Pesquisa | SciELO

Abstract Food processing allows a wide variation in the final quality of the product, which directly depends on the quality of the raw material used, the processing conditions, storage and commercialization. Salting, for example, is one of the oldest methods used to preserve meat. In the meat industry, the incorporation of salts into products is commonly used to improve dietary functionality and ensure food safety. Thus, the objective of this review was to understand that the discarded matrix meat can be used to make jerky meat, adding value to the final product. The processing of jerked beef is based on the osmotic dehydration process in counter flow, promoted by the penetration of salt with consequent exit of water from the inter and extra fibrillar compartments to the surface, with subsequent drying. At the same time, myosin denaturation occurs as a result of high temperatures, as well as myoglobin oxidation, promoted by salt, increasing the susceptibility to protein oxidation. The use of discarded animal meat to make jerky adds value to the by-product, improving sensory quality.

https://doi.org/10.1590/fst.11122

Clinical characteristics and outcomes of patients with COVID-19 admitted to the intensive care unit during the first and second waves of the pandemic in Brazil: a single-center retrospective cohort study
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Corrêa, Thiago Domingos

; Midega, Thais Dias

; Cordioli, Ricardo Luiz

; Barbas, Carmen Silvia Valente

; Rabello Filho, Roberto

; Silva, Bruno Caldin da

; Silva Júnior, Moacyr

; Nawa, Ricardo Kenji

; Carvalho, Fabrício Rodrigues Torres de

; Matos, Gustavo Faissol Janot de

; Lucinio, Neide Marcela

; Rodrigues, Rodrigo Dias

; Eid, Raquel Afonso Caserta

; Bravim, Bruno de Arruda

; Pereira, Adriano José

; Santos, Bento Fortunato Cardoso dos

; Pinho, João Renato Rebello

; Pardini, Andreia

; Teich, Vanessa Damazio

; Laselva, Claudia Regina

; Cendoroglo Neto, Miguel

; Klajner, Sidney

; Ferraz, Leonardo José Rolim

einstein (São Paulo)

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2023, Volume 21 elocation eAO0233

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective To describe and compare the clinical characteristics and outcomes of patients admitted to intensive care units during the first and second waves of the COVID-19 pandemic. Methods In this retrospective single-center cohort study, data were retrieved from the Epimed Monitor System; all adult patients admitted to the intensive care unit between March 4, 2020, and October 1, 2021, were included in the study. We compared the clinical characteristics and outcomes of patients admitted to the intensive care unit of a quaternary private hospital in São Paulo, Brazil, during the first (May 1, 2020, to August 31, 2020) and second (March 1, 2021, to June 30, 2021) waves of the COVID-19 pandemic. Results In total, 1,427 patients with COVID-19 were admitted to the intensive care unit during the first (421 patients) and second (1,006 patients) waves. Compared with the first wave group [median (IQR)], the second wave group was younger [57 (46-70) versus 67 (52-80) years; p<0.001], had a lower SAPS 3 Score [45 (42-52) versus 49 (43-57); p<0.001], lower SOFA Score on intensive care unit admission [3 (1-6) versus 4 (2-6); p=0.018], lower Charlson Comorbidity Index [0 (0-1) versus 1 (0-2); p<0.001], and were less frequently frail (10.4% versus 18.1%; p<0.001). The second wave group used more noninvasive ventilation (81.3% versus 53.4%; p<0.001) and high-flow nasal cannula (63.2% versus 23.0%; p<0.001) during their intensive care unit stay. The intensive care unit (11.3% versus 10.5%; p=0.696) and in-hospital mortality (12.3% versus 12.1%; p=0.998) rates did not differ between both waves. Conclusion In the first and second waves, patients with severe COVID-19 exhibited similar mortality rates and need for invasive organ support, despite the second wave group being younger and less severely ill at the time of intensive care unit admission.

https://doi.org/10.31744/einstein_journal/2023ao0233

Adapting the land agricultural suitability assessment scheme for drylands edaphoclimatic conditions
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Lima, José Alexsandro Guimarães

; Souza, Francisca Evelice Cardoso de

; Silva, Francisca Gleiciane da

; Terra, Fabrício da Silva

; Freitas, Diana Ferreira de

; Costa, Mirian Cristina Gomes

; Toma, Raul Shiso

Revista Brasileira de Ciência do Solo

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2023, Volume 47 elocation e0230024

