Resumo A pandemia da Covid-19 pode ser considerada um dos maiores problemas de saúde pública internacional dos últimos decénios, sendo evidentes os problemas de saúde mental ligados à imposição do confinamento durante a mesma. Realizamos uma revisão sistemática de literatura com o objetivo de analisar os efeitos da restrição da liberdade e do isolamento social na qualidade de vida das pessoas em Portugal durante o período de pandemia. Recorremos à Biblioteca do Conhecimento Online (B-On), procurando artigos publicados entre setembro de 2019 e março de 2022, e utilizando os termos: “Mental Health AND Confinement OR Quarantine OR Lockdown”, com seleção do campo “[TI Título]” e “Portugal OR Portuguese”. Os artigos incluídos no estudo identificaram efeitos negativos do confinamento no bem-estar mental e no estado emocional, associados a comportamentos de estilo de vida pouco saudáveis, inatividade física e social, má qualidade de sono, comportamentos alimentares pouco saudáveis, desemprego ou inatividade laboral e maior utilização da tecnologia durante o período de confinamento. As medidas de restrição culminaram no agravamento da sintomatologia depressiva, de ansiedade e na diminuição da qualidade de vida, associada a sentimentos de solidão e isolamento social.

Abstract Covid-19 pandemic can be considered one of the biggest international public health problems in the last decades, and had a severe impact on the mental health and wellbeing of people around the world linked to the imposition of confinement. We carried out a systematic literature review with the aim of analyzing the effects of restriction of freedom and social isolation on the quality of life of people in Portugal during the pandemic period. We used the Online Knowledge Library (B-On), looking for articles published between September 2019 and March 2022, and using the terms: “Mental Health AND Confinement OR Quarantine OR Lockdown”, selecting the field “[TI Title]” and “Portugal OR Portuguese”. We tried to identify negative effects of confinement on mental well-being and emotional state, associated with unhealthy lifestyle behaviors, physical and social inactivity, poor sleep quality, unhealthy eating behaviors, unemployment or work inactivity and greater use of technology during the confinement period. The restriction measures culminated in the worsening of depressive and anxiety symptoms and a decrease in quality of life, associated with feelings of loneliness and social isolation.

ABSTRACT Standardized fuel models are a useful tool to predict fire behavior and propose forest fire suppression strategies. The aim was to compare the simulations of fire behavior with the result of a prescribed burn in an oak-pine forest in Guerrero, Mexico. Leaf litter (Ho), and mulch (Ma) samples were collected in 0.09 m2 at the end of the planar intersection lines for woody fuel sampling. The simulations in the FUEGO system were based on: a) field fuel loads, and b) theoretical loads of models 8 and 9. During the development of the burning, the temperature (T), relative humidity (HR), speed of the wind (VV), flame height (ALL) and fire spread speed (VP). The fuel load of 11 t ha-1 led to a PV = 1.07 m min-1 and ALL = 0.65 m for burning against the slope. The simulations with a mean square error (CME) of 0.11 showed acceptable values of ALL (0.54 and 0.64 m) except for the ALL-M8 model with 0.24 m (p < 0.05). The VP-real did not present statistical diferences with the simulations for values of 0.40 and 1.78 m with a CME = 0.54 and 1.56, the VP-9 and VP-M9 models provided high simulation values compared to the VP-M8 (p < 0.05). Fire behavior responded to changes in HR, VV and spatial distribution of fuels in the field.

RESUMEN Los modelos de combustibles estandarizados son una herramienta útil para predecir el comportamiento del fuego y plantear estrategias de supresión de incendios forestales. El objetivo del presente trabajo fue comparar las simulaciones del comportamiento del fuego con el resultado de una quema prescrita en un bosque de encino-pino en Guerrero, México. Se colectaron muestras de hojarasca (Ho) y mantillo (Ma) en 0.09 m2 al final de las líneas de intersección planar para el muestreo de combustibles leñosos. Las simulaciones en el sistema FUEGO se basaron en: a) cargas de combustible de campo y b) cargas teóricas de los modelos 8 y 9. Durante el desarrollo de la quema se monitoreo la temperatura (T), humedad relativa (HR), velocidad del viento (VV), altura de llama (ALL) y velocidad de propagación del fuego (VP). La carga de combustible 11 t ha-1, propicio una VP = 1.07 m min-1 y ALL = 0.65 m para quemas en contra de la pendiente. Las simulaciones con un cuadrado medio del error (CME) de 0.11, evidenciaron valores aceptables de ALL (0.54 y 0.64 m) a excepción del modelo ALL-M8 con 0.24 m (p < 0.05). La VP-real no presento diferencias estadísticas con las simulaciones para valores de 0.40 y 1.78 m con un CME = 0.54 y 1.56, los modelos VP-9 y VP-M9 propiciaron valores de simulación altos, respecto a la VP-M8 (p < 0.05). El comportamiento del fuego respondió a los cambios de HR, VV y distribución espacial de los combustibles en el terreno.

