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au:Roberto, Guilherme Garcia

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Fish fauna from a fragmented river in the Atlantic Forest
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Brito, Paulo Roberto Monteiro de

; Pereira, Luiz Henrique Garcia

; Roxo, Fábio Fernandes

; Monteiro, Jefferson Henriques

; Oiveira, Claudio

; Silva, Guilherme José da Costa

Biota Neotropica

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2022, Volume 22 Nº 2 elocation e20211286

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

Resumo: Este estudo buscou identificar a composição da ictiofauna do rio Muzambinho, um tributário de terras altas do Rio Paraná. Também buscamos investigar se as cachoeiras da região podem servir de barreiras para dispersão de espécies de peixes. Para isso, foram realizadas coletas em 34 pontos do Rio Muzambinho, com diferentes técnicas. Ao todo foram registradas 37 espécies de peixes, sendo algumas endêmicas e a maioria nativa. Dentre essas espécies algumas são predominantes em locais degradados e podem ser usadas como bioindicadores. Os resultados também demonstram que há uma zonação na composição ictiofaunística no Muzambinho que segrega a fauna em três sessões separadas por cachoeiras, Baixo Muzambinho, Alto Muzambinho e São Domingos. Concluímos que para a ideal preservação da ictiofauna do rio Muzambinho é necessária a preservação independente de suas sessões o que garantiria a manutenção de linhagens naturalmente isoladas.

Abstract: This study sought to identify the ichthyofauna composition of the Muzambinho River, an upland tributary of the Paraná River. We also investigate whether waterfalls in the region can serve as barriers to the dispersal of fish species. For this purpose, collections were carried out at 34 points on the Muzambinho River using different techniques. In all, 37 species were recorded, some of which were endemic, and the majority were native. Among these species, some are predominant in degraded places and can be used as bioindicators. The results also demonstrate zonation in the ichthyofauna composition in Muzambinho that segregates the fauna into three sessions separated by waterfalls: Lower Muzambinho, Upper Muzambinho, and Sao Domingos. We conclude that, for the ideal preservation of the ichthyofauna of the Muzambinho River, it is necessary to preserve its sections independently, which would guarantee the maintenance of naturally isolated strains.

https://doi.org/10.1590/1676-0611-bn-2021-1286

Consensus on diagnosis and management of non-metastatic castration resistant prostate cancer in Brazil: focus on patient, selection, treatment efficacy, side effects and physician's perception according to patient comorbidities
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Maluf, Fernando

; Soares, Andrey

; Avanço, Guilherme

; Hada, Aline Lury

; Cardoso, Ana Paula Garcia

; Carneiro, Arie

; Herchenhorn, Daniel

; Jardim, Denis Leonardo Fontes

; Schutz, Fabio Augusto

; Kater, Fabio Roberto

; Pereira, Felipe Moraes Toledo

; Monteiro, Fernando Sabino Marques

; Morbeck, Igor Alexandre Protzner

; Reolon, João Francisco Navarro

; Trindade, Karine Martins da

; Andrade, Livia Maria Querino da Silvo

; Nogueira, Lucas Mendes

; Furoni, Renato

; Natel, Ricardo Azze

; Reis, Rodolfo Borges dos

; Fogace, Rodrigo Nogueira

; Souza, Vinicius Carrera

International braz j urol

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Mar 2021, Volume 47 Nº 2 Páginas 359 - 373

Resumo: En | Texto: En | PDF: En

ABSTRACT Background: Non-metastatic castration resistant prostate cancer (M0 CRPC) has seen important developments in drugs and diagnostic tools in the last two years. New hormonal agents have demonstrated improvement in metastasis free survival in M0 CRPC patients and have been approved by regulatory agencies in Brazil. Additionally, newer and more sensitive imaging tools are able to detect metastasis earlier than before, which will impact the percentage of patients staged as M0 CRPC. Based on the available international guidelines, a group of Brazilian urology and medical oncology experts developed and completed a survey on the diagnosis and treatment of M0 CRPC in Brazil. These results are reviewed and summarized and associated recommendations are provided. Objective: To present survey results on management of M0 CRPC in Brazil. Design, setting, and participants: A panel of six Brazilian prostate cancer experts determined 64 questions concerning the main areas of interest: 1) staging tools, 2) treatments, 3) side effects of systemic treatment/s, and 4) osteoclast-targeted therapy. A larger panel of 28 Brazilian prostate cancer experts answered these questions in order to create country-specific recommendations discussed in this manuscript. Outcome measurements and statistical analysis: The panel voted publicly but anonymously on the predefined questions. These answers are the panelists' opinions, not a literature review or meta-analysis. Therapies not yet approved in Brazil were excluded from answer options. Each question had five to seven relevant answers including two non-answers. Results were tabulated in real time. Conclusions: The results and recommendations presented can be used by Brazilian physicians to support the management of M0 CRPC patients. Individual clinical decision making should be supported by available data, however, for Brazil, guidelines for diagnosis and management of M0 CRPC patients have not been developed. This document will serve as a point of reference when confronting this disease stage.

