Pesquisa | SciELO

Abstract The objective of this research was to evaluate the effectiveness of using LPL (Low power laser) to reduce pain, edema, and trismus after impacted lower third molar extraction. A split-mouth randomized triple-blind clinical trial was conducted at the Federal University of Ceará. For inclusion criteria, it was necessary that the patient presented a clear indication for removal of both lower third molars, in addition to both molars being in similar positions. The third molars (38 and 48) were randomly allocated to the test group that received the LPL application protocol, and to the placebo group that received a simulation of the protocol, making a total sample of 44 surgeries. Patients in the test group used an average of 50% of the amount of analgesics that was used by the placebo group, however, there was a statistically significant difference only on days four and five. Regarding trismus, the test group presented wide mouth openings, both at 48 hours and at 7 days after surgery compared to the placebo group, but without a statistically significant difference. For edema, we noted an equilibrium between the test group and the placebo group, but no measurement obtained a statistically significant difference. The use of LPL presented better pain and trismus indicators after complex extractions. The use of LPL is thus indicated as a complementary therapy to reduce postoperative discomfort caused by complex tooth extractions.

Resumo O objetivo desta pesquisa é avaliar a eficácia do uso de LBP (laser de baixa potência) na redução da dor, edema e trismo após exodontia de terceiros molares inferiores impactados. Ensaio clínico randomizado triplo-cego do tipo boca dividida foi realizado na Universidade Federal do Ceará. Para os critérios de inclusão era necessário que o paciente apresentasse indicação clara para a remoção de ambos os terceiros molares inferiores, além da obrigatoriedade de que ambos os molares estivessem em posições semelhantes segundo Winter (1926) e Pell & Gregory (1933). Os terceiros molares (38 e 48) foram alocados aleatoriamente no grupo teste que recebeu o protocolo de aplicação dO LBP e no grupo placebo que recebeu a simulação do protocolo, perfazendo uma amostra total de 44 cirurgias. Os pacientes do grupo teste usaram em média 1/2 da quantidade de analgésicos do que os do grupo placebo, porém, apenas nos dias quatro e cinco houve diferença estatisticamente significativa. Em relação ao trismo, o grupo teste apresentou melhores indicadores tanto em 48 horas quanto em 7 dias após a cirurgia em relação ao grupo placebo, mas sem diferença estatisticamente significante. Em relação ao edema, houve medidas na amostra favoráveis ao grupo teste e medidas favoráveis ao grupo placebo, mas nenhuma das medidas obteve diferença estatisticamente significativa. O uso de LBP mostrou melhores indicadores de dor e trismo após extrações complexas. Portanto, o uso de LBP é indicado como terapia complementar para reduzir morbidades causadas por exodontias complexas.

https://doi.org/10.1590/0103-6440202305413

Guía de práctica clínica para el manejo de la neumonía adquirida en la comunidad
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Cortés, Jorge Alberto

; Cuervo-Maldonado, Sonia Isabel

; Nocua-Báez, Laura Cristina

; Valderrama, Martha Carolina

; Sánchez, Edgar Alberto

; Saavedra, Alfredo

; Torres, July Vianneth

; Forero, Diana Paola

; Álvarez-Moreno, Carlos Arturo

; Leal, Aura Lucía

; Pérez, Jairo Enrique

; Rodríguez, Iván Arturo

; Guevara, Fredy Orlando

; Saavedra, Carlos Humberto

; Vergara, Erika Paola

; Montúfar, Franco Eduardo

; Espinosa, Tatiana

; Chaves, Walter

; Carrizosa, Jorge Armando

; Meléndez, Sugeich Del Mar

; Espinosa, Carmelo José

; García, Felipe

; Guzmán, Ingrid Jany

; Cortés, Sergio Leonardo

; Díaz, Jorge Augusto

; González, Nathaly

Revista de la Facultad de Medicina

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Jun 2022, Volume 70 Nº 2 elocation e93814

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

Resumen La neumonía sigue siendo una de las principales causas de consulta y de hospitalización a la que, además de su un alto impacto en términos de morbilidad y mortalidad, se suma la actual problemática de resistencia a los antimicrobianos, por lo que establecer directrices que permitan su adecuado diagnóstico y tratamiento es de gran importancia para obtener mejores desenlaces clínicos y promover un uso racional de antibióticos en estos pacientes. La presente guía de práctica clínica (GPC) contiene recomendaciones basadas en la evidencia para el diagnóstico y tratamiento de la neumonía adquirida en la comunidad en adultos, las cuales fueron realizadas mediante el proceso de adaptación de GPC basadas en la evidencia para el contexto colombiano.

Abstract Pneumonia continues to be one of the main causes of consultation and hospitalization to which, besides its high impact on morbidity and mortality, the current problem of antimicrobial resistance is added; thus, establishing guidelines that allow its adequate diagnosis and treatment is of great importance to obtain better clinical outcomes and promote a rational use of antibiotics in these patients. This clinical practice guideline (CPG) contains evidence-based recommendations for the diagnosis and treatment of community-acquired pneumonia in adult population; these recommendations were made by means of the process of adaptation of evidence-based CPGs for the Colombian context.

https://doi.org/10.15446/revfacmed.v70n2.93814.

