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Abstract Objective To evaluate otolith function by comparing the findings of the Subjective Visual Vertical, the cervical Vestibular Evoked Myogenic Potential and the ocular Vestibular Evoked Myogenic Potential tests in patients in the inter-crisis period of unilateral definite Meniere's disease. Methods The sample consisted of an experimental group (n = 22; 10 men and 12 women, mean age 47.32 ± 12.82 years) with definite unilateral Meniere's disease and a control group (n = 14; 5 men and 9 women, with a mean age of 41.64 ± 13.45 years). They all underwent vestibular evaluation by means of Subjective Visual Vertical with the bucket method and, cervical and ocular Vestibular Evoked Myogenic Potential tests. The data were collected and subjected to statistical analysis. Results The results of the comparison of the Subjective Visual Vertical, the cervical Vestibular Evoked Myogenic Potential, the ocular Vestibular Evoked Myogenic Potential and, the association of cervical Vestibular Evoked Myogenic Potential with the ocular Vestibular Evoked Myogenic Potential showed no significant difference, indicating concordance among the tests. Conclusion The identified abnormalities and the concordance between the combined proportion of the Subjective Visual Vertical, the cervical Vestibular Evoked Myogenic Potential and the ocular Vestibular Evoked Myogenic Potential findings indicate that the association of these three tests contributes to the identification of sustained and transient otolith dysfunction in the inter-crisis of unilateral definite Meniere’s disease. Level of evidence 2.

https://doi.org/10.1016/j.bjorl.2022.11.005

Mathematical Mapping Study of Synthetic Antioxidants Behavior in Biodiesel: Application of the Self-Organized Feature Map (SOFM) and Multilayer Perceptron (MLP)
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Clemente, Marco A. J.

; Silva, Heloisa H. P.

; Campos, Julia W.

; Silva, Nathan F.

; Sousa, Eduardo G.

; Mantovani, Ana C. G.

; Angilelli, Karina B.

; Borsato, Dionisio

Journal of the Brazilian Chemical Society

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Mai 2023, Volume 34 Nº 5 Páginas 684 - 693

Resumo: En | Texto: En | PDF: En

The objective of the present work was to apply self-organizing feature maps (SOFM) and multilayer perceptron (MLP) to evaluate the protective capacity of tert-butylhydroquinone (TBHQ), butylhydroxyanisole (BHA), and butylhydroxytoluene (BHT) antioxidants against the biodiesel oxidation reaction. For this, the antioxidant concentration and the biodiesel compliance parameters were used as continuous input variables and the type of antioxidant as a categorical. The SOFM proved to be an adequate tool for the classification of biodiesel samples containing antioxidants. The performance of the 5 most active networks of the model ranged from 89 to 99% for training, testing, and validation with an error below 1.42 × 10-4. Statistical tests applied to validate the model showed no significant difference between predicted and experimental values. The global sensitivity analysis showed that the relative protection factor (RPF) contributed with 34.89%, the antioxidant with 31.49%, the induction period with 10.69%, the water content with 6.00%, and the others all together with 16.93% in the construction of the regression models by MLP.

https://doi.org/10.21577/0103-5053.20220139

Sleep characteristics and excessive daytime sleepiness in adolescents and adults: results from the birth cohorts of three Brazilian cities — RPS Consortium
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Confortin, Susana Cararo

; Santos, Iná da Silva

; Batista, Rosângela Fernandes Lucena

; Eckeli, Alan Luiz

; Tovo-Rodrigues, Luciana

; Del-Ponte, Bianca

; Menezes, Ana Maria Baptista

; Wehrmeister, Fernando César

; Gonçalves, Helen

; Cardoso, Viviane Cunha

; Barbieri, Marco Antonio

; Bettiol, Heloisa

; Silva, Antônio Augusto Moura da

Revista Brasileira de Epidemiologia

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2023, Volume 26 elocation e230027

