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1.
Vet. zootec ; 31: 1-12, 2024. tab
Article in Portuguese | LILACS, VETINDEX | ID: biblio-1552109

ABSTRACT

Este estudo objetivou avaliar aspectos que exercem influência sobre a contagem bacteriana total (CBT) e a contagem de células somáticas (CCS) do leite e avaliar a adequação das amostras do produto à Instrução Normativa nº 76, de 26 de novembro de 2018, do Ministério da Agricultura e Pecuária do Brasil (IN 76). A pesquisa foi realizada em propriedades rurais da microrregião de Birigui, São Paulo, Brasil, e se baseou em coleta de dados, por entrevista estruturada, e coletas de leite nas propriedades. Foi realizada amostragem por conveniência, sendo escolhidos 15 produtores de cada estrato (de acordo com a produção diária de leite: pequeno - até 100 L; médio - 101 a 300 L; grande - mais de 300 L), totalizando 45 produtores de leite. Participaram da pesquisa somente propriedades com base da alimentação volumosa em sistema de pastejo ou em semiconfinamento. Para avaliar a influência de diferentes fatores sobre a contagem bacteriana total (CBT) e a contagem de células somáticas (CCS), separadamente, realizou-se regressão multivariada. Ainda, foi determinado o coeficiente de correlação entre variáveis desta pesquisa. As variáveis resposta foram transformadas em logaritmo para normalização dos dados. Foi feita comparação entre os resultados da pesquisa e os parâmetros da IN 76 para verificar o cumprimento das normas pelos produtores. Foram encontrados valores médios de 6.986.977,818.961.790,7 UFC/mL para CBT e de 608.911,1 ± 414.802,9 CS/mL para CCS. A utilização de tanque de resfriamento individual mostrou-se favorável à baixa CBT, em comparação com não uso de tanque ou uso de tanque comunitário, conforme o esperado, pois quanto mais tempo leva para resfriar o leite, maior é a proliferação de bactérias no produto. Foi verificado que o leite de produtores que realizam o California Mastitis Test (CMT) com maior frequência apresentou CCS mais elevada, o que não era esperado. As análises físico-químicas médias foram densidade 1,031 g/mL a 15°C, índice crioscópico -0,538 °H, teor de proteína 3,58%, teor de gordura 4,06%, extrato seco total 12,75%, extrato seco desengordurado 8,69%, acidez titulável 16,2 °D e estabilidade ao álcool (Alizarol 72%) 100%. Em 13,3% (6/45) das amostras foi detectada presença de antibióticos. Considerando a IN 76, o leite de somente 8,9% (4/45) dos produtores apresentou-se adequado simultaneamente para todos os parâmetros analisados (CBT, CCS, densidade, índice crioscópico, proteína, gordura, extrato seco total, extrato seco desengordurado, acidez titulável, estabilidade ao alizarol e pesquisa de antibióticos). A utilização de tanque de resfriamento individual e a realização de CMT favoreceram menor CBT e maior CCS, respectivamente.


This study aimed to evaluate aspects that exerts influence on the total bacterial count (TBC) and somatic cell count (SCC) of milk and evaluate the conformity of the samples to the Normative Instruction no. 76, from November 26, 2018, of the Brazilian Agriculture and Livestock Ministry (NI 76). The research was done in farms around Birigui micro-region, São Paulo State, Brazil, and was based on data collection obtained by structured interviews and milk collection in the farms. Convenience sampling was carried out from 15 producers of each stratum (according to daily milk production: small - up to 100 L; medium - 101 to 300 L; large - more than 300 L), totalizing 45 milk producers. Only farms with grazing or semi-feedlot system for roughage feeding base were included. To evaluate the influence of different factors on Total Bacterial Count (TBC) and Somatic Cell Count (SCC), separately, a multivariate regression was done. Moreover, the correlation coefficient among variables was determined. The response variables were transformed into logarithms for the normalization of the data. A comparison between results and NI 76 parameters was done to verify the standard compliance by producers. Mean TBC was 6.986.977,8 ± 18.961.790,7 CFU/mL and mean SCC was 608.911,1414.802,9 cells/mL. The use of individual cooler tank was favorable to lower TBC, compared with the non-use of the tank or with the use of the communitarian tank, as expected, since the longer it takes to cool the milk, the higher the proliferation of bacteria in the product. It was verified that milk from farmers that more frequently perform California Mastitis Test (CMT) showed higher SCC, which was not expected. The average physicochemical analyzes were density 1.031 g/mL at 15°C, cryoscopic index -0.538 °H, protein content 3.58%, fat content 4.06%, total dry extract 12.75%, dry extract defatted 8.69%, titratable acidity 16.2 °D and alcohol stability (Alizarol 72%) 100%. The presence of antibiotics was detected in 13.3% (6/45) of the samples. Considering NI 76, milk from only 8.9% (4/45) farmers were proper simultaneously for all the parameters analyzed (TBC, SCC, density, cryoscopic index, protein, fat, total dry extract, defatted dry extract, titratable acidity, alizarol stability and antibiotics). The use of individual cooling tank and the CMT performance support lower TBC and higher SCC respectively.


Este estudio tuvo como objetivo evaluar los aspectos que influyen en el contaje bacteriano total (CBT) y el contaje de células somáticas (CCS) de la leche y evaluar la adecuación de las muestras del producto a la Instrucción Normativa nº 76, de 26 de noviembre de 2018, del Ministerio de Agricultura y Ganadería en Brasil (IN 76). La investigación se llevó a cabo en propiedades rurales en la microrregión de Birigui, São Paulo, Brasil, y se basó en la recolección de datos, a través de entrevistas estructuradas, y colectas de leche en las propiedades. Se realizó un muestreo por conveniencia, escogiendo 15 productores de cada estrato (de acuerdo con la producción diaria de leche: pequeño - hasta 100 L; medio - 101 hasta 300 L; grande ­ más de 300 L), totalizando 45 productores de leche. Participaron de la investigación únicamente propiedades basadas en alimentación voluminosa en sistema de pastoreo o, a lo sumo, en semiconfinamiento. Para evaluar la influencia de diferentes factores sobre el contaje bacteriano total (CBT) y el contaje de células somáticas (CCS), por separado, se realizó una regresión multivariada. Asimismo, se determinó el coeficiente de correlación entre las variables de esta investigación. Las variables de respuesta se transformaron en logaritmos para la normalización de datos. Se realizó una comparación entre los resultados de la investigación y los parámetros de la IN 76 para verificar el cumplimiento de las normas por parte de los productores. Se encontraron valores medios de 6.986.977,818.961.790,7 UFC/mL para CBT y de 608.911,1 +414.802,9 CS/mL para CCS. El uso de un tanque de enfriamiento individual se ha mostrado favorable a la baja CBT, en comparación con no usar un tanque o usar un tanque comunitario, conforme lo esperado, ya que cuanto más se tarda en enfriar la leche, mayor es la proliferación de bacterias en el producto. Se verificó que la leche de los productores que realizan el California Mastitis Test (CMT) con mayor frecuencia presentó CCS más alto, lo cual no se esperaba. Los análisis fisicoquímicos promedio fueron densidad 1,031 g/mL a 15°C, índice crioscópico -0,538 °H, contenido de proteína 3,58%, contenido de grasa 4,06%, extracto seco total 12,75%, extracto seco desgrasado 8,69%, acidez titulable 16,2°D y estabilidad del alcohol (Alizarol 72%) 100%. En el 13,3% (6/45) de las muestras se detectó la presencia de antibióticos. Considerando la IN 76, la leche de solo el 8,9% (4/45) de los productores se presentó adecuado simultáneamente para todos los parámetros analizados (CBT, CCS, densidad, índice crioscópico, proteína, grasa, extracto seco total, extracto seco desgrasado, acidez titulable, estabilidad al alizarol e investigación de antibióticos). El uso de un tanque de enfriamiento individual y la realización de CMT favorecieron un CBT más bajo y un CCS más alto respectivamente.


