Casa De Research Articles

Estudo comparativo da aplicação por telefone e presencial da entrevista de triagem por telefone de sintomas do espectro autista (PSI-TEA)

ABSTRACT Objective: Describe reliabilities evidence of the Phone Screening Interview (PSI), a telephone screening interview for autism spectrum disorder (ASD) symptoms, capable of investigating mild to moderate ASD symptoms. Moreover, the PSI also works for verbal and non-verbal children and is consistent with the DSM-5 diagnostic criteria. Methods: An interview was performed with sixty-eight parents of children between 2 and 15 years old attended by the Psychiatry Ambulatory of Santa Casa de Misericórdia do Rio de Janeiro through the PSI in person and by telephone. Results: No significant differences in comparison between averages of the total score of the face-to-face and telephone applications were observed. The agreement analysis between the items indicated three items with lower values, leading to the modification of some questions, culminating in a new interview version for further studies. Given the disagreement in the values found, the order of application of the interviews seems to not impact the results, demonstrating strong correlations between both interviews, even with a different order of application. Aiming to facilitate the use of the scale by different examiners, the interobserver reliability was investigated, which did not show significant differences in the means. Conclusion: The study suggests that the telephone interview can be used similarly to the face-to-face interview, by different evaluators, with no impact on its efficiency in detecting ASD symptoms.

El método de reconstrucción de parroquias desarrollado por Maria Norberta Amorim

Maria Norberta Amorim, a pioneer in Historical Demography in Portugal, since the 1970s developed and systematically applied the parish reconstruction method. Currently, her contribution is materialized in the National Genealogical Repository of Portugal (RGN), based in Casa de Sarmento (Guimarães). It is a central database, of free and open access, whose use allows systematize the information from parish registers between the 16th and 18th centuries.

Mortality predictors in a cohort of patients with COVID-19 admitted to a large tertiary hospital in the city of São Paulo, Brazil: a retrospective study.

There is discrepant information across countries regarding the natural history of patients admitted to hospitals with coronavirus disease (COVID-19), in addition to a lack of data on the scenario in Brazil. To determine the mortality predictors in COVID-19 patients admitted to a tertiary hospital in São Paulo, Brazil. A retrospective analysis of medical records of COVID-19 patients admitted to the Hospital Central da Irmandade da Santa Casa de Misericórdia of São Paulo. Overall, 316 patients with laboratory-confirmed COVID-19 between March 1, 2020, and July 31, 2020, were included. The analysis included the baseline characteristics, clinical progression, and outcomes. The mortality rate of the sample was 51.27%. Age ≥ 60 years was determined as a risk factor after multivariate logistic regression analysis. Patients with an oxygen (O2) saturation ≤ 94% upon admission accounted for 87% of the deaths (P < 0.001). Vasoactive drugs were used in 92% (P < 0.001) of patients who progressed to death, and mechanical ventilation was employed in 88% (P < 0.001) of such patients. However, patients who received corticosteroids concomitantly with mechanical ventilation had a better prognosis than those who did not. The progressive degree of pulmonary involvement observed on chest computed tomography was correlated with a worse prognosis. The presence of thrombocytopenia has been considered as a risk factor for mortality. The main predictors of in-hospital mortality after logistic regression analysis were age, O2 saturation ≤ 94% upon admission, use of vasoactive drugs, and presence of thrombocytopenia.

Sociodemographic and Clinical Characteristics and the Impact of Hydroxyurea on Laboratory Profile and Healthcare Resource Utilization of Adult Patients with Sickle Cell Disease: An Observational and Retrospective Study of 5 Years of Follow-Up in a Reference Center in Brazil

Sickle cell disease (SCD) is a severe inherited and multisystem blood disorder characterized by hemolytic anemia, vasoocclusive crises (VOCs), progressive multiorgan damage, and increased mortality. SCD is the most common inherited disorder worldwide, with well over 300,000 children born with SCD yearly, 75% of whom are born in Africa. Based on the Brazilian neonatal screening program, the annual average of new cases of children diagnosed with SCD was 1,087, with an incidence of 3.78 per 10,000 live births and an estimated number of 60,000 to 100,000 individuals living with SCD in Brazil. Our objectives were to describe the sociodemographic and genotype characteristics and clinical complications of patients with SCD and compare the laboratory profile and the impact of healthcare resource utilization between patients with and without hydroxyurea during five years of observation. Objectives: To describe the sociodemographic and clinical complications, compare the laboratory profile and the impact of healthcare resources utilization between patients with and without hydroxyurea of SCD patients during five years of observation. Method: This was a retrospective cross-sectional descriptive study conducted at one Brazilian reference center on SCD - Santa Casa de Sao Paulo, in Sao Paulo (Southeast region of Brazil) during a 5-year observation period (2016-2020).

