Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 152
Filtrar
1.
Ecol Evol ; 14(2): e10838, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38322004

RESUMO

We report the first record of the microlepidopteran Plodia interpunctella beyond the South Shetland Islands at the Chilean Yelcho scientific station (64°52'33.1428″ S; 63°35'1.9572″ W), Doumer Island, close to the west coast of the Antarctic Peninsula. It is notable that P. interpunctella, a globally distributed stored product pest species, exhibits a remarkable capacity for prolonged viability within food storage facilities. The dual challenges of food transportation and storage in the context of Antarctica's challenging operational conditions may have facilitated P. interpunctella's initial arrival to the Antarctic region. Non-perishable food items, such as grains, flour and rice, provide practical options for the bulk food transportation and storage required in the long-term operation of Antarctic research stations. The presence of P. interpunctella in Antarctica, even if restricted to synanthropic environments within buildings, is a clear threat to Antarctic biodiversity, not only through being an invasive species itself but also as a potential vector for other non-native species (bacteria, acari, between others.), which could carry diseases to the native species.

2.
Clin Drug Investig ; 43(9): 669-680, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37665501

RESUMO

BACKGROUND AND OBJECTIVE: Migraine is a neurological disorder characterized by episodes of moderate-to-severe headache. The emergence of drugs derived from monoclonal antibodies specific for the calcitonin gene has brought forth a therapeutic option for patients in whom the traditional treatments have failed. This study aimed to evaluate the clinical effectiveness of calcitonin gene-related peptide antibodies in the prevention of migraine through a systematic review and meta-analysis of observational cohort studies. METHODS: A literature search for evidence was performed in electronic databases for observational studies that evaluated adult patients with migraine receiving calcitonin gene-related peptide receptor antagonists (e.g. erenumab, fremanezumab, galcanezumab and eptinezumab) and reported effectiveness outcomes (mean reduction in monthly migraine/headache days, and proportion of patients with 50% or greater reduction in migraine/headache days). RESULTS: During the screening process, 47 records were included for data extraction and qualitative and quantitative analyses. The overall rate of patients with a reduction of at least 50% of mean monthly migraine days was 54% (95% CI 49-59%), and overall mean monthly migraine reduction was about 7.7 days (95% CI 8.4-7.0 days). Regarding the outcome ≥ 50% reduction in mean monthly headache reduction, the overall rate of patients with a reduction of at least 50% was 57% (95% CI 48-64%), and the overall mean monthly headache reduction was approximately 8.8 days (95% CI 10.1-7.5 days). Subgroup analyses considering the drug treatment used and type of migraine were consistent with previous results. CONCLUSIONS: The use of calcitonin gene-related peptide antibodies in real-world studies to prevent migraine demonstrates promising effectiveness outcomes, in agreement with those reported in previously published randomized clinical trial reports.


Assuntos
Calcitonina , Transtornos de Enxaqueca , Adulto , Humanos , Peptídeo Relacionado com Gene de Calcitonina , Transtornos de Enxaqueca/tratamento farmacológico , Transtornos de Enxaqueca/prevenção & controle , Anticorpos Monoclonais/uso terapêutico , Cefaleia , Estudos de Coortes , Estudos Observacionais como Assunto , Ensaios Clínicos Controlados Aleatórios como Assunto
3.
BMJ Open ; 13(7): e072156, 2023 07 19.
Artigo em Inglês | MEDLINE | ID: mdl-37474190

RESUMO

INTRODUCTION: Matching-adjusted indirect comparison (MAIC) studies are a subtype of indirect comparison, which uses propensity score weighting to enhance comparability. This method adjusts aggregated data based on covariables from individual patient data from studies to produce population-adjusted indirect comparisons. Some national Health Technology Assessment agencies have recently received submissions containing MAIC models. However, there can be a lack of confidence in its estimates when they are poorly reported and inconsistent with other techniques. The objective of this study is to map the characteristics, concepts and methodology of MAIC studies used for pharmacological therapies in the field of oncology. METHODS AND ANALYSIS: A scoping review methodology will be applied following the Joanna Briggs Institute framework and the results will be reported according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews. Studies that used MAIC to compare treatments in oncology conditions will be considered eligible. A systematic search will be conducted in PubMed, Embase and the Cochrane Library. No restriction of location or language will be applied. Study screening will be documented and presented in a Preferred Reporting Items for Systematic reviews and Meta-Analyses flow diagram. Data will be extracted and recorded on a predefined data form and will be presented in a tabular form accompanied by a descriptive summary. ETHICS AND DISSEMINATION: No ethical approval is required for this study. The results of this scoping review will be disseminated through peer-reviewed publications.