Resumo Introdução: Pacientes com doença renal em estágio terminal (DRET) geralmente enfrentam uma rotina desafiadora de hemodiálise, restrições alimentares e diversos medicamentos, podendo afetar sua função hemodinâmica. Abordagens domiciliares, seguras e não farmacológicas, como a estimulação transcraniana por corrente contínua (ETCC), devem ser combinadas com tratamento convencional. Objetivo: Avaliar segurança e viabilidade da ETCC na pressão arterial e frequência cardíaca em pacientes com DRET em hemodiálise. Método: Estudo paralelo, randomizado, controlado por placebo. Foram incluídos pacientes em hemodiálise por mais de três meses. Os pacientes receberam dez sessões não consecutivas de ETCC de 2mA no córtex motor primário. Cada sessão durou 20 minutos. No início do estudo e após cada uma das dez sessões, a pressão arterial e frequência cardíaca dos pacientes foram medidas a cada hora durante quatro horas. Resultados: Trinta pacientes foram randomizados para grupo ativo ou sham. A diferença média entre grupos foi calculada como valor médio do grupo sham menos valor médio do grupo ativo. Apesar de não haver alterações estatísticas para todos os desfechos considerando as 10 sessões, encontramos diferenças entre os grupos para pressão arterial sistólica –10,93 (–29,1; 7,2), diastólica –3,63 (–12,4; 5,1) e média –6,0 (–16,3; 4,2) e frequência cardíaca 2,26 (–2,5; 7,1). Não encontramos eventos adversos graves. O grupo ativo apresentou valores maiores de pressão arterial em todos os pontos, enquanto a frequência cardíaca foi menor no grupo ativo. Conclusão: ETCC é segura e viável para pacientes com DRET submetidos à hemodiálise. Estudos futuros devem investigar se a ETCC pode potencialmente induzir um efeito hipotensor protetor durante a hemodiálise. Introdução (DRET medicamentos hemodinâmica domiciliares farmacológicas ETCC, , (ETCC) convencional Objetivo Método paralelo randomizado placebo meses mA primário 2 minutos horas Resultados 1 1093 93 –10,9 –29,1 291 29 (–29,1 7,2, 72 7,2 7 7,2) 363 3 63 –3,6 –12,4 124 12 4 (–12,4 5,1 51 5 60 6 0 –6, –16,3 163 16 (–16,3 4,2 42 226 26 2,2 –2,5 25 (–2,5 7,1. 71 7,1 . 7,1) graves pontos Conclusão (ETCC 109 9 –10, –29, (–29, 7, 36 –3, –12, (–12, 5, –6 –16, (–16, 4, 22 2, –2, (–2, –10 –29 (–29 –3 –12 (–12 – –16 (–16 –2 (–2 –1 (–1 (– (

Abstract Introduction: Patients with end-stage renal disease often face a challenging routine of hemodialysis, dietary restrictions, and multiple medications, which can affect their hemodynamic function. Home-based, safe, and nonpharmacological approaches such as transcranial direct current stimulation (tDCS) should be combined with conventional treatment. Objective: To assess the safety and feasibility of tDCS on blood pressure and heart rate in patients with end-stage renal disease undergoing hemodialysis. Method: This is a parallel, randomized, sham-controlled trial. Patients undergoing hemodialysis for more than three months were included. The patients received ten non-consecutive 2mA tDCS sessions on the primary motor cortex . Each session lasted 20 minutes. At baseline and after each of the ten sessions, blood pressure and heart rate of the patients were measured hourly for four hours. Results: Thirty patients were randomized to the active or sham group. The mean difference between the groups was calculated as the mean value of the sham group minus the mean value of the active group. Despite there were no statistical changes for all outcomes considering all 10 sessions, we found differences between groups for systolic –10.93 (–29.1;7.2), diastolic –3.63 (–12.4; 5.1), and mean blood pressure –6.0 (–16.3; 4.2) and hear rate 2.26 (–2.5; 7.1). No serious adverse events were found. The active group showed higher blood pressure values at all points, while heart rate was lower in the active group. Conclusion: tDCS is safe and feasible for patients with end-stage renal disease undergoing hemodialysis. Future studies should investigate whether tDCS could potentially induce a hypotensive protective effect during hemodialysis. Introduction endstage end stage restrictions medications function Homebased, Homebased Home based, based Home-based (tDCS treatment Objective Method parallel shamcontrolled controlled trial included nonconsecutive non consecutive mA 2 minutes hours Results 1 1093 93 –10.9 –29.17.2, 29172 –29.1 7.2 , 29 7 (–29.1;7.2) 363 3 63 –3.6 –12.4 124 12 4 (–12.4 5.1, 51 5.1 5 5.1) 60 6 0 –6. –16.3 163 16 (–16.3 4.2 42 226 26 2.2 –2.5 25 (–2.5 7.1. 71 7.1 7.1) points Conclusion 109 9 –10. 17 –29.17.2 2917 291 –29. 72 7. (–29.1;7.2 36 –3. –12. (–12. 5. –6 –16. (–16. 4. 22 2. –2. (–2. –10 –29.17. –29 (–29.1;7. –3 –12 (–12 – –16 (–16 –2 (–2 –1 –29.17 (–29.1;7 (–1 (– (–29.1; ( (–29.1 (–29. (–29

Abstract The current study assesses the resistance profile of Aeromonas spp. individuals isolated from tambaqui fish (Colossoma macropomum) grown in fish farms located in São Luís Metropolitan Region - MA. In total, 114 bacterial strains belonging to species Aeromonas spp. were used in the experiment. Antimicrobial resistance profile was defined based on using the disk diffusion method and 10 antimicrobials. Isolates were classified as susceptible, susceptible upon increased exposure and resistant to the assessed principles; phenotypes showing resistance to multiple tested drugs (MDR) were classified. Bacterial strains presented widespread resistance to penicillin; as well as high oxacillin-, cefepime-, cefadroxil- and azithromycin-resistance rates. Ampicillin associated with sulbactam, neomycin and ofloxacin were the antimicrobials recording the highest sensitivity rate; high frequency of isolates (34.21%) were categorized as MDR phenotypes. Antimicrobial resistance was observed in the herein assessed Aeromonas spp. isolates, despite the lack of antimicrobials registered in Brazil to be used for C. macropomum fish farming purposes. spp Colossoma MA total 11 experiment 1 principles (MDR penicillin oxacillin, oxacillin , oxacillin- cefepime, cefepime cefepime- cefadroxil azithromycinresistance azithromycin rates sulbactam rate 34.21% 3421 34 21 (34.21% C purposes 34.21 342 3 2 (34.21 34.2 (34.2 34. (34. (34 (3 (