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

RESUMO Objetivo: Descrever a prevalência de duração do sono, latência, insônia terminal, qualidade subjetiva do sono e sonolência diurna excessiva entre participantes de coortes de nascimentos realizadas em três cidades brasileiras, bem como avaliar as diferenças nas taxas de prevalência das coortes de acordo com características sociodemográficas. Métodos: Análises transversais envolvendo participantes de quatro coortes de nascimento realizadas em Ribeirão Preto (RP78 e RP94), Pelotas (PEL93) e São Luís (SL97). A duração, a latência, a insônia terminal e a qualidade subjetiva do sono foram obtidas por meio do Índice de Qualidade do Sono de Pittsburgh; e a sonolência diurna excessiva foi avaliada pela Escala de Sonolência de Epworth. As diferenças na prevalência dos desfechos foram analisadas em cada coorte segundo características sociodemográficas estratificadas por sexo. Resultados: A duração insuficiente do sono foi o desfecho mais comum nas quatro coortes, com maior frequência entre os homens. Latência longa foi mais frequentemente relatada por mulheres adultas jovens nas coortes RP94 e PEL93, e insônia por mulheres das quatro coortes, quando comparadas a homens da mesma idade. As mulheres geralmente sofriam mais com sonolência diurna excessiva e avaliavam a qualidade do sono de forma mais negativa do que os homens. Além do sexo, ser estudante e trabalhar estiveram associados ao maior número de desfechos em ambos os sexos. Conclusão: Os distúrbios do sono são mais prevalentes em mulheres, reforçando a necessidade de maior investimento na saúde do sono no Brasil, sem desconsiderar gênero e determinantes socioeconômicos.

ABSTRACT Objective: To describe the prevalence of insufficient sleep duration, long sleep latency, terminal or maintenance insomnia, subjective sleep quality, and excessive daytime sleepiness among participants of birth cohorts conducted in three Brazilian cities, and to evaluate differences in prevalence rates within cohorts according to sociodemographic characteristics. Methods: Cross-sectional analyses involving adolescents and adults participating in four birth cohorts conducted in Ribeirão Preto (RP78 and RP94), Pelotas (PEL93) and São Luís (SL97/98). Sleep duration, latency, terminal or maintenance insomnia, and subjective sleep quality were obtained through the Pittsburgh Sleep Quality Index; and excessive daytime sleepiness was assessed using the Epworth Sleepiness Scale. Differences in the prevalence of the outcomes were analyzed in each cohort according to sociodemographic characteristics (skin color, marital status, socioeconomic status, study and working at the time of the interview) stratified by sex. Results: Insufficient sleep duration was the most common outcome at the four cohorts, with higher frequency among men. Long latency was more frequently reported by young adult women in RP94 and PEL93 cohorts, and insomnia by women of the four cohorts, when compared to men of the same age. Women generally suffered more from excessive daytime sleepiness and evaluated the quality of their sleep more negatively than men. In addition to sex, being a student and working were associated with the largest number of outcomes in both sexes. Conclusion: Sleep disorders are more prevalent in women, reinforcing the need for greater investment in sleep health in Brazil, without disregarding gender and socioeconomic determinants.

https://doi.org/10.1590/1980-549720230027

Nursing care for the Warao people: an experience report based on transcultural theory
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Lima, Ana Flávia Silva

; Santos, Cayo Emmanuel Barboza

; Alves, Nemório Rodrigues

; Lima Júnior, Mário César Ferreira

; Jorge, Jorgina Sales

; Tigre, Heloísa Wanessa Araújo

; Almeida, Ana Valéria Alves de

; Santos, Tatiane da Silva

; Costa, Laís de Miranda Crispim

Revista da Escola de Enfermagem da USP

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2023, Volume 57 elocation e20230035

