim

; Bittencourt, Marcelo Imbroinise

; Pereira, Alexandre da Costa

; Krieger, José Eduardo

; Villacorta Junior, Humberto

; Martins, Wolney de Andrade

; Figueiredo Neto, José Albuquerque de

; Cardoso, Juliano Novaes

; Pastore, Carlos Alberto

; Jatene, Ieda Biscegli

; Tanaka, Ana Cristina Sayuri

; Hotta, Viviane Tiemi

; Romano, Minna Moreira Dias

; Albuquerque, Denilson Campos de

; Mourilhe-Rocha, Ricardo

; Hajjar, Ludhmila Abrahão

; Brito Junior, Fabio Sandoli de

; Caramelli, Bruno

; Calderaro, Daniela

; Farsky, Pedro Silvio

; Colafranceschi, Alexandre Siciliano

; Pinto, Ibraim Masciarelli Francisco

; Vieira, Marcelo Luiz Campos

; Danzmann, Luiz Claudio

; Barberato, Silvio Henrique

; Mady, Charles

; Martinelli Filho, Martino

; Torbey, Ana Flavia Malheiros

; Schwartzmann, Pedro Vellosa

; Macedo, Ariane Vieira Scarlatelli

; Ferreira, Silvia Moreira Ayub

; Schmidt, Andre

; Melo, Marcelo Dantas Tavares de

; Lima Filho, Moysés Oliveira

; Sposito, Andrei C.

; Brito, Flávio de Souza

; Biolo, Andreia

; Madrini Junior, Vagner

; Rizk, Stephanie Itala

; Mesquita, Evandro Tinoco

Arquivos Brasileiros de Cardiologia

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2024, Volume 121 Nº 7 elocation e202400415

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

https://doi.org/10.36660/abc.20240415

14.

Mental health of Brazilian physicians: a nationwide cross-sectional study to investigate factors associated with the prevalence of suicide plans and attempts physicians crosssectional cross sectional
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Luz, Leonardo Servio

; Cassenote, Alex Jones Flores

; Valente, Emanuelle Pessa

; Mariani, Ilaria

; Lazzerini, Marzia

; Lima, Carlos Vital Tavares Corrêa

; Giamberardino Filho, Donizetti Dimer

; Marques Filho, Edmilson de Freitas

; von Tiesenhausen, Hermann Alexandre Vivacqua

; Cabeça, Hideraldo Luis Souza

; Damásio, Lia Cruz Vaz da Costa

; de Souza Júnior, Milton Aparecido

; de Souza, Paulo Henrique

; Rocha, Rosylane Nascimento das Mercês

; Zaher-Rutheford, Vera Lucia

; Ribeiro, Mauro Luiz de Britto

; da Silva, Antônio Geraldo

; Gallo, José Hiran da Silva

Brazilian Journal of Psychiatry

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2024, Volume 46 elocation e20233393

