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Facial phantom model: a low-cost and safe tool for teaching botulinum toxin application in neurology residencies model lowcost low cost
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Alencar e Silva, Rodrigo

; Fraiman, Pedro

; Godeiro Júnior, Clécio de Oliveira

Arquivos de Neuro-Psiquiatria

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2024, Volume 82 Nº 1 elocation s00441779037

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

Abstract Background The application of botulinum toxin (BoNT) in the treatment of blepharospasm and hemifacial spasm (HS) is a well-established practice. However, neurology residency programs often rely on real patients for training, which has limitations in terms of patient availability and skill acquisition. Objective Assess the efficacy of a new facial phantom model for acquiring motor skills in BoNT application. Methods An anthropomorphic facial phantom model was developed in collaboration with a medical training simulator start-up. A group of seven neurologists and one ophthalmologist with expertise in BoNT application evaluated the model using an adapted learning object review instrument (LORI). The instrument assessed aspects such as: content quality, alignment of learning objectives, feedback and adaptation, motivation, presentation design, and accessibility. Results The facial phantom model received high scores in the LORI evaluation, with the highest ratings given to alignment with learning objectives and motivation. The model also scored well in terms of accessibility, content quality, and presentation design. However, feedback and adaptation received a lower score due to the static nature of the model. Conclusion The facial phantom model shows promise as a valuable tool for teaching and developing competence in BoNT application for HS and blepharospasm. The model reduces the reliance on real patients for training, providing a broader and safer learning experience for neurology residents. It also provides a realistic learning experience and offers portability, cost-effectiveness, and ease of manufacturing for use in various medical training scenarios. It is an effective and accessible tool for teaching BoNT application. (BoNT (HS wellestablished established practice However acquisition startup. startup start up. up start-up LORI. . (LORI) quality motivation design accessibility evaluation residents portability costeffectiveness, costeffectiveness cost effectiveness, effectiveness cost-effectiveness scenarios (LORI

Resumo Antecedentes A aplicação de toxina botulínica (TxB) no tratamento do blefaroespasmo e do espasmo hemifacial (EH) é uma prática bem estabelecida. No entanto, os programas de residência em neurologia frequentemente dependem de pacientes reais para treinamento, o que apresenta limitações em termos de disponibilidade de pacientes e aquisição de habilidades. Objetivo Avaliar a eficácia de um novo modelo de manequim facial para aquisição de habilidades motoras na aplicação de TxB. Métodos Foi desenvolvido um modelo antropomórfico de manequim facial em coloboração com uma empresa de simuladores de treinamento médico. Um grupo constituído por sete neurologistas e um oftalmologista com experiência em aplicação de TxB avaliou o modelo utilizando um instrumento adaptado de revisão de objeto de aprendizagem (LORI). O instrumento analisou aspectos como: qualidade do conteúdo, alinhamento dos objetivos de aprendizagem, feedback e adaptação, motivação, concepção da apresentação e acessibilidade. Resultados O modelo de manequim facial obteve pontuações altas na avaliação do LORI com os maiores escores em alinhamento com os objetivos de aprendizagem e motivação. O modelo também obteve boas pontuações em termos de acessibilidade, qualidade do conteúdo e concepção da apresentação. No entanto, o item feedback e adaptação recebeu uma pontuação média mais baixa, devido à natureza estática. Conclusão O modelo manequim facial mostra-se promissor como uma EH e blefaroespasmo. O modelo reduz a dependência de pacientes reais para treinamento portátil, de baixo custo e de fácil fabricação para uso em diversos cenários de treinamento, proporcionando uma experiência de aprendizagem mais ampla e segura para residentes de neurologia. Além disso, fornece uma experiência de aprendizagem realista e oferece portabilidade, economia e facilidade de fabricação para uso em vários cenários de treinamento médico. É uma ferramenta eficaz e acessível para o ensino da aplicação de TxB. (TxB (EH estabelecida entanto médico LORI. . (LORI) motivação acessibilidade baixa estática mostrase mostra se portátil disso portabilidade (LORI

https://doi.org/10.1055/s-0044-1779037

Prospective, randomized, controlled trial assessing the effects of a driving pressure–limiting strategy for patients with acute respiratory distress syndrome due to community-acquired pneumonia (STAMINA trial): protocol and statistical analysis plan Prospective randomized pressurelimiting pressure limiting communityacquired community acquired STAMINA trial)
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Maia, Israel Silva