The House of Bernarda Alba: The Image of Repression and Female Rebellion Through the Character of Adela

In the present work, the image and representation of Adela, the youngest daughter of the family of the Casa de Bernarda Alba, one of the most popular works of the Spanish author Federico García Lorca (1898-1936), will be analyzed. In this work, there are different themes, but what concerns us is to show the repression, oppression and rebellion of this character in a context of customs of the 1920s in Spain. They are revealing elements in that period in which women were relegated to the background, despite the fact that a feminist movement had already begun in Spain. By studying Adela, we seek to see how a single woman confronts her family and the society that surrounds her to fight for freedom, although its end is finally linked to patriarchy.

SOFT TISSUE SARCOMA - SANTA CASA DE SÃO PAULO EXPERIENCE FROM 2006 TO 2019.

To conduct an epidemiologic review, analyzing treatment, evolution, and survival of soft tissue sarcomas. Retrospective study based on medical records of patient with STS treated by the Orthopedic Oncology Group at the Santa Casa de São Paulo, from 2006 to 2019. Data from 121 patients were analyzed according to age, sex, histological type, tumor location, treatment, previous surgery in a non-specialized service, local recurrences, lung metastases, and survival analysis. The most frequent location was the thigh. Patients who underwent surgery with a non-specialized group had higher rates of local recurrence and those with pulmonary metastasis had a lower survival rate. STS can occur at any age and the prevalence of the histological type depends on the patients' age group. Level of Evidence II, Prognostic Study.

VARIAÇÃO DIATÓPICA DOS FRASEOLOGISMOS DO FUTEBOL BRASILEIRO ABRIR O PLACAR E TIME DA CASA

ABSTRACT The present paper aims at describing and mapping the diatopic variation found in the pairs of phraseologisms of Brazilian soccer — abrir o placar (open the score) e time da casa (home team). The theoretical framework adopted is limited to the French school of phraseological studies based on Mejri (1997, 2009, 2012), who points out basic properties of recognition of these structures: polylexicality, fixity, congruence, frequency, predictability and idiomaticity. Regarding the phenomenon of diatopic variation, we adopt the conception of Coseriu (1980), Chambers and Trudgill (1980), as well as Razky and Guedes (2015) regarding the issue of linguistic grouping, in addition to Corpas Pastor (1996) and Garcia-Page (2008) in the treatment of phraseological variation. The sample considered includes soccer written texts published in the period from 2008 to 2015 and extracted from the column Caderno de Esportes of five Brazilian electronic newspapers. The results show two variants for time de casa and six for abrir o placar. The analysis points to a diatopic configuration of the selected phraseologisms with a characteristic use of figurative language.

Netflix, Spanish television, and La casa de papel: Growing global and local TV together in the multiplatform era

This institutional-industrial analysis evaluates how Netflix’s post-2016 rebranding efforts resulted in its ongoing transition from a centrally-managed multinational corporation, based mainly in Silicon Valley, to a more decentralised transnational operation with multiple interconnected headquarters worldwide. Utilising a blended macro-micro critical perspective, Netflix’s October 2015 debut in Spain is examined as an inflection point for this subscription video on demand (SVOD) change agent, Spain’s then-traditional TV infrastructure and the transnational television industry. Netflix’s eventual integration into the Spanish television landscape and its transnational distribution of La casa de papel [ Money Heist] (2017–21) serve as a two-fold object lesson into how glocal relations occur during TVIV.

The art of giving birth to a graduate program in history: on the 20th anniversary of the Graduate Program in the History of the Sciences and Health: interview with Margarida de Souza Neves.