Resumo: En | Texto: En | PDF: En

ABSTRACT The rational exploitation of the land requires planning its agricultural use, which can be supported by the agricultural land suitability (ALS) assessment. The scheme to assess ALS proposed by Food Agricultural Organization (FAO) has been adopted in Brazil based on guiding charts for subtropical, humid tropical and semi-arid tropical climate. However, the guiding chart used for the semi-arid region has dramatically limited the ALS in drylands on which rainfed agriculture has been practiced. In this study, an adequation for the ALS assessment regarding the edaphoclimatic conditions of semi-arid region was proposed to improve the representation of agricultural areas and to allow a better planning of soil conservation practices. The ALS of the south region of Ceará State (Brazil) was assessed according to the FAO scheme and its initial adaptation to the Brazilian conditions; subsequently, this assessment was obtained by two adequations. Adequation I disregarded the limiting factor of water availability, while adequation II, besides disregarding the factor of water availability, established new limits for the classes of effective soil depth. The adequations resulted in an increase of 177.19 % in the areas with regular suitability for crops to the detriment of areas with restricted suitability for crops and areas with suitability only for pasture or grazing lands. The adequations increased the agricultural suitability in 41.26 % of the area of the mapping units, and 16.77 % of them were due to the modifications related to the effective soil depth, while the other 26.35 % were due to the changes related to water availability. The results related to water availability were equivalent to those observed through the dynamic analysis of land-use and cover associated with the rainfall, which demonstrated an increase in the areas for rainfed agriculture and a reduction in fallow and pasture areas in the years with rainfall within the climatic normality. The areas considered suitable for crop production with the adequation of the scheme may be included in soil conservation programs.

https://doi.org/10.36783/18069657rbcs20230024

O social como intersubjetividade: George Herbert Mead e a sociologia das multitudes individuais intersubjetividade
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Mello, Fabrício Cardoso de

Sociologias

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2023, Volume 25 elocation e-soc126344

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

Resumo Este texto aprecia criticamente a mais nova edição do clássico Mente, Self e Sociedade de George Herbert Mead, preparada por Hans Joas e Daniel Huebner e recentemente traduzida ao português e publicada no Brasil. O exame das suas ideias principais contextualiza a psicologia social que ele sistematiza no pensamento de Mead e no universo conceitual do pragmatismo, em especial junto às influências recebidas pelo autor de James e Dewey. Isto será acompanhado de uma discussão sobre os problemas editoriais que envolvem o volume e seu editor original, Charles W. Morris, com referência ao debate contemporâneo sobre sua legitimidade no conjunto da obra de Mead. Conclui-se que esta nova edição contribui para a adoção de uma abordagem mais alinhada à postura teórica do próprio Mead para a reflexão sobre a sua obra. Mente Brasil pragmatismo Dewey original W Morris Concluise Conclui se

Abstract This review critically appraises the newest edition of George Herbert Mead’s classic Mind, Self, and Society, edited by Hans Joas and Daniel Huebner and recently translated to Portuguese and published in Brazil. The analysis of its main ideas contextualizes the social psychology the book systematizes in Mead’s thought and in the conceptual universe of pragmatism, with special reference to the influence Mead received from James and Dewey. This is followed by a discussion on the editorial problems surrounding the volume and its original editor, Charles W. Morris, and reference is made to the contemporary debate on the book’s legitimacy within Mead’s body of work. It is concluded that this newest edition contributes for the adoption of an approach more aligned to Mead’s theoretical standpoint in order to reflect on his own production. Meads s Mind Self Society Brazil pragmatism Dewey editor W Morris books work production

https://doi.org/10.1590/18070337-126344

Contributions to the future of metaheuristics in the contours of scientific development
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Sampaio, Nilo Antonio de Souza

; Reis, José Salvador da Motta

; Espuny, Maximilian

; Cardoso, Ronald Paland

; Gomes, Fabricio Maciel

; Pereira, Felix Monteiro

; Ferreira, Luís César

; Barbosa, Motta

; Santos, Gilberto

; Silva, Messias Borges

Gestão & Produção

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2022, Volume 29 elocation e099

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

Resumo Os algoritmos meta-heurísticos resolvem problemas de optimização identificando a melhor combinação entre um conjunto de variáveis para melhorar uma função. Dentro da meta-heurística, o principal objetivo deste trabalho é mostrar o desenvolvimento de questões de investigação sobre processos relacionados com a optimização e a meta-heurística, com enfoque na projeção das questões com maior possibilidade de desenvolvimento. Os processos de optimização são um dos campos mais estudados em inteligência artificial, optimização, logística e outras aplicações As principais contribuições deste trabalho foram a identificação das principais questões contidas nos temas de optimização e meta-heurística de processos; uma análise da expansão e retração do referido tema; uma compreensão da convergência e divergência; e uma análise das fases de desenvolvimento tal como apresentadas nas lacunas dos cinquenta artigos mais frequentemente mencionados. O principal achado deste trabalho foi analisar o desenvolvimento de tópicos de investigação sobre processos de optimização e meta-heurística, concentrando-se na projeção dos tópicos mais susceptíveis de se desenvolverem.