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

ABSTRACT Objective: To report on the experience of nurses from the Street Clinic in caring for the Indigenous Venezuelan population of the Warao ethnic group in Maceió/AL based on Madeleine Leininger’s Transcultural Theory. Metodology: A descriptive study, of the experience report type, based on the care of the Warao Indigenous population in the light of Madeleine Leininger’s Transcultural Theory, carried out during the year 2022. Results: Light technologies were used to form bonds and understand the cultural universe of the Warao people. The concepts of preservation, accommodation and cultural restructuring of care from Leininger’s transcultural theory helped to elucidate the practice. Comprehensive care was offered in accordance with the programs recommended by the Ministry of Health, with transcultural care, including respect for refusal of care. The language barrier and health beliefs represented challenges in the context of singular care. Final considerations: The experience of nurses from the Street Clinic in caring for the Indigenous population favored significant social interaction and expanded the possibilities for achieving comprehensive health care. The application of Transcultural Theory proved to be an effective and congruent device for health care.

RESUMEN Objetivo: Referir la experiencia de enfermeros de una Unidad Sanitaria Móvil en la atención a la población indígena venezolana de la etnia Warao, en Maceió/AL, a partir de la Teoría Transcultural de Madeleine Leininger. Metodología: Se trata de un estudio descriptivo, del tipo informe de experiencia, basado en la atención a la población indígena Warao a la luz de la Teoría Transcultural de Madeleine Leininger, realizado durante el año 2022. Resultados: Se utilizaron tecnologías leves para crear vínculos y comprender el universo cultural del pueblo Warao. Los conceptos de preservación, acomodación y reestructuración cultural de los cuidados de la teoría transcultural de Leininger ayudaron a dilucidar la práctica. Se ofreció atención integral según los programas recomendados por el Ministerio de Salud, con atención transcultural y se respetó el rechazo a la atención. La barrera lingüística y las creencias sanitarias representaron desafíos en el contexto de la atención singular. Conclusión: La experiencia de los enfermeros de la Unidad Sanitaria Móvil en la atención a la población indígena favoreció mucho la interacción social y amplió las posibilidades de lograr una atención sanitaria integral. La aplicación de la Teoría Transcultural demostró ser un dispositivo eficaz y adecuado para el cuidado de la salud.

RESUMO Objetivo: Relatar a experiência de enfermeiros do Consultório na Rua no cuidado à população indígena venezuelana da etnia Warao em Maceió/AL a partir da Teoria Transcultural de Madeleine Leininger. Metodologia: Estudo descritivo, do tipo relato de experiência, a partir do cuidado da população indígena Warao à luz da Teoria Transcultural de Madeleine Leininger, realizado durante o ano de 2022. Resultados: Utilizaram-se tecnologias leves para formação de vínculo e compreensão do universo cultural do povo Warao. Os conceitos de preservação, acomodação e reestruturação cultural do cuidado da teoria Transcultural de Leininger contribuíram para elucidar a prática vivenciada. Ofertou-se uma atenção integral conforme os programas preconizados pelo Ministério da Saúde, com cuidado transcultural, inclusive com respeito à recusa de assistência. A barreira linguística e as crenças no que tange à saúde representaram desafios no contexto do cuidado singular. Conclusão: A experiência de enfermeiros do Consultório na Rua no cuidado a população indígena favoreceu uma significativa interação social e ampliou as possibilidades para o alcance da integralidade em saúde. A aplicação da Teoria Transcultural se mostrou como um dispositivo eficaz e congruente para o cuidado em saúde.

https://doi.org/10.1590/1980-220x-reeusp-2023-0035en

Evaluation of pediatric diabetes mellitus after SARS-CoV-2 infection: A long-term prospective case series
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Fink, Thais T.

; Canton, Ana P.M.

; Pereira, Maria Fernanda B.

; Bain, Vera

; Matsuo, Olívia

; Astley, Camilla

; Marques, Heloisa H.S.

; Correa-Silva, Simone

; Montenegro, Marilia M.

; Palmeira, Patricia

; Garanito, Marlene P.

; Duarte, Alberto J.S.

; Carneiro-Sampaio, Magda

; Latronico, Ana C.

; Silva, Clovis A.

