Publications by authors named "Ana Guedes"

Background: Crohn's disease (CD) is a chronic, relapsing and remitting inflammatory bowel disease that can be associated with significant bowel damage and disability. The Lémann Index (LI) is a validated tool for measuring cumulative bowel damage in CD patients through a comprehensive assessment of stricturing, penetrating and surgical lesions. However, prospective studies evaluating bowel damage progression in recently diagnosed CD patients remain limited.

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BackgroundBreast cancer is the leading malignancy among women and the lack of ideal early biomarkers hampers diagnosis and treatment monitoring. Genomic instability, central to breast cancer development, makes DNA damage a potential biomarker for these purposes.ObjectiveThis study aims to evaluate the predictive value of DNA damage for diagnosis, and treatment monitoring in breast cancer, with CA 15-3, a conventional cancer biomarker, included for comparison to assess the added value of DNA damage measurement.

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  • The study focuses on improving the detection of KRAS mutations in pancreatic ductal adenocarcinoma (PDAC) using a technique called ARMS-HRMA, which is more sensitive than traditional methods.
  • It analyzed tumor and plasma samples from 88 newly diagnosed PDAC patients, finding G12D and G12C mutations linked to worse patient outcomes, including shorter progression-free and overall survival.
  • The findings suggest ARMS-HRMA could be a quick and affordable way to help determine prognosis and treatment strategies for PDAC patients.
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Objective: The present in vitro study incorporated niobium oxyhydroxide fillers into an experimental high-viscosity bulk-fill resin composite to improve its mechanical performance and provide it a bioactive potential.

Methodology: Scanning electron microscopy synthesized and characterized 0.5% niobium oxyhydroxide fillers, demonstrating a homogeneous morphology that represented a reinforcement for the feature.

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  • The study looks at how telehealth services in Brazil changed and grew during the COVID-19 pandemic.
  • Researchers used surveys and interviews to gather information from 19 different telehealth units across the country.
  • The findings show that even without regular funding, these services have developed and improved, highlighting the need for a strong and adaptable telehealth system in Brazil.
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Introduction Congenital toxoplasmosis (CT), despite being mostly subclinical at birth, can cause disabling disease in the fetus and lead to long-term sequelae. It is an important cause of chorioretinitis in infants and adolescents. Data on postnatal treatment are controversial, and there is a lack of universal guidelines.

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Aqueous film forming foams (AFFFs) have been used to extinguish fires since the 1960s, leading to widespread subsurface contamination by per- and polyfluoroalkyl substances (PFAS), an essential component of AFFF. This study presents 1-D simulations of PFAS migration in the vadose zone resulting from AFFF releases. Simulation scenarios used soil profiles from three US Air Force (USAF) installations, encompassing a range of climatic conditions and hydrogeologic environments.

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Alterations in gonad formation or function can lead to congenital conditions in which chromosomal, gonadal, or anatomical sex is atypical. These conditions are referred to as disorders of sex development (DSD) and have a heterogeneous etiology. The assessment of these children by a multidisciplinary team is crucial for an accurate diagnosis and should be initiated promptly due to the potentially life-threatening nature of congenital adrenal hyperplasia, a common cause of DSD.

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Many cases of adenopathies, whose differential diagnosis includes a wide spectrum of pathologies (including some malignant conditions like lymphoproliferative diseases, e.g., lymphomas), resort to primary healthcare.

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  • - This study evaluated the rates of Healthcare-Associated Infections (HAIs) and antimicrobial consumption in ICUs in São Paulo during the COVID-19 pandemic, comparing data with the years before the pandemic.
  • - Researchers analyzed data from 220 ICUs and found a significant rise in Central-Line-Associated Bloodstream Infections (CLABSI) following the pandemic, influenced by hospital size, type of funding, and catheter usage, while Ventilator-Associated Pneumonia (VAP) rates increased in public hospitals with higher mechanical ventilation use.
  • - Despite a notable uptick in HAIs and increased use of broad-spectrum antibiotics during the pandemic, the susceptibility of the microorganisms remained unchanged compared to the pre-pandemic period.
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Objective: To estimate the prevalence of syphilis and its associated factors in women who were treated at public maternity hospitals and received prenatal care in a primary healthcare unit.

Methods: This cross-sectional study included 399 postpartum women. Interviews were conducted, and additional data were extracted from the pregnant woman's booklet, medical records, and printed tests.

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In this large cohort of healthcare workers, we aimed to estimate the rate of reinfections by SARS-CoV-2 over 2 years of the COVID-19 pandemic. We investigated the proportion of reinfections among all the cases of SARS-CoV-2 infection from March 10, 2020 until March 10, 2022. Reinfection was defined as the appearance of new symptoms that on medical evaluation were suggestive of COVID-19 and confirmed by a positive RT-PCR.