Abstract Metaheuristic algorithms solve optimisation problems by identifying the best combination among a set of variables to enhance a function. Within metaheuristics, the main purpose of this work is that of showing the development of research issues about processes related to optimisation and metaheuristics, with a focus on the projection of those issues with greater possibility of development. Optimization processes is one of the most studied fields in artificial intelligence, optimization, logistics, and other applications The main contributions of this work were the identification of the main issues contained in the themes of process optimization and metaheuristics; an analysis of the expansion and retraction of the aforementioned theme; an understanding of convergence and divergence; and an analysis of the stages of development as presented in the gaps of the fifty most commonly mentioned articles. The main finding was to analyze the development of research topics on optimization processes and metaheuristics, focusing on projecting the topics most likely to develop.

https://doi.org/10.1590/1806-9649-2022v29e099

Epidemiological characterization of notified human brucellosis cases in Southern Brazil
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Bernardi, Fabricio

; Possa, Marina Gabriela

; Rossi, Camila Elizandra

; Benevenuto, Luíz Guilherme Dercore

; Nascif Junior, Iucif Abrão

; Jesus, Jacqueline de

; Oliveira, Barbara Cardoso de

; Zanelatto, Carla

; Sena, Joice Gama

; Fonseca-Alves, Carlos Eduardo

; Elias, Fabiana

Revista do Instituto de Medicina Tropical de São Paulo

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2022, Volume 64 elocation e38

Resumo: En | Texto: En | PDF: En

ABSTRACT Brucellosis is one of the most important and widespread bacterial zoonotic diseases worldwide, and it is transmitted to humans from various sources, including direct contact with infected animals and the ingestion of contaminated products, including unpasteurized milk. There are only a few epidemiological studies on said disease in humans in Western Santa Catarina, a region instantiated by agriculture. Thus, the objective of this study was to characterize the epidemiological aspects of human brucellosis reported in Western Santa Catarina from 2013 to 2018. The data were provided by the Epidemiological Surveillance Board (Diretoria de Vigilancia Epidemiologica). The frequency of the disease in humans and the epidemiological profile of confirmed human cases were evaluated. Cases that were screened positive and those that were confirmed and submitted to the therapeutic protocol were analyzed. During the study period, 3,671 people were tested, of which 12.34% were screened positive (453/ 3,671) and 3.40% were confirmed (125/3,671). The year with the highest number of people testing positive was 2015 (123 cases), and 2018 was the year with the highest number of confirmed cases (39 cases). Confirmed cases predominated in males (48.8%), self-declared white (22.4%), aged 20-59 years old (60%), with incomplete primary education (22.4%), of rural origin (59.2%), with occupational contact with cattle (64.8%), engaged in professions directly linked to agricultural and livestock activities (55.5%), and who reported consumption of unpasteurized dairy products (59.2%). No seasonal variation was observed in case numbers. The results demonstrated that brucellosis is an endemic disease in Western Santa Catarina.

https://doi.org/10.1590/s1678-9946202264038

Fast surveillance response reveals the introduction of a new yellow fever virus sub-lineage in 2021, in Minas Gerais, Brazil
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Andrade, Miguel Souza

; Campos, Fabrício Souza

; Oliveira, Cirilo Henrique de

; Oliveira, Ramon Silva

; Campos, Aline Alves Scarpellini

; Almeida, Marco Antônio Barreto de

; Fonseca, Vagner de Souza

; Simonini-Teixeira, Danilo

; Sevá, Anaiá da Paixão

; Temponi, Andrea Oliveira Dias

; Magalhães, Fernando Maria

; Chaves, Danielle Costa Capistrano

; Pereira, Maira Alves

; Lamounier, Ludmila Oliveira

; Menezes, Givaldo Gomes de

; Aquino-Teixeira, Sandy Micaele

; Gonçalves-dos-Santos, Maria Eduarda

; Bernal-Valle, Sofía

; Müller, Nicolas Felipe Drumm

; Cardoso, Jader da Cruz

; Santos, Edmilson dos

; Mares-Guia, Maria Angélica

; Albuquerque, George Rêgo

; Romano, Alessandro Pecego Martins

; Franco, Ana Cláudia

; Ribeiro, Bergmann Morais

; Roehe, Paulo Michel

; Abreu, Filipe Vieira Santos de

Memórias do Instituto Oswaldo Cruz

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2022, Volume 117 elocation e220127

Resumo: En | Texto: En | PDF: En

BACKGROUND In Brazil, the yellow fever virus (YFV) is maintained in a sylvatic cycle involving wild mosquitoes and non-human primates (NHPs). The virus is endemic to the Amazon region; however, waves of epidemic expansion reaching other Brazilian states sporadically occur, eventually causing spillovers to humans. OBJECTIVES To report a surveillance effort that led to the first confirmation of YFV in NHPs in the state of Minas Gerais (MG), Southeast region, in 2021. METHODS A surveillance network was created, encompassing the technology of smartphone applications and coordinated actions of several research institutions and health services to monitor and investigate NHP epizootics. FINDINGS When alerts were spread through the network, samples from NHPs were collected and YFV infection confirmed by reverse transcription-quantitative polymerase chain reaction (RT-qPCR) and genome sequencing at an interval of only 10 days. Near-complete genomes were generated using the Nanopore MinION sequencer. Phylogenetic analysis indicated that viral genomes were related to the South American genotype I, clustering with a genome detected in the Amazon region (state of Pará) in 2017, named YFVPA/MG sub-lineage. Fast YFV confirmation potentialised vaccination campaigns. MAIN CONCLUSIONS A new YFV introduction was detected in MG 6 years after the beginning of the major outbreak reported in the state (2015-2018). The YFV strain was not related to the sub-lineages previously reported in MG. No human cases have been reported, suggesting the importance of coordinated surveillance of NHPs using available technologies and supporting laboratories to ensure a quick response and implementation of contingency measures to avoid YFV spillover to humans.

