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COVID-19 impact in Crohn’s disease patients submitted to autologous hematopoietic stem cell transplantation

World Journal of Hematology 2024年第1期11卷 1-8页

作者： Milton Artur Ruiz Roberto luiz Kaiser Junior Lilian Piron-Ruiz Tainara souza Pinho Lilian Castiglioni luiz gustavo de quadr.s department of Bone Marrow Transplantation Associação Portuguesa de BeneficênciaSão Josédo Rio Preto SP 15090470Brazil department of surgery Kaiser Hospital DiaSão Josédo Rio Preto 08010-150São PauloBrazil department of Bone Marrow Transplantation Beneficência Portuguesa HospitalSão Josédo Rio Preto 15090470São PauloBrazil FAMERP Faculdade de Medicina de São Josédo Rio PretoSão Josédo Rio Preto 15090000São PauloBrazil Beneficência Portuguesa Hospital ABC Medical SchoolSão Bernardo 15015110São PauloBrazil

BACKGROUND severe acute respiratory syndrome coronavirus 2 is the virus responsible for coronavirus disease 2019(COVID-19),a disease that has been blamed for inducing or exacerbating symptoms in patients with autoimmune ***'s disease(CD)is an inflammatory bowel disease that affects genetically susceptible patients who develop an abnormal mucosal immune response to the intestinal *** who underwent hematopoietic stem cell transplantation(HsCT)are considered at risk for *** To describe for the first time the impact of COVID-19 in CD patients who had undergone autologous,non-myeloablative *** In this descriptive study a series of 19 patients were diagnosed with positive *** two patients there were reports of the occurrence of two infectious *** related to HsCT,such as time elapsed since the procedure,vaccination status,CD status before and after infection,and clinical manifestations resulting from COVID-19,were *** Among the patients with COVID-19,three,who underwent Auto HsCT less than six months ago,relapsed and one,in addition to the CD symptoms,started to present thyroid impairment with positive *** one of the patients required hospitalization for five days to treat COVID-19 and remained in CD clinical *** patients reported late symptoms that may be related to *** were no deaths,and a statistical evaluation of the series of COVID-19 patients compared to those who did not present any infectious episode did not identify significant differences regarding the analyzed *** despite the change in CD status in three patients and the presence of nine patients with late symptoms,we can conclude that there was no significant adverse impact concerning COVID-19 in the evaluated patients who underwent HsCT to treat CD.

关键词： Inflammatory bowel disease Crohn disease sARs-CoV-2 COVID-19 Autologous hematopoietic stem cell transplantation stem cell therapy

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The role of environmental temperature on movement patterns of giant anteaters

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Integrative Zoology 2022年第2期17卷 285-296页

作者： Aline GIROUX Zaida ORTEGA Alessandra BERTAssONI Arnaud Léonard Jean desBIEZ Danilo KLUYBER Gabriel Favero MAssOCATO Guilherme de MIRANDA Guilherme MOURÃO Luciana sURITA Nina ATTIAs Rita de Cassia BIANCHI Vinícius Peron de Oliveira GAsPAROTTO luiz gustavo Rodrigues OLIVEIRA-sANTOs Ecology department Federal University of Mato Grosso do Sul(UFMS)Campo GrandeMato Grosso do SulBrazil Post Graduate Program of Ecology and Evolution Federal University of Goiás(UFG)GoiâniaGoiásBrazil Institute of Research and Conservation of Anteaters in Brazil(PROJETO TAMANDUÁ) ParnaíbaPiauíBrazil Institute for the Conservation of Wild Animals(ICAs) Campo GrandeMato Grosso do SulBrazil Royal Zoological society of scotland(RZss) MurrayfieldEdinburghUK Institute for Ecological Research(IPÊ) NazaréPaulistaSão PauloBrazil Naples Zoo at Caribbean Gardens NaplesFloridaUSA The Houston Zoo HoustonTexasUSA National Institute of Criminalistics-Federal Police BrasíliaBrazil Embrapa Pantanal CorumbáMato Grosso do SulBrazil Natural Resources Graduate Program(PRONAT)-Federal University of Roraima(UFRR) Boa VistaRoraimaBrazil Animal Biology Graduate Program Federal University of Mato Grosso do Sul(UFMS)Campo GrandeMato Grosso do SulBrazil Animal Biology department São Paulo State University(UNESP)São Josédo Rio PretoSão PauloBrazil department of Preventive Veterinary Medicine and Animal Health School of Veterinary MedicineUniversity of São Paulo(USP)São PauloSPBrazil Brazilian Institute for Conservation Medicine(TRÍAde) RecifePernambucoBrazil