Resumo Objetivou-se avaliar o perfil de resistência de Aeromonas spp. isoladas de tambaquis (Colossoma macropomum) oriundos de cultivos da Região Metropolitana de São Luís - MA. Foram utilizadas 114 cepas bacterianas pertencentes a espécies de Aeromonas spp. e o perfil de resistência aos antimicrobianos foi realizado pelo método de difusão em disco com a utilização de 10 antimicrobianos. Os isolados foram classificados como sensível, sensível com exposição aumentada e resistente aos princípios avaliados e classificados os fenótipos com resistência múltipla às drogas testadas (MDR). As cepas bacterianas apresentaram resistência generalizada à penicilina; elevados percentuais de resistência à oxacilina, cefepime, cefadroxil e azitromicina. Os antimicrobianos com maior sensibilidade foram a ampicilina associada ao sulbactam, neomicina e ofloxacina e elevada frequência dos isolados (34,21%) foram categorizados como fenótipos MDR. Conclui-se que embora não existam antimicrobianos registrados no Brasil para uso no cultivo de C. macropomum, a resistência antimicrobiana está presente nos isolados de Aeromonas spp. avaliados. Objetivouse Objetivou se spp Colossoma macropomum MA 11 1 MDR . (MDR) penicilina oxacilina cefepime azitromicina sulbactam 34,21% 3421 34 21 (34,21% Concluise Conclui C (MDR 34,21 342 3 2 (34,21 34,2 (34,2 34, (34, (34 (3 (

Abstract In this paper, we use a Bayesian method to estimate the effective reproduction number ( R ( t )), in the context of monitoring the time evolution of the COVID-19 pandemic in Brazil at different geographic levels. The focus of this study is to investigate the similarities between the trends in the evolution of such indicators at different subnational levels with the trends observed nationally. The underlying question addressed is whether national surveillance of such variables is enough to provide a picture of the epidemic evolution in the country or if it may hide important localized trends. This is particularly relevant in the scenario where health authorities use information obtained from such indicators in the design of non-pharmaceutical intervention policies to control the epidemic. A comparison between R ( t ) estimates and the moving average (MA) of daily reported infections is also presented, which is another commonly monitored variable. The analysis carried out in this paper is based on the data of confirmed infected cases provided by a public repository. The correlations between the time series of R ( t ) and MA in different geographic levels are assessed. Comparing national with subnational trends, higher degrees of correlation are found for the time series of R ( t ) estimates, compared to the MA time series. Nevertheless, differences between national and subnational trends are observed for both indicators, suggesting that local epidemiological surveillance would be more suitable as an input to the design of non-pharmaceutical intervention policies in Brazil, particularly for the least populated states. , )) COVID19 COVID 19 COVID-1 nationally nonpharmaceutical non pharmaceutical (MA presented variable repository assessed Nevertheless states COVID1 1 COVID-

Abstract Objectives: to describe the prevalence of malnutrition (underweight, low height, and overweight) in children aged six to 59 months and its spatial distribution in the city of Beira, Mozambique. Methods: an exploratory cross-sectional study was conducted between October and November 2019, involving 407 children aged six to 59 months. The sample size calculation was based on the prevalence of height-for-age deficit. Anthropometric data were analyzed using Anthro version and the prevalence of malnutrition was presented through thematic maps generated in Quantum Geographic Information System (QGIS). Results: the main findings revealed a prevalence of 27.0% for low height/age, 7.9% for underweight/height, and 4.7% for overweight. Conclusions: the spatial distribution highlighted that both urban and peri-urban areas of the city showed similar prevalence rates for the three forms of malnutrition. The prevalence of malnutrition in Beira is high, with deficit height/age being the most significant expression, while overweight is diffusely distributed. Objectives underweight, underweight (underweight height 5 Mozambique Methods crosssectional cross sectional 2019 40 heightforage age QGIS. QGIS . (QGIS) Results 270 27 0 27.0 heightage 79 7 9 7.9 underweightheight underweight/height 47 4 4.7 Conclusions periurban peri high expression distributed 201 (QGIS 2 27. 7. 4. 20

Resumo Objetivos: descrever a prevalência da má nutrição (baixo peso, baixa estatura e excesso de peso) em crianças de seis a 59 meses e sua distribuição espacial na cidade de Beira, Moçambique. Métodos: estudo transversal exploratório, realizado entre outubro e novembro de 2019, incluindo 407 crianças de seis a 59 meses. O cálculo da amostra foi baseado na prevalência do déficit estatura/idade. Os dados antropométricos foram analisados no Anthro e a prevalência de má nutrição apresentada por meio de mapas temáticos no Quantum Geographic Information System (QGIS). Resultados: os principais resultados mostram uma prevalência de 27,0% de baixa estatura/idade, 7,9% de baixo peso/estatura e 4,7% de excesso de peso. Conclusões: a distribuição espacial evidenciou que as áreas urbanas e periurbanas da cidade apresentavam prevalências similares das três formas de má nutrição. A prevalência da má nutrição em Beira é alta, embora o déficit estatura/idade seja a sua maior expressão, estando o excesso de peso difusamente distribuído. Objetivos 5 Moçambique Métodos exploratório 2019 40 estaturaidade idade QGIS. QGIS . (QGIS) Resultados 270 27 0 27,0 79 7 9 7,9 pesoestatura 47 4 4,7 Conclusões alta expressão distribuído 201 (QGIS 2 27, 7, 4, 20