Clinics

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2023, Volume 78 elocation 100299

Resumo: En | Texto: En | PDF: En

https://doi.org/10.1016/j.clinsp.2023.100299

Influence of the COVID-19 pandemic on the epidemiological profile of the initial care of victims of falls
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VON-BAHTEN, LUIZ CARLOS

; ZVICKER, ALIANA LUNARDI

; SILVA, ANGEL ADRIANY DA

; SALVIATO, BEATRIZ ZANUTTO

; TEIXEIRA, HELOÍSA MORO

; ANDO, PAULA KAORI

; BERNARDELLI, RAFAELLA STRADIOTTO

Revista do Colégio Brasileiro de Cirurgiões

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2023, Volume 50 elocation e20233422

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

ABSTRACT Objective: to assess the epidemiological profile of trauma patients from fall from the same level (FSL) and fall from an elevated level (FEL) during the COVID-19 pandemic, and to compare it with data from different levels of restriction (flags) and data prior to the pandemic. Method: a cross-sectional study with a probability sample of the medical records of patients aged 18 years or older admitted to the emergency room due to falls, from June 2020 to May 2021. Epidemiological data, such as sex, age and injuries were analyzed, as well the current level of restriction. The three restriction periods were compared between then and the proportion of admissions due to falls was compared with the period from December 2016 to February 2018. Results: a total of 296 admissions were evaluated, 69.9% were victims of FSL and 30.1% of FEL. The mean age was 57.6 years, and 45.6% were over 60 years old. Admissions among men predominated, and 40.2% of patients required hospitalization. During the red flag period, there were proportionally more injuries to the head and neck (p=0.016), injuries to extremities (p=0.015) and neurological trauma (p<0.001). An average of 6.1, 6.3 and 5.2 admissions per day was obtained during the yellow, orange and red flag, respectively. There was a relative increase in falls when compared to the pre-pandemic period. Conclusions: there was an absolute reduction in admissions of victims of falls in midst of the most restrictive period during the pandemic. However, when compared to pre-pandemic data, there was a relative increase in falls.

RESUMO Objetivo: avaliar o perfil epidemiológico do trauma por quedas de mesmo nível (QMN) e quedas de nível elevado (QNE) durante a pandemia da COVID-19, realizar a comparação dos dados entre os níveis de restrição (bandeiras) e comparar com dados prévios à pandemia. Método: estudo transversal com amostragem probabilística de prontuários de pacientes com 18 anos ou mais admitidos na sala de emergência devido a quedas de junho de 2020 a maio de 2021. Foram avaliados dados epidemiológicos, como sexo, idade e lesões resultantes, além da bandeira vigente. Os três períodos de restrição foram comparados entre si e a proporção de atendimentos por quedas foi comparada com o período de dezembro de 2016 a fevereiro de 2018. Resultados: avaliou-se 296 atendimentos, sendo 69,9% vítimas de QMN e 30,1% de QNE. A média de idade foi 57,6 anos, sendo que 45,6% apresentavam idade superior a 60 anos. Sexo masculino predominou e 40,2% dos pacientes necessitaram internamento hospitalar. Durante a bandeira vermelha proporcionalmente ocorreram mais lesões em cabeça e pescoço (p=0,016), trauma em extremidades (p=0,015) e neurológico (p<0,001). Obteve-se uma média de 6,1, 6,3 e 5,2 atendimentos/dia durante a bandeira amarela, laranja e vermelha respectivamente. Ocorreu um aumento significativo da ocorrência de quedas quando comparado ao período prévio à pandemia. Conclusões: durante o período pandêmico, verificou-se uma redução absoluta de atendimentos de vítimas de quedas na bandeira mais restritiva. Porém, quando comparado ao período pré-pandêmico, verifica-se um aumento significativo das quedas.

https://doi.org/10.1590/0100-6991e-20233422-en

Effects of microencapsulated carvacrol and cinnamaldehyde on feed digestibility, intestinal mucosa, and biochemical and antioxidant parameters in broilers
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Facchi, Caroline Schmidt