Mammals can show conspicuous behavioral responses to thermal variation,including changes in movement *** used an integrative approach to understand how environmental temperature can drive the movement behavior of a mammal with low capacity for physiological thermoregulation,the giant anteater(Myrmecophaga tridactyla).We tracked 52 giant anteaters in 7 areas throughout the Brazilian *** estimated the distance moved,area used,use of forest areas,and mean environmental temperature for each monitoring day of each *** modeled these data with Mixed structural Equations—considering the possible interactions between our variables and controlling for sex and body *** anteaters reduced displacement and increased forest use with decreasing environmental temperature,probably because of their low body heat *** is possible that they reduce distance moved and area used by reducing the duration of *** decreasing temperature,forest habitats become warmer than open ones,besides buffer rain and chilly *** displacement and using forests are important strategies to reduce body heat loss and the energetic costs of ***,decreasing movement can limit food access and,consequently,***,we highlight the importance of forests as thermal *** increasing frequency and intensity of extreme weather events,we showed the need to preserve forest patches to offer suitable conditions for tropical mammals’behavioral *** this context,policies favoring deforestation on Brazilian territory are especially ***,we emphasize the need of integrative approaches to understand the complex interactions between organisms and the environment.

关键词： behavioral thermoregulation biologging habitat use mixed structural equations movement ecology

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Optimal cytokinin/auxin balance for indirect shoot organogenesis of Eucalyptus cloeziana and production of ex vitro rooted micro-cuttings

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Journal of Forestry Research 2022年第5期33卷 1573-1584页

作者： Leandro silva de Oliveira Gilvano Ebling Brondani Letícia Vaz Molinari Rafaella Zanetti Dias gustavo Leal Teixeira Antônio Natal Gonçalves Marcílio de Almeida Institute of Agricultural science Federal University of Minas GeraisUniversity Campus1000Universitária Ave.Montes ClarosMG 39404-547Brazil Laboratory of In Vitro Culture of Forest species Department of Forestry SciencesFederal University of LavrasUniversity CampusCentral AvenueLavrasMG 37200-900Brazil department of Biological sciences “Luiz de Queiroz”College of AgricultureUniversity of São Paulo(ESALQ/USP)University Campus11Pádua Dias AvenuePiracicabaSP 13418-900Brazil

shoot organogenesis is critical for the shortening of long breeding cycles and circumvent the barrier of cloning mature Eucalyptus cloeziana *** enables large-scale production of plants from transformed *** study evaluates the effect ofα-naphthaleneacetic acid(NAA),thidiazuron(TDZ)and benzylaminopurine(BAP)on the organogenesis of *** from hypocotyls and cotyledonary *** the induction stage,hypocotyls and cotyledonary leaves were established in a Murashige and skoog(Ms)culture medium supplemented with NAA or *** tissues were cultivated in a Ms culture medium containing only BAP or different concentrations of BAP/NAA in the differentiation *** buds were multiplied in vitro and elongated in a WPM culture medium supplemented with 0.89μM BAP and 0.05μM *** leaves exhibited the best in vitro *** induction of adventitious buds occurred only in calluses induced from *** the differentiation stage,4.4μM BAP treatment promoted an increase of adventitious bud ***-cuttings from regenerated shoots were acclimatized and rooted ex vitro in *** results confirm the establishment of an efficient protocol for the in vitro regeneration of *** by indirect organogenesis,providing new insights regarding cloning of this species.

