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Comparative analysis of clinicopathological characteristics in young and elderly patients with oral squamous cell carcinoma: a retrospective study in Northeastern Brazil carcinoma
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CURIOSO, Pedro Augusto Bulhões

; CORREIA NETO, Ivan José

; SOUZA, Lucas Lacerda de

; SANTOS, Edilmar de Moura

; SANTOS-SILVA, Alan Roger

; VARGAS, Pablo Agustin

; LOPES, Marcio Ajudarte

Brazilian Oral Research

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2024, Volume 38 elocation e138

Resumo: En | Texto: En | PDF: En

Abstract The aim of this study was to perform a clinicopathological analysis of oral squamous cell carcinoma (OSCC) in young patients from the northeast of Brazil and compare with elderly individuals. This retrospective study reviewed 104 OSCC cases from 2000 to 2015, focusing on patients under 40 and over 60 at diagnosis. Forty-two patients under 40 years old (40.38%) and 62 patients over 60 years old (59.62%) were analyzed using descriptive statistics, chi-square, and Fisher’s exact tests for clinicopathological factors, and Kaplan-Meier and Cox models for survival and prognostics. Most of the patients were male, with younger patients having lower rates of smoking (45.24%) and alcohol use (28.57%) compared to older patients (82.30% and 40.32%, respectively). Younger patients had a higher prevalence of tongue cancer and smaller tumors but faced more compromised surgical margins, perineural invasion, local recurrence, regional metastasis, distant metastasis, and second primary tumors. Statistical findings highlighted age-related differences in clinicopathological features and indicated that despite similar overall survival rates, younger patients had a poorer prognosis related to local recurrences, regional recurrences, and second tumors. Perineural invasion emerged as an independent prognostic factor. The study suggests that younger OSCC patients require personalized management strategies to address their higher risk of adverse outcomes, with an emphasis on the prognostic significance of perineural invasion. (OSCC individuals 10 200 2015 4 6 diagnosis Fortytwo Forty two 40.38% 4038 38 (40.38% 59.62% 5962 59 (59.62% statistics chisquare, chisquare chi square, square chi-square Fishers Fisher s factors KaplanMeier Kaplan Meier prognostics male 45.24% 4524 45 24 (45.24% 28.57% 2857 28 57 (28.57% 82.30% 8230 82 30 (82.30 4032 32 40.32% respectively. respectively . respectively) margins recurrence metastasis agerelated age recurrences factor outcomes 1 20 201 40.38 403 3 (40.38 59.62 596 5 (59.62 45.24 452 2 (45.24 28.57 285 (28.57 82.30 823 8 (82.3 40.32 40.3 (40.3 59.6 (59.6 45.2 (45.2 28.5 (28.5 82.3 (82. 40. (40. 59. (59. 45. (45. 28. (28. 82. (82 (40 (59 (45 (28 (8 (4 (5 (2 (

https://doi.org/10.1590/1807-3107bor-2024.vol38.0138

Contribution of public oral pathology services to the diagnosis of oral and oropharyngeal cancer in Brazil
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LOUREDO, Brendo Vinicius Rodrigues

; CURADO, Maria Paula

; PENAFORT, Paulo Victor Mendes

; DE ARRUDA, José Alcides Almeida

; ABREU, Lucas Guimarães

; MESQUITA, Ricardo Alves

; PINTO-JÚNIOR, Décio dos Santos

; ABRAHÃO, Aline Corrêa

; ANDRADE, Bruno Augusto Benevenuto de

; AGOSTINI, Michelle

; MORAES, Renata Mendonça

; ANBINDER, Ana Lia

; DOURADO, Pedro Henrique Silva

; SANTOS, Teresa Cristina Ribeiro Bartholomeu dos

; PIRES, Fábio Ramoa

; BORDIGNON, Natalia Cristina Trentin

; GONDAK, Rogério Oliveira

; DE OLIVEIRA, Marcia Gaiger

; CARRARD, Vinicius Coelho

; MARTINS, Manoela Domingues

; SOUSA-NETO, Sebastião Silvério

; ARANTES, Diego Antônio Costa

; MENDONÇA, Elismauro Francisco

; CIESLAK-SANCHES, Silvia Roberta

; ANTUNES, Daniella Moraes

; AMARAL-SILVA, Gleyson Kleber do

; MANIERI, Patricia Rubia

; RAMALHO, Luciana Maria Pedreira

; DOS SANTOS, Jean Nunes

; LEONEL, Augusto César Leal da Silva

; PEREZ, Danyel Elias da Cruz

; VERHEUL, Hannah Carmem Carlos Ribeiro Silva

; BARROSO, Keila Martha Amorim

; RODRIGUES, Flávia Luiza Santos

; GONZAGA, Amanda Katarinny Goes

; FERNANDES, Romana Renery

; DE SOUZA, Lélia Batista

; SOUZA, Lucas Lacerda de

; PONTES, Flávia Sirotheau Corrêa

; PONTES, Hélder Antônio Rebelo

; SILVA, Caroline Alfaia

; CÂMARA, Jeconias

; LIBÓRIO-KIMURA, Tatiana Nayara

; SANTOS-SILVA, Alan Roger

; LOPES, Márcio Ajudarte

; ALMEIDA, Oslei Paes de

; ROMAÑACH, Mário José

; VARGAS, Pablo Agustin

Brazilian Oral Research

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2023, Volume 37 elocation e126

