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BACKGROUND: Early randomized controlled trials (RCTs) of bronchoscopic lung volume reduction (BLVR) have shown clinically meaningful benefits in lung function, dyspnea, and quality of life in patients with severe emphysema. Safety outcome data obtained after BLVR in the United States are scarce outside the RCTs. RESEARCH QUESTION: What is the rate of inpatient complications after BLVR in the real world in the United States? STUDY DESIGN AND METHODS: We used The National Inpatient Sample database to identify in-hospital complications after BLVR from 2018 through 2020. Complications were defined as pneumothorax, COPD exacerbation, pneumonia, hemoptysis, acute respiratory failure, and valve removal. We also analyzed all-cause in-hospital mortality and length of stay (LOS). RESULTS: We identified 467 admissions related to BLVR procedures. The number of procedures doubled between 2019 and 2020 (from 153 to 295 procedures). The median age was 67.9 years (interquartile range [IQR], 61.1-72.8 years), 210 patients (45.0%) were female, 401 patients (85.8%) were White, and Medicare was the primary expected payer for 72.8% of patients. Most procedures were performed in urban teaching hospitals (56.9%). The rate of pneumothorax was 26.3%, that of acute respiratory failure was 19.5%, that of COPD exacerbation was 8.8%, that of pneumonia was 7.3%, and that of hemoptysis was 5.3%. Chest tube placement was required in 84 of 123 patients (68.3%) with pneumothorax. The endobronchial valve had to be removed in 69 patients (14.8%). The median LOS was 2.8 days (IQR, 2.3-4.5 days). The number of in-hospital deaths was fewer than 11 (< 2.3%). Overall, the subgroup who experienced in-hospital complications did not differ significantly from the others in terms comorbidities, demographics, and hospital characteristics. INTERPRETATION: The real-world complication rate after BLVR was similar to the published complication rates from early randomized clinical trials. In-hospital mortality was low, suggesting that aside from the commonly anticipated complications, BLVR is a safe treatment option for severe emphysema.

RESUMEN

Context The overproduction of reactive oxygen species (ROS) during in vitro culture of ovarian tissues impairs follicular development and survival. Aims To evaluate the effects of punicalagin on the development and survival of primordial follicles, stromal cell and collagen fibres, as well as on the levels of mRNA for nuclear factor erythroid 2-related factor 2 (NRF2 ), superoxide dismutase 1 (SOD1 ), catalase (CAT ), glutathione peroxidase 1 (GPX1 ) and perirredoxin 6 (PRDX6 ), and activity of antioxidant enzymes in cultured bovine ovarian tissues. Methods Bovine ovarian cortical tissues were cultured for 6days in α-MEM+ alone or with 1.0, 10.0, or 100.0µM punicalagin at 38.5°C with 5% CO2 . Follicle morphology and growth, stromal cell density, and collagen fibres were evaluated by classical histology, while the expression of mRNA was evaluated by real-time PCR. The activity of enzymes was analysed by the Bradford method. Key results Punicalagin improved follicle survival and development, reduced mRNA expression for SOD1 and CAT , but did not influence stromal cells or collagen fibres. Punicalagin (10.0µM) increased the levels of thiol and activity of SOD1, CAT , and GPX1 enzymes. Conclusions Punicalagin (10.0µM) promotes follicle survival and development and activates SOD1, CAT , and GPX1 enzymes in bovine ovarian tissues. Implications Punicalagin improves follicle development and survival in cultured ovarian tissues.

Asunto(s)

Catalasa , Glutatión Peroxidasa GPX1 , Glutatión Peroxidasa , Taninos Hidrolizables , Folículo Ovárico , Animales , Femenino , Bovinos , Folículo Ovárico/efectos de los fármacos , Folículo Ovárico/metabolismo , Folículo Ovárico/enzimología , Taninos Hidrolizables/farmacología , Glutatión Peroxidasa/metabolismo , Glutatión Peroxidasa/genética , Catalasa/metabolismo , Catalasa/genética , Ovario/efectos de los fármacos , Ovario/enzimología , Ovario/metabolismo , Superóxido Dismutasa-1/metabolismo , Superóxido Dismutasa-1/genética , Antioxidantes/farmacología , Antioxidantes/metabolismo , Técnicas de Cultivo de Tejidos , Superóxido Dismutasa/metabolismo

