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RESUMO Objetivo: Avaliar a associação entre os eventos periparto e o desenvolvimento do transtorno do espectro autista (TEA) em crianças/adolescentes. Métodos: Trata-se de um estudo de caso-controle desenvolvido no norte de Minas Gerais, Brasil. Os critérios de inclusão do grupo caso foram indivíduos com diagnóstico de TEA por laudo médico, confirmado pela Associação Norte Mineira de Apoio ao Autista ou por clínicas especializadas, e as mães que responderam positivamente a: “Seu filho foi diagnosticado com TEA?”. Assim, o grupo caso incluiu 253 mães de crianças/adolescentes com 2–15 anos diagnosticadas com autismo. O critério de inclusão no grupo controle abrangeu 852 indivíduos pertencentes à mesma faixa etária e matriculados nas mesmas escolas que o grupo caso. Um questionário semiestruturado foi aplicado às mães e o modelo de regressão logística múltipla foi adotado para a análise de dados. Para estimar a magnitude das associações, utilizou-se Odds Ratio (OR) bruta e ajustada. Resultados: O TEA foi associado à presença de mecônio no líquido amniótico (ORa 1,67; intervalo de confiança [IC95%] 1,06–2,65) e ao parto cesáreo (ORa 1,65; IC95% 1,17–2,32). A cesárea de emergência aumentou a chance de desenvolvimento do autismo (ORa 2,38; IC95% 1,61–3,51). Crianças/adolescentes com autismo apresentaram maior chance de exposição a dois ou mais eventos desfavoráveis de parto (ORa 1,59; IC95% 1,01–2,51). Conclusões: A presença de mecônio no líquido amniótico, cesárea de emergência e mais de um evento de parto desfavorável são fatores que devem ser considerados nos estudos sobre a etiologia do transtorno autístico.

Abstract Objective: To assess the association between peripartum events and autism spectrum disorder (ASD) development in children and adolescents. Methods: The current research is a case–control study in northern Minas Gerais state, Brazil. The inclusion criteria in the case group included individuals whose medical records reported an autistic disorder diagnosis, individuals had this diagnosis further confirmed by Northern Minas Autistic Support Association and specialized clinics, and their mothers had to answer positively to the question: “Was your child diagnosed with autism spectrum disorder?” in the data collection instrument. Thus, the case group included 253 mothers of children/adolescents of 2–15 years old diagnosed with autism. The inclusion criteria in the control group included 852 individuals belonging to the same age group and enrolled in the same schools as the case group. A semi-structured questionnaire was applied for mothers of children/adolescents, and the multiple logistic regression model was adopted for data analysis. Gross and adjusted Odds Ratios (ORa) were used to estimate the magnitude of the associations. Results: Autistic disorder was associated with the presence of meconium in amniotic fluid (AF) (ORa 1.67; 95% confidence interval [95%CI] 1.06–2.65) and cesarean delivery type (ORa 1.65; 95%CI 1.17–2.32). Emergency cesarean section increased autistic disorder development likelihood (ORa 2.38; 95%CI 1.61–3.51). Children and adolescents with ASD were more likely to have been exposed to two or more unfavorable peripartum events and obstetric complications than control groups (ORa 1.59; 95%CI 1.01–2.51). Conclusions: Meconium stained amniotic fluid, delivery by cesarean, and two or more unfavorable peripartum events are variables that should be considered in studies about ASD etiology.

https://doi.org/10.1590/1984-0462/2023/41/2021220

Acinic cell carcinoma of the oral and maxillofacial region: an international multicenter study
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KIRSCHNICK, Laura Borges

; SILVEIRA, Felipe Martins

; SCHUCH, Lauren Frenzel

; VASCONCELOS, Ana Carolina Uchoa

; GOMES, Ana Paula

; SANTOS, Jean Nunes dos

; SANTANA, Dandara Andrade

; FONSECA, Felipe Paiva

; MESQUITA, Ricardo Alves

; MENDONÇA, Elismauro Francisco de

; SOUSA-NETO, Sebastião Silvério

; PONTES, Hélder Antônio Rebelo

; ROBINSON, Liam

; HEERDEN, Willie van

; CARLOS-BREGNI, Román

; TAGER, Elena María José Román

; SILVA, Luan César da

; ZANELLA, Virgílio Gonzales

; RIVERO, Luis Fernando

; BITTENCOURT, Raquel

; MARTINS, Marco Antonio Trevizani

; LOPES, Márcio Ajudarte

; WAGNER, Vivian Petersen

; VARGAS, Pablo Agustin

; MARTINS, Manoela Domingues

Brazilian Oral Research

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2023, Volume 37 elocation e050

