Pesquisa | SciELO

ABSTRACT Objective: This study aimed to present a temporal and spatial analysis of the 2018 measles outbreak in Brazil, particularly in the metropolitan city of Manaus in the Amazon region, and further introduce a new tool for spatial analysis. Methods: We analyzed the geographical data of the residences of over 7,000 individuals with measles in Manaus during 2018 and 2019. Spatial and temporal analyses were conducted to characterize various aspects of the outbreak, including the onset and prevalence of symptoms, demographics, and vaccination status. A visualization tool was also constructed to display the geographical and temporal distribution of the reported measles cases. Results: Approximately 95% of the included participants had not received vaccination within the past decade. Heterogeneity was observed across all facets of the outbreak, including variations in the incubation period and symptom presentation. Age distribution exhibited two peaks, occurring at one year and 18 years of age, and the potential implications of this distribution on predictive analysis were discussed. Additionally, spatial analysis revealed that areas with the highest case densities tended to have the lowest standard of living. Conclusion: Understanding the spatial and temporal spread of measles outbreaks provides insights for decision-making regarding measures to mitigate future epidemics. Objective 201 Brazil region Methods 7000 7 000 7,00 2019 symptoms demographics status cases Results 95 decade presentation peaks 1 age discussed Additionally living Conclusion decisionmaking decision making epidemics 20 700 00 7,0 9 2 70 0 7,

https://doi.org/10.31744/einstein_journal/2024ao0931

Vulnerabilidades a desastres em estabelecimentos de saúde frente à pandemia de COVID-19: revisão de escopo
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Silva, Ester Souza da

; Kneodler, Thais da Silva

; Silva, Thiago Augusto Soares Monteiro

; Oliveira, Alexandre Barbosa de

Ciência & Saúde Coletiva

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2024, Volume 29 Nº 7 elocation e01842024

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

Abstract This article maps the structural, nonstructural and functional vulnerabilities of healthcare facilities to the COVID-19 pandemic. It reports on a scoping review guided by JBI recommendations and structured by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. The PubMed, CINAHL, LILACS, EMBASE, SciELO, Scopus and Web of Science Repositories and databases were consulted, as was the grey literature. The protocol was registered in the Open Science Framework. The 54 studies included summarised 36 vulnerabilities in three categories in 29 countries. Functional and non-structural vulnerabilities were the most recurrent. Limited material and human resources, service disruption, non-COVID procedures and inadequate training were the items with most impact. COVID-19 exposed nations to the need to strengthen health systems to ensure their resilience in future health crises. Prospective risk management and systematic analysis of health facility vulnerabilities are necessary to ensure greater safety, sustainability and improved standards of preparedness and response to events of this nature.

Resumo O objetivo do artigo é mapear as vulnerabilidades estruturais, não-estruturais e funcionais de estabelecimentos de saúde frente à pandemia de COVID-19. Revisão de escopo conduzida mediante recomendações do JBI e estruturada pelos Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Foram consultados repositórios e bases de dados: PubMed, CINAHL, LILACS, EMBASE, SciELO, Scopus e Web of Science, além de literatura cinzenta. O protocolo foi registrado em Open Science Framework, 54 estudos foram incluídos, sumarizando 36 vulnerabilidades entre as três categorias, em 29 países. As vulnerabilidades funcionais e não-estruturais foram as mais recorrentes. Recursos materiais e humanos limitados, interrupção dos serviços e procedimentos não-COVID, além de capacitação profissional insuficiente foram os itens que mais impactaram. A COVID-19 expôs às nações a necessidade de fortalecer os sistemas de saúde para garantir sua resiliência em futuras crises sanitárias. Ações de gestão de risco prospectivas e análise sistematizada de vulnerabilidades dos estabelecimentos de saúde são necessárias para garantir maior segurança, sustentabilidade e melhor padrão de preparação e resposta a futuros eventos dessa natureza.

https://doi.org/10.1590/1413-81232024297.01842024

Vulnerabilidades a desastres em estabelecimentos de saúde frente à pandemia de COVID-19: revisão de escopo COVID19 COVID 19 COVID-19 COVID1 1 COVID-1 COVID-
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Silva, Ester Souza da

; Kneodler, Thais da Silva

; Silva, Thiago Augusto Soares Monteiro

; Oliveira, Alexandre Barbosa de

Ciência & Saúde Coletiva

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2024, Volume 29 Nº 7 elocation e01842024

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

https://doi.org/10.1590/1413-81232024297.01842024

Effectiveness of treatment of exudative age-related macular degeneration with anti-vascular endothelial growth factor drugs agerelated age related antivascular anti vascular
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Melo, Raquel Coelho de Souza Lima

; Souza, Carolina Costa da Silva

; Ledo, Iasmin Cardoso

; Amorim, Ester

; Oliveira, Dayse Cury de Almeida

; Boa-Sorte, Ney

Revista Brasileira de Oftalmologia

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2024, Volume 83 elocation e0039