关键词： Micropropagation Recalcitrant species Plant growth regulator Explants source

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Medical,ethical,and legal aspects of hematopoietic stem cell transplantation for Crohn’s disease in Brazil

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World Journal of stem Cells 2020年第10期12卷 1113-1123页

作者： Milton Artur Ruiz Roberto luiz Kaiser Junior Lilian Piron-Ruiz Priscila samara saran Lilian Castiglioni luiz gustavo de quadr.s Tainara souza Pinho Richard K Burt department of Bone Marrow Transplant Beneficência Portuguesa HospitalSão Josédo Rio Preto 15090470Brazil department of Proctology Beneficencia Portuguesa HospitalSão Josédo Rio Preto 15090470Brazil department of Bone Marrow Transplantation Beneficência Portuguesa HospitalSão Josédo Rio Preto 15090470Brazil Genetics and Molecular Biology FAMERP-Faculdade de Medicina de São Josédo Rio PretoSão Josédo Rio Preto 15090470 Brazil department of Endoscopy Beneficência Portuguesa HospitalABC Medical SchoolSão Bernardo 15015110Brazil department of Medicine Northwestern University Feinberg School of MedicineChicagoIL 60611United States

Crohn's disease(CD)is a chronic inflammatory bowel disease that can affect any part of the gastrointestinal *** etiology of CD is unknown;however,genetic,epigenetic,environmental,and lifestyle factors could play an essential role in the onset and establishment of the *** results from immune dysregulation due to loss of the healthy symbiotic relationship between host and intestinal flora and or its *** affects both sexes equally with a male to female ratio of 1.0,and its onset can occur at any age,but the diagnosis is most commonly observed in the range of 20 to 40 years of *** diminishes quality of life,interferes with social activities,traumatizes due to the stigma of incontinence,fistulae,strictures,and colostomies,and in severe cases,affects survival when compared to the general *** fluctuate between periods of remission and activity in which complications such as fistulas,strictures,and the need for bowel resection,surgery,and colostomy implantation make up the most severe aspects of the *** can be progressive and the complications recurrent despite treatment with anti-inflammatory drugs,corticosteroids,immunosuppressants,and biological ***,over time many patients become refractory without treatment alternatives,and in this scenario,hematopoietic stem cell transplantation(HsCT)has emerged as a potential treatment *** rationale for the use of HsCT for CD is anchored in animal studies and human clinical trials where HsCT could reset a patient's immune system by eliminating disease-causing effector cells and upon immune recovery increase regulatory and suppressive immune *** HsCT using a non-myeloablative regimen of cyclophosphamide and anti-thymocyte globulin without CD34+selection has been to date the most common transplant conditioning regimen *** this review we will address the current situation regarding CD treatment with HsCT and emphasize the medical,ethical,and legal aspect

关键词： Crohn disease Hematopoietic stem cell transplant stem cell therapy Autologous transplant Ethics Treatment

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Hematopoietic stem cell transplantation for Crohn's disease: Gaps, doubts and perspectives

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World Journal of stem Cells 2018年第10期10卷 134-137页

作者： Milton Artur Ruiz Roberto luiz Kaiser Junior Lilian Piron-Ruiz Tatiana Pena-Arciniegas Priscila samara saran luiz gustavo de quadr.s Bone Marrow Transplant department Associaaao Portuguesa de BeneficenciaSao Joseo Rio PretoSP 15090 470Brazil

Crohn's disease(CD) is an inflammatory bowel disease that can affect any site of the digestive system. It occurs due to an immunological imbalance and is responsible for intestinal mucosal lesions and complications such as fistulas and stenoses. Treatment aims to stabilize the disease, reducing the symptoms and healing intestinal lesions. surgical procedures are common in patients. Cell therapy was initially used to treat this disease in patients who also suffered from lymphoma and leukemia and were considered to be good candidates for autologous and allogeneic transplantation. After transplantation, an improvement was also observed in their CD. In 2003, the procedure began to be used to treat the disease itself, and several case series and randomized studies have been published since then; this approach currently comprises a new option in the treatment of CD. However, considerable doubt along with significant gaps in our knowledge continue to exist in relation to cell therapy for CD. Cell therapy is currently restricted to the autologous modality of hematopoietic stem cell transplantation and, experimentally, to mesenchymal stromal cells to directly treat lesions of the anal mucosa. This article presents the supporting claims for transplantation as well as aspects related to the mobilization regime, conditioning and perspectives of cell therapy.

