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Abstract European hedgehogs, Erinaceus europaeus (Linnaeus, 1758), are small mammals found in western Europe and also in parts of northern Europe. They can be seen in rural, suburban and urban areas, but are usually found in grassland with edge habitats. These animals are omnivorous and serve as definitive or paratenic hosts for several parasites, including acanthocephalans (phylum Acanthocephala). During necropsy of a European hedgehog, a single adult parasite was collected from the intestinal lumen and preserved in 70% ethanol. After morphological evaluation of the specimen, it was identified as Moniliformis cestodiformis (von Linstow, 1904) (Acanthocephala: Moniliformidae). This is the first report of M. cestodiformis in a European hedgehog, as well as in Europe. More epidemiological studies need to be carried out to map the location and prevalence of this parasite in Portugal and the European continent.

Resumo Os ouriços, Erinaceus europaeus (Linnaeus, 1758), são pequenos mamíferos que se localizam na Europa ocidental e também em regiões do Norte da Europa. Eles podem ser avistados em áreas rurais, suburbanas e urbanas, mas são geralmente encontrados no campo no limite daqueles hábitats. São animais omnívoros e servem de hospedeiros definitivos ou paratênicos de muitos parasitas, incluindo acantocéfalos (filo Acanthocephala). Durante a necropsia de um ouriço, um exemplar adulto acantocéfalo foi recolhido do lúmen intestinal e preservado em etanol a 70%. Depois de uma avaliação morfológica desse exemplar, este foi identificado como Moniliformis cestodiformis (von Linstow, 1904) (Acanthocephala: Moniliformidae). Esta é a primeira referência de M. cestodiformis num ouriço, assim como na Europa. Mais estudos epidemiológicos necessitam ser realizados, para localizar este parasita e calcular a sua prevalência em Portugal e no continente europeu.

https://doi.org/10.1590/s1984-29612023014

Uma releitura do “Brasil colonial” a partir da obra de António Manuel Hespanha Brasil colonial
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Fragoso, João

; Bicalho, Maria Fernanda

Revista do Instituto de Estudos Brasileiros

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dec 2022, N. 83 Pages 41 - 56

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO O intuito do presente artigo é ressaltar o mérito e a abrangência da influência da obra de António Manuel Hespanha no sentido da ruptura de uma abordagem clássica da historiografia brasileira sobre o período colonial, ou seja, do estabelecimento de um novo paradigma historiográfico por meio da operacionalização de novas categorias e conceitos. Na segunda parte, iniciamos com um rápido balanço da atual discussão historiográfica sobre Estados e monarquias na Europa moderna. Com isso, pretendemos contribuir para a discussão da historiografia sobre a sociedade dos trópicos entendida como parte da monarquia pluricontinental portuguesa. colonial seja conceitos moderna isso portuguesa

ABSTRACT The purpose of this article is to recognize the merit and scope of the influence of António Manuel Hespanha, whose work broke with a classic approach of Brazilian historiography of the colonial period, that is, he established a new historiographical paradigm through the operationalization of new categories and concepts. In the second part, we begin with a brief assessment of the current historiographical discussion on states and monarchies in modern Europe. By doing so, we intend to contribute to the discussion of the historiography on the society in the tropics understood to be part of the Portuguese pluricontinental monarchy. Hespanha period concepts Europe so monarchy

https://doi.org/10.11606/issn.2316-901x.v1i83p41-56

Consensus of the Brazilian Headache Society (SBCe) for prophylactic treatment of episodic migraine: part II
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Santos, Paulo Sergio Faro

; Melhado, Eliana Meire

; Kaup, Alexandre Ottoni

; Costa, Aline Turbino Neves Martins da

; Roesler, Célia Aparecida de Paula

; Piovesan, Élcio Juliato

; Sarmento, Elder Machado

; Theotonio, Giselle Oliveira Martins

; Campos, Henrique Carneiro de

; Fortini, Ida

; Souza, Jano Alves de

; Maciel Júnior, Jayme Antunes

; Segundo, João Batista Alves

; Carvalho, João José Freitas de

; Speziali, José Geraldo

; Calia, Leandro Cortoni

; Barea, Liselotte Menke

; Queiroz, Luiz Paulo

; Souza, Marcio Nattan Portes

; Figueiredo, Marcos Ravi Cerqueira Ferreira

; Costa, Maria Eduarda Nobre de Magalhães

; Peres, Mário Fernando Prieto

; Jurno, Mauro Eduardo

; Peixoto, Patrícia Machado

; Kowacs, Pedro André

; Rocha Filho, Pedro Augusto Sampaio

; Moreira Filho, Pedro Ferreira

; Silva Neto, Raimundo Pereira

; Fragoso, Yara Dadalti

Arquivos de Neuro-Psiquiatria

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sep 2022, Volume 80 N. 9 Pages 953 - 969

