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Abstract Objective: To evaluate exclusive breastfeeding at discharge and hospital length-of-stay in pre-term infants undergoing or not the Kangaroo-Mother Care Method (KMC). Methods: A retrospective cohort study was conducted including preterm infants < 1800 g admitted to the neonatal unit of a KMC reference center. The infants were grouped into the KMC group and the non-KMC group. Multiple logistic and Poisson regressions were performed to evaluate the association between the KMC and two outcomes, exclusive breastfeeding at discharge, and hospital length-of-stay, adjusted for potential confounders. Results: 115 mother-infant dyads were included, 78 in the KMC group and 37 in the non-KMC group. In the bivariate analysis, the KMC group had a lower prevalence of maternal adverse conditions (6% vs. 32%, p < 0.001), a higher number of prenatal visits (median 6 vs. 3.5, p < 0.001), higher gestational ages (median 32 vs. 31 weeks, p < 0.05), higher birth weights (median 1530 vs. 1365 g, p < 0.01), a lower prevalence of necrotizing enterocolitis (3.8% vs. 16.2%, p < 0.05), parenteral nutrition (50% vs. 73%, p < 0.05), and deep vascular access (49.7% vs. 78.4%, p < 0.01), a higher prevalence of exclusive breastfeeding (65% vs. 8%, p < 0.001) and a shorter length of hospital stay (median 28 vs. 42 days, p < 0.001). In the multiple regression analysis, the KMC group was 23 times more likely to be exclusively breastfed at discharge (OR = 23.1; 95% CI = 4,85–109,93) and had a 19% reduction in the hospital length-of-stay (IDR = 0.81; 95% CI = 0.76–0.86) compared to the non-KMC group. Conclusions: The KMC is associated with better short-term neonatal outcomes and should be encouraged in all Brazilian maternity hospitals. Objective lengthofstay pre term KangarooMother Kangaroo Mother KMC. . (KMC) Methods 180 center nonKMC non lengthofstay, stay, confounders Results 11 motherinfant mother infant included 7 3 analysis 6% (6 vs 32% 0.001, 0001 0.001 , 0 001 median 35 5 3.5 weeks 0.05, 005 0.05 05 0.05) 153 136 0.01, 0.01 01 0.01) 3.8% 38 8 (3.8 162 16 2 16.2% 50% 50 (50 73 73% 49.7% 497 49 (49.7 784 4 78.4% 65% 65 (65 8% days 0.001. OR 23.1 231 1 95 4,85–109,93 48510993 85 109 93 19 IDR 0.81 081 81 0.76–0.86 076086 76 86 Conclusions shortterm short hospitals (KMC 18 ( 000 0.00 00 3. 0.0 15 13 3.8 (3. 16.2 (5 49.7 (49. 78.4 23. 9 4,85–109,9 4851099 10 0.8 08 0.76–0.8 07608 0. (3 16. 49. (49 78. 4,85–109, 485109 0.76–0. 0760 (4 4,85–109 48510 0.76–0 076 4,85–10 4851 0.76– 07 4,85–1 485 0.76 4,85– 48 0.7 4,85 4,8 4,

https://doi.org/10.1016/jped.2024.01.004

Evaluación y actualización del conocimiento etnoflorístico medicinal de la zona oriente de Aguascalientes, México
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Mendieta-Vázquez, Araceli Guadalupe

; Martínez-Calderón, Víctor Manuel

; Torres-González, Jorge Alejandro

; Alvarez-Reyes, José

; López-Santos, Armando

; Meraz-Jiménez, Antonio de Jesús

Ecosistemas y recursos agropecuarios

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Ago 2024, Volume 11 Nº 2 elocation e3952

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

Abstract Mexico has great traditional knowledge of the use of medicinal plants, threatened by globalization and the standardization of educational systems. In Aguascalientes, the semiarid areas of the east are little studied on the ethnobotanical topic. The objective was to evaluate and update ethnobotanical knowledge of eastern Aguascalientes. Interviews, field trips, and collections of the mentioned medicinal plants were carried out. The Knowledge Wealth Index (KWI) and analysis of variance (ANOVA) were calculated by the age and sex of the interviewees. 52 medicinal species were identified, with main uses in the treatment of digestive, respiratory, renal, and traumatic diseases. Low KWI was obtained with a mean of 0.13 (limited knowledge), and without significant differences in knowledge between men and women, and age. The importance of documenting and preserving traditional knowledge and the use of medicinal plants in eastern Aguascalientes is highlighted.

Resumen México posee gran conocimiento tradicional en el uso de plantas medicinales, amenazado por la globalización y la estandarización de los sistemas educativos. En Aguascalientes, la región semiárida del oriente es un área poco estudiada en el ámbito etnoflorístico. El objetivo fue evaluar y actualizar el conocimiento etnoflorístico del oriente de Aguascalientes. Se hicieron entrevistas, recorridos en campo y colectas de las plantas medicinales mencionadas. Se calculó el índice de riqueza de conocimiento (IRC) y análisis de varianza (ANOVA) por edad y sexo de los entrevistados. Se identificaron 52 especies medicinales, con usos principales en el tratamiento de enfermedades digestivas, respiratorias, renales, y traumatismos. Se obtuvo bajo IRC con media de 0.13 (conocimiento limitado), y sin diferencias significativas en el conocimiento entre hombres y mujeres, ni por edad. Se destaca la importancia de documentar y preservar el conocimiento tradicional y el uso de plantas medicinales en el oriente de Aguascalientes.

https://doi.org/10.19136/era.a11n2.3952

Progression of valve heart disease in a cohort of patients undergoing renal replacement therapy
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Tompson, Maria Eduarda Cavalcanti