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

RESUMO Objetivo: Caracterizar a efetividade de medicamentos antifactor de crescimento endotelial vascular na degeneração macular relacionada à idade exsudativa. Métodos: Estudo longitudinal retrospectivo em 54 pacientes com degeneração macular relacionada à idade que usaram bevacizumab ou aflibercept. Foram coletados dados demográficos, da acuidade visual e da espessura central da retina. Melhora/estabilidade da acuidade visual e redução da espessura configuraram respostas satisfatórias. Resultados: Entre 60 olhos estudados, não houve diferença (p = 0,262) de acordo com o uso de bevacizumab (48,5%) ou aflibercept (63,0%). Acuidade visual segundo Snellen, ganho de letras e espessura retiniana demonstraram melhora ou estabilidade em 55,0%, 32,8% e 78,3% dos casos, respectivamente. Entre os olhos com acuidade visual inicial < 20/400, o percentual de melhora/estabilidade foi superior (70,0% versus 40,0%; p = 0,002). Conclusão: Em pacientes com degeneração macular relacionada à idade, foi percebida uma maior proporção de melhora ou estabilização da acuidade visual e espessura macular, com melhor resposta entre os pacientes com visão pior que 20/400. Objetivo exsudativa Métodos 5 demográficos retina Melhoraestabilidade Melhora satisfatórias Resultados 6 estudados 0,262 0262 0 262 48,5% 485 48 (48,5% 63,0%. 630 63,0% . 63 (63,0%) Snellen 550 55 55,0% 328 32 8 32,8 783 78 3 78,3 casos respectivamente 20400 20 400 20/400 melhoraestabilidade 70,0% 700 70 (70,0 40,0% 40 0,002. 0002 0,002 002 0,002) Conclusão 0,26 026 26 48,5 4 (48,5 63,0 (63,0% 55,0 32, 7 78, 2040 2 20/40 70,0 (70, 40,0 000 0,00 00 0,2 02 48, (48, 63, (63,0 55, 204 20/4 70, (70 40, 0,0 0, (48 (63, 20/ (7 (4 (63 ( (6

ABSTRACT Objective: To characterize the effectiveness of anti-vascular endothelial growth factor drugs in exudative age-related macular degeneration. Methods: Retrospective longitudinal study of 54 patients with age-related macular degeneration receiving bevacizumab or aflibercept. Demographic data, visual acuity, and central retinal thickness measurements were collected. Improvement/stability of visual acuity and reduction in retinal thickness configured satisfactory responses. Results: Among the 60 eyes studied, there was no difference (p = 0.262) in satisfactory response when using bevacizumab (48.5%) or aflibercept (63.0%). Snellen’s visual acuity, letter gain, and retinal thickness showed improvement or maintenance in 55.0%, 32.8%, and 78.3% of cases, respectively. The percentage of improvement/maintenance was higher in eyes with an initial visual acuity of < Snellen 20/400 (70.0% versus 40.0%; p = 0.002). Conclusion: A higher percentage of improvement/stabilization of visual acuity and macular thickness was observed in patients with age-related macular degeneration, with better response in patients with visual acuity worse than Snellen 20/400. Objective antivascular anti vascular agerelated age related Methods 5 data collected Improvementstability Improvement stability responses Results 6 studied 0.262 0262 0 262 48.5% 485 48 (48.5% 63.0%. 630 63.0% . 63 (63.0%) Snellens s gain 550 55 55.0% 328 32 8 32.8% 783 78 3 78.3 cases respectively improvementmaintenance 20400 20 400 20/40 70.0% 700 70 (70.0 40.0% 40 0.002. 0002 0.002 002 0.002) Conclusion improvementstabilization stabilization 0.26 026 26 48.5 4 (48.5 63.0 (63.0% 55.0 32.8 7 78. 2040 2 20/4 70.0 (70. 40.0 000 0.00 00 0.2 02 48. (48. 63. (63.0 55. 32. 204 20/ 70. (70 40. 0.0 0. (48 (63. (7 (4 (63 ( (6

https://doi.org/10.37039/1982.8551.20240039

Assessment of the regenerative potential of macro-porous chitosan-calcium simvastatin scaffolds on bone cells macroporous macro porous chitosancalcium chitosan calcium
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GALLINARI, Marjorie de Oliveira

; BORDINI, Ester Alves Ferreira

; STUANI, Vitor de Toledo

; CASSIANO, Fernanda Balestrero

; MELO, Camila Correa da Silva Braga de

; ALMEIDA, Juliano Milanezi de

; CINTRA, Luciano Tavares Ângelo

; DE SOUZA COSTA, Carlos Alberto

; SOARES, Diana Gabriela

Brazilian Oral Research

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2023, Volume 37 elocation e018

