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Effectiviness, Safety and Satisfaction in Teleurology

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Open Journal of Urology 2022年第7期12卷 383-393页

作者： Thome Barros Junior Marcos Kalaf Farah Albeny Igor José Caetano de lima Guilherme Bastos Palitot de Brit Moacir Cavalcante de Albuquerque Neto Fábio oliveira Vilar Federal University of Pernambuco Recife Brazil Hospital of Clinics of Federal University of Pernambuco Recife Brazil

Introduction: Telemedicine has been used as a tool for improving access to health services worldwide. The aim of the present study is thus to evaluate the effectiveness of urological consultation by videoconference, perceptions regarding safety on the part of medical teams providing video consultation services and patient satisfaction after a urological appointment. Materials and Methods: A cross-sectional, observational, and analytical study was carried out with 50 volunteers referred from the basic health unit for a urology appointment. All patients were evaluated remotely by videoconference and in person by different urology teams. Results: The study revealed that effectiveness in terms of the degree of match between diagnoses performed by video consultation and those performed in person was 92%. The urology team’s perception regarding safety, measured using an in-house safety questionnaire, was high for both videoconferencing and in-person consultations and there was no statistical difference between the two (overall safety score for video consultation compared to in-person consultation was 9.7 ± 0.8 compared to 9.6 ± 0.8 and the p-value was 0.3 for Student’s t-test). Patient satisfaction with the appointment was similarly high for both groups, averaging 9.72 ± 0.4 among patients who attended a video consultation and 9.82 ± 0.4 among those whose consultation was conducted in person, with a p-value of 0.10478 for Student’s t-test. Conclusion: Video consultation in urology is an effective way to perform diagnoses, with high levels of perceived safety among urologists and high satisfaction rates among patients.

关键词： Urology Telemedicine Telecommunications Appointments and Schedules

Intracranial Hemorrhage in Newborn with TAR Syndrome—A Feared Complication

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Open Journal of Medical Imaging 2020年第2期10卷 105-109页

作者： Jório Brito Câmara Bruno Maciel oliveira Larissa Ferreira lima Guilherme Straub Maia Ana Paula Marques de oliveira Melo Sergio Furlan Alessandra Di Marzio de Freitas Valle department of Radiology Heliopolis Hospital S&#227 o Paulo Brazil Hospital Regional de Cotia S&#227 o Paulo Brazil

The thrombocytopenia-absent radius (TAR) syndrome is an autosomal recessive disease characterized by bilateral absence of radius with the presence of both thumbs and thrombocytopenia, many times associated with cardiac anomalies, intolerance or allergy to cow’s milk and phocomelia. Imaging study is important for the correct diagnosis at birth and documentation of one of the diagnosis criteria (absence of radius) in prenatal care. The main hematologic symptoms and the most feared of them, intracranial bleeding, occurs when platelets levels are below 10,000/mm3, which is more common during the first months. Therefore, imaging study is crucial to quickly identify complications and correctly manage the case. In this case report, the patient had upper limps alterations at birth and at first week presented seizures, with transfontanellar ultrasound and head computed tomography without contrast demonstrating intracranial hemorrhage. Laboratory results and imaging review were able to diagnose TAR syndrome. The patient was treated with platelets transfusion and thrombocytopenia was solved. She is currently under specialized medical care, with no neurological deficits and showing satisfactory development.

关键词： TAR Syndrome Intracranial Hemorrhage Neonatology Transfontanellar Ul-trasound CT

Quality of Melon 'UFERSA-05 *** and Pele de Sapo“Mabel”Minimally Processed,Kept in Different Packages

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Food and Nutrition Sciences 2014年第8期5卷 683-691页

作者： Maria Luiza Pereira de Araújo Fanquiele Ribeiro de oliveira Marianne lima Barboza Glauber Enrique Souza Nunes Pahlevi Augusto de Souza Adriano do Nascimento Simoes Unidade Academica de Serra Talhada Universidade Federal Rural de PernambucoSerra TalhadaBrazil departamento de Ciencias Vegetais UFERSAMossoróBrazil Instituto Federal de Educacao Ciencia e Tecnologia do CearáLimoeiro do NorteBrazil