Subject(s)
Animals , Cattle , Food Quality , Multivariate Analysis , Milk/microbiology , Bacterial Load/veterinary , Rural Areas
2.
Psicol. conoc. Soc ; 13(3)dic. 2023.
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1529235

ABSTRACT

Tomando como insumo la etnografía realizada con objeto de la escritura de la tesis, pero realizando el recorte que demanda un artículo, me centraré en reconstruir tres puntos que dan cuenta de aspectos vinculados a la dimensión comunicativa, y que resultan ejemplos paradigmáticos de dimensiones constitutivas del vínculo entre cooperativistas y acompañantes, los cuales nos permiten advertir las huellas institucionales de la cárcel y la universidad en el modo de trabajo conjunto con la intención de advertir cómo se articulan, potencian o complejizan la relación en el marco de la experiencia extensionista. Asimismo, en las reuniones de producción los saberes jerarquizados se invertían en relación a los días de reunión general, y también el rol de lxs sujetxs. Lxs cooperativistas detentaban cierta autoridad en estos días, marcándose una asimetría en torno al saber que se construía de modo situacional y contextual - los días de producción primaban los saberes en torno a la tela, a diferencia de los días de reunión general, en los que primaba la palabra-, lo cual nos permite entender que los conocimientos que se ponen a dialogar deben ser comprendidos en vínculo con sus condiciones de enunciación y según el contexto. Son las diferencias las que se constituyen en punto de contacto y que deben hacerse inteligibles para el diálogo y trabajo con otrxs, las cuales pueden ser entendidas como saberes prácticos que se entrelazan con otros saberes en la experiencia, o en el "mientras tanto" se buscan otros diálogos de saberes conceptuales.


Tomando como aporte a etnografia realizada para a redação da tese, mas fazendo o recorte que um artigo exige, vou me concentrar em reconstruir três pontos que dão conta de aspectos relacionados à dimensão comunicativa, e que são exemplos paradigmáticos de dimensões constitutivas do vínculo entre cooperados e acompanhantes, que permitem perceber os traços institucionais da prisão e da universidade no modo de trabalho conjunto com a intenção de perceber como a relação se articula, se fortalece ou se complexifica no âmbito da experiência de extensão. Da mesma forma, nas reuniões de produção, os saberes hierarquizados se inverteram em relação aos dias da assembléia geral, e também o papel dos sujeitos. Os cooperados detinham certa autoridade nesses dias, marcando uma assimetria em torno do conhecimento que se construía de forma situacional e contextual - os dias de produção eram dominados pelo conhecimento sobre o tecido, ao contrário dos dias da reunião geral, quando a palavra prevalecia -, o que nos permite compreender que os saberes que se colocam em diálogo devem ser entendidos em conexão com suas condições de enunciação e de acordo com o contexto. São as diferenças que constituem o ponto de contato e que devem ser tornadas inteligíveis para o diálogo e o trabalho com os outros, que podem ser entendidas como saberes práticos que se entrelaçam com outros saberes na experiência, ou no "enquanto" buscam outros diálogos de conhecimento conceitual.


Taking as input the ethnography carried out for the purpose of writing the thesis, but making the cut that an article demands, I will focus on reconstructing three points that account for aspects related to the communicative dimension, and that are paradigmatic examples of dimensions constitutive of the link between cooperative members and companions, which allow us to notice the institutional traces of the prison and the university in the way of joint work with the intention of noticing how the relationship is articulated, strengthened or made more complex within the framework of the extension experience. Likewise, in the production meetings, the hierarchical knowledge was inverted in relation to the days of the general meeting, and also the role of the subjects. The cooperative members held a certain authority in these days, marking an asymmetry around the knowledge that was built in a situational and contextual way - the days of production prevailed the knowledge around the fabric, unlike the days of general meeting, in which the word prevailed-, which allows us to understand that the knowledge that is put into dialogue must be understood in connection with its conditions of enunciation and according to the context. It is the differences that constitute the point of contact and that must be made intelligible for dialogue and work with others, which can be understood as practical knowledge that is intertwined with other knowledge in experience, or in the "meanwhile" They look for other dialogues of conceptual knowledge.

3.
RFO UPF ; 27(1)08 ago. 2023. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1511048

ABSTRACT

Objetivo: Descrever a experiência do uso de redes sociais como instrumentos em ações de educação em saúde, promoção e prevenção durante a pandemia de COVID-19. Metodologia: Trata-se de um estudo descritivo realizado no projeto de extensão "Sustentabilidade do PET-SAÚDE Interprofissionalidade" dando continuidade às ações interventivas do curso de Odontologia da Universidade Federal de Juiz de Fora, campus Governador Valadares-MG, que realizou ações de promoção de saúde em atenção primária entre abril de 2020 e junho de 2021. O projeto teve a participação de 4 discentes e 2 docentes do curso de Odontologia da UFJF/GV com parceria da Secretaria Municipal de Saúde de Governador Valadares-MG. As ações foram desenvolvidas pelos discentes, os quais dividiram o processo em nove etapas. As atividades foram veiculadas pelas redes sociais sob o título "Vida Saudável e Autocuidado: PET-Saúde Interprofissionalidade UFJF/GV". Resultados: Foram realizadas 37 postagens com abordagem de 33 assuntos, alguns temas foram divididos entre partes 1 e 2, para melhor enfoque das comunicações. Obtivemos na rede social Instagram um total de 175 seguidores que acompanhavam as publicações feitas semanalmente. Os materiais produzidos também foram postados em formato de vídeo no Youtube e compartilhados no Facebook, visando aumentar a interação com os seguidores, somando 642 visualizações. As postagens atingiram o total de 1510 curtidas nas páginas do projeto. Conclusão: As redes sociais demostraram ser inovadoras na disseminação de informação para a população, alcançando a troca de saberes, no processo ensino-aprendizagem em tempos de pandemia, possibilitando o desenvolvimento de competências necessárias para a formação profissional.(AU)