RESUMEN

OBJECTIVES: To use three-dimensional anorectal ultrasonography (3D-US) to evaluate the outcome of ligation of the intersphincteric fistula tract (LIFT) in patients with crypto-glandular transsphincteric fistula and describing the patterns of healing, failure, and recurrence rate. METHODS: After classifying the fistula and determining the length of the sphincter muscle to be transected, the patients were submitted to LIFT. The accuracy of pre- and postoperative 3D-US with 360° endoprobe (16 MHz) with automatic scanning and clinical findings was evaluated against surgical findings. Three outcomes were considered: healing, failure (persistent anal fistula through the original external opening or intersphincteric), and recurrence (reappearance of the anal fistula). RESULTS: Sixty-three patients of both sexes were evaluated. The 3D-US assessment revealed primary healing in 50 (79.3%) patients, although in 6 (9.5%) cases healing was delayed and the cavity was without communication with the anal canal. The procedure failed in 9 (15.9%) and fistula recurred in 4 (6.3%), all of whom underwent a second surgery based on a new 3D-US, resulting in a 92.3% (12/13) healing rate on 3D-US. CONCLUSIONS: A 3D-US was found to be useful in the preoperative assessment of fistulas by quantifying the percentage of muscle to be transected, and in the postoperative assessment by identifying healing, types of failure, and recurrence. The 3D-US was accurate and consistent with surgical findings.

RESUMEN

This study aims to investigate the influence of thymol on primordial follicle growth and survival, as well as on collagen fibers and stromal cells density in bovine ovarian tissues cultured in vitro. The activity of superoxide dismutase (SOD), catalase (CAT) and glutathione peroxidase (GPX), the thiol levels and the expression of mRNAs for SOD1, CAT, periredoxin 6 (PRDX6) and GPX1 were also investigated. Ovarian cortical tissues were cultured in α-MEM+ alone or with thymol (400, 800, 1600 or 3200 µg/mL) for six days. Before and after culture, the tissues were processed for histological analysis to evaluate follicular activation, growth, morphology, ovarian stromal cell density and collagen fibers. The levels of mRNA for SOD1, CAT, GPX1 and PRDX6 were evaluated by real-time PCR. The results show that tissues cultured with thymol (400 and 800 µg/mL) had increased percentages of normal follicles, when compared to tissues cultured in other treatments. At concentrations of 400 and 800 µg/mL, thymol maintained the rate of normal follicles similar to the uncultured control. In addition, 400 µg/mL thymol increased follicle activation, collagen fibers and stromal cell density of when compared to tissues cultured in control medium. The presence of 800 µg/mL thymol in culture medium increased CAT activity, while 400 or 800 µg/mL thymol reduced mRNA levels for SOD1, CAT and PRDX6, but did not alter GPX1 expression. In conclusion, 400 µg/mL thymol increases primordial follicle activation, preserves stromal cells, collagen fibers, and down-regulates expression of mRNA for SOD1, CAT and PRDX6 in cultured bovine ovarian tissues.

Asunto(s)

Catalasa , Colágeno , Folículo Ovárico , ARN Mensajero , Células del Estroma , Timol , Animales , Femenino , Bovinos , Timol/farmacología , ARN Mensajero/metabolismo , ARN Mensajero/genética , Folículo Ovárico/efectos de los fármacos , Catalasa/metabolismo , Catalasa/genética , Colágeno/metabolismo , Colágeno/genética , Células del Estroma/efectos de los fármacos , Células del Estroma/metabolismo , Superóxido Dismutasa-1/genética , Superóxido Dismutasa-1/metabolismo , Regulación hacia Abajo/efectos de los fármacos , Peroxiredoxina VI/genética , Peroxiredoxina VI/metabolismo , Ovario/efectos de los fármacos , Ovario/metabolismo , Superóxido Dismutasa/metabolismo , Superóxido Dismutasa/genética , Técnicas de Cultivo de Tejidos , Regulación de la Expresión Génica/efectos de los fármacos

RESUMEN

Eutrophication has become a recurrent concern in reservoirs worldwide. This problem is intensified in tropical semiarid regions, where the reservoirs have high seasonal and annual variability of water level and volume. Therefore, an extensive understanding of the diel variation of water quality key-parameters can help improve management of such reservoirs. This study focuses on Castanhão reservoir with the largest multipurpose dam in the Brazilian semiarid. Its main water uses are irrigation, fish farming, and human supply. The reservoir faced a decline in water quality due to a prolonged drought period. While previous research has predominantly emphasized the seasonal dynamics of thermal and chemical stratification, our investigation provides diel assessments of multiple water quality parameters, including nutrient concentrations and phytoplankton abundance. Our primary objective is to compare seasonal and diel variations in stratification and nutrient distribution within the reservoir. Key findings reveal a diel cycle of thermal stratification, primarily during dry season, driven by higher wind speeds. This is corroborated by a significant negative correlation between wind speed and the relative water column stability index. In contrast, during the rainy season, the reservoir experiences continuous thermal stratification due to inflowing water being warmer than the reservoir's water temperature. Notably, a significant negative correlation between total phosphorus and chlorophyll-a, along with a two-fold increase of this nutrient throughout the day during the rainy season, underscores the influence of the phytoplankton community dynamics on the diel nutrient variation. Chemical stratification of dissolved oxygen occurred during dry and rainy seasons, indicating that even during the dry season, where there is no significant inflow, the internal nutrient loading can also significantly impact the water quality of a reservoir. This study advances the understanding of diel water quality dynamics in tropical semiarid reservoirs, shedding light on both climatic and anthropogenic influences on water resources.