Abstract Specific products containing natural resources can contribute to the innovation of complete denture hygiene. Objective: To conduct an in vitro evaluation of experimental dentifrices containing essential oils of Bowdichia virgilioides Kunth (BvK), Copaifera officinalis (Co), Eucalyptus citriodora (Ec), Melaleuca alternifolia (Ma) and Pinus strobus (Ps) at 1%. Methodology: The variables evaluated were organoleptic and physicochemical characteristics, abrasiveness (mechanical brushing machine) simulating 2.5 years, and microbial load (Colony Forming Units - CFU/mL), metabolic activity (XTT assay) and cell viability (Live/Dead® BacLight™ kit) of the multispecies biofilm (Streptococcus mutans: Sm, Staphylococcus aureus: Sa, Candida albicans: Ca and Candida glabrata: Cg). Specimens of heat-polymerized acrylic resins (n=256) (n=96 specimens for abrasiveness, n=72 for microbial load count, n=72 for biofilm metabolic activity, n=16 for cell viability and total biofilm quantification) with formed biofilm were divided into eight groups for manual brushing (20 seconds) with a dental brush and distilled water (NC: negative control), Trihydral (PC: positive control), placebo (Pl), BvK, Co, Ec, Ma or Ps. After brushing, the specimens were washed with PBS and immersed in Letheen Broth medium, and the suspension was sown in solid specific medium. The organoleptic characteristics were presented by descriptive analysis. The values of density, pH, consistency and viscosity were presented in a table. The data were analyzed with the Wald test in a generalized linear model, followed by the Kruskal-Wallis test, Dunn's test (mass change) and the Bonferroni test (UFC and XTT). The Wald test in Generalized Estimating Equations and the Bonferroni test were used to analyze cell viability. Results: All dentifrices showed stable organoleptic characteristics and adequate physicochemical properties. CN, Ec, Ps, Pl and PC showed low abrasiveness. There was a significant difference between the groups (p<0.001) for microbial load, metabolic activity and biofilm viability. Conclusions: It was concluded that the BvK, Ec and Ps dentifrices are useful for cleaning complete dentures, as they have antimicrobial activity against biofilm. The dentifrices containing Bowdichia virgilioides Kunth showed medium abrasiveness and should be used with caution. hygiene Objective BvK , (BvK) Co (Co) (Ec) (Ma (Ps 1 1% Methodology mechanical machine 25 2 5 2. years Colony CFU/mL, CFUmL CFU/mL CFU mL CFU/mL) XTT assay Live/Dead® LiveDead Live Dead (Live/Dead BacLight kit Streptococcus mutans Sm aureus Sa albicans glabrata Cg. Cg . Cg) heatpolymerized heat polymerized n=256 n256 n 256 (n=256 n=96 n96 96 (n=9 n72 72 n=7 count n16 16 n=1 quantification 20 (2 seconds NC (NC control, control control) (PC Pl, (Pl) analysis density pH table model KruskalWallis Kruskal Wallis Dunns Dunn s mass change UFC XTT. XTT) Results properties CN p<0.001 p0001 p 0 001 (p<0.001 Conclusions dentures caution (BvK (Co (Ec Live/Dead n=25 n25 (n=25 n=9 n9 9 (n= n7 7 n= n1 ( (Pl p<0.00 p000 00 (p<0.00 n=2 n2 (n=2 (n p<0.0 p00 (p<0.0 p<0. p0 (p<0. p<0 (p<0 p< (p< (p

Abstract The modeling of mineral deposits has been improved over the years with the incorporation of mineralogical and metallurgical information obtained from drilling samples that make up the pillars for the construction of resource models. However, sampling data is being made available in large quantities, causing current databases to grow exponentially. The use of machine learning (ML) algorithms has been applied to deal with multidimensional data problems. Principal component analysis (PCA) is a multivariate analysis (MA) technique whose aim is to reduce the dimension of multivariate data. Studies show that results obtained with the reduction of variables were satisfactory in different areas of activity. The purpose of this article is to test variable selection criteria using PCA for geometallurgical data and to check the feasibility of the technique for simplifying variable types and defining typological domains. models However quantities exponentially ML (ML problems (PCA MA (MA activity domains

ABSTRACT The objective of this study was to evaluate the effect of adding symbiotics to the diet of laying hens in the post-peak laying period on performance variables, egg quality, and nutrient digestibility. One hundred and ninety-eight 70-week-old Dekalb White laying hens were distributed in a completely randomized design with 6 treatments, each with 6 replications of 5 and 6 birds. The treatments were: corn and soybean meal (CSM); CSM + meat and bone meal (MBM); MBM + 0.05% zinc bacitracin additive (ZnBac); MBM + 0.1% Symbiotics in three phases: layer-type chick, pullet, and laying hen (Symb-S; Symb-G and Symb-L). Data were compared by Orthogonal Contrast. The CSM treatment showed better shell thickness when compared to MBM, and a better percentage of albumen. RF and BacZn showed better yolk coloration. ZnBac showed better yolk weight when compared to Symb-S. CSM and ZnBac increased red and yellow yolk colors and Symb-G had an effect for luminosity. The gross energy apparent metabolizability coefficient (GEAMC) was better for CSM and Simb-G. The crude protein apparent metabolizability coefficient (CPAMC) was better with MBM. The dry matter apparent metabolizability coefficient (DMAMC) was better for MBM, Symb-S, and Symb-L. Thus, it is possible to replace antibiotics with symbiotics for laying hens in the post-peak phase. postpeak post peak variables quality digestibility ninetyeight ninety eight 70weekold weekold 70 week old birds (CSM) (MBM) 005 0 05 0.05 (ZnBac) 01 1 0.1 phases layertype layer type chick pullet SymbS Symb S (Symb-S SymbG G SymbL. SymbL L . Symb-L) Contrast albumen coloration SymbS. S. Symb-S luminosity GEAMC (GEAMC SimbG. SimbG Simb G. Simb-G CPAMC (CPAMC DMAMC (DMAMC SymbS, S, L. Symb-L Thus phase 7 (CSM (MBM 00 0.0 (ZnBac 0.