Resumo: En | Texto: En | PDF: En

Abstract This study aimed to evaluate the contribution of oral and maxillofacial pathology laboratories (OMPLs) in Brazilian public universities to the diagnosis of lip, oral cavity, and oropharyngeal squamous cell carcinoma (SCC). A cross-sectional study was performed using biopsy records from a consortium of sixteen public OMPLs from all regions of Brazil (North, Northeast, Central-West, Southeast, and South). Clinical and demographic data of patients diagnosed with lip, oral cavity, and oropharyngeal SCC between 2010 and 2019 were collected from the patients’ histopathological records. Of the 120,010 oral and maxillofacial biopsies (2010-2019), 6.9% (8,321 cases) were diagnosed as lip (0.8%, 951 cases), oral cavity (4.9%, 5,971 cases), and oropharyngeal (1.2%, 1,399 cases) SCCs. Most cases were from Brazil’s Southeast (64.5%), where six of the OMPLs analyzed are located. The predominant profile of patients with lip and oral cavity SCC was Caucasian men, with a mean age over 60 years, low schooling level, and a previous history of heavy tobacco consumption. In the oropharyngeal group, the majority were non-Caucasian men, with a mean age under 60 years, had a low education level, and were former/current tobacco and alcohol users. According to data from the Brazilian National Cancer Institute, approximately 9.9% of the total lip, oral cavity, and oropharyngeal SCCs reported over the last decade in Brazil may have been diagnosed at the OMPLs included in the current study. Therefore, this data confirms the contribution of public OMPLs with respect to the important diagnostic support they provide to the oral healthcare services extended by the Brazilian Public Health System. (OMPLs SCC. . (SCC) crosssectional cross sectional North, North (North Northeast CentralWest, CentralWest Central West, West Central-West South. South South) 201 120010 120 010 120,01 20102019, 20102019 , (2010-2019) 69 6 9 6.9 8,321 8321 8 321 (8,32 0.8%, 08 0 (0.8% 95 cases, 4.9%, 49 4 (4.9% 5971 5 971 5,97 1.2%, 12 1 2 (1.2% 1399 399 1,39 Brazils s 64.5%, 645 64.5% 64 (64.5%) located men years level consumption group nonCaucasian non formercurrent former users Institute 99 9.9 Therefore System (SCC 20 12001 01 120,0 2010201 (2010-2019 6. 8,32 832 32 (8,3 0.8% (0.8 4.9% (4.9 597 97 5,9 1.2% (1.2 139 39 1,3 64.5 (64.5% 9. 1200 120, 201020 (2010-201 8,3 83 3 (8, 0.8 (0. 4.9 (4. 59 5, 1.2 (1. 13 1, 64. (64.5 20102 (2010-20 8, (8 0. (0 4. (4 1. (1 (64. (2010-2 ( (64 (2010- (6 (2010 (201 (20 (2

https://doi.org/10.1590/1807-3107bor-2023.vol37.0126

EPIDEMIOLOGICAL STUDY OF THE PREVALENCE OF LOW BACK PAIN IN SPINE SURGEONS IN BRAZIL
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AFONSO, BEATRIZ FOGAROLLI

; MELOTTI, ARTHUR FELIPE LAUF

; SOUZA, ITALO BARCELLOS DE

; MACIEL, LUCAS RIBEIRO

; BARBOSA, THIAGO RUIZ

; NAVARRO, FERNANDA ANDREA MINUTTI

; NAKAO, RODRIGO YUITI

; RODRIGUES, LUIZ CLáUDIO LACERDA

Coluna/Columna

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2023, Volume 22 Nº 3 elocation e273675

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

RESUMEN Introducción: La lumbalgia se define como dolor, espasmo muscular o rigidez entre las vértebras L1 y L5, por debajo del margen inferior de la duodécima costilla y por encima del pliegue glúteo superior, y puede o no asociarse a dolor irradiado a las extremidades inferiores. Objetivo: Determinar la prevalencia de dolor lumbar en cirujanos de columna. Método: Se realizó un estudio clínico transversal cuantitativo no aleatorizado en una muestra de 95 cirujanos de columna en Brasil, con la aplicación de las escalas de dolor de Oswestry y analógica visual, además de un cuestionario estructurado para la caracterización de los participantes. Resultados: Entre la población estudiada, el 69,5% eran ortopedistas y el 30,5% neurocirujanos y la edad media de la muestra fue de 46 años (±10,6), siendo los neurocirujanos mayores que los ortopedistas. En cuanto al IMC, la mayoría (77,8%) presentaba sobrepeso u obesidad y el setenta y seis por ciento realizaba actividad física. La prevalencia de dolor lumbar fue del 58,9%. No se encontraron diferencias relevantes en el tiempo dedicado semanalmente a las cirugías, entre los que tenían lumbalgia y los que no (p = 0,364). La intensidad media del dolor fue de 2,0 (DP = 2,2), siendo estadísticamente (p = 0,025) mayor en traumatólogos (2,3) que en neurocirujanos (1,3). En cuanto a la puntuación ODI, el 98,2% de los cirujanos tenían incapacidad mínima (0-20%) para las actividades diarias. Conclusión: La prevalencia de lumbalgia en cirujanos de columna es alta y se asocia a incapacidad leve para realizar las actividades cotidianas. Nivel de Evidencia IV; Estudio Clínico Transversal Cuantitativo no Aleatorizado. Introducción L L5 superior inferiores Objetivo Método 9 Brasil visual participantes Resultados estudiada 695 69 5 69,5 305 30 30,5 4 ±10,6, 106 ±10,6 , 10 6 (±10,6) IMC 77,8% 778 77 8 (77,8% física 589 58 58,9% cirugías p 0,364. 0364 0,364 . 0 364 0,364) 20 2 2, DP 2,2, 22 2,2 2,2) 0,025 0025 025 2,3 23 3 (2,3 1,3. 13 1,3 1 (1,3) ODI 982 98 98,2 020% 020 20% (0-20% diarias Conclusión cotidianas IV Aleatorizado 69, 30, ±10, (±10,6 77,8 7 (77,8 58,9 036 0,36 36 0,02 002 02 (2, 1, (1,3 98, (0-20 ±10 (±10, 77, (77, 58, 03 0,3 0,0 00 (2 (1, (0-2 ±1 (±10 (77 0, ( (1 (0- ± (±1 (7 (0 (±