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Fitoplancton , Estaciones del Año , Calidad del Agua , Brasil , Monitoreo del Ambiente , Clima Tropical , Abastecimiento de Agua , Eutrofización

RESUMEN

This study investigated the sediment geochemistry of a fish farming area in net cage tanks in the Rosário reservoir, Brazil. Three areas were investigated: reference (RA), fish farming (FFA), and dispersion (DA). The results were analyzed through correlation, similarity, principal component analysis, comparison with legislation, sediment quality guidelines, and sediment pollution indices. The mean concentrations for RA, FFA, and DA areas were respectively: Cu (mg.kg-1) 37.74, 62.23, and 71.83; Mn (mg.kg-1) 22.55, 66.48, and 55.90; Zn (mg.kg-1) 9.13, 114.83, and 94.27; Fe (%) 0.28, 0.40, and 0.43; OM (%) 15.84, 21.95, and 18.45; TOC (%) 1.86, 3.69, and 6.05; TN (mg.kg-1) 2365.00, 5015.00, and 3447.51; TP (mg.kg-1) 780.00, 6896.00, and 2585.50; ORP (mV) -95.50, -135.20, and -127.10; pH 6.60, 6.58, and 6.05; <63 µm 90.59, 78.68, and 87.30. Statistically, the influence of fish farming on sediment, organic matter, and pollutant sedimentation was demonstrated. Cu and Zn concentrations were below sediment quality guidelines. Regarding legal limits (resolution 454/2012/CONAMA), nutrients in the FFA area exceeded by 60% (TN) and 100% (TP), while in DA and RA areas they were 100% lower. TOC was 100% lower in all areas. Organic matter exceeded the limit by 100% in all areas. Pollution indices resulted in: low contamination factor 78%; unpolluted for 87% of pollution load and 83% of combined pollution; moderately polluted for 75% of the Nemerow index. The greatest impacts and influence of farming on pollutant sedimentation were more concentrated in the fish farming area. In terms of legal aspects and pollution indices, fish farming produced low levels of trace metal pollution and nutrient concentrations exceeded legal limits.

Asunto(s)

Acuicultura , Monitoreo del Ambiente , Sedimentos Geológicos , Tilapia , Contaminantes Químicos del Agua , Brasil , Sedimentos Geológicos/análisis , Sedimentos Geológicos/química , Animales , Contaminantes Químicos del Agua/análisis

RESUMEN

Glicophyllum is well supported, presenting four homoplasies, easily differentiated from the other genera of the clade due to characteristics related to the reproductive organs, which can make the identification of their species difficult when they are not in the reproductive phase. Therefore, there are provided the leaf anatomical and morphological description of the leaf glands of seven species of Glicophyllum to assist in the identification of their species. The samples for the study were obtained from several national and international herbaria, sectioned freehand, stained with basic fuchsin - astra blue and compared through a binary matrix using the Sorensen's coefficient in the MVSP software. Among the leaf anatomical characters found, the following stand out: presence/absence of trichomes; petiole contour; contour of the main vein; organization of the mesophyll, presence/absence of bundle sheath extension and the surface of the glands. In this study, an identification key with leaf anatomical data is presented for the first time, demonstrating the applicability of leaf anatomy for the taxonomy of Glicophyllum. In the multivariate analysis, it is observed that the characteristics of leaf venation and topology of the glands are more representative to differentiate the taxa. Therefore, the data obtained can support future taxonomic and phylogenetic studies of the genus.