Objective: To describe the experience of using social networks as instruments in health education, promotion and prevention actions during the COVID-19 pandemic. Methodology: This is a descriptive study carried out in the extension project "Sustainability of PET-SAÚDE Interprofissionalidade", continuing the interventional actions of the Dentistry course at the Federal University of Juiz de Fora, Governador Valadares-MG campus, which carried out actions to promote health in primary care between April 2020 and June 2021. The project had the participation of 4 students and 2 professors from the UFJF/GV Dentistry course in partnership with the Municipal Health Department of Governador Valadares-MG. The actions were developed by the students, who divided the process into nine stages. The activities were broadcast on social networks under the title "Healthy Life and Self-Care: PET-Saúde Interprofissionalidade UFJF/GV". Results: 37 posts were made covering 33 subjects, some themes were divided into parts 1 and 2, for a better focus on communications. We obtained a total of 175 followers on the Instagram social network that followed the publications made weekly. The materials produced were also posted in video format on Youtube and shared on Facebook, aiming to increase interaction with followers, totaling 642 views. Posts reached a total of 1510 likes on the project pages. Conclusion: Social networks proved to be innovative in disseminating information to the population, achieving the exchange of knowledge in the teaching-learning process in times of pandemic, enabling the development of skills necessary for professional training. (AU)


Subject(s)
Humans , Health Education/methods , Community-Institutional Relations , Online Social Networking , Teleworking/trends , COVID-19/prevention & control , Health Promotion/methods , Primary Health Care , Brazil , Health Communication/methods , Social Networking
4.
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1447187

ABSTRACT

Antecedentes: Las enfermedades no transmisibles siguen siendo un problema creciente en el mundo, sobre todo en los países de mediano y bajo ingresos. Los programas de intervención comunitaria se enfocan en su disminución mediante cambios en estilos de vida más saludables. Objetivos: Analizar la tendencia del programa de intervención en actividad física y nutrición, como estrategia para mejorar las dislipidemias y glucemia en los participantes del proyecto DemoMinga. Materiales y métodos: Estudio con enfoque cuantitativo. Diseño de investigación acción participativa, de carácter longitudinal, prospectivo. La población estuvo constituida por los participantes del Proyecto DemoMinga. Se determinó en cada participante: colesterol total, triglicéridos y glucemia en ayunas. Las muestras fueron procesadas en el Centro de Investigaciones Médicas de la FACISA-UNE. Se determinaron indicadores de tendencia central (mediana) de cada una de las variables. Resultados: Hubo mayor participación del sexo femenino, con predominio de personas con menos de 45 años. Las mediciones químicas arrojaron una tendencia de disminución a partir del quinto año de intervención, con talleres de cocina saludable incluyendo uso de aceite alto oleico, y actividad física. Sin embargo, la prueba no arrojó diferencias significativas de las mediciones entre la línea de base y el corte a los 6 años. Conclusión: El estudio resalta la importancia de los programas de intervención mediante terapias integrales para la promoción y prevención de las enfermedades cardiometabólicas a largo plazo.


Background: Non-communicable diseases remain a growing problem worldwide, especially in middle and low-income countries. Community intervention programs are focused on reducing their prevalence through promoting healthier lifestyle changes. Objectives: To analyze the trend of the physical activity and nutrition intervention program as a strategy to improve dyslipidemia and glycemia among participants of the DemoMinga project. Materials and methods: This study employed a quantitative approach with a participatory action research design, characterized as longitudinal and prospective. The population consisted of participants from the DemoMinga Project. For each participant, total cholesterol, triglycerides, and fasting glycemia were measured. Samples were processed at the Medical Research Center of FACISA-UNE. Indicators of central tendency (median) were determined for each of the variables. Results: There was a higher participation of females, with a predominance of individuals under the age of 45. Chemical measurements showed a decreasing trend starting from the fifth year of intervention, involving healthy cooking workshops that included the use of high oleic oil and physical activity. However, the test did not yield significant differences in measurements between the baseline and the 6-year cutoff. Conclusion: The study highlights the significance of intervention programs using comprehensive therapies for the long-term promotion and prevention of cardiometabolic diseases.

5.
Podium (Pinar Río) ; 18(2)ago. 2023.
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1448879

ABSTRACT

El perfeccionamiento de los tres procesos sustantivos de la universidad, la docencia, la investigación y la extensión universitaria ha sido una prioridad para la educación superior cubana que ha desarrollado una serie de cambios y transformaciones en aras de garantizar una excelente formación de los profesionales que egresan de ella. En este sentido, la investigación abordó el tema de la extensión universitaria en la superación profesional y tuvo como objetivo favorecer la superación de los docentes universitarios y su vinculación con los avances científicos en un curso de posgrado para la Licenciatura en Cultura Física y Deportes, desde la extensión universitaria. El proceso investigativo se rigió por el método dialectico-materialista y se emplearon métodos del nivel teórico como el histórico-lógico y el análisis-síntesis y del nivel empírico el análisis documental, la entrevista en profundidad y la encuesta, para interpretar los resultados obtenidos en cada etapa de la investigación. Los resultados mostraron como principales debilidades el insuficiente reconocimiento de la importancia de la extensión universitaria en el contexto docente, así como la poca producción científica relacionada con la temática. Del estudio realizado se concluye que la extensión universitaria en la superación de este profesional constituye una vía expedita para un mejor conocimiento, gestión, preservación y difusión de actividades intra- y extracurriculares y en la mejora de la calidad de vida, con el fin de contribuir a formar ciudadanos capaces de ser, conocer, hacer y convivir juntos.