Assuntos
Academias e Institutos , Registros , Humanos , Idioma , Oncologia , Processos Mentais , Projetos de Pesquisa , Revisões Sistemáticas como Assunto , Literatura de Revisão como Assunto
4.
Angew Chem Int Ed Engl ; 62(28): e202305564, 2023 07 10.
Artigo em Inglês | MEDLINE | ID: mdl-37162307

RESUMO

Indocyanine green (ICG) is the only near-infrared (NIR) dye approved for clinical use. Despite its versatility in photonic applications and potential for photothermal therapy, its photobleaching hinders its application. Here we discovered a nanostructure of dimeric ICG (Nano-dICG) generated by using ICG to stabilize nanoemulsions, after which ICG enabled complete dimerization on the nanoemulsion shell, followed by J-aggregation of ICG-dimer, resulting in a narrow, red-shifted (780 nm→894 nm) and intense (≈2-fold) absorbance. Compared to ICG, Nano-dICG demonstrated superior photothermal conversion (2-fold higher), significantly reduced photodegradation (-9.6 % vs. -46.3 %), and undiminished photothermal effect (7 vs. 2 cycles) under repeated irradiations, in addition to excellent colloidal and structural stabilities. Following intravenous injection, Nano-dICG enabled real-time tracking of its delivery to mouse tumors within 24 h by photoacoustic imaging at NIR wavelength (890 nm) distinct from the endogenous signal to guide effective photothermal therapy. The unprecedented finding of nanostructure-driven ICG dimerization leads to an ultra-stable phototheranostic platform.


Assuntos
Nanopartículas , Nanoestruturas , Camundongos , Animais , Verde de Indocianina/química , Dimerização , Nanopartículas/química , Nanoestruturas/uso terapêutico , Nanoestruturas/química , Polímeros , Fototerapia/métodos , Linhagem Celular Tumoral
5.
Int J Mol Sci ; 24(7)2023 Mar 24.
Artigo em Inglês | MEDLINE | ID: mdl-37047078

RESUMO

Although the exact mechanism of the pathogenesis of coronavirus SARS-CoV-2 (COVID-19) is not fully understood, oxidative stress and the release of pro-inflammatory cytokines have been highlighted as playing a vital role in the pathogenesis of the disease. In this sense, alternative treatments are needed to reduce the level of inflammation caused by COVID-19. Therefore, this study aimed to investigate the potential effect of red photobiomodulation (PBM) as an attractive therapy to downregulate the cytokine storm caused by COVID-19 in a zebrafish model. RT-qPCR analyses and protein-protein interaction prediction among SARS-CoV-2 and Danio rerio proteins showed that recombinant Spike protein (rSpike) was responsible for generating systemic inflammatory processes with significantly increased levels of pro-inflammatory (il1b, il6, tnfa, and nfkbiab), oxidative stress (romo1) and energy metabolism (slc2a1a and coa1) mRNA markers, with a pattern similar to those observed in COVID-19 cases in humans. On the other hand, PBM treatment was able to decrease the mRNA levels of these pro-inflammatory and oxidative stress markers compared with rSpike in various tissues, promoting an anti-inflammatory response. Conversely, PBM promotes cellular and tissue repair of injured tissues and significantly increases the survival rate of rSpike-inoculated individuals. Additionally, metabolomics analysis showed that the most-impacted metabolic pathways between PBM and the rSpike treated groups were related to steroid metabolism, immune system, and lipid metabolism. Together, our findings suggest that the inflammatory process is an incisive feature of COVID-19 and red PBM can be used as a novel therapeutic agent for COVID-19 by regulating the inflammatory response. Nevertheless, the need for more clinical trials remains, and there is a significant gap to overcome before clinical trials can commence.