; Valentini, Fernanda Danieli Antoniazzi

; Pagnussatt, Heloísa

; Leite, Felipe

; Santo, Alicia Dal

; Aniecevski, Edemar

; Rossato, Gabriel

; Zaccaron, Gustavo

; Alba, Davi Fernando

; Milarch, Carine de Freitas

; Petrolli, Rafaella Rossetto

; Galli, Gabriela Miotto

; Silva, Aleksandro Schafer Da

; Tavernari, Fernando de Castro

; Petrolli, Tiago Goulart

Revista Brasileira de Zootecnia

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2023, Volume 52 elocation e20220079

Resumo: En | Texto: En | PDF: En

ABSTRACT The objective of this study was to evaluate the effects of different levels of microencapsulated carvacrol and cinnamaldehyde on metabolizable energy, feed digestibility, intestinal morphometric analysis, and antioxidant parameters in broilers. A completely randomized design with five treatments and eight replications of eight broilers (Cobb male) was used, and collections were carried out at 20 and 42 days of age. Carvacrol and cinnamaldehyde concentrations (mg/kg) were: 0 (control), 50, 100, 150, and 200. Carvacrol and cinnamaldehyde improved apparent metabolizable energy but did not change protein and ether extract digestibility. Supplementation increased intestinal villus height and villi:crypt ratio; in which 100 mg/kg produced the greatest villus height. Serum uric acid levels were lower in birds receiving supplementation. Improvement in the activity of glutathione peroxidase and glutathione-S-transferase was observed, while lower uric acid, thiobarbituric acid reactive substances, and reactive oxygen species levels were observed. Microencapsulated carvacrol and cinnamaldehyde improve apparent metabolizable energy and can be administered in broiler feed without risk to the bird’s health. These supplements may serve as alternative products to aid the performance of commercial poultry.

https://doi.org/10.37496/rbz5220220079

Analysis of primary care of victims of interpersonal and self inflicted violence during the COVID-19 pandemic
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TEIXEIRA, HELOÍSA MORO

; DA-SILVA, ANGEL ADRIANY

; DA-ROCHA, ANNE KAROLINE CARDOZO

; VALDERRAMA, MARIANA ROTHERMEL

; BERNARDELLI, RAFAELLA STRADIOTTO

; SILVA, VITÓRIA WISNIEVSKI MARUCCO

; BAHTEN, LUIZ CARLOS VON

Revista do Colégio Brasileiro de Cirurgiões

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2023, Volume 50 elocation e20233423

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

ABSTRACT Objectives: to analyze the epidemiological profile of aggression victims admitted at the emergency room on a trauma hospital during the COVID-19 pandemic, to compare these data in different restriction periods and with prepandemic data from the same service. Methods: cross-sectional study with probabilistic sampling using medical records of patients who were victims of aggression admitted at the hospital between June 2020 and May 2021. In addition to the epidemiological variables, other variables collected were the current restriction level, mechanism of aggression, resulting injuries and the Revised Trauma Score (RTS). The data was compared between the three restriction levels and the proportion of attendances during the study period was compared with the pre-pandemic study (December 2016 to February 2018). Results: the average age was 35.5 years, 86.1% of the patients were male and 61.6% of the attendances were due to blunt injury. The highest average of attendances per day occurred during the “yellow” restriction level (2.9), however there was no significant difference when comparing the restriction periods two by two. There was also no significant difference either in the analysis of the standardized residuals of the proportions of aggressions or the mechanism of aggression in the pre-pandemic and pandemic periods. Conclusions: there was a predominance of attendances due to blunt trauma and in young male patients. There was no significant difference between the average daily attendance for aggression during the three restriction levels and between the proportion of attendances in the pre-pandemic and pandemic period.