; Pimentel, José Arthur Viana de Oliveira

; Silva, Manuella de Amorim

; Santos-Veloso, Marcelo Antônio Oliveira

; Lordsleem, Andrea Bezerra de Melo da Silveira

; Lima, Sandro Gonçalves de

Brazilian Journal of Nephrology

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Jun 2024, Volume 46 Nº 2 elocation e20230036

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

Abstract Introduction: Cardiovascular disease is an important cause of death among patients with chronic kidney disease (CKD). Valve calcification is a predictor of cardiovascular mortality and coronary artery disease. Objective: To assess heart valve disease frequency, associated factors, and progression in CKD patients. Methods: We conducted a retrospective study on 291 CKD patients at Hospital das Clínicas de Pernambuco. Inclusion criteria were age ≥ 18 with CKD and valve disease, while those on conservative management or with missing data were excluded. Clinical and laboratory variables were compared, and patients were categorized by dialysis duration (<5 years; 5–10 years; >10 years). Statistical tests, including chi-square, Fisher’s exact, ANOVA, and Kruskal-Wallis, were employed as needed. Simple and multivariate binary regression models were used to analyze valve disease associations with dialysis duration. Significance was defined as p < 0.05. Results: Mitral valve disease was present in 82.5% (240) of patients, followed by aortic valve disease (65.6%; 86). Over time, 106 (36.4%) patients developed valve disease. No significant association was found between aortic, pulmonary, mitral, or tricuspid valve disease and dialysis duration. Secondary hyperparathyroidism was the sole statistically significant factor for mitral valve disease in the regression model (OR 2.59 [95% CI: 1.09–6.18]; p = 0.031). Conclusion: CKD patients on renal replacement therapy exhibit a high frequency of valve disease, particularly mitral and aortic valve disease. However, no link was established between dialysis duration and valve disease occurrence or progression. Introduction CKD. . (CKD) Objective factors Methods 29 Pernambuco 1 excluded compared <5 5 (< years 510 10 5–1 >1 years. years) tests chisquare, chisquare chi square, square chi-square Fishers Fisher s exact ANOVA KruskalWallis, KruskalWallis Kruskal Wallis, Wallis Kruskal-Wallis needed 005 0 05 0.05 Results 825 82 82.5 240 (240 65.6% 656 65 6 (65.6% 86. 86 86) time 36.4% 364 36 4 (36.4% pulmonary OR 259 2 59 2.5 95% 95 [95 CI 1.09–6.18 109618 09 1.09–6.18] 0.031. 0031 0.031 031 0.031) Conclusion However (CKD ( 51 5– > 00 0.0 8 82. 24 (24 65.6 (65.6 36.4 3 (36.4 25 2. 9 [9 1.09–6.1 10961 003 0.03 03 0. (2 65. (65. 36. (36. [ 1.09–6. 1096 (65 (36 1.09–6 109 (6 (3 1.09– 1.09 1.0 1.

Resumo Introdução: Doenças cardiovasculares são uma causa significativa de morte em pacientes com Doença Renal Crônica (DRC). A calcificação valvar é preditor de mortalidade cardiovascular e doença arterial coronariana. Objetivo: Avaliar a frequência, fatores associados e progressão de valvopatias em pacientes com DRC. Métodos: Coorte retrospectiva com 291 pacientes ambulatoriais no Hospital das Clínicas de Pernambuco. Inclusão: ≥18 anos com DRC e valvopatia; exclusão: tratamento conservador ou dados incompletos. Variáveis clínicas e laboratoriais foram comparadas e categorizadas por tempo de terapia dialítica (TTD): <5 anos, 5–10 anos, >10 anos. Foram aplicados os testes Qui-quadrado, exato de Fisher, ANOVA, Kruskal-Wallis. Associação entre valvopatia e TTD foi avaliada por regressão binária. Significância foi definida como p < 0,05. Resultados: A valvopatia mitral foi encontrada em 82,5% (240) dos casos, seguida da aórtica (65,6%; 86). Houve progressão da doença valvar em 106 (36,4%) pacientes. Não houve associação entre valvopatias aórtica, pulmonar, mitral ou tricúspide e TTD. Hiperparatireoidismo secundário foi a única variável explicativa significativa na regressão para valvopatia mitral (OR 2,59 [IC95%: 1,09–6,18]; p = 0,031). Conclusão: Encontramos alta frequência de valvopatias, especialmente mitral e aórtica, aem pacientes com DRC. Não houve associação entre TTD e valvopatia. Introdução . (DRC) coronariana Objetivo Métodos 29 Pernambuco Inclusão 18 ≥1 exclusão incompletos (TTD) 5 510 10 5–1 >1 Quiquadrado, Quiquadrado Qui quadrado, quadrado Qui-quadrado Fisher ANOVA KruskalWallis. KruskalWallis Kruskal Wallis. Wallis Kruskal-Wallis binária 005 0 05 0,05 Resultados 825 82 82,5 240 (240 casos 65,6% 656 65 6 (65,6% 86. 86 86) 36,4% 364 36 4 (36,4% pulmonar OR 259 2 59 2,5 IC95% IC95 IC [IC95% 1,09–6,18 109618 1 09 1,09–6,18] 0,031. 0031 0,031 031 0,031) Conclusão (DRC ≥ (TTD 51 5– > 00 0,0 8 82, 24 (24 65,6 (65,6 36,4 3 (36,4 25 2, IC9 [IC95 1,09–6,1 10961 003 0,03 03 0, (2 65, (65, 36, (36, [IC9 1,09–6, 1096 ( (65 (36 [IC 1,09–6 109 (6 (3 1,09– 1,09 1,0 1,

https://doi.org/10.1590/2175-8239-jbn-2023-0036en

Os contributos da Enfermagem para a reforma da saúde mental em Portugal
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Narigão, Miguel

; Nabais, António Antunes

; Mendes, Artur

; Sampaio, Francisco

; Santos, José Carlos

; Fernandes, Manuela

Revista Portuguesa de Enfermagem de Saúde Mental

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Jun 2024, Nº 31 Páginas 3 - 11

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

Resumen La transformación de la atención de salud mental en Portugal en los últimos años ha sido fundamental para una mayor humanización, una mejor organización y proximidad. Con un enfoque predominantemente comunitario, las enfermeras de salud mental desempeñan un papel importante en su implementación debido a sus conocimientos y prácticas dentro de equipos interdisciplinarios. Contribuyen a través de intervenciones conjuntas y autónomas a lo largo del ciclo vital, promoviendo la salud mental, interpretando el sufrimiento mental y brindando apoyo en enfermedades mentales, tanto en entornos comunitarios como hospitalarios.