A melhoria dos três processos substantivos da universidade, o ensino, a pesquisa e a extensão universitária, tem sido uma prioridade para o ensino superior cubano, que tem desenvolvido uma série de mudanças e transformações a fim de garantir uma excelente formação dos profissionais que nela se graduam. Nesse sentido, a pesquisa abordou a questão da extensão universitária no desenvolvimento profissional e seu objetivo foi promover o desenvolvimento dos professores universitários e sua vinculação com os avanços científicos em um curso de pós-graduação para o Bacharelado em Cultura Física e Esportes, a partir da perspectiva da extensão universitária. O processo de pesquisa foi regido pelo método dialético-materialista, utilizando métodos teóricos como o histórico-lógico e a análise-síntese e métodos empíricos como a análise documental, a entrevista em profundidade e o survey, para interpretar os resultados obtidos em cada etapa da pesquisa. Os resultados apontaram como principais fragilidades o insuficiente reconhecimento da importância da extensão universitária no contexto do ensino, bem como a pouca produção científica relacionada ao tema. A partir do estudo realizado, conclui-se que a extensão universitária no aprimoramento desse profissional constitui um caminho expedito para um melhor conhecimento, gerenciamento, preservação e divulgação das atividades intra e extracurriculares e na melhoria da qualidade de vida, com o objetivo de contribuir para formar cidadãos capazes de ser, saber, fazer e conviver.


The improvement of the three substantive processes of the university, teaching, research and university extension has been a priority for Cuban higher education that has developed a series of changes and transformations in order to guarantee an excellent training of the professionals who graduate from it. In this sense, the research addressed the issue of university extension in professional upgrading and had the objective of promoting the improvement of university teachers and their link with scientific advances in a postgraduate course for the Degree in Physical Culture and Sports, from the university extension. The research process was governed by the dialectical-materialist method; theoretical level methods such as historical-logical and analysis-synthesis and empirical level ones as documentary analysis, in-depth interview and survey were used to interpret the results obtained in each stage of the research. The results showed as main weaknesses the insufficient recognition of the importance of university extension in the teaching context, as well as the little scientific production related to the subject. From the study carried out, it is concluded that the university extension in the improvement of this professional constitutes an expeditious way for a better knowledge, management, preservation and dissemination of intra- and extracurricular activities and in the improvement of the quality of life, in order to contribute to form citizens capable of being, knowing, doing and living together.

6.
An. Fac. Cienc. Méd. (Asunción) ; 56(2): 82-90, 20230801.
Article in Spanish | LILACS | ID: biblio-1451531

ABSTRACT

Antecedentes: Las enfermedades no transmisibles siguen siendo un problema creciente en el mundo, sobre todo en los países de mediano y bajo ingresos. Los programas de intervención comunitaria se enfocan en su disminución mediante cambios en estilos de vida más saludables. Objetivos: Analizar la tendencia del programa de intervención en actividad física y nutrición, como estrategia para mejorar las dislipidemias y glucemia en los participantes del proyecto DemoMinga. Materiales y métodos: Estudio con enfoque cuantitativo. Diseño de investigación acción participativa, de carácter longitudinal, prospectivo. La población estuvo constituida por los participantes del Proyecto DemoMinga. Se determinó en cada participante: colesterol total, triglicéridos y glucemia en ayunas. Las muestras fueron procesadas en el Centro de Investigaciones Médicas de la FACISA-UNE. Se determinaron indicadores de tendencia central (mediana) de cada una de las variables. Resultados: Hubo mayor participación del sexo femenino, con predominio de personas con menos de 45 años. Las mediciones químicas arrojaron una tendencia de disminución a partir del quinto año de intervención, con talleres de cocina saludable incluyendo uso de aceite alto oleico, y actividad física. Sin embargo, la prueba no arrojó diferencias significativas de las mediciones entre la línea de base y el corte a los 6 años. Conclusión: El estudio resalta la importancia de los programas de intervención mediante terapias integrales para la promoción y prevención de las enfermedades cardiometabólicas a largo plazo.


Background: Non-communicable diseases remain a growing problem worldwide, especially in middle and low-income countries. Community intervention programs are focused on reducing their prevalence through promoting healthier lifestyle changes. Objectives: To analyze the trend of the physical activity and nutrition intervention program as a strategy to improve dyslipidemia and glycemia among participants of the DemoMinga project. Materials and methods: This study employed a quantitative approach with a participatory action research design, characterized as longitudinal and prospective. The population consisted of participants from the DemoMinga Project. For each participant, total cholesterol, triglycerides, and fasting glycemia were measured. Samples were processed at the Medical Research Center of FACISA-UNE. Indicators of central tendency (median) were determined for each of the variables. Results: There was a higher participation of females, with a predominance of individuals under the age of 45. Chemical measurements showed a decreasing trend starting from the fifth year of intervention, involving healthy cooking workshops that included the use of high oleic oil and physical activity. However, the test did not yield significant differences in measurements between the baseline and the 6-year cutoff. Conclusion: The study highlights the significance of intervention programs using comprehensive therapies for the long-term promotion and prevention of cardiometabolic diseases.

7.
Article in Spanish | LILACS, CUMED | ID: biblio-1536316

ABSTRACT

Introducción: Las funciones sustantivas universitarias constituyen claves en el análisis de los procesos de calidad de la universidad. Objetivo: Caracterizar la repercusión de la presencia de la COVID-19 en los procesos sustantivos desarrollados en el Departamento Docente de la Universidad de Ciencias Médicas del municipio Los Palacios durante el curso 2020-2021. Métodos: Investigación aplicada, que tuvo una fase descriptiva-evaluativa y una de evaluación de resultados. Se estudiaron los procesos sustantivos de la universidad (docente, investigativo y extensión); además, participaron 86 estudiantes de Medicina y 42 profesores aportando información. Se realizó revisión documental, entrevistas abiertas e intercambios virtuales y semipresenciales, se utilizó matriz DAFO estableciéndose prioridades por método de ranqueo. Resultados: Se identificaron dos prioridades por el área de docencia e investigación y una prioridad por el área de extensión, se acometieron acciones; entre los resultados positivos se destacaron: la culminación de estudios del 100 por ciento de los estudiantes previstos, uso intensivo de los recursos tecnológicos y de la educación a distancia, mayor adquisición de habilidades investigativas y fortalecimiento del proceso de extensión universitaria. Se identifica la necesidad de fortalecer la infraestructura tecnológica. Conclusiones: La repercusión de la COVID-19 sobre los procesos sustantivos se ha caracterizado por los cambios de la enseñanza presencial a la virtual, un uso intensivo de los recursos tecnológicos y una consolidación del proceso de extensión universitaria que ha fortalecido las relaciones universidad-sociedad(AU)