RESUMO Objetivo: analisar o perfil epidemiológico dos pacientes vítimas de agressão admitidos na sala de emergência de um hospital de trauma durante a pandemia da COVID-19, comparar tais dados entre os diferentes períodos de restrição e com os dados de um estudo pré-pandêmico do mesmo hospital. Métodos: estudo transversal com amostragem probabilística utilizando prontuários de pacientes vítimas de agressão admitidos no referido hospital entre junho de 2020 e maio de 2021. Além das variáveis epidemiológicas, coletou-se o nível de restrição vigente, o mecanismo de agressão, as lesões resultantes e o Revised Trauma Score (RTS). Os dados foram comparados entre os três níveis e a proporção de atendimentos no período do estudo foi comparada com a do estudo pré-pandêmico (dezembro de 2016 a fevereiro de 2018). Resultados: a média etária foi de 35,5 anos, 86,1% dos pacientes eram do sexo masculino. e 61,6% dos atendimentos corresponderam a agressão física por ferimento contuso. A maior média de atendimentos por dia ocorreu durante o nível amarelo (2,9), contudo não houve diferença significativa nos atendimentos quando comparados os períodos de restrição dois a dois. Também não houve diferença significativa tanto na análise dos resíduos padronizados das proporções de agressões quanto em cada mecanismo de agressão nos períodos pré-pandêmico e pandêmico. Conclusões: houve predominância de atendimentos por agressão por trauma contuso e em pacientes jovens do sexo masculino. Não houve diferença significativa entre a média diária de atendimentos por agressão durante os três níveis de restrição implementados e entre a proporção de atendimentos do período pré-pandemico e pandêmico.

https://doi.org/10.1590/0100-6991e-20233423-en

10.

Controle postural na doença de Menière
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Silva, Adriana Marques da

; Ferreira, Maristela Mian

; Cesaroni, Suelen

; Grigol, Thais Alvares de Abreu e Silva

; Ganança, Maurício Malavasi

; Caovilla, Heloisa Helena

Audiology - Communication Research

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2023, Volume 28 elocation e2575

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

ABSTRACT Purpose To evaluate postural control in Menière’s disease. Methods 34 patients with Menière’s disease (experimental group) and 34 healthy individuals (control group) were submitted to Tetrax Interactive Balance System posturography under eight sensory conditions. Stability, weight distribution, synchronization, risk of falling and postural oscillation frequency were analyzed. Results Stability index was higher in the experimental group with significant difference between the groups in all sensory conditions. Risk of falling was higher in the experimental group than in the control. Postural oscillation was higher in the experimental group in all frequency ranges, with significant difference in some of them. There was no significant difference between the groups in the weight distribution and synchronization indexes. Conclusion In this study, Menière’s disease patients presented impaired postural control, characterized by postural instability and oscillation and risk of falling.

RESUMO Objetivo Avaliar o controle postural na doença de Menière. Métodos 34 pacientes com doença de Menière definida (grupo experimental) e 34 indivíduos hígidos (grupo controle), homogêneos quanto à idade e ao gênero, foram submetidos à posturografia do Tetrax Interactive Balance System (Tetrax IBS TM) em oito condições sensoriais. Índice de estabilidade, índice de distribuição de peso, índice de sincronização da oscilação postural direita/esquerda e dedos/calcanhar, frequência de oscilação postural e índice de risco de queda foram analisados. Resultados O índice de estabilidade foi maior no grupo experimental, com diferença significativa entre os grupos, em todas as condições sensoriais testadas. O risco de queda foi maior no grupo experimental do que no grupo controle. A oscilação postural foi maior no grupo experimental em todas as faixas de frequência, com diferença significativa em algumas delas. Não houve diferença significativa entre os grupos nos índices de distribuição de peso e de sincronização, nas oito condições sensoriais avaliadas. Conclusão Pacientes com doença de Menière apresentam comprometimento do controle postural, caracterizado por alterações do índice de estabilidade, em frequências de oscilação postural e no índice de risco de queda.

https://doi.org/10.1590/2317-6431-2021-2575pt

11.

Simulation of the diffusion process of NaCl and KCl in olive pulp using the finite element method
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Clemente, Marco A. J.

; Silva, Heloisa H. P.

; Silva, Nathan F.

; Campos, Julia W.

; Sousa, Eduardo G. de

; Silva, Hágata C.

; Mantovani, Ana C. G.

; Angilelli, Karina B.