RESUMO Introdução: A lombalgia é definida como dor, espasmo muscular ou rigidez entre as vértebras L1 e L5, abaixo da margem inferior da décima segunda costela e acima da prega glútea superior, e pode ou não estar associada à dor que se irradia para os membros inferiores. Objetivo: Determinar a prevalência de lombalgia em cirurgiões de coluna. Método: Foi realizado um estudo clínico transversal quantitativo não randomizado em uma amostra de 95 cirurgiões de coluna do Brasil, com aplicação das escalas Oswestry e visual analógica da dor, além de questionário estruturado para a caracterização dos participantes da pesquisa. Resultados: Dentre a população estudada, 69,5% eram ortopedistas e 30,5% eram neurocirurgiões e a idade média da amostra foi de 46 anos (±10,6), sendo que os neurocirurgiões eram mais velhos que os ortopedistas. Em relação ao IMC a maioria (77,8%) estavam com sobrepeso e obesidade e setenta e seis porcento realizavam atividade física. A prevalência de lombalgia foi de 58,9%. Não foram encontradas diferenças relevantes no tempo gasto semanalmente em cirurgias, entre quem tinha ou não lombalgia (p = 0,364). A intensidade média da dor foi de 2,0 (DP = 2,2), sendo estatisticamente (p = 0,025) maiores em ortopedistas (2,3) quando comparados aos neurocirurgiões (1,3). Em relação ao escore do ODI, 98,2% dos cirurgiões apresentaram incapacidade mínima (0-20%) para as atividades diárias. Conclusão: A prevalência de lombalgia em cirurgiões de coluna é grande e está associada com incapacidade leve para atividades cotidianas. Nível de Evidência IV; Estudo Clínico Transversal Quantitativo não Randomizado. Introdução L L5 superior inferiores Objetivo Método 9 Brasil pesquisa Resultados estudada 695 69 5 69,5 305 30 30,5 4 ±10,6, 106 ±10,6 , 10 6 (±10,6) 77,8% 778 77 8 (77,8% física 589 58 58,9% cirurgias p 0,364. 0364 0,364 . 0 364 0,364) 20 2 2, DP 2,2, 22 2,2 2,2) 0,025 0025 025 2,3 23 3 (2,3 1,3. 13 1,3 1 (1,3) ODI 982 98 98,2 020% 020 20% (0-20% diárias Conclusão cotidianas IV Randomizado 69, 30, ±10, (±10,6 77,8 7 (77,8 58,9 036 0,36 36 0,02 002 02 (2, 1, (1,3 98, (0-20 ±10 (±10, 77, (77, 58, 03 0,3 0,0 00 (2 (1, (0-2 ±1 (±10 (77 0, ( (1 (0- ± (±1 (7 (0 (±

ABSTRACT Introduction: Low back pain is defined as pain, muscle spasm, or stiffness between the L1 and L5 vertebrae, below the lower margin of the twelfth rib and above the upper gluteal fold, and may or may not be associated with pain radiating to the lower limbs. Objective: To determine the prevalence of low back pain in spine surgeons. Method: A non-randomized quantitative cross-sectional clinical study was carried out in a sample of 95 spine surgeons in Brazil, with the application of the Oswestry and visual analog pain scales, in addition to a structured questionnaire for the characterization of the participants. Results: Among the studied population, 69.5% were orthopedists, 30.5% were neurosurgeons, and the mean age of the sample was 46 years (±10.6), with neurosurgeons being older than orthopedists. Regarding BMI, the majority (77.8%) were overweight or obese, and seventy-six percent performed physical activity. The prevalence of low back pain was 58.9%. No relevant differences were found in the time spent weekly in surgeries between those who had low back pain and those who did not (p = 0.364). Mean pain intensity was 2.0 (SD = 2.2), statistically (p = 0.025) higher in orthopedists (2.3) when compared to neurosurgeons (1.3). Regarding the ODI score, 98.2% of the surgeons had a minimal disability (0-20%) for daily activities. Conclusion: The prevalence of low back pain in spine surgeons is high and is associated with mild inability to perform daily activities. Level Of Evidence IV; Non-Randomized Quantitative Cross-Sectional Clinical Study. Introduction spasm L vertebrae fold limbs Objective Method nonrandomized non randomized crosssectional cross sectional 9 Brazil scales participants Results population 695 69 5 69.5 305 30 30.5 4 ±10.6, 106 ±10.6 , 10 6 (±10.6) BMI 77.8% 778 77 8 (77.8% obese seventysix seventy six activity 589 58 58.9% p 0.364. 0364 0.364 . 0 364 0.364) 20 2 2. SD 2.2, 22 2.2 2.2) 0.025 0025 025 2.3 23 3 (2.3 1.3. 13 1.3 1 (1.3) score 982 98 98.2 020% 020 20% (0-20% activities Conclusion IV NonRandomized Non Randomized CrossSectional Cross Sectional Study 69. 30. ±10. (±10.6 77.8 7 (77.8 58.9 036 0.36 36 0.02 002 02 (2. 1. (1.3 98. (0-20 ±10 (±10. 77. (77. 58. 03 0.3 0.0 00 (2 (1. (0-2 ±1 (±10 (77 0. ( (1 (0- ± (±1 (7 (0 (±

https://doi.org/10.1590/s1808-185120222203273675

Synchronous jawbone diseases: a multicenter retrospective study diseases
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REZENDE, Diogo dos Santos da Mata

; SOUZA, Lucas Lacerda de

; UCHÔA, Daniel Cavalléro Colares

; FERNANDES, Lais Albuquerque

; LEMOS, Jeanne Gisele Rodrigues de

; SANTOS-SILVA, Alan Roger

; LOPES, Márcio Ajudarte

; ARBOLEDA, Lady Paola Aristizabal

; ROCHA, André Caroli

; GONÇALVES, Fábio Luiz Neves

; PONTES, Flávia Sirotheau Corrêa

; FONSECA, Felipe Paiva

; PONTES, Hélder Antônio Rebelo

Brazilian Oral Research

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2023, Volume 37 elocation e011