https://doi.org/10.1590/0074-02760220127

CULTURA INFORMACIONAL VIRTUAL E O ENSINO DE HISTÓRIA: ENTRE A PRÁXIS E AS IDENTIDADES
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Soares, Fabrício Antônio Antunes

; Cardoso, Vanilson Viana

; Mueller, Airton Adelar

Educação & Sociedade

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2022, Volume 43 elocation e232735

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

RESUMO Na assim compreendida sociedade de conhecimento, vive-se diante de um processo de transferência da memória humana para meios eletrônicos, servidores, discos rígidos e nuvens de dados. Isso representa uma das mais notáveis modificações no ambiente da educação, sobretudo, no processo de ensino-aprendizagem da história. Diante dessa nova realidade, o artigo discute as principais diretrizes da Base Nacional Comum Curricular (BNCC), relativas ao ensino de história no ensino básico. Isso se faz com base em elementos teóricos da didática da história de Jörn Rüssen. Os resultados apontam que a BNCC, como orientação pedagógica, tem importantes limitações teóricas, identitárias e sociais, contribuindo, assim, para uma formação histórica deficitária.

ABSTRACT In the so-called knowledge society, people face a process in which memory files are stored in electronic format, servers, hard disks and cloud services. This alone represents one of the most remarkable changes in education, especially in the process of teaching and learning History. In face of this new reality, the article discusses the main guidelines of Common National Curriculum Base (BNCC; from Portuguese, Base Nacional Comum Curricular), when it comes to teaching History in elementary school. The analysis is based on Jörn Rüssen’s contributions to the theory of history teaching. Results point out that BNCC, as an educational guideline, has critical, theoretical, and social limitations, as well as limitations identity-wise, being thus partly responsible for a poor apprenticeship of History as subject.

RESUMEN En la llamada sociedad del conocimiento, nos enfrentamos a un proceso basado en la transferencia de memoria humana a medios electrónicos, servidores, discos duros y nubes de datos. Esto representa uno de los cambios más notables en el entorno educativo, especialmente en el proceso de enseñanza-aprendizaje de la disciplina de la historia. En vista de esta nueva realidad el artículo discute las principales directrices de la Base Nacional Común Curricular (BNCC), en relación a la enseñanza de la historia en la educación básica. Esto se basa en elementos teóricos de la enseñanza de la historia de Jörn Rüssen. Los resultados indican que la BNCC, como orientación pedagógica, tiene importantes limitaciones teóricas, de identidad y sociales, contribuyendo así a una formación histórica deficiente.

https://doi.org/10.1590/es.232735

PHYSICAL ACTIVITY AND SYMPTOMS OF ANXIETY AND DEPRESSION AMONG MEDICAL STUDENTS DURING A PANDEMIC
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Mendes, Tassia Barcelos

; Souza, Karla Cardoso de

; França, Carolina Nunes

; Rossi, Fabrício Eduardo

; Santos, Rafael Pereira Guimarães

; Duailibi, Kalil

; Tuleta, Izabela

; Armond, Jane de Eston

; Stubbs, Brendon

; Neves, Lucas Melo

Revista Brasileira de Medicina do Esporte

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Dez 2021, Volume 27 Nº 6 Páginas 582 - 587

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

RESUMO Introdução: A diminuição da atividade física tem sido associada à piora da saúde mental e é motivo de preocupação durante a pandemia de COVID-19. Objetivo: Comparar grupos de estudantes de medicina (EM) que praticam diferentes níveis de atividade física moderada e vigorosa (AFMV) durante a pandemia de COVID-19, com relação aos sintomas de ansiedade e depressão (BAI-BDI), qualidade do sono (PSQI), e atividade física (AF) - leve, moderada, vigorosa (AFL, AFM, AFV) e comportamento sedentário (CS). Métodos: Esta pesquisa com desenho transversal avaliou 218 EM. Os dados das características dos EM foram coletados por meio de formulários on-line: AF, CS, BAI, BDI e PSQI. Para as análises estatísticas, utilizou-se odds ratio (OR) para a presença de sintomas elevados de ansiedade e depressão e má qualidade do sono de EM e AFMV. O D de Cohen (tamanho do efeito, TE) e o intervalo de confiança (IC de 95%), teste de Mann-Whitney: baixa MVPA (mediana = 0 minuto) e alta MVPA (Mediana = 390 minutos) foram registrados. Resultados: Encontramos um pequeno TE para sintomas de depressão (TE 0,26; IC de 95%; 0,00-0,53; p = 0,029) e diferenças significativas (p < 0,05) para sintomas de ansiedade (TE 0,17; IC de 95%; 0,09-0,44; p = 0,037). Também houve tendência de significância para o comportamento sedentário nos dias de semana (TE 0,27; IC de 95%; 0,00-0,53; p = 0,051). A OR para MVPA e a presença de sintomas de ansiedade elevada foi de 0,407 (IC de 95% = 0,228-0,724). Conclusões: Os EM que praticavam maior MVPA apresentaram menos sintomas de ansiedade e depressão durante a pandemia de COVID-19. Nível de evidência III; Estudo de caso-controle.