Assuntos
COVID-19 , Animais , Humanos , Peixe-Zebra/metabolismo , SARS-CoV-2/metabolismo , Síndrome da Liberação de Citocina , Citocinas/metabolismo , RNA Mensageiro , Proteínas de Membrana , Proteínas Mitocondriais
6.
ACS Biomater Sci Eng ; 9(5): 2220-2234, 2023 05 08.
Artigo em Inglês | MEDLINE | ID: mdl-37014814

RESUMO

Globalization has raised concerns about spreading diseases and emphasized the need for quick and efficient methods for drug screening. Established drug efficacy and toxicity approaches have proven obsolete, with a high failure rate in clinical trials. Organ-on-a-chip has emerged as an essential alternative to outdated techniques, precisely simulating important characteristics of organs and predicting drug pharmacokinetics more ethically and efficiently. Although promising, most organ-on-a-chip devices are still manufactured using principles and materials from the micromachining industry. The abusive use of plastic for traditional drug screening methods and device production should be considered when substituting technologies so that the compensation for the generation of plastic waste can be projected. This critical review outlines recent advances for organ-on-a-chip in the industry and estimates the possibility of scaling up its production. Moreover, it analyzes trends in organ-on-a-chip publications and provides suggestions for a more sustainable future for organ-on-a-chip research and production.


Assuntos
Dispositivos Lab-On-A-Chip , Humanos , Animais , Avaliação Pré-Clínica de Medicamentos , Setor de Assistência à Saúde , Esterilização/métodos , Técnicas de Cultura de Células
7.
Sci Rep ; 13(1): 5317, 2023 03 31.
Artigo em Inglês | MEDLINE | ID: mdl-37002406

RESUMO

The ecology of extinct species from the Cretaceous is largely unknown. Morphological features of specimens preserved in amber can help to reveal habitats and evolutionary strategies that occurred in fossil lineages. An unusually small rove beetle (Staphylinidae) from the subfamily Paederinae with a Y-shaped suture on the head and modified tarsi and antennae is newly described here as Midinudon juvenis Tokareva & Zyla gen. et sp. nov. We hypothesise that such a combination of characters represents the earliest example of paedomorphosis in Staphylinidae and discuss other possible reasons that could explain the small size and morphological modifications of the new species. We provide the results of total-evidence phylogenetic analysis and discuss the relationships of Midinudon juvenis Tokareva & Zyla gen. et sp. nov. within Paederinae.


Assuntos
Besouros , Animais , Besouros/anatomia & histologia , Filogenia , Âmbar , Evolução Biológica , Ecossistema , Fósseis
8.
J Prosthet Dent ; 130(5): 705-714, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-35012769

RESUMO

STATEMENT OF PROBLEM: In a prosthetically driven treatment plan, the tomographic sagittal root position in relation to the bone housing is an important factor in the decision-making process for immediate implant placement. However, other important parameters must be considered in the bone housing of each tooth, including the alveolar ridge dimensions, the buccal and the palatal bone thickness, and the root dimensions. PURPOSE: The purpose of this clinical study was to evaluate the relationship between the sagittal root position of maxillary anterior teeth and the bone housing. MATERIALS AND METHODS: A total of 420 maxillary anterior teeth were analyzed in 70 participants. The tomographic scans were classified as sagittal root position classes I, II, III, and IV. Measurements included buccal and palatal bone thickness, alveolar ridge height, alveolar ridge width, apical bone height, root length, and root width. The Pearson correlation, ANOVA, and Tukey post hoc tests were used to determine statistically significant differences (α=0.05). RESULTS: The sagittal root position distribution was 65.2%, 9.3%, 0.7%, and 24.8% for classes I, II, III, and IV, respectively. Bone housing measurements were significantly different in relation to the 4 sagittal root position classes (P<.05), except for alveolar ridge height. Post hoc analysis showed that, in class I, buccal bone thickness and alveolar bone height were significantly low, whereas root length and palatal bone thickness were high. The higher buccal bone thickness was found in class II, and lower alveolar ridge width and palatal bone thickness in class IV. These measurements in tooth groups were also significantly different over the sagittal root position classes (P<.05). The buccal bone thickness, palatal bone thickness, and alveolar ridge width presented different levels of correlation with alveolar ridge width over the sagittal root position classes. The buccal bone thickness and palatal bone thickness were weakly correlated in class I (r=0.163) and IV (r=0.222). CONCLUSIONS: Bone housing measurements were significantly different in relation to the sagittal root position of maxillary anterior teeth.