Resumo: En | Texto: En | PDF: En

Abstract The aim of this study is to report an original case series of synchronous jawbone diseases. Data of patients seen over 13 years were extracted from the files of three Oral Radiology and Pathology diagnostic centers in Brazil. The clinical, radiographic, and laboratory characteristics were tabulated and analyzed by the authors; the patients were described according to lesion type. Seventy-two synchronous jawbone diseases were included in this study. Florid osseous dysplasia, Gorlin-Goltz syndrome, and cherubism were the most frequent disorders reported in this case series. In addition, the posterior mandible area was the main site of manifestation. Florid osseous dysplasia and Gorlin-Goltz syndrome represented two-thirds of our samples. With the utilization of adequate demographic, clinical, and radiologic information, it is possible to diagnose most of the synchronous lesions of jawbones. Sometimes, however, we need complementary exams, such as histopathologic and biochemical analysis or dosing of calcium, phosphorus, and alkaline phosphatase. 1 Brazil clinical radiographic authors type Seventytwo Seventy two GorlinGoltz Gorlin Goltz addition manifestation twothirds thirds samples demographic information jawbones Sometimes however exams calcium phosphorus phosphatase

https://doi.org/10.1590/1807-3107bor-2023.vol37.0011

The Program for Biodiversity Research in Brazil: The role of regional networks for biodiversity knowledge, dissemination, and conservation
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ROSA, CLARISSA

; BACCARO, FABRICIO

; CRONEMBERGER, CECILIA

; HIPÓLITO, JULIANA

; BARROS, CLAUDIA FRANCA

; RODRIGUES, DOMINGOS DE JESUS

; NECKEL-OLIVEIRA, SELVINO

; OVERBECK, GERHARD E.

; DRECHSLER-SANTOS, ELISANDRO RICARDO

; ANJOS, MARCELO RODRIGUES DOS

; FERREGUETTI, ÁTILLA C.

; AKAMA, ALBERTO

; MARTINS, MARLÚCIA BONIFÁCIO

; TOMAS, WALFRIDO MORAES

; SANTOS, SANDRA APARECIDA

; FERREIRA, VANDA LÚCIA

; CUNHA, CATIA NUNES DA

; PENHA, JERRY

; PINHO, JOÃO BATISTA DE

; SALIS, SUZANA MARIA

; DORIA, CAROLINA RODRIGUES DA COSTA

; PILLAR, VALÉRIO D.

; PODGAISKI, LUCIANA R.

; MENIN, MARCELO

; BÍGIO, NARCÍSIO COSTA

; ARAGÓN, SUSAN

; MANZATTO, ANGELO GILBERTO

; VÉLEZ-MARTIN, EDUARDO

; SILVA, ANA CAROLINA BORGES LINS E

; IZZO, THIAGO JUNQUEIRA

; MORTATI, AMANDA FREDERICO

; GIACOMIN, LEANDRO LACERDA

; ALMEIDA, THAÍS ELIAS

; ANDRÉ, THIAGO

; SILVEIRA, MARIA AUREA PINHEIRO DE ALMEIDA

; SILVEIRA, ANTÔNIO LAFFAYETE PIRES DA

; MESSIAS, MARILUCE REZENDE

; MARQUES, MARCIA C.M.

; PADIAL, ANDRE ANDRIAN

; MARQUES, RENATO

; BITAR, YOUSZEF O.C.

; SILVEIRA, MARCOS

; MORATO, ELDER FERREIRA

; PAGOTTO, RUBIANI DE CÁSSIA

; STRUSSMANN, CHRISTINE

; MACHADO, RICARDO BOMFIM

; AGUIAR, LUDMILLA MOURA DE SOUZA

; FERNANDES, GERALDO WILSON

; OKI, YUMI

; NOVAIS, SAMUEL

; FERREIRA, GUILHERME BRAGA

; BARBOSA, FLÁVIA RODRIGUES

; OCHOA, ANA C.

; MANGIONE, ANTONIO M.

; GATICA, AILIN

; CARRIZO, MARÍA CELINA

; RETTA, LUCÍA MARTINEZ

; JOFRÉ, LAURA E.

; CASTILLO, LUCIANA L.

; NEME, ANDREA M.

; RUEDA, CARLA

; TOLEDO, JOSÉ JULIO DE

; GRELLE, CARLOS EDUARDO VIVEIROS

; VALE, MARIANA M.

; VIEIRA, MARCUS VINICIUS

; CERQUEIRA, RUI

; HIGASHIKAWA, EMÍLIO MANABU

; MENDONÇA, FERNANDO PEREIRA DE

; GUERREIRO, QUÊZIA LEANDRO DE MOURA

; BANHOS, AUREO

; HERO, JEAN-MARC

; KOBLITZ, RODRIGO

; COLLEVATTI, ROSANE GARCIA

; SILVEIRA, LUÍS FÁBIO

; VASCONCELOS, HERALDO L.

; VIEIRA, CECÍLIA RODRIGUES

; COLLI, GUARINO RINALDI

; CECHIN, SONIA ZANINI

; SANTOS, TIAGO GOMES DOS

; FONTANA, CARLA S.

; JARENKOW, JOÃO A.

; MALABARBA, LUIZ R.

; RUEDA, MARTA P.

; ARAUJO, PUBLIO A.

; PALOMO, LUCAS

; ITURRE, MARTA C.

; BERGALLO, HELENA GODOY

; MAGNUSSON, WILLIAM E.