Resumo: En | Texto: En | PDF: En

Abstract This study evaluated the bioactive potential of a macro-porous chitosan scaffold incorporated with calcium hydroxide (CH-Ca) and functionalized with bioactive doses of simvastatin (SV) for bone tissue regeneration. Initially, the bioactive dose of SV in osteoblastic cells (SAOS-2) was determined. For the direct contact experiment, SAOS-2 cells were plated on scaffolds to assess cell viability and osteogenic differentiation. The second assay was performed at a distance using extracts from scaffolds incubated in culture medium to assess the effect of conditioned medium on viability and osteogenic differentiation. The initial screening showed that 1 μM SV presented the best biostimulating effects, and this dose was selected for incorporation into the CH-Ca and pure chitosan (CH) scaffolds. The cells remained viable throughout the direct contact experiment, with the greatest cell density in the CH-Ca and CH-Ca-SV scaffolds because of their higher porosity. The CH-Ca-SV scaffold showed the most intense bio-stimulating effect in assays in the presence and absence of osteogenic medium, leading to an increased deposition of mineralized matrix. There was an increase in the viability of cells exposed to the extracts for CH-Ca, CH-SV, and CH-Ca-SV during the one-day period. There was an increase in ALP activity in the CH-Ca and CH-Ca-SV; however, the CH-Ca-SV scaffold resulted in an intense increase in the deposition of mineralized nodules, approximately 56.4% at 7 days and 117% at 14 days, compared with CH (control). In conclusion, functionalization of the CH-Ca scaffold with SV promoted an increase in bioactivity, presenting a promising option for bone tissue regeneration. macroporous macro porous CHCa Ca (CH-Ca (SV regeneration Initially SAOS2 SAOS 2 (SAOS-2 determined experiment SAOS- differentiation effects (CH CHCaSV porosity bio stimulating matrix CHCa, Ca, CHSV, CHSV SV, CH-SV oneday one day period however nodules 564 56 4 56.4 117 control. control . (control) conclusion bioactivity (SAOS- 5 56. 11 (control (SAOS

https://doi.org/10.1590/1807-3107bor-2023.vol37.0018

Breastfeeding mobile applications assistance in Brazil: a scoping review protocol Brazil
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Leal, Iga Carnevalli

; Gouvêa, Ester Florens Guerra

; Campos, Larissa Melgaço

; Oliveira, Ana Júlia Delfim de

; Teles, Daiana Carola de Souza

; Silva, Teresa Raquel Morais

; Barroso, Joyce Marques

; Motta, Andréa Rodrigues

; Furlan, Renata Maria Moreira Moraes

Revista CEFAC

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2023, Volume 25 Nº 6 elocation e9323

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

ABSTRACT Purpose: to present a scoping review protocol to identify and analyze free applications available for Android and iOS operating systems to assist nursing mothers in terms of breastfeeding. Methods: the methodological structure of this scoping review has nine stages: developing the research question; defining descriptors; establishing application inclusion and exclusion criteria; locating applications; listing applications; selecting them by title and icon analysis; collecting application data; selecting them by application data analysis and quality assessment. The research question was developed based on the participants-concept-context strategy. Breastfeeding mobile applications assistance will be searched in Google Play and Apple Store. Two independent raters will select applications, collect data, and assess their quality. Quality assessment will use the Mobile App Rating Scale, which will be correlated with user ratings. Final Considerations: this research presented a nine-stage scoping review protocol aimed at identifying and analyzing free applications available for Android and iOS operating systems to help nursing mothers in terms of breastfeeding. The protocol is ready to be implemented. Purpose breastfeeding Methods stages descriptors criteria participantsconceptcontext participants concept context strategy Store Scale ratings Considerations ninestage stage implemented

RESUMO Objetivo: apresentar um protocolo de revisão de escopo destinado a identificar e analisar os aplicativos gratuitos disponíveis nos sistemas operacionais Android e iOS para o auxílio de nutrizes acerca da amamentação. Métodos: a estrutura metodológica desta revisão de escopo incluiu nove etapas: elaboração da pergunta norteadora; definição dos descritores; definição dos critérios para inclusão e exclusão de aplicativos; localização de aplicativos; listagem dos aplicativos; seleção por análise de título e ícone; levantamento dos dados dos aplicativos; seleção pela análise dos dados dos aplicativos e avaliação de qualidade. A pergunta de pesquisa foi guiada pela estratégia participantes-conceito-contexto. A localização dos aplicativos móveis para apoio ao aleitamento será realizada nas lojas Google Play Store e App Store. As etapas de seleção, levantamento dos dados e avaliação da qualidade serão realizadas por dois avaliadores independentes. A avaliação da qualidade será realizada utilizando a Mobile App Rating Scale e correlacionada com as classificações dos usuários. Considerações Finais: a presente pesquisa apresentou um protocolo de revisão de escopo destinado a identificar e analisar os aplicativos gratuitos disponíveis nos sistemas operacionais Android e iOS para o auxílio de nutrizes acerca da amamentação, pautado em nove etapas. O protocolo está pronto para ser implementado. Objetivo amamentação Métodos norteadora descritores ícone participantesconceitocontexto. participantesconceitocontexto participantes conceito contexto. contexto participantes-conceito-contexto independentes usuários Finais implementado

https://doi.org/10.1590/1982-0216/20232569323

Tecnologias sociais para ações de gestão de risco em desastres: uma revisão de escopo desastres
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Kneodler, Thais da Silva

; Silva, Ester Souza da

; Haberland, Débora Fernanda

; Silva, Thiago Augusto Soares Monteiro da

; Oliveira, Alexandre Barbosa de

Saúde em Debate

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Dez 2022, Volume 46 Nº spe8 Páginas 187 - 200