Assuntos
Habitação , Incisivo , Humanos , Tomografia Computadorizada de Feixe Cônico/métodos , Palato , Raiz Dentária/diagnóstico por imagem , Maxila/diagnóstico por imagem
9.
Comput Commun ; 195: 99-110, 2022 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-35992726

RESUMO

The COVID-19 pandemic further highlighted the need to use low-cost remote monitoring procedures for medical patients. Since the results reported in the literature have shown that the use of Channel State Information (CSI) from Wi-Fi networks to remotely monitor patients can provide means to obtain a powerful medical information package in a non-invasive way and at low cost, a consistent review and analysis of the state of the art on this applied technique is developed in the present work. Initially, a mathematical overview of the CSI technology and its functional model is done. Subsequently, details about the technical approach necessary to use CSI in medical applications and a summary of the studies reported in the literature with such applications are presented. Based on the analyses and discussions carried out throughout this work, a better understanding of the current state of the art is achieved. Challenges and perspectives for future research are also highlighted.

10.
Pathogens ; 11(6)2022 Jun 16.
Artigo em Inglês | MEDLINE | ID: mdl-35745550

RESUMO

In the control of bovine worms, biological control by nematophagous fungi stands out, especially Pochoniachlamydosporia which causes the destruction of helminth eggs. This study aims to test the effectiveness of a formulation containing the nematophagous fungus Pochonia chlamydosporia isolated for the biological control of bovine nematodiosis. Twelve cattle were divided into two groups: control group (GC) and the group that received the formulation (GT). Feces and pasture samples were collected for the research of gastrointestinal nematodes. Lung worms and trematodes were investigated. The animals were weighed monthly. The averages of temperature and rainfall were recorded. The supply of the fungus Pochonia chlamydosporia was not effective in reducing the eggs per gram of feces of gastrointestinal nematodes (EPG) of the animals, not differing statistically (p > 0.05) between the groups. The mean values of larvae recovered in the pasture did not differ significantly (p > 0.05). The genus Haemonchus sp. was the most prevalent. There was no correlation between the number of larvae with temperature and rainfall (p > 0.05). There was a statistically significant difference (p < 0.05) in the penultimate weighing of the experiment. The formulation containing Pochonia chlamydosporia was not efficient in the biological control of bovine gastrointestinal nematodes.

11.
J Proteome Res ; 21(7): 1640-1653, 2022 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-35674498

RESUMO

The coronavirus disease 2019 (Covid-19), which caused respiratory problems in many patients worldwide, led to more than 5 million deaths by the end of 2021. Experienced symptoms vary from mild to severe illness. Understanding the infection severity to reach a better prognosis could be useful to the clinics, and one study area to fulfill one piece of this biological puzzle is metabolomics. The metabolite profile and/or levels being monitored can help predict phenotype properties. Therefore, this study evaluated plasma metabolomes of 110 individual samples, 57 from control patients and 53 from recent positive cases of Covid-19 (IgM 98% reagent), representing mild to severe symptoms, before any clinical intervention. Polar metabolites from plasma samples were analyzed by quantitative 1H NMR. Glycerol, 3-aminoisobutyrate, formate, and glucuronate levels showed alterations in Covid-19 patients compared to those in the control group (Tukey's HSD p-value cutoff = 0.05), affecting the lactate, phenylalanine, tyrosine, and tryptophan biosynthesis and d-glutamine, d-glutamate, and glycerolipid metabolisms. These metabolic alterations show that SARS-CoV-2 infection led to disturbance in the energetic system, supporting the viral replication and corroborating with the severe clinical conditions of patients. Six polar metabolites (glycerol, acetate, 3-aminoisobutyrate, formate, glucuronate, and lactate) were revealed by PLS-DA and predicted by ROC curves and ANOVA to be potential prognostic metabolite panels for Covid-19 and considered clinically relevant for predicting infection severity due to their straight roles in the lipid and energy metabolism. Thus, metabolomics from samples of Covid-19 patients is a powerful tool for a better understanding of the disease mechanism of action and metabolic consequences of the infection in the human body and may corroborate allowing clinicians to intervene quickly according to the needs of Covid-19 patients.