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Abstract Background Migraine affects 1 billion people worldwide and > 30 million Brazilians; besides, it is an underdiagnosed and undertreated disorder. Objective The need to disseminate knowledge about the prophylactic treatment of migraine is known, so the Brazilian Headache Society (SBCe, in the Portuguese acronym) appointed a committee of authors with the objective of establishing a consensus with recommendations on the prophylactic treatment of episodic migraine based on articles from the world literature as well as from personal experience. Methods Meetings were held entirely online, with the participation of 12 groups that reviewed and wrote about the pharmacological categories of drugs and, at the end, met to read and finish the document. The drug classes studied in part II of this Consensus were: antihypertensives, selective serotonin reuptake inhibitors, serotonin and norepinephrine reuptake inhibitors, calcium channel blockers, other drugs, and rational polytherapy. Results From this list of drugs, only candesartan has been established as effective in controlling episodic migraine. Flunarizine, venlafaxine, duloxetine, and pizotifen were defined as likely to be effective, while lisinopril, enalapril, escitalopram, fluvoxamine, quetiapine, atorvastatin, simvastatin, cyproheptadine, and melatonin were possibly effective in prophylaxis of the disease. Conclusions Despite an effort by the scientific community to find really effective drugs in the treatment of migraine, given the large number of drugs tested for this purpose, we still have few therapeutic options.

Resumo Antecedentes Migrânea afeta um bilhão de pessoas em todo o mundo e mais de 30 milhões de brasileiros; além disso, é um distúrbio subdiagnosticado e subtratado. Objetivo Sabe-se sobre a necessidade de difundir o conhecimento sobre o tratamento profilático da migrânea; por isso, a Sociedade Brasileira de Cefaleias (SBCe) nomeou um comitê de autores com o objetivo de estabelecer um consenso com recomendações sobre o tratamento profilático da migrânea episódica com base em artigos da literatura mundial, assim como da experiência pessoal. Métodos As reuniões foram realizadas inteiramente online, com a participação de 12 grupos que revisaram e escreveram sobre as categorias farmacológicas dos medicamentos e, ao final, reuniram-se para a leitura e conclusão do documento. As classes de medicamentos estudadas na parte II deste Consenso foram: anti-hipertensivos, inibidores seletivos de recaptação de serotonina, inibidores de recaptação de serotonina e noradrenalina, bloqueadores dos canais de cálcio, outros medicamentos e politerapia racional. Resultados Desta lista de medicamentos, apenas o candesartan foi estabelecido como eficaz no controle da migrânea episódica. Flunarizina, venlafaxina, duloxetina e pizotifeno foram definidos como provavelmente eficazes, enquanto lisinopril, enalapril, escitalopram, fluvoxamina, quetiapina, atorvastatina, sinvastatina, ciproheptadina e melatonina foram possivelmente eficazes na profilaxia da doença. Conclusões Apesar do esforço da comunidade científica em encontrarmedicamentos realmente eficazes no tratamento da migrânea, dado o grande número de medicamentos testados para este fim, ainda dispomos de poucas opções terapêuticas.

https://doi.org/10.1055/s-0042-1755320

Consensus of the Brazilian Headache Society (SBCe) for the Prophylactic Treatment of Episodic Migraine: part I
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Melhado, Eliana Meire

; Santos, Paulo Sergio Faro

; Kaup, Alexandre Ottoni

; Costa, Aline Turbino Neves Martins da

; Roesler, Célia Aparecida de Paula

; Piovesan, Élcio Juliato

; Sarmento, Elder Machado

; Theotonio, Giselle Oliveira Martins

; Campos, Henrique Carneiro de

; Fortini, Ida

; Souza, Jano Alves de

; Maciel Júnior, Jayme Antunes

; Segundo, João Batista Alves

; Carvalho, João José Freitas de

; Speziali, José Geraldo

; Calia, Leandro Cortoni

; Barea, Liselotte Menke

; Queiroz, Luiz Paulo

; Souza, Marcio Nattan Portes

; Figueiredo, Marcos Ravi Cerqueira Ferreira

; Costa, Maria Eduarda Nobre de Magalhães

; Peres, Mário Fernando Prieto

; Jurno, Mauro Eduardo

; Peixoto, Patrícia Machado

; Kowacs, Pedro André

; Rocha-Filho, Pedro Augusto Sampaio

; Moreira Filho, Pedro Ferreira

; Silva-Neto, Raimundo Pereira

; Fragoso, Yara Dadalti

Arquivos de Neuro-Psiquiatria

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aug 2022, Volume 80 N. 8 Pages 845 - 861