Abstract Cardiac tumors are rare entities, among which atrial myxoma (AM) stands as the most frequent, accounting for approximately half of all reported cases. The incidence of AM is estimated to range from 0.001% to 0.3% within the general population, yet only about 0.06% of these cases present with coronary embolic events. We report on a 33-year-old male smoker who experienced acute, severe precordial pain radiating to the left upper limb, lasting for one hour. The electrocardiographic evaluation demonstrated ST-segment elevation in leads D2, D3, and aVF, alongside significantly elevated serum troponin levels, confirming a diagnosis of ST-segment elevation myocardial infarction (STEMI). Subsequent coronary angiography revealed proximal occlusion of the right coronary artery due to thrombus. An initial attempt of thrombus aspiration was unsuccessful, followed by primary angioplasty with balloon inflation without stent placement. Further diagnostic exploration through transthoracic echocardiography identified a homogenous, smooth-surfaced mass measuring 5.2 cm x 2.3 cm attached to the interatrial septum. This mass, characterized by lobulations, prolapsed into the mitral valve and left ventricle during diastole, consistent with AM. Surgical resection of the mass was successfully performed, with the patient being discharged asymptomatic. In the reported case, the patient's profile, notably his age, and gender, diverges from the typical epidemiological characteristics associated with AM. This case adds to the limited number of reports where the inferior wall is affected by the right coronary artery being occluded. This report emphasizes the significance of differential diagnoses in younger patients presenting with STEMI. entities (AM frequent 0001 0 001 0.001 03 3 0.3 population 006 06 0.06 events 33yearold yearold 33 year old acute limb hour STsegment ST segment D2 D D3 aVF levels STEMI . (STEMI) unsuccessful placement homogenous smoothsurfaced smooth surfaced 52 5 2 5. 23 2. septum lobulations diastole performed asymptomatic s profile age gender occluded 000 00 0.00 0. 0.0 (STEMI

Resumo Neoplasias cardíacas são raras, tendo como principal representante o mixoma atrial (MA), que corresponde a cerca de metade de todos os casos. O MA tem incidência estimada entre 0.001% e 0.3% na população em geral, no entanto apenas aproximadamente 0,06% desses cursam com eventos embólicos coronarianos. Homem de 33 anos, tabagista, admitido com quadro de precordialgia intensa e irradiação para membro superior esquerdo com duração de uma hora. O eletrocardiograma evidenciou elevação de segmento ST nas derivações D2, D3 e aVF troponina sérica elevada, confirmando infarto com supra desnivelamento do segmento ST (IAMCSST). Foi realizada cineangiocoronariografia, a qual revelou oclusão em terço proximal de artéria coronária direita por trombo. Realizada tentativa de aspiração do trombo, sem sucesso, seguido por angioplastia primária com balão sem colocação de stent. Durante a investigação do quadro, paciente realizou ecocardiograma transtorácico o qual demonstrou massa homogênea de superfície regular, de 5.2 cm x 2.3 cm, aderida ao septo interatrial, com lobulações de características emboligênicas prolapsando para valva mitral e ventrículo esquerdo na diástole, compatível com MA. Foi realizada ressecção cirúrgica com paciente evoluindo assintomático, recebendo alta para seguimento ambulatorial. O caso relatado difere em idade e sexo do perfil epidemiológico típico sendo um dos poucos descritos com acometimento da parede inferior apresentando a artéria coronária direita como culpada. Este relato ratifica a importância do diagnóstico diferencial frente às apresentações de IAMCSST em jovens. raras MA, , (MA) casos 0001 0 001 0.001 03 3 0.3 geral 006 06 0,06 coronarianos anos tabagista hora D2 D elevada IAMCSST. . (IAMCSST) cineangiocoronariografia trombo sucesso stent regular 52 5 2 5. 23 2. interatrial diástole assintomático ambulatorial culpada jovens (MA 000 00 0.00 0. 0,0 (IAMCSST 0.0 0,

ABSTRACT Introduction/Objective: This research aimed to identify how the information flows that subsidize the actions of the managers of student assistance policy at Federal University of Paraná (UFPR) are characterized. Methodology: Data were collected through the application of a structured questionnaire and treated using descriptive statistics and content analysis. Results: The results showed that the managers of student assistance policy have complex, dynamic and heterogeneous informational demands, and that they recognize the relevance of information in supporting their decision-making processes. The informational environment is permeated by intervening factors such as: pressure from the academic community, ethical issues, and technological dependence, in addition to the complementarity between the use of formal and informal channels and sources of information. Poor communication, lack of integration between systems, and informational overload constitute barriers that both make it difficult to share information and make its recovery process slower. Conclusion: These results outline a descriptive-interpretative diagnosis that can contribute to the development of information flows that are more appropriate for the achievement of student assistance policies, positively impacting all related parties. Introduction/Objective IntroductionObjective Introduction Objective UFPR (UFPR characterized Methodology analysis Results complex demands decisionmaking decision making processes as community issues dependence communication systems slower Conclusion descriptiveinterpretative interpretative policies parties