This interview explores the participation of Margarida de Souza Neves, professor emeritus at Pontifícia Universidade Católica do Rio de Janeiro, in the creation of the Graduate Program in the History of the Sciences and Health at Casa de Oswaldo Cruz. To celebrate the twentieth anniversary of this graduate program, professors who have served as coordinators met with Professor Neves to reflect on the meanings of shaping a program in the area of history specializing in research on science and health in Brazil.

Conformidade no manuseio do leite materno cru doado aos bancos de leite humano em relação à qualidade microbiológica

Abstract Objectives: microbiological quality of raw human milk (HM) from donors at the HMB (Human Milk Bank) of Santa Casa de Misericórdia de Ouro Preto was evaluated. Methods: the microbiological quality of milk from each of 10 donors in triplicate (30 samples) was evaluated by enumeration of Staphylococcus aureus and total aerobic mesophiles (surface plating) and total and thermotolerant coliforms (Most Probable Number - MPN). A questionnaire and a checklist were applied after the end of sample collection to verify the compliance of milk extraction and storage procedures by the donors. Results: inadequacies in the procedures for expression and storage of donated HM were observed. The presence of all microorganisms studied were verified in the milk of all donors, and in some cases exceeded the safety limits. The checklist indicated that some necessary hygienic-sanitary procedures were not carefully performed, making it important to properly guide the donors. Conclusions: this study points to an unfavorable scenario for the safety and quality of donated HM, and it is important to encourage further studies to be conducted so that the Brazilian network of HMB adopts stricter criteria for instructions on procedures and support for HM donors.

Palaeoenvironmental reconstruction through phytolith analysis in the Casa de Pedra shell mound archaeological site, São Francisco do Sul, Santa Catarina, Brazil

Palaeoenvironmental reconstruction through phytolith analysis in the Casa de Pedra shell mound archaeological site, São Francisco do Sul, Santa Catarina, Brazil

Cutaneous Manifestations in Patients With COVID-19 Treated at a University Hospital in Southern Brazil.

Objectives The aim of this study was toascertain whether pattern of cutaneous lesions, age, sex, ethnicity, long-term medication use, arterial oxygen saturation at the first examination, setting of care, and number of medications used to treat SARS-CoV-2 infection are associated with mortality in patients with a confirmed diagnosis of coronavirus disease 2019 (COVID-19) and cutaneous manifestations. In addition, to evaluate the occurrence of cutaneous manifestations in patients with a confirmed diagnosis of COVID-19 through a review of medical records and in-person evaluation by a dermatologist. Methods This investigation consisted of two components - (A) a cross-sectional study with a retrospective review of the medical records of all patients with a positive reverse-transcriptase polymerase chain reaction (RT-PCR) test for SARS-CoV-2 treated at Santa Casa de Misericórdia de Porto Alegre between March 2020 and November 2020, and (B) a prospective case series with in-person skin examination by an attending dermatologist of all patients admitted to COVID-19 wards between April 2021 and July 2021. The pattern of skin lesions and other variables were assessed. Results Information from 2968 individuals with COVID-19 was collected (2826 from the medical records and 142 from the in-person examination by a dermatologist). Of these, a total of 51 patients (1.71%) had COVID-19-related cutaneous lesions - 36 from the medical records group (1.27% of cutaneous manifestations) and 15 from the examinated group (10.56% of cutaneous manifestations). Of 51 patients, 15 (29.41%) died. There was no association between mortality and patterns of cutaneous manifestations. The variables male sex (p=0.021), intensive care unit (ICU) admission (p=0.001), and use of three or more antibiotics (p=0.041) were associated with higher mortality. Conclusions The risk factors, proven by our study, for mortality in patients with COVID-19 and cutaneous manifestations were male sex, ICU stays, and use of three or more antibiotics. Using the review of medical records as a tool for evaluating cutaneous manifestations related to COVID-19, there are about 10 times fewer occurrences when compared to in-person evaluation by a dermatologist.