https://doi.org/10.1590/s1677-5538.ibju.2020.0249 789 downloads

[SciELO Preprints] - Seroprevalence of IgG and IgM anti-SARS-CoV-2 among voluntary blood donors in Rio de Janeiro, Brazil
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Amorim Filho, Luiz Szwarcwald, Célia Landmann Mateos, Sheila de Oliveira Garcia Leon, Antonio Carlos Monteiro Ponce de Medronho, Roberto de Andrade Veloso, Valdiléa Gonçalves Lopes, Josiane Iole França Porto, Luis Cristovão de Moraes Sobrino Chieppe, Alexandre Werneck, Guilherme Loureiro

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Data de publicação: 2020-05-09

Resumo: En

Background: In Brazil, mathematical models for deriving estimates and projections of COVID-19 cases have been developed without data on asymptomatic SARS-CoV-2 infection. We estimated the seroprevalence of antibodies to SARS-CoV-2 among blood donors in the State of Rio de Janeiro. Methods: Data were collected on 2,857 blood donors from April 14 to 27, 2020. We report the crude prevalence of antibodies to SARS-CoV-2, the weighted prevalence by the total state population, and adjusted prevalence estimates for test sensitivity and specificity. To establish the correlates of SARS-CoV-2 prevalence, we used logistic regression models. The analysis included period and site of blood collection, sociodemographic characteristics, and place of residence. Results: The proportion of SARS-Cov-2 positive tests without any adjustment was 4.0% (95% CI 3.3-4.7%), and the weighted prevalence was 3.8% (95% CI 3.1-4.5%). Further adjustment by test sensitivity and specificity produced lower estimates, 3.6% (95% CI 2.7-4.4%) and 3.3% (95% CI 2.6-4.1%), respectively. The variable most significantly associated with the crude prevalence was the period of blood collection: the later the period, the higher the prevalence. Regarding socio-demographic characteristics, the younger the blood donors, the higher the prevalence, and the lower the educational level, the higher the odds of a positive SARS-Cov-2 antibody. Similar results were found for the weighted prevalence. Discussion: Although our findings resulted from a convenience sample, they match some basic premises: the increasing trend over time, since the epidemic curve in the state is still on the rise; the higher prevalence among the youngest who are more likely to circulate; and the higher prevalence among the less educated as they have more difficulties in following the social distancing recommendations. Despite the study limitations, it is possible to infer that protective levels of natural herd immunity to SARS-CoV-2 are far from being reached in Rio de Janeiro.

https://doi.org/10.1590/SciELOPreprints.404

Seroprevalence of anti-SARS-CoV-2 among blood donors in Rio de Janeiro, Brazil
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Amorim Filho, Luiz

; Szwarcwald, Célia Landmann

; Mateos, Sheila de Oliveira Garcia

; Leon, Antonio Carlos Monteiro Ponce de

; Medronho, Roberto de Andrade

; Veloso, Valdiléa Gonçalves

; Lopes, Josiane Iole França

; Porto, Luis Cristovão de Moraes Sobrino

; Chieppe, Alexandre

; Werneck, Guilherme Loureiro

Revista de Saúde Pública

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2020, Volume 54 elocation 69