Abstract The transformation of mental healthcare in Portugal in recent years has been instrumental in promoting greater humanisation, improved organisation, and proximity to patients. With a predominantly community-focused approach, mental health nurses play a crucial role in its implementation through their knowledge and practice within interdisciplinary teams. They contribute through joint and autonomous interventions across the lifespan, promoting mental health, interpreting mental distress, and providing support for mental illness in community and hospital settings.

Resumo A transformação dos cuidados de saúde mental em Portugal, nos anos recentes tem sido determinante para uma maior humanização, melhor organização e proximidade. Com um foco predominantemente comunitário, os enfermeiros especialistas em Enfermagem de Saúde Mental e Psiquiátrica têm um importante papel na sua implementação, pelo seu conhecimento e prática, incluídos em equipas interdisciplinares, dando contributos através de intervenções conjuntas e autónomas, ao longo do ciclo vital, através da promoção da saúde mental, interpretação do sofrimento mental e acompanhamento na doença mental, em contextos comunitários e hospitalares.

https://doi.org/10.19131/rpesm.376

Use of ChatGPT in Urology and its Relevance in Clinical Practice: Is it useful? Practice useful
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Braga, Antonio Vitor Nascimento Martinelli

; Nunes, Noel Charlles

; Santos, Emanoel Nascimento

; Veiga, Maria Luiza

; Braga, Ana Aparecida Nascimento Martinelli

; Abreu, Glicia Estevam de

; Bessa Júnior, José de

; Braga, Luis Henrique

; Kirsch, Andrew J.

; Barroso Júnior, Ubirajara

International braz j urol

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Abr 2024, Volume 50 Nº 2 Páginas 192 - 198

Resumo: En | Texto: En | PDF: En

ABSTRACT Purpouse: One of the many artificial intelligence based tools that has gained popularity is the Chat-Generative Pre-Trained Transformer (ChatGPT). Due to its popularity, incorrect information provided by ChatGPT will have an impact on patient misinformation. Furthermore, it may cause misconduct as ChatGPT can mislead physicians on the decision-making pathway. Therefore, the aim of this study is to evaluate the accuracy and reproducibility of ChatGPT answers regarding urological diagnoses. Materials and Methods: ChatGPT 3.5 version was used. The questions asked for the program involved Primary Megaureter (pMU), Enuresis and Vesicoureteral Reflux (VUR). There were three queries for each topic. The queries were inserted twice, and both responses were recorded to examine the reproducibility of ChatGPT's answers. Afterwards, both answers were combined. Finally, those rwere evaluated qualitatively by a board of three specialists. A descriptive analysis was performed. Results and Conclusion: ChatGPT simulated general knowledge on the researched topics. Regarding Enuresis, the provided definition was partially correct, as the generic response allowed for misinterpretation. For VUR, the response was considered appropriate. For pMU it was partially correct, lacking essential aspects of its definition such as the diameter of the dilatation of the ureter. Unnecessary exams were suggested, for Enuresis and pMU. Regarding the treatment of the conditions mentioned, it specified treatments for Enuresis that are ineffective, such as bladder training. Therefore, ChatGPT responses present a combination of accurate information, but also incomplete, ambiguous and, occasionally, misleading details. Purpouse ChatGenerative Chat Generative PreTrained Pre Trained ChatGPT. . (ChatGPT) misinformation Furthermore decisionmaking decision making pathway Therefore diagnoses Methods 35 3 5 3. used pMU, , (pMU) VUR. VUR (VUR) topic twice ChatGPTs s Afterwards combined Finally specialists performed Conclusion topics correct misinterpretation appropriate ureter suggested mentioned ineffective training incomplete occasionally details (ChatGPT (pMU (VUR

https://doi.org/10.1590/s1677-5538.ibju.2023.0570

“NÃO SOU MUITO AMIGO DE AUTORIDADES”: O PADRE ANTÓNIO VIEIRA E A TRADIÇÃO NÃO AUTORIDADES AUTORIDADES”
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Pinto, Porfírio José dos Santos

Perspectiva Teológica

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Abr 2024, Volume 56 Nº 1 Páginas 165 - 180

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

ABSTRACT It is not uncommon to stick to Father António Vieira the label of “messianism” – which has even happened to illustrious “vieirists” – but this is clearly a mistake. To the Coimbra’s court of the Holy Office, the Jesuit confessed to being a “millenarian”, simply because he believed in the advent of a “new state” of the Church, which he called “the Kingdom of Christ consummated on Earth” and which he identified with the new eon announced by the Old Testament prophets and initiated in Jesus Christ (see The Key of the Prophets). The theme addressed here – Vieira’s relationship with tradition – allows us to understand his determination to give a new answer to a new reality: the possibility of evangelization (and conversion) of the whole world. messianism “messianism vieirists “vieirists mistake Coimbras Coimbra s Office millenarian, millenarian , “millenarian” state Church Earth see Prophets. Prophets . Prophets) Vieiras reality conversion world “millenarian