Asunto(s)

Malpighiaceae , Hojas de la Planta , Hojas de la Planta/anatomía & histología , Brasil , Malpighiaceae/anatomía & histología , Malpighiaceae/clasificación , Especificidad de la Especie

RESUMEN

PURPOSE: This study aimed to investigate three-dimensional facial soft tissue dimensions, maximum bite force (MBF), and occlusal contact area in patients with DFD. In addition, we analyzed the relationship between MBF and the three-dimensional facial measurements. METHODS: Thirty-two patients with skeletal Class III DFD and 20 patients with Class II DFD underwent a soft tissue evaluation using surface laser scanning, as well as MBF and occlusal contact area assessments. The DFD groups were compared with each other and with 25 healthy subjects. RESULTS: Significant morphological differences were found in the transversal, vertical, and anteroposterior dimensions between Class II DFD and Class III DFD. Both DFD groups presented an increased linear distance of chin height, which was strongly related with decreased MBF magnitude. The DFD groups exhibited lower MBF and occlusal contact area, with no significant differences between Class II and Class III DFD. CONCLUSION: The presence of DFD affected 3D measurements of facial soft tissue, causing variations beyond normal limits, lower MBF, and occlusal contact area in both Class II and Class III DFD patients. The vertical dimension might have influenced the lower MBF magnitude in the studied skeletal deformities.

Asunto(s)

Fuerza de la Mordida , Cefalometría , Cara , Imagenología Tridimensional , Humanos , Femenino , Masculino , Cara/fisiopatología , Cara/diagnóstico por imagen , Adulto Joven , Adulto , Estudios de Casos y Controles , Adolescente , Maloclusión de Angle Clase III/fisiopatología , Maloclusión de Angle Clase III/diagnóstico por imagen , Maloclusión Clase II de Angle/fisiopatología , Maloclusión Clase II de Angle/diagnóstico por imagen , Estudios Transversales

RESUMEN

Stereotactic radiosurgery (SRS) is an option for brain metastases (BM) not eligible for surgical resection, however, predictors of SRS outcomes are poorly known. The aim of this study is to investigate predictors of SRS outcome in patients with BM secondary to non-small cell lung cancer (NSCLC). The secondary objective is to analyze the value of volumetric criteria in identifying BM progression. This retrospective cohort study included patients >18 years of age with a single untreated BM secondary to NSCLC. Demographic, clinical, and radiological data were assessed. The primary outcome was treatment failure, defined as a BM volumetric increase 12 months after SRS. The unidimensional measurement of the BM at follow-up was also assessed. One hundred thirty-five patients were included, with a median BM volume at baseline of 1.1 cm3 (IQR 0.4-2.3). Fifty-two (38.5%) patients had SRS failure at follow-up. Only right BM laterality was associated with SRS failure (p=0.039). Using the volumetric definition of SRS failure, the unidimensional criteria demonstrated a sensibility of 60.78% (46.11%-74.16%), specificity of 89.02% (80.18%-94.86%), positive LR of 5.54 (2.88-10.66) and negative LR of 0.44 (0.31-0.63). SRS demonstrated a 61.5% local control rate 12 months after treatment. Among the potential predictors of treatment outcome analyzed, only the right BM laterality had a significant association with SRS failure. The volumetric criteria were able to identify more subtle signs of BM increase than the unidimensional criteria, which may allow earlier diagnosis of disease progression and use of appropriate therapies.

Asunto(s)

Neoplasias Encefálicas , Carcinoma de Pulmón de Células no Pequeñas , Neoplasias Pulmonares , Radiocirugia , Humanos , Carcinoma de Pulmón de Células no Pequeñas/cirugía , Carcinoma de Pulmón de Células no Pequeñas/patología , Carcinoma de Pulmón de Células no Pequeñas/secundario , Estudios de Cohortes , Neoplasias Pulmonares/etiología , Neoplasias Pulmonares/patología , Neoplasias Pulmonares/cirugía , Estudios Retrospectivos , Radiocirugia/métodos , Resultado del Tratamiento , Neoplasias Encefálicas/radioterapia , Neoplasias Encefálicas/cirugía , Neoplasias Encefálicas/patología

Asunto(s)

Electrocardiografía , Humanos , Cuidados Preoperatorios

RESUMEN

Blastomycosis is an endemic mycotic infection caused by inhalation of thermally dimorphic fungi from the genus Blastomyces. Blastomyces dermatitidis is the species most related to human infection in the USA and North America. Adult respiratory distress syndrome (ARDS) is a rare complication of blastomycosis and is associated with high mortality. Due to its rarity, evidence-based guidelines for diagnosing and treating ARDS associated with blastomycosis are scarce. In this case presentation, a 22-year-old male with a history of chronic cannabis use presented with severe respiratory symptoms, initially treated as community-acquired pneumonia. Despite antibiotic treatment, his condition deteriorated, necessitating intubation and resulting in the development of ARDS. A delayed diagnosis of pulmonary blastomycosis was confirmed through polymerase chain reaction testing. Treatment with amphotericin B and corticosteroids proved successful in addressing the fungal infection, leading to the recovery of the patient from his severe clinical condition. This case highlights the challenges associated with diagnosing and treating blastomycosis, particularly when complicated by ARDS, emphasizing the importance of considering fungal infections in the differential diagnosis of non-responsive pulmonary infections. Additionally, it suggests the potential utility of corticosteroids in severe cases and emphasizes the crucial role of early diagnosis and a combination of diagnostic modalities for the timely management of this rare and potentially life-threatening condition.