RESUMO Introdução/objetivo: Esta pesquisa teve por objetivo identificar como se caracterizam os fluxos de informação que subsidiam a atuação dos gestores de políticas de assistência estudantil na Universidade Federal do Paraná (UFPR). Metodologia: Os dados foram coletados via questionário estruturado, e tratados por meio de estatística descritiva e análise de conteúdo. Resultados: Os resultados apontaram que os gestores de políticas de assistência estudantil possuem demandas informacionais complexas, dinâmicas e heterogêneas, e que reconhecem a relevância da informação no suporte aos seus processos decisórios. O ambiente informacional é permeado por fatores intervenientes como: pressões da comunidade acadêmica, questões éticas, e de dependência tecnológica, além da complementaridade entre a utilização de canais e fontes de informação formais e informais. A má comunicação, a falta de integração entre sistemas, e a sobrecarga informacional se constituíram como barreiras que, tanto dificultam o compartilhamento de informações, como tornam seu processo de recuperação mais lento. Conclusão: Estes resultados delineiam um diagnóstico descritivo-interpretativo que pode contribuir para o desenvolvimento de fluxos informacionais mais adequados à consecução de políticas de assistência estudantil, impactando positivamente todas as partes nelas interessadas. Introdução/objetivo Introduçãoobjetivo Introdução UFPR. UFPR . (UFPR) Metodologia estruturado conteúdo Resultados complexas heterogêneas decisórios acadêmica éticas tecnológica informais comunicação sistemas informações lento Conclusão descritivointerpretativo descritivo interpretativo interessadas (UFPR

Abstract Introduction Chronic obstructive pulmonary disease (COPD) not only restricts airflow but also induces sys-temic manifestations in individuals with the disease. Objective To evaluate the effect of a water-based aero-bic exercise program on respiratory muscle strength, thoracic mobility, dyspnea, and functional capacity in patients with COPD. Methods We conducted a blind randomized controlled trial with 22 patients with COPD, dividing them into a control group (CG) and a training group (TG). The TG participated in 24 sessions of a water aerobic exercise program, while the CG only partici-pated in the evaluations. Maximal respiratory pressure (MRP), dyspnea, and functional capacity were measured. Results When comparing the MRP values (cmH2O) in the pre- and post-training conditions, the results revealed a significant improvement in the TG [maximal inspiratory pressure (MIP): 74.8 ± 15.3 vs. 83.9 ± 17.2; maximal expi-ratory pressure (MEP): 141.5 ± 30.7 vs. 157.6 ± 32.9], whereas no difference was observed for the CG (MIP: 55.5 ± 21.8 vs. 54.4 ± 18.4; MEP: 116.2 ± 40.3 vs. 109.3 ± 38.9). Regarding thoracic mobility in the pre- and post-training conditions, no significant difference was found for the CG, whilst for the TG there was a significant in-crease at the axillary level (cm) (5.9 ± 1.8 vs. 7.7 ± 1.1). With respect to functional capacity, there was a signifi-cant increase in walking distance during the six-minute walking test only in the TG when comparing pre- and post-training conditions (462.1 ± 62.9 vs. 538.5 ± 63.7). Lastly, the dyspnea results demonstrated that after the training period there was a major reduction in the scores of Medical Research Council (3.1 ± 0.8 vs. 1.9 ± 0.7) and Borg CR-10 scales (5.2 ± 0.8 vs. 3.7 ± 0.3) only for the TG. Conclusion The water aerobic exercise training promoted beneficial changes in respiratory mus-cle strength, thoracic mobility, functional capacity and dyspnea among patients with COPD. COPD (COPD systemic sys temic waterbased based aero bic strength 2 (CG . (TG) partici pated evaluations MRP, , (MRP) measured cmH2O cmHO cmH O (cmH2O pre posttraining post MIP (MIP) 748 74 8 74. 153 15 3 15. vs 839 83 9 83. 17.2 172 17 expiratory expi ratory MEP (MEP) 1415 141 5 141. 307 30 7 30. 1576 157 6 157. 32.9, 329 32.9 32 32.9] (MIP 555 55 55. 218 21 21. 544 54 4 54. 18.4 184 18 1162 116 116. 403 40 40. 1093 109 109. 38.9. 389 38.9 38 38.9) crease cm (cm 5.9 59 (5. 1 1. 77 7. 1.1. 11 1.1 1.1) signifi cant sixminute six minute 462.1 4621 462 (462. 629 62 62. 5385 538 538. 63.7. 637 63.7 63 63.7) Lastly 3.1 31 (3. 08 0 0. 19 0.7 07 CR10 CR 10 CR-1 5.2 52 37 3. 0.3 03 mus cle (TG (MRP 17. (MEP 14 32. 18. 38. 5. (5 462. 46 (462 53 63. (3 CR1 CR- ( (46 (4