RESUMO Não é raro colar ao padre António Vieira a etiqueta do “messianismo” – o que aconteceu até com ilustres vieiristas –, mas isso é claramente um erro. Ao Tribunal do Santo Ofício de Coimbra, o jesuíta confessou ser “milenarista”, simplesmente porque acreditava no advento de um “novo estado” da Igreja, que ele denominava “Reino de Cristo consumado na Terra” e que identificava com o novo éon anunciado pelos profetas veterotestamentários e iniciado em Jesus Cristo (ver A chave dos profetas). O tema aqui abordado – a relação de Vieira com a tradição – permite compreender a sua determinação em dar uma resposta nova a uma nova realidade: a possibilidade de evangelização (e conversão) do mundo inteiro. messianismo “messianismo erro Coimbra milenarista, milenarista , “milenarista” estado Igreja Reino Terra ver profetas. . profetas) realidade conversão inteiro “milenarista

https://doi.org/10.20911/21768757v56n1p165/2024

Nas margens do 25 de Abril: os futuros do passado. Uma introdução
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Santos, Ana Cordeiro

; Carvalho, António

; Frade, Catarina

; Fontes, Fernando

; Caldeira, Isabel

; Mendes, José Manuel

; Alarcão, Madalena

; Duarte, Madalena

; Freire, Maria Raquel

; Vieira, Patrícia

; Ribeiro, Raquel

; Marques, Tiago Pires

Revista Crítica de Ciências Sociais

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Mar 2024, Nº 133 Páginas 5 - 12

Resumo: Pt | Texto: Pt | PDF: Pt

https://doi.org/10.4000/11pr0

Imbibition and drying periods in desiccation tolerance of peanut seeds
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Albuquerque Neto, João Cardoso de

; Silva, Maria Neusa Eleutério da

; Pavão, Jessé Marques da Silva Júnior

; Alves, Maria Claudjane Jerônimo Leite

; Silva, Ricardo Barros

; Martins, Gleica Maria Correia

; Silva, José Vieira

; Souza, Ademária Aparecida de

; Santos Neto, Antônio Lucrécio dos

Bragantia

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2024, Volume 83 elocation e20230232

Resumo: En | Texto: En | PDF: En

ABSTRACT The objective of this research was to evaluate the biochemical and physiological quality of peanut cultivar seeds under periods of imbibition and drying. A completely randomized statistical design was adopted, in factorial scheme, with four replications. The three peanut cultivars were: BR1, BRS 151-L7, and IAC 505. The imbibition and drying periods were: 0, 12, 24, 36 and 48 hours. The seeds were imbibition with the aid of germitest paper and distilled water, then dried on a metal screen in a plastic box with silica, according to the periods studied. Physiological variables were evaluated (percentage of germination, normal seedlings, abnormal seedlings in the first count and abnormal seedlings in the final count, accelerated aging, seedling length, electrical conductivity, speed index, and average germination time) and biochemical variables (sugar concentration total, reducing sugars, hydrogen peroxide, total superoxide dismutase proteins, and total proteins). The desiccation tolerance of peanut seeds is reduced as the period of water absorption followed by drying increases. Seeds of cultivar IAC 505 have greater tolerance to imbibition and subsequent desiccation compared to seeds of BR1 and BRS 151-L7. adopted scheme replications BR 151L7, 151L7 L 151 L7, L7 151-L7 0 12 24 3 4 hours silica studied percentage aging length conductivity index time sugar sugars peroxide proteins proteins. . proteins) increases 50 151L7. L7. 151L 15 151-L 1 2 5

https://doi.org/10.1590/1678-4499.20230232

Therapeutic Adherence According to the Morisky Scale in Patients with Hypertension
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Lanza, Vinícius Encenha

; Silva, Gabriel Oliveira

; Quiroga, Celi Cristina Calamita

; Cavalcante, Margaret Assad

; Barroso, Weimar Kunz Sebba

; Brandão, Andréa Araujo

; Barbosa, Eduardo Costa Duarte

; Malachias, Marcus Vinicius Bolivar

; Gomes, Marco Mota

; Amodeo, Celso

; Povoa, Rui Manoel dos Santos

; Précoma, Dalton Bertolim

; Sousa, Antônio Carlos Sobral

; Dantas, João Miguel Malta

; Cesarino, Evandro José

; Barros e Silva, Pedro G. M. de

; Veiga Jardim, Paulo Cesar B.

; Lopes, Renato D.

International Journal of Cardiovascular Sciences

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2024, Volume 37 elocation e20220138

Resumo: En | Texto: En | PDF: En

Abstract Background In view of the high prevalence of hypertension and the importance of adequate drug therapy in the prevention of complications, it is necessary to know the adherence to drug treatment in this population. Objective To verify adherence to antihypertensive drug treatment in Brazilian patients with hypertension using the Morisky-Green Test (MGT), relating it with demographic data. Methods Prospective, observational, multicenter, national registry study, with 2,578 hypertensive patients participating in study I, the Brazilian Cardiovascular Registry of Arterial Hypertension (I-RBH), recruited in the five regions of Brazil. The analyses carried out on the data were descriptive statistics, qui-square tests, ANOVA, and logistic regression, adopting 5% as the significance level for the tests. Results The research shows that 56.13% of patients in the sample were female; 56.71% were elderly (≥ 65 years); 55.86% were White; 52.37% were from the Southeast Region; and 59.74% were non-adherent. Logistic regression showed an independent relationship between patients’ age, ethnicity, and region with medication adherence. Conclusion Adherence to treatment is the key to reducing high rates of cardiovascular complications. The study brings a successful outcome in the relationship between the factors ethnicity, age, and region of patients with hypertension and medication adherence. To this end, it is necessary to understand these factors, considering systematic evaluation in the care of patients with hypertension and other chronic non-communicable diseases. This study is a significant contribution to multidisciplinary teams, as it highlights which risk factors interfere with medication adherence, incorporating better strategies in health education. complications population MoriskyGreen Morisky Green MGT, MGT , (MGT) Prospective observational multicenter 2578 2 578 2,57 I IRBH, IRBH RBH (I-RBH) Brazil statistics quisquare qui square tests ANOVA 5 5613 56 13 56.13 female 5671 71 56.71 ≥ ( 6 years years) 5586 55 86 55.86 White 5237 52 37 52.37 Region 5974 59 74 59.74 nonadherent. nonadherent non adherent. adherent non-adherent age ethnicity end noncommunicable communicable diseases teams education (MGT 257 57 2,5 (I-RBH 561 1 56.1 567 7 56.7 558 8 55.8 523 3 52.3 597 59.7 25 2, 56. 55. 52. 59.

https://doi.org/10.36660/ijcs.20220138

10.