Resumo: En | Texto: En | PDF: En

ABSTRACT OBJECTIVE To estimate the seroprevalence of antibodies to SARS-CoV-2 among blood donors in the state of Rio de Janeiro, Brazil. METHODS Data were collected on 2,857 blood donors from April 14 to 27, 2020. This study reports crude prevalence of antibodies to SARS-CoV-2, population weighted prevalence for the state, and prevalence adjusted for test sensitivity and specificity. Logistic regression models were used to establish the correlates of SARS-CoV-2 prevalence. For the analysis, we considered collection period and site, sociodemographic characteristics, and place of residence. RESULTS The proportion of positive tests for SARS-Cov-2, without any adjustment, was 4.0% (95%CI 3.3–4.7%), and the weighted prevalence was 3.8% (95%CI 3.1–4.5%). We found lower estimates after adjusting for test sensitivity and specificity: 3.6% (95%CI 2.7–4.4%) for the non-weighted prevalence, and 3.3% (95%CI 2.6–4.1%) for the weighted prevalence. Collection period was the variable most significantly associated with crude prevalence: the later the period, the higher the prevalence. Regarding sociodemographic characteristics, the younger the blood donor, the higher the prevalence, and the lower the education level, the higher the odds of testing positive for SARS-Cov-2 antibody. We found similar results for weighted prevalence. CONCLUSIONS Our findings comply with some basic premises: the increasing trend over time, as the epidemic curve in the state is still on the rise; and the higher prevalence among both the youngest, for moving around more than older age groups, and the less educated, for encountering more difficulties in following social distancing recommendations. Despite the study limitations, we may infer that Rio de Janeiro is far from reaching the required levels of herd immunity against SARS-CoV-2.

https://doi.org/10.11606/s1518-8787.2020054002643

Seroprevalence of anti-SARS-CoV-2 among blood donors in Rio de Janeiro, Brazil
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Amorim Filho, Luiz

; Szwarcwald, Célia Landmann

; Mateos, Sheila de Oliveira Garcia

; Leon, Antonio Carlos Monteiro Ponce de

; Medronho, Roberto de Andrade

; Veloso, Valdiléa Gonçalves

; Lopes, Josiane Iole França

; Porto, Luis Cristovão de Moraes Sobrino

; Chieppe, Alexandre

; Werneck, Guilherme Loureiro

Revista de Saúde Pública

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2020, Volume 54 elocation 69

Resumo: En | Texto: En | PDF: En

https://doi.org/10.11606/s1518-8787.2020054002643 584 downloads

RP-HPLC and LC–MS–MS determination of a bioactive artefact from Ipomoea pes-caprae extract
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Barth, Cristiane da Silva

; Souza, Hugo Guilherme Tolentino de

; Rocha, Lilian W.

; Madeira, Camilla Regina de Souza

; Assis, Camila

; Bonomini, Tiago

; Malheiros, Angela

; Sandjo, Louis P.

; Niero, Rivaldo

; Filho, Cechinel

; Couto, Angelica Garcia

; Santin, José Roberto

; Quintão, Nara Lins Meira

; Bresolin, Tania Mari Belle

Revista Brasileira de Farmacognosia

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Out 2019, Volume 29 Nº 5 Páginas 570 - 577

Resumo: En | Texto: En | PDF: En

Abstract Solvents play important and critical role in natural product chemistry and could generate artefacts during the extraction and purification of metabolites from a biological matrix. This study aimed to correlate the chromatographic profile with biological activity of Ipomoea pes-caprae (L.) R. Br., Convolvulaceae, extracts obtained with hydroethanolic extraction. Thus, aerial parts of I. pes-caprae were extracted with different concentration of ethanol (50, 70 and 90°GL) and the obtained extracts were analysed by HPLC–UV. HPLC data were studied employing chemometrics to discriminate the samples. Moreover these samples were further characterized by using UPLC–QTOF/MS data. The extracts were also biomonitored through the paw-oedema and spontaneous nociception induced by trypsin in mice. Different chromatographic profiles were obtained and the exploratory analysis clearly revealed higher level of ethyl caffeate in extracts of lower strength of ethanol (50°GL). This compound was suggested to be an artefact formed by transesterification of caffeoylquinic acid derivatives present in the plant, once it was not observed when other solvents were employed. During the biological assay, only the extract obtained with ethanol 50°GL presented significant inhibition of inflammation (45 ± 9%) and nociception (24 ± 3%). Ethyl caffeate seems to be linked to the anti-inflammatory effect since it reduced 86 ± 5% of paw-oedema induced by trypsin. Artefacts could contribute to the biological activity of herbal preparations and consequently lead to misinterpretation of the results.

https://doi.org/10.1016/j.bjp.2019.05.005 472 downloads

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

Retalho retroauricular ilhado para reconstrução parcial de orelha: relato de casos orelha
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KOEHLER, LAURO ARNOLDO FERREIRA

