Mostrando recursos 1 - 20 de 1.120

  1. Does professional background influence in temporomandibular joint tissues evaluation by magnetic resonance imaging?

    Travessas, Juliana Andréa Corrêa; Fontana, Mathias Pante; Silveira, Priscila Fernanda da; Silveira, Heraldo Luis Dias da; Vizzotto, Mariana Boessio; Arús, Nádia Assein
    Imaging examinations afford more consistent details than clinical evaluation in the investigation process and make the differential diagnosis of temporomandibular joint (TMJ) disorders (TMDs) easier. Aims: This study aimed to check agreement among professionals from different fields of work evaluating TMDs using magnetic resonance imaging (MRI) and based on ten diagnoses criteria: Position, shape and recapture of joint disk, joint mobility, degenerative changes, bone changes, condyle position, effusion, intramedullary edema, and avascular necrosis. Methods: An oral and maxillofacial radiologist, a medical radiologist, and a dental surgeon specialized in TMD and orofacial pain interpreted 152 MRI taken from 76 patients. A...

  2. Alimentos orgânicos e/ou agroecológicos na alimentação escolar em municípios do Rio Grande do Sul, Brasil

    Machado, Letiane de Souza; Rockett, Fernanda Camboim; Pires, Gabriela Cheuiche; Corrêa, Rafaela da Silveira; Oliveira, Ana Beatriz Almeida de
    Objetivo: Descrever a aquisição de alimentos orgânicos e/ou agroecológicos para o Programa Nacional de Alimentação Escolar nos municípios do estado do Rio Grande do Sul, Brasil. Metodologia: Estudo transversal, com envio de questionário eletrônico aos 497 municípios do estado, que contemplava: se houve compra de orgânicos e/ou agroecológicos em 2014, principais dificuldades, fatores que influenciaram a escolha, certificação e os alimentos adquiridos. Resultados: Foram obtidas respostas de 362 municípios, sendo que destes, 94 (26,0%) referiram comprar produtos orgânicos e/ou agroecológicos, o que caracteriza 18,9% do total de municípios do estado. As principais dificuldades apontadas para a compra desses alimentos foram...

  3. Coordenação do cuidado e ordenação nas redes de atenção pela atenção primária à saúde – uma proposta de itens para avaliação destes atributos

    Chueiri, Patrícia Sampaio; Harzheim, Erno; Takeda, Sílvia M. Pasa
    Introdução: A formação de redes de atenção à saúde (RAS) tem se mostrado como uma forma de organização de sistemas de saúde eficaz para responder a alguns dos atuais desafios epidemiológicos e estruturais destes sistemas. O Brasil vem caminhando para a regionalização e a conformação de redes de atenção à saúde. A fim de avaliar o desenvolvimento das RAS, propõe-se um conjunto de itens para inferir dois dos atributos das redes: a coordenação do cuidado individual e a ordenação das RAS pela Atenção Primária à Saúde. Métodos: Utilizou-se o Método Delphi, composto pelas seguintes etapas: definição inicial dos itens a...

  4. Bedside ultrasound of quadriceps to predict rehospitalization and functional decline in hospitalized elders

    Martins, Ana Clara Guerreiro; Oliveira, Ana Claudia Tonelli de; Orzechowski, Roman; Dalla Corte, Roberta Rigo; Moriguchi, Emílio Hideyuki; Mello, Renato Bandeira de
    Objective: To evaluate the capacity of total anterior thigh thickness, quadriceps muscle thickness, and quadriceps contractile index, all measured by bedside ultrasound, to predict rehospitalization, functional decline, and death in elderly patients 3 months after hospital discharge. To evaluate intra and interobserver reproducibility of the dominant thigh evaluation method by point of care ultrasound. Methods: Cohort study of patients aged 65 years or more admitted to a medium complexity unit in a teaching hospital in southern Brazil. Comprehensive geriatric assessment and ultrasound evaluation of the dominant thigh of each participant were performed. After 3 months of hospital discharge, telephone contact...