Escala de aprendizagem cooperativa: validação para estudantes universitários de Portugal e do Brasil cooperativa
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Silva, Helena Santos

; Lopes, José

; Estrada, Jose Antonio Cecchini

; Fernandez-Rio, Javier

; Leite, Ângela

Revista Brasileira de Educação

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2024, Volume 29 elocation e290013

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

RESUMEN El objetivo de este estudio fue adaptar y validar la versión en español de la Escala de Aprendizaje Cooperativo (EAC) para estudiantes de educación superior portugueses y brasileños. Participaron en el estudio 493 estudiantes de educación superior entre 17 y 45 años de una universidad del norte de Portugal y 414 brasileños de entre 14 y 52 años de universidades de Brasil. Para la adaptación, el instrumento original, diseñado y validado para contextos españoles y para estudiantes del 3er ciclo de educación básica y de educación secundaria, pasó por varias fases: a) evaluación de expertos; b) estudio piloto; c) análisis factorial confirmatorio; y d) determinación de la validez convergente y divergente. Tanto la versión portuguesa como la brasileña del EAC presentan un buen modelo de ajuste e incluyen cinco factores con tres ítems cada uno: interdependencia positiva, habilidades sociales, interacción promotora, responsabilidad individual, y procesamiento grupal. (EAC 49 1 4 41 5 Brasil adaptación original er secundaria fases a expertos b piloto c confirmatorio d divergente uno positiva sociales promotora individual grupal

ABSTRACT The aim of this study was to adapt and validate the Spanish version of the Cooperative Learning Scale (CAT) for Portuguese and Brazilian higher education students. The study included 493 higher education students aged 17-45 years from a university in northern Portugal and 414 Brazilian university students aged 14-52 years from different universities in Brazil. To this adaptation, the original instrument, designed and validated for Spanish contexts and for students from the 3rd cycle of basic education and secondary education, went through several phases: a) evaluation by experts; b) pilot study; c) confirmatory factorial analysis; and d) determination of convergent and divergent validity. Both the Portuguese and the Brazilian versions of the CAT present a good adjustment model and include five factors with three items each: positive interdependence, interpersonal skills, promotive interaction, individual accountability, and group processing. (CAT 49 1745 17 45 17-4 41 1452 14 52 14-5 Brazil adaptation instrument rd phases experts b c analysis d validity each interdependence skills interaction accountability processing 4 174 1 17- 145 5 14-

RESUMO O objetivo deste estudo foi adaptar e validar a versão espanhola da Escala de Aprendizagem Cooperativa (EAC) para estudantes portugueses e brasileiros do ensino superior. Participaram no estudo 493 estudantes do Ensino Superior com idades entre 17 e 45 anos de uma universidade do norte de Portugal e 414 estudantes universitários brasileiros com idades entre 14 e 52 anos de universidades do Brasil. Para a adaptação, o instrumento original, desenhado e validado para contextos espanhóis para alunos do 3.º ciclo dos Ensinos Básico e Secundário, passou por várias fases: a) avaliação por especialistas; b) estudo piloto; c) análise fatorial confirmatória; e d) determinação da validade convergente e divergente. A versão portuguesa e a brasileira da EAC apresentam um bom modelo de ajustamento e incluem cinco fatores com três itens cada: interdependência positiva, competências interpessoais, interação estimuladora, responsabilidade individual e de grupo e processo de grupo. (EAC superior 49 1 4 41 5 Brasil adaptação original 3º º 3 Secundário fases especialistas b piloto c confirmatória d divergente cada positiva interpessoais estimuladora

https://doi.org/10.1590/s1413-24782024290013

11.

Adequação do Consumo de Ácidos Graxos entre Pacientes em Prevenção Cardiovascular Secundária
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Marcadenti, Aline

; Machado, Rachel H. Vieira

; Santos, Renato Hideo Nakagawa

; Kasai, Caio Cesar dos Santos

; Kovacs, Cristiane

; Bello, Annie

; de Matos, Cristina H.

; Bertacco, Renata Torres Abib

; Souza, Gabriela C.

; Schirmann, Gabriela da S.

; Nagano, Francisca Eugenia Zaina

; Poloni, Soraia

; Kik, Raquel Milani El

; Feres, Naoel Hassan

; Rodrigues, Isa G.

; Sousa, Antônio Carlos Sobral

; Pinheiro, Josilene M. F.

; Vasconcelos, Sandra Mary Lima

; Carlos, Daniele Maria de Oliveira

; Souza, Viviane Sahade

; Gomes, Adriana Barros

; Figueiredo Neto, José Albuquerque de

; Moriguchi, Emilio Hideyuki

; Izar, Maria Cristina

; Pinto, Sônia Lopes

; Bressan, Josefina

; de Souza, Simone Raimondi

; Kumbier, Magali C.

; de Araújo, Celme Barroncas Passos

; Torreglosa, Camila R.