Challenges and Possibilities of Memory and Reconciliation: Empirical Evidence for Colombia

The signing of the peace agreement with the Revolutionary Armed Forces of Colombia-People’s Army (FARC-EP) deepened the debate on the reconstruction of memory as a right of the victims and a way to advance in the reconciliation of Colombian society. This article uses data from the 2019 Colombian Reconciliation Barometer of the Program of Alliances for Reconciliation of the United States Agency for International Development and ACDI/VOCA to analyze the individual and contextual factors that affect how individuals perceive the reconstruction of memory as a tool that contributes to reconciliation. We estimated a probabilistic model for which the dependent variable is the predisposition toward memory reconstruction as a predictor of reconciliation based on the context of the Colombian armed conflict, and a set of individual factors that capture the effects of community initiatives and state institutions and programs arising within the framework of transitional justice. We sought to verify whether the characteristics of individuals and their way of relating to each other in a community and municipal context shape the perception of the contribution of reconstructed memory to reconciliation. The results show that being a female victim of the armed conflict, developing empathy, residing in municipalities with the presence of Places of Memory, and trusting in the processes of transitional justice —such as clarifying the truth— increase an individual’s predisposition to consider that the reconstruction of memory contributes to reconciliation. In contrast, other policies and programs that emerged after the agreement, such as residing in municipalities with Territorially Focused Development Plans (PDET in Spanish) and the presence of Casas de Verdad (Truth Houses), operate in the opposite direction. This work suggests challenges for transitional justice by identifying the factors that condition positive outlooks toward the reconstruction of memory in reconciliation processes and opens the possibility of formulating actions with greater citizen acceptance.

ESTUDO DA INTENÇÃO DE DOAR DINHEIRO PARA AS SANTAS CASAS DE MISERICÓRDIA BRASILEIRAS

O artigo tem como objetivo analisar os fatores que influenciam a intenção de doar para as Santas Casas de Misericórdia do Brasil. Para a realização deste estudo, foi utilizada a modelagem de equações estruturais, por meio do método survey. A pesquisa foi realizada com a aplicação de 446 questionários. O modelo proposto demonstrou que os construtos credibilidade, confiança, comprometimento, tipicidade e empatia obtiveram resultados que os confirmam como antecedentes a intenção de doar. A partir da análise dos resultados obtidos por essa pesquisa, verificou-se que a tipicidade é a variável que mais influencia a intenção de doar de um indivíduo.

An economic study of neuro-oncological patients in a large developing country: a cost analysis.

Neuro-oncological patients require specialized medical care. However, the data on the costs incurred for such specialized care in developing countries are currently lacking. These data are relevant for international cooperation. The present study aimed to estimate the direct cost of specialized care for an adult neuro-oncological patient with meningioma or glioma during hospitalization in the largest philanthropic hospital in Latin America. The present observational economic analysis describes the direct cost of care of neuro-oncological patients in Santa Casa de São Paulo, Brazil. Only adult patients with a common primary brain tumor were included. Due to differences in the system records, the period analyzed for cost estimation was between December 2016 and December 2019. A group of patients with meningiomas and gliomas was analyzed. The estimated mean cost of neurosurgical hospitalization was US$4,166. The cost of the operating room and intensive care unit represented the largest proportion of the total cost. A total of 17.5% of patients had some type of infection, and 66.67% of these occurred in nonelective procedures. The mortality rate was 12.7% and 92.3% of all deaths occurred in emergency procedures. Emergency surgeries were associated with an increased rate of infections and mortality. The findings of the present study could be used by policymakers for resource allocation and to perform economic analyses to establish the value of neurosurgery in achieving global health goals.