  5. Quality of life in mucopolysaccharidoses : construction of a specific measure using the focus group technique

    Oliveira, Michele Rosana; Schwartz, Ida Vanessa Doederlein; Costa, Liciane da Silva; Maia Filho, Heber de Souza; Ribeiro, Márcia Gonçalves; Guerreiro, L. B.; Acosta, Angelina Xavier; Rocha, Neusa Sica da
    Abstract Objective: To describe the perceptions of patients, their caregivers, and their healthcare providers to the development of a new specific instrument for assessment of the quality of life (QoL) in patients with mucopolysaccharidoses (MPS) using a qualitative focus group (FG) design. FGs were held in two Brazilian states (Rio Grande do Sul and Rio de Janeiro). Results: Three versions of the new instrument were developed, each for a different age group: children (age 8–12 years), adolescents (age 13–17), and adults (age ≥ 18). The FGs mostly confirmed the relevance of items. All FGs unanimously agreed on the facets: School,...

  6. Schedule for affective disorders and schizophrenia for school-age children - present and lifetime version (K-SADS-PL), DSM-5 update : translation into Brazilian Portuguese

    Caye, Arthur; Kieling, Renata Rocha; Rocha, Thiago Botter Maio; Graeff-Martins, Ana Soledade; Geyer, Cristiane Tezzari; Krieger, Fernanda Valle; Manfro, Gisele Gus; Brentani, Helena Paula; Isolan, Luciano Rassier; Rosário, Maria Conceição do; Grassi-Oliveira, Rodrigo; Caetano, Sheila Cavalcante; Moriyama, Taís Silveira; Rohde, Luis Augusto Paim; Kieling, Christian Costa
    Resumo não disponível

  7. Accidental strangulation in children by the automatic closing of a car window

    Serena, Kailene; Piva, Jefferson Pedro; Andreolio, Cinara; Carvalho, Paulo Roberto Antonacci; Rocha, Tais Sica da
    Among the main causes of death in our country are car accidents, drowning and accidental burns. Strangulation is a potentially fatal injury and an important cause of homicide and suicide among adults and adolescents. In children, its occurrence is usually accidental. However, in recent years, several cases of accidental strangulation in children around the world have been reported. A 2-year-old male patient was strangled in a car window. The patient was admitted to the pediatric intensive care unit with a Glasgow Coma Scale score of 8 and presented with progressive worsening of respiratory dysfunction and torpor. The patient also presented...

  8. Factor structure, reliability, and item parameters of the Brazilian-Portuguese version of the GAD-7 questionnaire

    Moreno, André Luiz; Sousa, Diogo Araújo de; Souza, Ana Maria Frota Lisboa Pereira de; Manfro, Gisele Gus; Salum Junior, Giovanni Abrahão; Koller, Silvia Helena; Osório, Flávia de Lima; Crippa, José Alexandre de Souza
    This study examined the psychometric properties of the Brazilian-Portuguese version of the Generalized Anxiety Disorder GAD-7 questionnaire in a community sample (n = 206) of Brazilian adults. The sample was 41% female, with a mean age of 21.10 (SD = 4.49), 75.6% from colleges/universities. Results of a confi rmatory factor analysis provided support to the original unidimensional model of the GAD-7 in the Brazilian context. Analyses of Variance (ANOVA) showed that the GAD-7 scores were signifi cantly different between males and females, with females scoring higher than males. The scale demonstrated good reliability evidence; both Cronbach’s alpha coeffi cient (α...

  9. The major depressive disorder hierarchy : rasch analysis of 6 items of the Hamilton depression scale covering the continuum of depressive syndrome

    Alves, Lucas Primo de Carvalho; Fleck, Marcelo Pio de Almeida; Boni, Aline; Rocha, Neusa Sica da
    Objectives Melancholic features of depression (MFD) seem to be a unidimensional group of signs and symptoms. However, little importance has been given to the evaluation of what features are related to a more severe disorder. That is, what are the MFD that appear only in the most depressed patients. We aim to demonstrate how each MFD is related to the severity of the major depressive disorder. Methods We evaluated both the Hamilton depression rating scale (HDRS-17) and its 6-item melancholic subscale (HAM-D6) in 291 depressed inpatients using Rasch analysis, which computes the severity of each MFD. Overall measures of model...

  10. A naturalistic study of high-dose unilateral ECT among severely depressed inpatients : how does it work in the clinical practice?