Introduction: University fundamental functions constitute keys in the analysis of university quality processes. Objective: To characterize the impact of the presence of COVID-19 on the substantive processes developed in the Teaching Department of the University of Medical Sciences of Los Palacios municipality during the academic year 2020-2021. Methods: Applied research, which had a descriptive-evaluative phase and a results evaluation phase. The substantive processes of the university (teaching, research and extension) were studied; in addition, 86 medical students and 42 professors participated and provided information. A documentary review, open interviews and virtual and semi-presential exchanges were carried out. In addition, the SWOT matrix was used to establish priorities by ranking method. Results: Two priorities were identified for the teaching and research area and one priority for the extension area and actions were undertaken. Among the positive results, the following stand out: completion of studies by 100percent of the expected students, intensive use of technological resources and distance education, greater acquisition of research skills and strengthening of the university extension process. The need to strengthen the technological infrastructure was identified. Conclusions: The impact of COVID-19 on substantive processes has been characterized by changes from face-to-face to virtual teaching, an intensive use of technological resources, and a consolidation of the university extension process that has strengthened university-society relations(AU)


Subject(s)
Humans , Male , Female , Young Adult , COVID-19/epidemiology , Universities , Epidemiology, Descriptive
8.
Rev. Ciênc. Plur ; 9(1): 29907, 27 abr. 2023. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1428134

ABSTRACT

Introdução:Às medidas de segurança da COVID-19 direcionaram a adoção do modelo remoto de ensino, inclusive para ações de extensão universitária realizadas no ambiente escolar. A extensão contribui para a promoção da saúde ao abordar temas como a Educação Alimentar eNutricional. Objetivo:O objetivo deste trabalho é relatar a experiência da extensão universitária e a adaptação de ações de Educação Alimentar e Nutricional ao modelo remoto, com escolares de ensino fundamental do interior da Paraíba em 2020. Metodologia:O projeto "#Tecnologias da Informação e da Comunicação: Educação Alimentar e Nutricional em Casa" foi realizado com escolares do ensino infantil ao 5º ano de uma escola pública de Cuité, Paraíba. Utilizou-se o whatsapp como ferramenta para as atividadesbaseadas no incentivo a brincadeiras com movimentação física, o desenvolvimento cognitivo, os vínculos intergeracionais e a alimentação de baixo custo. Foram desenvolvidas 12 ações, adaptadas à idade escolar e de fácil execução no domicílio, através de vídeos explicativos, plataforma de jogos e atividades impressas. Resultados:Observou-se os desafios: desigualdade no acesso à internet, fragilidade na manutenção do vínculo entre a equipe universitária com a comunidade escolar, sobrecarga dos professores e diversos contextos no ambiente familiar como, por exemplo, a vulnerabilidade social e violência doméstica. Conclusão:Contudo, é possível a realização da extensão universitária no modelo remoto a partir da diversificação de estratégias e ferramentas digitais, apesar dos desafios enfrentados para manter o vínculo entre equipe universitária-comunidade escolar (AU).


Introduction:Security measures against COVID-19 led to the adoption of a remote teaching model, including university extension actions carried out in the school environment. The extension contributes to health promotion by addressing topics such as Food and Nutrition Education. Objective:This study aims to report the experience of a university extension and the adaptation of Food and Nutrition Education actions to the remote model applied to elementary school students from the interior of Paraíba in 2020. Methodology:The "#Information and Communication Technologies: Food and Nutrition Education at Home" project was carried out among elementary school students in the fifth grade of a public school in Cuité, Paraíba. Whatsapp was used as a tool for activities that involved encouraging play with physical movement, cognitive development, intergenerational bonds, and low-cost food. Twelve actions were developed and were adapted for school-age students. They were made easy to perform at home through explanatory videos, game platforms, and printed activities.Results:Challenges were observed in terms of unequal internet access, weakness in maintaining the connection betweenthe university team and the school community, overload of teachers, and different contexts in the family environment such as social vulnerability and domestic violence. Conclusions:Despite the challenges faced in maintaining the connection in the university­school community team, it is possible to carry out university extensions in the remote model based on the diversification of digital strategies and tools (AU).


ntroducción:Las medidas de seguridad del COVID-19 orientaron la adopción del modelo de enseñanza a distancia, incluso para acciones de extensión universitaria realizadas en el ámbito escolar. La extensión contribuye a la promoción de la salud al abordar temas como laEducación Alimentaria y Nutricional. Objetivo:El objetivo de este trabajo es relatar la experiencia de extensión universitaria y la adaptación de las acciones de la Educación Alimentaria y Nutricional al modelo a distancia, con estudiantes de enseñanza básica del interior de Paraíba en 2020.Metodología:El proyecto "#Tecnologías de la Información y la Comunicación: Educación Alimentaria y Nutricional en Casa" fue realizado con alumnos de jardín de infantes a 5o grado de una escuela pública de Cuité, Paraíba. Se utilizó WhatsApp como herramienta para realizar actividades basadas en fomentar el juego con el movimiento físico, el desarrollo cognitivo, los vínculos intergeneracionales y la comida a bajo costo. Se desarrollaron 12 acciones, adaptadas a la edadescolar y fáciles de realizar en casa, através de videos explicativos, una plataforma de juegos y actividades impresas. Resultados:Se observaron desafíos: desigualdad en el acceso a internet, fragilidad en el mantenimiento del vínculo entre el equipo universitario y la comunidad escolar, sobrecarga de docentes y diversos contextos en el entorno familiar, como vulnerabilidad social y violencia intrafamiliar. Conclusiones:Sin embargo, es posible realizar la extensión universitaria en el modelo a distancia a partir de la diversificación de estrategias y herramientas digitales, a pesar de los desafíos que se enfrentan para mantener el vínculo entre el equipo universitario y la comunidad escolar (AU).


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Food and Nutrition Education , Community-Institutional Relations , Information Technology , COVID-19/transmission , Brazil/epidemiology , Social Vulnerability , Health Promotion
9.
Article in English | LILACS-Express | LILACS | ID: biblio-1436876

ABSTRACT

Although the diversity of animal groups distributed in Brazil provides countless research opportunities, the current scenario does not follow this demand. The reasons for the disconnections range from inequality in the availability of resources for teaching and research to the focus of researchers on specific groups of animals, while others remain neglected. Training new potential Brazilian researchers interested in Zoology is essential for a greater understanding of this diversity, as well as exposing those potential new researchers to new groups and different work possibilities. Thus, the Summer Course in Zoology (in Portuguese, CVZoo) promoted by the Graduate Program in Zoology at the University of São Paulo, over the last ten years, has been seeking to contribute to this training of new researchers in the field of Zoology, as well as in updating teachers through university extension activities. In order to assess the impacts caused by CVZoo on the academic and professional training of the participants, Google forms were sent to participants in the ten editions of the course, as well as compiled information available on the Lattes Platform. Qualitative and quantitative analyses showed the profile of graduates, their expectations, and perceptions about the course. Based on these data, we demonstrate the CVZoo's efficiency in popularizing Zoology throughout the country in contributing to the decentralization of knowledge as well as in meeting the urgent concerns of making access to knowledge more egalitarian and socially fair.