Resumo: En | Texto: En | PDF: En

Abstract The aim of this study was to describe the prevalence, clinicopathological, and prognostic features of acinic cell carcinoma (AciCC) of the oral and maxillofacial region. AciCC cases were retrospectively retrieved from 11 pathology centers of three different countries. Medical records were examined to extract demographic, clinical, pathologic, and follow-up information. A total of 75 cases were included. Females (65.33%) with a mean age of 45.51 years were mostly affected. The lesions usually presented as an asymptomatic (64.28%) nodule (95.66%) in the parotid gland (70.68%). The association of two histopathological patterns was the most common finding (48.93%) and the tumors presented mainly conventional histopathological grades (86.11%). Surgical treatment was performed in the majority of the cases (59.19%). Local recurrence was observed in 20% of the informed cases, regional metastasis in 30.43%, and distant metastasis in 12.50%. The statistical analysis showed that the cases with a solid histopathological pattern (p=0.01), high-grade transformation (p=0.008), recurrence (p=0.007), and regional metastasis (p=0.03) were associated with poor survival. In conclusion, high histopathological transformation, presence of nodal metastasis, and recurrence were prognostic factors for AciCC of the oral and maxillofacial region.

https://doi.org/10.1590/1807-3107bor-2023.vol37.0050

Clinical outcomes and prognostic factors of head and neck squamous cell carcinoma: a ten-year follow-up study
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DIAS, Kelly Bienk

; HILDEBRAND, Laura Campos

; CARVALHO, Ana Luísa Homem de

; FERRI, Camila Alves

; NÖR, Jacques Eduardo

; CERSKI, Carlos Thadeu Schmidt

; VISIOLI, Fernanda

; OLIVEIRA, Márcia Gaiger

; RADOS, Pantelis Varvaki

Brazilian Oral Research

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2023, Volume 37 elocation e128

Resumo: En | Texto: En | PDF: En

Abstract Traditional guidelines for determining the prognosis of patients with head and neck squamous cell carcinoma (HNSCC) are used to make therapeutic decisions. However, only 50% of the patients had lived for more than five years. The present study aimed to analyze the correlation of traditional prognostic factors such as tumor size, histological grading, regional metastases, and treatment with the survival of patients with HNSCC. A total of 78 patients diagnosed with HNSCC were followed up for 10 years after diagnosis and treatment. The health status of the patients was tracked at four time points, and according to the evolution of the patients and their final clinical status, we performed a prognostic analysis based on the clinical outcomes observed during the follow-up period. The final study cohort comprised 50 patients. Most patients had tumors < 4 cm in size (64%) and no regional metastases (64%); no patients had distant metastases at the time of diagnosis. Most individuals had tumors with good (48%) and moderate (46%) degrees of malignancy. At the end of the follow-up period, only 14% of the patients were discharged, 42% died of the tumor, and 44% remained under observation owing to the presence of a potentially malignant disorder, relapse, or metastases. This analysis showed that traditional prognostic factors were not accurate in detecting subclinical changes or predicting the clinical evolution of patients.

https://doi.org/10.1590/1807-3107bor-2023.vol37.0128

The Brazilian version of the telehealth usability questionnaire (telehealth usability questionnaire Brazil): translation, cross-cultural adaptation, and psychometric properties
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Santos, Marissa Rocha

; Malaguti, Carla

; Cabral, Laura Alves

; Soares, Ana Luiza

; Neves, Luis Henrique Gomes

; Sena, Lucas dos Anjos

; Parmanto, Bambang

; Sauers, Andrea Lopes

; José, Anderson

; Oliveira, Cristino Carneiro

Revista da Associação Médica Brasileira

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2023, Volume 69 Nº 12 elocation e20230228