Surgical Management of Infected Pancreatic Necrosis. Case Series in a Quaternary Care Hospital in Bogotá, Colombia, 2014-2021
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Rey-Chaves, Carlos Eduardo

; Ricaurte, Alberto

; Gómez, Mónica

; González, Pablo

; Castillo, Felipe

Revista colombiana de Gastroenterología

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Mar 2022, Volume 37 Nº 1 Páginas 58 - 64

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

Resumen Introducción: la pancreatitis es una patología frecuente en nuestro medio, mayormente relacionada con la patología biliar benigna. Esta puede progresar a formas severas en 10 %-15 % de los casos, en donde el tejido pancreático se necrosa y forma grandes colecciones, con riesgo de infección. En Colombia no conocemos los datos epidemiológicos acerca de la incidencia de este tipo de complicaciones, ni del manejo de las mismas. Objetivo: este estudio tiene como objetivo estudiar la prevalencia de la necrosis pancreática infectada y describir los casos identificados en un hospital de alto nivel de complejidad entre 2014 y 2021. Métodos: estudio observacional de corte transversal. Se analizaron los registros de pacientes diagnosticados con pancreatitis en segunda etapa. Se estudiaron aquellos casos que presentaron necrosis pancreática infectada y se sometieron a desbridamiento más drenaje quirúrgico por vía laparoscópica y abierta en el Hospital Universitario Mayor Méderi de Bogotá, Colombia, entre enero de 2014 y enero de 2021. Se realizó un muestreo por conveniencia, sin cálculo de tamaño de muestra. Se recolectaron variables demográficas y clínicas de los pacientes. Se realizó un análisis estadístico descriptivo de las variables obtenidas en Excel. Las variables cualitativas se describieron a través de frecuencias absolutas y relativas; mientras que las cuantitativas se expresaron mediante medidas de tendencia central y de dispersión en función de su distribución. Resultados: se analizaron 1020 episodios de pancreatitis y se evidenció necrosis pancreática en 30 pacientes, es decir, una prevalencia de período de 2,9 %. De los pacientes, 83 % (n = 25) se llevó a drenajes por vía abierta, con un 48 % (n = 12) de mortalidad. En relación con el manejo por vía laparoscópica, la reducción en la falla orgánica posoperatoria fue de 40 % (n = 2), con un 30 % menos de duración en la estancia hospitalaria, comparado con la vía abierta. Aquellos pacientes que presentaron un nivel de procalcitonina (PCT) menor de 1,8 ng/mL tuvieron menos mortalidad. Conclusiones: el abordaje laparoscópico muestra resultados prometedores en cuanto a la morbilidad y mortalidad final observada.

Abstract Introduction: Pancreatitis is a frequent pathology in our environment, mostly related to benign biliary pathology. It can progress to severe forms in 10-15 % of cases, where the pancreatic tissue becomes necrotic and forms large collections with risk of infection. We do not have epidemiological data about the incidence or management of this complication in Colombia. Aim: This study aims to study the prevalence of infected pancreatic necrosis and describe the cases identified in a quaternary care hospital between 2014 and 2021. Materials and methods: A cross-sectional observational study. We analyzed records of patients diagnosed with stage 2 pancreatitis. Those cases with infected pancreatic necrosis that underwent debridement plus laparoscopic and open surgical drainage at Hospital Universitario Mayor Méderi in Bogotá, Colombia, between January 2014 and January 2021 were studied. A convenience sampling was carried out without calculating the sample size. We collected the patients’ demographic and clinical variables, performing a descriptive statistical analysis in Excel. Qualitative variables were described through absolute and relative frequencies, while quantitative ones were expressed through measures of central tendency and dispersion based on their distribution. Results: We analyzed 1020 episodes of pancreatitis, finding pancreatic necrosis in 30 patients, i.e., a period prevalence of 2.9 %. Of the patients, 83 % (n = 25) underwent open drainage, with 48 % (n = 12) mortality. About laparoscopic management, the reduction in postoperative organ failure was 40 % (n = 2), with a 30 % shorter hospital stay than the open drainage approach. Those patients with a level of procalcitonin (PCT) lower than 1.8 ng/mL had less mortality. Conclusions: The laparoscopic approach shows promising results regarding final morbidity and mortality.

https://doi.org/10.22516/25007440.778 20 downloads

Morphology and immunolocalization of intertubular steroidogenic cell in mesonephros of Podocnemis expansa during gonadal differentiation
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Macêdo, Luã Barbalho de

; Magalhães, Marcela dos Santos

; Dias, Lucas Castanhola

; Lemos, Khelven Klay de Azevedo

; Borges, Ryshely Sonaly de Moura

; Saraiva, Márcia Viviane Alves

; Oliveira, Moacir Franco de

; Assis Neto, Antônio Chaves de

; Moura, Carlos Eduardo Bezerra de

Animal Reproduction

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2022, Volume 19 Nº 3 elocation e20220011