Embora a diversidade de grupos de animais existentes no Brasil ofereça inúmeras oportunidades de estudo, o cenário atual não acompanha essa demanda. Os motivos para essa desconexão vão desde a desigualdade na disponibilidade de recursos para ensino e pesquisa até o foco de pesquisadores em grupos específicos de animais, enquanto outros permanecem negligenciados. O treinamento de novos pesquisadores interessados em Zoologia é essencial para um maior entendimento da diversidade brasileira, assim como a exposição de tais pesquisadores a novos grupos e diferentes possibilidades de trabalho. O Curso de Verão em Zoologia (CVZoo) promovido pelo Programa de Pós-graduação em Zoologia da Universidade de São Paulo, ao longo de dez anos vem buscando contribuir para a formação de novos(as) pesquisadores(as) na área da Zoologia, bem como na atualização de docentes do Ensino Básico por meio de atividades de extensão universitária. Para avaliar os impactos causados pelo CVZoo na formação acadêmica e profissionalizante dos participantes, foram enviados formulários aos participantes das dez edições do curso, bem como compiladas informações disponíveis na Plataforma Lattes. Análises qualitativas e quantitativas evidenciaram o perfil das pessoas egressas, suas expectativas e percepções acerca do curso oferecido. Com base nesses dados, é apontada a eficiência do CVZoo na popularização da Zoologia por todo o país, contribuindo para a descentralização do conhecimento, bem como atendendo às preocupações prementes de tornar o acesso ao conhecimento mais igualitário e socialmente justo

10.
Article | IMSEAR | ID: sea-225534

ABSTRACT

Spontaneous cerebellar hemorrhages are rare when compared to cerebral hemorrhages. They are characterized by occipital headache, repeated vomiting, and ataxia of gait. In mild cases there may be only gait ataxia. There may be Dizziness or vertigo, paresis of conjugate lateral gaze towards the side of the lesion, forced deviation of the eyes to the opposite side, or an ipsilateral sixth nerve palsy, blepharospasm, and skew deviation. Dysarthria and dysphagia may occur. The patient often becomes stuporous and then comatose from brainstem compression or obstructive hydrocephalus; immediate surgical evacuation before brainstem compression occurs, may be lifesaving. The introduction of computed tomography (CT) scan, had brought about a sea change in diagnosis and management. The most significant prognostic factors determining the outcome at one month were the grade of quadrigeminal cistern obliteration on the initial CT scan and the Glasgow Coma Scale on admission. The introduction of drugs like nimodepine made all the difference in the outcomes. We hereby share our experience in managing 12 cases of spontaneous cerebellar hemorrhage.

11.
Rev. biol. trop ; 71abr. 2023.
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1449486

ABSTRACT

Introducción: El mantenimiento de las comunidades coralinas depende directamente de la capacidad de los individuos para crecer como colonia. Dado que el crecimiento forma la base de la estructura física del arrecife, determinar la tasa de crecimiento de las especies de corales constructores y su respuesta a las variaciones ambientales nos permitirá identificar su potencial particular para implementar estrategias de restauración más efectivas. Objetivo: Determinar la tasa de crecimiento del coral constructor de arrecifes Pocillopora en todo el Pacífico Central Mexicano (PCM) y su relación con las fluctuaciones en las condiciones ambientales. Métodos: De agosto de 2019 a octubre de 2020, se monitorearon y trasplantaron un total de 153 fragmentos de coral ramificado del género Pocillopora como parte del programa de restauración en diferentes sitios de la PCM: Parque Nacional Islas Marietas y en la Caleta de Cuastecomates. Se calculó el crecimiento del coral (cm·año-1) y sobrevivencia (%), y se correlacionó con la temperatura, PAR y Kd490 para cada localidad. Resultados: Patrones similares en los parámetros examinados entre los fragmentos de coral fueron encontrados para todos los sitios, con un rango de sobrevivencia de 61.6 - 68 %, cuya mortalidad estuvo relacionada principalmente con huracanes y tormentas que afectaron la región. Sin embargo, la tasa de crecimiento oscila entre 2.0 - 8.0 cm·año-1, sin diferencias significativas entre localidades. Además, no se registraron diferencias en las condiciones ambientales entre las localidades. Conclusiones: Los corales ramificados del género Pocillopora presentan una tasa de crecimiento similar en sitios insulares y costeros de la PCM, por lo que se podría esperar que la implementación de un programa de restauración en toda esta región del Pacífico Mexicano sería potencialmente exitoso, ya que, las condiciones ambientales locales no son factores limitantes.


Introduction: The maintenance of the coral communities depends directly on the capacity of the individuals to grow as a whole colony. Since growth shapes the basis of the physical structure of the reef, determining the growth rate of builder coral-species and their response to environmental variations will allow us to identify their particular potential to implement more effective restoration strategies. Objective: To determine the growth rate of the reef-building coral Pocillopora throughout the Mexican Central Pacific (PCM) and its relationship with fluctuations in environmental conditions. Methods: From August 2019 - October 2020, a total of 153 branched coral fragments of the genus Pocillopora were monitored and transplanted as part of the restoration program in different PCM locations: Islas Marietas National Park and in the Caleta de Cuastecomates. Coral growth (cm·year-1) and survival rate (%), was calculated and correlated with temperature, PAR and Kd490 for each locality. Results: The results show similar patterns in the parameters examined among the coral fragments were found for all sites, with a survival range of 61.6 - 68 %, whose mortality was mainly related to hurricanes and storms that affected the region. However, growth rate range from 2.0 - 8.0 cm·year-1, with no significant differences between locations. Also, no differences in environmental conditions between locations were recorded. Conclusions: The branching corals of the genus Pocillopora present a similar growth rate in insular and coastal sites of the PCM, so it could be expected that the implementation of a restoration program throughout this region of the Mexican Pacific would be potentially successful, since local environmental conditions are not limiting factors.

12.
China Journal of Chinese Materia Medica ; (24): 6519-6525, 2023.
Article in Chinese | WPRIM | ID: wpr-1008851

ABSTRACT

Since the emergence of the term "materia medica", scholars have proposed different opinions on its concept. This term has been used to refer to traditional Chinese medicines, or medical books, or traditional pharmacology. Due to the differences in the concept of materia medica, scholars also have controversies about the concept of herbalism. Herbalism is usually understood as traditional Chinese pharmacology. After years of evolution, the term "herbalism" has now possessed the characteristics of an independent discipline, which can be defined as an applied basic discipline that comprehensively utilizes traditional and modern technological methods to study the formation, development, and changes of traditional pharmacology and reveal the basic theories and application laws of traditional medicine. At present, the research content of herbalism mainly includes three aspects: materia medica history, materia medica literature, and traditional pharmacology. This study explores the disciplinary concepts and main research content of herbalism based on a systematic review of the literature about the concepts of materia medica and herbalism, with the aim of attracting more attention to promote the establishment and development of the discipline of herbalism.