Assuntos
COVID-19 , Aminoácidos , COVID-19/diagnóstico , Formiatos , Glucuronatos , Glicerol , Humanos , Lactatos , Metabolômica , SARS-CoV-2
12.
Aletheia ; 55(1): 45-60, jan.-jun. 2022. tab
Artigo em Português | LILACS-Express | LILACS, Index Psicologia - Periódicos | ID: biblio-1447167

RESUMO

RESUMO A presença de sintomas depressivos em pacientes crônicos é comum e está associada com a redução da qualidade de vida. Esse estudo em questão, objetivou levantar a sintomatologia depressiva em pacientes fibromiálgicos crônicos e identificar sua relação com características de personalidade. Trata-se de um estudo transversal, descritivo e correlacional. A amostra consistiu de 20 indivíduos, homens e mulheres, com idades entre 32 a 62 anos, com diagnóstico de fibromialgia e em processo de tratamento clínico. Para a coleta de dados utilizou-se o Inventário de Depressão Beck (BDI-II) e a Bateria Fatorial de Personalidade (BFP) e as análises foram descritivas e correlacionais. Identificou-se sintomas depressivos moderados a graves na maioria dos pesquisados e houve associação entre Neuroticismo, Extroversão, Realização e Abertura, indicando que pacientes com fibromialgia se mostram em sofrimento psicológico, com possível dificuldades na tomada de iniciativa, na abertura a novas experiências e na automotivação


ABSTRACT Depressive symptoms in chronic patients is common and it is associated with less life quality. This study aimed to list depressive symptoms in chronic fibromyalgia patients and identify their connection with personality characteristics. This is a cross-sectional, descriptive and correlational study. There were 20 people involved, men and women, from 32 to 62 years old, with fibromyalgia diagnosed and undergoing clinical treatment. For data collection, the Beck Depression Inventory (BDI-II) and the Personality Factor Battery (BFP) were used with descriptive and correlational analyzes. Moderate to severe depressive symptoms were identified in the majority of those surveyed and there was an association among Neuroticism, Extroversion, Achievement and Openness indicating that patients with fibromyalgia are in psychological distress with possible difficulties in taking the initiative, being open to new experiences and in self-motivation

13.
Rev. bras. cir. cardiovasc ; 37(3): 356-369, May-June 2022. tab, graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1376537

RESUMO

ABSTRACT Introduction: Oral anticoagulants are the treatment of choice for diverse types of coagulation disorders. Warfarin is widely used by the Brazilian population, possibly due to its lower cost than other oral anticoagulants. However, it has a high risk of serious adverse effects if used incorrectly. The Anticoagulation Knowledge Tool (AKT) can assess a patient's knowledge about her/his oral anticoagulant therapy and can assist health professionals in identifying patients with difficulties in adherence. This study aimed to translate, culturally adapt, and validate the AKT into Brazilian Portuguese. Methods: After a standard forward-backward procedure to translate the AKT into Brazilian Portuguese (AKT-Br), a version of the instrument was applied in three groups (patients, pharmacists, and the general population). The reliability of the AKT-Br was tested using an internal consistency measure and test-retest. The validity of the instrument was confirmed with data from the contrasted groups. All statistical analyses were performed with RStudio. Results: The median scores obtained with the AKT-Br were 29.0, 17.0, and 7.5 for pharmacists, patients, and the general population, respectively (maximum score of 35 points). There was moderate internal consistency for the instrument and test-retest reliability was satisfactory. Analysis of variance for validity of the groups revealed a significant relationship between the total score and the evaluated groups. Conclusion: The ATK-Br is a reliable and valid tool to assess knowledge about oral anticoagulants. AKT-Br can be used in clinical practice as an auxiliary tool to improve patient care through personalised educational interventions.