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Abstract The Brazilian Headache Society (Sociedade Brasileira de Cefaleia, SBCe, in Portuguese) nominated a Committee of Authors with the aim of establishing a consensus with recommendations regarding prophylactic treatment for episodic migraine based on articles published in the worldwide literature, as well as personal experience. Migraine affects 1 billion people around the world and more than 30 million Brazilians. In addition, it is an underdiagnosed and undertreated disorder. It is well known within the medical community of neurologists, and especially among headache specialists, that there is a need to disseminate knowledge about prophylactic treatment for migraine. For this purpose, together with the need for drug updates and to expand knowledge of the disease itself (frequency, intensity, duration, impact and perhaps the progression of migraine), this Consensus was developed, following a full online methodology, by 12 groups who reviewed and wrote about the pharmacological categories of the drugs used and, at the end of the process, met to read and establish conclusions for this document. The drug classes studied were: anticonvulsants, tricyclic antidepressants, monoclonal anti-calcitonin gene-related peptide (anti-CGRP) antibodies, beta-blockers, antihypertensives, calcium channel inhibitors, other antidepressants (selective serotonin reuptake inhibitors, SSRIs, and dual-action antidepressants), other drugs, and polytherapy. Hormonal treatment and anti-inflammatories and triptans in minimum prophylaxis schemes (miniprophylaxis) will be covered in a specific chapter. The drug classes studied for part I of the Consensus were: anticonvulsants, tricyclic antidepressants, monoclonal anti-CGRP antibodies, and beta-blockers.

Resumo A Sociedade Brasileira de Cefaleia (SBCe) nomeou um Comitê de Autores com o objetivo de estabelecer um consenso com recomendações sobre o tratamento profilático da enxaqueca episódica com base em artigos da literatura mundial e da experiência pessoal. A enxaqueca é um distúrbio subdiagnosticado e subtratado que acomete um bilhão de pessoas no mundo e mais de 30 milhões de brasileiros. É conhecido na comunidade médica de neurologistas e, sobretudo, dos especialistas em cefaleia, a necessidade de se divulgar o conhecimento sobre o tratamento profilático da enxaqueca. Com esta finalidade, aliada às necessidades de atualizações de drogas e de se aumentar o conhecimento sobre a doença em si (frequência, intensidade, duração, impacto e talvez a progressão da enxaqueca), foi elaborado este Consenso, com metodologia totalmente on-line, por 12 grupos que revisaram e escreveram sobre as categorias farmacológicas das drogas e, ao final, reuniram-se para a leitura e conclusão do documento. As classes de drogas estudadas para este Consenso foram: anticonvulsivantes, antidepressivos tricíclicos, anticorpos monoclonais do antipeptídeo relacionado ao gene da calcitonina (peptídeo relacionado ao gene da calcitonina — anti-CGRP), betabloqueadores, anti-hipertensivos, inibidores dos canais de cálcio, outros antidepressivos (inibidores seletivos de recaptação de serotonina, ISRSs, e antidepressivos de ação dual), outras drogas, e politerapia. O tratamento hormonal, bem como anti-inflamatórios e triptanas em esquema de profilaxia mínima (miniprofilaxia), será abordado em um capítulo próprio. As classes de drogas estudadas na parte I do Consenso foram: anticonvulsivantes, antidepressivos tricíclicos, anticorpos monoclonais anti-CGRP, e betabloqueadores.

https://doi.org/10.1055/s-0042-1756441

FEEDING HABITS OF Paralonchurus brasiliensis (PERCIFORMES: SCIAENIDAE) FROM SOUTH OF BRAZIL
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SEDREZ, Mário Cesar

; BARRILLI, Germano Henrique Costa

; FRAGOSO-MOURA, Evelise Nunes

; BARREIROS, João Pedro

; BRANCO, Joaquim Olinto

; VERANI, José Roberto

Acta Biológica Colombiana

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dec 2021, Volume 26 N. 3 Pages 335 - 344