Subject(s)
China , Drugs, Chinese Herbal , Herbal Medicine , Materia Medica , Medicine, Chinese Traditional , Technology
13.
Chinese Journal of Hospital Administration ; (12): 255-262, 2023.
Article in Chinese | WPRIM | ID: wpr-996071

ABSTRACT

Objective:To systematically construct the foreign medical quality and safety management model by searching the English literature related to medical quality and safety management, so as to provide reference for improving the level of medical quality and safety management in China.Methods:The Web of Science database was used as the data source, the English literature related to medical quality and safety management in foreign countries was screened following the PRISMA guidelines, and the content of the screened literature was analyzed using qualitative text analysis based on the Structure Process System Outcome (SPSO) theoretical model.Results:In this study, a total of 37 articles were screened, 5 first-level themes of structure, process, system, outcome and continuous quality improvement were identified, 16 second-level themes were found, and their functional relationships were established. A theoretical model of the SPSO-Extension (SPSO-E) for medical quality and safety management was constructed, added new elements of the external environment, organizational outcome and employee outcome, and refined the continuous quality improvement into three segments of quality checking, problem handling and quality consolidation.Conclusions:In order to improve medical quality and safety management in China, the internal management model of the hospital should be dynamically adjusted according to the changes of external environment, and the result dimension should pay attention to the improvement of organization′s operational effectiveness and the physiological and psychological aspects of the staff. The final management results have a feedback effect on the hospital′s resource allocation, service delivery, organizational arrangements and cultural construction, promoting continuous improvement and enhancement of the hospital′s quality.

14.
Chinese Journal of Orthopaedics ; (12): 1123-1128, 2023.
Article in Chinese | WPRIM | ID: wpr-993547

ABSTRACT

Most literature defines knee extension lag as the failure of the knee joint to achieve the passive extension angle, and some literature defines the inability of the knee to complete the last 15° extension as knee extension lag. Extension lag is one of the common complications after knee surgery, which seriously affects the postoperative knee joint function of patients. Disuse atrophy due to prolonged postoperative bed rest, arthrogenic muscle inhibition due to pain and (or) swelling, direct injury to the knee extensor mechanism during surgery and nerve dysfunction of the quadriceps muscle can all contribute to extension lag. While rehabilitation exercises, physical therapy and medication can significantly improve the patient's symptoms, extension lag due to the knee extension device injury requires surgery if necessary to regain normal knee function. As surgical techniques continue to be refined and rehabilitation interventions advance, the prevention of extension lag and the minimization of angle of knee extension lag need to be given adequate attention by patients, physicians, and researchers. This article reviews clinical studies related to extension lag after knee surgery, focusing on etiology, treatment, prevention and prognosis, with the aim of providing a basis and guidance for the current clinical management.

15.
Chinese Journal of Applied Clinical Pediatrics ; (24): 343-347, 2023.
Article in Chinese | WPRIM | ID: wpr-990039

ABSTRACT

Objective:To explore the clinical features, risks of recurrence and prognosis of neuroblastoma (NB) with intraspinal extension in children, and to perform a long-term follow-up to monitor their health problems.Methods:Clinical data of 22 children with NB with intraspinal extension treated in Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from January 2007 to December 2019 were retrospectively analyzed, including gender, age at diagnosis, clinical stage, and risks of recurrence.They were divided into non-recurrent group and recurrent group, and the survival was analyzed by Kaplan-Meier method.Results:(1)Fifteen(68.2%) children had motor nervous symptoms as the initial symptoms, including lower limb pain, weakness, and limited mobility, and 10(45.5%) showed moderate-to-severe nervous compression.(2)Neuronal enolase(NSE) (<200 μg/L), lactate dehydrogenase(LDH) (≤500 U/L) and vanillylmandelic acid(VMA) were in the normal range in most of children in the non-recurrence group, and a single site was involved.(3)Tumor lesions were not completely resected in the majority of children in the recurrent group, and their NSE (≥200 μg/L), LDH (>500 U/L) and VMA (more than 3 times higher) were abnormally higher, or suffered multisite pyramidal metastasis.(4)The median survival time (MST) was 119.4 months for children in the non-recurrent group, while it was only 25.3 months for those in the recurrent group.The 3-year overall survival (OS) rate was (95.5±6.4)% for the non-recurrent group, compared to only (20.0±17.9)% for children in the recurrent group ( χ2=9.387, P=0.002). Likewise, the 3-year event-free survival (EFS) rate for children in the non-recurrent group was (94.1±5.7)%, whereas it was only (20.0±17.9)% for children in the recurrent group( χ2=29.700, P<0.001). (5)Eleven of 22 children had long-term health problems, especially motor nerve function defects and scoliosis. Conclusions:Motor neurological, and moderate-to-severe neurological compression predominates are the main symptoms of NB children with intraspinal extension at the initial diagnosis.Patients who exhibit intradural tumor remnants, higher NSE, LDH, or VMA levels, and intradural extension with multiple sites of cone metastases are prone to recurrence.Once relapsed, the prognosis is extremely poor.The prognosis of NB with intraspinal extension in children is related to the severity of the initial neurological impairment, the duration of tumor compression, and the treatment regimen.Early diagnosis and intervention may reduce the risk of long-term health problems in children.

16.
International Journal of Pediatrics ; (6): 178-181, 2023.
Article in Chinese | WPRIM | ID: wpr-989061

ABSTRACT

The neonatal critical illness scoring system is widely used to assess the severity of neonatal disease, serious complications, neonatal mortality risk, long-term prognosis, and guide transport.At present, the scores widely used at home and abroad include clinical risk index for babies(CRIB), clinical risk index for babies Ⅱ(CRIB-Ⅱ), score for neonatal acute physiology(SNAP), score for neonatal acute physiology Ⅱ(SNAP-Ⅱ), score for neonatal acute physiology, perinatal extension, version Ⅱ(SNAPPE-Ⅱ), and neonatal critical illness score(NCIS), etc.Although there are many neonatal critical illness scoring systems, there is no recognized and ideal score, the most suitable score for assessing the severity of neonatal disease.This paper reviews the application and research progress of the three scoring systems SNAP-Ⅱ, SNAPPE-Ⅱ and NCIS.