关键词： stem cell therapy Hematopoietic stem cell transplantation Treatment Crohn's disease

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Fecal microbiota transplantation in patients with metabolic syndrome and obesity:A randomized controlled trial

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World Journal of Clinical Cases 2023年第19期11卷 4612-4624页

作者： Alberto Machado da Ponte Neto Aniele Cristine Ott Clemente Paula Waki Rosa Igor Braga Ribeiro Mateus Pereira Funari Gabriel Cairo Nunes Luana Moreira luiz gustavo sparvoli Ramon Cortez Carla Romano Taddei Márcio C Mancini Eduardo Guimarães Hourneaux de Moura departament of Gastroenterology Faculdade de MedicinaUniversidade de Sao PauloServiço de Endoscopia Gastrointestinal do Hospital das Clínicas HCFMUSPSão Paulo 05403-010SPBrazil department of Endocrinology Hospital das ClínicasUniversity of São Paulo School of MedicineSão Paulo 05403-010SPBrazil department of Clinical and Toxicology Analysis School of Pharmaceutical SciencesUniversity of São PauloSão Paulo 05403-010SPBrazil school of Arts Science and HumanitiesUniversity of São PauloSão Paulo 05403-010SPBrazil

BACKGROUND Metabolic syndrome is a multifactorial disease,and the gut microbiota may play a role in its ***,especially abdominal obesity,is associated with insulin resistance,often increasing the risk of type two diabetes mellitus,vascular endothelial dysfunction,an abnormal lipid profile,hypertension,and vascular inflammation,all of which promote the development of atherosclerotic cardiovascular *** To evaluate the outcomes of fecal microbiota transplantation(FMT)in patients with metabolic *** This was a randomized,single-blind placebo-controlled trial comparing FMT and a sham procedure in patients with metabolic *** selected 32 female patients,who were divided into eight groups of four patients *** of the patients were submitted to upper gastrointestinal *** each group,two patients were randomly allocated to undergo FMT,and the other two patients received saline *** patients were followed for one year after the procedures,during which time anthropometric,bioimpedance,and biochemical data were *** patients also had periodic consultations with a nutritionist and an *** primary end point was a change in the gut *** There was evidence of a postprocedural change in microbiota composition in the patients who underwent FMT in relation to that observed in those who underwent the sham ***,we found no difference between the two groups in terms of the clinical parameters *** There were no significant differences in biochemical or anthropometric parameters,between the two groups ***,there were significant postprocedural differences in the microbiota composition between the placebo *** date,clinical outcomes related to FMT remain uncertain.

关键词： Fecal microbiota transplantation Metabolic syndrome Obesity Endoscopy Diabetes mellitus Endocrinology

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Liver transplant in patients with primary sclerosing cholangitis:A retrospective cohort from Northeastern Brazil

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世界肝病学杂志:英文版(电子版) 2023年第9期15卷 1033-1042页

作者： Louyse Teixeira de souza Freitas Elodie Bomfim Hyppolito Victor Leonardo Barreto luiz Humberto JataíCastelo Júnior Bianca Carneiro de Melo Jorge Frederico César Tahim de sousa Brasil Háteras Malthus Barbosa Marzola Clébia Azevedo Lima Raquel Mendes Celedonio gustavo Rêgo Coelho Jose Huygens Parente Garcia Liver Transplant department Walter Cantídio Teaching HospitalFortaleza 60430270CearáBrazil school of Medicine University of FortalezaFortaleza 60811905CearáBrazil Hospital são José CearáState Health DepartmentFortaleza 60455610CearáBrazil department of surgery Federal University of CearáFortaleza 60430140CearáBrazil surgery department São Carlos HospitalFortaleza 60130241CearáBrazil