; Borsato, Dionisio

Química Nova

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2023, Volume 46 Nº 3 Páginas 229 - 235

Resumo: En | Texto: En | PDF: En

The simultaneous diffusion of inorganic components in the olive pulp in wet brine was modeled based on Fick’s generalized 2nd Law and simulated using the finite element method. The main and crossed diffusion coefficients, the film coefficient and the Biot number were determined, with the application of the simplex optimization method, through the minimization of the percentage errors. The errors between the simulated and experimental data were 5.35% for NaCl and 4.77% for KCl and the adjusted main diffusion coefficients were 0.4358 × 10-12 m2 s-1 for NaCl and 0.5408 × 10-12 m2 s-1 for KCl. The system developed to simulate diffusion allows the control and modulation of the salts content that diffuses through the olive pulp.

https://doi.org/10.21577/0100-4042.20230005

12.

Sleep characteristics and excessive daytime sleepiness in adolescents and adults: results from the birth cohorts of three Brazilian cities — RPS Consortium
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Confortin, Susana Cararo

; Santos, Iná da Silva

; Batista, Rosângela Fernandes Lucena

; Eckeli, Alan Luiz

; Tovo-Rodrigues, Luciana

; Del-Ponte, Bianca

; Menezes, Ana Maria Baptista

; Wehrmeister, Fernando César

; Gonçalves, Helen

; Cardoso, Viviane Cunha

; Barbieri, Marco Antonio

; Bettiol, Heloisa

; Silva, Antônio Augusto Moura da

Revista Brasileira de Epidemiologia

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2023, Volume 26 elocation e230027

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

https://doi.org/10.1590/1980-549720230027

13.

Carbohydrase inclusion in a corn-soybean diet improves broiler growth performance
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Simões, Flávio Eduardo de Souza

; Mello, Heloisa Helena de Carvalho

; Stringhini, José Henrique

; Leandro, Nadja Susana Mogyca

; Mascarenhas, Alessandra Gimenez

; Martins, Julyana Machado da Silva

; Café, Marcos Barcellos

Acta Scientiarum. Animal Sciences

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2023, Volume 45 elocation e58738

Resumo: En | Texto: En | PDF: En

ABSTRACT. An experiment was conducted to evaluate the effect of diets with reduced energy level content, supplemented with carbohydrase, on broiler performance and the coefficient of metabolizability of nutrients. A total of 720 one-day-old male Cobb-500 chicks were distributed in a completely randomized design, with six treatments, eight repetitions of 15 birds each. The treatments were: (1) a positive control, basal diet to meet the requirements of broiler chickens (PC); (2) a negative control, basal diet with a reduction of 80 kcal kg-1 (NC); (3) NC + alphagalactosydase; (4) NC + xylanase; (5) NC + xylanase and alphagalactosydase, and (6) NC + enzymatic blend (alphagalactosydase, xylanase, pectinase and amylase). The nutrient digestibility was not improved by use of enzymes. At 7 days of age, the broilers which were fed diets supplemented with enzymes showed a lower feed intake (FI) and better feed conversion ratio (FCR) than the broilers fed on PC. Both the NC and enzymatic blend resulted in a worse performance of the broilers at 21, 35 and 42 days old. The use of alphagalactosydase and xylanase, isolated or in combination, in a corn-soybean meal-based diet is effective in improving the growth performance of broilers fed energy-reduced diets.

https://doi.org/10.4025/actascianimsci.v45i1.58738

14.

Major discrepancy between clinical diagnosis of death and anatomopathological findings in adolescents with chronic diseases during 18-years
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Ribeiro, Maira P.

; Duarte Neto, Amaro N.

; Dolhnikoff, Marisa

; Lindoso, Livia

; Lourenco, Benito

; Marques, Heloisa H.

; Pereira, Maria F.B.

; Cristofani, Lilian M.

; Odone Filho, Vicente

; Campos, Lucia M.A.

; Sallum, Adriana M.E.

; Carneiro-Sampaio, Magda

; Delgado, Artur F.

; Carvalho, Werther B.

