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Premature Newborns with the Potential to Develop Special Health Needs: An Approach by Triangulation of Methods
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Silva, Rosane Meire Munhak da
; Casacio, Gabriela Dominicci de Melo
; Zilly, Adriana
; Viera, Claudia Silveira
; Neves, Eliane Tatsch
; Pinheiro Melo, Elsa Maria de Oliveira
; Mello, Débora Falleiros de
.
Abstract Introduction: Maternal recognition of special health needs of premature babies is essential, given the importance of early stimuli after discharge to strengthen child development. Objective: To identify premature newborns with potential factors for the development of special health needs and describe maternal recognition of these factors. Materials and methods: Qualitative and quantitative study, performed using a triangulation method, with concomitant incorporation of data, included to analysis Chi-square test (p<0.05) for quantitative data and interpretation of meanings for qualitative. Variables: Birth weight, gestational age, Apgar score, complications, and length of hospital stay from 951 records of hospitalized premature infants; 18 mothers were interviewed during hospitalization, 15 days after discharge at home, 30 days after this at-home visit and at the age of 6 months of the child, by telephone, in Southern Brazil. Results: Identified as potential factors: Extreme prematurity and/or very premature, low birth weight, complications, and prolonged hospitalization. With the incorporation of the data, the relevance of these factors for children at risk of changes in development and behavior was verified. Mothers described their children as having healthy development but recognized prematurity is a factor that predisposes to new hospitalizations, and perinatal factors and those related to hospitalization contribute to the development of special health needs. Conclusion: The importance of early identification of factors that enhance the development of special health needs is understood to initiate the necessary stimuli to strengthen child development.
Resumen Introducción: El reconocimiento materno de las necesidades especiales de salud de los bebés prematuros es esencial, por la importancia de los estímulos tempranos después del alta para fortalecer el desarrollo infantil. Objetivo: Identificar a los recién nacidos prematuros con factores potenciales para el desarrollo de necesidades especiales de salud y describir el reconocimiento materno de estos factores. Materiales y métodos: Estudio cualitativo y cuantitativo, realizado mediante un método de triangulación, con incorporación concomitante de datos, incluido en el análisis del test de Chi-cuadra-do (p<0,05) para los datos cuantitativos, y la interpretación de significados para los cualitativos. Variables: Peso al nacer, edad gestacional, puntuación de Apgar, complicaciones y duración de la estancia hospitalaria a partir de 951 registros de niños prematuros hospitalizados; 18 madres fueron entrevistadas durante la hospitalización, 15 días después del alta en el domicilio, 30 días después de esta visita domiciliaria y a la edad de 6 meses del niño, por teléfono, en el sur de Brasil. Resultados: Se identificaron como factores potenciales: prematuridad extrema y/o muy prematuro, bajo peso al nacer, complicaciones y hospitalización prolongada. Con la incorporación de los datos se verificó la relevancia de estos factores para los niños en riesgo de cambios de desarrollo y comportamiento. Las madres describieron a sus hijos con un desarrollo saludable, pero reconocieron que la prematuridad es un factor que predispone a nuevas hospitalizaciones, y los factores perinatales y los relacionados con la hospitalización contribuyen al desarrollo de necesidades especiales de salud. Conclusión: Se entiende que la importancia de la identificación temprana de los factores que mejoran el desarrollo de las necesidades especiales de salud permite el inicio de los estímulos necesarios para fortalecer el desarrollo infantil.
Resumo Introdução: O reconhecimento materno das necessidades especiais de saúde dos recém-nascidos prematuros é essencial devido à importância da estimulação precoce após a alta para fortalecer o desenvolvimento infantil. Objetivo: Identificar bebês prematuros com fatores potenciais para o desenvolvimento de necessidades especiais de saúde e descrever o reconhecimento materno desses fatores. Materiais e métodos: Estudo qualitativo e quantitativo, realizado por meio de um método de triangulação, com incorporação concomitante de dados, incluindo a análise do teste qui-quadrado (p < 0,05) para dados quantitativos e interpretação de significados para dados qualitativos. Variáveis: Peso ao nascer, idade gestacional, escore de Apgar, complicações e tempo de permanência hospitalar de 951 registros de bebês prematuros hospitalizados; 18 mães foram entrevistadas durante a hospitalização, 15 dias após a alta no domicílio, 30 dias após essa visita domiciliar e aos 6 meses de idade do bebê, por telefone, no sul do Brasil. Resultados: Foram identificados como fatores potenciais: prematuridade extrema e/ou muito pré-termo, baixo peso ao nascer, complicações e hospitalização prolongada. A incorporação dos dados verificou a relevância desses fatores para crianças com risco de alterações no desenvolvimento e no comportamento. As mães descreveram seus filhos como tendo um desenvolvimento saudável, mas reconheceram que a prematuridade é um fator predisponente para novas hospitalizações, e que fatores perinatais e relacionados à hospitalização contribuem para o desenvolvimento de necessidades especiais de saúde. Conclusões: Entende-se a importância da identificação precoce de fatores que aumentam o desenvolvimento de necessidades especiais de saúde para iniciar os estímulos necessários a fim de fortalecer o desenvolvimento infantil.
2.
Utilização dos relatórios do e-SUS da Atenção Primária à Saúde na rotina de trabalho de equipes de Saúde da Família
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Passos, Taciana Silveira
; Alencar, Tiago Machado de
; Brito, Alessandra Page
; Sena, Ayrton Martins Pereira
; Santos, Débora Bleza
; Barreto, Agilran Araújo
; Silva, Lídia Glasielle de Oliveira
.
RESUMO Objetivou-se analisar a utilização dos relatórios do e-SUS da Atenção Primária à Saúde (APS) na rotina de trabalho das equipes de Saúde da Família (eSF) do Distrito Federal (DF). Estudo descritivo de dados provenientes da Avaliação in loco e Plano de Ação para a Qualidade do 1º ciclo avaliativo do Programa de Qualificação da Atenção Primária à Saúde, entre 2021 e 2022. Incluíram-se todas 607 equipes. Associações entre as Regiões de Saúde foram identificadas mediante testes Qui-quadrado, p-valor < 0,05. Para quantificar problemas e ações, utilizaram-se técnicas de Mineração de Dados. A maioria das eSF do DF negaram o uso de qualquer relatório do e-SUS APS em sua rotina de trabalho (53,23%). Os relatórios que as eSF mais utilizaram foram os de produção (54,43%), e menos, os de gerenciais (31,60%). As regiões com maior proporção de uso foram Centro-Sul (73,67%), e com menor, Sudoeste (34,56%), p < 0,0001. Alguns dos principais problemas descritos foram intrínsecos ao e-SUS APS (erros, falhas, instabilidade do sistema e falta de unificação) e outros foram relativos a questões extrínsecas (desconhecimento, inconsistência e falta de registro). As equipes listaram em seus Planos de Ação, prioritariamente, as capacitações para uso correto do sistema de informação.
ABSTRACT The objective was to analyze the use of e-SUS Primary Health Care reports in the work routine of Family Health teams (eSF) in the Federal District (DF). This is a descriptive study of data from the on-site Assessment and Quality Action Plan of the 1st evaluation cycle of the Primary Health Care Qualification Program, between 2021 and 2022. All 607 teams were included. Associations between Health Regions were identified using Chi-square tests, p-value < 0.05. To quantify problems and actions, Data Mining techniques were used. The majority of eSFs in the DF denied using any e-SUS APS report in their work routine (53.23%). The reports that the eSF used most were production reports (54.43%), and management reports the least (31.60%). The regions with the highest proportion of use were Central-South (73.67%), and with the lowest, Southwest (34.56%), p < 0.0001. Some of the main problems described were intrinsic to e-SUS APS (errors, failures, system instability and lack of unification) and others were related to extrinsic issues (lack of knowledge, inconsistency and lack of registration). The teams listed in their Action Plans, as a priority, the training for correct use of the information system.
3.
Establishment of a laboratory colony of Pressatia choti (Diptera: Psychodidae), a suspected vector of Leishmania braziliensis Diptera (Diptera Psychodidae, Psychodidae , Psychodidae)
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Alexandre, Joanna
; Miranda, Débora Elienai de Oliveira
; Silva, Fernando José da
; Dantas-Torres, Filipe
; Brandão-Filho, Sinval Pinto
.