RESUMEN

A new species of Jeremia Redtenbacher (Phasmatodea: Phasmatidae: Cladomorphinae) is described based on both male and female specimens from the northern Brazilian Amazon Basin and named Jeremia megaplax sp. nov. The new species can be differentiated from other species of this genus by the length of the female subgenital plate, which is two times longer than the length of tergites 810. Photos and description from subadult male and not fully developed eggs are also provided. The studied material is deposited at the Invertebrate Collection of the Instituto Nacional de Pesquisas da Amaznia (INPA).

Asunto(s)

Insectos , Neoptera , Femenino , Masculino , Animales , Brasil

RESUMEN

Resumo O artigo tem como objetivo refletir sobre a importância da formação humana em perspectiva hermenêutica-dialógica para a prática dos profissionais da saúde, para sua formação e para a promoção de saúde. Nesse sentido, forma coro com produções que se posicionam favoravelmente à compreensão de que a prática, a formação e a promoção da saúde devem estar ancoradas também no paradigma das humanidades médicas. Metodologicamente, trata-se de revisão bibliográfica ancorada no trabalho hermenêutico com textos clássicos do filósofo alemão Hans-Georg Gadamer sobre a saúde e com literatura secundária sobre o tema. Divide-se em três partes. Na primeira, analisa a medicina e algumas de suas concepções sobre saúde e doença ao longo da história, observando as transformações sofridas na passagem de ciência médica mais ampla, fundada na religião e na espiritualidade, para a predominância do paradigma técnico-científico. Na segunda, são realizadas delimitações sobre alguns conceitos essenciais para a compreensão da importância da formação humana para o profissional da saúde. Na parte final, é investigada uma ideia de formação humana sustentada pela perspectiva hermenêutica-dialógica. Conclui afirmando a importância de que o saber técnico especializado na área da saúde se deixe ancorar pelo saber prático, de cunho ético-formativo, alicerçado na noção hermenêutica de diálogo.

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Abstract The article aims to reflect on the importance of human education in a hermeneutic-dialogical perspective for the practice of health professionals, their training and health promotion. In this sense, it forms a chorus with productions favorable to the understanding that practice, training, and health promotion must also be anchored in the paradigm of the medical humanities. Methodologically, it is a literature review anchored in a hermeneutical work with classic texts by the German philosopher Hans-Georg Gadamer on health and secondary literature on the subject. It is divided into three parts. The first analyzes medicine and some of its conceptions about health and disease throughout history, observing the transformations from a broader medical science, founded on religion and spirituality, to the predominance of the technical-scientific paradigm. In the second, delimitations are carried out on some essential concepts for understanding the importance of human education for the health professional. In the final part, an idea of human education supported by the hermeneutic-dialogical perspective is investigated. It concludes by affirming the importance that the specialized technical knowledge in the health area should be anchored by practical knowledge, of an ethical-formative nature, based on the hermeneutic notion of dialogue.

RESUMEN

ABSTRACT Purpose This study aimed to investigate three-dimensional facial soft tissue dimensions, maximum bite force (MBF), and occlusal contact area in patients with DFD. In addition, we analyzed the relationship between MBF and the three-dimensional facial measurements. Methods Thirty-two patients with skeletal Class III DFD and 20 patients with Class II DFD underwent a soft tissue evaluation using surface laser scanning, as well as MBF and occlusal contact area assessments. The DFD groups were compared with each other and with 25 healthy subjects. Results Significant morphological differences were found in the transversal, vertical, and anteroposterior dimensions between Class II DFD and Class III DFD. Both DFD groups presented an increased linear distance of chin height, which was strongly related with decreased MBF magnitude. The DFD groups exhibited lower MBF and occlusal contact area, with no significant differences between Class II and Class III DFD. Conclusion The presence of DFD affected 3D measurements of facial soft tissue, causing variations beyond normal limits, lower MBF, and occlusal contact area in both Class II and Class III DFD patients. The vertical dimension might have influenced the lower MBF magnitude in the studied skeletal deformities.