Resumo: En | Texto: En | PDF: En

SUMMARY OBJECTIVE: The objectives of this study were to translate and cross-culturally adapt the telehealth usability questionnaire into Brazilian Portuguese and to evaluate its psychometric properties. METHODS: This was a methodological validation study carried out in two phases. In phase 1, the telehealth usability questionnaire was cross-culturally adapted with 10 participants comprising the expert committee members, including 5 healthcare professionals with theoretical and practical knowledge of telehealth, 1 methodologist, and 4 translators. This phase was performed at Universidade Federal de Juiz de Fora Physiotherapy Clinic School. In phase 2, the psychometric properties of telehealth usability questionnaire Brazil were analyzed. This phase included in-person assessments at Márcio Cunha Hospital, Minas Gerais. The recruitment period for both phases was from April 2020 to February 2021. Content validity, reliability, internal consistency, and criterion validity were analyzed. The criterion validity was evaluated using correlation with a validated instrument: the system usability scale. RESULTS: The telehealth usability questionnaire was adequately translated and cross-culturally adapted. The telehealth usability questionnaire Brazil presented an excellent content validity index of 0.96 with percentages of understanding higher than 90%. The telehealth usability questionnaire Brazil demonstrated great internal consistency (α=0.94 and ω=0.94), excellent intra-rater reliability (intraclass correlation coefficient=0.85, 95%CI 0.75–0.91), no difference between the test and retest [T (0.425), p>0.673], and no proportional bias (p=0.205). There was a moderate correlation between telehealth usability questionnaire Brazil and the system usability scale (r=0.52, p<0.0001). CONCLUSION: The telehealth usability questionnaire was adequately translated and cross-culturally adapted into Brazilian Portuguese and showed adequate psychometric properties for use in telehealth clinical practice and research in Brazilian-Portuguese-speaking individuals.

https://doi.org/10.1590/1806-9282.20230228

Publicly versus privately funded cardiac rehabilitation: access and adherence barriers. A cross-sectional study
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Borges, Giovanna Lombardi Bonini

; Cruz, Mayara Moura Alves da

; Ricci-Vitor, Ana Laura

; Silva, Paula Fernanda da

; Grace, Sherry Lynn

; Vanderlei, Luiz Carlos Marques

Sao Paulo Medical Journal

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Fev 2022, Volume 140 Nº 1 Páginas 108 - 114

Resumo: En | Texto: En | PDF: En

ABSTRACT BACKGROUND: Cardiac rehabilitation (CR) barriers are well-understood in high-resource settings. However, they are under-studied in low-resource settings, where access is even poorer and the context is significantly different, including two-tiered healthcare systems and greater socioeconomic challenges. OBJECTIVE: To investigate differences in characteristics of patients attending publicly versus privately funded CR and their barriers to adherence. DESIGN AND SETTING: Observational, cross-sectional study in public and private CR programs offered in Brazil. METHODS: Patients who had been attending CR for ≥ 3 months were recruited from one publicly and one privately funded CR program. They completed assessments regarding sociodemographic and clinical characteristics and the CR Barriers Scale. RESULTS: From the public program, 74 patients were recruited, and from the private, 100. Participants in the public program had significantly lower educational attainment (P < 0.001) and lower socioeconomic status (P < 0.001). Participants in the private program had more cognitive impairment (P = 0.015), and in the public program more anxiety (P = 0.001) and depressive symptoms (P = 0.008) than their counterparts. Total barriers among public CR participants were significantly higher than those among private CR participants (1.34 ± 0.26 versus 1.23 ± 0.15/5]; P = 0.003), as were scores on 3 out of 5 subscales, namely: comorbidities/functional status (P = 0.027), perceived need (P < 0.001) and access (P = 0.012). CONCLUSION: Publicly funded programs need to be tailored to meet their patients’ requirements, through consideration of educational and psychosocial matters, and be amenable to mitigation of patient barriers relating to presence of comorbidities and poorer health status.

https://doi.org/10.1590/1516-3180.2020.0782.r1.31052021

Galectin-3 and fibrosis intensity in Chronic Chagas Cardiomyopathy: a systematic review
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Chaves, Ana Thereza

; Oliveira, Ana Laura Grossi de

; Guimarães, Nathalia Sernizon

; Magalhães, Isabela Cristina

; Menezes, Cristiane Alves da Silva

; Rocha, Manoel Otávio da Costa

Revista do Instituto de Medicina Tropical de São Paulo

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2022, Volume 64 elocation e45