Anais da Academia Brasileira de Ciências

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2021, Volume 93 Nº 2 elocation e20201604

Resumo: En | Texto: En | PDF: En

Abstract The Program for Biodiversity Research (PPBio) is an innovative program designed to integrate all biodiversity research stakeholders. Operating since 2004, it has installed long-term ecological research sites throughout Brazil and its logic has been applied in some other southern-hemisphere countries. The program supports all aspects of research necessary to understand biodiversity and the processes that affect it. There are presently 161 sampling sites (see some of them at Supplementary Appendix), most of which use a standardized methodology that allows comparisons across biomes and through time. To date, there are about 1200 publications associated with PPBio that cover topics ranging from natural history to genetics and species distributions. Most of the field data and metadata are available through PPBio web sites or DataONE. Metadata is available for researchers that intend to explore the different faces of Brazilian biodiversity spatio-temporal variation, as well as for managers intending to improve conservation strategies. The Program also fostered, directly and indirectly, local technical capacity building, and supported the training of hundreds of undergraduate and graduate students. The main challenge is maintaining the long-term funding necessary to understand biodiversity patterns and processes under pressure from global environmental changes.

https://doi.org/10.1590/0001-3765202120201604 1034 downloads

Bees biodiversity, forage behavior and fruit production in gherkin crop (Cucumis anguria L.)
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Malerbo-Souza, Darclet Teresinha

; Andrade, Milena Oliveira de

; Siqueira, Rodrigo Alves de

; Medeiros, Núbia Maria Guedes de

; Farias, Lucas Rodrigues de

; Silva, Thulio Gustavo da

; Nascimento, Lucas Delano Sousa

; Pimentel, André Carlos Silva

Acta Scientiarum. Animal Sciences

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2020, Volume 42 elocation e47421

Resumo: En | Texto: En | PDF: En

ABSTRACT. The objectives were to evaluate the biodiversity of bees, forage behavior and their effect on fruit production in the gherkin crop (Cucumis anguria L.) in the campus of the University Center Moura Lacerda in two years. The frequency and type of collection of the insects in the flowers was observed by counting from 8:00 a.m. to 5:00 p.m., in the first 10 minutes of each time, for three distinct days in each year. The percentage of fruiting was quantified in 25 female flowers covered with nylon compared to the 25 female flowers uncovered in the two years. The flowers were visited by the Africanized honey bees Apis mellifera and the native bees Plebeia sp., Exomalopsis sp. and Melissodes sp., and the Africanized honey bees presented higher frequency and constancy with a higher number of visits in the male flowers compared to the female ones and these visits occurred between 8:00 a.m. and 3:00 p.m. Without the visitation of the bees there was no fruit production, and both the Africanized honey bee and the native ones when collecting nectar and pollen, visited both female and male flowers, carrying pollen in their body, being considered important pollinators of this culture.

https://doi.org/10.4025/actascianimsci.v42i1.47421 582 downloads

Prevalence of depression and anxiety and their association with cardiovascular risk factors in Northeast Brasil primary care patients
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Santos-Veloso, Marcelo Antônio Oliveira

; Melo, Maria Isa Souza Lacerda de

; Cavalcanti, Roberta Azevedo Neves

; Bezerra, Lucas Soares

; Chaves-Markman, Ândrea Virgínia

; Lima, Sandro Gonçalves de

Revista da Associação Médica Brasileira

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Jun 2019, Volume 65 Nº 6 Páginas 801 - 809

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

RESUMO INTRODUÇÃO: Transtornos de ansiedade e depressão (TAD) são os distúrbios psiquiátricos mais comuns no mundo. Dentre a população adulta atendida na atenção básica, estima-se que a depressão afete cerca de 14,3% desses indivíduos mundialmente, podendo este valor ir de 21,4% a 31% no Brasil. A ansiedade afeta até 33,7% da população durante sua vida. OBJETIVO: Estimar a prevalência de TAD em pacientes da atenção primária em um município do Nordeste brasileiro e associar sua ocorrência com fatores de risco cardiovasculares. MÉTODOS: Um estudo de coorte transversal com análise de prontuário de pacientes atendidos em unidades de saúde da família de Jaboatão dos Guararapes, Pernambuco. Foram incluídos pacientes ≥18 anos e acompanhados regularmente. Critérios de exclusão: história de trauma crânio encefálico, abuso de álcool e drogas, acidente vascular cerebral prévio, doenças ou medicações que mimetizem sintomas de TAD. Os indivíduos foram divididos em dois grupos, a depender da presença ou não de TAD, e os fatores de risco cardiovascular foram comparados entre os grupos. RESULTADOS: De um total de 1.030 indivíduos recrutados, 215 (20%) foram excluídos. O grupo não TAD apresentou mais história de infarto do miocárdio e etilismo. A prevalência de depressão foi de 10,3%, a de ansiedade foi de 27,1% e a associação entre os dois foi de 4,5%. Houve associação significativa entre TAD e hipertensão (OR = 2,11; IC95: 1,16-3,84; p=0,01), obesidade (OR = 4,47; IC95%: 1,74-11,46; p=0,002) e dislipidemia (OR = 3,88; IC95%: 1,81-8,3; p<0,001). CONCLUSÃO: TAD estão associados com maior risco de hipertensão arterial, obesidade e dislipidemia.

SUMMARY BACKGROUND: Depression and anxiety disorders (DAD) are the most prevalent mental health conditions worldwide. Among the adult population served in basic care, it is estimated that depression affects about 14.3% of these individuals worldwide, and between 21.4% and 31% in Brasil. Anxiety affects up to 33.7% of the population during their lifetimes. OBJECTIVES: estimate the prevalence proportions of DAD among patients in a municipality in Northeast Brasil and study the association between DAD and cardiovascular risk factors. METHODS: a cross-sectional study with the medical records of patients from primary care centers in Jaboatão dos Guararapes, Pernambuco. Patients aged ≥ 18 years and regularly followed-up were included. Exclusion criteria: a history of traumatic brain injury, alcohol or drug abuse, previous stroke, medical conditions or medications that mimic DAD symptoms. Subjects were divided into two groups depending on the presence or absence of DAD, and cardiovascular risk factors were compared between groups. RESULTS: A total of 1030 subjects were initially included, of whom 215 (20%) were excluded. No-DAD subjects had more history of myocardial infarction and alcoholism. The prevalence of depression was 10.3%, anxiety disorder was 27.1%, and mixed DAD represented 4.5%. There was a significant association between DAD and hypertension (OR = 2.11; 95%CI: 1.16 –3.84; p=0.01), obesity (OR = 4.47; 95%CI: 1.74 –11.46; p=0.002), and hyperlipidemia (OR = 3.88; 95%CI: 1.81-8.3; p<0.001). CONCLUSION: DAD were associated with an increased risk for arterial hypertension, obesity, and hyperlipidemia.