; COIMBRA, VERENA BENEDICK

; CUNHA, MARCUS VINICIUS

; FERREIRA, CRISTIANE CAMARGO

; SILVEIRA, GUILHERME VASCONCELOS

; SOMMER, CAMILA GARCIA

; KRIEGER, JOÃO GUILHERME CAVALCANTI

; BOZOLA, ANTONIO ROBERTO

Revista Brasileira de Cirurgia Plástica

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Abr 2019, Volume 34 Nº 2 Páginas 283 - 286

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

ABSTRACT Partial ear defects can be treated in several ways, including primary closure, healing by secondary intention, or flaps. Several surgical options have been described for reconstruction in order to maintain the natural contour of the ear, without sacrificing healthy tissues or changing the aesthetics and function. In this article, we present two cases of reconstruction of chondrocutaneous defects of the ear after resection of basal cell carcinoma in the central region of the ear, with the production of a retroauricular island flap transposed through a cartilaginous window with the de-epidermized pedicle. The donor area healed following a primary closure. This procedure can be performed in a single stage, yields satisfactory aesthetic and functional results, and is safe because the retroauricular region is richly vascularized. ways closure intention flaps function article deepidermized de epidermized pedicle stage results vascularized

RESUMO Defeitos parciais de orelha podem ser tratados de diversas formas, dentre elas o fechamento primário, cicatrização por segunda intenção ou retalhos. Diversas opções técnicas foram descritas para a sua reconstrução de modo a manter o contorno natural da orelha, sem sacrificar tecido sadio ou alterar sua estética e função. Apresentamos neste artigo dois casos atendidos no Instituto do Câncer do Hospital de Base de São José do Rio Preto de reconstrução de defeitos condrocutâneos de orelha após ressecção de carcinoma basocelular em região central da orelha, com a confecção de retalho retroauricular ilhado transposto através de uma janela cartilaginosa e com o pedículo desepidermizado. Área doadora com fechamento primário. Tal procedimento constitui técnica segura, pois a região retroauricular é ricamente vascularizada, é de fácil execução, em único estágio e com resultado estético e funcional satisfatório. formas primário retalhos função desepidermizado segura vascularizada execução satisfatório

https://doi.org/10.5935/2177-1235.2019rbcp0146

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

10.

ADOLESCENT IDIOPATHIC SCOLIOSIS AND SIMILAR CONDITIONS: NEW TOOL TO MEASURE THE CORONAL PLANE
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Garcia, Enguer Beraldo

; Payão, Guilherme Brescia

; Garcia, Liliane Faria

; Garcia Jr, Enguer Beraldo

; Camarinha, Marcos Felipe

; Gonçalves, Roberto Garcia

; Camarinha, Juliana Garcia

; Giesbrech, Saulo Terror

; Matos, Victor de Oliveira

Coluna/Columna

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Dez 2018, Volume 17 Nº 4 Páginas 281 - 285

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

RESUMO Objetivo: Criar um método para mensurar o plano coronal global da coluna vertebral, denominado Ângulo Sacro Clavicular (ASC). Métodos: Executa-se uma linha na base do sacro, faz-se uma segunda linha central perpendicular a primeira na extensão proximal da coluna. Executa-se uma terceira linha passando nos pontos de encontro superiores das clavículas com as duas segundas costelas formando dois ângulos, mensura-se o maior. Portanto, os graus excedentes a 90° são os valores do ASC. Testou-se essa ferramenta estudando, retrospectivamente, 46 pacientes portadores de escoliose idiopática, que se submeteram às fixações curtas, apicais, únicas ou múltiplas. Usou-se instrumental terceira geração, avaliando o ASC no pré e pós-operatório, os quais foram comparados com outro grupo de 46 pacientes, abordados com a técnica tradicional. Resultados: Os pacientes pertencentes ao método de fixação tradicional apresentaram uma mediana de 3,0° referente ao ASC no pré-operatório. No pós-operatório, a mediana manteve-se em 3°, portanto houve uma redução de 0%. Os pacientes pertencentes ao método de fixação curta, apical, única ou múltipla apresentaram no pré-operatório a mediana de 6°, no pós-operatório de 1°, redução de aproximadamente 83% no pós-operatório. Conclusões: O grupo abordado com instrumentação curta, apical, única ou múltipla, apresentou uma redução de aproximadamente 83% no pós-operatório em relação ao pré-operatório. A diferença entre o pré e o pós-operatório foi considerada estatisticamente significativa. Nível de Evidência II; Retrospectivo.

