Concilium最新文献_第3页

Brachial plexus block associated with balanced anesthesia in caracara plancus for fracture treatment 臂丛神经阻滞与狞猫骨折治疗的平衡麻醉相关联

Concilium Pub Date : 2024-07-09 DOI: 10.53660/clm-3716-24n40

Matheus Garcia Lopes, Annea Carolynie Rocha Cruvinel de Sousa Mello, Ananda Neves Teodoro, Isabel Rodrigues Rosado, Ian Martin, Cláudio Yudi Kanayama, Endrigo Gabellini Leonel Alves

引用次数: 0

Double tracheoesophageal fistula after prolonged intubation during COVID-19: surgical treatment by colonic transposition in the retrosternal space COVID-19期间长时间插管后的双气管食管瘘：胸骨后间隙结肠转位手术疗法

Concilium Pub Date : 2024-07-09 DOI: 10.53660/clm-3677-2441c

Luis Vicente Franco Oliveira, W. J. S. Pedro, Fernanda N. B. R. Alves, K. S. I. Tabata, L. V. Braga, L. R. Alves, Flávio Vecchi Barbosa Júnior, J. P. R. Afonso, W. R. F. Freitas Júnior, Adriano Namo Cury

{"title":"Double tracheoesophageal fistula after prolonged intubation during COVID-19: surgical treatment by colonic transposition in the retrosternal space","authors":"Luis Vicente Franco Oliveira, W. J. S. Pedro, Fernanda N. B. R. Alves, K. S. I. Tabata, L. V. Braga, L. R. Alves, Flávio Vecchi Barbosa Júnior, J. P. R. Afonso, W. R. F. Freitas Júnior, Adriano Namo Cury","doi":"10.53660/clm-3677-2441c","DOIUrl":"https://doi.org/10.53660/clm-3677-2441c","url":null,"abstract":"This is a patient with 2 tracheoesophageal fistulas following prolonged intubation due to COVID-19 with severe evolution and indication for surgical treatment due to failure of endoscopic treatment. Patient in a long hospital stay, unable to eat an oral diet, malnourished, chronic cough, developing persistent pneumonia due to recurrent salivary bronchoaspiration. The case was treated by complex surgical intervention consisting of proximal and distal partial esophagectomy with reconstruction of food transit by colonic bypass in the anterior mediastinum, resection and tracheal reanastomosis. The final result was good, with the patient being discharged from the hospital on a restored oral diet and free spontaneous breathing. The resolution of an extremely serious case through a complex and exceptional surgical approach, which imposed enormous challenges in pre-operative preparation and detailed therapeutic planning, with single-stage surgical action by two surgical teams (Digestive System Surgery and Thoracic Surgery).","PeriodicalId":505714,"journal":{"name":"Concilium","volume":"55 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141663232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Environmental performance of laying poultry in na intensive and automated system in Southern Brazil 巴西南部集约化和自动化系统中蛋鸡的环境表现

Concilium Pub Date : 2024-07-09 DOI: 10.53660/clm-3696-24n27

Maria Antônia Domingues Ramos Pires, Giovanna Florindo, T. Florindo, Andrea Troller Pinto

{"title":"Environmental performance of laying poultry in na intensive and automated system in Southern Brazil","authors":"Maria Antônia Domingues Ramos Pires, Giovanna Florindo, T. Florindo, Andrea Troller Pinto","doi":"10.53660/clm-3696-24n27","DOIUrl":"https://doi.org/10.53660/clm-3696-24n27","url":null,"abstract":"Eggs are an animal protein of high nutritional value and is considered an alternative source to red meat. It is accessible to all social extracts. In addition, substantial demand growth is expected in the coming decades, which requires a significant increase in production volume. Consequently, there is a question of how these eggs will be produced. The current production systems must meet demands related to environmental sustainability, ensuring food security in terms of production volume and product safety. Thus, this study assesses the environmental performance of intensive and automated egg production in conventional cages in the southern region of Brazil. The data that comprise the inventory were modeled from data collected on a farm between 2017 and 2018. We conducted the assessment using the methodology of life cycle analysis (LCA) and the software Open LCA v. 1.7.4. The functional unit (FU) used was one ton of eggs (equivalent to 17,873 units), and the results were allocated financially. The impact attribution method was CML 2002; the database was Ecoinvent v. 3.4. The impact categories evaluated were acidification, with a total impact of 6.47 kg SO2-eq/FU, eutrophication, with a result of 4.17 kg PO4-eq/FU, and a carbon footprint of 1,411.85 CO2-eq/FU. We conclude that the environmental externalities of egg production in Brazil’s southern region are similar to those reported by other studies worldwide. The production phase is responsible for about 85% of the environmental impacts in the categories evaluated. The feeding of birds contributes to the largest share of impacts.","PeriodicalId":505714,"journal":{"name":"Concilium","volume":"45 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141663790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Municipal public schools as agents of transformation in the construction of a sustainable future 市立公立学校是建设可持续未来的变革推动者

