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https://www.readbyqxmd.com/read/28724010/management-of-primary-care-a-challenge-for-international-cooperation-in-health
#1
Luiz Eduardo Fonseca, Maria Cristina Botelho de Figueiredo, Celina Santos Boga Marques Porto
The need to resolve immediate problems in basic healthcare systems and the decisions that must be made in the daily management of healthcare centers must reach beyond awareness of common sense, and be reinforced by the evidence sought in scientific knowledge that will provide a new look at the facts and phenomena that happen on a daily basis. This article examines an experience of triangular cooperation in health between Angola, Brazil and Japan, which took place in Luanda, Angola between 2011 and 2014. The "Project to Strengthen the Healthcare Through the Development of Human Resources at the Josina Hospital and in other Healthcare Services, and to Revitalize Primary Healthcare in Angola (ProForsa)", with the involvement of Fiocruz as the party executing the primary healthcare component...
July 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28722484/consumer-perceptions-of-the-safety-of-ready-to-eat-foods-in-retail-food-store-settings
#2
Katrina Levine, Mary Yavelak, John B Luchansky, Anna C S Porto-Fett, Benjamin Chapman
To better understand how consumers perceive food safety risks in retail food store settings, a survey was administered to 1,041 nationally representative participants who evaluated possible food safety risks depicted in selected photographs and self-reported their perceptions, attitudes, and behaviors. Participants were shown 12 photographs taken at retail stores portraying either commonly perceived or actual food safety contributing factors, such as cross-contamination, product and equipment temperatures, worker hygiene, and/or store sanitation practices...
July 19, 2017: Journal of Food Protection
https://www.readbyqxmd.com/read/28720962/minimally-processed-beetroot-waste-as-an-alternative-source-to-obtain-functional-ingredients
#3
Anne Porto Dalla Costa, Vanessa Stahl Hermes, Alessandro de Oliveira Rios, Simone Hickmann Flôres
Large amounts of waste are generated by the minimally processed vegetables industry, such as those from beetroot processing. The aim of this study was to determine the best method to obtain flour from minimally processed beetroot waste dried at different temperatures, besides producing a colorant from such waste and assessing its stability along 45 days. Beetroot waste dried at 70 °C originates flour with significant antioxidant activity and higher betalain content than flour produced from waste dried at 60 and 80 °C, while chlorination had no impact on the process since microbiological results were consistent for its application...
June 2017: Journal of Food Science and Technology
https://www.readbyqxmd.com/read/28718492/-hiv-and-syphilis-coinfection-in-pregnancy-and-vertical-hiv-transmission-a-study-based-on-epidemiological-surveillance-data
#4
Lisiane M W Acosta, Tonantzin Ribeiro Gonçalves, Nêmora Tregnago Barcellos
Objective: To estimate the rate of HIV and syphilis coinfection among pregnant women living in Porto Alegre, Brazil, as well as the association of coinfection with vertical HIV transmission and socioeconomic variables. Method: This analytical retrospective cross-sectional study employed data from the regular epidemiological surveillance system for the period from 2010 to 2013. Data were obtained regarding pregnant women with HIV and exposed children, syphilis in pregnancy, and congenital syphilis...
December 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28718261/modern-management-of-duodenal-variceal-bleeding
#5
Amer Rehman Farooqi, Lawrence Sunderraj
Duodenal variceal bleeding is an uncommon cause of gastrointestinal bleeding. Treatment strategies are reliant on case reports and case series with new developments in interventional treatment modalities including endoscopic therapy, radiological intervention, and surgery. Endoscopic treatment includes injection sclerotherapy using various agents, banding of varices and clipping of varices. Interventional radiological procedures include Transjugular Intrahepatic porto-systemic shunt (TIPSS), and Balloon- Occluded Retrograde Transvenous Obliteration (BRTO)...
April 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/28714225/leveraging-splice-affecting-variant-predictors-and-a-minigene-validation-system-to-identify-mendelian-disease-causing-variants-amongst-exon-captured-variants-of-uncertain-significance
#6
Zachry T Soens, Justin Branch, Shijing Wu, Zhisheng Yuan, Yumei Li, Hui Li, Keqing Wang, Mingchu Xu, Lavan Rajan, Fabiana L Motta, Renata T Simões, Irma Lopez-Solache, Radwan Ajlan, David G Birch, Peiquan Zhao, Fernanda B Porto, Juliana Sallum, Robert K Koenekoop, Ruifang Sui, Rui Chen
The genetic heterogeneity of Mendelian disorders results in a significant proportion of patients that are unable to be assigned a confident molecular diagnosis after conventional exon sequencing and variant interpretation. Here we evaluated how many patients with an inherited retinal disease (IRD) have variants of uncertain significance (VUS's) that are disrupting splicing in a known IRD gene by means other than affecting the canonical dinucleotide splice site. Three in silico splice-affecting variant predictors were leveraged to annotate and prioritize variants for splicing functional validation...