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

RESUMEN La pesca de arrastre de camarón afecta directamente a la especie de interes y a otras que no lo son, pero tambien quedan atrapadas, alterando los micro-hábitats y las vías tróficas marinas. Así, el presente estudio tuvo como objetivo analizar los hábitos alimentarios de Paralonchurus brasiliensis, como herramienta para evaluar el impacto de la pesca de arrastre sobre las cadenas alimentarias en ambientes marinos, en el Atlántico sur de Brasil. Se disecaron 1219 estómagos de P. brasiliensis capturados con "bycatch" del camarón Xiphopenaeus kroyeri, en Penha, litoral centro-norte de Santa Catarina, Brasil. El número de estómagos fue suficiente para la descripción de los hábitos alimentarios de P. brasiliensis, caracterizándola como una especie carnívora, predominantemente invertívora. Los resultados revelaron además que esta especie posee una dieta diversificada y constante, con mayor consumo de poliquetas, crustáceos y ofiuroides, entre otros componentes del macrobentos, todos íntimamente relacionados al sedimento. Se constató también que la especie de interes X. kroyeri no es una presa importante en la dieta de P. brasiliensis, a pesar de ocupar el mismo hábitat. De acuerdo con el presente estudio, P. brasiliensis puede ser caracterizada como una especie demersal bentónica, predadora, oportunista y de amplio espectro trófico. Este trabajo contribuye a la comprensión de las cadenas tróficas de los ecosistemas costeros, utilizando el caso de P. brasiliensis como modelo.

ABSTRACT Shrimp trawling directly impacts target species and non-target species, altering micro-habitats and marine trophic webs. Thus, the objective of the present research was to analyze the feeding habits of Paralonchurus brasiliensis as a tool to evaluate the impact of trawling on the food chains in marine environments, in the South Atlantic of Brazil. One thousand and nineteen stomachs of P. brasiliensis were dissected after being captured as bycatch of shrimp Xiphopenaeus kroyeri, in Penha, on the north central coast of Santa Catarina, Brazil. The number of stomachs was enough to describe the feeding habits of P. brasiliensis, characterizing it as a carnivorous species and predominantly invertivorous. They also revealed that this species has a diversified and constant diet, with greater consumption of polychaetes, crustaceans, and ofiuroides, among other components of the macrobentos, all closely related to the sediment. It was also found that the target species X. kroyeri is not an important prey in the diet of P. brasiliensis, despite occupying the same habitat. According to the present study, P. brasiliensis can be characterized as a demersal-benthic species, predator, opportunistic and broad trophic spectrum. This work contributes to the understanding of trophic chains of the coastal ecosystems, using the P. brasiliensis as a model.

https://doi.org/10.15446/abc.v26n3.80609 20 downloads

Dermatobiosis in Panthera onca: first description and multinomial logistic regression to estimate and predict parasitism in captured wild animals
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May-Junior, Joares Adenilson

; Fagundes-Moreira, Renata

; Souza, Vinícius Baggio de

; Almeida, Bruno Albuquerque de

; Haberfeld, Mario B.

; Sartorelo, Leonardo R.

; Ranpim, Lilian Elaine

; Fragoso, Carlos Eduardo

; Soares, João Fabio

Revista Brasileira de Parasitologia Veterinária

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2021, Volume 30 N. 1 elocation e023820

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Dermatobia hominis é um parasito amplamente distribuído nas regiões neotropicais. A fase parasitária do ciclo é caracterizada pela formação de um nódulo subcutâneo no hospedeiro, que pode promover infestação por outros dípteros e infecções cutâneas. O objetivo deste relato é registrar o parasitismo por D. hominis em Panthera onca de vida livre, capturado no pantanal brasileiro e determinar fatores biológicos e meteorológicos significativos que podem influenciar a presença de parasitismo larval em onças-pintadas selvagens capturadas. Entre 2011 e 2020, 34 onças-pintadas foram capturadas e examinadas manualmente em busca de lesões características de miíase. Por compressão manual nos nódulos subcutâneos, larvas classificadas morfologicamente como D. hominis (primeiro e terceiro instares) foram coletadas de 13 onças-pintadas. Uma regressão logística multinomial mostrou que onças-pintadas adultas tinham chances 16,49 vezes maiores de serem parasitadas do que subadultos. Assim, onças-pintadas capturadas na temporada de julho a setembro têm probabilidade 34,01 e 11,42 vezes maior de serem parasitadas em comparação com as temporadas de outubro a dezembro e de abril a junho, respectivamente, o que está associado à alta precipitação total mensal na temporada anterior. O presente estudo é o primeiro a descrever parasitismo por larvas de D. hominis em onças-pintadas.