BACKGROUND Primary sclerosing cholangitis(PsC)manifests within a broad ethnic and racial spectrum,reflecting different levels of access to health *** To evaluate the clinical profile,complications and survival rates of patients with PsC undergoing liver transplantation(LTx)at a Brazilian reference *** All patients diagnosed with PsC before or after LTx were *** medical records were reviewed for demographic and clinical variables,including outcomes and *** level of statistical significance was set at Psented 1.6%(n=34)of the 2113 patients receiving liver grafts at our service over the past two *** were male(n=19;56%).The average age(40±14 years)was similar for men and women(P=0.347).The mean follow-up time from diagnosis to LTx was 68 *** patients had the classic form of *** women had PsC/autoimmune hepatitis overlap syndrome,and one patient had small-duct *** phosphatase levels at diagnosis and pre-LTx model for end-stage liver *** were significantly higher in *** bowel research(IBD)was investigated by colonoscopy in 26/34(76%)and was present in most cases(18/26;69%).IBD was less common in women than in men(44.4%vs.55.6%)(P=0.692).Cholangiocarcinoma(CCA)was diagnosed in 2/34(5.9%)patients by histopathology of the explant(survival:3 years 6 mo,and 4 years 11 mo).Two patients had complications requiring a second LTx(one after 7 d due to hepatic artery thrombosis and one after 17 d due to primary graft dysfunction).Five patients(14.7%)developed biliary *** overall median post-LTx survival was 66 *** deaths occurred in the first year(infection n=2,primary liver graft dysfunction n=3,unknown cause n=1).The 1-year and 5-year survival rates of this cohort were 82.3%and 70.6%,respectively,matching the mean overall survival rates of LTx patients at our center(87.1%and 69.43%,respectively)(P=0.83).CONCLUsION survival after 1 and 5 years was simil

关键词： Primary sclerosing cholangitis Epidemiology Liver transplantation survivor Clinical associations Pathological features

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Impact of hormonal modulation at proestrus on ovarian responses and uterine gene expression of suckled anestrous beef cows

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Journal of Animal science and Biotechnology 2018年第1期9卷 77-90页

作者： Manoel Francisco de sá Filho Angela Maria Gonella-Diaza Mariana sponchiado Marcio Ferreira Mendanha Guilherme Pugliesi Roney dos santos Ramos sónia Cristina da silva Andrade gustavo Gasparin luiz Lehmann Coutinho Marcelo demarchi Goissis Fernando silveira Mesquita Pietro sampaio Baruselli Mario Binelli departamento de Reproducao Animal FMVZ USP Sao Paulo SP Brazil departamento de Genetica e Biologia Evolutiva IB-USP- Sao Paulo SP Brazil Laboratorio de Biotecnologia Animal ESALQ USP Av Padua Dias Piracicaba SP 11 Brazil Universidade Federal do Pampa Uruguaiana RS Brazil Universidade de sao Paulo Faculdade de Medicina Veterinriae Zootecnia Departamento de Reprodcao Animal Avenida Duque de Caxias Norte 225 Pirassununga SP Zip Code 13635900 Brazil

Background： This study evaluated the impact of hormonal modulation at the onset of proestrus on ovarian response and uterine gene expression of beef ***： A total of 172 anestrous beef cows were assigned to one of four groups according to the treatment with estradiol cypionate（ECP） and/or equine chorionic gonadotropin（eCG） [CON（n = 43）, ECP（n = 43）, eCG（n = 44）and ECP ＋ eCG（n = 42）].Results： ECP-treated cows（ECP and ECP ＋ eCG groups） presented greater occurrence of estrus（44.6% vs. 65.4%; P = 0.01） and pregnancy per AI [47.1% vs. 33.3%; P = 0.07], but similar progesterone（P4） concentration at subsequent diestrus than cows not treated with ECP（CON and eCG groups）. Nonetheless, eCG-treated cows（eCG and ECP ＋ eCG groups） presented larger follicle at timed AI（12.6 ± 0.3 vs. 13.5 ± 0.3 mm; P = 0.03）, greater ovulation rate（96.5%vs. 82.6%; P = 0.008） and greater P4 concentration at d 6（3.9 ± 0.2 vs. 4.8 ± 0.2 ng/mL; P = 0.001） than cows not treated with eCG（CON and ECP groups）. Next, cows with a new corpus luteum 6 d after TAI were submitted to uterine biopsy procedure. Uterine fragments [CON（n = 6）, ECP（n = 6）] were analyzed by RNA-seq and a total of 135 transcripts were differentially expressed between groups（73 genes up-regulated by ECP treatment）. subsequently,uterine samples were analyzed by q PCR（genes associated with cell proliferation）. ECP treatment induced greater abundance of PTCH2（P = 0.07） and COL4 A1（P = 0.02）, whereas suppressed EGFR（P = 0.09） expression. Conversely, eCG treatment increased abundance of HB-EGF（P = 0.06）, EsR2（P = 0.09）, and ITGB3（P = 0.05）, whereas it reduced transcription of EsR1（P = 0.05）. Collectively, supplementation with ECP or eCG at the onset of proestrous of anestrous beef cows influenced ovarian responses, global and specific endometrial gene ***： Proestrus estradiol regulate the endometrial transcriptome, particularly stimulating proliferative activity in the endometrium.