; Weber, Bernardete

; Bersch-Ferreira, Ângela Cristine

Arquivos Brasileiros de Cardiologia

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2024, Volume 121 Nº 3 elocation e20230487

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

Background: Adhering to a diet adequate in macronutrients is crucial for the secondary prevention of cardiovascular diseases. Objective: To assess the prevalence of adherence to recommendations for the consumption of dietary fatty acids for the prevention and treatment of cardiovascular diseases and to estimate whether the presence of certain cardiovascular risk factors would be associated with adherence. Methods: Cross-sectional study using baseline data from 2,358 participants included in the "Brazilian Cardioprotective Nutritional Program Trial". Dietary intake and cardiovascular risk factors were assessed. Adequate intake of polyunsaturated fatty acids (PUFA) was considered as ≥10% of total daily energy intake; for monounsaturated fatty acids (MUFA), 20%; and for saturated fatty acids (SFA), <7% according to the Brazilian Society of Cardiology. A significance level of 5% was considered in the statistical analysis. Results: No participant adhered to all recommendations simultaneously, and more than half (1,482 [62.9%]) did not adhere to any recommendation. Adherence exclusively to the SFA recommendation was the most prevalent, fulfilled by 659 (28%) participants, followed by adherence exclusively to the PUFA (178 [7.6%]) and MUFA (5 [0.2%]) recommendations. There was no association between the number of comorbidities and adherence to nutritional recommendations (p = 0.269). Participants from the Brazilian Northeast region showed a higher proportion of adherence to SFA consumption recommendations (38.42%) and lower adherence to PUFA intake (3.52%) (p <0.001) compared to other regions. Conclusions: Among the evaluated sample, there was low adherence to nutritional recommendations for dietary fatty acid consumption. Background Objective Methods Crosssectional Cross sectional 2358 2 358 2,35 Trial. Trial . Trial" assessed (PUFA 10 ≥10 MUFA, , (MUFA) 20% 20 SFA, (SFA) 7 <7 Cardiology 5 analysis Results simultaneously 1,482 1482 1 482 (1,48 62.9% 629 62 9 [62.9%] prevalent 65 28% 28 (28% 178 (17 7.6% 76 6 [7.6%] ( 0.2% 02 0 [0.2%] p 0.269. 0269 0.269 269 0.269) 38.42% 3842 38 42 (38.42% 3.52% 352 3 52 (3.52% <0.001 0001 001 regions Conclusions sample 235 35 2,3 ≥1 (MUFA (SFA < 1,48 148 48 (1,4 62.9 [62.9% (28 17 (1 7.6 [7.6% 0.2 [0.2% 026 0.26 26 38.42 384 4 (38.42 3.52 (3.52 <0.00 000 00 23 2, ≥ 1,4 14 (1, 62. [62.9 (2 7. [7.6 0. [0.2 38.4 (38.4 3.5 (3.5 <0.0 1, [62. [7. [0. 38. (38. 3. (3. <0. [62 [7 [0 (38 (3 <0 [6 [

Resumo Fundamento: A adesão à uma alimentação adequada em macronutrientes é fundamental para a prevenção secundária de doenças cardiovasculares. Objetivo: Avaliar a prevalência de adesão às recomendações de consumo de ácidos graxos para prevenção e tratamento de doenças cardiovasculares, e estimar se a presença de determinados fatores de risco cardiovascular estaria associada à adesão. Métodos: Estudo transversal com os dados de linha de base de 2358 participantes do estudo "Brazilian Cardioprotective Nutritional Program Trial". Dados de consumo alimentar, e fatores de risco cardiovascular foram avaliados. Foi considerada, de acordo com a Sociedade Brasileira de Cardiologia, uma ingestão adequada de ácidos graxos poli-insaturados (AGPI) ≥10% do consumo total de energia diária, para ácidos graxos monoinsaturados (AGM), 20% e para ácidos graxos saturados (AGS), <7%. Na análise estatística foi considerando nível de significância de 5%. Resultados: Nenhum participante aderiu a todas as recomendações de forma simultânea e mais da metade (1482 [62,9%]) não aderiu a nenhuma recomendação. A adesão exclusivamente à recomendação de AGS foi a mais prevalente, sendo cumprida por 659 (28%) dos participantes, seguida da adesão exclusivamente à recomendação de AGP (178 [7,6%]) e de AGM (5 [0,2%]). Não houve associação entre o número de comorbidades e a adesão às recomendações nutricionais (p =0,269). Os participantes da região Nordeste do país apresentaram maior proporção de adesão às recomendações para consumo de AGS (38,42%), e menor para ingestão de AGPI (3,52%) (p <0,001) em comparação às demais. Conclusões: Na amostra avaliada, evidenciou-se baixa adesão às recomendações nutricionais para consumo de ácidos graxos. Fundamento cardiovasculares Objetivo Métodos 235 Brazilian Trial. Trial . Trial" alimentar avaliados considerada Cardiologia poliinsaturados poli insaturados (AGPI 10 ≥10 diária AGM, , (AGM) 20 AGS, (AGS) 7 <7% 5 5% Resultados 1482 (148 62,9% 629 62 9 [62,9%] prevalente 65 28% 28 (28% 178 (17 7,6% 76 6 [7,6%] ( 0,2%. 02 0,2% 0 2 [0,2%]) p =0,269. 0269 =0,269 269 =0,269) 38,42%, 3842 38,42% 38 42 (38,42%) 3,52% 352 3 52 (3,52% <0,001 0001 001 demais Conclusões avaliada evidenciouse evidenciou 23 1 ≥1 (AGM (AGS <7 148 (14 62,9 [62,9% (28 17 (1 7,6 [7,6% 0,2 [0,2%] 026 =0,26 26 384 38,42 4 (38,42% 3,52 35 (3,52 <0,00 000 00 ≥ < 14 62, [62,9 (2 7, [7,6 0, [0,2% =0,2 38,4 (38,42 3,5 (3,5 <0,0 [62, [7, [0,2 =0, 38, (38,4 3, (3, <0, [62 [7 [0, =0 (38, (3 <0 [6 [ [0 = (38

https://doi.org/10.36660/abc.20230487

12.