    Alves, Lucas Primo de Carvalho; Freire, Thiago Fernando Vasconcelos; Fleck, Marcelo Pio de Almeida; Rocha, Neusa Sica da
    Background: Naturalistic studies can be useful tools to understand how an intervention works in the real clinical practice. This study aims to investigate the outcomes in a naturalistically treated depressed inpatients cohort, who were referred, or not, to unilateral ECT. Methods: Depressed adults according to MINI admitted in a psychiatric unit were divided in unilateral ECT treated and non-ECT treated. Main outcomes were: depression improvement in Hamilton Rating Scale for Depression (HDRS-17) scores; response (HDRS-17 improvement ≥50 %); remission (HDRS-17 score ≤7); length of hospitalization. Results: Forty-three patients were included in unilateral ECT group and 104 in non-ECT group. No...

  11. Are dental and periapical status related to incidental findings of calcifications along the course of the internal carotid artery in cone-beam computed tomography?

    Silveira, Heraldo Luis Dias da; Busanello, Fernanda Hoffmann; Nedel, Carolina; Vizzotto, Mariana Boessio
    Context: Given that tooth loss, periapical lesion, and manifestations of periodontal disease are generally related to previous inflammatory events and that a linear relationship exists between tooth loss and degree of arterial stiffness, reasonable ground exists to investigate whether there is an association with presence of calcifications along the course of the internal carotid artery (ICA). Aims: This study aims to determine whether an association exists between the extra- and intracranial calcifications of the internal carotid artery (ExCICA and InCICA, respectively) and missing teeth (MT) as well as the periapical index (PAI), in cone-beam computed tomography (CBCT) scans. Settings and...

  12. Neurally adjusted ventilatory assist in pediatrics : why, when, and how?

    Andrade, Lívia Barboza; Ghedini, Rodrigo Guellner; Dias, Alexandre Simões; Robaina, Jaqueline Rodrigues; Piva, Jefferson Pedro
    Resumo não disponível

  13. Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents : results from a large community study

    Simioni, André Rafael; Pan, Pedro Mario; Gadelha, Ary; Manfro, Gisele Gus; Mari, Jair de Jesus; Miguel, Eurípedes Constantino; Rohde, Luis Augusto Paim; Salum Junior, Giovanni Abrahão
    Objectives: Little is known about the prevalence and correlates of deliberate self-harm (DSH) in children from low- and middle-income countries. We investigated the prevalence of DSH and its clinical and maternal psychopathological associations in Brazilian children (n=2,508, ages 6-14y) in a community-based study. Methods: Participants of the High Risk Cohort Study for the Development of Childhood Psychiatric Disorders (HRC) and their mothers were assessed in structured interviews. Current (last month) and lifetime DSH were estimated, including analysis stratified by age groups. Logistic regressions were performed to investigate the role of the children’s clinical diagnoses and maternal psychopathology on DSH prevalence...

  14. Fatores alimentares e nutricionais associados ao hábito de assistir à televisão entre crianças de uma escola particular de Bento Gonçalves/RS

    Dal Mas, Mariana; Bernardi, Juliana Rombaldi; Possa, Gabriela
    Introdução: O hábito de assistir televisão foi associado à ocorrência de excesso de peso em crianças. Objetivo: avaliar a relação entre televisão, estado nutricional e consumo alimentar de crianças entre 6 e 10 anos de idade, de uma escola particular de Bento Gonçalves/RS. Métodos: Inicialmente aplicou-se um questionário para obtenção dos dados alimentares, demográficos e horas de televisão. Também foram obtidas as medidas de peso, estatura e circunferência da cintura para classificação do estado nutricional. Os indivíduos foram classificados em dois grupos, conforme horas em frente à televisão (< 4 horas/dia e ≥ 4 horas/dia) e comparados quanto às variáveis...

  15. Melatonin activates endoplasmic reticulum stress and apoptosis in rats with diethylnitrosamine-induced hepatocarcinogenesis

    Moreira, Andréa Janz; Ordóñez, Raquel; Cerski, Carlos Thadeu Schmidt; Picada, Jaqueline Nascimento; García-Palomo, Andrés; Marroni, Norma Anair Possa; Mauriz, José Luiz; González-Gallego, Javier
    Abstract Hepatocellular carcinoma (HCC) is one of the most lethal human cancers worldwide because of its high incidence, its metastatic potential and the low efficacy of conventional treatment. Inactivation of apoptosis is implicated in tumour progression and chemotherapy resistance, and has been linked to the presence of endoplasmic reticulum stress. Melatonin, the main product of the pineal gland, exerts anti-proliferative, pro-apoptotic and antiangiogenic effects in HCC cells, but these effects still need to be confirmed in animal models. Male Wistar rats in treatment groups received diethylnitrosamine (DEN) 50 mg/kg intraperitoneally twice/once a week for 18 weeks. Melatonin was given in...