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

ABSTRACT The objective was to map the technical-scientific literature on the development of social technologies in disaster risk management processes with vulnerable communities. This is a scoping review, according to the JBI (Joanna Briggs Institute) methodology, whose searches were carried out from August to December 2021 in eleven databases and gray literature. Independent reviewers participated in the selection, extraction, and synthesis of the data. After screening 1,291 publications, six studies were included in the review. Eligibility criteria were based on the acronym PCC (Population, Concept, and Context). It was evidenced that the concept of social technology brings in its essence social transformation and empowerment, strategic elements for the systematic confrontation of disasters with vulnerable populations. New, more robust studies are important to analyze the impact of social technologies on disasters, especially taking into account the development of public policies and the search for community resilience guided by the Sustainable Development Goals and the Sendai Framework for Disaster Risk Reduction. The limited number of studies identified points to the need for the appropriation of social technologies that can effectively improve the standard of risk management in the face of such events, whether of natural or technological origin. technicalscientific technical scientific communities review Joanna Institute methodology 202 selection extraction data 1291 1 291 1,29 publications Population, Population (Population Concept Context. Context . Context) empowerment populations New Reduction events origin 20 129 29 1,2 2 12 1,

RESUMO Objetivou-se mapear a literatura técnico-científica sobre o desenvolvimento de tecnologias sociais em processos de gestão de risco de desastres em comunidades vulneráveis. Trata-se de uma revisão de escopo, conforme metodologia do Joanna Briggs Institute, cujas buscas foram realizadas de agosto a dezembro de 2021 em 11 bancos de dados e na literatura cinzenta. Revisores independentes participaram da seleção, extração e síntese dos dados. Após a triagem de 1.291 publicações, foram incluídos 6 estudos na revisão. Os critérios de elegibilidade basearam-se na sigla PCC (População, Conceito e Contexto). Evidenciou-se que o conceito de tecnologia social traz em sua essência a transformação social e o empoderamento, elementos estratégicos para o enfrentamento sistematizado dos desastres em populações vulneráveis. Novos estudos mais robustos são importantes para analisar o impacto das tecnologias sociais nos desastres, especialmente levando em consideração o desenvolvimento de políticas públicas e a busca pela resiliência comunitária orientada pelos Objetivos de Desenvolvimento Sustentável e pelo Marco de Sendai para a Redução do Risco de Desastres. O número limitado de estudos identificados aponta para a necessidade de apropriação de tecnologias sociais que possam melhorar efetivamente o padrão de gestão de risco perante tais eventos, tanto de origem natural quanto tecnológica. Objetivouse Objetivou se técnicocientífica técnico científica vulneráveis Tratase Trata escopo Institute 202 1 cinzenta seleção 1291 291 1.29 publicações basearamse basearam População, População (População Contexto. Contexto . Contexto) Evidenciouse Evidenciou empoderamento Desastres eventos tecnológica 20 129 29 1.2 2 12 1.

https://doi.org/10.1590/0103-11042022e814

Tecnologias sociais para ações de gestão de risco em desastres: uma revisão de escopo
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Kneodler, Thais da Silva

; Silva, Ester Souza da

; Haberland, Débora Fernanda

; Silva, Thiago Augusto Soares Monteiro da

; Oliveira, Alexandre Barbosa de

Saúde em Debate

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2022, Volume 46 Nº spe8 Páginas 187 - 200

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

https://doi.org/10.1590/0103-11042022e814

Implementation of mentoring in a medical school - mentors and students’ perceptions
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Silva, Ester Franco de Souza Freitas

; Miyasaki, Maria Cristina de Oliveira Santos

Revista Brasileira de Educação Médica

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2022, Volume 46 Nº 1 elocation e030

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

Resumo: Introdução: Mentoria, em escolas médicas, tem a importante função de apoiar e complementar a formação do aluno por meio da sua relação com um professor, que fomenta o desenvolvimento global do estudante. Objetivo: Este estudo teve como objetivos avaliar pontos fortes e fragilidades da mentoria de um curso de Medicina de uma instituição privada sob a perspectiva de mentores e mentorados, e identificar, entre os discentes que não fizeram parte do programa, o motivo da ausência, o conhecimento sobre o conceito de mentoria e o desejo de participar no futuro. Método: Trata-se de estudo transversal, descritivo, com abordagem qualitativa. Participaram do estudo mentores, mentorados e alunos que não participavam do programa. Todos os participantes responderam a um questionário semiestruturado, cujas repostas foram analisadas na abordagem qualitativa. Resultados: As respostas foram divididas em duas amplas categorias: pontos fortes – vínculo, exposição de sentimentos/autorrevelação, mentoria como via de mão dupla e espaço de integração – e fragilidades – dificuldades de organização, de horários, de conduzir a dinâmica de grupos e os temas abordados, e de integração entre membros do grupo. Os estudantes que não fizeram parte da mentoria atribuíram a ausência à falta de tempo e relataram que desejam participar no futuro. Conclusão: Os relatos revelaram pontos fortes e fragilidades da mentoria para mentores e mentorados, bem como aspectos a serem aprimorados. Estudos prospectivos de programas de mentoria são necessários para identificar os aspectos que promovem o desenvolvimento dos participantes e reduzem seu sofrimento, bem como o seu impacto sobre a formação médica.

