Correlação entre ideação suicida e qualidade de vida entre diabéticos tipo 2 na pandemia

A mudança de rotina proporcionada pela pandemia da COVID-19 impactou na saúde mental e no tratamento do diabetes tipo 2, aumentando também fatores de risco relacionados ao tratamento da doença. A qualidade de vida também está relacionada com os tipos de estratégias de enfrentamento que a pessoa emprega diante as adversidades. Este trabalho teve como principais objetivos verificar a relação entre qualidade de vida e ideações suicidas entre diabéticos do tipo 2, tendo uma variável relevante, a pandemia. Foram aplicados virtualmente os questionários SF-36 e QIS, tendo os resultados descritos a partir da correlação utilizando o Coeficiente Linear de Pearson. A maioria dos fatores do SF-36 apresentaram forte correlação inversamente proporcional com o QIS. Tratar de uma doença crônica já é em si bastante desafiador e acredita-se que a ocorrência da pandemia possa ter intensificado esses desafios, interferindo na saúde em geral e na qualidade de vida dos diabéticos em geral. estudos realizados no Brasil indicam que durante o período da pandemia hábitos não saudáveis tais como consumo de álcool e tabaco, sedentarismo e consumo de alimentos ultraprocessados aumentaram significativamente entre a população adulta. A importância do cuidado à saúde de forma integral dos diabéticos se reforça no contexto de pandemia, porém nesse período ocorreram mudanças sobre a atenção do sistema de saúde, prejudicando o acesso ao serviço de saúde e a medicamentos também, logo aumentando os fatores de risco. Este reflexo pode ser observado nas respostas dos questionários, tendo os resultados das correlações entre fatores da qualidade de vida e ideação suicida, em sua maioria, inversamente proporcionais e de forte significância estatística. Em outras palavras, a maioria dos participantes apresentou uma percepção negativa em relação à qualidade de vida, logo apresentando maiores índices de ideação suicida. Nesse sentido, percebendo as mudanças negativas presentes principalmente no estilo de vida dos adultos durante a pandemia, torna-se indispensável a adoção de políticas públicas para atender questões relativas à saúde. Mesmo em um período atípico, medidas de proteção e prevenção contra as DCNT não podem ser interrompidas e a população deve permanecer assistida

‘Memórias’: uma metodologia de coleta de dados – dois exemplos de aplicação

Esta pesquisa discute uma técnica de coleta de dados, à qual se deu o nome de memórias, que consiste no registro escrito de reuniões de grupos de pesquisa. São apresentados dois exemplos de utilização desta metodologia: no primeiro a coleta foi realizada por um único pesquisador em uma situação de pesquisa que envolvia alunos do primeiro ano do curso de licenciatura em Matemática; no segundo exemplo a coleta foi realizada por três pesquisadores durante as reuniões de um grupo formado por professores de Física do ensino médio – Grupo de Orientadores de Campo – que atuam do estágio supervisionado em uma licenciatura em Física. Comparado com as transcrições de gravações em vídeos ou áudio, ficou clara a eficiência e a agilidade deste trabalho documental, os quais foram fundamentais para o amadurecimento dos grupos envolvidos nesses processos de pesquisa

Efficacy of HPA Lanolin® in treatment of lip alterations related to chemotherapy

The side effects of chemotherapy on the lips may cause esthetic and functional impact and increase the risk of infection. HPA Lanolin® is an option for supportive therapy because it has anti-inflammatory, antimicrobial and moisturizing properties. Objective: To evaluate the efficacy of this product in the prevention of lip alterations in a population of patients undergoing chemotherapy. Material and Methods: Patients undergoing chemotherapy (n = 57) were examined and distributed into two groups: study (used HPA Lanolin®) and control (without supportive therapy on the lips). We evaluated the patients two weeks after chemotherapy, registering oral alterations, symptoms of pain, discomfort, limitation of mouth opening and dehydration, classified according to a visual analogue scale. Results: Patients who used HPA Lanolin® had lower dehydration and experienced improvement of lip dryness (