14.
J Dent ; 122: 104160, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35550399

RESUMO

OBJECTIVES: To evaluate the correlation between smile type (ST) and the periodontal phenotype (PP). MATERIAL AND METHODS: Clinical and photographic examinations of 164 participants (48 men and 116 women, mean age 22.9 ± 4.6 years) were performed, including an evaluation of ST (high, average, and low), gingival phenotype (GP) by transparency of the periodontal probe (TRAN), keratinized tissue width (KTW), gingival architecture (GA), tooth shape (TS), and papilla height (PH). A subgroup of 70 participants underwent soft-tissue cone-beam tomographic examinations (ST-CBCT), in which GP, gingival thickness (GT), buccal bone thickness (BBT), and the distances from the gingival margin and cementoenamel junction to the buccal bone crest (GM-BBC and CEJ-BBC) were evaluated. The data were analyzed using one-way ANOVA, Student's t-test, and chi-square tests, with the level of significance set at 0.05. RESULTS: High, average, and low STs were found in 31.7%, 56.7%, and 11.6% of the participants, respectively. Sex (p=0.001), GP evaluated using TRAN (p=0.021) and ST-CBCT scans (p=0.009), GA (p<0.001), and TS (p=0.001), were associated with STs. The prevalence of thin GP was: 63% in low, 50% in average, and 38% in high smile types. KTW (p=0.004), PH (p<0.001), GT at different landmarks (p<0.05), CEJ-BBC (p=0.017), and GM-BBC (p=0.001) were significantly different among STs. The highest GT and KTW were found in the high-smile group, average-smile presented the higher CEJ-BBC while GM-BBC and PH, were higher in low-smile group. CONCLUSION: Periodontal phenotype components presented important difference over the smile types. CLINICAL RELEVANCE: A detailed examination of smile types is an essential part of treatment planning, especially when the patient has high esthetic demands. Clinical and tomographic individual analysis of periodontal phenotypes over the smile types may be helpful for a case-by-case approach, and for the development of well-defined treatment protocols.


Assuntos
Tomografia Computadorizada de Feixe Cônico , Estética Dentária , Tomografia Computadorizada de Feixe Cônico/métodos , Estudos Transversais , Feminino , Gengiva/diagnóstico por imagem , Humanos , Fenótipo
15.
Value Health Reg Issues ; 31: 111-118, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35640463

RESUMO

OBJECTIVES: Venous thromboembolism (VTE) is a serious national and international public health issue. Major orthopedic surgeries, such as a total hip (THA) and knee (TKA) arthroplasties, are associated with an increased risk of VTE, long-term complications, functional disability, and death resulting from hypercoagulability by surgical trauma. This pharmacoeconomic analysis aimed to identify the most cost-effective anticoagulant alternative in preventing VTE in patients undergoing THA and TKA. METHODS: A decision tree model was developed, comparing direct oral anticoagulants (rivaroxaban, apixaban, and dabigatran) with enoxaparin, with separate THA and TKA models a 3-month time horizon from the perspective of the Brazilian National Health System. The results were presented as incremental cost-effectiveness ratio (ICER), and the outcomes analyzed were avoided complications (ACs) after thromboprophylaxis. Comparative effectiveness was obtained from a published meta-analysis. A willingness to pay value of approximately R$ 15 000.00 was used per AC, and a probabilistic sensitivity analysis with the Monte Carlo simulation was conducted. RESULTS: Apixaban was the anticoagulant that presented the best ICER for patients undergoing THA (R$ 207.52/AC) and TKA (R$ 133.59/AC), followed by rivaroxaban (R$ 347.21/AC), dabigatran (R$ 372.56/AC), and enoxaparin (R$ 711.44/AC) for THA and by dabigatran (R$ 194.07/AC), rivaroxaban (R$ 221.12/AC), and enoxaparin (R$ 747.25/AC) for TKA. After ICER analysis, apixaban prevails over the other technologies analyzed for both surgical procedures, confirmed after sensitivity analysis. CONCLUSION: Our model suggests that, in the Brazilian National Health System, apixaban is the most cost-effective alternative in preventing VTE after THA and TKA.


Assuntos
Artroplastia de Quadril , Artroplastia do Joelho , Tromboembolia Venosa , Anticoagulantes/uso terapêutico , Artroplastia de Quadril/efeitos adversos , Artroplastia do Joelho/efeitos adversos , Artroplastia do Joelho/métodos , Brasil , Análise Custo-Benefício , Dabigatrana/uso terapêutico , Enoxaparina/efeitos adversos , Humanos , Rivaroxabana/uso terapêutico , Tromboembolia Venosa/etiologia , Tromboembolia Venosa/prevenção & controle
16.
Braz J Cardiovasc Surg ; 37(3): 356-369, 2022 05 23.
Artigo em Inglês | MEDLINE | ID: mdl-35605217