https://doi.org/10.1590/1806-9282.65.6.801 2727 downloads

Criptotia em paciente ocidental adulto: relato de caso adulto
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OLIVEIRA, JONATHAN AUGUSTO VIDAL

; MELO NETO, ALBERTO FERRAZ DE

; LEITE, LUIZ ALBERTO DE SOUZA

; ALMEIDA, CARLOS LACERDA DE ANDRADE

; BRITO, LETÍCIA KELLY DOMINGOS

; SILVA, EVELLINY GOMES DA

; SILVA, ANTÔNIO LUCAS DO NASCIMENTO

; ARRUDA, JOSÉ IGOR MOURA DE

Revista Brasileira de Cirurgia Plástica

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2019, Volume 34 Nº 4 Páginas 410 - 413

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

▪ RESUMO Introdução: Criptotia é uma deformidade auricular congênita comum em orientais e rara em ocidentais, sendo a grande maioria dos estudos de técnicas cirúrgicas orientais e aplicados em crianças. Nesta patologia, a cartilagem do polo superior da orelha encontra-se alojada embaixo da pele na região temporal, o que impossibilita o uso de óculos, devido à falta de apoio e torna o polo superior sem definição estética. O presente estudo tem por objetivo relatar o caso de um paciente adulto com criptotia, submetido ao tratamento cirúrgico com retalho de pedículo subcutâneo mastóideo, revisando as principais técnicas descritas para o tratamento deste acometimento. O retalho de pedículo subcutâneo descrito por Yoshimura, mostrou-se adequado para a correção da criptotia em paciente ocidental e adulto. Introdução ocidentais crianças patologia encontrase encontra se temporal óculos estética mastóideo acometimento Yoshimura mostrouse mostrou

▪ ABSTRACT Introduction: Cryptotia is a congenital ear deformity common in Easterners and rare in Westerners, with most studies addressing Eastern surgical techniques applied to children. In this pathology, the cartilage of the upper pole of the ear is lodged subcutaneously in the temporal region, which prevents individuals from using glasses due to lack of support and prevents esthetic definition of the upper pole. Objective: The present study aimed to report the case of an adult patient with cryptotia undergoing surgical treatment using a mastoid subcutaneous pedicle flap and review the main techniques described for the treatment of this involvement. Conclusion: The subcutaneous pedicle flap described by Yoshimura proved to be adequate for correcting cryptotia in a Western adult patient. Introduction Westerners children pathology region Objective involvement Conclusion

https://doi.org/10.5935/2177-1235.2019rbcp0216

Hemangioma de veia jugular externa: relato de caso
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Oliveira, Julio Cesar Peclat de

; Barreto, Fernando Tebet Ramos

; Chimelli, Bernardo de Castro Abi Ramia

; Oliveira, Lucas Maia Peclat de

; Tavares, Ricardo Krapp

; Costa, Thaysa Fernandes Lacerda da

; Souza, Diogo Di Battista de Abreu e

; Gutfilen, Bianca

Jornal Vascular Brasileiro

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2019, Volume 18 elocation e20180026

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

Resumo Hemangioma é um tumor frequente, geralmente diagnosticado em crianças, constituindo quase 10% das neoplasias benignas. Um hemangioma com crescimento na parede de um vaso é extremamente raro, e deve ser diferenciado de outras malformações vasculares de mesma origem. Apresentamos um caso raro de hemangioma de veia jugular externa e discutimos sua propedêutica e manejo.

Abstract Hemangioma is a common tumor, normally diagnosed in children, and accounting for almost 10% of benign neoplasms. A hemangioma arising from the wall of a vessel is rare, and must be differentiated from other vascular malformations of the same origin. We report a rare case of a hemangioma arising from the wall of an external jugular vein and discuss diagnostic work-up and management.

https://doi.org/10.1590/1677-5449.180026 6730 downloads

10.

Prevalence and risk factors of syphilis and human immunodeficiency virus co-infection at a university hospital in Brazil
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Santos, Alex Maurício Garcia

; Souza Júnior, Valter Romão de

; Melo, Fábio Lopes de

; Aquino, Ana Emília Costa de Araújo

; Ramos, Maria Olivia Aureliano

; Araújo, Lucas Marinho

; Lira, Celso Rodrigues de

; sobral, Patrícia Maria

; Figueiroa, François

; Melo, Heloisa Ramos Lacerda de

; Araújo, Paulo Sérgio Ramos de

Revista da Sociedade Brasileira de Medicina Tropical

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Dez 2018, Volume 51 Nº 6 Páginas 813 - 818

Resumo: En | Texto: En | PDF: En

Abstract INTRODUCTION The incidence of syphilis has increased since the 1970s. METHODS This was a descriptive and analytical cross-sectional study with a non-probabilistic sample. RESULTS: Of 973 patients with human immunodeficiency virus, 179 (18.4%) tested positive for both human immunodeficiency virus and syphilis, 84.8% were men, 50.9% were aged between 36 and 50 years, 47.8% with syphilis were diagnosed with human immunodeficiency virus for 10-20 years, and 40.3% received antiretroviral therapy for 10-20 years. CONCLUSIONS The prevalence of syphilis in patients with human immunodeficiency virus is higher than expected, making it urgent to adopt efficient public health measures.

https://doi.org/10.1590/0037-8682-0097-2018 1682 downloads

11.