Abstract: Introduction: In medical education, mentoring has the important function of supporting and complementing student’s education through their relationship with a teacher, which fosters student’s global development. Objective: to assess the strengths and weaknesses of a mentoring program in a private school from the perspective of mentors and mentees; to identify, among students who did not participate in mentoring, the reason for not participating, knowledge about the concept of mentoring and the desire to participate in the future. Method: Cross-sectional, descriptive study with a qualitative approach. The study participants included mentors, mentees and students who did not participate in the mentoring program. All participants answered a semi-structured questionnaire and the answers were submitted to a qualitative approach analysis. Results: The answers were divided into two broad categories: strengths - bonding, exposing feelings/self-disclosure, mentoring as a two-way street, space for integration - and weaknesses - organization and scheduling difficulties, conducting group dynamics and addressed topics, of integration between group members. The students who did not participate in mentoring attributed their non-participation to lack of time and reported they wanted to participate in the future. Conclusion: the reports showed strengths and weaknesses of mentoring for mentors and mentees, as well as aspects to be improved. Prospective studies of mentoring programs are needed to identify aspects that promote the development of participants and reduce their suffering, as well as their impact on medical education.

https://doi.org/10.1590/1981-5271v46.1-20200501.ing

10.

First case report of monkeypox in Brazil: clinical manifestations and differential diagnosis with sexually transmitted infections
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Lima, Evelyn Lepka de

; Barra, Luiz Alberto Costa

; Borges, Luciana Marques Sansão

; Medeiros, Lucas Alberto

; Tomishige, Marcia Y. S.

; Santos, Lucas de Souza Loureiro Abbud

; Silva, Anderson José Dias da

; Rodrigues, Camila Cristina Martini

; Azevedo, Luiz Cesar Fernandes de

; Villas-Boas, Lucy Santos

; Silva, Camila Alves Maia da

; Coletti, Thaís Moura

; Manuli, Erika R.

; Claro, Ingra Morales

; Romano, Camila Malta

; Ramundo, Mariana Severo

; Moutinho, Tomas

; Sabino, Ester Cerdeira

; Lindoso, José Angelo Lauletta

; Figueiredo-Mello, Claudia

Revista do Instituto de Medicina Tropical de São Paulo

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2022, Volume 64 elocation e54

Resumo: En | Texto: En | PDF: En

ABSTRACT In 2022, an outbreak of monkeypox is being reported in non-endemic areas, with unusual clinical manifestations. The detailed clinical description of the first patient that received the diagnosis of monkeypox in Brazil is reported here, whose clinical manifestations can easily lead to misdiagnosis of sexually transmitted infections. A 41 years old male presented to an emergency room with a vesicular rash with eight days of evolution. He had traveled to Portugal and Spain and reported non-penetrative sexual involvement with three different male individuals. On the third day of symptoms, he sought medical care and received empirical treatment directed to sexually transmitted infections. As the symptoms did not improve, he sought medical attention at an infectious disease referral center presenting, on admission, an ulcerated penile lesion with central necrotic crusts, a disseminated pleomorphic skin rash and an oropharyngeal ulcer. The monkeypox diagnosis was suspected due to the characteristics of the lesions and the history of intimate contact with casual partners, and it was later confirmed by sequencing the almost complete monkeypox genome. The patient was hospitalized for pain control, which required opiate administration. He developed a secondary bacterial infection on the penile lesions, which were treated with oral antibiotics. He was discharged after 14 days, with lesions in process of re-epithelialization. Given the current outbreak, we must consider the possibility of monkeypox in patients with suggestive lesions, anywhere on the body (including the genitals), added to an epidemiological link or history of intimate contact with strangers or casual partners.

https://doi.org/10.1590/s1678-9946202264054

11.

Gazeta do Norte newspaper and the great Sports Square as nation projects: ‘Mold for Tomorrow's Men!’
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Alves, Rogério Othon Teixeira

; Silva, Luciano Pereira da

; Pereira, Ester Liberato

; Souza Neto, Georgino Jorge de

; Cardoso, Fernanda de Souza

; Ladislau, Carlos Rogério

Motriz: Revista de Educação Física

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2021, Volume 27 elocation e1021007121

Resumo: En | Texto: En | PDF: En

Abstract Aim: This study contextualizes the establishment of Montes Claros Sports Square, in Minas Gerais, through the look of Gazeta do Norte newspaper, and its alignment with a nation project to be established by the government of Getúlio Vargas, who took office in 1930. He formulated actions for a ‘national reconstruction’ project, for which, from society, it was necessary to emerge both physically and morally healthy subjects, fundamental conditions for the construction of the aforementioned new nation, and which could reach the Brazilians in the hinterlands. Thus, this study aimed to narrate a history of the construction of Montes Claros Sports Square, from the end of the 1930s until 1945, during Getúlio Vargas’ first term as President of the Republic, with Benedito Valadares as Governor of Minas Gerais. Methods: The study was based on the extensive collection of data researched in Gazeta do Norte newspaper. Results: Symbol of a modern project for sports, the Sports Square was announced by the governor during his visit to the city, in January 1939, and established on the Oswaldo Cruz meadow. It is possible to verify that, notably, in the 15 years of Getúlio Vargas’ first term, the practice of sports is developed and consolidates itself as an ‘actor’ in the social space of Montes Claros. Conclusion: In this city, in addition to the construction of the Sports Square, it was necessary to educate and inform the individuals. It can be said that the newspaper Gazeta do Norte firmly contributed to Vargas’ nation project.

https://doi.org/10.1590/s1980-65742021007121 118 downloads

12.