Abstract Dermatobia hominis is a parasite widely distributed in neotropical regions. The parasitic phase of the cycle is characterized by the formation of a subcutaneous nodule in the host, which can promote infestation by other dipterans and skin infections. The aim of this report is to register parasitism by D. hominis in free-ranging Panthera onca captured in the Brazilian wetland and to determine significant biological and meteorological factors that are likely to influence the presence of larval parasitism in captured wild jaguars. Between 2011 to 2020, 34 jaguars were captured and examined manually by searching for lesions characteristic of myiasis. By manual compression in the subcutaneous nodules, larvae morphologically identified as D. hominis (first and third instars) were collected from 13 jaguars. A multinomial logistic regression showed that adult jaguars had 16.49-fold higher odds of being parasitized than subadults. Thus, jaguars captured in the season of July–September have 34.01- and 11.42-fold higher odds of being parasitized compared to the seasons of October–December and April–June, respectively, which is associated with high total monthly precipitation in the previous season. The present study is the first to describe parasitism by D. hominis larvae in jaguars.

https://doi.org/10.1590/s1984-29612021003 431 downloads

Resistant bending moment to lateral-torsional buckling of continuous steel and concrete composite beams with transverse stiffeners
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Oliveira, Janaina Pena Soares de

; Dias, João Victor Fragoso

; Fakury, Ricardo Hallal

; Calenzani, Adenilcia Fernanda Grobério

Revista IBRACON de Estruturas e Materiais

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2021, Volume 14 N. 4 elocation e14412

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Neste artigo, uma análise numérica usando método dos elementos finitos, com apoio do software Ansys, é realizada para avaliar a influência de enrijecedores transversais soldados à alma do perfil de aço na rigidez lateral e no momento fletor resistente de vigas mistas contínuas de aço e concreto à flambagem lateral com distorção (FLD). O modelo numérico desenvolvido foi validado por meio de comparação com os resultados de ensaios realizados por outro pesquisador. Na sequência, foi feita uma análise paramétrica, para vigas com dois e três vãos, variando-se o espaçamento entre os enrijecedores. Finalmente, com base nas análises realizadas, conclui-se que os enrijecedores transversais podem aumentar significativamente a rigidez lateral e o momento resistente de vigas mistas contínuas e um procedimento de cálculo para se obter esse momento, tendo como referência as prescrições da norma brasileira ABNT NBR 8800:2008, é proposto.

Abstract In this paper, a numerical analysis using the finite element method, employing the commercial code Ansys, is performed to evaluate the influence of transverse stiffeners welded to the web of the steel profile on the lateral stiffness and resistant bending moment of continuous steel and concrete composite beams subjected to lateral-torsional buckling (LTB). The developed numerical model was validated by comparison with the results of tests performed by another researcher. Subsequently, a parametric analysis was carried out for beams with two and three spans, varying the spacing between the stiffeners. Finally, based on the analysis performed, it was concluded that the transverse stiffeners can significantly increase the lateral stiffness and the resistant moment of continuous composite beams. A calculation procedure to obtain this moment is proposed, having as reference the prescriptions of the Brazilian standard ABNT NBR 8800:2008.

https://doi.org/10.1590/s1983-41952021000400012 162 downloads

Apparent digestibility of juveniles of matrinxã Brycon amazonicus fed diets with different protein levels
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Gonçalves, Cesar Augusto Alves

; Pantoja-Lima, Jackson

; Machado-Bussons, Márcia Regina Fragoso

; Rufino, João Paulo Ferreira

Acta Scientiarum. Animal Sciences

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2021, Volume 43 elocation e52236

Abstract: En | Text: En | PDF: En

ABSTRACT. The objective of the present study was to determine the apparent digestibility of juveniles of matrinxã Brycon amazonicus fed diets with different levels of protein. The experimental design was completely randomized, where the treatments consisted of four levels of protein in the diets (28, 32, 36 and 40%) and five replicates (water boxes) with 10 juveniles of matrinxã each. Diets were offered four times a day, and feces were collected twice a week, along 28 days, for digestibility analysis. Data collected were subjected to polynomial regression at 5% significance. Differences (p<0.05) were observed in dry matter digestibility, with higher digestibility according to increasing levels of protein in the diets. This behavior was directly expressed in the digestibility of nutrients by juveniles of matrinxã, such as % ash, % crude protein, apparent digestible energy, % digestibility of apparent digestible energy and energy: protein ratio. However, this was not observed (p > 0.05) in the digestibility of % ether extract. Digestibility of N, P, Ca, Mg, Cu and Zn presented linear positive (p < 0.05) behavior, in which the use of these minerals increased with the increase in the level of protein in the diets. However, the digestibility of K, Fe and Mn reduced (p < 0.05) with increasing protein levels in the diets. Thus, it can be concluded that the rise in protein level in diets for juveniles of matrinxã improves nutrient digestibility. The results of this study indicated that 40% crude protein in the diets provided better results.