Resumo: En | Texto: En | PDF: En

ABSTRACT Chronic Chagas Cardiomyopathy (CCC) is the most prevalent type of myocarditis and the main clinical form of the Chagas disease, which has peculiarities such as focal inflammation, structural derangement, hypertrophy, dilation, and intense reparative fibrosis. Many cellular compounds contribute to CCC development. Galectin-3 is a partaker in inflammation and contributes to myocardial fibrosis formation. Some studies showed the connection between Galectin-3 and fibrosis in Chagas disease but are still inconclusive on the guidance for the early implementation of pharmacological therapy. This systematic review evaluated Galectin-3 as a biomarker for fibrosis intensity in CCC. Two independent reviewers have searched five databases (PubMed, EMBASE, Cochrane Library, Scopus, and Lilacs), using the following search terms: galectin-3, biomarkers, fibrosis, Chagas cardiomyopathy, and Chagas disease. Overall, seven studies met the inclusion criteria and made up this review. There were four trials conducted through animal model experiments and three trials with humans. Experimental data in mice indicate an association between Galectin-3 expression and fibrosis in CCC (75% of studies). Data from human studies showed no direct connection between myocardial fibrosis and Galectin-3 expression (80% of studies). Thus, human findings do not provide significant evidence indicating that Galectin-3 is related to fibrosis formation in Chagas disease. Based on the analyzed studies, it is suggested that Galectin-3 might not be a good fibrosis marker in CCC.

https://doi.org/10.1590/s1678-9946202264045

Serological survey for IgG antibodies against SARS-CoV-2 from newborns and their mothers
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Pinheiro, Gabriela Soutto Mayor Assumpção

; Azevedo, Vivian Mara Gonçalves de Oliveira

; Bentes, Aline Almeida

; Januário, Gabriela Cintra

; Januário, José Nélio

; Cintra, Mila Lemos

; Souza, Ana Beatriz Araújo de

; Pires, Laura Gregório

; Lemos, Stela Maris Aguiar

; Alves, Claudia Regina Lindgren

Cadernos de Saúde Pública

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2022, Volume 38 Nº 8 elocation e00021022

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

Este inquérito sorológico, realizado em cinco municípios brasileiros, avaliou o uso de sangue seco em papel filtro (DBS), obtidas de recém-nascidos e suas mães, para detectar anticorpos IgG SARS-CoV-2. DBS foram obtidas de 4.803 neonatos com até sete dias de vida e suas mães, ambos assintomáticos, em unidades de saúde pública durante a triagem neonatal. DBS foram processadas por ELISA para detectar anticorpos IgG contra o antígeno do nucleocapsídeo SARS-CoV-2. As mães de neonatos soropositivos foram entrevistadas quanto às características sociodemográficas e antecedentes clínicos e laboratoriais. Foram excluídas amostras insatisfatórias, díades com dados incompletos e mães vacinadas. Das 1.917 amostras analisadas, 14,7% dos neonatos apresentaram anticorpos IgG contra SARS-CoV-2. Entre os recém-nascidos soropositivos, 73,2% era filho de mulheres também soropositivas. Mais da metade das mães com recém-nascidos soropositivos negaram suspeita clínica ou laboratorial de COVID-19 durante a gravidez. A suspeita de COVID-19 ocorreu no terceiro trimestre para 24,6% das mães. Este estudo testou uma estratégia inovadora para melhorar a compreensão da dinâmica de anticorpos contra SARS-CoV-2 durante a gravidez e sugere a viabilidade de realização de um inquérito sorológico universal em puérperas e neonatos.

This serological survey, conducted in five Brazilian municipalities, evaluated the use of dried blood spots (DBS), obtained from newborns and their mothers, to detect SARS-CoV-2 IgG antibodies. DBS were obtained from 4,803 neonates aged up to seven days and their mothers, both asymptomatic, at public health care clinics during newborn screening. DBS were processed by ELISA to detect IgG antibodies against SARS-CoV-2 nucleocapsid antigen. Mothers of seropositive neonates were interviewed about sociodemographic characteristics and clinical and laboratory antecedents. Non-satisfactory samples, dyads with incomplete data, and vaccinated mothers were excluded. Of the 1,917 DBS dyads samples analyzed, 14.7% of neonates showed IgG antibodies against SARS-CoV-2. Among seropositive neonates, 73.2% of their mothers were also seropositive. More than half of the mothers with seropositive neonates denied clinical or laboratory suspicion of COVID-19 during pregnancy. Suspicion occurred in the third trimester for 24.6% of the mothers. This study tested an innovative strategy to improve the understanding of COVID-19 antibody dynamics during pregnancy and suggests the feasibility of a universal serological survey in puerperal women and neonates.