Differences in children and adolescents with SARS-CoV-2 infection: a cohort study in a Brazilian tertiary referral hospital
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Marques, Heloisa Helena de Sousa

; Pereira, Maria Fernanda Badue

; Santos, Angélica Carreira dos

; Fink, Thais Toledo

; Paula, Camila Sanson Yoshino de

; Litvinov, Nadia

; Schvartsman, Claudio

; Delgado, Artur Figueiredo

; Gibelli, Maria Augusta Bento Cicaroni

; Carvalho, Werther Brunow de

; Odone Filho, Vicente

; Tannuri, Uenis

; Carneiro-Sampaio, Magda

; Grisi, Sandra

; Duarte, Alberto José da Silva

; Antonangelo, Leila

; Francisco, Rossana Pucineli Vieira

; Okay, Thelma Suely

; Batisttella, Linamara Rizzo

; Carvalho, Carlos Roberto Ribeiro de

; Brentani, Alexandra Valéria Maria

; Silva, Clovis Artur

; Eisencraft, Adriana Pasmanik

; Rossi Junior, Alfio

; Fante, Alice Lima

; Cora, Aline Pivetta

; Reis, Amelia Gorete A. de Costa

; Ferrer, Ana Paula Scoleze

; Andrade, Anarella Penha Meirelles de

; Watanabe, Andreia

; Gonçalves, Angelina Maria Freire

; Waetge, Aurora Rosaria Pagliara

; Silva, Camila Altenfelder

; Ceneviva, Carina

; Lazari, Carolina dos Santos

; Abellan, Deipara Monteiro

; Santos, Emilly Henrique dos

; Sabino, Ester Cerdeira

; Bianchini, Fabíola Roberta Marim

; Alcantara, Flávio Ferraz de Paes

; Ramos, Gabriel Frizzo

; Leal, Gabriela Nunes

; Rodriguez, Isadora Souza

; Pinho, João Renato Rebello

; Carneiro, Jorge David Avaizoglou

; Paz, Jose Albino

; Ferreira, Juliana Carvalho

; Ferranti, Juliana Ferreira

; Ferreira, Juliana de Oliveira Achili

; Framil, Juliana Valéria de Souza

; Silva, Katia Regina da

; Kanunfre, Kelly Aparecida

; Bastos, Karina Lucio de Medeiros

; Galleti, Karine Vusberg

; Cristofani, Lilian Maria

; Suzuki, Lisa

; Campos, Lucia Maria Arruda

; Perondi, Maria Beatriz de Moliterno

; Diniz, Maria de Fatima Rodrigues

; Fonseca, Maria Fernanda Mota

; Cordon, Mariana Nutti de Almeida

; Pissolato, Mariana

; Peres, Marina Silva

; Garanito, Marlene Pereira

; Imamura, Marta

; Dorna, Mayra de Barros

; Luglio, Michele

; Rocha, Mussya Cisotto

; Aikawa, Nadia Emi

; Degaspare, Natalia Viu

; Sakita, Neusa Keico

; Udsen, Nicole Lee

; Scudeller, Paula Gobi

; Gaiolla, Paula Vieira de Vincenzi

; Severini, Rafael da Silva Giannasi

; Rodrigues, Regina Maria

; Toma, Ricardo Katsuya

; Paula, Ricardo Iunis Citrangulo de

; Palmeira, Patricia

; Forsait, Silvana

; Farhat, Sylvia Costa Lima

; Sakano, Tânia Miyuki Shimoda

; Koch, Vera Hermina Kalika

; Cobello Junior, Vilson

Clinics

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2021, Volume 76 elocation e3488

Resumo: En | Texto: En | PDF: En

OBJECTIVES: To compare demographic/clinical/laboratory/treatments and outcomes among children and adolescents with laboratory-confirmed coronavirus disease 2019 (COVID-19). METHODS: This was a cross-sectional study that included patients diagnosed with pediatric COVID-19 (aged <18 years) between April 11, 2020 and April 22, 2021. During this period, 102/5,951 (1.7%) of all admissions occurred in neonates, children, and adolescents. Furthermore, 3,962 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection samples were processed in patients aged <18 years, and laboratory-confirmed COVID-19 occurred in 155 (4%) inpatients and outpatients. Six/155 pediatric patients were excluded from the study. Therefore, the final group included 149 children and adolescents (n=97 inpatients and 52 outpatients) with positive SARS-CoV-2 results. RESULTS: The frequencies of sore throat, anosmia, dysgeusia, headache, myalgia, nausea, lymphopenia, pre-existing chronic conditions, immunosuppressive conditions, and autoimmune diseases were significantly reduced in children and adolescents (p<0.05). Likewise, the frequencies of enoxaparin use (p=0.037), current immunosuppressant use (p=0.008), vasoactive agents (p=0.045), arterial hypotension (p<0.001), and shock (p=0.024) were significantly lower in children than in adolescents. Logistic regression analysis showed that adolescents with laboratory-confirmed COVID-19 had increased odds ratios (ORs) for sore throat (OR 13.054; 95% confidence interval [CI] 2.750-61.977; p=0.001), nausea (OR 8.875; 95% CI 1.660-47.446; p=0.011), and lymphopenia (OR 3.575; 95% CI 1.355-9.430; p=0.010), but also had less hospitalizations (OR 0.355; 95% CI 0.138-0.916; p=0.032). The additional logistic regression analysis on patients with preexisting chronic conditions (n=108) showed that death as an outcome was significantly associated with pediatric severe acute respiratory syndrome (SARS) (OR 22.300; 95% CI 2.341-212.421; p=0.007) and multisystem inflammatory syndrome in children (MIS-C) (OR 11.261; 95% CI 1.189-106. 581; p=0.035). CONCLUSIONS: Half of the laboratory-confirmed COVID-19 cases occurred in adolescents. Individuals belonging to this age group had an acute systemic involvement of SARS-CoV-2 infection. Pediatric SARS and MIS-C were the most important factors associated with the mortality rate in pediatric chronic conditions with COVID-19.

https://doi.org/10.6061/clinics/2021/e3488

13.