17.
Journal of Zhejiang University. Science. B ; (12): 1-14, 2023.
Article in English | WPRIM | ID: wpr-982396

ABSTRACT

The identification of tissue origin of body fluid can provide clues and evidence for criminal case investigations. To establish an efficient method for identifying body fluid in forensic cases, eight novel body fluid-specific DNA methylation markers were selected in this study, and a multiplex singlebase extension reaction (SNaPshot) system for these markers was constructed for the identification of five common body fluids (venous blood, saliva, menstrual blood, vaginal fluid, and semen). The results indicated that the in-house system showed good species specificity, sensitivity, and ability to identify mixed biological samples. At the same time, an artificial body fluid prediction model and two machine learning prediction models based on the support vector machine (SVM) and random forest (RF) algorithms were constructed using previous research data, and these models were validated using the detection data obtained in this study (n=95). The accuracy of the prediction model based on experience was 95.79%; the prediction accuracy of the SVM prediction model was 100.00% for four kinds of body fluids except saliva (96.84%); and the prediction accuracy of the RF prediction model was 100.00% for all five kinds of body fluids. In conclusion, the in-house SNaPshot system and RF prediction model could achieve accurate tissue origin identification of body fluids.

18.
Acta Academiae Medicinae Sinicae ; (6): 361-365, 2023.
Article in Chinese | WPRIM | ID: wpr-981279

ABSTRACT

Objective To evaluate extrathyroidal extension (ETE) in papillary thyroid microcarcinoma (PTMC) with three-dimensional tomographic ultrasound imaging (3D-TUI). Methods A total of 97 thyroid nodules of 79 patients with PTMC treated in PUMC Hospital from February 2016 to January 2018 were included in this study.Two ultrasound experts performed independent blinded assessment of the relationship between thyroid nodules and thyroid capsule by two-dimensional ultrasound (2D-US) and 3D-TUI.The results of 2D-US and 3D-TUI in evaluating ETE were compared with intraoperative findings and postoperative histological and pathological results. Results Among the 97 nodules,54 (55.7%) nodules had ETE.The diagnostic sensitivity (68.5% vs.37.0%;χ2=10.737,P=0.002),accuracy (74.5% vs.56.7%;χ2=6.686,P=0.015),and area under the receiver operating characteristic curve[0.761 (95%CI=0.677-0.845) vs.0.592 (95%CI=0.504-0.680);Z=3.500,P<0.001] of 3D-TUI were higher than those of 2D-US.However,3D-TUI and 2D-US showed no significant difference in the specificity (84.1% vs.81.4%;χ2=0.081,P=0.776),negative predictive value (67.9% vs.50.7%;χ2=3.645,P=0.066),or positive predictive value (84.1% vs.71.4%;χ2=1.663,P=0.240). Conclusion Compared with 2D-US,3D-TUI demonstrates increased diagnostic efficiency for ETE of PTMC.


Subject(s)
Humans , Thyroid Nodule , Thyroid Neoplasms/diagnosis , Carcinoma, Papillary/pathology , Ultrasonography/methods , Retrospective Studies
19.
Asian Journal of Andrology ; (6): 259-264, 2023.
Article in English | WPRIM | ID: wpr-971018

ABSTRACT

The purpose of this study was to analyze the value of transrectal shear-wave elastography (SWE) in combination with multivariable tools for predicting adverse pathological features before radical prostatectomy (RP). Preoperative clinicopathological variables, multiparametric magnetic resonance imaging (mp-MRI) manifestations, and the maximum elastic value of the prostate (Emax) on SWE were retrospectively collected. The accuracy of SWE for predicting adverse pathological features was evaluated based on postoperative pathology, and parameters with statistical significance were selected. The diagnostic performance of various models, including preoperative clinicopathological variables (model 1), preoperative clinicopathological variables + mp-MRI (model 2), and preoperative clinicopathological variables + mp-MRI + SWE (model 3), was evaluated with area under the receiver operator characteristic curve (AUC) analysis. Emax was significantly higher in prostate cancer with extracapsular extension (ECE) or seminal vesicle invasion (SVI) with both P < 0.001. The optimal cutoff Emax values for ECE and SVI were 60.45 kPa and 81.55 kPa, respectively. Inclusion of mp-MRI and SWE improved discrimination by clinical models for ECE (model 2 vs model 1, P = 0.031; model 3 vs model 1, P = 0.002; model 3 vs model 2, P = 0.018) and SVI (model 2 vs model 1, P = 0.147; model 3 vs model 1, P = 0.037; model 3 vs model 2, P = 0.134). SWE is valuable for identifying patients at high risk of adverse pathology.


Subject(s)
Male , Humans , Prostate/pathology , Seminal Vesicles/diagnostic imaging , Elasticity Imaging Techniques , Retrospective Studies , Extranodal Extension/pathology , Neoplasm Staging , Prostatectomy/methods , Prostatic Neoplasms/pathology , Magnetic Resonance Imaging/methods
20.
Int. arch. otorhinolaryngol. (Impr.) ; 27(4): 602-607, 2023. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1528720

ABSTRACT

Abstract Introduction Correction of caudal septal deviations has always been a challenging subject in septorhinoplasty. The septum batten extension graft (SBEG) is a new graft that has potential properties in rhinoplasty. However, few reports have evaluated the surgical outcomes of this technique. Objective The purpose of this study was to evaluate the effectiveness of SBEG in correcting caudal septal deviation. Methods This cross-sectional study was conducted on patients with caudal septal deviation undergoing septorhinoplasty using SBEG at 2 different hospitals in 2019. We then retrospectively reviewed medical records and photographs of 50 patients at the preoperative period, as well as at 1-month, and 12-month postoperatively. Gross changes in nasolabial angle, columellar show, nasal tip projection, and dorsal nasal deviation were evaluated by a photographic analysis method, and nasal obstruction was assessed by patient satisfaction with breathing. Results There was a significant difference between the mean nasolabial angle and columellar show at 1 and 12-months postoperatively, compared with the previous values (p < 0.0001). The nasolabial angles were in a favorable position with an increase of 12 to 15 degrees compared with the preoperative state. The columellar show also improved by an average of 1.2 mm and was in good condition. The postoperative dorsal nasal deviation was significantly reduced, and projection was significantly increased (3.521 ± 0.087 mm vs. 0.719 ± 0.028; p < 0.0001; p < 0.001 ). Moreover, this method had a significant favorable effect on nasal obstruction (p = 0.049). Conclusion Our results showed that septorhinoplasty using SBEG is useful for correcting caudal septal deviation, with favorable surgical outcomes, and it has responded well to all five aforementioned criteria.

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