Esta encuesta serológica, realizada en cinco municipios brasileños, evaluó el uso de manchas de sangre seca (DBS), obtenidas de recién nacidos y sus madres, para detectar anticuerpos IgG contra el SARS-CoV-2. Se obtuvieron DBS de 4.803 recién nacidos de hasta siete días de edad y sus madres, ambos asintomáticos, en clínicas de salud pública durante el cribado neonatal. Las DBS se procesaron mediante ELISA para detectar anticuerpos IgG contra el antígeno de la nucleocápside del SARS-CoV-2. Se entrevistó a madres de recién nacidos seropositivos sobre características sociodemográficas y antecedentes clínicos y de laboratorio. Se excluyeron muestras no satisfactorias, díadas con datos incompletos y madres vacunadas. De las 1.917 muestras de díadas DBS analizadas, el 14,7 % de los recién nacidos mostró anticuerpos IgG contra el SARS-CoV-2. Entre los recién nacidos seropositivos, el 73,2% de sus madres también eran seropositivas. Más de la mitad de las madres con recién nacidos seropositivos negaron sospecha clínica o de laboratorio de COVID-19 durante el embarazo. La sospecha ocurrió en el tercer trimestre para el 24,6% de las madres. Este estudio probó una estrategia innovadora para mejorar la comprensión de la dinámica de anticuerpos de COVID-19 durante el embarazo y sugiere la viabilidad de una encuesta serológica universal en mujeres puérperas y recién nacidos.

https://doi.org/10.1590/0102-311xen021022

Serological survey for IgG antibodies against SARS-CoV-2 from newborns and their mothers
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Pinheiro, Gabriela Soutto Mayor Assumpção

; Azevedo, Vivian Mara Gonçalves de Oliveira

; Bentes, Aline Almeida

; Januário, Gabriela Cintra

; Januário, José Nélio

; Cintra, Mila Lemos

; Souza, Ana Beatriz Araújo de

; Pires, Laura Gregório

; Lemos, Stela Maris Aguiar

; Alves, Claudia Regina Lindgren

Cadernos de Saúde Pública

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2022, Volume 38 Nº 8 elocation e00021022

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

https://doi.org/10.1590/0102-311xen021022

10.

Educação entre pares: protagonismo juvenil na abordagem preventiva de álcool e outras drogas
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Padrão, Maria Regina Araújo de Vasconcelos

; Tomasini, Ana Júlia

; Romero, Maria Laura Alves de Moura

; Silva, Douglas

; Cavaca, Aline Guio

; Köptcke, Luciana Sepúlveda

Ciência & Saúde Coletiva

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Jul 2021, Volume 26 Nº 7 Páginas 2759 - 2768

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

Resumo O artigo objetiva descrever a experiência do curso Saúde e Segurança na Escola, que formou jovens para a multiplicação de saberes na prevenção de álcool e outras drogas, por meio da metodologia da educação entre pares. O curso teve a participação de 60 jovens do Ensino Médio, entre 15 e 19 anos, de oito escolas da rede pública do Distrito Federal. A atividade foi estruturada em oito módulos, sendo um encontro de debate de conteúdo; um segundo momento de atuação em campo nas escolas, em que os educandos fizeram a formação/multiplicação com seus colegas; e, por fim, um novo encontro para a devolutiva dos educandos a respeito da experiência no campo. Todas as atividades foram registradas em diários de campo, fotografias e relatórios, subsidiando o presente relato de experiência. Ao final, foi realizado um fórum de estudantes, no qual os jovens apresentaram os projetos a serem desenvolvidos nas escolas. A experiência de educação entre pares permitiu o protagonismo juvenil em sua comunidade escolar e em seu território, valorizando a troca entre pessoas com experiências semelhantes. Assim, viabilizou a elaboração de estratégias críticas e artisticamente potentes para ações de caráter preventivo direcionadas a adolescentes em situação de vulnerabilidade social, fomentando a promoção da saúde no ambiente escolar.