RESUMEN

Heliotropium elongatum is used to treat inflammation, cough, and flu. This study aimed to characterize the phytochemical profile and determine the total phenolic content (TPC), antioxidant and cytogenotoxic activity of the ethanolic extract (EE), and fractions of H. elongatum leaves. In the phytochemical profile analysis, organic acids, reducing sugars, flavonoids, saponins, anthraquinones, steroids/triterpenes, and depsides/depsidones were detected in the EE and/or fractions (hexanic/FH, chloroformic/FC, ethyl acetate/FAE, and hydromethanolic/FHM). The highest TPC and highest antioxidant activity (DPPH and ABTS) was detected in FHM. In FH, 16 compounds were identified by GC-MS, and ursolic acid was isolated by 1H NMR and 13C NMR. HPLC-DAD from EE, FAE, and FHM demonstrated characteristic wavelengths for flavonoids, flavonols, flavones, and anthraquinones. ESI-IT/MSn analysis of EE, FC, FAE, and FHM revealed alkaloids, steroids, terpenoids, flavonoids, and phenolic acids. In Allium cepa assay there was no significant cytotoxic effect initiated by EE (62.5 to 1,000 µg/ml), FHM (1,000 µg/ml), and FAE (62.5 µg/ml). Genotoxicity was evidenced only with EE at 500 and 1,000 µg/ml, and FHM (62.5 to 1,000 µg/ml) as evidenced by presence of micronuclei (MN) and nuclear buds (NB). Our results identified compounds of medicinal interest with antioxidant activity; however observed cytogenotoxic changes indicated the need for caution when using these compounds for therapeutic purposes.

Asunto(s)

Antioxidantes , Heliotropium , Flavonoides , Antraquinonas , Bioensayo , Etanol

RESUMEN

Objetivo: Identificar as evidências científicas sobre os benefícios do uso da bola suíça em gestantes na assistência ao parto de baixo risco. Métodos: Revisão integrativa da literatura, realizada nas bases de dados Medline/PubMed, LILACS via BVS e biblioteca Scielo para responder à questão norteadora: Quais os benefícios do uso da bola suíça em gestantes na assistência ao parto de baixo risco? As buscas ocorreram entre março e abril de 2022, utilizando os descritores "gestantes", "terapia por exercício", "trabalho de parto", "parto normal". Após os cruzamentos desses descritores, identificaram-se 230 artigos, que ao aplicar os critérios de elegibilidade, restaram dez estudos, avaliados e elegíveis para a revisão. Na extração dos dados elaborou-se um instrumento para coleta. Resultados: 10 estudos foram elegíveis após seleção. Destes, a maior parte (8) desenvolvidos no Brasil (1) China e (1) em Taiwan. O periódico de maior frequência das publicações foi Acta Paulista de Enfermagem (3). Quanto ao ano de publicação o ano com menos publicações foi 2012 (1), seguido 2013 (2), 2019 (2). Quanto ao delineamento o tipo ensaio clinico prevaleceu nas publicações (5). Conclusão: esta revisão aponta benefícios do uso da bola suíça como instrumento de trabalho que pode favorecer a assistência ao parto de baixo risco evidenciando ser uma alternativa viável para profissionais nesse campo de atuação.(AU)

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To identify the scientific evidence on the benefits of using the Swiss ball in pregnant women in low-risk childbirth care. Methods: Integrative literature review, carried out in Medline/PubMed, LILACS via VHL and Scielo library databases to answer the guiding question: What are the benefits of using the Swiss ball in pregnant women in low-risk childbirth care? The searches took place between March and April 2022, using the descriptors "pregnant women", "exercise therapy", "labor", "normal delivery". After crossing these descriptors, 230 articles were identified, which, when applying the eligibility criteria, left ten studies, evaluated and eligible for the review. In the data extraction, a collection instrument was elaborated. Results: 10 studies were eligible after selection. Of these, most (8) developed in Brazil (1) China and (1) Taiwan. The journal with the highest frequency of publications was Acta Paulista de Enfermagem (3). As for the year of publication, the year with the fewest publications was 2012 (1), followed by 2013 (2), 2019 (2). As for the design, the clinical trial type prevailed in the publications (5). Conclusion: this review points out the benefits of using the Swiss ball as a work tool that can favor low-risk childbirth care, showing that it is a viable alternative for professionals in this field.(AU)