Resumo: En | Texto: En | PDF: En

Abstract Sex steroid hormones are critical in gonadal differentiation in turtles. The gonads are not the only organs responsible for producing these hormones during this phase. Mesonephros play an important role in steroidogenesis. The present study aimed to investigate the presence of steroidogenic cells in mesonephros of Podocnemis expansa during gonadal differentiation and to evaluate their morphology and ultrastructure. Ten embryos of P. expansa were collected from 5 nests on day 36 of incubation, during spawning period on an artificial beach. Embryos were extracted from eggs by slicing the shell and euthanized. They were dissected under a stereoscopic microscope to collect the gonad-mesonephro complex, in which were fixed and subsequently processed for light microscopy, immunohistochemistry and transmission electron microscopy analysis. During histological analysis was observed mesonephros has typical morphological structure. Immunohistochemistry showed immunoreaction to aromatase in cells of intertubular space. Confirming these findings, it was possible to observe a type of intertubular cell in several regions of mesonephro, being more predominant in region close to blood vessels, distal and proximal tubules. In ultrastructural analysis these cells were characterized by having a clear, large, and rounded nucleus with evident nucleolus and cytoplasm rich in electron-dense droplets. This study demonstrated for the first time the presence of cells with morphological, immunohistochemical and ultrastructural characteristics similar to steroid-producing cells in P. expansa mesonephrons, suggesting that this organ may contribute to gonadal differentiation in this species.

https://doi.org/10.1590/1984-3143-ar2022-0011

Intertubular morphometric and ultrastructural testes analyses in mdx mice
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Braz, Janine Karla França da Silva

; Gomes, Vilessa Araújo

; Siman, Verônica Andrade

; Matta, Sérgio Luís Pinto da

; Clebis, Naianne Kelly

; Oliveira, Moacir Franco de

; Assis Neto, Antônio Chaves

; Morais, Danielle Barbosa

; Moura, Carlos Eduardo Bezerra de

Animal Reproduction

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2022, Volume 19 Nº 3 elocation e20210124

Resumo: En | Texto: En | PDF: En

Abstract Duchenne Muscular Dystrophy (DMD) reproductive alterations and the influence of antioxidant treatments may aid in understanding morphometry testicular quantification. In this context, the aim of the present study was to characterize the intertubular compartment (ITC) morphometry of animal testes in mdx mice supplemented with ascorbic acid (AA). Sixteen mice were used, namely the C57BL/10 (non-dystrophic) and C57BL/10Mdx (dystrophic) lineages, distributed into the following groups: Control (C60), Dystrophic (D60), Control supplemented with AA (CS60), Dystrophic supplemented with AA (DS60). A total of 200 mg/kg of AA were administered to mice for 30 days. Subsequently, the testicles were collected, weighed, and fragmented. The obtained fragments were fixed in Karnovsky's solution (pH 7.2) and embedded in historesin for morphometric and transmission electron microscopy assessments. Leydig cells were hypertrophic in the D60 group, but was reverted by AA supplementation in the DS60 group. The DS60 group also exhibited increased intertubular volume compared to the CS60 group. The ultrastructural images identified multilamellar bodies in dystrophic animals (lipid storage) and telocyte cells (transport substances) in both control and dystrophic animals. Morphometric alterations were, therefore, noted in the intertubular compartment due to Duchenne muscular dystrophy (DMD), with AA administration capable of altering Leydig cells in this condition.

https://doi.org/10.1590/1984-3143-ar2021-0124

Tumor renal con extensión al atrio derecho a través de la vena cava inferior: reporte de caso
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Alvarado Sánchez, Eduardo

; Benavides Santos, Andrés

; Vega Chaves, Juan Carlos

; Zarnowski Gutiérrez, Andrés

Revista Costarricense de Cardiología

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Dez 2021, Volume 23 Nº 2 Páginas 19 - 22

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

Resumen El presente articulo describe un caso clínico de una paciente con un ‘’trombo tumoral’’. Estos son tumores que se extienden desde el órgano afectado hasta el atrio derecho, por la vena cava inferior. Hasta el 10 % de los tumores descritos pueden alcanzar la vena cava inferior y el 1 % de estos llegan a atrio derecho. El carcinoma de células renales es el más frecuente en producir este cuadro. El objetivo del articulo es mostrar que es fundamental realizar un adecuado diagnóstico diferencial, ya que existen diferentes procesos tumorales que pueden causar un ‘’trombo tumoral’’ y diferentes causas de masas en el atrio derecho. La clínica de los pacientes con este cuadro será por obstrucción de la vena cava. El diagnóstico se realiza con estudios de imágenes, ultrasonido (US), ecocardiograma, tomografía axial computarizada (TAC) y resonancia magnética. El manejo debe de ser quirúrgico, sin embargo, presenta pronóstico desfavorable, en algunos casos se puede resecar el tumor primario y extraer la masa que ha invadido la vena cava inferior.