Abstract This article describes the experience of the course in Health and Safety at School, which prepared young people to spread knowledge on prevention of alcohol and other drugs, using the peer education methodology. The participants were sixty 15 to 19 year-old upper secondary school students from 8 public schools in the Federal District. The activity was structured into 8 modules, with each module consisting of a meeting to discuss content, followed by field work at the schools, where students trained their colleagues and passed on information to them; and, lastly, a further meeting for the students to give feedback on their experience in the field. All activities were recorded in field diaries, photographs, and reports, providing input to this experience report. Finally, a student forum was held at which the young people presented projects to be carried out at the schools. The peer education experience enabled the young people to take the lead in their school community and territory, and acknowledged the value of sharing among people with similar experiences. It thus favoured the development of critical, artistically potent strategies for preventive action directed to adolescents in situations of social vulnerability and fostered health promotion in the school.

https://doi.org/10.1590/1413-81232021267.07322021 489 downloads

11.

Educação entre pares: protagonismo juvenil na abordagem preventiva de álcool e outras drogas
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Padrão, Maria Regina Araújo de Vasconcelos

; Tomasini, Ana Júlia

; Romero, Maria Laura Alves de Moura

; Silva, Douglas

; Cavaca, Aline Guio

; Köptcke, Luciana Sepúlveda

Ciência & Saúde Coletiva

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2021, Volume 26 Nº 7 Páginas 2759 - 2768

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

https://doi.org/10.1590/1413-81232021267.07322021

12.

Root development and productivity of ‘Pérola’ pineapple as a function of fertigation management
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Silva, Fábio Oseias dos Reis

; Zucoloto, Moises

; Ribeiro, Ana Maria Alves de Souza

; Bonomo, Robson

; Partelli, Fábio Luiz

; Nascimento, Maria Laura Urbano

Revista Brasileira de Fruticultura

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2021, Volume 43 Nº 2 elocation e-082

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

Resumo O objetivo deste estudo foi avaliar o desenvolvimento radicular e a produtividade do abacaxizeiro ‘Pérola’ em função dos parcelamentos da adubação com N e K e manejo da fertirrigação. Foram avaliados quatro diferentes parcelamentos de nitrogênio e potássio em combinação; e quatro diferentes manejos de fertirrigação. As amostras de raízes foram analisadas no software Safira e quantificou-se a área superficial, o comprimento, o volume de raízes por volume de solo, o diâmetro das raízes, a massa seca, a superfície específica e o comprimento específico. Foram quantificadas também a massa média de frutos e a produtividade média. Os diferentes parcelamentos da adubação e as alternativas de manejo da fertirrigação causaram alterações no sistema radicular do abacaxizeiro ‘Pérola’. Com relação à massa seca de raízes por cm3 de solo, plantas irrigadas e fertirrigadas, parceladas vinte e setes vezes para N e quatro para K, foi de 0,106 g.cm3, enquanto as plantas irrigadas e fertirrigadas, parceladas com cinquenta e quatro aplicações de N e quatro de potássio K, foi de 0,523 g.cm3. Quanto à produtividade e à massa média de frutos, os parcelamentos mensais e em quatro aplicações de potássio, até o nono mês de idade, promovem maiores incrementos, enquanto os parcelamentos de nitrogênio estudados não influenciaram.

Abstract The aim of this study was to evaluate root development and productivity of ‘Pérola’ pineapple as a function of split N and K fertilization and fertigation management. Four different split nitrogen and potassium fertilizations were evaluated in combination, as well as four different fertigation managements. Root samples were analyzed using the Safira software and surface area, length, root volume per soil volume, root diameter, dry mass, specific surface and specific length were quantified. Average fruit mass and average productivity were also quantified. The different split fertilizations and fertigation management alternatives caused changes in the root system of ‘Pérola’ pineapple. Regarding dry root mass per cm3 of soil, irrigated and fertigated plants split in twenty-seven N applications and four K applications, was 0.106 g.cm3, while irrigated and fertigated plants split in fifty-four N applications and four K applications was 0.523 g.cm3. Regarding productivity and average fruit mass, monthly applications and in four K applications until the ninth month of plant age promote greater increments, while split nitrogen fertilization showed no influence.

https://doi.org/10.1590/0100-29452021082 217 downloads

13.