ABSTRACT Objective: To create a method to measure the overall coronal plane of the spine, called the sacral clavicular angle (SCA). Methods: A line is drawn at the base of the sacrum; a second central line is drawn perpendicular to the first one in the proximal extension of the spine. A third line is drawn passing through the intersections of the superior points of the clavicles with the two second ribs, forming two angles, the greater of which is measured. Therefore, the degrees exceeding 90° are the SCA values. This tool was tested retrospectively in a study of 46 patients with idiopathic scoliosis who underwent short, apical, single or multiple fixations. Third generation instrumentation was used and the SCA was evaluated in the pre- and postoperative periods, which were compared with another group of 46 patients treated with the traditional technique. Results: Patients submitted to the traditional fixation method presented a median SCA of 3° in the preoperative period, and in the postoperative period, the SCA remained in 3°. Therefore, there was a 0% reduction. Patients submitted to short, apical, single or multiple fixation method presented a median preoperative SCA of 6°, and a postoperative median SCA of 1°, a reduction of approximately 83%. Conclusions: The group treated with short, apical, single or multiple instrumentation presented a reduction in the SCA of approximately 83% in the postoperative period compared to the preoperative period. The difference between preoperative and postoperative values was considered statistically significant. Level of Evidence II; Retrospective study.

RESUMEN Objetivo: Crear un método para mensurar el plano coronal general de la columna vertebral, llamado ángulo sacro clavicular (ASC). Métodos: Se hizo una línea en la base del sacro; una segunda línea central se hizo perpendicular a la primera en la extensión proximal de la columna vertebral. Se hizo una tercera línea que pasa a través de las intersecciones de las porciones superiores de las clavículas con las dos segundas costillas, formando dos ángulos, el mayor de los cuales se midió. Por lo tanto, los grados superiores a 90° son los valores del ASC. Esta herramienta fue probada retrospectivamente en un estudio de 46 pacientes con escoliosis idiopática que se sometieron a fijaciones cortas, apicales, únicas o múltiples. Se utilizó instrumentación de tercera generación y se evaluó el ASC en los períodos pre y postoperatorio, que se compararon con otro grupo de 46 pacientes tratados con la técnica tradicional. Resultados: Los pacientes sometidos al método de fijación tradicional presentaron una mediana de ASC de 3° en el período preoperatorio, y en el postoperatorio, el ASC se mantuvo en 3°. Por lo tanto, hubo una reducción del 0%. Los pacientes sometidos a un método de fijación corta, apical, única o múltiple presentaron una mediana de ASC preoperatoria de 6° y una mediana de ASC postoperatoria de 1°, una reducción de aproximadamente 83%. Conclusiones: El grupo tratado con instrumentación corta, apical, única o múltiple presentó una reducción en el ASC de aproximadamente 83% en el período postoperatorio en comparación con el período preoperatorio. La diferencia entre los valores preoperatorios y postoperatorios se consideró estadísticamente significativa. Nivel de Evidencia II; Estudio retrospectivo.

https://doi.org/10.1590/s1808-185120181704191820 908 downloads

11.

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

12.

Variação da fotossíntese e dos teores de carboidratos induzidos por etefom e déficit hídrico na fase de maturação da cana-de-açúcar
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Roberto, Guilherme Garcia

; Cunha, Camila

; Sales, Cristina Rodrigues Gabriel

; Silveira, Neidiquele Maria

; Ribeiro, Rafael Vasconcelos

; Machado, Eduardo Caruso

; Lagôa, Ana Maria Magalhães Andrade

Bragantia

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Dez 2015, Volume 74 Nº 4 Páginas 379 - 386