Abstract: This article describes a clinical case of a patient with a ‘tumoral thrombus’’. These are tumors that extend from the affected organ to the right atrium, through the inferior vena cava. Up to 10% of the tumors described can reach the inferior vena cava and 1% of these reach the right atrium. Renal cell carcinoma is the most common to produce this condition. The objective of the article is to show that it is essential to carry out an adequate differential diagnosis since there are different tumor processes that can cause a ‘’tumoral thrombus’’ and different causes of masses in the right atrium. The symptoms of patients with this condition will be caused by the obstruction of the vena cava. The diagnosis is made with imaging studies, ultrasound (US), echocardiography, computerized axial tomography (CT) and magnetic resonance imaging. The management must be surgical, however it has an unfavorable prognosis, in some cases the primary tumor can be resected and the mass that has invaded the inferior vena cava removed.

Force Degradation of Elastomeric Chains after Storage Time and Mechanical Brushing
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Silva Chaves-Filho, Antonio Carlos da

; Costa, Ana Rosa

; Borges, Lincoln Pires Sousa

; Santos, Eduardo Cesar Almada

; Crepaldi, Marcus Vinicius

; Vedovello, Silvia Amélia Scudeler

; Correr, Américo Bortolazzo

; Correr-Sobrinho, Lourenço

Brazilian Dental Journal

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Ago 2021, Volume 32 Nº 4 Páginas 55 - 61

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

Resumo O objetivo deste estudo in vitro foi avaliar a redução da força de diferentes cadeias elastoméricas após diferentes tempos: inicial, 10 minutos, 1 dia, 28 dias e após escovação mecânica. Vinte segmentos de cadeias elastoméricas ortodônticas foram utilizadas para cada marca comercial. Inicialmente, a cadeia elastomérica de 15 mm de comprimento foi esticada imediatamente até 20 mm na Instron e a força foi medida em (gf). Após, todas as amostras foram adaptadas esticadas em placas retangulares de acrílico na distância de 20 mm, imersas em água deionizada a 37o C por 10 minutos e a força (gf) foi medida novamente. Cinco medidas de força foram feitas nos seguintes intervalos de tempo: inicial, 10 minutos, 1 dia, 28 dias e após a escovação mecânica. Após 28 dias, as placas de acrílico com as amostras foram adaptadas na máquina de escovação (MSCT 3) e as cadeias elastoméricas foram submetidas a escovação mecânica e a medida de força (gf) novamente. Os dados da força (gf) foram submetidos a ANOVA modelo misto e teste post-hoc de Sidak (α = 0,05). Uma redução estatisticamente significativa na força foi encontrada para todos os tipos de cadeia elastomérica ortodôntica após 1 dia, 28 dias e escovação mecânica (p<0,05). As cadeias elastoméricas Morelli e 3M Unitek apresentaram força significativamente superior em relação a Abzil e GAC (p<0,05) após 1 dia, 28 dias e escovação mecânica. Em conclusão, a força distribuída por todas as cadeias elastoméricas decaiu rapidamente com o tempo. As cadeias elastoméricas Morelli e 3M Unitek consistentemente tiveram uma força significativamente maior após a escovação mecânica, enquanto GAC a mais baixa.

Abstract The purpose of this in vitro study was to evaluate the force decrease of different elastomeric chains after different times: initial, 10 minutes, 1 day, 28 days and after mechanical brushing. Twenty orthodontic elastomeric chains segments were utilized for each commercial brand. Initially, the elastomeric chain of 15mm long were immediate stretched up to 20 mm in an Instron and the force was measured in gf. After all specimens were placed stretched on rectangular acrylic jigs with distance of 20 mm, immersed in deionized water at 37oC for 10 minutes and the force (gf) was measured again. Five test measurements of remaining force were made at the following time intervals: initial, 10 minutes, 1 day, 28 days and mechanical brushing. After 28 days, the acrylic plates with the specimens were adapted in the mechanical brushing machines (MSCT 3) and the elastomeric chains were submitted to mechanical brushing and the force (gf) measure again. The force (gf) was submitted to mixed-model ANOVA and Sidak post-hoc test (α=0.05). A statistically significant reduction in the force was found for all orthodontic elastomeric chain types after 1 day, 28 days and mechanical brushing (p<0.05). Morelli and 3M Unitek elastomeric chains showed significantly higher force than Abzil and GAC (p<0.05) after 1 day, 28 days and mechanical brushing. In conclusion, the force delivered by all elastomeric chains decayed rapidly over time. Morelli and 3M Unitek elastomeric chains consistently had a significantly greater force after mechanic brushing, while GAC the lowest.

https://doi.org/10.1590/0103-6440202104487 27 downloads

Three-Dimensional Digitalized and Printed Tongue Models of the Cow, Dog, Pig, and Horse for Undergraduate Veterinary Educationh
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Di-Donato, Bettina Assis