Effect of Starch Laurate Addition on the Properties of Mango Kernel Starch Films
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Carvalho, Laura Gabriela Gurgel de

; Marques, Nívia do Nascimento

; Fernandes, Rafael da Silva

; Villetti, Marcos Antônio

; Souza Filho, Men de Sá Moreira de

; Balaban, Rosangela de Carvalho

Materials Research

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2021, Volume 24 Nº 3 elocation e20200331

Resumo: En | Texto: En | PDF: En

Abstract In this work, starch obtained from mango kernel seeds was applied in the preparation of films in combination with its hydrophobic derivatives. Chemical modification of starch was carried out at two different concentrations of vinyl laurate, in dimethyl sulfoxide, under basic catalysis. The degrees of substitution of the starch laurates were 2.4 and 0.3, respectively. None of the products formed films when dispersed in water. However, blends of starch/starch laurate (degree of substitution = 0.3) formed films after microfluidization of their aqueous suspensions. The blends with up to 15% wt of starch laurate (degree of substitution = 0.3) resulted in films of higher elongation at break, higher opacity and lower tensile strength and elastic modulus. The microfluidization of biopolymer suspensions was crucial to obtain films with lower water vapor permeability. X-ray diffraction results corroborated to the mechanical properties of the films, showing that the incorporation of starch laurate reduced the starch films crystallinity.

https://doi.org/10.1590/1980-5373-mr-2020-0331 277 downloads

14.

Exclusão Digital de Gênero: quebrando o silêncio na Ciência da Informação
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Berrío-Zapata, Cristian

; Ferreira da Silva, Ester

; de Souza Brandão Guarald, Tamara

; Grossi-de-Carvalho, Ângela Maria

Revista Interamericana de Bibliotecología

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Abr 2020, Volume 43 Nº 1 elocation e8

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

Resumen América Latina no investiga sobre los problemas de brecha digital relacionados con género. Este fue uno de los resultados de la investigación realizada en la Universidade Estadual Paulista, que incluyó la literatura más citada en inglés, español y portugués en el campo de la brecha digital. La falta de acceso de las mujeres a la tecnología de la información digital o su incapacidad para beneficiarse de ella, por motivos de género, definen un tipo de exclusión que se está estudiando en países desarrollados. Sin embargo, en América Latina esta área ha sido descuidada. Para contribuir al desarrollo de la investigación de género en la ciencia de la información, este estudio compiló algunos de los trabajos más relevantes sobre exclusión digital de género, identificando sus problemáticas básicas, para articularlos en un mapa conceptual que permita percibir los desafíos y oportunidades de investigación que ellos implican para la región. El objetivo es romper el silencio académico en esta materia y difundir los fundamentos de lo que sabemos sobre exclusión digital de género, articulándolos de forma comprensiva para impulsar nuevos proyectos, denunciando la exclusión femenina en la ciencia y la tecnología, con especial énfasis en la apropiación de las tecnologías de información y comunicación, como un problema central de la agenda de investigación de la ciencia de la información, de las ciencias sociales en general y de las instituciones de educación e investigación latinoamericanas.

Abstract Latin America does not research on the problems of digital divide related to gender. This was one of the findings in the research made at Universidade Estadual Paulista, which included the most cited literature in English, Spanish and Portuguese in the domain of the digital divide. Women's lack of access to digital information technology or their inability to benefit from it, due to their gender, define a type of exclusion that is being studied in developed countries, but Latin America is neglected. To contribute to the development of gender research in librarian and information sciences, this study compiled the most relevant works about gender digital exclusion, identifying the main problems they refer to, articulating them in a conceptual map that allows to perceive the challenges and opportunities of research that they imply to the region. The target is to break academic silence in librarian and information sciences, and spread out what we know about gender digital exclusion, articulating it comprehensively to boost new projects, valuing female exclusion in science and technology, and specifically in information and communication technology, as a central problem of the research agenda of librarian and information sciences, of all Social Sciences, and of Latin American education and research institutions.