Prevalence of postpartum depression in patients with migraine

Introduction Migraine is a disease of the central nervous system characterized by moderate or severe headache. Migraine is considered the third most prevalent disease and the seventh specific cause of incapacity in the world. The prevalence of migraine in women increase after menarche compared with the prevalence of migraine in men. According to previous population-based studies, during reproductive years, a woman who has the diagnosis of menstrual migraine experiences the same symptoms throughout pregnancy and postpartum. Childbirth is a major event in a woman’s life. However, some mothers might present symptoms of postnatal depression. Postpartum depression is a mental disorder that reflects on the maternal role. Thus, it has negative consequences for them and their children. Postpartum depression is associated with increased risk for cognitive BB impairment, emotional difficulties and behavioral problems. Clinically, headache influences the mental and physical health of pregnant and postpartum women. Studies reported that anxiety and depression disorders are two to ten times more common in migraineurs than in the general population. Therefore, it can be a risk for postpartum depression development. Objective To verify postpartum depression in migraine and non-migraine parturients. Methods Data was collected from a sample of 155 women, older than 18 years old, in the obstetric center of Santa Casa de Misericórdia de Barbacena, between October 2021 and August 2022, in the first 24 hours after labor by the members of the research. Clinic and concomitant disorders were collected from the patient's record. Parturients who did not agree to participate in the study and those with cognitive impairment were excluded. All the patients signed an informed consent form to participate in the study. All the patients answered the Edinburgh Postnatal Depression Scale (EPDS) and the ID-Migraine... (To see the complet abstract, please, check out the PDF.)

THE INTENSE COLOR HUE OF CORA CORALINA

This study establishes relationships between poetic approaches and techniques of artistic interventions carried out at the Casa de Cora Coralina Museum, on the banks of the Vermelho River, located in the City of Goiás. The triangle of life, air, land and water, central representatives of Cora Coralina's poetry, in portraits of the local color of ruddy hues. From a phenomenological approach, the text traveled through the geographical spaces presented in the author's lyrics, verses and poetry, as poetic paths of trajectory in nuclei. In the elements of his house of ecologically correct creators, cultural technologies cross the environment, which unveiling meanings of poetics, which flow in nozzles and nozzles of Goiás.

Nicole Legnani. The Business of Conquest. Empire, Love and Law in the Atlantic World

Nicole Legnani. <i>The Business of Conquest. Empire, Love and Law in the Atlantic World</i>

Prevalence of postpartum depression in patients with migraine

Introduction Migraine is a frequent and chronic condition that affects 3 times more women than men. Overall, it shows that migraine is influenced by variables such as fluctuating hormones levels throughout life with migraine. Women can also experience symptoms of postpartum depression (PPD) which can cause issues for new moms in terms of behavior, emotion and cognition. Clinical investigations have shown that headaches affects pregnants and parturients. Objective To verify PPD in migraine and non-migrainous parturients. Methods Data was collected from a sample of 155 women over 18 years old in the obstetric center of Santa Casa de Misericórdia de Barbacena, from October 2021 to August 2022, in the first 24 hours after labor. Parturients who did not agree to participate and those with cognitive impairment were excluded. All patients signed an informed consent form and answered the Edinburgh Postnatal Depression Scale (EPDS) and the ID-MigraineTM, in addition to clinic data and concomitant disorders from the patient's record. Results 25 of the 155 postpartum women achieved the criteria for migraine and 130 for non-migraine. Of the patients with postpartum depression associated with migraine, 4 were classified as migraine and 8 as non-migrainous. Among patients who had headaches during pregnancy, 11 had PPD compared to those who did not have headaches during pregnancy: 1. The OR=8.9 (CI 1.12-70) and RR=7.9 (CI 1.05-60) were higher compared to those who did not have PPD. The analysis did not find a relation between migraine and PPD. However, a relation was found between headaches during pregnancy and the presence of PPD (p&lt;0.05). Conclusion Patients who experienced headaches while pregnant are more likely to have postpartum depression. However, migraine-diagnosed puerperal women do not present considerable concerns for the development of depression.

New feminist voices in Spanish audio-visual cultural production: Vis a vis (Locked Up) (Antena 3 and Globomedia, 2015–19) and La casa de papel (Money Heist) (Antena 3 and Netflix, 2017–21)

This article maps an emerging engagement with intersections amongst gender, voice/sound and feminism in the context of contemporary Spanish audio-visual cultural production. I locate the voice at the nexus of contemporary feminisms as these manifest through popular, public and theoretical means. Taking two recent internationally successful Spanish series (Vis a vis [Locked Up] and La casa de papel [Money Heist]) as examples, I contend that female voices and their treatment within contemporary Spanish audio-visual cultures constitute an important site within which female subjectivities emerge and are claimed. I analyse the importance of gender representations on- and off-screen in these works and attend to the use of music and voice-over in these shows as exemplifying the contradictory character of the voice within contemporary feminisms, both in and beyond Spain.