; dos-Santos, Amilton Cesar

; da-Silveira, Erick Eduardo

; Pereira, Helton Carlos Sabino

; Lisboa-Neto, Antônio Francisco da Silva

; Alcobaça, Mayla Magalhães de Oliveira

; Assis-Neto, Antônio Chaves de

International Journal of Morphology

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Abr 2021, Volume 39 Nº 2 Páginas 436 - 440

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

SUMMARY: This study aimed to construct three-dimensional (3D) anatomical models of the tongue of domestic mammals of veterinary interest. The tongues were obtained from the didactic collection of the Laboratory of Veterinary Macroscopic Anatomy in the Surgery Department of the School of Veterinary Medicine and Animal Science, University of Sao Paulo. Tongues from a cow, dog, horse, and pig were selected for scanning and creation of the 3D-printed models. The printer used a filamentous thermoplastic material, acrylonitrile-butadiene-styrene (ABS), which was deposited together with a support resin. In addition to the printing of models, an interactive 3D PDF was generated, creating a didactic collection for students. The anatomical characteristics and peculiarity of the tongues were easily identified in the scanned and printed images. The 3D scanning and printing offered an innovative method of visualizing different anatomical structures and, together with the existing methods, can optimize anatomy teaching in an educational context.

RESUMEN: Este estudio tuvo como objetivo construir modelos anatómicos tridimensionales (3D) de la lengua de mamíferos domésticos de interés veterinario. Las lenguas se obtuvieron de la colección didáctica del Laboratorio de Anatomía Macroscópica Veterinaria del Departamento de Cirugía de la Facultad de Medicina Veterinaria y Zootecnia de la Universidad de São Paulo. Se seleccionaron lenguas de vaca, perro, caballo y cerdo para escanear y crear los modelos impresos en 3D. La impresora utilizó un material termoplástico filamentoso, acrilonitrilo-butadieno-estireno (ABS), que se depositó junto con una resina de soporte. Además de la impresión de modelos, se generó un PDF 3D interactivo, creando una colección didáctica para los estudiantes. Las características anatómicas y la peculiaridad de las lenguas se identificaron fácilmente en las imágenes escaneadas e impresas. El escaneo e impresión 3D ofrecieron un método innovador para visualizar diferentes estructuras anatómicas y, junto con los métodos existentes, puede optimizar la enseñanza de la anatomía en un contexto educativo.

93 downloads

Subcapsular hepatic hematoma after ERCP. Case report and literature review
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Rey-Chaves, Carlos Eduardo

; Benítez, Elkin

; Gutíerrez, Fernando

; Sabogal-Olarte, Juan Carlos

Revista colombiana de Gastroenterología

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Abr 2021, Volume 36 Supl. 1 Páginas 59 - 62

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

Resumen Presentamos el caso de un paciente de 68 años, sin antecedentes de importancia, que por su cuadro clínico y resultados paraclínicos fue clasificado con riesgo intermedio para coledocolitiasis. En efecto, por medio de colangiorresonancia se realizó el diagnóstico confirmatorio. Fue llevado a colangiopancreatografía retrograda endoscópica en dos ocasiones -la primera fallida por papila intradiverticular-; en el segundo intento (exitoso con extracción del lito), el paciente presentó evolución posprocedimiento tórpida, con marcado dolor abdominal y anemización. Fue llevado a tomografía de abdomen con contraste, la cual confirmó el diagnóstico de hematoma subcapsular. Se decidió implementar el manejo conservador y se logró un control adecuado del sangrado.

Abstract This is the case of a 68-year-old female patient, with no relevant history, who was classified as intermediate risk for choledocholithiasis due to her symptoms and lab test results. The diagnosis was confirmed by means of cholangioresonance. She was taken to ERCP on two occasions; the first failed due to intradiverticular papilla, and during the second attempt (successful with the removal of the stone), the patient had a torpid post-procedure evolution, with marked abdominal pain and anemization. An abdominal tomography with contrast was performed, which confirmed the diagnosis of subcapsular hematoma. A conservative management was implemented, achieving adequate bleeding control.

https://doi.org/10.22516/25007440.575 166 downloads

10.

Abordaje y manejo del infarto agudo miocardio con elevación del ST en Costa Rica durante la pandemia por COVID-19 Documento de consenso de la Asociación Costarricense de Cardiología
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Chavarría Víquez, Jorge

; Gutiérrez Jaikel, Luis

; Vanegas Jarquín, Mauricio

; Hernández Matamoros, Harold

; Barahona Alvarado, Jean

; Alfaro Obando, Víctor

; Poutvinski, Vladimir

; Lóstalo González, Adrián

; Clinton Hidalgo, Juan

; Fernández Acuña, Jorge

; Obon Dent, Mauricio

; Sáenz Madrigal, Eduardo

; Díaz Picado, Geiner

; Quesada Chaves, Daniel

; Tortos Guzmán, Jaime

; Alvarado Rodríguez, Kirsten

; Calderón Calvo, Carlos

; Arauz Chavarría, Jorge

; Villalobos Chaves, Miguel

Revista Costarricense de Cardiología

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Abr 2020, Volume 22 Supl. 1 Páginas 9 - 16

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

Resumen El virus SARS-CoV-2 se ha extendido a nivel mundial, rápidamente ha sobrecargado los sistemas de salud. Esta emergencia ha implicado cambios en la atención usual del infarto agudo miocardio con elevación del ST (IAMCEST) puesto que la actividad habitual de las salas de hemodinamia y las vías de traslado de los pacientes se ha visto afectada. La afectación del personal de salud también es una preocupación relevante por lo que presentamos un documento de Consenso de la Asociación Costarricense de Cardiología que pretende generar una guía de trabajo al personal que atiende esta patología y garantizar la atención adecuada del IAMCEST durante la pandemia en Costa Rica.