This study aimed at evaluating the quality of melon Pele de Sapo “Mabel” and Yellow melon “UFERSA-05” minimally processed preserved in different packages. The fruits were harvested at Mossoró-RN and transported to Serra Talhada-PE. In the first study, melon fruit Piel de Sapo “Mabel” was selected, washed, weighed, cooled, peeled, cut into cube shape, sanitized in chlorine solution, drained, packaged in rigid polypropylene tray, sealed with polypropylene film or polypropylene rigid cap and kept for 8 days at 8℃. In the second study, fruits of yellow melon “UFERSA-05” and Pele de Sapo “Mabel” were minimally processed and kept in rigid polypropylene tray, sealed with polypropylene film and stored for 8 days at 8℃. There was no significant interaction between packaging (sealed with film and polypropylene cover) and period of conservation, for pH, total titratable acidity (TTA), total soluble solids (TSS) and Loss of fresh mass (LFM) for Melon “Mabel”. While there was significant interaction between types of melon (“UFERSA-05” and “Mabel”) and storage period (0, 2, 4, 6, and 8 days) for pH, TTA and TSS. In sensory evaluation were noticeable changes in appearance, flavor, aroma and flesh firmness, characterized by translucency, alcoholic aroma and softening in “Mabel” melon kept in tray with lid. Melon “UFERSA-05” showed lower pH, total soluble solids, total soluble sugars, PME activity, lack of translucency high flesh firmness compared to “Mabel” melon during storage. The high levels of sugars in melon “Mabel” may be related to the incidence of translucency, which was not observed in “UFERSA-05” melon, with a strong potential to minimal processing.

关键词： Cucumis melo Translucency Pectin Methylesterase Total Soluble Sugars

Rice and Bean:Glycemic Index and Glycemic Load of the“Baiao de Dois”

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Agricultural Sciences 2014年第9期5卷 770-775页

作者： Tatiana Uchoa Passos Helena Alves de Carvalho Sampaio Soraia Pinheiro Machado Arruda Maria Luisa Pereira de Melo Jose Wellington de oliveira lima Daianne Cristina Rocha Public Health State University of CearaFortalezaBrazil Pharmacology State University of CearaFortalezaBrazil

The “bai?o de dois” is a typical Brazilian dish and a rich combination of rice and beans. This preparation has a high nutritional value but its effect on glycemic response is not yet studied. To determine the glycemic index and glycemic load of foods can help prescribing diets and as a result, improving the treatment and prevention of chronic diseases. This study aimed to access the glycemic index (GI) and glycemic load (GL) of “bai?o de dois”. Following the protocol recommended by the Food and Agriculture Organization, 6 volunteers were recruited to perform blood glucose tests. Each volunteer performed three glucose tolerance tests and a test with “bai?o de dois”. All tests were undertaken in separate weeks. Through the calculation of the areas under each of the curves, it was possible to access the GI of “bai?o de dois” by the average values of six GIs found for each volunteer. It was calculated that the GL of each portion tested and recommended servings per capita. It was found that “bai?o de dois” had low GI (44) and GL (6) at the recommended per capita, but high GL (22) at the portion tested (bigger than the recommended). The “bai?o de dois” do not present a potential risk for developing chronic diseases, but it is recommended consumption to be monitored.

关键词： Glycemic Index Glycemic Load Regional Food Baiao de Dois Chronic Disease

Self-Care Practice of Patients with Mechanical Heart Valve Prosthesis Accompanied in Nursing Consultation

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Health 2015年第10期7卷 1387-1395页

作者： Lidia Stella Teixeira de Meneses Francisca Elisangela Teixeira lima Sherida Karanini Paz de oliveira Francisca Jane Gomes oliveira Maira di Ciero Miranda Vieira Paulo Cesar Almeida Viviane Martins da Silva Federal University of Ceará Fortaleza Brazil department of Nursing Federal University of Ceará Fortaleza Brazil State University of Ceará Fortaleza Brazil

The objective was to evaluate the practice of self-care of patients with mechanical heart valve prosthesis. A descriptive, cross-sectional study developed in two outpatient valvopathies of teaching hospitals of Fortaleza/CE, from October 2013 to January 2014. The sample consisted of 127 patients with mechanical heart valve prosthesis. It was held an interview using instrument based on the Theory of Orem’s Self-Care and Brazilian Guidelines for Valvular Heart Diseases. The data were presented in tables and charts. Results: Universal self-care practices of larger adhesion: body hygiene (97.6% washed-haired, daily-bath 92.1%);oral hygiene (brushing teeth before sleeping, 87.4%);fluid intake (drinking-water 95.2%);food intake (salt intake ≤ 2 g/day, 92.1%, fruit and vegetable consumption 79.5%);intestinal eliminations (without blood or mucus—96%, non-parasitic 94.4%);urinary elimination (no blood nor pus-96.8%, urination 4 to 6 times a day, 96%). As self-care developmental requirements predominated: never used illegal drugs, tobacco, alcohol, or stopped at the discovery of the disease (70%). As self-care health deviation requirements we have: making use of certain medication at the right dose (95.2%);attending medical appointments (cardiologist—92.1%;nursing—84.2%);INR control (identifies signs of bleeding— 85.8%). We conclude that patients did not perform all recommended self-care practices, being necessary to establish strategies to reduce the self-care deficit.