Self-compacting microconcretes containing ornamental stone waste and expanded polystyrene residue: influence of the ratios filler/cement and lightweight /conventional aggregates Selfcompacting Self compacting residue fillercement filler cement conventional
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Souza, Ariel Miranda de

; Carvalho, José Maria Franco de

; Santos, Carol Ferreira Rezende

; Ferreira, Flávio Antônio

; Pedroti, Leonardo Gonçalves

; Peixoto, Ricardo André Fiorotti

Revista IBRACON de Estruturas e Materiais

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2024, Volume 17 Nº 6 elocation e17605

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

Abstract Eco-efficient self-compacting micro concretes with partial replacement of Portland cement by ornamental stone waste (OSW) and replacement of conventional aggregates by expanded polystyrene waste were addressed in this study. A base mixture was obtained using a particle packing method, and replacement fractions followed a second-order composite experimental design. The mixtures’ rheological, physical, mechanical and eco-efficiency parameters were evaluated and discussed. As expected, the incorporation of residues reduced the mechanical strength, and mixtures with high incorporation of lightweight aggregates tended to segregate. However, OSW has been shown to increase workability and decrease viscosity, contributing to control segregation due to the reduced amount of water required without impairing the fluidity of the mix. At the same time, the lightweight aggregate decreased both the density of the mixtures and the viscosity. The interaction of the residue with the lightweight aggregate proved promising in obtaining more eco-efficient lightweight microconcretes. Ecoefficient Eco efficient selfcompacting self compacting (OSW study method secondorder second order design rheological physical ecoefficiency eco efficiency discussed expected strength segregate However viscosity mix time ecoefficient microconcretes

Resumo Foram abordados neste estudo micro concretos autoadensáveis ecoeficientes com substituição parcial do cimento Portland por resíduo de rochas ornamentais (do inglês ornamental stone waste - OSW) e substituição dos agregados convencionais por resíduo de poliestireno expandido. A dosagem foi feita utilizando metodologia de empacotamento de partículas, e as frações de substituição seguiram um projeto experimental estatístico composto de segunda ordem. Foram avaliados e discutidos os parâmetros reológicos, físicos, mecânicos e de ecoeficiência das misturas. Como esperado, a incorporação dos resíduos diminuiu a resistência mecânica, e as misturas com elevadas incorporações de agregados leves apresentaram tendência a segregação. Entretanto, a adição do resíduo OSW demonstrou aumentar a trabalhabilidade e diminuir a viscosidade, contribuindo para controlar a segregação devido à redução no consumo de água necessário sem prejudicar a fluidez da mistura. Ao mesmo tempo, o agregado leve diminuiu tanto a densidade das misturas quanto a viscosidade. A interação do resíduo com o agregado leve se mostrou promissora na obtenção de microconcretos leves mais ecoeficientes. expandido partículas ordem reológicos físicos esperado mecânica Entretanto viscosidade mistura tempo

https://doi.org/10.1590/s1983-41952024000600005

13.

Diretrizes Brasileiras de Medidas da Pressão Arterial Dentro e Fora do Consultório – 2023 202 20 2
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Feitosa, Audes Diogenes de Magalhães

; Barroso, Weimar Kunz Sebba

; Mion Junior, Decio

; Nobre, Fernando

; Mota-Gomes, Marco Antonio

; Jardim, Paulo Cesar Brandão Veiga

; Amodeo, Celso

; Oliveira, Adriana Camargo

; Alessi, Alexandre

; Sousa, Ana Luiza Lima

; Brandão, Andréa Araujo

; Pio-Abreu, Andrea

; Sposito, Andrei C.

; Pierin, Angela Maria Geraldo

; Paiva, Annelise Machado Gomes de

; Spinelli, Antonio Carlos de Souza

; Machado, Carlos Alberto

; Poli-de-Figueiredo, Carlos Eduardo

; Rodrigues, Cibele Isaac Saad

; Forjaz, Claudia Lucia de Moraes

; Sampaio, Diogo Pereira Santos

; Barbosa, Eduardo Costa Duarte

; Freitas, Elizabete Viana de

; Cestario, Elizabeth do Espirito Santo

; Muxfeldt, Elizabeth Silaid

; Lima Júnior, Emilton

; Campana, Erika Maria Gonçalves

; Feitosa, Fabiana Gomes Aragão Magalhães

; Consolim-Colombo, Fernanda Marciano

; Almeida, Fernando Antônio de

; Silva, Giovanio Vieira da

; Moreno Júnior, Heitor

; Finimundi, Helius Carlos

; Guimarães, Isabel Cristina Britto

; Gemelli, João Roberto

; Barreto-Filho, José Augusto Soares

; Vilela-Martin, José Fernando

; Ribeiro, José Marcio

; Yugar-Toledo, Juan Carlos

; Magalhães, Lucélia Batista Neves Cunha

; Drager, Luciano F.

; Bortolotto, Luiz Aparecido

; Alves, Marco Antonio de Melo

; Malachias, Marcus Vinícius Bolívar

; Neves, Mario Fritsch Toros

; Santos, Mayara Cedrim

; Dinamarco, Nelson

; Moreira Filho, Osni

; Passarelli Júnior, Oswaldo

; Vitorino, Priscila Valverde de Oliveira

; Miranda, Roberto Dischinger

; Bezerra, Rodrigo

; Pedrosa, Rodrigo Pinto

; Paula, Rogerio Baumgratz de

; Okawa, Rogério Toshiro Passos

; Póvoa, Rui Manuel dos Santos

; Fuchs, Sandra C.