Concilium Pub Date : 2024-07-09 DOI: 10.53660/clm-3713-24n38

Isabel Cristina de Oliveira, Clareana Maria Guimarães Franco

引用次数: 0

Considerations on implementing an energy efficiency program as a management tool in a public institution 将能效计划作为管理工具在公共机构中实施的考虑因素

Concilium Pub Date : 2024-07-09 DOI: 10.53660/clm-3708-24n34

Jacques Cousteau da Silva Borges, Miler Franco D´anjour

引用次数: 0

The impact of work on the mental health of military police officers: an integrative review 工作对宪兵心理健康的影响：综合评述

Concilium Pub Date : 2024-07-09 DOI: 10.53660/clm-3698-24n29

Rafaela D'Angelo Reis, Lúcia Aparecida Ferreira, D. Abdalla, Bruno Costa Alves

引用次数: 0

Inconsistent condom use among crack users: differences in vulnerabilities between the sex 快克使用者不坚持使用安全套：不同性行为者的脆弱性差异

Concilium Pub Date : 2024-07-09 DOI: 10.53660/clm-3691-24n26

Iracema J A A Jacques, Ana Brito, Renata Barreto Fernandes de Almeida, Ana Lúcia Ribeiro de Vasconcelos, Daianny De Paula Santos, Wayner Vieira de Souza, Naíde Teodósio Valois Santos

引用次数: 0

Acute Lymphoblastic Leukemia Mortality trend in the Federal District, Brazil, 2000-2020 2000-2020 年巴西联邦区急性淋巴细胞白血病死亡率趋势

Concilium Pub Date : 2024-07-08 DOI: 10.53660/clm-3689-24n12

Aurélio Matos de Andrade, Nicholas Illenberger, Felipe Saldanha-Araújo, A. C. M. G. Figueiredo, J. L. Carvalho

{"title":"Acute Lymphoblastic Leukemia Mortality trend in the Federal District, Brazil, 2000-2020","authors":"Aurélio Matos de Andrade, Nicholas Illenberger, Felipe Saldanha-Araújo, A. C. M. G. Figueiredo, J. L. Carvalho","doi":"10.53660/clm-3689-24n12","DOIUrl":"https://doi.org/10.53660/clm-3689-24n12","url":null,"abstract":"Objective: To identify the trend and spatial distribution of deaths from ALL from 2000 to 2020 in the Federal District, Brazil. Method: This is ecological time series study in which data were obtained from Brazil's Mortality Information System. The population was obtained through death certificates and investigation forms of the underlying cause of death classified by code C91.0 for Acute Lymphoblastic Leukemia in the International Classification of Diseases from 2000 to 2020 in the Federal District, Brazil. Statistical analysis was performed using Prais-Winsten linear regression. Results: The deaths from ALL predominantly occurred in male (51.70%), single (60.41%), and white (52.16%) subjects, as well as in those with four to seven years of schooling (27.37%). During the last 20 years, ALL mortality increased among subjects aged 0-4 and 50-59 years, with increment rates of 9.0% and 8.7% respectively. In children, ALL generally has a short latency time, progressing more quickly and invasively. Conclusions: Knowledge regarding mortality patterns for ALL in the Federal District will allow optimizing the allocation of federal and local resources, as well as understanding gaps in diagnosis and specific therapies that still need attention on the part of public policy makers.","PeriodicalId":505714,"journal":{"name":"Concilium","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141668148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hospitalizations due to malignant skin neoplasm in the unified health system: an ecological time-series study 统一卫生系统中因恶性皮肤肿瘤住院的情况：生态时间序列研究