Drug protocols for patients with special needs: a review of the literature
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Souza, Lucas Lacerda de

; Nascimento, Márcia Andréa Macedo do

; Lima, Ronan Lira de

; Oliveira, Letticia Nakano Rangel de

; Ramos, Anderson Luan dos Santos

; Marques, Grace Bruna Ferreira

; Proença, Aline Costa Flexa Ribeiro

; Pedreira, Erick Nelo

RGO - Revista Gaúcha de Odontologia

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Jan 2018, Volume 66 Nº 1 Páginas 77 - 81

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

RESUMO Há uma grande necessidade dos cirurgiões-dentistas estarem capacitados para proceder diante de pacientes com algum tipo de cuidado especial. Esse trabalho teve como objetivo realizar uma revisão de literatura sobre protocolos farmacológicos de como tratar pacientes portadores de necessidades especiais, dentro das diversas áreas que os cirurgiões-dentistas podem atuar. Métodos: Foi adotada como metodologia a revisão de artigos nos temas de Diabetes Mellitus, insuficiência renal crônica, hemofilia, pacientes cardiopatas, no período de 1980 a 2017 todos voltados para áreas da odontologia. Resultados: Foram selecionados 33 artigos da temática. Foram encontrados vários protocolos específicos para agir durante uma consulta de diversas doenças sistêmicas ou em casos especiais, afim de conseguir o sucesso durante o tratamento, evitar interações medicamentosas ou criar situações de emergências. Foi possível verificar, em alguns casos, um consenso entre as sequências ou o medicamento de primeira escolha para os pacientes portadores de necessidades especiais. Podem acontecer erros graves caso algum cirurgião-dentista não esteja capacitado para realizar a consulta nesses casos graves. A criação de um protocolo para esses pacientes nas diversas especialidades odontológicas diminuiria a quantidade de tratamentos com insucesso, assim aumentando a segurança e a eficácia dos tratamentos.

ABSTRACT There is a great need for dental surgeons to be trained to proceed with patients needing some kind of special care. This study aimed to perform a review of the literature on drug protocols concerning how to treat patients with special needs, within the different areas in which dentists may be engaged. The methodology employed was to review articles dealing with the subjects of diabetes mellitus, chronic renal failure, hemophilia, cardiac patients, which were focused on areas of dentistry. A total of 33 articles were selected. Several specific protocols were found on how to act during a consultation of several systemic diseases or in special cases, in order to achieve success during treatment, to avoid drug interactions or to create emergency situations. It was possible, in some cases, to find a consensus between the sequences or the drug of first choice for patients. Serious errors can occur if a dentist is not capable in serious cases. The creation of a protocol for these patients in the different dental specialties would reduce the number of failed treatments, thus increasing the safety and effectiveness of the treatments.

https://doi.org/10.1590/1981-863720180001000103400 2495 downloads

12.

Nuclear metallothionein in oral squamous cell carcinoma: clinicopathological parameters and patient survival
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BEZERRA, Girlene Maria do Rego

; PONTES, Flávia Sirotheau Corrêa

; CONTE NETO, Nicolau

; NASCIMENTO, Liliane Silva do

; SOUZA, Lucas Lacerda de

; PINTO JUNIOR, Décio dos Santos

; PONTES, Hélder Antônio Rebelo

Brazilian Oral Research

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2018, Volume 32 elocation e105

Resumo: En | Texto: En | PDF: En

Abstract The aim of this study was to identify the immunoexpression of methallothionein in oral squamous cell carcinoma as well as to address the correlation with clinical features, histological grade and patient survival. Samples were collected from 93 patients with tongue squamous cell carcinoma who presented for follow-up. Immunohistochemical expression of methallothionein in all groups was performed. The scoring system has previously been published by Tsurutani in 2005, which is based on intensity and distribution of staining. We used Kappa index to evaluate the degree of observers’ agreement under metallothionein immunostaining and histological grade. Associations between methallothionein expression and clinical parameters (age, gender, smoking, tumor size, lymph node metastasis and disease stage) were examined for statistical significance using the chi-squared test. The overall survival rates were estimated by the Kaplan-Meier method and the relationship between protein expression and survival was compared using the log-rank test (p < 0.05). Our results showed no statistically significant association between methallothionein immunostaining and the selected clinicopathological variables. Immunohistochemistry results showed positive nuclear immunostaining for metallothionein in 62,37% (58/93) and negative for metallothionein 37,63% (35/93). The degree of examiners agreement by Kappa varied from substantial to perfect and both metallothionein immunostaining and histological grade were explored. The present study suggests that positive methallothionein expression found in tongue squamous cell carcinoma may not help to predict survival in the analyzed samples, as well as no relation between the protein and histological grade and clinical features was observed. In conclusion, the present study suggests that metallothionein is not associated with tongue squamous cell carcinoma clinicopathological characteristics and aggressiveness.

https://doi.org/10.1590/1807-3107bor-2018.vol32.0105 647 downloads

13.

Does aortic valve repair in valve-sparing aortic root reconstruction compromise the longevity of the procedure?
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Dias, Ricardo Ribeiro

; Duncan, José Augusto

; de Souza Dinato, Fabrício José

; Araújo, Lucas Lacerda

; Issa, Hugo Monteiro Neder

; Fernandes, Fábio

; Mady, Charles

; Jatene, Fábio Biscegli

Clinics

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Abr 2017, Volume 72 Nº 4 Páginas 207 - 212