Resumo Introdução A doença pulmonar obstrutiva crônica (DPOC) não apenas restringe o fluxo aéreo, mas também induz mani-festações sistêmicas em indivíduos com a doença. Objetivo Avaliar o efeito de um programa de exercícios aeróbicos aquáticos na força muscular respiratória (FMR), mobilidade torácica, dispneia e capacidade funcional em pacientes com DPOC. Métodos Realizou-se um ensaio clínico randomizado cego com 22 pacientes com DPOC, divi-dindo-os em grupo controle (GC) e grupo treinamento (GT). O GT participou de 24 sessões de um programa de exercícios aeróbicos aquáticos, enquanto o GC participou somente das avaliações. Foram me-didas a pressão respiratória máxima, (PRM) dispneia e capa-cidade funcional. Resultados Ao comparar os valores da PRM (cmH2O) nas condições pré e pós-treinamento, os resultados revelaram melhora significativa no GT [pressão inspiratória má-xima (PImáx): 74,8 ± 15,3 vs. 83,9 ± 17,2; pressão expiratória máxima (PEmáx): 141,5 ± 30,7 vs. 157,6 ± 32,9], enquanto não observou-se diferença para o GC (PImáx: 55,5 ± 21,8; vs. 54,4 ± 18,4; PEmáx: 116,2 ± 40,3 vs. 109,3 ± 38,9). Em relação à mobilidade torácica nas condições pré e pós-treinamento, não foi encontrada diferença significativa para o GC, enquanto para o GT houve um aumento significante no nível axilar (cm) (5,9 ± 1,8 vs. 7,7 ± 1,1). Com relação à capacidade funcional, houve aumento significativo da distância percorrida durante o teste de caminhada de 6 minutos apenas no GT quando comparadas as condições pré e pós-treinamento (462,1 ± 62,9 vs. 538,5 ± 63,7). Por fim, os resultados da dispneia demonstraram que após o período de treinamento houve uma redução importante nas pontuações do Medical Research Council (3,1 ± 0,8 vs. 1,9 ± 0,7) e nas escalas Borg CR-10 (5,2 ± 0,8 vs. 3,7 ± 0,3) apenas para o GT. Conclusão O trei-namento físico aquático promoveu alterações benéficas na força muscular respiratória, mobilidade torácica, capacidade funcional e dispneia em pacientes com DPOC. DPOC (DPOC aéreo manifestações mani festações FMR, FMR , (FMR) Realizouse Realizou se 2 dividindoos divi dindo (GC . (GT) avaliações medidas me didas (PRM capa cidade cmH2O cmHO cmH (cmH2O póstreinamento, póstreinamento pós treinamento, má xima PImáx (PImáx) 748 74 8 74, 153 15 3 15, vs 839 83 9 83, 17,2 172 17 PEmáx (PEmáx) 1415 141 5 141, 307 30 7 30, 1576 157 157, 32,9, 329 32,9 32 32,9] observouse observou (PImáx 555 55 55, 21,8 218 21 544 54 4 54, 18,4 184 18 1162 116 116, 403 40 40, 1093 109 109, 38,9. 389 38,9 38 38,9) cm (cm 5,9 59 (5, 1 1, 77 7, 1,1. 11 1,1 1,1) 462,1 4621 462 (462, 629 62 62, 5385 538 538, 63,7. 637 63,7 63 63,7) fim 3,1 31 (3, 08 0 0, 19 0,7 07 CR10 CR 10 CR-1 5,2 52 37 3, 0,3 03 trei namento (FMR (GT 17, (PEmáx 14 32, 21, 18, 38, 5, (5 462, 46 (462 53 63, (3 CR1 CR- ( (46 (4

RESUMEN Objetivo: analizar la duración y calidad del sueño en profesionales de enfermería que trabajan por turnos. Método: investigación analítica, transversal, realizada entre septiembre de 2017 y abril de 2018, en un hospital público del sur de Brasil, con el equipo de enfermería. Se utilizó el cuestionario sociolaboral y de síntomas de salud, la Escala de Somnolencia de Epworth y el Índice de Calidad del Sueño de Pittsburgh. Los datos se presentan como estadística descriptiva e inferencial, análisis bivariado y regresión logística binaria. Resultados: participaron 308 profesionales de enfermería, con predominio de sueño prolongado, ausencia de somnolencia y mala calidad del sueño. La duración corta del sueño (<6 h) se asoció con turnos de día y mala calidad del sueño. La calidad del sueño se asoció con la presencia de somnolencia diurna excesiva y con el trabajo diurno. Conclusión: los turnos de trabajo, el insomnio y la cefalea fueron los principales factores relacionados con la falta de sueño de los profesionales de enfermería. Los resultados pueden justificar el desarrollo de investigaciones de intervención para la salud de los trabajadores. Objetivo Método analítica transversal 201 2018 Brasil Pittsburgh inferencial binaria Resultados 30 prolongado <6 6 (< h diurno Conclusión trabajadores 20 3 < ( 2

ABSTRACT Objective: to analyze sleep duration and sleep quality in nursing professionals who work in shifts. Method: this is a cross-sectional, analytical research, carried out between September 2017 and April 2018, at a public hospital in southern Brazil, with the nursing team. A socio-occupational and health symptoms questionnaire, the Epworth Sleepiness Scale, and the Pittsburgh Sleep Quality Index were used. Data are presented as descriptive and inferential statistics, bivariate analysis, and binary logistic regression. Results: participants were 308 nursing professionals with a predominance of long-term sleep, absence of drowsiness, and poor sleep quality. Short-term sleep (<6h) was associated with day shift and poor sleep quality. Sleep quality was associated with presence excessive daytime sleepiness and work day shift. Conclusion: work shift, insomnia and headache were the main factors related short-term sleep for nursing professionals. The results may justify the development of intervention research for workers’ health. Objective shifts Method crosssectional, crosssectional cross sectional, sectional cross-sectional 201 2018 Brazil team sociooccupational socio occupational questionnaire Scale used statistics analysis regression Results 30 longterm long term drowsiness Shortterm Short <6h 6h h (<6h Conclusion shortterm short workers 20 3 2