Coronary artery disease in asymptomatic type-2 diabetic women: a comparative study between exercise test, cardiopulmonary exercise test, and dipyridamole myocardial perfusion scintigraphy in the identification of ischemia

BACKGROUND: Cardiovascular disease is the leading cause of morbidity and mortality among diabetic individuals. Myocardial ischemia is frequently asymptomatic, thus leading to a late diagnosis and worse prognosis. Diabetic women are known to have a cardiovascular death risk higher than that in men. OBJECTIVE: To assess the prevalence of coronary artery disease (CAD) in asymptomatic diabetic women. To compare the results of exercise test (ET), cardiopulmonary exercise test (CPET), and dipyridamole myocardial perfusion scintigraphy (MPS) with the findings of coronary angiography, (ANGI) in order of identify the most accurate method in the detection of significant CAD. METHODS: A total of 104 diabetic women were assessed with ET, CPET and MPS in the period within two months from the ANGI. MIBI-99mTc scintigraphy was performed using the gated-SPECT technique. Pearson's chi-square, Student's t tests were used for the statistical analysis and also the logistic regression analysis. RESULTS: The prevalence of CAD in the group studied was 32.7%. For the ET, an effective test (p=0.045), the chronotropic incompetence (p=0.031), and the exercise time performed (p=0.022) showed a significant association with DAC. For CPET, peak VO2 and HR achieved were associated with CAD (p=0.004 and p=0.025, respectively). Most of the MPS variables showed a significant association with CAD (p=0.001, for all). CONCLUSION: The results obtained may suggest a high prevalence of CAD in diabetic women. Thus, this population should be investigated from the cardiovascular point of view even without cardiac symptom. Of the noninvasive diagnostic methods used, dipyridamole MPS was the one that showed the highest discrimination power in relation to diabetic women with CAD.FUNDAMENTO: A doença cardiovascular é a principal causa de morbi-mortalidade nos diabéticos. A isquemia do miocárdio é freqüentemente assintomática levando ao diagnóstico tardio e pior prognóstico. Sabe-se que a mulher diabética tem risco de morte cardiovascular maior em relação ao sexo masculino. OBJETIVO: Avaliar a prevalência de doença arterial coronariana (DAC) em diabéticas assintomáticas. Comparar os resultados do teste ergométrico (TE), do teste cardiopulmonar (TCP) e da cintilografia do miocárdio sob estímulo farmacológico com dipiridamol (CM) com os achados da cinecoronariografia (CINE) verificando o método de maior acurácia na identificação de DAC significativa. MÉTODOS: Foram avaliadas 104 diabéticas que realizaram TE, TCP e CM no período de dois meses da CINE. As cintilografias com MIBI-99mTc foram realizadas pela técnica de gated-SPECT. A análise estatística foi realizada pelos testes x² de Pearson e t de Student, sendo realizada, ainda, análise de regressão logística. RESULTADOS: A prevalência de DAC no grupo estudado foi de 32,7%. No TE, o teste eficaz (p=0,045), a incompetência cronotrópica (p=0,031) e o tempo de esforço realizado (p=0,022) apresentaram associação significativa com DAC. No TCP, o VO2pico e a FC atingida apresentaram associação com DAC (p=0,004 e p=0,025). A maioria das variáveis da CM mostrou importante associação com DAC (todas com p=0,001). CONCLUSÃO: Os resultados obtidos sugerem elevada prevalência de DAC em pacientes diabéticas assintomáticas, devendo ser essa uma população investigada do ponto de vista cardiovascular. Dos métodos diagnósticos não-invasivos que foram empregados, o que mostrou ter maior poder de discriminação em relação às portadoras de DAC foi a CM com dipiridamol.Universidade Federal de São Paulo (UNIFESP) Instituto Dante Pazzanese de CardiologiaUNIFESP, Instituto Dante Pazzanese de CardiologiaSciEL

A Strong Humoral Immune Response Induced by a Vaccine Formulation Containing rSm29 Adsorbed to Alum Is Associated With Protection Against Schistosoma mansoni Reinfection in Mice