Resumo América Latina não pesquisa sobre os problemas de Exclusão Digital ligados ao gênero. Esse foi um dos achados da pesquisa feita na Universidade Estadual Paulista, que incluiu a literatura mais citada em inglês, espanhol e português sobre o domínio da Exclusão Digital. A falta de acesso das mulheres à tecnologia da informação digital ou a sua impossibilidade para se beneficiar de la, por conta do seu gênero, definem um tipo de exclusão digital que está sendo estudada em países desenvolvidos. No entanto, na América Latina a área está negligenciada. Para contribuir com o desenvolvimento da pesquisa de gênero na Ciência da Informação, este estudo compilou alguns dos trabalhos mais importantes sobre à Exclusão Digital de Gênero, identificando as problemáticas básicas estudadas, para articulá-las em um mapa conceitual que permita perceber os desafios e as oportunidades de pesquisa que elas implicam para a região. O objetivo é quebrar o silêncio acadêmico da Ciência da Informação neste assunto, e difundir os fundamentos do que sabemos sobre a Exclusão Digital de Gênero, articulando-os de forma compreensiva para impulsionar novos projetos, denunciando a exclusão feminina na ciência e a tecnologia, e focando na apropriação da tecnologia de informação e comunicação, como um problema central da agenda de pesquisa da Ciência da Informação, das ciências sociais em geral, e das instituições de ensino e pesquisa Latino-americanas.

https://doi.org/10.17533/udea.rib.v43n1erv1 335 downloads

15.

Severe clinical spectrum with high mortality in pediatric patients with COVID-19 and multisystem inflammatory syndrome
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Pereira, Maria Fernanda Badue

; Litvinov, Nadia

; Farhat, Sylvia Costa Lima

; Eisencraft, Adriana Pasmanik

; Gibelli, Maria Augusta Bento Cicaroni

; Carvalho, Werther Brunow de

; Fernandes, Vinicius Rodrigues

; Fink, Thais de Toledo

; Framil, Juliana Valéria de Souza

; Galleti, Karine Vusberg

; Fante, Alice Lima

; Fonseca, Maria Fernanda Mota

; Watanabe, Andreia

; Paula, Camila Sanson Yoshino de

; Palandri, Giovanna Gavros

; Leal, Gabriela Nunes

; Diniz, Maria de Fatima Rodrigues

; Pinho, João Renato Rebello

; Silva, Clovis Artur

; Marques, Heloisa Helena de Sousa

; Rossi Junior, Alfio

; Delgado, Artur Figueiredo

; Andrade, Anarella Penha Meirelles de

; Schvartsman, Claudio

; Sabino, Ester Cerdeira

; Rocha, Mussya Cisotto

; Kanunfre, Kelly Aparecida

; Okay, Thelma Suely

; Carneiro-Sampaio, Magda Maria Sales

; Jorge, Patricia Palmeira Daenekas

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2020, Volume 75 elocation e2209

Resumo: En | Texto: En | PDF: En

OBJECTIVES: To assess the outcomes of pediatric patients with laboratory-confirmed coronavirus disease (COVID-19) with or without multisystem inflammatory syndrome in children (MIS-C). METHODS: This cross-sectional study included 471 samples collected from 371 patients (age<18 years) suspected of having severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The study group comprised 66/371 (18%) laboratory-confirmed pediatric COVID-19 patients: 61 (92.5%) patients tested positive on real-time reverse transcription-polymerase chain reaction tests for SARS-CoV-2, and 5 (7.5%) patients tested positive on serological tests. MIS-C was diagnosed according to the criteria of the Center for Disease Control. RESULTS: MIS-C was diagnosed in 6/66 (9%) patients. The frequencies of diarrhea, vomiting, and/or abdominal pain (67% vs. 22%, p=0.034); pediatric SARS (67% vs. 13%, p=0.008); hypoxemia (83% vs. 23%, p=0.006); and arterial hypotension (50% vs. 3%, p=0.004) were significantly higher in patients with MIS-C than in those without MIS-C. The frequencies of C-reactive protein levels >50 mg/L (83% vs. 25%, p=0.008) and D-dimer levels >1000 ng/mL (100% vs. 40%, p=0.007) and the median D-dimer, troponin T, and ferritin levels (p<0.05) were significantly higher in patients with MIS-C. The frequencies of pediatric intensive care unit admission (100% vs. 60%, p=0.003), mechanical ventilation (83% vs. 7%, p<0.001), vasoactive agent use (83% vs. 3%, p<0.001), shock (83% vs. 5%, p<0.001), cardiac abnormalities (100% vs. 2%, p<0.001), and death (67% vs. 3%, p<0.001) were also significantly higher in patients with MIS-C. Similarly, the frequencies of oxygen therapy (100% vs. 33%, p=0.003), intravenous immunoglobulin therapy (67% vs. 2%, p<0.001), aspirin therapy (50% vs. 0%, p<0.001), and current acute renal replacement therapy (50% vs. 2%, p=0.002) were also significantly higher in patients with MIS-C. Logistic regression analysis showed that the presence of MIS-C was significantly associated with gastrointestinal manifestations [odds ratio (OR)=10.98; 95%CI (95% confidence interval)=1.20-100.86; p=0.034] and hypoxemia [OR=16.85; 95%CI=1.34-211.80; p=0.029]. Further univariate analysis showed a positive association between MIS-C and death [OR=58.00; 95%CI=6.39-526.79; p<0.0001]. CONCLUSIONS: Pediatric patients with laboratory-confirmed COVID-19 with MIS-C had a severe clinical spectrum with a high mortality rate. Our study emphasizes the importance of investigating MIS-C in pediatric patients with COVID-19 presenting with gastrointestinal involvement and hypoxemia.

https://doi.org/10.6061/clinics/2020/e2209 2260 downloads

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