Abstract The current COVID-19 has spread worldwide, the outbreak is altering the usual activity of the catheterization laboratorios and the usual treatment pathways of patients with chronic diseases or emergencies, such as Acute Coronary Syndrome could be disrupted. The involvement of health personnel is a relevant concern, so we created a consensus document of the Costa Rican Association of Cardiology that aims to generate a decision-making workflow to treat this pathology and guarantee adequate and continuous care for ST elevation myocardial infarction during the COVID-19 outbreak.

11.

Analysis of the impacts of slope angle variation on slope stability and NPV via two different final pit definition techniques
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Chaves, Leonardo Soares

; Carvalho, Luiz Alberto

; Souza, Felipe Ribeiro

; Nader, Beck

; Ortiz, Carlos Enrique Arroyo

; Torres, Vidal Félix Navarro

; Câmara, Taís Renata

; Napa-García, Gian Franco

; Valadão, George Eduardo Sales

REM - International Engineering Journal

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Mar 2020, Volume 73 Nº 1 Páginas 119 - 126

Resumo: En | Texto: En | PDF: En

Abstract The traditionally and widely used Lerchs-Grossmann algorithm presents well-known limitations that newer propositions attempt to overcome. The direct block schedule (DBS) methodology, which has gained relevance with computational advances, obtains the final pit as a natural result of production sequencing, different from Lerchs-Grossmann-based algorithms. This process flow applies constraints in the final pit definition stage attempting to provide a more realistic result and to minimize risks. Slope instability is a common and inherent risk to open pit mining and may affect the project's net present value (NPV). A study of the impacts of slope angle variations on safety indexes and final pit NPV provides an auxiliary tool for the overall slope angle definition process. This article presents a case study in which the effects of variations of the overall slope angle on the safety factor (SF) and project NPV were analyzed. A total of 25 pits were generated by each studied final pit definition methodology, and each pit had the sections with the varied slope angles analyzed in the stability assessment, resulting in a total of 150 slopes analyzed. A comparison between the results obtained by the two different methodologies implemented in commercial software is presented. The results show no relationship between the NPV and the overall slope angle using the DBS methodology. An analysis of the results for each geotechnical sector obtained by the traditional methodology was conducted and may contribute to the trade-off analysis between the best slope angle to achieve a reasonable SF and the maximum NPV.

https://doi.org/10.1590/0370-44672019730011 1569 downloads

12.

Phenolic profiles of faveleira (Cnidoscolus quercifolius Pohl) seed and press cake extracts: potential for a new trend in functional food
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Ribeiro, Penha Patrícia Cabral

; Sousa Júnior, Francisco Canindé de

; Assis, Cristiane Fernandes de

; Veras, Bruno Oliveira de

; Padilha, Carlos Eduardo de Araújo

; Stamford, Thayza Christina Montenegro

; Damasceno, Karla Suzanne Florentino da Silva Chaves

Brazilian Journal of Food Technology

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2020, Volume 23 elocation e2019315

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

Resumo O objetivo do presente estudo foi avaliar os compostos fenólicos e a capacidade antioxidante da semente e da torta da semente de faveleira. Os perfis fenólicos foram avaliados por cromatografia líquida de ultra alta eficiência. Além disso, o conteúdo fenólico total e a eliminação do radical DPPH (2,2-diphenyl-1-picrylhydrazyl) foram avaliados. A torta e a semente de faveleira são fontes de compostos fenólicos naturais para dieta humana e possuem potente atividade antioxidante. O ácido gálico foi o composto fenólico predominante na semente e na torta. O estudo mostrou que a torta e a semente de faveleira podem ser consideradas alimentos funcionais e de interesse potencial para a indústria de alimentos.

Abstract The objective of the present study was to assess the phenolic compounds and antioxidant capacity of faveleira seed and press cake extracts. Phenolic profiles were assessed by Ultra-High Performance Liquid Chromatography (UHPLC). Furthermore, the Total Phenolic Content (TPC) and DPPH (2,2-diphenyl-1-picrylhydrazyl) radical scavenging were evaluated. The faveleira seed and press cake extracts are sources of natural phenolic compounds in human diet and have potent antioxidant activity. Gallic acid was the predominant phenolic compound in seed and press cake extracts. The study showed that faveleira seed and press cake extracts can be considered functional foods as well as a potential interest to the food industry.

https://doi.org/10.1590/1981-6723.31519 498 downloads

13.