Revista da Sociedade Brasileira de Medicina Tropical
- Métricas do periódico
ABSTRACT Background: Pressatia choti is a common sand fly found in the Atlantic Forest of Brazil, which is suspected to be involved in the transmission of Leishmania braziliensis. Herein, we aimed to establish a Pr. choti laboratory colony. Methods: Wild-caught female sand flies were blood fed on hamsters and maintained under controlled conditions (temperature: 26 °C; relative humidity: 70%). Results: Of the 301 collected female sandflies, 288 were identified as Pr. choti. The life cycle duration ranged from 31 to 56 days. Conclusions: We successfully established a Pr. choti colony, whose biological parameters were similar to those of other neotropical sand flies. Background Brazil braziliensis Herein Pr colony Methods Wildcaught Wild caught temperature (temperature 2 °C C humidity 70%. 70 70% . 70%) Results 30 sandflies 28 3 5 days Conclusions 7
4.
Recommendations from the Brazilian Society of Anesthesiology (SBA) for difficult airway management in pediatric care SBA (SBA
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Lima, Luciana Cavalcanti
; Cumino, Débora de Oliveira
; Vieira, Alex Madeira
; Silva, Cláudia Helena Ribeiro da
; Neville, Mariana Fontes Lima
; Marques, Felipe Oliveira
; Quintão, Vinicius Caldeira
; Carlos, Ricardo Vieira
; Fujita, Ana Carla Giosa
; Barros, Hugo Ítalo Melo
; Garcia, Daniela Biachi
; Ferreira, Cynthia Beatriz Tostes
; Barros, Guilherme Antonio Moreira de
; Modolo, Norma Sueli Pinheiro
.
Abstract Difficult airway management in pediatrics during anesthesia represents a major challenge, requiring a careful approach, advanced technical expertise, and accurate protocols. The task force of the Brazilian Society of Anesthesiology (SBA) presents a report containing updated recommendations for the management of difficult airways in children and neonates. These recommendations have been developed based on the consensus of a panel of experts, with the objective of offering strategies to overcome challenges during airway management in pediatric patients. Grounded in evidence published in international guidelines and expert opinions, the report highlights crucial steps for the appropriate management of difficult airways in pediatrics, encompassing assessment, preparation, positioning, pre-oxygenation, minimizing trauma, and, paramountly, the maintenance of arterial oxygenation. The report also delves into additional strategies involving the use of advanced tools, such as video laryngoscopy, flexible intubating bronchoscopy, and supraglottic devices. Emphasis is placed on the simplicity of implementing the outlined recommendations, with a focus on the significance of continuous education, training through realistic simulations, and familiarity with the latest available technologies. These practices are deemed essential to ensure procedural safety and contribute to the enhancement of anesthesia outcomes in pediatrics. challenge approach expertise protocols SBA (SBA neonates experts patients opinions assessment preparation positioning preoxygenation, preoxygenation pre oxygenation, oxygenation pre-oxygenation trauma paramountly tools laryngoscopy bronchoscopy devices education simulations technologies
5.
Substitution of virginiamycin with yeast-based products (Saccharomyces cerevisiae) in diets of cattle: digestibility and ruminal parameters yeastbased yeast based Saccharomyces cerevisiae cattle
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Oliveira, Daiana dos Santos de
; Silva, Luan de Oliveira Moura
; Ribeiro, Laís Gonçalves
; Sousa, Debora Gomes de
; Pereira, Leidiano Martins
; Couto, Victor Rezende Moreira
; Fernandes, Marcia Helena Machado da Rocha
; Arnhold, Emmanuel
; Nascimento, Mariana Quintino do
; Manzano, Ricardo Pereira
; Fernandes, Juliano José de Resende
.
Resumo O objetivo do estudo foi avaliar a substituição de virginiamicina por produtos à base de levedura em dietas de alto grão contendo monensina, sobre a digestibilidade dos nutrientes e parâmetros ruminais. Cinco novilhos cruzados Nelore x Holandês (peso inicial 281 kg ± 9,2 kg) distribuídos em um delineamento Quadrado Latino 5 x 5. As dietas foram compostas por silagem de milho (355 g kg-1) e concentrado composto por: milho moído, farelo de soja, casca de soja, mistura mineral, calcário, sal e ureia (645 g kg-1). Os tratamentos foram: 1. Controle, 18 mg kg-1 MS de virginiamicina (VM); 2. Cultura de levedura enriquecida (Saccharomyces cerevisiae) 7g animal dia-1 (CLE 7); 3. Cultura de levedura enriquecida (Saccharomyces cerevisiae) 14g animal dia-1 (CLE 14); 4. Levedura autolisada (Saccharomyces cerevisiae) 7g animal dia-1 (LA 7) e Levedura autolisada (Saccharomyces cerevisiae) 14g animal dia-1 (LA 14). A monensina (18 mg kg-1 MS) estava presente na mistura mineral vitamínica fornecida em todos tratamentos. Não houve diferença significativa (P>0,05) para o consumo de matéria seca (média 8,36 kg MS); digestibilidade da matéria orgânica (média 58,39%) e média de pH ruminal (média 6,75). Além disso, não foram encontrados efeitos significativos de tratamentos para concentração de ácidos graxos de cadeia curta e nitrogênio amoniacal. Estes resultados indicam a possibilidade de substituir a virginiamicina por produtos à base de levedura nos menores níveis (7g animal dia-1 de cultura de levedura enriquecida ou 7g animal dia-1 de levedura autolisada) em dietas de alto grão com monensina. ruminais peso 28 92 9 2 9, 355 (35 kg1 1 moído soja calcário 645 (64 kg1. . Controle kg- VM (VM) Saccharomyces cerevisiae dia1 dia dia- CLE 7 3 14 14) 4 LA 14. (1 P>0,05 P005 P 0 05 (P>0,05 836 8 36 8,3 58,39% 5839 58 39 6,75. 675 6,75 6 75 6,75) disso amoniacal 35 (3 64 (6 (VM ( P>0,0 P00 (P>0,0 83 8, 58,39 583 67 6,7 P>0, P0 (P>0, 58,3 6, P>0 (P>0 58, P> (P> (P
Abstract The aim of this study was to evaluate the effect of substituting virginiamycin with yeastbased products in high-energy diets containing monensin on the nutrient digestibility and ruminal parameters of cattle. Five crossbred Nellore × Holstein steers (initial body weight 281 kg ± 9.2 kg) were allotted to a 5 × 5 Latin square design. The diets were composed in dry matter basis of corn silage (355 g kg-1), and concentrate composed of ground corn, soybean meal, soybean hulls,mineral mix, limestone, salt and urea (645 g kg-1). The treatments were: 1 - control, 18 mg kg-1 dry matter (DM) virginiamycin (VM); 2 - enriched yeast culture (Saccharomyces cerevisiae) at 7 g animal day-1 (EYC 7); 3 - enriched yeast culture (S. cerevisiae) at 14 g animal day-1 (EYC 14); 4 - autolyzed yeast (S. cerevisiae) at 7 g animal day-1 (AY 7); and 5 - autolyzed yeast (S. cerevisiae) at 14 g animal day-1 (AY 14). Monensin (18 mg kg-1 DM) was added to the mineral mix in all treatments. No significant differences (P > 0.05) were found for DM intake (mean 8.36 kg DM), organic matter (OM) digestibility (average of 58.39%), or mean ruminal pH (mean 6.75) among treatments. Moreover, the treatment did not have a significant effect on the short-chain fatty acid or ammonia nitrogen concentrations. These results indicated the possibility of replacing virginiamycin with yeast-based products at the lowest level (7 g of enriched yeast culture or autolyzed yeast per animal day-1) in high-energy diets containing monensin. highenergy high energy cattle initial 28 92 9 9. design 355 (35 kg1, kg1 , kg-1) meal hullsmineral hulls limestone 645 (64 kg1. . control kg- (DM VM (VM) Saccharomyces cerevisiae day1 day day- EYC 7) S. S (S 14) AY 14. (1 P 0.05 005 0 05 836 8 36 8.3 DM, OM (OM average 58.39%, 5839 58.39% 58 39 58.39%) 6.75 675 6 75 Moreover shortchain short chain concentrations based ( 35 (3 64 (6 (VM 0.0 00 83 8. 583 58.39 6.7 67 0. 58.3 6. 58.