ABSTRACT Introduction: Decreased physical activity has been associated with poorer mental health and is a cause for concern during the COVID-19 pandemic. Objective: To compare groups of medical students (MS) who practiced different levels of moderate and vigorous physical activity (MVPA) during the COVID-19 pandemic, in relation to symptoms of anxiety and depression (BAI-BDI), sleep quality (PSQI), and physical activity (PA) - light, moderate, vigorous (LPA-MPA and VPA), and sedentary behavior (SB). Methods: This research is a cross-sectional study involving 218 MS. Data on the characteristics of the MS were collected through online forms: PA, SB, BAI, BDI, and PSQI. The Cohen's D (Effect Size - ES) and confidence interval (95% CI), Mann-Whitney test: Lower MVPA (Median=0 minute) and Higher MVPA (Median=390 minutes) were recorded. For the statistical analyses, we used: the Odds ratio (OR) for the presence of symptoms of high levels of anxiety and depression and poor sleep quality in the MS and MVPA. Results: We found a small ES for symptoms of depression (ES 0.26 95% CI 0.00 0.53 p=0.029), and significant differences (p<0.05) for symptoms of anxiety (ES 0.17 95% CI −0.09 0.44 p=0.037). There was also a significant tendency for sedentary behavior on weekdays (ES 0.27 95% CI 0.00 0.53 p = 0.051). The OR for MVPA and the presence of symptoms of high levels of anxiety was 0.407 (95% CI = 0.228 to 0.724). Conclusions: the MS who practiced higher MVPA presented less symptoms of anxiety and depression during the COVID-19 pandemic. Level of evidence III; Case-control study.

RESUMEN Introducción: La disminución de la actividad física se ha asociado con un empeoramiento de la salud mental y es motivo de preocupación durante la pandemia de COVID-19. Objetivo: Comparar grupos de estudiantes de medicina (EM) con diferentes momentos de actividad física moderada y vigorosa (AFMV) durante la pandemia COVID-19, en relación a los síntomas de ansiedad y depresión (BAI-BDI), calidad de sueño (PSQI) y actividad física (AF) - comportamiento leve, moderado, vigoroso (LPA-MPA y VPA) y sedentario (SB). Métodos: Esta encuesta transversal evaluó 218 EM. Los datos se recogieron mediante formularios online sobre las características del grupo PA, SB, BAI, BDI y PSQI. D de Cohen (ES) y el intervalo de confianza (IC del 95%), prueba de Mann-Whitney: AFMV baja (mediana = 0 minutos) y AFMV (mediana = 390 minutos); En el análisis estadístico se utilizó la razón de probabilidades (OR) para la presencia de síntomas de ansiedad alta y síntomas depresivos, la mala calidad del sueño de la EM y la MVPA. Resultados: Una pequeña EE para síntomas de depresión (ES 0.26 IC 95% 0.00 0.53 p = 0.029) y diferencias significativas (p <0.05) para síntomas de ansiedad (ES 0.17 IC 95% −0, 09 0.44 p = 0.037). Se verificó tendencia de significancia para el día de la semana SB (ES 0.27 IC 95% 0.00 0.53 p = 0.051). Se verificó la OR para AFMV y la presencia de síntomas de alta ansiedad de 0,407 (IC del 95% = 0,228 a 0,724). Conclusiones: La EM con un AFMV más alto tiene menos síntomas de ansiedad y síntomas de depresión durante la pandemia de COVID-19. Nivel de evidencia III; Estudio de casos y controles.

https://doi.org/10.1590/1517-8692202127062021_0059 1 downloads

10.

FROM GARRINCHA’S LEGS TO NEYMAR’S LEGS: THE GENU VARUM AND VALGUM IN SOCCER. HISTORICAL OVERVIEW AND UPDATE
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CARDOSO, FABRÍCIO LUZ

; SENEME, ENRICO DE LOSSO

; SILVA, MARCOS VINÍCIUS MURIANO DA

; LARAYA, MARCOS HENRIQUE FERREIRA

; GALBIATTI, JOSÉ ANTONIO

; YANASSE, RICARDO HIDEKI

Acta Ortopédica Brasileira

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Out 2021, Volume 29 Nº 5 Páginas 277 - 282

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

RESUMO A presença de anormalidades no alinhamento dos joelhos (geno varo e geno valgo) é extremamente comum no futebol. Seu aparecimento pode ocorrer quando os jogadores estão nas categorias de base e se perpetuar durante a carreira profissional. As consequências de anos de prática esportiva em alto nível em jogadores com geno varo/geno valgo podem ser deletérias aos joelhos. A partir da observação de jogos de futebol do presente e do passado, os autores do artigo notaram que grandes nomes brasileiros deste esporte foram ou são acometidos pelo desalinhamento dos joelhos: Garrincha - o mais famoso -, Leandro, Dunga, Romário, Rivaldo e Neymar. O presente estudo tem como objetivo discutir a relação entre o esporte de alto rendimento e o desenvolvimento dessas deformidades ortopédicas, servindo como ferramenta de atualização da subespecialidade traumato-ortopédica do joelho. Nível III de Evidência, Estudo Retrospectivo Comparativo.