; Mauad, Thais

; Silva, Clovis A.

Clinics

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2023, Volume 78 elocation 100184

Resumo: En | Texto: En | PDF: En

Abstract Objectives: To evaluate the inconsistency between clinical diagnosis of death and autopsy findings in adolescents with chronic diseases. Methods: A cross-sectional study including a sample of adolescents’ autopsies who died in a pediatric and adolescent tertiary hospital over 18 consecutive years. During this period, there were n = 2912 deaths, and n = 581/2912(20%) occurred in adolescents. Of these, n = 85/581(15%) underwent autopsies and were analyzed. Further results were divided into two groups: Goldman classes I or II (high disagreement between main clinical diagnosis of death and anatomopathological findings, n = 26) and Goldman classes III, IV or V (low or no disagreement between these two parameters, n = 59). Results: Median age at death (13.5 [10‒19] vs. 13 [10‒19] years, p = 0.495) and disease duration (22 [0‒164] vs. 20 [0‒200] months, p = 0.931), and frequencies for males (58% vs. 44%, p = 0.247) were similar between class I/II vs. class III/IV/V. The frequency of pneumonia (73% vs. 48%, p = 0.029), pulmonary abscess (12% vs. 0%, p = 0.026), as well as isolation of yeast (27% vs. 5%, p = 0.008), and virus (15% vs. 2%, p = 0.029) identified in the autopsy, were significantly higher in adolescents with Goldman class I/II compared to those with Goldman class III/IV/V. In contrast, cerebral edema was significantly lower in adolescents of the first group (4% vs. 25%, p = 0.018). Conclusion: This study showed that 30% of the adolescents with chronic diseases had major discrepancies between clinical diagnosis of death and autopsy findings. Pneumonia, pulmonary abscess, as well as isolation of yeast and virus were more frequently identified at autopsy findings in the groups with major discrepancies.

https://doi.org/10.1016/j.clinsp.2023.100184

15.

Factors associated with death from dengue and chikungunya virus infection during an epidemic period in Northeast Brazil: A retrospective cohort study
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Mendonça, Marcela Franklin Salvador de

; Silva, Amanda Priscila de Santana Cabral

; Lacerda, Heloísa Ramos

Revista da Sociedade Brasileira de Medicina Tropical

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2023, Volume 56 elocation e0030-2023

Resumo: En | Texto: En | PDF: En

ABSTRACT Background: We investigated the time to death and factors associated with deaths from dengue and chikungunya during the first epidemic after the introduction of the chikungunya virus in Northeastern Brazil. Methods: This retrospective cohort study was conducted in Pernambuco between 2015 and 2018. Logistic regression was used to identify independent risk factors. The probability of survival among individuals with different arbovirus infections was estimated and the survival curves were compared using log-rank tests. Results: The lethality coefficients for dengue and chikungunya viruses were 0.08% and 0.35%, respectively. The chance of death due to chikungunya infection increased progressively from the age of 40 years. At 40-49 years, the odds ratio was 13.83 (95%CI, 1.80-106.41). At 50-59 years and 60 years or older, the odds ratio was 27.63 (95%CI, 3.70-206.48); and 78.72 (95%CI, 10.93-566.90), respectively. The probability of death associated with dengue virus infection increased from the age of 50 years. Among patients aged 50-59 years and 60 years or older, the odds ratio was 4.30 (95%CI, 1.80-10.30) and 8.97 (95%CI, 4.00-20.0), respectively. Independent factors associated death were headache and age of 50 years or older for dengue; and headache, nausea, back pain, intense arthralgia, age 0-9 years or 40 years and older, and male sex for chikungunya. The ratio between mortality rates revealed that the time to death from dengue was 2.1 times faster than that from chikungunya (95%CI, 1.57-2.72). Conclusions: The time to death was shorter in patients with dengue than in those with chikungunya disease. This study reinforces the need for faster and more effective decision-making in public health services to enhance patient outcomes and minimize mortality.

https://doi.org/10.1590/0037-8682-0030-2023

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