6.
Intake, ingestive behavior, and digestibility in goats fed diets containing different lipid sources Intake behavior
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Ferrari Junior, Wilson Duarte
; Moraes, Elenice Andrade
; Queiroz, Mário Adriano Ávila
; Santos, Jairo José da Silva
; Carvalho, Illa Carla Santos
; Carvalho, Débora Cristine de Oliveira
; Gois, Glayciane Costa
.
Resumo O objetivo deste trabalho foi avaliar a inclusão de fontes lipídicas em dietas para caprinos, quanto ao consumo e ao comportamento ingestivo dos animais e à sua digestibilidade dos nutrientes. Dezesseis caprinos machos não castrados foram distribuídos em delineamento experimental inteiramente casualizado, com os seguintes quatro tratamentos: controle, milho como fonte energética; torta de licuri; óleo residual de soja; e sais de cálcio de ácidos graxos de cadeia longa, i.e., gordura inerte. O período experimental durou 84 dias. Cabras submetidas às dietas controle e de gordura inerte apresentaram maior digestibilidade da proteína bruta do que as que receberam dieta com torta de licuri. A dieta-controle proporcionou maior digestibilidade de carboidratos não fibrosos. Cabras que receberam dietas com gordura inerte apresentaram maior digestibilidade dos nutrientes digestíveis totais. A dieta com torta de licuri resultou em maior tempo de ruminação e ruminação com fibra em detergente neutro, bem como em menor tempo de ócio. Os animais passaram mais tempo se alimentando e menos tempo ruminando durante a tarde, enquanto o maior tempo ocioso foi observado no início da noite. A utilização de fontes lipídicas gordurosas não afetou a ingestão dos animais, tendo apresentado resultados semelhantes aos da dieta-controle. No entanto, a inclusão da torta de licuri reduz a digestibilidade da proteína bruta e os nutrientes digestíveis totais, o que causa uma ruminação mais prolongada. casualizado tratamentos energética soja longa ie i i.e. 8 dias dietacontrole fibrosos totais neutro ócio tarde noite dietacontrole. controle. entanto prolongada i.e
Abstract The objective of this work was to evaluate the inclusion of lipid sources in diets for goats, regarding animal intake, ingestive behavior, and nutrient digestibility. Sixteen uncastrated male goats were distributed in a completely randomized experimental design, with the following four treatments: a control, with corn as an energy source; licuri cake; residual soybean oil; and calcium salts of long-chain fatty acids, i.e., inert fat. The experimental period lasted for 84 days. Goats subjected to the control and inert fat diets had a higher crude protein digestibility than those that received the diet containing licuri cake. The control diet provided a greater digestibility of nonfibrous carbohydrates. Goats that received inert fat diets had the highest digestibility of total digestible nutrients. The diet with licuri cake resulted in a higher rumination time and neutral detergent fiber rumination, as well as in a shorter idling time. The animals spent more time feeding and less time ruminating during the afternoon, whereas the longest idle time was observed during early evening. The use of fat lipid sources did not affect animal intake, showing similar results to that of the control diet. However, the inclusion of the licuri cake reduces the digestibility of crude protein and total digestible nutrients, causing a longer rumination. intake behavior design treatments source oil longchain long chain acids ie i e i.e. 8 days carbohydrates nutrients afternoon evening However i.e
7.
II Brazilian Society of Rheumatology consensus for lupus nephritis diagnosis and treatment
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Reis-Neto, Edgard Torres dos
; Seguro, Luciana Parente Costa
; Sato, Emília Inoue
; Borba, Eduardo Ferreira
; Klumb, Evandro Mendes
; Costallat, Lilian Tereza Lavras
; Medeiros, Marta Maria das Chagas
; Bonfá, Eloisa
; Araújo, Nafice Costa
; Appenzeller, Simone
; Montandon, Ana Carolina de Oliveira e Silva
; Yuki, Emily Figueiredo Neves
; Teixeira, Roberto Cordeiro de Andrade
; Telles, Rosa Weiss
; Egypto, Danielle Christinne Soares do
; Ribeiro, Francinne Machado
; Gasparin, Andrese Aline
; Araujo Junior, Antonio Silaide de
; Neiva, Cláudia Lopes Santoro
; Calderaro, Debora Cerqueira
; Monticielo, Odirlei Andre
.
Abstract Objective To develop the second evidence-based Brazilian Society of Rheumatology consensus for diagnosis and treatment of lupus nephritis (LN). Methods Two methodologists and 20 rheumatologists from Lupus Comittee of Brazilian Society of Rheumatology participate in the development of this guideline. Fourteen PICO questions were defined and a systematic review was performed. Eligible randomized controlled trials were analyzed regarding complete renal remission, partial renal remission, serum creatinine, proteinuria, serum creatinine doubling, progression to end-stage renal disease, renal relapse, and severe adverse events (infections and mortality). The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to develop these recommendations. Recommendations required ≥82% of agreement among the voting members and were classified as strongly in favor, weakly in favor, conditional, weakly against or strongly against a particular intervention. Other aspects of LN management (diagnosis, general principles of treatment, treatment of comorbidities and refractory cases) were evaluated through literature review and expert opinion. Results All SLE patients should undergo creatinine and urinalysis tests to assess renal involvement. Kidney biopsy is considered the gold standard for diagnosing LN but, if it is not available or there is a contraindication to the procedure, therapeutic decisions should be based on clinical and laboratory parameters. Fourteen recommendations were developed. Target Renal response (TRR) was defined as improvement or maintenance of renal function (±10% at baseline of treatment) combined with a decrease in 24-h proteinuria or 24-h UPCR of 25% at 3 months, a decrease of 50% at 6 months, and proteinuria < 0.8 g/24 h at 12 months. Hydroxychloroquine should be prescribed to all SLE patients, except in cases of contraindication. Glucocorticoids should be used at the lowest dose and for the minimal necessary period. In class III or IV (±V), mycophenolate (MMF), cyclophosphamide, MMF plus tacrolimus (TAC), MMF plus belimumab or TAC can be used as induction therapy. For maintenance therapy, MMF or azathioprine (AZA) are the first choice and TAC or cyclosporin or leflunomide can be used in patients who cannot use MMF or AZA. Rituximab can be prescribed in cases of refractory disease. In cases of failure in achieving TRR, it is important to assess adherence, immunosuppressant dosage, adjuvant therapy, comorbidities, and consider biopsy/rebiopsy. Conclusion This consensus provides evidence-based data to guide LN diagnosis and treatment, supporting the development of public and supplementary health policies in Brazil. evidencebased evidence LN. . (LN) 2 guideline performed remission doubling endstage end stage disease relapse infections mortality. mortality mortality) Assessment GRADE (GRADE 82 ≥82 favor conditional intervention diagnosis, (diagnosis opinion involvement but procedure parameters developed TRR (TRR ±10% 10 (±10 24h 24 25 months 50 08 0 8 0. g24 g g/2 1 period ±V, V ±V , (±V) MMF, (MMF) cyclophosphamide TAC, (TAC) therapy AZA (AZA adherence dosage biopsyrebiopsy rebiopsy biopsy/rebiopsy Brazil (LN ≥8 ±10 (±1 5 g2 g/ (±V (MMF (TAC ≥ ±1 (± ± (
8.
RANDOMIZED EXPERIMENTAL STUDY OF TOPICAL VASODILATORS IN MICROSURGERY WITH COST ANALYSIS
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Rusig, Renato Polese
; Alves, Debora Yumi Yoshimura Orlandin
; Nascimento, Amanda de Oliveira Silva
; Santos, Gustavo Bispo dos
; Mattar Jr, Rames
; Iamaguchi, Raquel Bernardelli
.