; Medrado Jr, Fernando Azevedo

; Tramujas, Lucas

; Tomazini, Bruno Martins

; Oliveira, Júlia Souza

; Sady, Erica Regina Ribeiro

; Barbante, Letícia Galvão

; Nicola, Marina Lazzari

; Gurgel, Rodrigo Magalhães

; Damiani, Lucas Petri

; Negrelli, Karina Leal

; Miranda, Tamiris Abait

; Santucci, Eliana

; Valeis, Nanci

; Laranjeira, Ligia Nasi

; Westphal, Glauco Adrieno

; Fernandes, Ruthy Perotto

; Zandonai, Cássio Luis

; Pincelli, Mariangela Pimentel

; Figueiredo, Rodrigo Cruvinel

; Bustamante, Cíntia Loss Sartori

; Norbin, Luiz Fernando

; Boschi, Emerson

; Lessa, Rafael

; Romano, Marcelo Pereira

; Miura, Mieko Cláudia

; Alencar Filho, Meton Soares de

; Dantas, Vicente Cés de Souza

; Barreto, Priscilla Alves

; Hernandes, Mauro Esteves

; Grion, Cintia Magalhães Carvalho

; Laranjeira, Alexandre Sanches

; Mezzaroba, Ana Luiza

; Bahl, Marina

; Starke, Ana Carolina

; Biondi, Rodrigo Santos

; Dal-Pizzol, Felipe

; Caser, Eliana Bernadete

; Thompson, Marlus Muri

; Padial, Andrea Allegrini

; Veiga, Viviane Cordeiro

; Leite, Rodrigo Thot

; Araújo, Gustavo

; Guimarães, Mário

; Martins, Priscilla de Aquino

; Lacerda, Fábio Holanda

; Hoffmann Filho, Conrado Roberto

; Melro, Livia

; Pacheco, Eduardo

; Ospina-Táscon, Gustavo Adolfo

; Ferreira, Juliana Carvalho

; Freires, Fabricio Jocundo Calado

; Machado, Flávia Ribeiro

; Cavalcanti, Alexandre Biasi

; Zampieri, Fernando Godinho

Critical Care Science

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2024, Volume 36 elocation e20240210en

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

ABSTRACT Background: Driving pressure has been suggested to be the main driver of ventilator-induced lung injury and mortality in observational studies of acute respiratory distress syndrome. Whether a driving pressure-limiting strategy can improve clinical outcomes is unclear. Objective: To describe the protocol and statistical analysis plan that will be used to test whether a driving pressure-limiting strategy including positive end-expiratory pressure titration according to the best respiratory compliance and reduction in tidal volume is superior to a standard strategy involving the use of the ARDSNet low-positive end-expiratory pressure table in terms of increasing the number of ventilator-free days in patients with acute respiratory distress syndrome due to community-acquired pneumonia. Methods: The ventilator STrAtegy for coMmunIty acquired pNeumoniA (STAMINA) study is a randomized, multicenter, open-label trial that compares a driving pressure-limiting strategy to the ARDSnet low-positive end-expiratory pressure table in patients with moderate-to-severe acute respiratory distress syndrome due to community-acquired pneumonia admitted to intensive care units. We expect to recruit 500 patients from 20 Brazilian and 2 Colombian intensive care units. They will be randomized to a driving pressure-limiting strategy group or to a standard strategy using the ARDSNet low-positive end-expiratory pressure table. In the driving pressure-limiting strategy group, positive end-expiratory pressure will be titrated according to the best respiratory system compliance. Outcomes: The primary outcome is the number of ventilator-free days within 28 days. The secondary outcomes are in-hospital and intensive care unit mortality and the need for rescue therapies such as extracorporeal life support, recruitment maneuvers and inhaled nitric oxide. Conclusion: STAMINA is designed to provide evidence on whether a driving pressure-limiting strategy is superior to the ARDSNet low-positive end-expiratory pressure table strategy for increasing the number of ventilator-free days within 28 days in patients with moderate-to-severe acute respiratory distress syndrome. Here, we describe the rationale, design and status of the trial. Background ventilatorinduced induced pressurelimiting limiting unclear Objective endexpiratory end expiratory lowpositive low ventilatorfree free communityacquired community Methods (STAMINA multicenter openlabel open label moderatetosevere moderate severe units 50 Outcomes inhospital hospital support oxide Conclusion Here rationale 5