RESUMO

INTRODUCTION: Oral anticoagulants are the treatment of choice for diverse types of coagulation disorders. Warfarin is widely used by the Brazilian population, possibly due to its lower cost than other oral anticoagulants. However, it has a high risk of serious adverse effects if used incorrectly. The Anticoagulation Knowledge Tool (AKT) can assess a patient's knowledge about her/his oral anticoagulant therapy and can assist health professionals in identifying patients with difficulties in adherence. This study aimed to translate, culturally adapt, and validate the AKT into Brazilian Portuguese. METHODS: After a standard forward-backward procedure to translate the AKT into Brazilian Portuguese (AKT-Br), a version of the instrument was applied in three groups (patients, pharmacists, and the general population). The reliability of the AKT-Br was tested using an internal consistency measure and test-retest. The validity of the instrument was confirmed with data from the contrasted groups. All statistical analyses were performed with RStudio. RESULTS: The median scores obtained with the AKT-Br were 29.0, 17.0, and 7.5 for pharmacists, patients, and the general population, respectively (maximum score of 35 points). There was moderate internal consistency for the instrument and test-retest reliability was satisfactory. Analysis of variance for validity of the groups revealed a significant relationship between the total score and the evaluated groups. CONCLUSION: The ATK-Br is a reliable and valid tool to assess knowledge about oral anticoagulants. AKT-Br can be used in clinical practice as an auxiliary tool to improve patient care through personalised educational interventions.


Assuntos
Comparação Transcultural , Proteínas Proto-Oncogênicas c-akt , Anticoagulantes/uso terapêutico , Brasil , Feminino , Humanos , Psicometria/métodos , Reprodutibilidade dos Testes , Inquéritos e Questionários
17.
Zootaxa ; 5124(2): 230-237, 2022 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-35391125

RESUMO

Three new species of Chespirito Ferreira, Keller and Branham 2020 are described from North America, including the first species from the United States: Chespirito milleri new species from Arizona, USA, Chespirito hintoni new species from Mexico state, Mexico and Chespirito costae new species from Morelo state, Mexico. An updated distribution map and key to males of Chespirito is provided along with illustrations of diagnostic characters of the newly described species.


Assuntos
Besouros , Vaga-Lumes , Animais , Masculino , Estados Unidos
18.
Am J Orthod Dentofacial Orthop ; 161(6): e580-e587, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35430089

RESUMO

INTRODUCTION: This retrospective study evaluated the buccal bone thickness in mandibular canine, premolar, and molar areas, using as a reference the WALA ridge in patients with various facial patterns. METHODS: The sample comprised 51 cone-beam computerized tomography scans of subjects divided into 3 groups according to the facial pattern, determined by the Ricketts' VERT index, brachyfacial (group 1), mesofacial (group 2), and dolichofacial (group 3). A quantitative analysis of the buccal bone thickness was made in cone-beam computerized tomography scans in the region of the mandibular dental arch corresponding to the WALA ridge. The intergroup comparison of buccal bone thickness was performed with a 1-way analysis of variance and Tukey tests. RESULTS: Buccal bone thickness was similar among the groups, and it increased progressively from the mandibular first to the second molars. In the canine and premolar regions, the thickness was less and often not visible on tomography. There was no difference in the buccal bone thickness in the mandibular dental arch region corresponding to the WALA ridge reference among facial patterns, except for the mesial roots of the second molars, which were thicker in brachyfacial subjects than in dolichofacial subjects. CONCLUSIONS: The use of the WALA ridge as a clinical reference for individualized orthodontic arch diagramming should be made with caution and independent of the facial pattern.


Assuntos
Tomografia Computadorizada de Feixe Cônico , Dente Molar , Tomografia Computadorizada de Feixe Cônico/métodos , Humanos , Mandíbula/diagnóstico por imagem , Estudos Retrospectivos , Raiz Dentária/diagnóstico por imagem
19.
Sci Rep ; 12(1): 5820, 2022 04 06.
Artigo em Inglês | MEDLINE | ID: mdl-35388125

RESUMO

Paedomorphosis is a heterochronic syndrome in which adult individuals display features of their immature forms. In beetles, this phenomenon occurs widely in the superfamily Elateroidea, including the net-winged beetles (Lycidae), and, due to the usual flightlessness of paedomorphic females, it is hypothesized to cause speciation rates higher than in non-paedomorphic lineages. However, some fossils of paedomorphic lycids do not support this with palaeobiological data. Discovery of new Lycidae fossils attributed to the West Indian extant paedomorphic genus Cessator Kazantsev in the Dominican amber also suggests morphological stasis within this genus in the Greater Antilles. We describe Cessator anachronicus Ferreira and Ivie, sp. nov. based on adult males, as well as the first ever recorded fossil net-winged beetle larva of the same genus. We propose that the relatively young age of the studied fossils combined with the stable conditions in the forest floor of the Greater Antilles through the last tens of million years could explain the exceptionally conserved morphology in the net-winged beetles affected by the paedomorphic syndrome.