RESUMO Objetivo: Durante a anastomose microcirúrgica, muitos cirurgiões utilizam vasodilatadores tópicos para reduzir o vasoespasmo prolongado patológico, assim reduzindo o risco de complicações vasculares. Entretanto, ainda faltam dados experimentais para identificação da droga padrão-ouro para vasodilatadores tópicos em microcirurgia e sua avaliação de análise de custo, já que a droga geralmente utilizada para este objetivo é baseada, na maior parte dos casos, na experiência do cirurgião. Métodos: Foi realizado um estudo experimental comparativo randomizado, avaliando a eficácia do uso tópico de Nitroglicerina, Papaverina e Sulfato de Magnésio em relação a um grupo controle, na redução do vasoespasmo na artéria e veia femoral de ratos. Foram avaliados o diâmetro externo dos vasos embebidos em solução randomizada dos fármacos para vasodilatação. Após cálculo do aumento percentual no diâmetro externo dos vasos, foi realizada análise estatística. Resultados: Observou-se aumento estatisticamente significativo da dilatação arterial após 10 minutos de aplicação tópica de sulfato de magnésio a 10% em relação ao grupo controle, com p = 0,044. Nenhuma outra droga apresentou efeito vasodilatador superior ao grupo controle. O sulfato de magnésio a 10% ainda não é utilizado em microcirurgia e apresenta custo até 15 vezes menor quando comparado com a papaverina, droga padrão para vasodilatação tópica em casos clínicos em nosso serviço. Conclusão: O sulfato de magnésio apresentou melhor efeito vasodilatador quando comparado ao grupo controle, após 10 minutos da microanastomose arterial. Nenhum dos fármacos testados apresentou efeito vasodilatador superior após a microanastomose venosa. Nível de Evidência II, Estudo experimental, Ensaio Randomizado. Objetivo microcirúrgica patológico vasculares Entretanto padrãoouro ouro baseada cirurgião Métodos randomizado Nitroglicerina controle ratos estatística Resultados Observouse Observou se 1 0044 0 044 0,044 papaverina serviço Conclusão venosa II Randomizado 004 04 0,04 00 0,0 0,
ABSTRACT Objective: Throughout microsurgical anastomosis, many surgeons use topical vasodilators in order to reduce pathological vasospasm. It was carried out an experimental study comparing the effectiveness of topical use of Nitroglycerin, Papaverine, Magnesium sulfate over a control group in the femoral artery and vein of rats, in reducing prolonged vasospasm. Methods: Randomized comparative experimental study in 15 rats, divided into four groups. The external diameter of the vases soaked in the randomized solution was measured. For statistical analysis, it was calculated the percentual increase in the external diameter of the vessels. Results: A statistically significant increase in arterial dilation was observed after 10 minutes of topical application of 10% magnesium sulfate compared to the control group, with p = 0.044 . No other drug showed a vasodilator effect superior to the control group. Magnesium sulfate at 10% is still not used in microsurgery and costs 15 times less than papaverine, the standard drug for topical vasodilation in clinical cases at our service. Conclusion: Magnesium sulfate had better vasodilating effects over the control group after 10 minutes of arterial microanastomosis. None of the tested drugs have presented superior vasodilating effects over each other nor the control group after venous microanastomosis. Level of evidence II, Experimental study, Randomized Trial. Objective anastomosis vasospasm Nitroglycerin Papaverine rats Methods 1 groups measured analysis vessels Results 0044 0 044 0.04 papaverine service Conclusion microanastomosis II Trial 004 04 0.0 00 0.
9.
Genetic structure and diversity of Santa Inês sheep flocks in Central-Northern Brazil CentralNorthern Central Northern
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Deus, Alzira Regina Silva de
; Silva, Geice Ribeiro da
; Sena, Luciano Silva
; Britto, Fábio Barros
; Rocha, Artur Oliveira
; Carvalho, Débora Araújo de
; Sousa, Fabiana Cristina Belchior de
; Santos, Natanael Pereira da Silva
; Sarmento, José Lindenberg Rocha
.
ABSTRACT The objective of this study was to assess the genetic structure and diversity of six Santa Inês sheep flocks from the Central-Northern Brazil. A panel of 20 highly polymorphic and informative microsatellite loci was selected and amplified. The following parameters were obtained: overall mean of number of alleles = 15.4; expected heterozygosity (He) = 0.89; polymorphism information content (PIC) = 0.88; discriminatory capacity = 0.95; combined probability of identity = 1.50 × 10−34; and probability of exclusion = 1.00. The flocks with the lowest and the highest degrees of genetic variability were Farm 6 (He = 0.70, PIC = 0.653, and allelic richness [Ar] = 3.76) and Farm 1 (He = 0.89, PIC = 0.882, and Ar = 4.39), respectively. Indications of genetic bottleneck were observed in all flocks, as well as moderate genetic differentiation, with FST = 0.053, RST = 0.096, and Dest = 0.169. The migration rate in all flocks was high, with a trend towards Farm 1. This finding was not in agreement with the substructure found with the Bayesian admixture analysis and corroborated the array obtained with the principal component analysis and the clustering analysis. The results revealed moderate structuring and high genetic diversity in the flocks. However, management strategies should be reviewed, as evidence of bottleneck and genetic erosion was observed. CentralNorthern Central Northern Brazil 2 amplified 15.4 154 15 4 He 0.89 089 0 89 (PIC 0.88 088 88 0.95 095 95 150 50 1.5 10−34 1034 10 34 100 00 1.00 070 70 0.70 0653 653 0.653 [Ar 3.76 376 3 76 0882 882 0.882 4.39, 439 4.39 , 39 4.39) respectively differentiation 0053 053 0.053 0096 096 0.096 0169 169 0.169 However reviewed 15. 0.8 08 8 0.9 09 9 5 10−3 103 1.0 07 7 0.7 065 65 0.65 3.7 37 43 4.3 005 05 0.05 009 0.09 016 16 0.16 0. 10− 06 0.6 3. 4. 0.0 01 0.1
10.
Position paper of diagnosis and treatment of post-extubation laryngitis in children: a multidisciplinary expert-based opinion postextubation post extubation children expertbased expert based
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Pazinatto, Débora Bressan
; Maunsell, Rebecca
; Avelino, Melissa Ameloti Gomes
; Lubianca Neto, Jose Faibes
; Schweiger, Cláudia
; Caldas, Jamil Pedro de Siqueira
; Brandão, Marcelo Barciela
; Souza, Paula Pires de
; Peixoto, Fernanda Aparecida de Oliveira
; Ricachinevsky, Claudia Pires
; Silveira, Rita C.
; Andreolio, Cinara
; Miura, Carolina Sponchiado
; Volpe, Daniele da Silva Jordan
; Ferri, Walusa Assad Gonçalves
; Gavazzoni, Fabiano Bleggi
; João, Paulo Ramos David
; Possas, Silmara Aparecida
; Chone, Carlos Takahiro
.
Brazilian Journal of Otorhinolaryngology
- Métricas do periódico
Abstract Objectives To make recommendations on the diagnosis and treatment of post-extubation laryngitis (PEL) in children with or without other comorbidities. Methods A three-iterative modified Delphi method was applied. Specialists were recruited representing pediatric otolaryngologists, pediatric and neonatal intensivists. Questions and statements approached topics encompassing definition, diagnosis, endoscopic airway evaluation, risk factors, comorbidities, management, and follow-up. A consensus was defined as a supermajority >70%. Results Stridor was considered the most frequent symptom and airway endoscopy was recommended for definitive diagnosis. Gastroesophageal reflux and previous history of intubation were considered risk factors. Specific length of intubation did not achieve a consensus as a risk factor. Systemic corticosteroids should be part of the medical treatment and dexamethasone was the drug of choice. No consensus was achieved regarding dosage of corticosteroids, although endoscopic findings help defining dosage and length of treatment. Non-invasive ventilation, laryngeal rest, and use of comfort sedation scales were recommended. Indications for microlaryngoscopy and bronchoscopy under anesthesia were symptoms progression or failure to improve after the first 72-h of medical treatment post-extubation, after two failed extubations, and/or suspicion of severe lesions on flexible fiberoptic laryngoscopy. Conclusions Management of post-extubation laryngitis is challenging and can be facilitated by a multidisciplinary approach. Airway endoscopy is mandatory and impacts decision-making, although there is no consensus regarding dosage and length of treatment. postextubation post extubation PEL (PEL comorbidities threeiterative three iterative applied otolaryngologists intensivists definition evaluation factors management followup. followup follow up. up follow-up 70 >70% factor choice Noninvasive Non invasive ventilation rest 72h h 72 postextubation, extubation, extubations andor laryngoscopy approach decisionmaking, decisionmaking decision making, making decision-making 7 >70 >7 >
11.