关键词： Nursing Self-Care Heart Valve

Risk Factors for Perinatal Asphyxia in Newborns delivered at Term

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Open Journal of Nursing 2016年第7期6卷 558-564页

作者： Anália Luana Sena de Souza Nilba lima de Souza Débora Feitosa de França Samara Isabela Maia de oliveira Anne Karoline Candido Araújo Dândara Nayara Azevedo Dantas Federal University of Rio Grande do Norte/UFRN Natal Brazil department of Nursing Health Science Center Federal University of Rio Grande do Norte (UFRN) Central Campus Natal Brazil Graduate Program in Nursing Federal University of Rio Grande do Norte/UFRN Natal Brazil

Perinatal asphyxia is defined as harm to the fetus or the newborn caused by hypoxia and/or ischemia of various organs with intensity to produce biochemical and/or functional changes. Understanding the risk factors for this clinical condition allows the identification of vulnerable groups, enabling an improvement in care planning in the perinatal period in neonatal intensive care units. In this sense, this research aimed to identify risk factors for perinatal asphyxia present in newborns term that showed record for this clinical condition. This was a cross-sectional, retrospective documentary, quantitative and descriptive, conducted from data from medical records of 55 infants admitted to a neonatal intensive care unit. As for maternal characteristics (78.0%) had between 16 and 35 years, only one child (53.0%) and (76.0%) had no prior history of miscarriage. As for pre-existing diseases or pregnancy (38.0%) developed by Hypertensive Pregnancy Specific disease (02.0%) were suffering from Hypertension and (02.0%) of Diabetes Mellitus. As for newborns, most infants had birth weight (43.6%) and correlation with gestational age (78.2%) compatible for good conditions of birth. Only (20.0%) of the infants had a difficult labor. It stood out although there was a slight predominance of severe asphyxia (50.9%) in the first minute and (45.5%) of the infants had record release intrauterine meconium. It was concluded that most mothers and newborns did not have risk factors for perinatal asphyxia, thus, this fact could be attributed to the structural conditions of service, especially in the care during labor, delivery and immediate assistance newborn.

关键词： Birth at Term Neonatal Asphyxia Neonatal Intensive Care Units Neonatal Nursing

Metal-enriched nanoparticles and black carbon:A perspective from the Brazil railway system air pollution

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Geoscience Frontiers 2021年第3期12卷 624-635页

作者： Bianca D.lima Elba C.Teixeira James C.Hower Matheus S.Civeira Omar Ramírez Cheng-Xue Yang Marcos L.S.oliveira Luis F.O.Silva Postgraduate Program in Remote Sensing and Meteorology Geosciences InstituteUniversidade Federal do Rio Grande do SulAv.Bento Gonçalves9500Porto AlegreRS 91501–970Brazil Research department Fundação Estadual de Proteção Ambiental Henrique Luís RoesslerAv.Borges de Medeiros261Porto AlegreRS 90020–021Brazil Center for Applied Energy Research University of Kentucky2540 Research Park DriveLexingtonKY 40511USA Postgraduate Program in Mines Metallurgy and MaterialsUniversidade Federal do Rio Grande do SulAv.Bento Gonçalves9500Porto AlegreRS 91501–970Brazil Faculty of Engineering Environmental EngineeringUniversidad Militar Nueva GranadaKm 2 CajicáZipaquiráColombia Institute of Earth Science China University of Geosciences(Beijing)29 Xueyuan RdHaidian DistrictChina department of Civil and Environmental Universidad de la CostaCUCCalle 58#55-66BarranquillaAtlanticoColombia Universidad de lima Departamento de Ingeniería civil y Arquitectura.Avenida Javier Prado Este 4600–Santiago de Surco 1503Peru