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Objetivo: Identificar la evidencia científica sobre los beneficios del uso del balón suizo para gestantes en la atención al parto de bajo riesgo. Métodos: Revisión bibliográfica integradora, realizada en las bases de datos Medline/PubMed, LILACS vía BVS y biblioteca Scielo para responder a la pregunta guía: ¿Cuáles son los beneficios del uso del balón suizo para gestantes en la atención al parto de bajo riesgo? Las búsquedas se realizaron entre marzo y abril de 2022, utilizando los descriptores "pregnant women", "exercise therapy", "labour", "normal delivery". Tras cruzar estos descriptores, se identificaron 230 artículos y, una vez aplicados los criterios de elegibilidad, quedaron diez estudios, que fueron evaluados y elegibles para la revisión. Para extraer los datos, se elaboró una herramienta de recogida de datos. Resultados: Tras la selección, 10 estudios fueron elegibles. De ellos, la mayoría (8) se realizaron en Brasil (1) China y (1) Taiwán. La revista más frecuentemente publicada fue Acta Paulista de Enfermagem (3). En cuanto al año de publicación, el año con menos publicaciones fue 2012 (1), seguido de 2013 (2), 2019 (2). En cuanto al diseño, el tipo de ensayo clínico prevaleció en las publicaciones (5). Conclusión: Esta revisión señala los beneficios del uso del balón suizo como herramienta de trabajo que puede favorecer la atención al parto de bajo riesgo, mostrándose como una alternativa viable para los profesionales de este ámbito.(AU)

Asunto(s)

Femenino , Embarazo , Trabajo de Parto , Parto , Mujeres Embarazadas , Partería

RESUMEN

Objetivo: Identificar as evidências cientificas acerca da associação da covid-19 e o desenvolvimento de pré-eclâmpsia. Método: Trata-se de uma revisão integrativa, realizada em abril de 2022, mediante acesso às bases de dados: Medical Literature Analysis and Retrieval System Online (MEDLINE) e Portal Regional da Biblioteca Virtual em Saúde (BVS). A partir da utilização dos descritores em saúde: Gestantes, Pré-eclâmpsia e COVID-19. Resultados: Foram incluídos 15 estudos na síntese avaliativa, onde 13 foram provenientes da PubMed (86,6%) e 02 da BVS (13,3%). Quanto ao desenho, seis (40%) estudos foram do tipo relato ou estudo de caso, cinco (33,3%) do tipo revisão sistemática, com destaque para três revisões com meta-análise, dois (13,3%) se tratou estudos observacionais, um (6,6%) estudo descritivo e um (6,6%) estudo de coorte. Conclusão: Foram identificados estudos que associaram o desenvolvimento da pré-eclâmpsia à infecção causada pelo Covid-19, no entanto, outros estudos destacam a detecção de uma síndrome semelhante a pré-eclâmpsia, destacando a necessidade da realização de um diagnóstico diferencial.(AU)

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Objective: To identify the scientific evidence on the association between covid-19 and the development of pre-eclampsia. Method: This is an integrative review, carried out in April 2022, through access to the databases: Medical Literature Analysis and Retrieval System Online (MEDLINE) and Regional Portal of the Virtual Health Library (VHL). Using the health descriptors: Pregnant women, Pre-eclampsia and COVID-19. Results: 15 studies were included in the evaluation synthesis, of which 13 came from PubMed (86.6%) and 02 from the VHL (13.3%). In terms of design, six (40%) studies were of the case report or study type, five (33.3%) were of the systematic review type, with emphasis on three reviews with meta-analysis, two (13.3%) were observational studies, one (6.6%) was a descriptive study and one (6.6%) was a cohort study. Conclusion: Studies were identified that associated the development of pre-eclampsia with infection caused by Covid-19, however, other studies highlight the detection of a syndrome similar to pre-eclampsia, highlighting the need for a differential diagnosis.(AU)

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Objetivo: Identificar las evidencias científicas sobre la asociación entre el covid-19 y el desarrollo de preeclampsia. Método: Se trata de una revisión integradora, realizada en abril de 2022, a través del acceso a las bases de datos: Medical Literature Analysis and Retrieval System Online (MEDLINE) y Portal Regional de la Biblioteca Virtual en Salud (BVS). Utilizando los descriptores de salud: Embarazadas, Preeclampsia y COVID-19. Resultados: 15 estudios fueron incluidos en la síntesis de evaluación, de los cuales 13 procedían de PubMed (86,6%) y 2 de la BVS (13,3%). En cuanto al diseño, seis (40%) estudios fueron del tipo informe o estudio de caso, cinco (33,3%) fueron revisiones sistemáticas, especialmente tres revisiones con meta-análisis, dos (13,3%) fueron estudios observacionales, uno (6,6%) fue un estudio descriptivo y uno (6,6%) fue un estudio de cohortes. Conclusión: Fueron identificados estudios que asocian el desarrollo de preeclampsia con infección causada por Covid-19, sin embargo, otros estudios destacan la detección de un síndrome semejante a la preeclampsia, enfatizando la necesidad de realizar un diagnóstico diferencial.(AU)