Development and Characterization of Polystyrene Eco-composites Reinforced with Australian Royal Palm (Archontophoenix alexandrae) Stem Fibers Ecocomposites Eco composites Archontophoenix alexandrae
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Grossi, Mariana Oliveira
; Silvério, Débora Fernandes
; Gomes, Raiane Ribeiro Machado
; Lavall, Rodrigo Lassarote
; Silva, Cláudio Mudado
; Arêdes, Stéphani Caroline de Lana
; Costa, Marcelo Moreira da
; Oliveira, Cassiano Rodrigues de
.
Abstract Given escalating environmental concerns and stricter regulations, there’s a pressing need for sustainable materials. Eco-composites, which blend natural fibers with polymer matrices for reinforcement, are gaining traction. This study stands out by employing Australian royal palm stem fibers within a polystyrene matrix for eco-composites. The research involved assessing thermal stability, quantifying lignin/carbohydrate content, and measuring moisture levels. Scanning electron microscopy was utilized to examine fiber structure. Results from evaluations of thermal and mechanical properties underscore the high-performance reinforcement potential of Australian royal palm fibers, suggesting their suitability for various eco-composite applications. Beyond meeting the demand for sustainable materials, this project introduces an innovative use of these fibers, broadening their potential applications and advocating for greener, socially responsible industry practices. regulations theres there s materials Ecocomposites, Ecocomposites Eco composites, composites Eco-composites traction ecocomposites. ecocomposites eco composites. eco-composites stability lignincarbohydrate lignin carbohydrate content levels structure highperformance high performance ecocomposite composite greener practices
12.
Catálogo Taxonômico da Fauna do Brasil: Setting the baseline knowledge on the animal diversity in Brazil Brasil
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Boeger, Walter A.
; Valim, Michel P.
; Zaher, Hussam
; Rafael, José A.
; Forzza, Rafaela C.
; Percequillo, Alexandre R.
; Serejo, Cristiana S.
; Garraffoni, André R.S.
; Santos, Adalberto J.
; Slipinski, Adam
; Linzmeier, Adelita M.
; Calor, Adolfo R.
; Garda, Adrian A.
; Kury, Adriano B.
; Fernandes, Agatha C.S.
; Agudo-Padrón, Aisur I.
; Akama, Alberto
; Silva Neto, Alberto M. da
; Burbano, Alejandro L.
; Menezes, Aleksandra
; Pereira-Colavite, Alessandre
; Anichtchenko, Alexander
; Lees, Alexander C.
; Bezerra, Alexandra M.R.
; Domahovski, Alexandre C.
; Pimenta, Alexandre D.
; Aleixo, Alexandre L.P.
; Marceniuk, Alexandre P.
; Paula, Alexandre S. de
; Somavilla, Alexandre
; Specht, Alexandre
; Camargo, Alexssandro
; Newton, Alfred F.
; Silva, Aline A.S. da
; Santos, Aline B. dos
; Tassi, Aline D.
; Aragão, Allan C.
; Santos, Allan P.M.
; Migotto, Alvaro E.
; Mendes, Amanda C.
; Cunha, Amanda
; Chagas Júnior, Amazonas
; Sousa, Ana A.T. de
; Pavan, Ana C.
; Almeida, Ana C.S.
; Peronti, Ana L.B.G.
; Henriques-Oliveira, Ana L.
; Prudente, Ana L.
; Tourinho, Ana L.
; Pes, Ana M.O.
; Carmignotto, Ana P.
; Wengrat, Ana P.G. da Silva
; Dornellas, Ana P.S.
; Molin, Anamaria Dal
; Puker, Anderson
; Morandini, André C.
; Ferreira, André da S.
; Martins, André L.
; Esteves, André M.
; Fernandes, André S.
; Roza, André S.
; Köhler, Andreas
; Paladini, Andressa
; Andrade, Andrey J. de
; Pinto, Ângelo P.
; Salles, Anna C. de A.
; Gondim, Anne I.
; Amaral, Antonia C.Z.
; Rondón, Antonio A.A.
; Brescovit, Antonio
; Lofego, Antônio C.
; Marques, Antonio C.
; Macedo, Antonio
; Andriolo, Artur
; Henriques, Augusto L.
; Ferreira Júnior, Augusto L.
; Lima, Aurino F. de
; Barros, Ávyla R. de A.
; Brito, Ayrton do R.
; Romera, Bárbara L.V.
; Vasconcelos, Beatriz M.C. de
; Frable, Benjamin W.
; Santos, Bernardo F.
; Ferraz, Bernardo R.
; Rosa, Brunno B.
; Sampaio, Brunno H.L.
; Bellini, Bruno C.
; Clarkson, Bruno
; Oliveira, Bruno G. de
; Corrêa, Caio C.D.
; Martins, Caleb C.
; Castro-Guedes, Camila F. de
; Souto, Camilla
; Bicho, Carla de L.
; Cunha, Carlo M.
; Barboza, Carlos A. de M.
; Lucena, Carlos A.S. de
; Barreto, Carlos
; Santana, Carlos D.C.M. de
; Agne, Carlos E.Q.
; Mielke, Carlos G.C.
; Caetano, Carlos H.S.
; Flechtmann, Carlos H.W.
; Lamas, Carlos J.E.
; Rocha, Carlos
; Mascarenhas, Carolina S.
; Margaría, Cecilia B.
; Waichert, Cecilia
; Digiani, Celina
; Haddad, Célio F.B.
; Azevedo, Celso O.
; Benetti, Cesar J.
; Santos, Charles M.D. dos
; Bartlett, Charles R.
; Bonvicino, Cibele
; Ribeiro-Costa, Cibele S.
; Santos, Cinthya S.G.
; Justino, Cíntia E.L.
; Canedo, Clarissa
; Bonecker, Claudia C.
; Santos, Cláudia P.
; Carvalho, Claudio J.B. de
; Gonçalves, Clayton C.
; Galvão, Cleber
; Costa, Cleide
; Oliveira, Cléo D.C. de
; Schwertner, Cristiano F.
; Andrade, Cristiano L.
; Pereira, Cristiano M.
; Sampaio, Cristiano
; Dias, Cristina de O.
; Lucena, Daercio A. de A.
; Manfio, Daiara
; Amorim, Dalton de S.
; Queiroz, Dalva L. de
; Queiroz, Dalva L. de
; Colpani, Daniara
; Abbate, Daniel
; Aquino, Daniel A.
; Burckhardt, Daniel
; Cavallari, Daniel C.
; Prado, Daniel de C. Schelesky
; Praciano, Daniel L.
; Basílio, Daniel S.
; Bená, Daniela de C.
; Toledo, Daniela G.P. de
; Takiya, Daniela M.
; Fernandes, Daniell R.R.
; Ament, Danilo C.
; Cordeiro, Danilo P.
; Silva, Darliane E.
; Pollock, Darren A.
; Muniz, David B.
; Gibson, David I.
; Nogueira, David S.
; Marques, Dayse W.A.
; Lucatelli, Débora
; Garcia, Deivys M.A.
; Baêta, Délio
; Ferreira, Denise N.M.
; Rueda-Ramírez, Diana
; Fachin, Diego A.
; Souza, Diego de S.
; Rodrigues, Diego F.
; Pádua, Diego G. de
; Barbosa, Diego N.
; Dolibaina, Diego R.
; Amaral, Diogo C.
; Chandler, Donald S.
; Maccagnan, Douglas H.B.
; Caron, Edilson
; Carvalho, Edrielly
; Adriano, Edson A.
; Abreu Júnior, Edson F. de
; Pereira, Edson H.L.
; Viegas, Eduarda F.G.
; Carneiro, Eduardo
; Colley, Eduardo
; Eizirik, Eduardo
; Santos, Eduardo F. dos
; Shimbori, Eduardo M.
; Suárez-Morales, Eduardo
; Arruda, Eliane P. de
; Chiquito, Elisandra A.
; Lima, Élison F.B.
; Castro, Elizeu B. de
; Orlandin, Elton
; Nascimento, Elynton A. do
; Razzolini, Emanuel
; Gama, Emanuel R.R.
; Araujo, Enilma M. de
; Nishiyama, Eric Y.
; Spiessberger, Erich L.
; Santos, Érika C.L. dos
; Contreras, Eugenia F.
; Galati, Eunice A.B.
; Oliveira Junior, Evaldo C. de
; Gallardo, Fabiana
; Hernandes, Fabio A.