; Lima, Sandro Gonçalves de

; Inuzuka, Sayuri

; Ferreira-Filho, Sebastião Rodrigues

; Fillho, Silvio Hock de Paffer

; Jardim, Thiago de Souza Veiga

; Guimarães Neto, Vanildo da Silva

; Koch, Vera Hermina Kalika

; Gusmão, Waléria Dantas Pereira

; Oigman, Wille

; Nadruz Junior, Wilson

Arquivos Brasileiros de Cardiologia

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2024, Volume 121 Nº 4 elocation e20240113

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

https://doi.org/10.36660/abc.20240113

14.

Biological action of melatonin on target receptors in breast cancer
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Pardi, Paulo Celso

; Turri, José Antonio Orellana

; Bayer, Luiza Helena Costa Moreira

; Nóbrega, Gabriela Bezerra

; Filassi, José Roberto

; Simões, Ricardo dos Santos

; Mota, Bruna Salani

; Sorpreso, Isabel Cristina Espósito

; Baracat, Edmund Chada

; Soares Júnior, José Maria

Revista da Associação Médica Brasileira

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2024, Volume 70 Nº 3 elocation e20231260

Resumo: En | Texto: En | PDF: En

https://doi.org/10.1590/1806-9282.20231260

15.

COVID-19 in hematopoietic stem cell transplant recipients during three years of the pandemic: a multicenter study in Brazil COVID19 COVID 19 COVID-1 pandemic COVID1 1 COVID-
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Randi, Bruno Azevedo

; Higashino, Hermes Ryoiti

; Silva, Vinícius Ponzio da

; Salomão, Matias Chiarastelli

; Pignatari, Antonio Carlos Campos

; Abdala, Edson

; Vasques, Fabiana

; Silva, Celso Arrais Rodrigues da

; Silva, Roberto Luiz da

; Lazari, Carolina dos Santos

; Levi, José Eduardo

; Xavier, Erick Menezes

; Côrtes, Marina Farrel

; Luna-Muschi, Alessandra

; Rocha, Vanderson

; Costa, Silvia Figueiredo

Revista do Instituto de Medicina Tropical de São Paulo

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2024, Volume 66 elocation e17

Resumo: En | Texto: En | PDF: En

ABSTRACT Hematopoietic stem cell transplant (HSCT) recipients are at -increased risk for severe COVID-19. The aim of this study was to evaluate the burden of COVID-19 in a cohort of HSCT recipients. This retrospective study evaluated a cohort of adult hospitalized HSCT recipients diagnosed with COVID-19 in two large hospitals in São Paulo, Brazil post-HSCT, from January 2020 to June 2022. The primary outcome was all-cause mortality. Of 49 cases, 63.2% were male with a median age of 47 years. Allogeneic-HSCT (51.2%) and autologous-HSCT (48.9%) patients were included. The median time from HSCT to COVID-19 diagnosis was 398 days (IQR: 1211-134), with 22 (44.8%) cases occurring within 12 months of transplantation. Most cases occurred during the first year of the pandemic, in non-vaccinated patients (n=35; 71.4%). Most patients developed severe (24.4%) or critical (40.8%) disease; 67.3% received some medication for COVID-19, primarily corticosteroids (53.0%). The probable invasive aspergillosis prevalence was 10.2%. All-cause mortality was 40.8%, 51.4% in non-vaccinated patients and 14.2% in patients who received at least one dose of the vaccine. In the multiple regression analyses, the variables mechanical ventilation (OR: 101.01; 95% CI: 8.205 – 1,242.93; p = 0.003) and chest CT involvement at diagnosis ≥50% (OR: 26.61; 95% CI: 1.06 – 664.26; p = 0.04) remained associated with all-cause mortality. Thus, HSCT recipients with COVID-19 experienced high mortality, highlighting the need for full vaccination and infection prevention measures. (HSCT increased COVID19. COVID19 COVID 19. 19 COVID-1 Paulo postHSCT, postHSCT post HSCT, post-HSCT 202 2022 allcause all cause 4 632 63 2 63.2 years AllogeneicHSCT Allogeneic 51.2% 512 51 (51.2% autologousHSCT autologous 48.9% 489 48 9 (48.9% included 39 IQR (IQR 1211134, 1211134 1211 134 , 1211-134) 44.8% 448 44 8 (44.8% 1 transplantation pandemic nonvaccinated non vaccinated n=35 n35 n 35 (n=35 71.4%. 714 71.4% . 71 71.4%) 24.4% 244 24 (24.4% 40.8% 408 40 (40.8% disease 673 67 3 67.3 COVID19, 19, 53.0%. 530 53.0% 53 0 (53.0%) 102 10 10.2% Allcause All 514 51.4 142 14 14.2 vaccine analyses OR (OR 101.01 10101 101 01 95 CI 8205 205 8.20 1,242.93 124293 242 93 0.003 0003 003 50 ≥50 26.61 2661 26 61 106 06 1.0 664.26 66426 664 0.04 004 04 Thus measures COVID1 COVID- 20 6 63. 51.2 5 (51.2 48.9 (48.9 121113 121 13 1211-134 44.8 (44.8 n=3 n3 (n=3 71.4 7 24.4 (24.4 40.8 (40.8 67. 53.0 (53.0% 10.2 51. 14. 101.0 1010 820 8.2 1,242.9 12429 0.00 000 00 ≥5 26.6 266 1. 664.2 6642 66 0.0 (51. 48. (48. 12111 1211-13 44. (44. n= (n= 71. 24. (24. 40. (40. 53. (53.0 10. 101. 82 8. 1,242. 1242 ≥ 26. 664. 0. (51 (48 1211-1 (44 (n (24 (40 (53. 1,242 124 (5 (4 1211- (2 (53 1,24 ( 1,2 1,

https://doi.org/10.1590/s1678-9946202466017

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