Asunto(s)

Embarazo , Preeclampsia , Mujeres Embarazadas , COVID-19

RESUMEN

Objetivo: Mapear as evidências científicas relacionadas aos fatores que influenciam na adesão de idosos a vacina COVID-19. Método: Revisão de escopo realizada em novembro de 2021, nas seguintes bases de dados: Medical Literature Analysis and Retrieval System Online (MEDLINE via PubMed®), Excerpta Medica Data Base (Embase) via Elsevier; Institute for Scientific Information (ISI) Web of Knwedge (Web of Science); Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) e Índice Bibliográfico Español em Ciencias de la Salud (IBECS). Resultados e Discussão: Houve 10 publicações atenderam aos critérios de inclusão. Dentre os fatores identificados para maior hesitação frente à vacina contra COVID-19 destacaram-se o desconhecimento, baixo nível educacional, preocupação com efeitos colaterais e a segurança das vacinas, subestimação do risco de infecção após o recebimento da primeira dose da vacina, situação econômica desfavorável, pouco acesso à internet e tecnologias, entre outros fatores. Conclusão: Conhecer os fatores que causam hesitação entre os idosos com relação à vacina contra COVID-19 e os adjuvantes na luta contra a doença, para que haja um melhor direcionamento das ações no intuito de melhorar a cobertura vacinal e enfrentamento da covid19.(AU)

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Objective: To map the scientific evidence related to the factors that influence the adherence of older adults to the COVID-19 vaccine. Method: Scoping review carried out in November 2021, in the following databases: Medical Literature Analysis and Retrieval System Online (MEDLINE via PubMed®), Excerpta Medica Data Base (Embase) via Elsevier; Institute for Scientific Information (ISI) Web of Knwedge (Web of Science); Latin American and Caribbean Health Sciences Literature (LILACS) and Spanish Bibliographic Index in Health Sciences (IBECS). Results and Discussion: 10 publications met the inclusion criteria. Among the factors identified for greater hesitancy towards the COVID-19 vaccine were lack of knowledge, low educational level, concern about side effects and vaccine safety, underestimation of the risk of infection after receiving the first dose of the vaccine, unfavorable economic situation, little access to the internet and technologies, among other factors. Conclusion: Knowing the factors that cause hesitation among the elderly in relation to the COVID-19 vaccine and the adjuvants in the fight against the disease, so that there is a better targeting of actions in order to improve vaccination coverage and coping with covid19.(AU)

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Objetivo: Mapear la evidencia científica relacionada con los factores que influyen en la adherencia de los adultos mayores a la vacuna COVID-19. Método: Revisión de alcance realizada en noviembre de 2021, en las siguientes bases de datos: Medical Literature Analysis and Retrieval System Online (MEDLINE vía PubMed®), Excerpta Medica Data Base (Embase) vía Elsevier; Institute for Scientific Information (ISI) Web of Knwedge (Web of Science); Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS) e Índice Bibliográfico Español en Ciencias de la Salud (IBECS). Resultados y Discusión: 10 publicaciones cumplieron los criterios de inclusión. Entre los factores identificados para una mayor indecisión hacia la vacuna COVID-19 se encuentran el desconocimiento, el bajo nivel educativo, la preocupación por los efectos secundarios y la seguridad de la vacuna, la subestimación del riesgo de infección tras recibir la primera dosis de la vacuna, la situación económica desfavorable, el escaso acceso a internet y a las tecnologías, entre otros factores. Conclusión: Conocer los factores que causan dudas entre los ancianos en relación a la vacuna COVID-19 y los adyuvantes en la lucha contra la enfermedad, para que las acciones puedan ser mejor dirigidas para mejorar la cobertura vacunal y hacer frente a la COVID-19.(AU)

Asunto(s)

Anciano , Anciano , Cobertura de Vacunación , COVID-19

RESUMEN

Sudden cardiac arrest (SCA) may be related to reversible causes in up to 50% of cases, such as electrolyte imbalances. Primary aldosteronism (PA) is characterized by excessive autonomic aldosterone production and can present with hypokalemia. We present an uncommon case of a 36-year-old woman who was diagnosed with PA after two episodes of ventricular fibrillation, secondary to severe hypokalemia.