RESUMO Contexto: Em estudos observacionais sobre a síndrome do desconforto respiratório agudo, sugeriu-se que a driving pressure é o principal fator de lesão pulmonar induzida por ventilador e de mortalidade. Não está claro se uma estratégia de limitação da driving pressure pode melhorar os desfechos clínicos. Objetivo: Descrever o protocolo e o plano de análise estatística que serão usados para testar se uma estratégia de limitação da driving pressure envolvendo a titulação da pressão positiva expiratória final de acordo com a melhor complacência respiratória e a redução do volume corrente é superior a uma estratégia padrão envolvendo o uso da tabela de pressão positiva expiratória final baixa do protocolo ARDSNet, em termos de aumento do número de dias sem ventilador em pacientes com síndrome do desconforto respiratório agudo devido à pneumonia adquirida na comunidade. Métodos: O estudo STAMINA (ventilator STrAtegy for coMmunIty acquired pNeumoniA) é randomizado, multicêntrico e aberto e compara uma estratégia de limitação da driving pressure com a tabela de pressão positiva expiratória final baixa do protocolo ARDSnet em pacientes com síndrome do desconforto respiratório agudo moderada a grave devido à pneumonia adquirida na comunidade internados em unidades de terapia intensiva. Esperamos recrutar 500 pacientes de 20 unidades de terapia intensiva brasileiras e duas colombianas. Eles serão randomizados para um grupo da estratégia de limitação da driving pressure ou para um grupo de estratégia padrão usando a tabela de pressão positiva expiratória final baixa do protocolo ARDSnet. No grupo da estratégia de limitação da driving pressure, a pressão positiva expiratória final será titulada de acordo com a melhor complacência do sistema respiratório. Desfechos: O desfecho primário é o número de dias sem ventilador em 28 dias. Os desfechos secundários são a mortalidade hospitalar e na unidade de terapia intensiva e a necessidade de terapias de resgate, como suporte de vida extracorpóreo, manobras de recrutamento e óxido nítrico inalado. Conclusão: O STAMINA foi projetado para fornecer evidências sobre se uma estratégia de limitação da driving pressure é superior à estratégia da tabela de pressão positiva expiratória final baixa do protocolo ARDSnet para aumentar o número de dias sem ventilador em 28 dias em pacientes com síndrome do desconforto respiratório agudo moderada a grave. Aqui, descrevemos a justificativa, o desenho e o status do estudo. Contexto sugeriuse sugeriu clínicos Objetivo ARDSNet Métodos ventilator pNeumoniA randomizado 50 2 colombianas Desfechos resgate extracorpóreo inalado Conclusão Aqui justificativa 5

https://doi.org/10.62675/2965-2774.20240210-en

Progressive encephalopathy due to chronic exposure to lead
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Aquino, Bárbara Cristina Vieira de

; Pessoa Neto, Agábio Diógenes

; Freire, Mariana Galvão de Lima Martins

; Fidelix, Emanuela Coriolano

; Brito, Paulo Santiago de Morais

; Moreira Neto, Manuel

; Silva, Rodrigo Alencar e

; Godeiro Junior, Clécio de Oliveira

Arquivos de Neuro-Psiquiatria

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Out 2022, Volume 80 Nº 10 Páginas 1079 - 1080

Resumo: En | Texto: En | PDF: En

https://doi.org/10.1055/s-0042-1758393

Association between bone mineral density and content and physical growth parameters among children and adolescents diagnosed with HIV: a cross-sectional study
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Zanlorenci, Suellem