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  • Voiding diary (VD) is a useful tool for evaluating and monitoring voiding symptoms in children, focusing on metrics like voiding frequency and volumes; the study suggests that recording for just one day may be sufficient instead of the previously recommended three days.* -
  • A study involving 98 children with overactive bladder and primary monosymptomatic enuresis compared data from 1-day, 2-day, and 3-day voiding diaries, finding that most measurements were consistent across durations, but maximum voided volume (MVV) was slightly higher after three days.* -
  • The research concluded that a 1-day voiding diary is adequate, showing a sensitivity of 93.9% and correlating well
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Background: The Brazilian Ministry of Health (MoH) recommends double screening (DS) for syphilis and HIV during the first and third trimesters of antenatal care (ANC) to mitigate vertical transmission. We surveyed DS outcomes and their associated factors in a priority Brazilian municipality with >100 000 inhabitants who face challenges for both health problems.

Methods: A total of 399 women were followed up throughout pregnancy using medical records.

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PC is a bioactive and colorant compound widely sought in the food, nutraceutical and cosmetic industries, and one of the most important pigments produced by . However, the general extraction process is usually time-consuming and expensive, with low extraction yields-thus compromising a feasible and sustainable bioprocess. Hence, new extraction technologies (e.

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  • Two new cases of Sabiá virus (SABV) infection were diagnosed in Brazil, marking the first instances in over 20 years.
  • The infected patients exhibited severe symptoms, including hepatitis and neurological issues, leading to their deaths, with unique histopathological features observed in autopsies.
  • Despite the possibility of transmission in healthcare settings, contact tracing showed no additional infections among hospital staff and contacts, highlighting the rarity of this virus.
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This study aimed to analyze the effects of polyvinyl chloride (PVC) film and oxygen-blocking gel (OBG) on the irradiance from an LED source and the depth of cure of a composite resin. Irradiance was measured with a curing radiometer, and curing depth was evaluated according to the methods described by the International Organization for Standardization (ISO 4049). Twelve experimental conditions were investigated in a 3 × 4 factorial design (n = 5 specimens per condition): no PVC film at the tip of the device, fitted PVC film, or misfit PVC film; and no OBG or a 1-, 2-, or 3-mm-thick layer of OBG.

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Background: Inflammatory bowel disease (IBD) is associated with complications, frequent hospitalizations, surgery and death. The introduction of biologic drugs into the therapeutic arsenal in the last two decades, combined with an expansion of immunosuppressant therapy, has changed IBD management and may have altered the profile of hospitalizations and in-hospital mortality (IHM) due to IBD.

Aim: To describe hospitalizations from 2008 to 2018 and to analyze IHM from 1998 to 2017 for IBD in Brazil.

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Bioactive lipidic compounds of microalgae, such as polyunsaturated fatty acids (PUFA) and carotenoids, can avoid or treat oxidation-associated conditions and diseases like inflammation or cancer. This study aimed to assess the bioactive potential of lipidic extracts obtained from sp.-using Generally Recognized as Safe (GRAS) solvents like ethanol, acetone, hexane:isopropanol (3:2) (HI) and ethyl lactate.

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  • - The study evaluated the occurrence of COVID-19 among patients in hemodialysis facilities in São Paulo, finding 1,093 reported cases out of 20,984 patients surveyed.
  • - Many facilities implemented preventive measures like dedicated COVID-19 areas and symptom screening, yet about 56% experienced at least one cluster of cases, with clustering suspected in only 7% of facilities.
  • - The primary risk factor for clustering was linked to aerosol-generating procedures, suggesting the need for caution in such practices to reduce transmission and monitor outbreaks effectively.
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Beta regressions are commonly used with responses that assume values in the standard unit interval, such as rates, proportions and concentration indices. Hypothesis testing inferences on the model parameters are typically performed using the likelihood ratio test. It delivers accurate inferences when the sample size is large, but can otherwise lead to unreliable conclusions.

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Background: Hope has long been considered essential to humans in several disciplines, nursing included. At the end-of-life, hope is a complex and dynamic emotion, and there have been different interpretations and conceptions of hope.

Aim: To develop hope in palliative care as an evidenced-based nursing concept: analyse its attributes, antecedents and consequences.

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Carotenoids are tetraterpenoids molecules present in all photosynthetic organisms, responsible for better light-harvesting and energy dissipation in photosynthesis. In cyanobacteria, the biosynthetic pathway of carotenoids is well described, and apart from the more common compounds (e.g.

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