The helminth Schistosoma mansoni is one of main causes of human schistosomiasis, a health and economic concern in some of the world's poorest countries. Current treatment regimens can lead to serious side effects and are not suitable for breastfeeding mothers. As such, efforts have been undertaken to develop a vaccine to prevent infection. Of these, Sm29 is a promising candidate that has been associated with resistance to infection/reinfection in humans and mice. Its ability to induce resistance to reinfection has also been recently demonstrated using a vaccine formulation containing Freund's adjuvant. However, Freund's adjuvant is unsuitable for use in human vaccines. We therefore evaluated the ability of Sm29 to induce protection against S. mansoni reinfection when formulated with either alum or MPLA as an adjuvant, both approved for human use. Our data demonstrate that, in contrast to Sm29 with MPLA, Sm29 with alum reduced parasite burden after reinfection compared to a control. We next investigated whether the immune response was involved in creating the differences between the protective (Sm29Alum) and non-protective (Sm29MPLA) vaccine formulations. We observed that both formulations induced a similar mixed-profile immune response, however, the Sm29 with alum formulation raised the levels of antibodies against Sm29. This suggests that there is an association between a reduction in worm burden and parasite-specific antibodies. In summary, our data show that Sm29 with an alum adjuvant can successfully protect against S. mansoni reinfection in mice, indicating a potentially effective vaccine formulation that could be applied in humans

Does the scion or rootstock of Citrus sp. affect the feeding and biology of Diaphorina citri Kuwayama (Hemiptera: Liviidae)?

The Asian citrus psyllid (ACP) Diaphorina citri is the main vector of the bacteria associated with Huanglongbing, and can exploit more than 50 species of the family Rutaceae as hosts. The number of possible hosts is even higher if plant varieties are included. This study evaluated the influence of different combinations of scion and rootstock citrus varieties on the development and feeding of ACP. Survival rates for the egg stage were highest on the Valencia and Sicilian varieties, both grafted on Sunki mandarin, with means of 87.99 and 87.98%, respectively; and lowest (67.63%) on Hamlin 9 Rangpur lime. The lowest levels of both nymphal and total viability (egg-adult) were obtained on Hamlin, regardless of the rootstock used. The total development time (egg-adult) ranged from 17.92 to 19.33 days for the Peˆra 9 Sunki and Hamlin 9 Swingle combinations, respectively. Cluster analysis separated the hosts into two groups, the first consisting of the combinations of the Hamlin variety, and the second group formed by the other varieties. The highest food value (assessed by the area of honeydew produced) was observed for the orange scion varieties, and among these, the highest value was observed on Valencia (0.902 cm2); the smallest honeydew area was obtained on Ponkan (0.269 cm2). The rootstocks did not affect the feeding behavior of D. citri. The results of this study could aid in the development of management techniques, mainly in providing information for the installation of new citrus groves and assistance in crop-improvement research

Risk factors associated with death in Brazilian children with severe dengue: a case-control study

Objective: The purpose of this case-control study was to evaluate risk factors associated with death in children with severe dengue. Methods: The clinical condition of hospitalized patients with severe dengue who died (cases, n = 18) was compared with that of hospitalized patients with severe dengue who survived (controls, n = 77). The inclusion criteria for this study were age under 13 years; hospital admission in São Luis, northeastern Brazil; and laboratory-confirmed diagnosis of dengue. Results: Severe bleeding (hemoptysis), a defining criterion for dengue severity, was the factor most strongly associated with death in our study. We also found that epistaxis and persistent vomiting, both included as warning signs in the World Health Organization (WHO) classification of dengue, were strongly associated with death. No significant association was observed between any of the laboratory findings and death. Conclusions: The finding that epistaxis and persistent vomiting were also associated with death in children with severe dengue was unexpected and deserves to be explored in future studies. Because intensive care units are often limited in resource-poor settings, any information that can help to distinguish patients with severe dengue with a higher risk to progress to death may be crucial