July 17, 2017: Human Mutation
https://www.readbyqxmd.com/read/28709701/optical-coherence-tomography-guidance-for-the-management-of-angiographically-intermediate-left-main-bifurcation-lesions-early-clinical-experience
#7
Ilaria Dato, Francesco Burzotta, Carlo Trani, Andrea Romano, Lazzaro Paraggio, Cristina Aurigemma, Italo Porto, Antonio Maria Leone, Giampaolo Niccoli, Filippo Crea
BACKGROUND: Left main (LM) atherosclerotic lesions affect clinical outcomes. Frequency domain-optical coherence tomography (FD-OCT) allows detailed characterization of non-ostial coronary atherosclerotic lesions. The clinical impact of FD-OCT assessment of LM bifurcation disease on the revascularization decision is unknown. METHODS: Patients who underwent FD-OCT assessment to guide management of angiographically intermediate distal LM stenosis were retrospectively selected...
July 5, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28704561/diet-overlap-and-spatial-segregation-between-two-neotropical-marsupials-revealed-by-multiple-analytical-approaches
#8
Vanessa Villanova Kuhnen, Gustavo Quevedo Romero, Arício Xavier Linhares, Jeferson Vizentin-Bugoni, Erica Aline Correa Porto, Eleonore Zulnara Freire Setz
Species co-existence depends on how organisms utilize their environment and resources. When two sympatric species are similar in some ecological requirements, their coexistence may arise from differences in resource use over time and/or space. Interactions among coexisting marsupials remain poorly understood, especially in the Neotropics. Here we combine spatial niche measurements, individual-resource networks, and isotopic niche approaches, to investigate the ecological strategies used by the Neotropical marsupials Didelphis aurita and Metachirus nudicaudatus to co-occur in an area of Serra do Mar State Park (southeast of Brazil)...
2017: PloS One
https://www.readbyqxmd.com/read/28700383/the-use-of-the-clinical-dementia-rating-scale-sum-of-boxes-scores-in-detecting-and-staging-cognitive-impairment-dementia-in-brazilian-patients-with-low-educational-attainment
#9
Andrea P V Lima, Raphael Castilhos, Marcia L F Chaves
The aim of this study was to evaluate the Clinical Dementia Rating Scale sum of the boxes (CDR-SB) diagnostic validity in detecting and staging cognitive impairment/dementia in a sample of Brazilian patients with amnestic mild cognitive impairment (aMCI), Alzheimer disease (AD), and vascular dementia (VD), of low educational attainment. Data were obtained from the Dementia Clinic of Hospital de Clínicas de Porto Alegre database and included 407 participants (115 healthy elderly, 41 aMCI, 165 AD, and 86 VD)...
July 11, 2017: Alzheimer Disease and Associated Disorders
https://www.readbyqxmd.com/read/28697990/avian-antibodies-igy-against-trypanosoma-cruzi-purification-and-characterization-studies
#10
Thirssa H Grando, Matheus D Baldissera, Mariângela F de Sá, Guilherme do Carmo, Bianca Carolina Z Porto, Gisele S V Aguirre, Maria Isabel de Azevedo, Francielli P K de Jesus, Janio M Santurio, Michele R Sagrillo, Lenita Moura Stefani, Silvia Gonzalez Monteiro
Trypanosoma cruzi is a flagellated protozoan belonging to the Trypanosomatidae family, the etiologic agent of Chagas disease. Currently, there is neither a licensed vaccine nor effective treatment, characterizing an unmet clinical need. The IgY refers to the egg yolk immunoglobulin (Y=yolk) and its production and use are subjects of many studies due to the diversity of its diagnostic and therapeutic applications. Several researchers have shown that the use of specific IgY may prevent and/or control infectious and parasitic diseases...