ABSTRACT The presence of abnormalities in knee alignment (genu varum and genu valgum) is extremely common in soccer. It can occur in the junior league / youth academy and perpetuate itself throughout the professional career. The consequences of years of high-level sports practice in players with genu varum / genu valgum can be harmful to the knees. By observing football matches of the present and the past, the authors of the article noted that great Brazilian soccer players were, or are, affected by the malalignment of the knees: Garrincha (the most famous), Leandro, Dunga, Romário, Rivaldo and Neymar. This study aims to discuss the relationship between high-performance sport and the development of these orthopedic deformities, serving as a tool for updating the trauma-orthopedic knee subspecialty. Level of Evidence III, Retrospective comparative study.

https://doi.org/10.1590/1413-785220212905242471 233 downloads

11.

Endurance and high-intensity interval training improve the levels of anxiety and quality of life in overweight men
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Sousa, Ricardo Augusto Leoni De

; Lima, Neumir Sales de

; Amorim, Fabiano Trigueiro

; Gripp, Fernando

; Magalhães, Caíque Olegário Diniz e

; Pinto, Samuel Henrique

; Dias-Peixoto, Marco Fabrício

; Monteiro-Junior, Renato Sobral

; Bourbeau, Kelsey

; Cassilhas, Ricardo Cardoso

Revista da Associação Médica Brasileira

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Ago 2021, Volume 67 Nº 8 Páginas 1177 - 1181

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SUMMARY OBJECTIVE Body mass index (BMI) values of 25 kg/m2 or more have been associated with poor cognitive outcomes, reduced health-related quality of life (HRQoL), and mental health disorders. Participating in regular exercise may improve these negative outcomes. However, the optimal exercise prescription remains to be clarified. The purpose of the present study is to compare the effects of moderate-intensity continuous training (MICT) and high-intensity interval training (HIIT) on HRQoL, depression, and anxiety levels in middle-aged overweight men. METHODS Twenty-five sedentary, overweight men participated in the 8-week training intervention. Subjects were randomized into MICT or HIIT and performed exercise sessions three times per week for 8 weeks. Participants answered the Physical Activity Readiness Questionnaire, the Short Form-36 survey, the Beck Depression Inventory-II, and the Beck Anxiety Inventory. Statistical analysis was carried out using the GraphPad Prism 7.0, and the level of significance was set at 5% to quantitative variables. RESULTS HRQoL scores were enhanced to all domains of both the groups. MICT and HIIT did not significantly change the depression levels in middle-aged overweight men (p>0.05). Nevertheless, MICT was capable to reduce the anxiety levels in middle-aged overweight men (p<0.05). However, there was not a significant change in the anxiety levels at the HIIT group. CONCLUSIONS HIIT may be a useful treatment to improve the HRQoL, but MICT alone can positively impact the anxiety levels in middle-aged overweight men.

https://doi.org/10.1590/1806-9282.20210608 112 downloads

12.

Avaliação na Aprendizagem Baseada em Problemas (ABP): Reflexões acerca do processo
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Cardoso, Fabrício Luz

; Franco da Rocha Tonhom, Sílvia

; Galbiatti, José Antonio

; Chirelli, Mara Quaglio

New Trends in Qualitative Research

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Jun 2021, Volume 8 Páginas 211 - 217

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

Resumo: Introdução: A Aprendizagem Baseada em Problemas (ABP) ou Problem based learning (PBL) é um método ativo, entre outros, utilizado por instituições de ensino superior e a avaliação é um aspecto fundamental do processo de ensino-aprendizagem. Considerando o tempo de desenvolvimento de métodos ativos, identificou-se a necessidade de realizar uma investigação em uma faculdade do interior paulista/Brasil, com o objetivo de analisar como está sendo desenvolvido o processo de avaliação, no cenário de tutorial dessa instituição. Método: fundamentou-se de acordo com a metodologia de pesquisa qualitativa em saúde com a realização de entrevistas com trinta estudantes da 1° a 4° série de medicina e 1° e 2° séries de enfermagem da referida instituição, no ano de 2018 e com dezoito tutores com no mínimo dois anos de experiência. Utilizou-se um instrumento com uma parte de identificação e outra com questões norteadoras. A análise dos dados foi facilitada pelo uso do software de análise qualitativa webQDA® e orientada pela análise de conteúdo temática. Resultados: Após o processamento da análise, identificou-se alguns temas, cujo aspectos referente a Avaliação será explorado neste artigo: compreensões acerca das avaliações durante o processo tutorial; critérios de avaliação e dificuldade em avaliar o desempenho de estudantes e professores. Conclusão: A abordagem qualitativa possibilitou analisar o que estudantes e docentes da instituição pesquisada pensam a respeito da estrutura da avaliação no PBL e permitiu a observação das experiências de outras instituições de ensino superior ao redor do mundo.