Reaproveitamento de resíduo de placas de circuito impresso como cargas em compósitos de polipropileno
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Schneider, Eduardo Luis

; Grassi, Guilherme Dias

; Amico, Sandro Campos

; Chaves, Rodrigo de Andrade

; Mazzuca, Daniel Claro

; Robinson, Luiz Carlos

Matéria (Rio de Janeiro)

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2020, Volume 25 Nº 3 elocation e-12832

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

RESUMO As placas de circuito impresso (PCIs) são as partes mais valiosas dos resíduos eletrônicos, pois possuem uma considerável quantidade de metais com potencial de recuperação. Processos de reciclagem com o intuito de recuperar metais de PCIs têm despertado interesse ultimamente. Contudo, uma fração destes resíduos não é completamente aproveitada e tem destino incerto, como ocorre para a fração não-metálica e o pó gerados durante os processos de recuperação de metais. O foco deste estudo foi o emprego do pó gerado nos processos de cominuição mecânica, separação granulométrica, magnética e eletrostática de PCIs controladoras e indicadoras de temperatura de câmaras frias, para obter compósitos de matriz de polipropileno (PP) com diferentes teores de pó de PCIs, 5, 10 e 20% em massa. Os materiais foram pesados, misturados, moldados por injeção e posteriormente caracterizados por ensaios de tração, dureza Shore D, espectroscopia de infravermelho, análise termogravimétrica e microscopia eletrônica de varredura. Os resultados dos ensaios de tração e dureza indicaram propriedades levemente superiores às do PP puro, exceto para a deformação na ruptura, que foi reduzido em até 2,7 vezes para a amostra com 20% de resíduo. O desenvolvimento de compósitos utilizando o pó de PCIs se mostrou viável em aplicações onde as propriedades resistência à tração, rigidez e dureza são determinantes, mesmo para um elevado teor de resíduo (20%) agregado.

ABSTRACT Printed Circuit Boards (PCBs) are the most valuable parts of e-waste because they have a considerable amount of metals with recovery potential. Recycling processes aimed at recovering metals from PCBs have aroused great interest recently. However, there is a fraction of this waste that is not utilized and has uncertain destination, e.g. the non-metallic fraction and the dust generated during metal recovery processes. The focus of this study was to employ the powder generated in the mechanical comminution, granulometric, magnetic and electrostatic separation processes of controller and temperature indicator PCBs of cold rooms to obtain polypropylene (PP) matrix composites with distinct PCBs powder content, 5, 10 and 20% in weight. The sample was collected during the mechanical comminution processes. The materials were weighed, mixed, injection molded and later characterized using tensile tests, Shore D hardness, infrared spectroscopy, thermogravimetric analysis and scanning electron microscopy. Results of the tensile and hardness tests showed properties slightly superior to pure PP, except for strain at break, which was reduced up to 2.7 times for the sample with 20% of residue. In all, the development of composites using the powder of PCBs was considered feasible for applications where tensile strength, stiffness and hardness are important, even for a large amount of residue added (20%).

https://doi.org/10.1590/s1517-707620200003.1132 530 downloads

14.

A century of wheat breeding in Brazil: the origin and inheritance of the Lr34 locus in wheat varieties released from 1922 to 2016
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Chaves, Márcia Soares

; Silva, Gerarda Beatriz Pinto da

; Caierão, Eduardo

; Federizzi, Luiz Carlos

; Martinelli, José Antônio

Crop Breeding and Applied Biotechnology

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2020, Volume 20 Nº 2 elocation e27952027

Resumo: En | Texto: En | PDF: En

Abstract Wheat breeding in Brazil began in 1919. A cross between the varieties Fronteira and Mentana gave rise to Frontana, the most popular ever released, being recommended for more than 40 years. Frontana played an important role as a source of resistance to leaf and stripe rust as well as resistance to pre-harvest sprouting. Possessing an early maturity cycle, it contributed to change the predominant varietal pattern at that time. The resistance gene Lr34 was first described in Frontana. The gene confers durable adult plant resistance to leaf rust and other biotrophic fungi. Because of its durability, stability across environments, haplotype diversity and wide geographical distribution, Lr34 is probably the most important single resistance gene in wheat. We evaluated 453 wheat varieties that have been released or recommended for cultivation in Brazil from 1922 to 2016 using KASPar markers to detect those varieties carrying the diagnostic mutations corresponding to the presence of the Lr34 resistance allele.

https://doi.org/10.1590/1984-70332020v20n2a23 573 downloads

15.

Characteristics and outcomes of patients with COVID-19 admitted to the ICU in a university hospital in São Paulo, Brazil - study protocol
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Ferreira, Juliana C.

; Ho, Yeh-Li

; Besen, Bruno A.M.P.

; Malbuisson, Luiz M.S.

; Taniguchi, Leandro U.

; Mendes, Pedro V.

; Costa, Eduardo L.V.