关键词： Cattle eCG Endometrium Estradiol Transcriptome

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Melt Extrusion of Environmentally Friendly Poly(L-lactic acid)/sodium Metabisulfite Films for Antimicrobial Packaging Applications

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Journal of Renewable Materials 2021年第2期9卷 337-349页

作者： Norma M.P.Machado gustavo C.Melo Matheus F.Camargo Giulianna G.Feijó Bruna M.s.Putton Clarice steffens Rogerio L.Cansian luiz A.Pessan Francys K.V.Moreira department of Materials Engineering Federal University of São CarlosSão CarlosBrazil department of Food Engineering Regional Integrated University of High Uruguay and Missions(URI)ErechimBrazil

Food packaging materials compounded with antimicrobial additives can substantially diminish the incidence of foodborne ***,poly(L-lactic acid)(PLA)films containing sodium metabisulfite(NaM)were produced by melt extrusion as an attempt to develop a new biodegradable material with antimicrobial properties for *** cycle assessment(LCA)simulations revealed that the environmental footprints of the PLA film did not change upon NaM addition,and that NaM is more eco-friendly than silver *** PLA/NaM films with NaM content varying from 0.5 to 5.0 wt.%were characterized by differential scanning calorimetry(DsC),thermogravimetric analysis(TGA),and optical and mechanical properties *** optical properties were sustained after the addition of NaM,but high NaM contents degraded the light transparence of the PLA matrix at some *** thermal stability and tensile properties of the PLA film decreased proportionally to the NaM content,while no changes were observed on Tg,Tm and Xc,as determined by *** diffusion tests revealed that the PLA/NaM films had no antimicrobial activity on saccharomyces cerevisiae at 35°C,which was related to the limited migration of NaM from the glassy PLA *** biodegradable PLA films compounded with NaM through melt extrusion display adequate optical,thermal,and mechanical properties to cover most food packaging applications,representing an essential step toward the development of eco-friendly packaging materials that can potentially exhibit an antimicrobially active surface.

关键词： Biobased packaging antimicrobial activity life cycle assessment

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Musculoskeletal Pain in Medical students subject to Remote Teaching during the COVID-19 Pandemic

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Journal of Biosciences and Medicines 2021年第8期9卷 92-19页

作者： Isabela de Paiva Gomes Vivian Mitleton luiz gustavo Benedetti Fiorin Camila dos santos Leite Oscar César Pires Medicine department Taubaté University Taubaté Brazil

Musculoskeletal pain is a consequence of repetitive strain, overuse, and work-related musculoskeletal disorders. In 2020, due to the new coronavirus pandemic, social isolation started, and so did online classes in a remote study strategy to replace classroom-based study routines. Thus, students adopted a different physical posture from the usual one for a longer time than usual, representing a possible risk factor for musculoskeletal pain. In this sense, this research aimed to identify the occurrence of musculoskeletal pain in medical students subject to distance learning during the COVID-19 pandemic. A cross-sectional, descriptive and exploratory study was applied through an online questionnaire, using the Google Forms application, to 154 students from the first to the fourth year of the medical course at a university in the countryside of the state of s?o Paulo. Among the participants, 99 (64.3%) were female, and 54 (35.7%) were male individuals with ages ranging from 18 and 34. In regards to the daily study time in sitting position, 83 (55.0%) reported staying more than 4 hours, 39 (25.8%) between 2 and 4 hours, and 29 (19.2%) less than 2 hours still. As for musculoskeletal pain before the pandemic;98 (63.6%) reported not feeling it, while 56 (36.4%) reported being affected by this type of pain. However, after the pandemic, 51 respondents (33.1%) continued not to feel anything, whereas 103 (66.9%) kept on having some type of musculoskeletal pain. The results obtained suggest an increase in musculoskeletal pain during the pandemic however other studies may confirm these findings.

关键词： Musculoskeletal Pain Medical students Remote Teaching COVID-19 Pandemic

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