July 8, 2017: Journal of Immunological Methods
https://www.readbyqxmd.com/read/28692885/ecotoxicity-of-water-soluble-lectin-from-moringa-oleifera-seeds-to-zebrafish-danio-rerio-embryos-and-larvae
#11
Livia Lais de Santana Silva, Romulo Nepomuceno Alves, Driele Ventura de Paulo, José Dayvid Ferreira da Silva, Ana Patrícia Silva de Oliveira, Luana Cassandra Breitenbach Barroso Coelho, Daniela Maria do Amaral Ferraz Navarro, Thiago Henrique Napoleão, Ian Porto Gurgel do Amaral, Paulo Sérgio Martins de Carvalho, Patrícia Maria Guedes Paiva
The evaluation of ecotoxicity of mosquito larvicidal agents (such as the water-soluble lectin from Moringa oleifera seeds, WSMoL) is an essential step to establish the guidelines for their use. In this sense, this work evaluated the toxicity of WSMoL to Danio rerio embryos and larvae. Embryos were exposed to waterborne WSMoL (0.0125-0.2 mg mL(-1)) for 96 h and lethal and sub-lethal effects were observed every 24 h. In the bioassays with larvae, the individuals were exposed to the WSMoL (0.025-0.2 mg mL(-1)), mortality was recorded daily, and larval swimming velocities were analyzed after 72 h and 168 h of exposure...
July 5, 2017: Chemosphere
https://www.readbyqxmd.com/read/28692467/intravenous-tranexamic-acid-bolus-plus-infusion-is-not-more-effective-than-a-single-bolus-in-primary-hip-arthroplasty-a-randomized-controlled-trial
#12
Paul J Zufferey, Julien Lanoiselée, Céline Chapelle, Dmitry B Borisov, Jean-Yves Bien, Pierre Lambert, Rémi Philippot, Serge Molliex, Xavier Delavenne, Béatrice Deygas, Mathilde Donnat, Juanita Techer, Laurent Tordella, Jean-Noël Fort, Nicolas Barbe, Julie Gavory, Sylvie Passot, Laetitia Burnol, Stéphanie Seve
BACKGROUND: Preoperative administration of the antifibrinolytic agent tranexamic acid reduces bleeding in patients undergoing hip arthroplasty. Increased fibrinolytic activity is maintained throughout the first day postoperation. The objective of the study was to determine whether additional perioperative administration of tranexamic acid would further reduce blood loss. METHODS: This prospective, double-blind, parallel-arm, randomized, superiority study was conducted in 168 patients undergoing unilateral primary hip arthroplasty...
July 10, 2017: Anesthesiology
https://www.readbyqxmd.com/read/28686729/correction-physiological-responses-and-external-validity-of-a-new-setting-for-taekwondo-combat-simulation
#13
Matheus Hausen, Pedro Paulo Soares, Marcus Paulo Araújo, Flávia Porto, Emerson Franchini, Craig Alan Bridge, Jonas Gurgel
[This corrects the article DOI: 10.1371/journal.pone.0171553.].
2017: PloS One
https://www.readbyqxmd.com/read/28685004/a-newborn-with-an-alternative-porto-caval-shunt
#14
Çağrı Damar, Ayşe Gül Alımlı, Betül Emine Derinkuyu, Kudret Ebru Özcan, Asburçe Olgaç, Ali Murat Koç
BACKGROUND: Absent ductus venosus (ADV) is a rare condition, but it should be known that this embryonic anomaly may be detected by fetal echocardiographic or newborn ultrasound examinations. CASE REPORT: We present a baby with an ADV and an accompanying alternative porto-caval shunt between the right portal vein and inferior vena cava detected on postnatal ultrasound examination. CONCLUSIONS: Variations in the fetal umbilical or porto-systemic circulations should be detected by fetal or newborn ultrasound examinations and kept in mind before common interventions such as UV catheterizations...
2017: Polish Journal of Radiology
https://www.readbyqxmd.com/read/28678973/translucency-and-color-stability-of-resin-composite-and-dental-adhesives-as-modeling-liquids-a-one-year-evaluation
#15
José Augusto Sedrez-Porto, Eliseu Aldrighi Münchow, Maximiliano Sérgio Cenci, Tatiana Pereira-Cenci
The aim of this study is to evaluate the influence of modeling liquids on the translucency and color shade of resin composites (RCs) after one year of storage. RC specimens were prepared using either a conventional insertion technique (control; without modeling liquid) or a restorative dental modeling insertion technique (RDMIT) with dental adhesives as modeling liquids (Scotchbond™ Multi-Purpose [SBMP; 3M ESPE] or Adper™ Single Bond 2 [SB; 3M ESPE]). The initial colors of the specimens were obtained with a digital spectrophotometer and the CIEL*a*b* color system, after which specimens were stored (37°C) in distilled water or red wine for 12 months...