RESUMO Objetivo: analisar a duração e qualidade do sono em profissionais de enfermagem que trabalham em turnos. Método: pesquisa transversal, analítica, realizada entre setembro de 2017 e abril de 2018, em hospital público do Sul do Brasil, com equipe de enfermagem. Foram utilizados questionário sócio-ocupacional e de sintomas de saúde, Escala de Sonolência de Epworth e Índice de Qualidade do Sono de Pittsburgh. Os dados são apresentados como estatística descritiva e inferencial, análise bivariada e regressão logística binária. Resultados: participaram 308 profissionais de enfermagem com predomínio de sono prolongado, ausência de sonolência e má qualidade do sono. Sono de curta duração (<6h) foi associado a turno diurno e má qualidade do sono. Qualidade do sono esteve associada à presença de sonolência diurna excessiva e trabalho diurno. Conclusão: turno de trabalho, insônia e cefaleia foram os principais fatores relacionados ao sono de curta duração para profissionais de enfermagem. Os resultados podem justificar o desenvolvimento de pesquisas de intervenção para a saúde do trabalhador. Objetivo turnos Método transversal analítica 201 2018 Brasil sócioocupacional sócio ocupacional Pittsburgh inferencial binária Resultados 30 prolongado <6h 6h h (<6h Conclusão trabalhador 20 3 2

Abstract This study examines the effect of processing parameters and reactive extrusion on the mechanical, thermal, morphological, and rheological properties of low-density polyethylene (LDPE) and sepiolite composites (LDPE/sepiolite: 95/5 wt/wt) produced by in situ reactive extrusion in a twin-screw extruder. Using a design of experiments, the contribution of the factors reverse mixing elements (RE), maleic anhydride (MA), and dicumyl peroxide (DCP) was determined. The results showed that a better interaction between LDPE and sepiolite phases occurred when reactive extrusion was carried out, leading to a satisfactory balance between mechanical properties and thermal stability behavior. The rheology analysis revealed that a more pronounced solid-like behavior was achieved in the composite prepared by reactive extrusion and in the presence of the filler. The SEM micrographs showed the appearance of a network-like morphology in the composite processed in the presence of additives and sepiolite filler. morphological lowdensity low density (LDPE LDPE/sepiolite LDPEsepiolite (LDPE/sepiolite 955 95 5 95/ wt/wt wtwt wt twinscrew twin screw extruder experiments RE, RE , (RE) MA, MA (MA) DCP (DCP determined out solidlike solid like filler networklike network 9 (RE (MA

RESUMO A prótese parcial removível é uma opção eficaz de reabilitação para pacientes que passaram por cirurgia de maxilectomia parcial em decorrência de tumores maxilares, ou seja, remoção cirúrgica parcial do osso maxilar. A prótese parcial removível deve ser projetada para recuperar as funções mastigatória, fonética e estética, contribuindo assim na melhoria da autoestima e ajudando o paciente a retornar às atividades sociais. Durante a anamnese, é de grande importância verificar o estado geral e psicológico do paciente, suas expectativas e limitações, garantir o acompanhamento frequente para evitar complicações e garantir a durabilidade da prótese. O planejamento protético é uma etapa crítica e pode apresentar desafios, especialmente na obtenção de retenção, estabilidade e suportes adequados. Fatores como o tamanho do defeito, o número de dentes remanescentes e a quantidade de estruturas ósseas remanescentes podem interferir no prognóstico do tratamento. É importante ressaltar que a falta de planejamento pode levar a falhas na reabilitação, resultando em desconforto, má funcionalidade e até mesmo danos à saúde do paciente. Nesse contexto, o presente trabalho tem como objetivo apresentar um caso clínico de sucesso de uma paciente que foi submetida a uma maxilectomia parcial e reabilitada por meio de uma prótese parcial removível fixada por grampos em todo o hemiarco superior esquerdo. Este caso ilustra a importância de uma abordagem personalizada para a reabilitação protética em pacientes com maxilectomia parcial, considerando as particularidades de cada caso e a colaboração interdisciplinar para a obtenção de resultados satisfatórios. maxilares seja maxilar mastigatória estética sociais anamnese limitações desafios retenção adequados defeito tratamento desconforto contexto esquerdo satisfatórios

ABSTRACT The Removable Partial Denture stands as an effective rehabilitation choice for patients who have undergone partial maxillectomy surgery due to maxillary tumors, involving the partial surgical removal of the maxillary bone. Removable partial denture are meticulously designed to restore masticatory, phonetic, and aesthetic functions, thereby contributing significantly to enhancing self-esteem and aiding patients in resuming social activities. During the patient’s history-taking phase, it is of paramount importance to assess the patient’s overall health, psychological state, expectations, and limitations. Ensuring regular follow-ups is imperative to prevent complications and to guarantee the durability of the prosthesis. Prosthetic planning constitutes a critical phase and can pose challenges, especially in achieving proper retention, stability, and suitable supports. Factors such as the defect size, the number of remaining teeth, and the amount of remaining bone structures can influence the treatment prognosis. It is crucial to emphasize that lack of adequate planning can lead to rehabilitation failures, resulting in discomfort, compromised functionality, and even potential harm to the patient’s health. In this context, this study aims to present a successful clinical case of a patient who underwent partial maxillectomy and was rehabilitated through a Removable Partial Denture fixed with clasps on the entire left upper hemi-arch. This case vividly illustrates the importance of a personalized approach to prosthetic rehabilitation in patients with partial maxillectomy, taking into account the specificities of each case and highlighting the necessity of interdisciplinary collaboration to achieve satisfactory outcomes. tumors masticatory phonetic functions selfesteem self esteem activities s historytaking history health state expectations limitations followups follow ups prosthesis challenges retention stability supports size teeth prognosis failures discomfort functionality context hemiarch. hemiarch hemi arch. arch hemi-arch outcomes