Abstract: Introduction: Problem Based Learning (PBL) or Problem based learning (PBL) is an active method, among others, used by higher education institutions and assessment is a fundamental aspect of the teaching-learning process. Considering the time of development of active methods, the need to carry out an investigation in a college in the interior of São Paulo / Brazil was identified, with the aim of analyzing how the evaluation process is being developed, in the tutorial scenario of that institution. Method: it was based on the qualitative research methodology in health with interviews with thirty students from the 1st to the 4th series of medicine and the 1st and 2nd series of nursing from that institution, in the year 2018 and with eighteen tutors with at least two years of experience. An instrument with an identification part and another with guiding questions was used. Data analysis was facilitated by the use of qualitative analysis software webQDA® and guided by thematic content analysis. Results: After processing the analysis, some themes were identified, whose aspects regarding the Evaluation will be explored in this article: understandings about the evaluations during the tutorial process; evaluation criteria and difficulty in evaluating the performance of students and teachers. Conclusion: The qualitative approach made it possible to analyze what students and professors of the researched institution think about the structure of the evaluation in the PBL and allowed the observation of the experiences of other institutions of higher education around the world.

https://doi.org/10.36367/ntqr.8.2021.211-217 21 downloads

13.

Answer to the Letter to the Editor Regarding the Article "Obstetric Paralysis: Who is to Blame? A Systematic Literature Review"
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Galbiatti, José Antonio

; Cardoso, Fabrício Luz

; Galbiatti, Marília Gabriela Palacio

Revista Brasileira de Ortopedia

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Mai 2021, Volume 56 Nº 3 Páginas 405 - 406

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

https://doi.org/10.1055/s-0040-1722592 1 downloads

14.

Perfil Aterosclerótico da Artéria Carótida como Preditor de Risco para Reestenose após Implante de Stent Coronário
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Rodrigues, Cássia da Silva Antico

; Bazan, Rodrigo

; Reis, Fabrício Moreira

; Silveira, Caroline F. S. Mazeto Pupo da

; Hueb, Lívia Maria Severino

; Carvalho, Fábio Cardoso de

; Nunes, Hélio Rubens de Carvalho

; Okoshi, Katashi

; Hueb, João Carlos

; Bazan, Silméia Garcia Zanati

Arquivos Brasileiros de Cardiologia

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Abr 2021, Volume 116 Nº 4 Páginas 727 - 733

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

Resumo Fundamento: A incidência de reestenose da artéria coronária após o implante de um stent não farmacológico é mais baixa que na angioplastia com balão; no entanto, ainda apresenta altas taxas. Objetivo: O objetivo deste estudo foi identificar novos indicadores de risco para reestenose de stent usando ultrassonografia das carótidas que, em conjunto com indicadores já existentes, ajudariam na escolha do stent. Métodos: Realizamos um estudo prospectivo transversal incluindo 121 pacientes consecutivos com doença arterial coronariana que foram submetidos à intervenção coronária percutânea com angiografia nos 12 meses anteriores. Após os casos de reestenose de stent serem identificados, os pacientes foram submetidos à ultrassonografia de carótidas para avaliar a espessura da camada íntima média e placas ateroscleróticas. Os dados foram analisados por regressão múltipla de Cox. O nível de significância foi p<0,05. Resultados: A idade mediana dos pacientes foi de 60 anos (1º quartil = 55, 3º quartil = 68), e 64,5% dos pacientes eram do sexo masculino. A angiografia coronária mostrou que 57 pacientes (47,1%) apresentaram reestenose de stent. Cinquenta e cinco pacientes (45,5%) apresentaram placas ateroscleróticas ecolucentes nas artérias carótidas e 54,5% apresentaram placas ecogênicas ou nenhuma placa. Dos pacientes que apresentaram placas ecolucentes, 90,9% apresentaram reestenose do stent coronário, e daqueles com placas ecogênicas ou nenhuma placa, 10,6% apresentaram reestenose de stent. A presença de placas ecolucentes nas artérias carótidas aumentou o risco de reestenose de stent coronário em 8,21 vezes (RR=8,21;IC95%: 3,58-18,82; p<0,001). Conclusões: A presença de placas ateroscleróticas ecolucentes na artéria carótida constitui um preditor de risco de reestenose de stent coronário e deve ser considerada na escolha do tipo de stenta ser usado na angioplastia coronária.