July 3, 2017: Brazilian Oral Research
https://www.readbyqxmd.com/read/28678899/incidence-of-phlebitis-and-post-infusion-phlebitis-in-hospitalised-adults
#16
Janete de Souza Urbanetto, Franciele de Oliveira Minuto Muniz, Renata Martins da Silva, Ana Paula Christo de Freitas, Ana Paula Ribeiro de Oliveira, Jessica de Cassia Ramos Dos Santos
Objective: to determine the incidence of phlebitis during and after the use of peripheral intravenous catheter (PIC), and analyse the association of this complication with risk factors. Methods: cohort study with 165 adult patients admitted to a university hospital in Porto Alegre, totalling 447 accesses, from December 2014 to February 2015. Data were collected on a daily basis and analysed by means of descriptive and analytical statistics. Results: The incidence of phlebitis during PIC was 7...
June 29, 2017: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/28677073/in-vitro-evaluation-of-the-prebiotic-effect-of-red-and-white-grape-polyphenolic-extracts
#17
S Rodríguez-Costa, A Cardelle-Cobas, P Roca-Saavedra, J J Porto-Arias, J M Miranda, A Cepeda
Nowadays, the strong relationship between diet and health is well known. Although the primary role of diet is to provide nutrients to fulfill metabolic requirements, the use of foods to improve health and the state of well-being is an idea increasingly accepted by society in the last three decades. During the last years, an important number of scientific advances have been achieved in this field and, although in some situations, it is difficult to establish a distinction between "harmful" and "good" bacteria, experts agree in classifying the genera Bifidobacterium and Lactobacillus as beneficial bacteria...
July 4, 2017: Journal of Physiology and Biochemistry
https://www.readbyqxmd.com/read/28676042/estimating-the-direct-costs-of-ischemic-heart-disease-evidence-from-a-teaching-hospital-in-brazil-a-retrospective-cohort-study
#18
Rosane Paixão Schlatter, Vânia Naomi Hirakata, Carisi Anne Polanczyk
BACKGROUND: Coronary artery disease is the most prevalent cardiovascular disease. In the United States, 7% of adults over 20 years of age are estimated to have coronary artery disease. In Brazil, a prevalence of 5 to 8% has been estimated in adults over 40 years of age, with an increased number of hospitalizations associated with both stable and acute clinical manifestations; and health care costs have quadrupled in the last decade. To estimate the direct costs of managing ischemic heart disease patient care in a teaching hospital in Brazil from the perspective of the service payer, the Brazilian Unified Health System...
July 4, 2017: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/28675368/ante-situm-liver-resection-for-giant-hepatic-tumour-case-report-and-review-of-literature
#19
Vladislav Braşoveanu, Mihail Pautov, Mihnea Ioan Ionescu, Claudiu Anghel, Dan Ionut Dudus, Manish Moothoor, Florin Ichim, Eliza Gangone, Ion Barbu
Ex-situ liver surgery refers to complex liver resections involving hepatic vascular exclusion and a warm ischemia time (WIT) of more than 90 minutes that allows liver resection and vascular reconstruction in patients with giant liver tumours with a difficult approach . Ante-situm liver resections, otherwise called "œex-situ in-vivo" resections is achieved through externalization of the liver outside of the abdominal cavity by clamping and sectioning of the efferent pedicles (suprahepatic veins) ("ex situ") without cutting the afferent vascular pedicle ("in vivo"), thus leaving the hepatic pedicle intact...
May 2017: Chirurgia
https://www.readbyqxmd.com/read/28673763/demographic-characterization-and-spatial-cluster-analysis-of-human-salmonella-1-4-5-12-i-infections-in-portugal-a-10year-study
#20
R Seixas, T Nunes, J Machado, L Tavares, S P Owen, F Bernardo, M Oliveira
Salmonella 1,4,[5],12:i:- is presently considered one of the major serovars responsible for human salmonellosis worldwide. Due to its recent emergence, studies assessing the demographic characterization and spatial epidemiology of salmonellosis 1,4,[5],12:i:- at local- or country-level are lacking. In this study, a analysis was conducted over a 10year period, from 2000 to the first quarter of 2011 at the Portuguese National Laboratory in Portugal mainland, with a total of 215 Salmonella 1,4,[5],12:i:- serotyped isolates obtained from human infections by a passive surveillance system...
June 30, 2017: Journal of Infection and Public Health
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