Assuntos
Âmbar , Besouros , Animais , Besouros/anatomia & histologia , República Dominicana , Feminino , Florestas , Fósseis , Masculino
20.
Estud. pesqui. psicol. (Impr.) ; 22(1): 147-163, abr. 2022.
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1435481

RESUMO

A literatura descreve que as habilidades sociais são reconhecidas como fator de proteção ao desenvolvimento humano. Por consequência, programas de treinamento de habilidades sociais têm sido considerados eficazes no aprimoramento de tais comportamentos e competências sociais. Esta revisão tem como objetivo avaliar os estudos de intervenção voltados ao contexto educacional no âmbito do Treinamento de Habilidades Sociais, publicados em periódicos nacionais e internacionais. Foram localizados um somatório total de 1.022 artigos utilizando os descritores "Social skills AND Training AND Teachers" nos bancos de dados SciELO, LILACS, EBSCO, PePSIC e PubMedD, sem delimitação de período de tempo. Depois de aplicados os critérios de inclusão e exclusão utilizando o método Prisma, restaram nove artigos, provenientes de diferentes países. Os resultados indicaram a escassez de estudos voltados ao cenário escolar tendo o professor como foco. Além disso, no que se refere aos estudos nacionais, estão vinculados a alguns grupos de pesquisa, existem poucos instrumentos específicos e não foram focados em habilidades sociais educativas. No entanto, os estudos analisados apresentam contribuições em termos da caracterização do repertório de habilidades sociais e propõem intervenções no âmbito educacional.


Literature describes that social skills (SS) are recognized as factor of protection of human development. Consequently, social skills training programs have been considered effective in enhancing such social behaviors and skills. This review aims to evaluate intervention studies focused on the educational context within the scope of Social Skills Training published in national and international journals. A total sum of 1022 articles was found using the descriptors "Social skills AND Training AND Teachers" in the SciELO, LILACS, EBSCO HOST, PePSIC and PubMed databases, with no delimitation of time period. After applying the inclusion and exclusion criteria using the Prisma method, nine articles from different countries remained. The results indicated the scarcity of studies focused on the school scenario, with the teacher as the focus. In addition, when it comes to national studies, they are linked to some research groups, there are few specific instruments, and they were not focused on educational social skills. However, the studies reviewed present contributions in terms of characterization of the repertoire of social skills and propose interventions in the educational field.


La literatura describe que las habilidades sociales son reconocidas como factor de protección para el desarrollo humano. Por consiguiente, se ha descubierto que los programas de capacitación en habilidades sociales son efectivos para mejorar dichos comportamientos y habilidades sociales. Esta revisión tiene como objetivo evaluar estudios de intervención enfocados en el contexto educativo en el ámbito del Entrenamiento en Habilidades Sociales, publicados en revistas nacionales e internacionales. Se encontraron un total de 1022 artículos utilizando los descriptores "Habilidades sociales y Formación y Docentes" en las bases de datos SciELO, LILACS, EBSCO, PePSIC y PubMed, sin delimitar el periodo de tiempo. Después de aplicar los criterios de inclusión y exclusión mediante el método Prisma, quedaron nueve artículos, de diferentes países. Los resultados indicaron la escasez de estudios orientados al escenario escolar teniendo al profesor como foco. Además, en lo que se refiere a los estudios nacionales, están vinculados a algunos grupos de investigación, hay pocos instrumentos específicos y no estaban enfocados a las habilidades sociales educativas. Sin embargo, los estudios analizados presentan aportes en cuanto a la caracterización del repertorio de habilidades sociales y proponen intervenciones en el ámbito educativo.


Assuntos
Instituições Acadêmicas , Habilidades Sociais , Capacitação de Professores , Professores Escolares
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...