; Lansac-Tôha, Fábio A.
; Pitombo, Fabio B.
; Dario, Fabio Di
; Santos, Fábio L. dos
; Mauro, Fabio
; Nascimento, Fabio O. do
; Olmos, Fabio
; Amaral, Fabio R.
; Schunck, Fabio
; Godoi, Fábio S. P. de
; Machado, Fabrizio M.
; Barbo, Fausto E.
; Agrain, Federico A.
; Ribeiro, Felipe B.
; Moreira, Felipe F.F.
; Barbosa, Felipe F.
; Silva, Fenanda S.
; Cavalcanti, Fernanda F.
; Straube, Fernando C.
; Carbayo, Fernando
; Carvalho Filho, Fernando
; Zanella, Fernando C.V.
; Jacinavicius, Fernando de C.
; Farache, Fernando H.A.
; Leivas, Fernando
; Dias, Fernando M.S.
; Mantellato, Fernando
; Vaz-de-Mello, Fernando Z.
; Gudin, Filipe M.
; Albuquerque, Flávio
; Molina, Flavio B.
; Passos, Flávio D.
; Shockley, Floyd W.
; Pinheiro, Francielly F.
; Mello, Francisco de A.G. de
; Nascimento, Francisco E. de L.
; Franco, Francisco L.
; Oliveira, Francisco L. de
; Melo, Francisco T. de V.
; Quijano, Freddy R.B.
; Salles, Frederico F.
; Biffi, Gabriel
; Queiroz, Gabriel C.
; Bizarro, Gabriel L.
; Hrycyna, Gabriela
; Leviski, Gabriela
; Powell, Gareth S.
; Santos, Geane B. dos
; Morse, Geoffrey E.
; Brown, George
; Mattox, George M.T.
; Zimbrão, Geraldo
; Carvalho, Gervásio S.
; Miranda, Gil F.G.
; Moraes, Gilberto J. de
; Lourido, Gilcélia M.
; Neves, Gilmar P.
; Moreira, Gilson R.P.
; Montingelli, Giovanna G.
; Maurício, Giovanni N.
; Marconato, Gláucia
; Lopez, Guilherme E.L.
; Silva, Guilherme L. da
; Muricy, Guilherme
; Brito, Guilherme R.R.
; Garbino, Guilherme S.T.
; Flores, Gustavo E.
; Graciolli, Gustavo
; Libardi, Gustavo S.
; Proctor, Heather C.
; Gil-Santana, Helcio R.
; Varella, Henrique R.
; Escalona, Hermes E.
; Schmitz, Hermes J.
; Rodrigues, Higor D.D.
; Galvão Filho, Hilton de C.
; Quintino, Hingrid Y.S.
; Pinto, Hudson A.
; Rainho, Hugo L.
; Miyahira, Igor C.
; Gonçalves, Igor de S.
; Martins, Inês X.
; Cardoso, Irene A.
; Oliveira, Ismael B. de
; Franz, Ismael
; Fernandes, Itanna O.
; Golfetti, Ivan F.
; S. Campos-Filho, Ivanklin
; Oliveira, Ivo de S.
; Delabie, Jacques H.C.
; Oliveira, Jader de
; Prando, Jadila S.
; Patton, James L.
; Bitencourt, Jamille de A.
; Silva, Janaina M.
; Santos, Jandir C.
; Arruda, Janine O.
; Valderrama, Jefferson S.
; Dalapicolla, Jeronymo
; Oliveira, Jéssica P.
; Hájek, Jiri
; Morselli, João P.
; Narita, João P.
; Martin, João P.I.
; Grazia, Jocélia
; McHugh, Joe
; Cherem, Jorge J.
; Farias Júnior, José A.S.
; Fernandes, Jose A.M.
; Pacheco, José F.
; Birindelli, José L.O.
; Rezende, José M.
; Avendaño, Jose M.
; Duarte, José M. Barbanti
; Ribeiro, José R. Inácio
; Mermudes, José R.M.
; Pujol-Luz, José R.
; Santos, Josenilson R. dos
; Câmara, Josenir T.
; Teixeira, Joyce A.
; Prado, Joyce R. do
; Botero, Juan P.
; Almeida, Julia C.
; Kohler, Julia
; Gonçalves, Julia P.
; Beneti, Julia S.
; Donahue, Julian P.
; Alvim, Juliana
; Almeida, Juliana C.
; Segadilha, Juliana L.
; Wingert, Juliana M.
; Barbosa, Julianna F.
; Ferrer, Juliano
; Santos, Juliano F. dos
; Kuabara, Kamila M.D.
; Nascimento, Karine B.
; Schoeninger, Karine
; Campião, Karla M.
; Soares, Karla
; Zilch, Kássia
; Barão, Kim R.
; Teixeira, Larissa
; Sousa, Laura D. do N.M. de
; Dumas, Leandro L.
; Vieira, Leandro M.
; Azevedo, Leonardo H.G.
; Carvalho, Leonardo S.
; Souza, Leonardo S. de
; Rocha, Leonardo S.G.
; Bernardi, Leopoldo F.O.
; Vieira, Letícia M.
; Johann, Liana
; Salvatierra, Lidianne
; Oliveira, Livia de M.
; Loureiro, Lourdes M.A. El-moor
; Barreto, Luana B.
; Barros, Luana M.
; Lecci, Lucas
; Camargos, Lucas M. de
; Lima, Lucas R.C.
; Almeida, Lucia M.
; Martins, Luciana R.
; Marinoni, Luciane
; Moura, Luciano de A.
; Lima, Luciano
; Naka, Luciano N.
; Miranda, Lucília S.
; Salik, Lucy M.
; Bezerra, Luis E.A.
; Silveira, Luis F.
; Campos, Luiz A.
; Castro, Luiz A.S. de
; Pinho, Luiz C.
; Silveira, Luiz F.L.
; Iniesta, Luiz F.M.
; Tencatt, Luiz F.C.
; Simone, Luiz R.L.
; Malabarba, Luiz R.
; Cruz, Luiza S. da
; Sekerka, Lukas
; Barros, Lurdiana D.
; Santos, Luziany Q.
; Skoracki, Maciej
; Correia, Maira A.
; Uchoa, Manoel A.
; Andrade, Manuella F.G.
; Hermes, Marcel G.
; Miranda, Marcel S.
; Araújo, Marcel S. de
; Monné, Marcela L.
; Labruna, Marcelo B.
; Santis, Marcelo D. de
; Duarte, Marcelo
; Knoff, Marcelo
; Nogueira, Marcelo
; Britto, Marcelo R. de
; Melo, Marcelo R.S. de
; Carvalho, Marcelo R. de
; Tavares, Marcelo T.
; Kitahara, Marcelo V.
; Justo, Marcia C.N.
; Botelho, Marcia J.C.
; Couri, Márcia S.
; Borges-Martins, Márcio
; Felix, Márcio
; Oliveira, Marcio L. de
; Bologna, Marco A.
; Gottschalk, Marco S.
; Tavares, Marcos D.S.
; Lhano, Marcos G.
; Bevilaqua, Marcus
; Santos, Marcus T.T.
; Domingues, Marcus V.
; Sallum, Maria A.M.
; Digiani, María C.
; Santarém, Maria C.A.
; Nascimento, Maria C. do
; Becerril, María de los A.M.
; Santos, Maria E.A. dos
; Passos, Maria I. da S. dos
; Felippe-Bauer, Maria L.
; Cherman, Mariana A.
; Terossi, Mariana
; Bartz, Marie L.C.
; Barbosa, Marina F. de C.
; Loeb, Marina V.
; Cohn-Haft, Mario
; Cupello, Mario
; Martins, Marlúcia B.
; Christofersen, Martin L.
; Bento, Matheus
; Rocha, Matheus dos S.
; Martins, Maurício L.
; Segura, Melissa O.
; Cardenas, Melissa Q.
; Duarte, Mércia E.
; Ivie, Michael A.
; Mincarone, Michael M.
; Borges, Michela
; Monné, Miguel A.
; Casagrande, Mirna M.
; Fernandez, Monica A.
; Piovesan, Mônica
; Menezes, Naércio A.
; Benaim, Natalia P.
; Reategui, Natália S.
; Pedro, Natan C.
; Pecly, Nathalia H.