; Martins, Priscila Custódio

; Alves Junior, Carlos Alencar Souza

; Castro, João Antônio Chula de

; Lima, Luiz Rodrigo Augustemak de

; Petroski, Edio Luiz

; Silva, Diego Augusto Santos

Sao Paulo Medical Journal

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Out 2022, Volume 140 Nº 5 Páginas 682 - 690

Resumo: En | Texto: En | PDF: En

ABSTRACT BACKGROUND: During childhood and adolescence, there are significant increases in bone mineral content (BMC) and bone mineral density (BMD). OBJECTIVE: To investigate physical growth parameters associated with BMD and BMC among children and adolescents diagnosed with human immunodeficiency virus (HIV). DESIGN AND SETTING: Cross-sectional study conducted in Florianópolis, Brazil, among 63 children and adolescents (aged 8-15 years) diagnosed with HIV. METHOD: BMD, BMC and fat percentage z score were evaluated using dual X-ray absorptiometry. Age/height z score and body mass index (BMI)/age z score were obtained in accordance with international recommendations, and bone age was obtained through hand-wrist radiography. Sex, family income, information on HIV infection (T CD4+ lymphocyte count, viral load and type of antiretroviral therapy, moderate-vigorous physical activity and sedentary behavior) were used as adjustment variables in the analyses. Simple and multiple linear regression analyses were performed, with a significance level of P ≤ 0.05. RESULTS: Subtotal BMD (without the head region) was directly associated with bone age, BMI/age z score and fat percentage z score, even after adjusting for covariates. Subtotal BMC/height was directly associated with bone age, height/age z score, BMI/age z score and fat percentage z score, even after adjusting for covariates. CONCLUSION: Subtotal BMD and subtotal BMC/height were directly associated with physical growth indicators among children and adolescents diagnosed with HIV.

https://doi.org/10.1590/1516-3180.2021.0549.r1.03012022

What anthropometric indicators are associated with insulin resistance? Cross-sectional study on children and adolescents with diagnosed human immunodeficiency virus
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Alves Junior, Carlos Alencar Souza

; Martins, Priscila Custódio

; Lima, Luiz Rodrigo Augustemak de

; Silva, Diego Augusto Santos

Sao Paulo Medical Journal

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Fev 2022, Volume 140 Nº 1 Páginas 94 - 100

Resumo: En | Texto: En | PDF: En

ABSTRACT BACKGROUND: Studies that test associations between anthropometric indicators and insulin resistance (IR) need to provide better evidence in the context of the pediatric population (children and adolescents) with human immunodeficiency virus (HIV), as anthropometric indicators present a better explanation of the distribution of body fat. OBJECTIVE: To test the associations between anthropometric indicators and insulin resistance (IR) among children and adolescents diagnosed with HIV. DESIGN AND SETTING: Cross-sectional study on 65 children and adolescents (8-15 years) infected with HIV through vertical transmission conducted at the Joana de Gusmão Children's Hospital, Florianópolis, Brazil. METHODS: The anthropometric indicators measured were the abdominal (ASF), triceps (TSF), subscapular (SSF) and calf (CSF) skinfolds. The relaxed arm (RAC), waist (WC) and neck (NC) circumferences were also measured. Body mass index (BMI) was calculated from the relationship between body mass and height. IR was calculated through the Homeostasis Model Assessment for Insulin Resistance (HOMA-IR). Simple and multiple linear regression analyses were used. RESULTS: After adjustment for covariates (sex, bone age, CD4+ T lymphocytes, CD8+ T lymphocytes, viral load, and physical activity), associations between IR and models with SSF and CSF remained. Each of these explained 20% of IR variability. For females, in the adjusted analyses, direct associations between IR and models with ASF (R² = 0.26) and TSF (R² = 0.31) were observed. CONCLUSIONS: SSF and CSF in males and ASF and TSF in females were associated with IR in HIV-infected children and adolescents.

https://doi.org/10.1590/1516-3180.2021.0303.27052021

Ultrasonographic evaluation of cecal appendix diameter in pediatric population
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Queiroz, Marcos Roberto Gomes de