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

ResumoUm importante índice para a indústria sucroalcooleira é a produtividade de sacarose em cana-de-açúcar, que pode ser relacionada à capacidade da planta em acumular sacarose durante a maturação. Apesar de se conhecer a eficiência de tratamentos como a restrição hídrica e a aplicação de reguladores para estimular o acúmulo de sacarose nos colmos, pouco se conhece sobre as respostas fisiológicas da planta que levam à maturação. Nesse contexto, o objetivo deste estudo foi avaliar as respostas fisiológicas da cana-de-açúcar a diferentes tratamentos indutores de maturação e, assim, compreender melhor a fisiologia desse processo. Duas variedades, a IACSP95-5000, de alta produtividade, e a IACSP94-2094, de produtividade moderada, foram submetidas ao déficit hídrico, à aplicação de regulador químico (etefom 480 g ha–1) e aos dois tratamentos associados. Foram medidos o crescimento, a concentração de carboidratos em folhas e colmos e as trocas gasosas. Concluiu-se que o efeito do etefom em cana-de-açúcar é genótipo-dependente, estimulando o acúmulo de sacarose no colmo e o suprimento de fotoassimilados pela fonte na variedade responsiva (IACSP95-5000). Tais efeitos não são associados à restrição do crescimento. Em relação à aplicação dos tratamentos de déficit hídrico e etefom associados, a variedade responsiva apresenta aumento no teor de sacarose no colmo nos mesmos níveis apresentados quando apenas etefom é aplicado, de modo que os tratamentos não apresentam efeitos aditivos na maturação da cana-de-açúcar.

AbstractAn important index for the ethanol industry is the sucrose yield in sugarcane, which is affected by plant ability to accumulate sucrose during ripening. Despite the known efficiency of treatments such as water restriction and the application of regulators to stimulate the sucrose storage in culms, little is known about the physiological responses of the plant that lead to ripening. In this context, the aim of this study was to evaluate the physiological responses of sugarcane to different ripening treatments. Two varieties, IACSP95-5000, with high yield, and IACSP94-2094, with moderate yield were subjected to water deficit or application of chemical regulator (ethephon 480 g ha–1) and both treatments associated. Growth, accumulation of carbohydrates in leaves and culms were measured. It can be concluded that the effects of ethephon on sugarcane are genotype-dependent. Ethephon stimulates sucrose accumulation in the culm and the photosynthate supply by the source in the responsive variety (IACSP95-5000). Such effects are not associated with growth restriction. In relation to the drought combined with the application of ethephon, the responsive variety shows increased sucrose content in culm at the same level as when ethephon is applied alone, hence treatments have no additive effects on sugarcane ripening.

https://doi.org/10.1590/1678-4499.0062 4296 downloads

13.

Satisfação de usuários num Centro de Atenção Psicossocial em álcool e outras drogas
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Barbosa, Guilherme Correa

; Oliveira, Márcia Aparecida Ferreira de

; Moreno, Vânia

; Padovani, Carlos Roberto

; Claro, Heloisa Garcia

; Pinho, Paula Hayashi

Revista Portuguesa de Enfermagem de Saúde Mental

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Dez 2015, Nº 14 Páginas 31 - 37

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

Este estudio transversal descriptivo y exploratorio evalúa la satisfacción de los usuarios de un Centro de Atención Psicosocial de alcohol y otras drogas. Fueron entrevistados 25 sujetos en una ciudad en el interior del estado de São Paulo. Se recogieron datos de mayo hasta julio 2013 mediante la Escala de Satisfacción del Paciente con los Servicios de Salud Mental. La mayoría de los usuarios eran hombres (68%) con una edad media de 43 años, solteros (48%), con educación primaria incompleta (40%), actualmente empleados (36%), y tiene ingresos propios (76%). Los resultados muestran que la mayoría de los usuarios estaban satisfechos con respecto a los siguientes aspectos: la competencia y la comprensión del equipo de salud acerca de los problemas de los usuarios; atención recibida; acogida por el equipo de salud; y en relación con las condiciones físicas y la comodidad de CAPSad. Se observó la importancia de este servicio a los usuarios, siendo fundamental para el tratamiento de esta demanda.

Este estudo de caráter descritivo, exploratório e transversal teve como objetivo avaliar a satisfação dos usuários de um Centro de Atenção Psicossocial em Álcool e Outras Drogas. Foram entrevistados 25 sujeitos, em um município do interior do Estado de São Paulo. Os dados foram coletados entre maio e julho de 2013. Utilizou-se a Escala de Satisfação dos Pacientes com os Serviços de Saúde Mental. A maioria dos usuários era do sexo masculino (68%), com idade média de 43 anos, solteiros (48%), com ensino fundamental incompleto (40%), empregados (36%), sendo que 76% possui renda própria. Os resultados apontaram que grande parte dos usuários estava satisfeito em relação aos aspectos: competência e compreensão da equipe sobre o problema do usuário, ajuda recebida e acolhida da equipe e no que se refere às condições físicas e conforto do CAPSad. Constatou-se a importância desse serviço aos usuários sendo fundamental para o tratamento dessa demanda.