; Ferreira Júnior, Nelson
; Silva Júnior, Nelson J. da
; Perioto, Nelson W.
; Hamada, Neusa
; Degallier, Nicolas
; Chao, Ning L.
; Ferla, Noeli J.
; Mielke, Olaf H.H.
; Evangelista, Olivia
; Shibatta, Oscar A.
; Oliveira, Otto M.P.
; Albornoz, Pablo C.L.
; Dellapé, Pablo M.
; Gonçalves, Pablo R.
; Shimabukuro, Paloma H.F.
; Grossi, Paschoal
; Rodrigues, Patrícia E. da S.
; Lima, Patricia O.V.
; Velazco, Paul
; Santos, Paula B. dos
; Araújo, Paula B.
; Silva, Paula K.R.
; Riccardi, Paula R.
; Garcia, Paulo C. de A.
; Passos, Paulo G.H.
; Corgosinho, Paulo H.C.
; Lucinda, Paulo
; Costa, Paulo M.S.
; Alves, Paulo P.
; Roth, Paulo R. de O.
; Coelho, Paulo R.S.
; Duarte, Paulo R.M.
; Carvalho, Pedro F. de
; Gnaspini, Pedro
; Souza-Dias, Pedro G.B.
; Linardi, Pedro M.
; Bartholomay, Pedro R.
; Demite, Peterson R.
; Bulirsch, Petr
; Boll, Piter K.
; Pereira, Rachel M.M.
; Silva, Rafael A.P.F.
; Moura, Rafael B. de
; Boldrini, Rafael
; Silva, Rafaela A. da
; Falaschi, Rafaela L.
; Cordeiro, Ralf T.S.
; Mello, Ramon J.C.L.
; Singer, Randal A.
; Querino, Ranyse B.
; Heleodoro, Raphael A.
; Castilho, Raphael de C.
; Constantino, Reginaldo
; Guedes, Reinaldo C.
; Carrenho, Renan
; Gomes, Renata S.
; Gregorin, Renato
; Machado, Renato J.P.
; Bérnils, Renato S.
; Capellari, Renato S.
; Silva, Ricardo B.
; Kawada, Ricardo
; Dias, Ricardo M.
; Siewert, Ricardo
; Brugnera, Ricaro
; Leschen, Richard A.B.
; Constantin, Robert
; Robbins, Robert
; Pinto, Roberta R.
; Reis, Roberto E. dos
; Ramos, Robson T. da C.
; Cavichioli, Rodney R.
; Barros, Rodolfo C. de
; Caires, Rodrigo A.
; Salvador, Rodrigo B.
; Marques, Rodrigo C.
; Araújo, Rodrigo C.
; Araujo, Rodrigo de O.
; Dios, Rodrigo de V.P.
; Johnsson, Rodrigo
; Feitosa, Rodrigo M.
; Hutchings, Roger W.
; Lara, Rogéria I.R.
; Rossi, Rogério V.
; Gerstmeier, Roland
; Ochoa, Ronald
; Hutchings, Rosa S.G.
; Ale-Rocha, Rosaly
; Rocha, Rosana M. da
; Tidon, Rosana
; Brito, Rosangela
; Pellens, Roseli
; Santos, Sabrina R. dos
; Santos, Sandra D. dos
; Paiva, Sandra V.
; Santos, Sandro
; Oliveira, Sarah S. de
; Costa, Sávio C.
; Gardner, Scott L.
; Leal, Sebastián A. Muñoz
; Aloquio, Sergio
; Bonecker, Sergio L.C.
; Bueno, Sergio L. de S.
; Almeida, Sérgio M. de
; Stampar, Sérgio N.
; Andena, Sérgio R.
; Posso, Sergio R.
; Lima, Sheila P.
; Gadelha, Sian de S.
; Thiengo, Silvana C.
; Cohen, Simone C.
; Brandão, Simone N.
; Rosa, Simone P.
; Ribeiro, Síria L.B.
; Letana, Sócrates D.
; Santos, Sonia B. dos
; Andrade, Sonia C.S.
; Dávila, Stephane
; Vaz, Stéphanie
; Peck, Stewart B.
; Christo, Susete W.
; Cunha, Suzan B.Z.
; Gomes, Suzete R.
; Duarte, Tácio
; Madeira-Ott, Taís
; Marques, Taísa
; Roell, Talita
; Lima, Tarcilla C. de
; Sepulveda, Tatiana A.
; Maria, Tatiana F.
; Ruschel, Tatiana P.
; Rodrigues, Thaiana
; Marinho, Thais A.
; Almeida, Thaís M. de
; Miranda, Thaís P.
; Freitas, Thales R.O.
; Pereira, Thalles P.L.
; Zacca, Thamara
; Pacheco, Thaynara L.
; Martins, Thiago F.
; Alvarenga, Thiago M.
; Carvalho, Thiago R. de
; Polizei, Thiago T.S.
; McElrath, Thomas C.
; Henry, Thomas
; Pikart, Tiago G.
; Porto, Tiago J.
; Krolow, Tiago K.
; Carvalho, Tiago P.
; Lotufo, Tito M. da C.
; Caramaschi, Ulisses
; Pinheiro, Ulisses dos S.
; Pardiñas, Ulyses F.J.
; Maia, Valéria C.
; Tavares, Valeria
; Costa, Valmir A.
; Amaral, Vanessa S. do
; Silva, Vera C.
; Wolff, Vera R. dos S.
; Slobodian, Verônica
; Silva, Vinícius B. da
; Espíndola, Vinicius C.
; Costa-Silva, Vinicius da
; Bertaco, Vinicius de A.
; Padula, Vinícius
; Ferreira, Vinicius S.
; Silva, Vitor C.P. da
; Piacentini, Vítor de Q.
; Sandoval-Gómez, Vivian E.
; Trevine, Vivian
; Sousa, Viviane R.
; Sant’Anna, Vivianne B. de
; Mathis, Wayne N.
; Souza, Wesley de O.
; Colombo, Wesley D.
; Tomaszewska, Wioletta
; Wosiacki, Wolmar B.
; Ovando, Ximena M.C.
; Leite, Yuri L.R.
.
ABSTRACT The limited temporal completeness and taxonomic accuracy of species lists, made available in a traditional manner in scientific publications, has always represented a problem. These lists are invariably limited to a few taxonomic groups and do not represent up-to-date knowledge of all species and classifications. In this context, the Brazilian megadiverse fauna is no exception, and the Catálogo Taxonômico da Fauna do Brasil (CTFB) (http://fauna.jbrj.gov.br/), made public in 2015, represents a database on biodiversity anchored on a list of valid and expertly recognized scientific names of animals in Brazil. The CTFB is updated in near real time by a team of more than 800 specialists. By January 1, 2024, the CTFB compiled 133,691 nominal species, with 125,138 that were considered valid. Most of the valid species were arthropods (82.3%, with more than 102,000 species) and chordates (7.69%, with over 11,000 species). These taxa were followed by a cluster composed of Mollusca (3,567 species), Platyhelminthes (2,292 species), Annelida (1,833 species), and Nematoda (1,447 species). All remaining groups had less than 1,000 species reported in Brazil, with Cnidaria (831 species), Porifera (628 species), Rotifera (606 species), and Bryozoa (520 species) representing those with more than 500 species. Analysis of the CTFB database can facilitate and direct efforts towards the discovery of new species in Brazil, but it is also fundamental in providing the best available list of valid nominal species to users, including those in science, health, conservation efforts, and any initiative involving animals. The importance of the CTFB is evidenced by the elevated number of citations in the scientific literature in diverse areas of biology, law, anthropology, education, forensic science, and veterinary science, among others. publications problem uptodate up date classifications context exception (CTFB http//fauna.jbrj.gov.br/, httpfaunajbrjgovbr http //fauna.jbrj.gov.br/ , jbrj gov br (http://fauna.jbrj.gov.br/) 2015 Brazil 80 specialists 1 2024 133691 133 691 133,69 125138 125 138 125,13 82.3%, 823 82 3 (82.3% 102000 102 000 102,00 7.69%, 769 7 69 (7.69% 11000 11 11,00 . 3,567 3567 567 (3,56 2,292 2292 2 292 (2,29 1,833 1833 833 (1,83 1,447 1447 447 (1,44 1000 1,00 831 (83 628 (62 606 (60 520 (52 50 users science health biology law anthropology education others http//fauna.jbrj.gov.br/ faunajbrjgovbr //fauna.jbrj.gov.br (http://fauna.jbrj.gov.br/ 201 8 202 13369 13 133,6 12513 12 125,1 82.3% (82.3 10200 10 00 102,0 7.69% 76 6 (7.69 1100 11,0 3,56 356 56 (3,5 2,29 229 29 (2,2 1,83 183 83 (1,8 1,44 144 44 (1,4 100 1,0 (8 62 (6 60 52 (5 5 http//fauna.jbrj.gov.br (http://fauna.jbrj.gov.br 20 1336 133, 1251 125, 82.3 (82. 1020 0 102, 7.69 (7.6 110 11, 3,5 35 (3, 2,2 22 (2, 1,8 18 (1, 1,4 14 4 ( 82. (82 7.6 (7. 3, (3 2, (2 (1 7. (7
13.