; Francisco Neto, Miguel José

; Rahal Junior, Antonio

; Jabour, Victor Arantes

; Andrade, Guilherme Neves Lourenço

; Silva, Paulo Savoia Dias da

; Garcia, Rodrigo Gobbo

; Pereira, Marcelo dos Santos

; Santos, Marina Ramos

; Luna, Pedro Andrade Alencar

; Sameshima, Yoshino Tamaki

; Gual, Fabiana

; Dutra, Marcelo Guimarães

; Germino, Beatriz Placca

; Alves, Isabella Ferreira

einstein (São Paulo)

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2022, Volume 20 elocation eAO6935

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective To stratify ultrasound samples in a pediatric population undergoing evaluation for acute appendicitis to examine the variability in cecal appendix diameter, in different age groups, and to determine whether there is a prevalent value for each age group. Methods A retrospective cross-sectional study with 196 children aged 0 to 15 years. Data were extracted from reports of ultrasound examinations carried out between 2008 and 2015. Children with sonographic diagnosis of appendicitis or other signs of periappendiceal inflammation were excluded. Results The evaluation of the anteroposterior measurement of the cecal appendix revealed a mean diameter of 4.14mm (standard deviation: 0.93mm; 95%CI: 3.86-4.14). Cecal appendix diameter did not differ significant between age groups. Conclusion Evaluation of the anteroposterior diameter of the cecal appendix in centimeters in a sample of 196 children aged 0 to15 years revealed a mean diameter of 4.14mm (standard deviation, 0.93mm. There were no significant differences in cecal appendix diameter following stratification by age. Results indicate a single value can be adopted for mean cecal appendix diameter in pediatric populations.

https://doi.org/10.31744/einstein_journal/2022ao6935

Reply to the letter “Multifocal T2-/DWI-hyperintense cerebral lesions in COVID-19 not necessarily imply demyelination”
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PESSOA NETO, Agábio Diógenes

; ALVES, Manoella do Monte

; BRITO, Paulo Santiago de Morais

; MOREIRA NETO, Manuel

; SILVA, Rodrigo Alencar e

; TEIXEIRA DOURADO JUNIOR, Mario Emílio

; GODEIRO JUNIOR, Clécio de Oliveira

Arquivos de Neuro-Psiquiatria

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Jan 2021, Volume 79 Nº 1 Páginas 94 - 95

Resumo: En | Texto: En | PDF: En

https://doi.org/10.1590/0004-282x-anp-2020-0505rep 322 downloads

Study of the floristic, functional and phylogenetic composition of trees in a short time in a forest fragment of the Atlantic Forest, Brazil
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Gomes Pires de Paula, Gabriela

; de Souza, Cleber Rodrigo

; Andrade Maia, Vinícius

; de Aguiar Campos, Natalia

; Alencar Fagundes, Nathalle Cristine

; Moreira Gianasi, Fernanda

; Teixeira Girardelli, Diego

; Rodrigues Pais, Aurélio de Jesus

; da Silva, Wilder Bento

; dos Santos, Rubens Manoel

Bosque (Valdivia)

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Dez 2020, Volume 41 Nº 3 Páginas 261 - 276

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

SUMMARY: Discrete thresholds of structural or functional decline of a vegetation type are not readily apparent, as a vegetation type can slowly decline leading to transformations in its species composition and weakened or altered functions. However, forest monitoring can be used to assess changes in ecological functions in community structure and functional and phylogenetic composition of species. This study evaluated the existence of temporal variations in the functional and phylogenetic composition of a tree community, the occurrence of heterogeneity in the behavior of phylogenetic and functional variations, and how this possible heterogeneity influences the functional and phylogenetic variations under the aspect of environmental variations and by demographic ecological processes. Results detected quantitative and qualitative changes throughout the community, such as colonization, local extinctions, in demography and biomass, and increased evolutionary distinction, lower wood density species and phylogenetic clustering. These results have shown us that the natural changes of a community should not be underestimated, because the disappearance of a community can not only occur by the direct elimination of vegetation, but can be incremental with gradual changes in its functional characteristics and species composition, transforming itself into a new community with a new combination of species and new functions.