Abstract Background: The incidence of restenosis of the coronary artery after a bare-metal stent implant has been lower than in simple balloon angioplasty; however, it still shows relatively high rates. Objective: The aim of this study was to find new risk indicators for in-stent restenosis using carotid ultrasonography, that, in addition to the already existing indicators, would help in decision-making for stent selection. Methods: We carried out a cross-sectional prospective study including 121 consecutive patients with chronic coronary artery disease who had undergone percutaneous coronary intervention with repeat angiography in the previous 12 months. After all cases of in-stent restenosis were identified, patients underwent carotid ultrasonography to evaluate carotid intima-media thickness and atherosclerosis plaques. The data were analyzed by Cox multiple regression. The significance level was set a p<0.05. Results: Median age of patients was 60 years (1st quartile = 55, 3rd quartile = 68), and 64.5% of patients were male. Coronary angiography showed that 57 patients (47.1%) presented in-stent restenosis. Fifty-five patients (45.5%) had echolucent atherosclerotic plaques in carotid arteries and 54.5% had echogenic plaques or no plaques. Of patients with who had echolucent plaques, 90.9% presented coronary in-stent restenosis. Of those who had echogenic plaques or no plaques, 10.6% presented in-stent restenosis. The presence of echolucent plaques in carotid arteries increased the risk of coronary in-stent restenosis by 8.21 times (RR=8.21; 95%CI: 3.58-18.82; p<0.001). Conclusions: The presence of echolucent atherosclerotic plaques in carotid artery constitutes a risk predictor of coronary instent restenosis and should be considered in the selection of the type of stent to be used in coronary angioplasty.

https://doi.org/10.36660/abc.20190650 275 downloads

15.

Phantom sensation and quality of life among patients with lower-limb amputations in the region of Juiz de Fora, Minas Gerais: a cross-sectional study
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Costa, Víctor de Oliveira

; Teixeira, Fabrício Machado

; Lopes, Thais Medeiros

; Gomide, Henrique Pinto

; Clemente, Patricia Cardoso

; Moreira, Demóstenes

Dementia & Neuropsychologia

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Abr 2021, Volume 15 Nº 2 Páginas 275 - 280

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

RESUMO. A amputação é um procedimento irreversível que gera consequências sociais, psicológicas e funcionais. A dor do membro fantasma ocorre entre 50 e 80% dos amputados, apresentando implicações na qualidade de vida. Objetivo: Avaliar a sensação, dor fantasma e qualidade de vida entre pacientes amputados. Métodos: Trata-se de um estudo transversal retrospectivo realizado na região de Juiz de Fora, Minas Gerais, Brasil. Os critérios de inclusão foram possuir pelo menos uma amputação de membro inferior e ser paciente de um dos hospitais referência para região. Vinte participantes foram incluídos nas análises. O questionário da pesquisa consistiu em itens, adaptados do Groningen Questionnaire Problems After Leg Amputation, que descrevem frequência e incômodo da sensação fantasma, dor fantasma, causas e nível da amputação, e questões sobre os tratamentos além do questionário qualidade de vida WHOQOL-BREF. Resultados: A maioria dos participantes era do sexo feminino (55%) com idade média de 55,6 (DP=14,8) anos. A maior frequência de amputação foi transfemural (65%), e o principal motivo da amputação foi o diabetes mellitus (40%). Com relação ao incômodo da sensação fantasma, 29% a classificou como moderado ou severa, e 15% alegou frequência diária desse fenômeno. Quanto {a dor fantasma, apenas 6% afirmou frequência diária. A qualidade de vida média dos participantes foi de 4,1 (DP=1,1) em 5 (cinco significa muito satisfeito), de acordo com a primeira questão do WHOQOL-BREF; o domínio físico apresentou a menor média 3,4 (DP=0,7). Conclusão: A sensação e dor fantasmas foram prevalentes nos entrevistados que apresentaram menor satisfação com o domínio físico da qualidade de vida.

ABSTRACT. An amputation is an irreversible event that causes social, psychological, and functional consequences that reduces the quality of life of the amputee. Phantom pain generally is reported by 50 to 80% of amputees. Objective: To describe the pain and phantom sensation and quality of life among lower-limb amputees. Methods: This was a cross-sectional study carried out in the region of Juiz de Fora, state of Minas Gerais, Brazil. Inclusion criteria were being a patient in one of two hospitals in the region at the time of the interview and having at least one lower-limb amputation. A total of 20 amputees were included in the analysis. The interview questionnaire had items adapted from the Groningen Questionnaire Problems After Leg Amputation - describing the frequency and discomfort of phantom pain and sensation, causes and the level of the amputation, as well as the WHOQOL-BREF, for assessing quality of life. Results: Most participants were women (55%) and had a mean age of 55.6 years (SD=14.8). Femoral amputation was the most prevalent (65%), and diabetes (40%) was the main reason for amputation. 29% of amputees classified the phantom pain as moderate or severe, and 15% claimed daily frequency of this phenomenon. As for phantom pain, only 6% stated daily frequency. The mean quality of life was 4.1 (SD=1.1, five score means very satisfied), the physical domain of quality of life had the lowest mean (3.4, SD=0.7). Conclusions: Phantom sensation and pain were prevalent among lower-limb amputees who were, in general, less satisfied with their physical domain of quality of life.

https://doi.org/10.1590/1980-57642021dn15-020016 205 downloads

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