  16. Specific and social fears in children and adolescents : separating normative fears from problem indicators and phobias

    Laporte, Paola Paganella; Pan, Pedro Mario; Hoffmann, Maurício Scopel; Wakschlag, Lauren S.; Rohde, Luis Augusto Paim; Miguel, Eurípedes Constantino; Pine, Daniel S.; Manfro, Gisele Gus; Salum Junior, Giovanni Abrahão
    Objective: To distinguish normative fears from problematic fears and phobias. Methods: We investigated 2,512 children and adolescents from a large community school-based study, the High Risk Study for Psychiatric Disorders. Parent reports of 18 fears and psychiatric diagnosis were investigated. We used two analytical approaches: confirmatory factor analysis (CFA)/item response theory (IRT) and nonparametric receiver operating characteristic (ROC) curve. Results: According to IRT and ROC analyses, social fears are more likely to indicate problems and phobias than specific fears. Most specific fears were normative when mild; all specific fears indicate problems when pervasive. In addition, the situational fear of toilets...

  17. Antioxidant treatments for schizophrenia

    Magalhães, Pedro Vieira da Silva; Dean, Olivia M.; Andreazza, Ana Cristina; Berk, Michael; Kapczinski, Flávio Pereira
    There is accumulating evidence that progressive changes in brain structure and function take place as schizophrenia unfolds. Among many possible candidates, oxidative stress may be one of the mediators of neuroprogression, grey matter loss and subsequent cognitive and functional impairment. Antioxidants are exogenous or endogenous molecules that mitigate any form of oxidative stress or its consequences. They may act from directly scavenging free radicals to increasing anti-oxidative defences. There is evidence that current treatments impact oxidative pathways and may to some extent reverse pro-oxidative states in schizophrenia. The existing literature, however, indicates that these treatments do not fully restore the...

  18. Translation and cross-cultural adaptation of the Pediatric Confusion Assessment Method for the Intensive Care Unit into Brazilian Portuguese for the detection of delirium in pediatric intensive care units

    Molon, Marizete Elisa; Castro, Roberta Esteves Vieira de; Foronda, Flávia Andrea Krepel; Barbosa, Maria Clara de Magalhães; Robaina, Jaqueline Rodrigues; Piva, Jefferson Pedro; Garcia, Pedro Celiny Ramos; Barbosa, Arnaldo Prata; Cheniaux, Elie; Smith, Heidi A. B.
    Objective: To undertake the translation and cross-cultural adaption into Brazilian Portuguese of the Pediatric Confusion Assessment Method for the Intensive Care Unit for the detection of delirium in pediatric intensive care units, including the algorithm and instructions. Methods: A universalist approach for the translation and cross-cultural adaptation of health measurement instruments was used. A group of pediatric critical care specialists assessed conceptual and item equivalences. Semantic equivalence was evaluated by means of a translation from English to Portuguese by two independent translators; reconciliation into a single version; back-translation by a native English speaker; and consensus among six experts with respect...

  19. From the International Pediatric Sepsis Conference 2005 to the Sepsis-3 Consensus

    Souza, Daniela Carla de; Brandão, Marcelo Barciela; Piva, Jefferson Pedro
    Resumo não disponível

  20. Antibiotic therapy for pelvic inflammatory disease

    Savaris, Ricardo Francalacci; Fuhrich, Daniele Geras; Duarte, Rui de Sousa Rego Vieira; Franik, Sebastian; Ross, Jonathan
    Background Pelvic inflammatory disease (PID) is an infection that affects 4% to 12% of young women, and is one of the most common causes of morbidity in this age group. The main intervention for acute PID is the use of broad-spectrum antibiotics which cover Chlamydia trachomatis, Neisseria gonorrhoeae, and anaerobic bacteria, administered intravenously, intramuscularly, or orally. In this review, we assessed the optimal treatment regimen for PID. Objectives To assess the effectiveness and safety of antibiotic regimens used to treat pelvic inflammatory disease. Search methods We searched the Cochrane Sexually Transmitted Infections Review Group’s Specialized Register, which included randomized controlled...

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