Resumo: En | Texto: En | PDF: En

Objective: To report on suicide plans and attempts among Brazilian physicians and to investigate the associated risk factors. Methods: From January 2018 to January 2019, a nationwide online survey was conducted among Brazilian physicians using the Tool for Assessment of Suicide Risk and the Satisfaction with Life Scale. Multivariate exploratory associations of demographic, psychological, and work-related factors were performed on reports of suicide plans and attempts. Results: Of the 4,148 participants, 1,946 (53.5%) were male, 2,527 (60.9%) were 30 to 60 years old, 2,675 (64.5%) had two to four jobs, and 1,725 (41.6%) worked 40 to 60 hours a week. The overall prevalence of suicide plans was 8.8% (n=364), and suicide attempts were reported by 3.2% (n=133) of participants. Daily emotional exhaustion (ORadj = 7.857; 95%CI 2.282-27.051, p = 0.002), weekly emotional exhaustion (ORadj = 7.953; 95%CI 2.403-26.324, p = 0.001), daily frustration at work (ORadj = 3.093; 95%CI 1.711-5.588, p < 0.001), and bisexuality (ORadj = 5.083; 95%CI 2.544-10.158, p < 0.001) were significantly associated with higher odds of suicide. Extremely dissatisfied physicians reported suicide plans and attempts in 38.3% of cases, whereas extremely satisfied physicians reported suicide plans and attempts in only 2.8% of cases (p < 0.001). Conclusion: Brazilian physicians with a history of suicide plans and attempts express emotional exhaustion and frustration at work. There is an urgent need for actions to promote professional safeguards and resilience. Objective Methods 201 2019 Scale demographic psychological workrelated related Results 4148 4 148 4,14 participants 1946 1 946 1,94 53.5% 535 53 5 (53.5% male 2527 2 527 2,52 60.9% 609 9 (60.9% 3 6 old 2675 675 2,67 64.5% 645 64 (64.5% jobs 1725 725 1,72 41.6% 416 41 (41.6% week 88 8 8.8 n=364, n364 n n=364 , 364 (n=364) 32 3.2 n=133 n133 133 (n=133 ORadj 7.857 7857 7 857 95CI CI 95 2.28227.051, 228227051 2.282 27.051, 282 27 051 2.282-27.051 0.002, 0002 0.002 0 002 0.002) 7.953 7953 953 2.40326.324, 240326324 2.403 26.324, 403 26 324 2.403-26.324 0.001, 0001 0.001 001 3.093 3093 093 1.7115.588, 17115588 1.711 5.588, 711 588 1.711-5.588 5.083 5083 083 2.54410.158, 254410158 2.544 10.158, 544 10 158 2.544-10.158 383 38 38.3 28 2.8 0.001. . Conclusion resilience 20 414 14 4,1 194 94 1,9 53.5 (53.5 252 52 2,5 60.9 (60.9 267 67 2,6 64.5 (64.5 172 72 1,7 41.6 (41.6 8. n36 n=36 36 (n=364 3. n=13 n13 13 (n=13 7.85 785 85 28227 2.28227.051 22822705 2282 2.28 27051 27.051 05 2.282-27.05 000 0.00 00 7.95 795 40326 2.40326.324 24032632 2403 2.40 26324 26.324 2.403-26.32 3.09 309 09 7115 1.7115.588 1711558 1711 1.71 5588 5.588 71 58 1.711-5.58 5.08 508 08 54410 2.54410.158 25441015 2544 2.54 10158 10.158 54 15 2.544-10.15 38. 2. 4, 19 1, 53. (53. 25 2, 60. (60. 64. (64. 17 41. (41. n3 n=3 (n=36 n=1 n1 (n=1 7.8 78 2822 2.28227.05 2282270 228 2.2 2705 27.05 2.282-27.0 0.0 7.9 79 4032 2.40326.32 2403263 240 2.4 2632 26.32 2.403-26.3 3.0 1.7115.58 171155 171 1.7 558 5.58 1.711-5.5 5.0 50 5441 2.54410.15 2544101 254 2.5 1015 10.15 2.544-10.1 (53 (60 (64 (41 n= (n=3 (n= 7. 2.28227.0 228227 22 270 27.0 2.282-27. 0. 2.40326.3 240326 24 263 26.3 2.403-26. 1.7115.5 17115 1. 55 5.5 1.711-5. 5. 2.54410.1 254410 101 10.1 2.544-10. (5 (6 (4 (n 2.28227. 22822 27. 2.282-27 2.40326. 24032 26. 2.403-26 1.7115. 1.711-5 2.54410. 25441 10. 2.544-10 ( 2.28227 2.282-2 2.40326 2.403-2 1.7115 1.711- 2.54410 2.544-1 2.2822 2.282- 2.4032 2.403- 2.5441 2.544-

https://doi.org/10.47626/1516-4446-2023-3393

15.

Perianal Paget's Disease Metachronically Associated with Adenocarcinoma Pagets Paget s
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Chiquetti, Camila Vieira

; Gonçalves, Victor Hugo de Araújo

; Uliana, Leonardo Carnielli

; Ribeiro, Carlos Otávio da Silva

; Fonseca, Odinilson Almeida

; Santos, Carlos Henrique Marques dos

; Takita, Luiz Carlos

Journal of Coloproctology (Rio de Janeiro)

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2024, Volume 44 Nº 2 Páginas e141 - e144

Resumo: En | Texto: En | PDF: En

Abstract Introduction This article describes an unusual case of perianal Paget's Disease in a 42-year-old man, highlighting distinct characteristics about more typical cases. Case report 42-year-old male patient with persistent perianal lesion, recurrent abscesses, and discomfort. Magnetic resonance imaging indicated a possible fistulous path. Biopsy revealed secondary anal Paget's disease and adenocarcinoma. Chemotherapy and radiotherapy treatment demonstrated a positive response. Discussion Perianal Paget's Disease is a rare condition of the anal canal that is part of the Extramammary Paget's Disease (EMPD) group. Symptoms include itching, pain, perianal bleeding, and skin lesions. Diagnosis can be challenging and usually involves performing a histopathological biopsy associated with an immunohistochemical study. Treatment varies and may involve surgery, radiotherapy, and chemotherapy. Due to the rarity of the disease, the best therapeutic approach is not yet well defined, and follow-up is essential due to the risk of recurrence. Conclusion Perianal Paget's Disease is rare and requires differentiation from other conditions. Early detection is essential to prevent malignancy. Pagets Paget s 42yearold yearold 42 year old man cases lesion abscesses discomfort path adenocarcinoma response EMPD (EMPD group itching pain bleeding lesions study surgery chemotherapy defined followup follow up recurrence conditions malignancy 4

https://doi.org/10.1055/s-0044-1782156

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