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Challenges in Implementing DVI Best Practice Guidelines Due to the Brumadinho Disaster

Forensic Medicine and Anatomy Research 2024年第1期12卷 1-12页

作者： Reinaldo Moreira Silva Bruno Diniz Sander Morais Carlos Danilo Ruas Silva Elza Cristina Lopes de Oliveira Fernando Pereira Macedo Giovanni Vitral Pinto Guadalupe dell’Arret Coutinho Higgor Gonçalves Dornelas João Luiz Silva Moreira laila evangelista de almeida fernandes Marcia Lobão Iannini Patrícia Siqueira Valéria Rosalina Dias e Santos Sordaini Maria Caligiorne Instituto de Criminalística Polícia Civil de Minas Gerais Belo Horizonte Brazil

The broke of a tailings dam from Vale S.A. destroyed a gigantic area killing 270 persons in Brumadinho/Brazil. Organizing activities after a mass disaster is a complex process that requires the involvement of many people and resources in the laboratory. To DNA identification of the victims, a daunting work had to be made by DNA laboratory staff in a collaborative effort with many partners. Efforts to implement good practice guidelines in Disaster Victim Identification (DVI) have revealed several important aspects that need to change in the forensic DNA laboratory. This article highlights the challenges of implementing DVI best practice guidelines in resource-poor settings, but with professionals from different sectors engaged in the same goal of briefly identifying victims and helping families and society.

关键词： Disaster Victim Identification DNA Brumadinho

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Phase angle through electrical bioimpedance as a predictor of cellularity in inflammatory bowel disease

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Artificial Intelligence in Gastroenterology 2021年第4期2卷 111-123页

作者： Sabrina A fernandes Carina Rossoni Vivian W Koch Marcello Imbrizi Rosana evangelista-Poderoso Leticia Pereira Pinto Letiia Pereira Pinto Postgraduate Program in Hepatology Federal University of Health Sciences of Porto Alegre(UFCSPA)Porto Alegre 90050-170Brazil Institute of Environmental Health(ISAMB) Faculty of MedicineUniversity of LisbonLisbon 1649-028Portugal Gastroenterology department Santa Casa de Misericórdia de Porto AlegrePorto Alegre 90020-090Brazil Gastroenterology department Grupo Hospitalar ConceicaoPorto Alegre 91350-250Brazil Coloproctology department State University of Campinas(UNICAMP-SP)São Paulo 13056-405Brazil Library Faculty of Medical Sciences State University of Campinas(UNICAMP-SP)São Paulo 13083-887Brazil department of Surgery State University of Campinas(UNICAMP-SP)and Faculty of Medical Sciences(FCM)São Paulo 13056-405Brazil

It is estimated in Western industrialized countries that inflammatory bowel disease(IBD)has a prevalence of 1 for every 200 *** the past,the fat mass disproportionate increase in relation to the fat-free mass was considered uncommon in patients with IBD,due to the observation of the disease being more common with weight loss and ***,more in-depth investigations demonstrate that the fat/lean mass disproportion stands out both in prevalence in patients with new diagnoses of ulcerative colitis or Crohn's disease as well as a factor of poor prognosis to the natural evolution of the disease or to the therapeutic *** important aspect associated with obesity in IBD is the increased risk of drug clearance[including anti-tumor necrosis factor(TNF)and anti-integrin agents],resulting in short half-life and low trough drug concentrations,since the levels of TNF secreted by adipocytes sequester anti-TNF agents,which could result in suboptimal response to *** view of these characteristic aspects of the inflammatory process of IBD,the identification of cellular functioning is necessary,which can be associated with the staging of the underlying disease,biochemical parameters,and body composition,helping as an indicator for a more accurate clinical and nutritional conduct.

关键词： Inflammatory bowel disease Crohn's disease Ulcerative colitis Phase angle Cellularity Bioelectrical impedance

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Cognitive Ability in Elderly in a City in Northeastern Brazil: An Analytical Study

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Open Journal of Nursing 2016年第9期6卷 712-721页

作者： Francisca Patrícia Barreto de Carvalho Glauber Weder dos Santos Silva Clélia Albino Simpson Ana Géssica Costa Martins Narjara Beatriz Queiroz da Silva Mônica Gisele Costa Pinheiro João evangelista da Costa Lucídio Clebeson de Oliveira Amélia Carolina Lopes fernandes Francisco Arnoldo Nunes de Miranda State University of Rio Grande do Norte Mossoró Brazil Federal University of Rio Grande do Norte Natal Brazil

To analyze the cognitive ability of elderly people assisted by the Family Health Strategy (FHS) in a northeastern Brazilian city, a cross-sectional, analytical study was conducted with 406 elderly assisted by the FHS in Mossoro-RN, Brazil, from March to May 2014. The data were collected through two validated questionnaires. For the data analysis, the Alpha Cronbach’s, Kruskal-Wallis test, chi-square and Pearson correlation statistical tests were applied. There was a predominance of women (67.98%) in the survey. Among the respondents, 50% had an index of up to 27 points in Pfeffer Instrument, identifying greater degree of dependence in performing instrumental daily activities related to mobility in the community (39.7%) and financial management (57.1%). On Mini-Mental State Examination (MMSE), 75% of seniors had an index above 27 points, with the scores classification as standard (50.99%), mild (25.12%), moderate (22.66%) and severe (1.23%). Although changes have been identified in cognitive performance and independence of elderly people in some areas, these difficulties do not completely affect the lives and daily activities of the elderly.

关键词： Primary Health Care Geriatric Assessment Cognitive Aging Geriatric Nursing

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