Having a better understanding of air pollutants in railway systems is crucial to ensure a clean public *** study measured,for the first time in Brazil,nanoparticles(NPs)and black carbon(BC)on two groundlevel platforms and inside trains of the Metropolitan Area of Porto Alegre(MAPA).An intense sampling campaign during thirteen consecutive months was carried out and the chemical composition of NPs was examined by advanced microscopy *** results showed that highest concentrations of the pollutants occur in colder seasons and influenced by variables such as frequency of the trains and passenger ***,internal and external sources of pollution at the stations were *** predominance of NPs enriched with metals that increase oxidative stress like Cd,Fe,Pb,Cr,Zn,Ni,V,Hg,Sn,and Ba both on the platforms and inside trains,including Fe-minerals as hematite and magnetite,represents a critical risk to the health of passengers and employees of the *** interdisciplinary and multi-analytical study aims to provide an improved understanding of reported adverse health effects induced by railway system aerosols.

关键词： Nanoparticles Potential hazardous elements Environmental chemistry Human health Railway environment Indoor air quality

Mitigation of Greenhouse Gas Emissions from Tropical Soils Amended with Poultry Manure and Sugar Cane Straw Biochars

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Agricultural Sciences 2017年第9期8卷 887-903页

作者： Sarah Vieira Novais Mariana delgado oliveira Zenero Elizio Ferreira Frade Junior Renato Paiva de lima Carlos Eduardo Pelegrino Cerri department of Soil Science Escola Superior de Agricultura Luiz de Queiroz University of S&#227 o Paulo Piracicaba Brazil department of Environmental Sciences Federal Institute of Mato Grosso Barra do Gar&#231 a Brazil

Increases in greenhouse gases (GHG) emissions, upon changes in land use and agricultural management, lead to a search for techniques that enhance carbon residence time in soil. Pyrolysis increases the recalcitrance of organic materials and enhances their activities as physical, chemical and biological soil conditioners. Emissions of CO2, CH4 and N2O quantified from a sandy soil that was treated with three rates (12.5, 25 e 50 Mg·ha-1) of either non-pyrolysed poultry manure and sugarcane straw or biochars, pyrolysed at two contrasting temperatures (350°C and 650°C). Subsequently, the flux of the three gases was converted and compared in a standard unit (CO2eq). The added biochars, significantly reduced GHG emissions, especially CO2, relative to the non-pyrolysed materials. The greatest differences between applied rates of poultry manure, relative sugarcane straw, both to biochar and raw material, and the positive response to the increase of pyrolysis temperture, confirm the importance of raw material choice for biochar production, with recalcitrance being an important initial characteristic. Greater emissions occurred with intermediate rate of biochars (25 Mg·ha-1) amendment to the soil. These intermediate rates had higher microbial biomass, provided by an intermediate C/N ratio derived from the original soil and the biochar, promoting combined levels of labile C and oxygen availability, leading to an optimal environment for microbiota.

关键词： CO2 CH4 N2O Weathered Soil

Effects of Ingested Baccharis dracunculifolia D.C.(Asteraceae)Extract in the Liver of Prochilodus lineatus Fish

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Microscopy Research 2019年第3期7卷 27-38页

作者： Jeffesson de oliveira-lima Bruno Fiorelini Pereira Joao Rodolfo Tuckumantel Valim Thiago Gazoni Dimitrius Leonardo Pitol Flavio Henrique Caetano department of Biology Sao Paulo State UniversitySao PauloBrazil department of Biological Sciences Federal University of Sao PauloDiademaBrazil department of Morphology University of Sao PauloRibeirao PretoBrazil

Baccharis dracunculifolia, popularly known in Brazil as “alecrim-do-campo”, is widely recognized for its therapeutic potential. The extract of its leaves is used for liver problems, stomach disorders and others. The objective of the present study was to perform a histochemical analysis of curimbata fish livers to evaluate the potential effects and risks of the ingestion of B. dracunculifolia. Thirty-two animals were divided into two experimental groups in duplicate: Control group (regular food) and B. dracunculifolia Treated group (food added with B. dracunculifolia). The fishes were collected on the 14th and 21st days after the treatment period of 21 days. The histological alterations were evaluated using the semiquantitative methods Mean Value of Alterations (MVA), Histopathological Alteration Index (HAI) and Image J®. HAI and MAV showed that the extract caused slight but statistically significant damages, widely distributed throughout the organ. The results showed significant hepatic alterations caused by the ingestion of B. dracunculifolia extract.

关键词： Asteraceae Hepatotoxicity Lipofuscin Macrophages Prochilodus lineatus