RESUMEN: Los umbrales discretos de deterioro estructural o funcional de un tipo de vegetación no son fácilmente aparentes, ya que un tipo de vegetación puede disminuir lentamente, lo que lleva a transformaciones en la composición de sus especies y funciones debilitadas o alteradas. Sin embargo, las observaciones pueden usarse para evaluar los cambios en las funciones ecológicas antes de que esto ocurra a través de la estructura comunitaria y la composición funcional y filogenética de las especies. Este estudio evaluó la existencia de variaciones temporales en la composición funcional y filogenética de una comunidad arbórea; la ocurrencia de heterogeneidad en el comportamiento de variaciones filogenéticas y funcionales; y cómo esta posible heterogeneidad influye en las variaciones funcionales y filogenéticas bajo el aspecto de variaciones ambientales y por procesos demográficos ecológicos. Los resultados en la detección de cambios cuantitativos y cualitativos en toda la comunidad con la colonización y las extinciones locales en la comunidad, las diferencias demográficas y de biomasa, la distinción evolutiva aumentada, las especies de menor densidad de madera y el agrupamiento filogenético. Los resultados han demostrado que los cambios naturales de una comunidad no deben subestimarse, porque la desaparición de una comunidad no solo puede ocurrir por la eliminación directa de la vegetación, sino que puede ser incremental con cambios graduales en sus características funcionales y composición de especies, transformando en una nueva comunidad con una nueva combinación de especies y nuevas funciones.

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Acute parkinsonism and bilateral basal ganglia lesions
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SILVA, Rodrigo Alencar e

; DE SOUSA, Thadeu Alexandre Paulino

; GODEIRO-JUNIOR, Clécio

Arquivos de Neuro-Psiquiatria

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Dez 2020, Volume 78 Nº 12 Páginas 816 - 816

Resumo: En | Texto: En | PDF: En

https://doi.org/10.1590/0004-282x20200103 454 downloads

10.

Possible acute multifocal demyelinating lesions in a COVID-19 patient
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PESSOA NETO, Agábio Diógenes

; ALVES, Manoella do Monte

; BRITO, Paulo Santiago de Morais

; MOREIRA NETO, Manuel

; SILVA, Rodrigo Alencar e

; TEIXEIRA DOURADO, Mario Emílio

; GODEIRO JUNIOR, Clécio de Oliveira

Arquivos de Neuro-Psiquiatria

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Out 2020, Volume 78 Nº 10 Páginas 666 - 666

Resumo: En | Texto: En | PDF: En

https://doi.org/10.1590/0004-282x20200126 444 downloads

11.

Multimodal HIIT is More Efficient Than Moderate Continuous Training for Management of Body Composition, Lipid Profile and Glucose Metabolism in the Diabetic Elderly
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Louzada-Júnior, Adalberto

; da-Silva, Josimar Mota

; da-Silva, Vernon Furtado

; Castro, Antônio Clodoaldo Melo

; de-Freitas, Rodrigo Eufrásio

; Cavalcante, Joy Braga

; dos-Santos, Kennedy Maia

; Albuquerque, Ana Paula Azevedo

; Brandão, Paula Paraguassú

; Bello, Maria de Nazaré Dias

; Guimarães, Andrea Carmen

; Carvalho, Mauro Cesar Gurgel de Alencar

; Pernambuco, Carlos Soares

; Lima, Eder Benício Ramos

; Coelho, Renato Ramos

; Santos, César Augusto de Souza

; Bezerra, Jani Cleria Pereira

; Dantas, Estélio Henrique Martin

; Romeu-Silva, Paulo Martins

; da-Silva, Carolina Freitas

; Sampaio, Aristeia Nunes

; Valentim-Silva, João Rafael

International Journal of Morphology

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Abr 2020, Volume 38 Nº 2 Páginas 392 - 399