; Park, Marcelo

; Daltro-Oliveira, Renato

; Roepke, Roberta M.L.

; Silva Jr, João M.

; Carmona, Maria José C.

; Carvalho, Carlos Roberto Ribeiro

; Hirota, Adriana

; Kanasiro, Alberto Kendy

; Crescenzi, Alessandra

; Fernandes, Amanda Coelho

; Miethke-Morais, Anna

; Bellintani, Arthur Petrillo

; Canasiro, Artur Ribeiro

; Carneiro, Bárbara Vieira

; Zanbon, Beatriz Keiko

; Batista, Bernardo Pinheiro De Senna Nogueira

; Nicolao, Bianca Ruiz

; Besen, Bruno Adler Maccagnan Pinheiro

; Biselli, Bruno

; Macedo, Bruno Rocha De

; Toledo, Caio Machado Gomes De

; Pompilio, Carlos Eduardo

; Carvalho, Carlos Roberto Ribeiro De

; Mol, Caroline Gomes

; Stipanich, Cassio

; Bueno, Caue Gasparotto

; Garzillo, Cibele

; Tanaka, Clarice

; Forte, Daniel Neves

; Joelsons, Daniel

; Robira, Daniele

; Costa, Eduardo Leite Vieira

; Silva Júnior, Elson Mendes Da

; Regalio, Fabiane Aliotti

; Segura, Gabriela Cardoso

; Marcelino, Gustavo Brasil

; Louro, Giulia Sefrin

; Ho, Yeh-Li

; Ferreira, Isabela Argollo

; Gois, Jeison de Oliveira

; Silva Junior, Joao Manoel Da

; Reusing Junior, Jose Otto

; Ribeiro, Julia Fray

; Ferreira, Juliana Carvalho

; Galleti, Karine Vusberg

; Silva, Katia Regina

; Isensee, Larissa Padrao

; Oliveira, Larissa dos Santos

; Taniguchi, Leandro Utino

; Letaif, Leila Suemi

; Lima, Lígia Trombetta

; Park, Lucas Yongsoo

; Chaves Netto, Lucas

; Nobrega, Luciana Cassimiro

; Haddad, Luciana

; Hajjar, Ludhmila

; Malbouisson, Luiz Marcelo

; Pandolfi, Manuela Cristina Adsuara

; Park, Marcelo

; Carmona, Maria José Carvalho

; Andrade, Maria Castilho Prandini H De

; Santos, Mariana Moreira

; Bateloche, Matheus Pereira

; Suiama, Mayra Akimi

; Oliveira, Mayron Faria de

; Sousa, Mayson Laercio

; Louvaes, Michelle

; Huemer, Natassja

; Mendes, Pedro

; Lins, Paulo Ricardo Gessolo

; Santos, Pedro Gaspar Dos

; Moreira, Pedro Ferreira Paiva

; Guazzelli, Renata Mello

; Reis, Renato Batista Dos

; Oliveira, Renato Daltro De

; Roepke, Roberta Muriel Longo

; Pedro, Rodolpho Augusto De Moura

; Kondo, Rodrigo

; Rached, Samia Zahi

; Fonseca, Sergio Roberto Silveira Da

; Borges, Thais Sousa

; Ferreira, Thalissa

; Cobello Junior, Vilson

; Sales, Vivian Vieira Tenório

; Ferreira, Willaby Serafim Cassa

Clinics

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2020, Volume 75 elocation e2294

Resumo: En | Texto: En | PDF: En

OBJECTIVES: We designed a cohort study to describe characteristics and outcomes of patients with coronavirus disease (COVID-19) admitted to the intensive care unit (ICU) in the largest public hospital in Sao Paulo, Brazil, as Latin America becomes the epicenter of the pandemic. METHODS: This is the protocol for a study being conducted at an academic hospital in Brazil with 300 adult ICU beds dedicated to COVID-19 patients. We will include adult patients admitted to the ICU with suspected or confirmed COVID-19 during the study period. The main outcome is ICU survival at 28 days. Data will be collected prospectively and retrospectively by trained investigators from the hospital’s electronic medical records, using an electronic data capture tool. We will collect data on demographics, comorbidities, severity of disease, and laboratorial test results at admission. Information on the need for advanced life support and ventilator parameters will be collected during ICU stay. Patients will be followed up for 28 days in the ICU and 60 days in the hospital. We will plot Kaplan-Meier curves to estimate ICU and hospital survival and perform survival analysis using the Cox proportional hazards model to identify the main risk factors for mortality. ClinicalTrials.gov: NCT04378582. RESULTS: We expect to include a large sample of patients with COVID-19 admitted to the ICU and to be able to provide data on admission characteristics, use of advanced life support, ICU survival at 28 days, and hospital survival at 60 days. CONCLUSIONS: This study will provide epidemiological data about critically ill patients with COVID-19 in Brazil, which could inform health policy and resource allocation in low- and middle-income countries.

https://doi.org/10.6061/clinics/2020/e2294 1957 downloads

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