https://doi.org/10.4025/actascianimsci.v43i1.52236 132 downloads

Análise das temperaturas de um compartimento durante treinamentos de combate a incêndio
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Mata, Kamyla Lima da

; Caldas, Rodrigo Barreto

; Rodrigues, Francisco Carlos

; Dias, João Victor Fragoso

Ambiente Construído

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jun 2020, Volume 20 N. 2 Pages 245 - 260

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Este trabalho apresenta uma análise da influência do tipo de combate a incêndio nas temperaturas desenvolvidas em um compartimento utilizado pelo Corpo de Bombeiros Militar de Minas Gerais (CBMMG) em seus treinamentos. Os tipos de combate variaram com o modo de aplicação de água em pulsos simples, dois pulsos ou pulsos mais longos. Os resultados demonstraram que os treinamentos representam bem os incêndios reais em ambientes construídos com as fases de início do incêndio e sua propagação, inflamação generalizada (flashover) e pós-flashover. Observou-se que a taxa de aplicação de água influencia inversamente no tempo de duração do incêndio e na temperatura da região onde os combatentes se localizam. Foram realizados também ensaios sem intervenção e constatou-se que não há uma diferença significativa nas temperaturas máximas atingidas em comparação com os treinamentos normais. Os ensaios realizados no compartimento também demonstraram que ele pode ser utilizado para estudo de elementos construtivos e estruturais em situação de incêndio.

Abstract This paper presents an analysis of the influence of the type of firefighting technique at temperatures developed in a compartment used by the Minas Gerais Firefighting Department - CBMMG, Brazil, in its firefighting training. The types of firefighting varied according to the mode of deployment of water in simple pulses, two pulses or longer pulses. The results showed that the training appropriately represents real fires in buildings, presenting the fire ignition and growth phases, flashover and after flashover. The study showed that the rate of water application inversely affects the duration of the fire and the temperature in the region where the firefighters are located. Tests were also performed without intervention and showed that there is no significant difference in the maximum temperatures reached compared to normal training. The tests performed in the compartment also showed that they can be used for the study of building and structural elements in fire situations.

https://doi.org/10.1590/s1678-86212020000200398 1036 downloads

10.

Cuidar em tempos da COVID-19: lições aprendidas entre a ciência e a sociedade
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Souza, Claudia Teresa Vieira de

; Santana, Clarice Silva de

; Ferreira, Patrícia

; Nunes, João Arriscado

; Teixeira, Maria de Lourdes Benamor

; Gouvêa, Maria Isabel Fragoso da Silveira

Cadernos de Saúde Pública

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2020, Volume 36 N. 6 elocation e00115020

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo: Esta comunicação é centrada na nossa pesquisa e intervenção em promoção da saúde com pacientes e comunidades afetadas por diversas doenças infecciosas, no projeto Plataforma de Saberes. Esse projeto é desenvolvido no Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, no Rio de Janeiro, Brasil, e promove o envolvimento continuado de pesquisadores e profissionais de saúde na produção colaborativa de conhecimento sobre saúde com pacientes e grupos comunitários, e na sua capacitação como promotores de saúde comunitária. Face ao novo cenário epidêmico, surgiu a demanda de um espaço de diálogo e partilha de conhecimento sobre prevenção da transmissão da COVID-19. Devido à interrupção das atividades regulares do Plataforma de Saberes, foi promovida uma estratégia que servisse de elo integrador entre ciência e sociedade e ajudasse a superar o isolamento social imposto pela pandemia da COVID-19. O grupo de WhatsApp possibilitou aos integrantes do projeto participarem por meio de formulação de perguntas (áudio) sobre a COVID-19, por intermédio da mediação dos líderes de grupos comunitários. Os principais questionamentos dos participantes estão relacionados com fatores de risco; formas de transmissão; imunidade ao novo vírus; cuidados relacionados à prevenção, sintomas e tratamento; COVID-19 e vacina da influenza. O material educativo Cuidar em tempos da COVID-19 foi produzido e compartilhado com os líderes comunitários e disponibilizado aos respectivos grupos, e veio a ser disseminado nas suas comunidades como resposta a uma demanda de conhecimento que responde às preocupações vividas pelos que já se encontram em situação de vulnerabilidade estrutural.