Concilium Pub Date : 2024-07-08 DOI: 10.53660/clm-3684-24n07c

Alan Greison Ramos Silva Junior, Júlia Assunção Freire, Laura Mendes Vilaça, Luiza Brito Dutra, Maria Luiza Silveira Lopes, Taynnah maria de Freitas Gontijo Barcellos, Karina Andrade de Prince

{"title":"Hospitalizations due to malignant skin neoplasm in the unified health system: an ecological time-series study","authors":"Alan Greison Ramos Silva Junior, Júlia Assunção Freire, Laura Mendes Vilaça, Luiza Brito Dutra, Maria Luiza Silveira Lopes, Taynnah maria de Freitas Gontijo Barcellos, Karina Andrade de Prince","doi":"10.53660/clm-3684-24n07c","DOIUrl":"https://doi.org/10.53660/clm-3684-24n07c","url":null,"abstract":"To analyze hospitalizations due to malignant skin neoplasms in the Brazilian Unified Health System. This is a descriptive ecological study of time series, with data from the SUS Hospital Information System, analyzed using Prais-Winsten generalized linear regression. Between 2013 and 2022, 453.714 hospitalizations due to cutaneous malignancy were recorded, 80.4% of which were elective and the average mortality rate was 2.1%. On the other hand, hospitalizations that progressed to cure showed the highest values (22.7 and 69.1 cases/100,000) and an increasing trend. The hospitalization rate in Brazil grew, from 16.2 cases per 100 thousand inhabitants in 2013 to 28.6 per 100 inhabitants in 2022, however, there was a reduction in 2020 and 2021, the period of the Covid-19 pandemic. There was an increase in the coefficient of hospitalizations during the period analyzed, especially in the age group of 80 years, males and Southern Brazil, although a stationary mortality rate is maintained. Thus, it is important to improve public policies that raise awareness among the population about skin cancer, in order to carry out an early diagnosis and treatment, aiming at reducing complications and saving the public system.","PeriodicalId":505714,"journal":{"name":"Concilium","volume":"104 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141667296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cardiovascular and autonomic behavior of the use of combined therapy as a strategy to reduce abdominal fat: non-randomized clinical trial 将联合疗法作为减少腹部脂肪策略的心血管和自律神经行为：非随机临床试验

Concilium Pub Date : 2024-07-08 DOI: 10.53660/clm-3676-2405

Laurinéia da Silva, Nathália Soares de Almeida, Amanda Meris Nogueira, Lizzianne Kretli Winkelstroter Eller, Marilda Aparecida Milanez Morgado de Abreu, W. R. Nakagaki, Ana Clara Campagnolo Gonçalves Toledo

{"title":"Cardiovascular and autonomic behavior of the use of combined therapy as a strategy to reduce abdominal fat: non-randomized clinical trial","authors":"Laurinéia da Silva, Nathália Soares de Almeida, Amanda Meris Nogueira, Lizzianne Kretli Winkelstroter Eller, Marilda Aparecida Milanez Morgado de Abreu, W. R. Nakagaki, Ana Clara Campagnolo Gonçalves Toledo","doi":"10.53660/clm-3676-2405","DOIUrl":"https://doi.org/10.53660/clm-3676-2405","url":null,"abstract":"Introduction: Physiological and therapeutic changes promoted by combined therapy (CT) can act as a stressor for the body and generate changes in cardiovascular and autonomic behaviors. Objective: To analyze changes in body composition, cardiovascular variables, and heart rate variability (HRV) indices after applying CT in young women. Materials and Methods: Non-randomized clinical trial, 41 volunteers, using oral contraceptives, passive, and with a 4 cm supra-iliac skin fold. During 12 visits to the beauty center, initial and final assessments were carried out (anthropometric: body mass index, skin fold, percentage of body fat; cardiovascular: heart rate and blood pressure; and autonomic (HRV indices) and 10 CT sessions Results: After the 10 CT sessions, there were reductions in skin fold values and percentage of body fat (p<0.05). However, there were no differences in cardiovascular variables or HRV when comparing the moments before and after ten sessions. CT sessions (p>0.05). Conclusion: The combined therapy proved effective in reducing localized fat and safe in terms of changes in HRV indices without causing changes in blood pressure.","PeriodicalId":505714,"journal":{"name":"Concilium","volume":" 603","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141669493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0