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

SUMMARY: The exercise could play a central role to the fat management and glucose metabolism what can be a critical role in the health status of diabetic people, but the high intense exercise remains with controversial data about their effects. To identify the effect of the multimodal high-intensity interval training on body composition, lipid profile, and glucose metabolism in elderly diabetics. Methods: Elderly diabetic individuals (n = 48) were randomly divided in a Sedentary Control (SC) group, a Moderate-Intensity Continuous Training (MICT) group, and a High-Intensity Interval Training (HIIT) group. MICT and HITT were conducted over 60 days, 3x per week, with 40 minutes of exercise. Blood was collected prior to intervention, at four, and at eight weeks subsequently to assess glucose metabolism and lipid profiles. Body composition was determined before and after the intervention period. To verify the normality Kolmogorov-Smirnov statistical test was performed, followed by student "t" test or two-way ANOVA with Bonferroni’s post hoc test with significance of 5 % the Cohen’s f test to indicate the magnitude of the differences. HIIT significantly lowered cholesterol and triglyceride levels, and significantly lowered blood glucose and glycosylated haemoglobin levels (p<0.05). MICT and HIIT significantly increased levels of high-density lipoprotein, decreased total body mass and body mass index. HIIT resulted in significantly smaller waist circumferences, waist-to-hip ratios, and weight-to-height ratios over 60 days of training. HIIT is more effective than MICT for improving lipid and glycaemic profiles, decreasing body fat, and improving fat distribution elderly diabetics.

RESUMEN: El ejercicio podría desempeñar un papel central en el manejo de la grasa y el metabolismo de la glucosa, lo que puede ser un papel crítico en el estado de salud de las personas diabéticas, pero el ejercicio intenso intenso sigue teniendo datos controvertidos sobre sus efectos. El objetivo del estudio fue identificar el efecto del entrenamiento multimodal de intervalos de alta intensidad sobre la composición corporal, el perfil lipídico y el metabolismo de la glucosa en diabéticos de edad avanzada. Los individuos diabéticos de edad avanzada (n = 48) se dividieron aleatoriamente en un grupo de control sedentario (SC), un grupo de entrenamiento continuo de intensidad moderada (MICT) y un grupo de entrenamiento de intervalos de alta intensidad (HIIT). MICT y HITT se realizaron durante 60 días, 3 veces por semana, con 40 minutos de ejercicio. Se recogió sangre antes de la intervención, a las cuatro y a las ocho semanas posteriormente para evaluar el metabolismo de la glucosa y los perfiles de lípidos. La composición corporal se determinó antes y después del período de intervención. Para verificar la normalidad se realizó la prueba estadística de Kolmogorov-Smirnov, seguida de la prueba "t" de Student o ANOVA de dos vías con la prueba post hoc de Bonferroni con una significancia del 5 % de la prueba f de Cohen, indicando las diferencias. HIIT redujo significativamente los niveles de colesterol y triglicéridos, además de reducir de manera importante los niveles de glucosa en la sangre y la hemoglobina glicosilada (p <0.05). MICT y HIIT aumentaron significativamente los niveles de lipoproteína de alta densidad, disminuyeron la masa corporal total y el índice de masa corporal. HIIT resultó en circunferencias de cintura significativamente más pequeñas, relaciones cintura-cadera y relaciones peso-altura durante 60 días de entrenamiento. HIIT es más efectivo que MICT para mejorar los perfiles de lípidos y glucémicos, disminuir la grasa corporal y mejorar la distribución de grasa en los diabéticos de edad avanzada.

3196 downloads

12.

Suicidal behaviors and sedentary lifestyles among adolescents: A cross-sectional epidemiological study in Latin American and Caribbean countries
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Silva, Andressa Ferreira da

; Júnior, Carlos Alencar Souza Alves

; Hinnig, Patrícia de Fragas

; Lima, Luiz Rodrigo Augustemak de

; Silva, Diego Augusto Santos

Clinics

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2020, Volume 75 elocation e2015