Abstract: This paper focuses on our research and intervention in health promotion with patients and communities affected by various infectious diseases, in the project Knowledge-Sharing Platform. This project is developed at the National Institute of Infectious Diseases Evandro Chagas in the Oswaldo Cruz Foundation, Rio de Janeiro, Brazil, and promotes the continuing involvement of health researchers and professionals in the collaborative production of knowledge on health with patients and community groups and in their training as community health promoters. The new epidemic scenario created the demand for a space of dialogue and knowledge-sharing on the prevention of COVID-19 transmission. Due to the interruption of regular activities in the Knowledge-Sharing Platform, a strategy was launched to serve as a link between science and society and help overcome the social isolation imposed by the COVID-19 pandemic. The WhatsApp group allowed project members to participate by addressing questions (audio) on COVID-19 through mediation by community group leaders. The main questions by participants related to risk factors, transmission, immunity to the novel coronavirus, care related to prevention, symptoms, and treatment; and COVID-19 and influenza vaccine. The educational material Caring in the Age of COVID-19 was produced and shared with community leaders and distributed to the respective groups and was eventually shared in their communities as a response to a demand for knowledge that responds to the concerns of people already exposed to structural vulnerability.

Resumen: Esta comunicación se centra en nuestra investigación e intervención en la promoción de la salud con pacientes y comunidades afectadas por diversas enfermedades infecciosas, en el proyecto Plataforma de Saberes. Este proyecto está desarrollado en el Instituto Nacional de Infectología Evandro Chagas/Fundación Oswaldo Cruz, en Río de Janeiro, Brasil, y promueve la implicación continuada de investigadores y profesionales de salud en la producción colaborativa de conocimiento sobre salud con pacientes y grupos comunitarios, y en su capacitación como promotores de salud comunitaria. Frente al nuevo escenario epidémico, surgió la demanda de un espacio de diálogo e intercambio de conocimiento sobre la prevención de la transmisión de la COVID-19. Debido a la interrupción de las actividades regulares de la Plataforma de Saberes, se promovió una estrategia que sirviese de vínculo integrador entre ciencia y sociedad y ayudase a superar el aislamiento social impuesto por la pandemia de la COVID-19. El grupo de WhatsApp posibilitó a los integrantes del proyecto, que participaran mediante la formulación de preguntas (audio) sobre la COVID-19, a través de la mediación de los líderes de grupos comunitarios. Los principales cuestionamientos de los participantes se relacionaron con factores de riesgo; formas de transmisión; inmunidad ante el nuevo virus; cuidados relacionados con la prevención, síntomas y tratamiento; COVID-19 y vacuna de la gripe. El material educativo Cuidar em tempos da COVID-19 se produjo y se compartió con los líderes comunitarios y fue puesto a disposición de los respectivos grupos, así como difundido en sus comunidades, en respuesta a una demanda de conocimiento que responde a las preocupaciones vividas por los que ya se encuentran en situación de vulnerabilidad estructural.

https://doi.org/10.1590/0102-311x00115020 6068 downloads

11.

Cuidar em tempos da COVID-19: lições aprendidas entre a ciência e a sociedade
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Souza, Claudia Teresa Vieira de

; Santana, Clarice Silva de

; Ferreira, Patrícia

; Nunes, João Arriscado

; Teixeira, Maria de Lourdes Benamor

; Gouvêa, Maria Isabel Fragoso da Silveira

Cadernos de Saúde Pública

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2020, Volume 36 N. 6 elocation e00115020

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

https://doi.org/10.1590/0102-311x00115020

12.

Predictors of complication after adrenalectomy
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Srougi, Victor

; Barbosa, João A. B.

; Massaud, Isaac

; Cavalcante, Isadora P.

; Tanno, Fabio Y.

; Almeida, Madson Q.

; Srougi, Miguel

; Fragoso, Maria C.

; Chambô, José L.

International braz j urol

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jun 2019, Volume 45 N. 3 Pages 514 - 522

Abstract: En | Text: En | PDF: En

ABSTRACT Purpose: To investigate risk factors for complications in patients undergoing adrenalectomy. Materials and Methods: A retrospective search of our institutional database was performed of patients who underwent adrenalectomy, between 2014 and 2018. Clinical parameters and adrenal disorder characteristics were assessed and correlated to intra and post-operative course. Complications were analyzed within 30-days after surgery. A logistic regression was performed in order to identify independent predictors of morbidity in patients after adrenalectomy. Results: The files of 154 patients were reviewed. Median age and Body Mass Index (BMI) were 52-years and 27.8kg/m2, respectively. Mean tumor size was 4.9±4cm. Median surgery duration and estimated blood loss were 140min and 50mL, respectively. There were six conversions to open surgery. Minor and major post-operative complications occurred in 17.5% and 8.4% of the patients. Intra-operative complications occurred in 26.6% of the patients. Four patients died. Mean hospitalization duration was 4-days (Interquartile Range: 3-8). Patients age (p=0.004), comorbidities (p=0.003) and pathological diagnosis (p=0.003) were independent predictors of post-operative complications. Tumor size (p<0.001) and BMI (p=0.009) were independent predictors of intra-operative complications. Pathological diagnosis (p<0.001) and Charlson score (p=0.013) were independent predictors of death. Conclusion: Diligent care is needed with older patients, with multiple comorbidities and harboring unfavorable adrenal disorders (adrenocortical carcinoma and pheocromocytoma), who have greater risk of post-operative complications. Patients with elevated BMI and larger tumors have higher risk of intra, but not of post-operative complications.