Resumo: En | Texto: En | PDF: En

OBJECTIVES: The effect of performing aortic valve repair in combination with valve-sparing operation on the length of time for which patients are free from reoperation is unclear. The objective of this study was to determine if the performance of aortic valve repair during valve-sparing operation modified the freedom from reoperation time. METHODS: From January 2003 to July 2014, 78 patients with a mean age of 49±15 years underwent valve-sparing operation. Sixty-eight percent of these patients were male. Twenty-two (28%) aortic valve repair procedures were performed in this patient population. In the aortic valve repair + valve-sparing operation group, 77.3% of patients had moderate/severe aortic insufficiency, while in the valve-sparing operation group, 58.6% of patients had moderate/severe aortic insufficiency (ns = not significant). Additionally, 13.6% of patients in the aortic valve repair + valve-sparing operation group had functional class III/IV, while 14.2% of patients in the valve-sparing operation group had functional class III/IV (ns). RESULTS: The in-hospital and late mortality rates, for the aortic valve repair + valve-sparing operation and valve-sparing operation groups were similar, as they were 4.5% and 3.6%; and 0% and 1.8%, respectively. In the aortic valve repair + valve-sparing operation group, 0% of patients presented moderate/severe aortic insufficiency during late follow-up, while in the valve-sparing operation group, 14.2% of patients presented with moderate/severe aortic insufficiency during this period (ns). In the aortic valve repair + valve-sparing operation group, 5.3% of patients presented with functional class III/IV, while in the valve-sparing operation group, 4.2% of patients presented with functional class III/IV (ns). In the aortic valve repair + valve-sparing operation group, 0% of patients required reoperation, while in the valve-sparing operation group, 3.6% of patients required reoperation over a mean follow-up period of 1621±1156 days (75 patients). CONCLUSION: Valve-sparing operation is a safe and long-lasting procedure and performance of aortic valve repair when necessary does not increase risk of reoperation on the aortic valve.

https://doi.org/10.6061/clinics/2017(04)03 565 downloads

14.

Ki-67 protein predicts survival in oral squamous carcinoma cells: an immunohistochemical study
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LOPES, Verena Karla Monteiro

; JESUS, Adriana Souza de

; SOUZA, Lucas Lacerda de

; MIYAHARA, Ligia Akiko Ninokata

; GUIMARÃES, Douglas Magno

; PONTES, Helder Antônio Rebelo

; PONTES, Flavia Sirotheau Correa

; CARVALHO, Pedro Luiz de

Brazilian Oral Research

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2017, Volume 31 elocation e66

Resumo: En | Texto: En | PDF: En

Abstract The aim of this study was to identify the expression of Ki-67 and MCM3 in oral squamous cell carcinoma (OSCC) as well as to address the correlation with patient survival and clinical features. Samples were collected from 51 patients with OSCC who presented for follow-up. Immunohistochemical expression of Ki-67 and MCM3 in all groups was performed. The scoring system was previous published by Tsurutani in 2005. We used Kappa index to evaluate observers agreement degree. The associations between protein expression and clinical variables were examined for statistical significance using the chi-squared test. The overall survival rates were estimated by the Kaplan-Meier method and the relationship between protein expression and survival was compared using the log-rank test (p < 0.05). The overall survival time for a patient with positive immunostaining for Ki-67 is shorter than for a patient with negative immunostaining, (log-rank test, p = 0.00882). Patients with tumor size T3 and T4 showed a statistically significant relationship with Ki-67 immunoexpression (log-rank test, p = 0.0174). The relationship between Ki-67 expression and the relation between age, gender, smoking, tumor site, lymph node metastasis and disease stage was not significant. The examiners agreement degree by Kappa presented p value < 0.05. There was not a significant correlation when we evaluated MCM3 expression regarding clinical characteristics and survival rate. From these results, the present study suggests that positive Ki-67 expression found in OSCC patients may contribute to predict the survival in OSCC samples, as well as the relation between the protein and the tumor size.

https://doi.org/10.1590/1807-3107bor-2017.vol31.0066 1924 downloads

15.

Estratégia Saúde da Família e bioética: grupos focais sobre trabalho e formação
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Gomes, Andréia Patrícia

; Gonçalves, Lucas Lacerda

; Souza, Camila Ribeiro

; Siqueira-Batista, Rodrigo

Revista Bioética

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Dez 2016, Volume 24 Nº 3 Páginas 488 - 494

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

Resumo A atuação laboral na Estratégia Saúde da Família tem trazido uma série de novos desafios bioéticos para os profissionais de saúde. Demandam-se esforços, tanto em termos de investigação (mapeamento dos problemas enfrentados pela equipe) quanto de formação, tendo em vista a preparação ética para o desenvolvimento das ações de cuidado. O reconhecimento desse contexto foi o mote desta investigação, que procurou identificar, pela técnica de grupos focais, a percepção de trabalhadores no município de Viçosa/MG sobre os conceitos de ética e de bioética, a abordagem de problemas bioéticos no cotidiano das unidades de saúde e o processo de formação para a condução destes. Os resultados apontam para o reconhecimento da centralidade da bioética no trabalho da Estratégia Saúde da Família e a necessidade de criar espaços de formação que priorizem o diálogo e a educação permanente.

Abstract The work of the Family Health Strategy has introduced a number of new bioethical challenges for health professionals. Additional effort has been required in terms of research – mapping the problems faced by staff – and training, focusing on ethical preparation for the creation of care activities. The aim of the present study was to understand this context by identifying, using the focus group technique, the perception of staff from the municipality Viçosa/MG, Brazil, of the concepts of ethics and bioethics, the approach to bioethical problems in the day to day functioning of the health units, and the training process relating to such issues. The results indicate recognition of the centrality of bioethics to the work of the Family Health Strategy and the need to create training areas which prioritize dialogue and lifelong learning.

Resumen El trabajo en la Estrategia Salud de la Familia possibilitó una serie de nuevos desafíos (bio)éticos a los profesionales del área de la salud. De hecho, se han exigido esfuerzos tanto en términos de investigación –mapeo de los problemas que enfrenta el equipo– como en la formación, considerando la preparación ética para el desarrollo de las acciones de cuidado. El reconocimiento de este contexto fue el lema de esta investigación, la cual trató de identificar, mediante la técnica de grupos focales, la percepción de los trabajadores de la municipalidad de Viçosa, Brasil, sobre los conceptos de ética y bioética, el enfoque bioético de los problemas cotidianos de las unidades de salud y el proceso de capacitación para la conducción de los mismos. Los resultados apuntan al reconocimiento de la centralidad de la (bio)ética para trabajar en la Estrategia Salud de la Familia y la necesidad de crear espacios de educación que le den prioridad al diálogo y al aprendizaje permanente.

https://doi.org/10.1590/1983-80422016243148 2203 downloads

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