Resumo: En | Texto: En | PDF: En

OBJECTIVES: To verify the association between suicidal behaviors (ideation, planning, and attempts) and sedentary behaviors among adolescents from four Latin American and Caribbean countries. METHODS: A cross-sectional epidemiological study was conducted in four countries in Latin America and the Caribbean (Bahamas, Curação, El Salvador, and Guatemala). The sample comprised 6,813 adolescents aged 11-18 years, of which, 3,559 were females. The three suicidal behaviors considered were ideation, planning, and attempts. Sedentary behavior was regarded as the time that adolescents spent sitting, excluding time at school. Crude and adjusted logistic regression were used to estimate the odds ratio (OR) and 95% confidence interval (CI). RESULTS: Suicidal ideation was present in 10.7% of males and 22.7% of females. Suicidal planning was present in 8.6% of males and 16.3% of females. Suicidal attempt was present in 9.3% of males and 16.3% of females. Sedentary behavior was present in 39.6% of males and 45.7% of females. It was identified that male adolescents who reported spending ≥3 hours/day in sedentary behavior were more likely to have suicidal ideation (OR: 1.42; 95% CI: 1.13-1.80), whereas female adolescents who reported spending ≥3 hours/day in sedentary behavior were more likely to have suicidal ideation (OR: 1.55; 95% CI: 1.30-1.83), planning (OR: 1.54; 95% CI: 1.28-1.86), and attempts (OR: 1.31; 95% CI: 1.09-1.57). CONCLUSION: Adolescents of both sexes who reported spending ≥3 hours/day in sedentary behaviors were more likely to have some suicidal behaviors than those who spent less time in sedentary behaviors.

https://doi.org/10.6061/clinics/2020/e2015 293 downloads

13.

Isolated involvement of external capsules and claustrum in status epilepticus
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Silva, Rodrigo Alencar e

; Sousa, Thadeu Alexandre Paulino de

Arquivos de Neuro-Psiquiatria

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Mai 2019, Volume 77 Nº 5 Páginas 369 - 369

Resumo: En | Texto: En | PDF: En

https://doi.org/10.1590/0004-282x20190040 1484 downloads

14.

Broiler carcass condemnation pattern during processing
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Belintani, Rafael

; Garcia, Rodrigo Garófallo

; Nääs, Irenilza de Alencar

; Borille, Rodrigo

; Sgavioli, Sarah

; Caldara, Fabiana Ribeiro

; Lima, Nilsa Duarte da Silva

Revista Brasileira de Zootecnia

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2019, Volume 48 elocation e20180046

Resumo: En | Texto: En | PDF: En

ABSTRACT This study aimed to identify the influence of climate pattern and rearing conditions on broiler carcass condemnations observed during processing. We evaluated the registered data of 2015 from the federal inspection files in all broiler slaughterhouses located in the state of Mato Grosso do Sul, Midwestern Brazil. The percentages of condemnations by airsacculitis, cellulitis, dermatosis, ascites syndrome, total carcass condemnations, and average broiler weight at 42 days were analyzed. Data were associated with housing systems and season of the year in which each flock was reared. Two-way ANOVA was applied to the data in a completely randomized design 4×3 (four seasons and three houses) and compared by Tukey's test. The results indicated that the housing system did not affect the studied condemnations, and seasons of the year did not change condemnation by airsacculitis; however, the other pathologies leading to carcass condemnations were affected by season. Condemnations by cellulite were higher during summer than in winter. For dermatosis, the maximum index appears during summer and the lowest during winter and spring. The ascites syndrome presented the smallest index in summer and winter, and the minimum value was found in spring. The average bird weight was higher in autumn than in winter and spring. Type of broiler rearing did not affect the carcass condemnation index. Summer was the most detrimental period regarding the condemnation rates for the pathologies studied, mainly cellulitis and dermatosis, while the highest average weight of birds was found during autumn and spring.

https://doi.org/10.1590/rbz4820180046 1085 downloads

15.

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Alencar e Silva, Rodrigo

; Campelo, Camila

; Godeiro Jr., Clecio

Arquivos de Neuro-Psiquiatria

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Set 2018, Volume 76 Nº 9 Páginas 641 - 641

Resumo: En | Texto: En | PDF: En

https://doi.org/10.1590/0004-282x20180100 726 downloads

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