Formulation strategy to reach a balance among dietary essential amino acids for Nile tilapia juveniles
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Romaneli, Rafael de Souza
; Silva, Maria Fernanda Oliveira da
; Masagounder, Karthik
; Fernandes, João Batista Kochenborger
; Fracalossi, Débora Machado
.
ABSTRACT Diets with high protein levels but unbalanced amino acid (AA) profiles can lead to poor AA utilization, increasing nitrogenous compound excretion and feed costs. Our study aimed to develop a formulation strategy to maintain a balanced dietary AA profile with a low protein level for Nile tilapia juveniles without compromising growth. Fish (6.75 ± 0.07 g) were fed on one of four isoenergetic diets with varied protein concentrations and AA profiles twice daily to apparent satiation for 41 days. The trial included four dietary treatments containing either 321 (32HighLys and 32LowLys) or 292 and 222 g protein kg –1 (29BAL and 22BAL, respectively) with five replicates per diet, making a total of 20 experimental units in a completed randomized design. The growth of fish fed the 29BAL diet was not compromised; weight gain (WG) and thermal growth coefficients were similar to those fed the 32HighLys and 32LowLys diets. However, the protein gain of those fish fed the 32HighLys diet was significantly higher than that of those fed the other diets. The 22BAL diet promoted the lowest growth, and its higher protein-energy ratio led to increased body lipid content. Therefore, the formulation strategy to supply balanced dietary AA to Nile tilapia reduced digestible protein from 32 to 29 %, without compromising fish growth and allowing a 12 % decrease in the excretion of nitrogenous waste. (AA utilization costs 6.75 675 6 75 (6.7 007 0 07 0.0 4 days HighLys LowLys 22 1 – BAL respectively 2 design compromised WG (WG However proteinenergy energy content Therefore 3 waste 6.7 67 7 (6. 00 0. 6. (6 (
14.
Perfil de avaliação da acuidade visual e de discromatopsias em crianças em idade escolar no Brasil
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Ávila, Carolina Oliveira de
; Kruk, Isabeli Lopes
; Borges, Cecília Cristina Machado
; Martins, Fabio Vecchini
; Silva, Lauany Évellin Pires da
; Duarte, Cássio Emílio de Moura
; Vieira, Débora
; Santos, Patrícia Roberta dos
.
RESUMO Objetivo: Analisar a realização do teste de visão de cores e do teste de Snellen no Brasil. Métodos: Este estudo epidemiológico descritivo e retrospectivo empregou uma abordagem quantitativa para analisar dados obtidos via TABNET relativos ao teste de visão de cores e à avaliação de potencial de acuidade visual nos últimos 5 anos, focando em crianças em idade escolar. Resultados: Foram conduzidos 26.374 testes, com predominância na Região Sul do Brasil, embora algumas unidades federativas não tenham apresentado dados. Notou-se uma frequência tripla no uso do teste de Snellen, com 78.600 aplicações, sendo a Região Sudeste a mais produtiva. Conclusão: A análise revelou uma execução desigual das triagens para discromatopsia e baixa acuidade visual no território nacional, indicando possíveis vieses na interpretação das dificuldades de realização dos testes ou na subnotificação dos procedimentos. Observou-se também que o teste de Snellen é realizado três vezes mais frequentemente que o de Ishihara, levantando preocupações quanto ao diagnóstico tardio de discromatopsias. Objetivo Brasil Métodos anos escolar Resultados 26374 26 374 26.37 Notouse Notou se 78600 78 600 78.60 aplicações produtiva Conclusão nacional procedimentos Observouse Observou Ishihara discromatopsias 2637 2 37 26.3 7860 7 60 78.6 263 3 26. 786 6 78.
ABSTRACT Objective: To analyze the performance of the Color and Snellen Tests in Brazil. Methods: This descriptive and retrospective epidemiological study employs a quantitative approach to analyze data obtained via TABNET regarding the "Color Vision Test" and the "Visual Acuity Potential Assessment" over the last five years, focusing on school-aged children. Results: 26,374 tests were conducted, predominantly in the southern region of Brazil, although some states did not present data. There is a triple frequency in the use of the Snellen Test, with a total of 78,600 applications, with the Southeast region being the most productive. Conclusion: The analysis revealed an uneven screening performance for dyschromatopsia and low visual acuity in the national territory, indicating possible biases in the interpretation of the difficulties in carrying out the tests or in underreporting the procedures. It is also observed that the Snellen Test is performed three times more frequently than the Ishihara Test, raising concerns regarding the late diagnosis of dyschromatopsias. Objective Brazil Methods Visual Assessment years schoolaged school aged children Results 26374 26 374 26,37 conducted 78600 78 600 78,60 applications productive Conclusion territory procedures dyschromatopsias 2637 2 37 26,3 7860 7 60 78,6 263 3 26, 786 6 78,
15.
Soluble isoforms of the DC-SIGN receptor can increase the dengue virus infection in immature dendritic cells DCSIGN DC SIGN
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Pereira, Lailah Horácio Sales
; Alves, Amanda do Carmo
; Lopes, Gabriela Francine Martins
; Silva, Brenda Fernandes da
; Vieira, Mariana Sousa
; Lopes, Débora de Oliveira
; Ferreira, Jaqueline Maria Siqueira
; Santos, Luciana Lara dos
.
Brazilian Journal of Infectious Diseases
- Métricas do periódico
ABSTRACT Dengue is a disease with a high-impact on public health worldwide. Many researches have focused on the cell receptors involved in its pathogenesis. The role of soluble isoforms of DC-SIGN (Dendritic Cell-Specific ICAM-3 Grabbing Non-integrin) receptor in the process of Dengue Virus (DENV) infection is not well understood. This work proposes to evaluate changes in the infection process of Immature Dendritic Cells (iDCs) by DENV in the presence of DC-SIGN recombinant soluble isoforms 8, 10, and 12. The recombinant isoforms were built by heterologous expression, the DENV-2 was multiplied in the Aedes albopictus C6/36 cells and quantified in BHK-21 cells, and the iDCs were produced from the THP-1 strain. Infection assays were performed in the presence of iDCs, DENV-2, and isoforms 8, 10, and 12 separately at 25, 50 and 100 ng/mL. The final viral load was estimated by qPCR and statistical analysis was performed by Kruskal-Wallis and ANOVA tests. The iDC profile was confirmed by increasing expression of CD11c, CD86, and CD209 surface markers and maintaining CD14 expression. Infection assays demonstrated a 23-fold increase in DENV viral load in the presence of isoforms 8 and 10 at 100 ng/mL compared to the viral control (p < 0.05), while isoform 12 did not alter the viral load. It was possible to conclude that at 100 ng/mL isoforms (8 and 10) can interact with DENV, increasing viral infection, and potentially acting as opsonins. highimpact high impact worldwide pathogenesis DCSIGN DC SIGN CellSpecific Cell Specific ICAM3 ICAM 3 ICAM- Nonintegrin Non integrin Non-integrin (DENV understood (iDCs DENV2 2 DENV- C636 C C6 36 C6/3 BHK21 BHK 21 BHK-2 THP1 THP 1 THP- strain DENV2, 2, 25 5 ngmL ng mL KruskalWallis Kruskal Wallis tests CD11c CDc CD c CD86 CD20 CD1 23fold fold 23 p 0.05, 005 0.05 , 0 05 0.05) ( opsonins C63 C6/ BHK2 BHK- CD8 CD2 00 0.0 0.
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