This cross-sectional descriptive and exploratory study aimed to evaluate the satisfaction of users of a Psychosocial Care Center on Alcohol and Other Drugs. 25 subjects were interviewed in a country side city in the state of São Paulo. Data were collected from May to July 2013 using the Patient Satisfaction Scale with Mental Health Services. Most users were male (68%) with a mean age of 43 years, unmarried (48%), with incomplete primary education (40%), currently employed (36%), 76% have their own income. The results show that most users were satisfied regarding the following aspects: competence and understanding of the health team about the user's problems; care received; embracement by the health team; and regarding physical conditions and comfort of CAPSad. It was observed the importance of this service to users, being fundamental to the treatment of this demand.

https://doi.org/10.19131/rpesm.0103 3515 downloads

14.

Internato Médico: o Desafio da Diversificação dos Cenários da Prática
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Teixeira, Luciana de Almeida Silva

; Spicacci, Felipe Bueno

; Melo, Isabela Borges de

; Takao, Marina Mayumi Vendrame

; Dornelas, Alberto Garcia

; Pardi, Guilherme Rocha

; Bollela, Valdes Roberto

Revista Brasileira de Educação Médica

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Jun 2015, Volume 39 Nº 2 Páginas 226 - 232

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

A formação do aluno no curso de Medicina precisa se aproximar dos campos de prática vivenciados pelo médico atualmente. Este estudo objetivou caracterizar as experiências educacionais dos internos dentro de atividades em Atenção Primária, Secundária e Terciária à saúde, com vistas a otimizá-las. Inicialmente, foi descrita a criação de um estágio em atendimento secundário, antes inexistente na instituição, e avaliada a percepção dos alunos envolvidos. Posteriormente, foram caracterizados os atendimentos prestados pelos alunos em três cenários (primário, secundário e terciário) durante 30 dias. A criação do estágio na Unidade de Pronto Atendimento foi bem recebida pelos alunos, que sentiram necessidade de investir mais carga horária neste cenário. Foram avaliadas 201 consultas realizadas por internos, sendo a maioria na Atenção Primária. Houve grande diversificação dos motivos das consultas conforme o cenário de prática, e a preceptoria do interno ocorreu em todos os atendimentos. Concluímos que os diferentes cenários realmente oferecem oportunidades de aprendizado complementares que devem ser valorizadas institucionalmente.

There is a need for undergraduate medical training to bring students closer to the real clinical settings they will face early in their professional lives. This study aims to review and improve student interns’ experience in different clinical scenarios: primary health care; secondary outpatient clinic (a new rotation) and the emergency room of a tertiary hospital. This new rotation is an opportunity for students to see acutely ill patients before they are referred to the hospital. Following a 30-day period, the students’ perceptions were surveyed and, based on student records, a list of all the patients (and diagnoses) which they saw was composed. The final result was a list of clinical conditions from these three different scenarios. Students acknowledge that the new rotation added to their clinical learning, especially because it was based on non-referred patients. They also felt that 4 hours/week is not enough and asked for more time in this rotation. During their 30 days, 7 students performed 201 consultations, most of them in the primary health care setting. There was a wide variety of clinical cases, which was possible because the students rotate among those three settings. Some experiences were only possible due to the new outpatient clinic rotation, indicating how this approach offer complementary learning opportunities which should be institutionally valued.

https://doi.org/10.1590/1981-52712015v39n2e00332014 2592 downloads

15.

Exuberant clinical picture of Buschke-Fischer-Brauer palmoplantar keratoderma in bedridden patient
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Antonio, João Roberto

; Oliveira, Guilherme Bueno de

; Rossi, Natalia Cristina Pires

; Pires, Laiza Gabriela Garcia

Anais Brasileiros de Dermatologia

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Set 2014, Volume 89 Nº 5 Páginas 819 - 821

Resumo: En | Texto: En | PDF: En

Buschke-Fisher-Brauer keratoderma is a rare hereditary autosomal dominant disease of incomplete penetrance. Important differential diagnoses include other palmoplantar keratinization disorders, acquired or hereditary, which is done based on the histopathological findings. This diagnosis alerts especially about the possibility of associated neoplasms. Treatment involves topical keratolytic agents, usually with little efficacy, or with long-term systemic retinoids with follow-up of exuberant collateral effects.

https://doi.org/10.1590/abd1806-4841.20142923 5636 downloads

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