Contraception and reproductive planning from the perspective of women with sickle cell disease
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Pedrosa, Evelyne Nascimento

; Corrêa, Maria Suely Medeiros

; Ferreira, Ana Laura Carneiro Gomes

; Sousa, Caroline Eloisa da Silva

; Silva, Rayane Alves da

; Souza, Ariani Impieri

Revista Gaúcha de Enfermagem

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2021, Volume 42 elocation e20200109

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

RESUMO Objetivo Compreender as percepções de mulheres com doença falciforme (DF) sobre planejamento reprodutivo em serviço público de saúde. Método Estudo qualitativo onde foram entrevistadas 15 mulheres com DF atendidas em um hospital público em Recife, entre agosto/2018 e maio/2019. Foi empregada a técnica de análise de conteúdo temática de Bardin. Resultados As mulheres tinham entre 25 e 38 anos, eram casadas e de baixa escolaridade. Após a análise emergiram quatro categorias temáticas: informações sobre contracepção, uso de contraceptivos, sentimento sobre gestação e consulta ginecológica. Observou-se que a mulher com DF sofre influência de fatores como medo da gestação, falta de informação sobre planejamento reprodutivo, influência do parceiro e do profissional de saúde e dificuldades de acesso ao serviço de saúde. Considerações finais Os relatos demonstram que os profissionais de saúde precisam melhorar a forma como à informação chega à paciente de modo a oferecer uma prática profissional mais satisfatória.

ABSTRACT Objective To understand the perceptions of women with sickle cell disease (SCD) about reproductive planning in a public health service. Method This is a qualitative study conducted with 15 women with SCD attended at a public hospital in Recife, between August 2018 and May 2019. Bardin’s content analysis technique was used. Results The women were between 25 and 38 years old, married, and had low education. After the analysis, four thematic categories emerged: information about contraception, use of contraceptive methods, feelings about pregnancy, and gynecological consultation. It was found that women with SCD are influenced by factors such as fear of complications during pregnancy, lack of information on reproductive planning, partners and health professional opinion, and difficulties in health service access. Final considerations The reports demonstrate that health workers need to improve the way through which information reaches the patient, to offer a more satisfactory professional practice.

RESUMEN Objetivo Comprender las percepciones de las mujeres con anemia de células falciformes (AF) sobre la planificación reproductiva en un servicio de salud pública. Método Estudio cualitativo donde se atendió a 15 mujeres con AF en un hospital público de Recife, entre agosto de 2018 y mayo de 2019. Se utilizó la técnica de análisis de contenido temático de Bardin. Resultados Las mujeres tenían entre 25 y 38 años, estaban casadas y tenían baja escolaridad. El análisis generó cuatro categorías temáticas: información sobre anticoncepción, uso de anticonceptivos, sentimientos sobre el embarazo y consulta ginecológica. Se observó que las mujeres con AF son influenciadas por factores como el miedo del embarazo, la falta de información sobre planificación reproductiva, la influencia de su pareja y del profesional de la salud, y dificultades para acceder al servicio de salud. Consideraciones finales Los informes demuestran que los profesionales de la salud necesitan mejorar la forma en que la información llega al paciente para ofrecer una práctica profesional más satisfactoria.

https://doi.org/10.1590/1983-1447.2021.20200109 178 downloads

14.

Um estudo de caso-controle sobre transtorno do espectro autista e prevalência de história familiar de transtornos mentais
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Cezar, Ionara Aparecida Mendes

; Maia, Fernanda Alves

; Mangabeira, Gabriel

; Oliveira, Ana Júlia Soares

; Bandeira, Laura Vicuna Santos

; Saeger, Vanessa Souza de Araújo

; Oliveira, Steffany Lara Nunes

; Alves, Maria Rachel

; Silveira, Marise Fagundes

Jornal Brasileiro de Psiquiatria

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Dez 2020, Volume 69 Nº 4 Páginas 247 - 254

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

RESUMO Objetivo: Investigar a associação entre o transtorno do espectro autista (TEA) e as coocorrências de transtornos psiquiátricos entre familiares de crianças/adolescentes do norte de Minas Gerais, Brasil. Métodos: Realizou-se um estudo de caso-controle constituído por 248 indivíduos com o TEA (casos) e 886 neurotípicos (controles). Foi aplicado um questionário semiestruturado e adotou-se o modelo de regressão logística múltipla na análise dos dados. Para estimar a magnitude das associações, utilizou-se a razão de chances (odds ratio – OR) bruta e ajustada. Resultados: Observou-se associação positiva e significativa entre o TEA e a presença de familiares com: qualquer transtorno psiquiátrico (OR: 3,68; intervalo de confiança de 95% [IC95%]: 2,68-5,05), com TEA (OR: 3,37; IC95%: 2,09-5,43), com transtorno do déficit de atenção e hiperatividade (TDAH) (OR: 2,19; IC95%: 1,41-3,39) e com epilepsia (OR: 1,91; IC95%: 1,20-2,98). Conclusão: Este estudo sugere que crianças/adolescentes com TEA têm maior chance de ter história familiar de desordens psiquiátricas, especialmente TEA, TDAH e epilepsia. Esses achados podem ter importantes implicações tanto para a Psiquiatria Clínica quanto para a Saúde Pública, uma vez que podem ser usados para formar um perfil clínico de pessoas com transtorno psiquiátrico que correm risco de ter familiar com TEA.