https://doi.org/10.1590/s1677-5538.ibju.2018.0482 917 downloads

13.

Primary malignant tumors of the adrenal glands
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Almeida, Madson Q.

; Bezerra-Neto, Joao Evangelista

; Mendonça, Berenice B.

; Latronico, Ana Claudia

; Fragoso, Maria Candida B.V.

Clinics

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2018, Volume 73 elocation e756s

Abstract: En | Text: En | PDF: En

Malignancy must be considered in the management of adrenal lesions, including those incidentally identified on imaging studies. Adrenocortical carcinomas (ACCs) are rare tumors with an estimated annual incidence of 0.7-2 cases per year and a worldwide prevalence of 4-12 cases per million/year. However, a much higher incidence of these tumors (>15 times) has been demonstrated in south and southeastern Brazil. Most ACCs cause hypersecretion of steroids including glucocorticoids and androgens. ACC patients have a very poor prognosis with a 5-year overall survival (OS) below 30% in most series. Pheochromocytoma or paraganglioma (PPGL) is a metabolically active tumor originating from the chromaffin cells of the adrenal medulla. The incidence of PPGL is 0.2 to 0.9 cases per 100,000 individuals per year. Pheochromocytomas are present in approximately 4-7% of patients with adrenal incidentalomas. Classically, PPGL manifests as paroxysmal attacks of the following 4 symptoms: headaches, diaphoresis, palpitations, and severe hypertensive episodes. The diagnosis of malignant PPGL relies on the presence of local invasion or metastasis. In this review, we present the clinical and biochemical characteristics and pathogenesis of malignant primary lesions that affect the cortex and medulla of human adrenal glands.

https://doi.org/10.6061/clinics/2018/e756s 1137 downloads

14.

Adjuvant radiotherapy for the primary treatment of adrenocortical carcinoma: are we offering the best?
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Srougi, Victor

; Bessa Junior, Jose

; Tanno, Fabio Y.

; Ferreira, Amanda M.

; Hoff, Ana O.

; Bezerra, João E.

; Almeida, Cristiane M.

; Almeida, Madson Q.

; Mendonça, Berenice B.

; Nahas, William C.

; Chambô, Jose L.

; Srougi, Miguel

; Fragoso, Maria C. B. V.

International braz j urol

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oct 2017, Volume 43 N. 5 Pages 841 - 848

Abstract: En | Text: En | PDF: En

ABSTRACT Purpose: To evaluate the role of ARDT after surgical resection of ACC. Materials and Methods: Records of patients from our institutional ACC database were retrospectively assessed. A paired comparison analysis was used to evaluate the oncological outcomes between patients treated with surgery followed by ARDT or surgery only (control). The endpoints were LRFS, RFS, and OS. A systematic review of the literature and meta-analysis was also performed to evaluate local recurrence of ACC when ARDT was used. Results: Ten patients were included in each Group. The median follow-up times were 32 months and 35 months for the ARDT and control Groups, respectively. The results for LRFS (p=0.11), RFS (p=0.92), and OS (p=0.47) were similar among subsets. The mean time to present with local recurrence was significantly longer in the ARDT group compared with the control Group (419±206 days vs. 181±86 days, respectively; p=0.03). ARDT was well tolerated by the patients; there were no reports of late toxicity. The meta-analysis, which included four retrospective series, revealed that ARDT had a protective effect on LRFS (HR=0.4; CI=0.17-0.94). Conclusions: ARDT may reduce the chance and prolong the time to ACC local recurrence. However, there were no benefits for disease recurrence control or overall survival for patients who underwent this complementary therapy.

https://doi.org/10.1590/s1677-5538.ibju.2017.0095 652 downloads

15.

Carta para o comitê editorial da Topoi
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Fragoso, João

Topoi (Rio de Janeiro)

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jul 2017, Volume 18 N. 35 Pages 457 - 459

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.1590/2237-101x01803512 605 downloads

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