ABSTRACT Objective: To investigate the association between ASD and cooccurrences of psychiatric disorders among relatives of children/adolescents from northern Minas Gerais, Brazil. Methods: A case-control study was performed, consisting of 248 individuals with ASD (cases) and 886 neurotypical controls. A semi-structured questionnaire and the multiple logistic regression model were adopted in the data analysis. To estimate the magnitude of associations, the crude and adjusted odds ratio (OR) was used. Results: There was a positive and significant association between ASD and the presence of relatives with: any psychiatric disorder (OR: 3.68; 95% confidence interval [95%CI]: 2.68-5.05), with ASD (OR: 3,37; 95%CI: 2.09-5.43), with ADHD (OR: 2.19; 95%CI: 1.41-3.39) and epilepsy (OR: 1.91; 95%CI: 1.20-2.98). Conclusion: This study suggests that children/adolescents with ASD have a higher chance of family history of psychiatric disorders, especially ASD, ADHD and epilepsy. These findings may have important implications for both Clinical Psychiatry and Public Health, as they can be used to form a clinical profile of people with psychiatric disorders who are at risk of having a family member with ASD.

https://doi.org/10.1590/0047-2085000000290 2225 downloads

15.

Diretriz Brasileira de Cardio-oncologia – 2020
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Hajjar, Ludhmila Abrahão

; Costa, Isabela Bispo Santos da Silva da

; Lopes, Marcelo Antônio Cartaxo Queiroga

; Hoff, Paulo Marcelo Gehm

; Diz, Maria Del Pilar Estevez

; Fonseca, Silvia Moulin Ribeiro

; Bittar, Cristina Salvadori

; Rehder, Marília Harumi Higuchi dos Santos

; Rizk, Stephanie Itala

; Almeida, Dirceu Rodrigues

; Fernandes, Gustavo dos Santos

; Beck-da-Silva, Luís

; Campos, Carlos Augusto Homem de Magalhães

; Montera, Marcelo Westerlund

; Alves, Sílvia Marinho Martins

; Fukushima, Júlia Tizue

; Santos, Maria Verônica Câmara dos

; Negrão, Carlos Eduardo

; Silva, Thiago Liguori Feliciano da

; Ferreira, Silvia Moreira Ayub

; Malachias, Marcus Vinicius Bolivar

; Moreira, Maria da Consolação Vieira

; Valente Neto, Manuel Maria Ramos

; Fonseca, Veronica Cristina Quiroga

; Soeiro, Maria Carolina Feres de Almeida

; Alves, Juliana Barbosa Sobral

; Silva, Carolina Maria Pinto Domingues Carvalho

; Sbano, João

; Pavanello, Ricardo

; Pinto, Ibraim Masciarelli F.

; Simão, Antônio Felipe

; Dracoulakis, Marianna Deway Andrade

; Hoff, Ana Oliveira

; Assunção, Bruna Morhy Borges Leal

; Novis, Yana

; Testa, Laura

; Alencar Filho, Aristóteles Comte de

; Cruz, Cecília Beatriz Bittencourt Viana

; Pereira, Juliana

; Garcia, Diego Ribeiro

; Nomura, Cesar Higa

; Rochitte, Carlos Eduardo

; Macedo, Ariane Vieira Scarlatelli

; Marcatti, Patricia Tavares Felipe

; Mathias Junior, Wilson

; Wiermann, Evanius Garcia

; Val, Renata do

; Freitas, Helano

; Coutinho, Anelisa

; Mathias, Clarissa Maria de Cerqueira

; Vieira, Fernando Meton de Alencar Camara

; Sasse, André Deeke

; Rocha, Vanderson

; Ramires, José Antônio Franchini

; Kalil Filho, Roberto

Arquivos Brasileiros de Cardiologia

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Nov 2020, Volume 115 Nº 5 Páginas 1006 - 1043

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

https://doi.org/10.36660/abc.20201006 4180 downloads

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