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- ItemAnálise de custo do tratamento do câncer da cavidade oral e orofaringe: Uso do método de microcusteio por bottom-up para dados de um hospital de referência no Brasil(Universidade Federal do Espírito Santo, 2024-03-11) Zorzaneli, Willene dos Santos Machado; Zara, Ana Laura Amâncio de Sene; Zeidler, Sandra Ventorin von; https://orcid.org/0000-0002-8897-5747; http://lattes.cnpq.br/5785612863130498; Paula, Flavia de; Guimarães, Michele Ferreira; Silva, Everton Nunes daCost analysis in OC/OPC is scarce, however, necessary since cost can be an essential tool for decision-making. This study aimed to estimate the direct costs of oral and oropharyngeal squamous cell carcinoma (OC/OPC) in a state in southeastern Brazil. To this end, a cost of illness study was carried out based on the bottom-up microcosting method as a partial economic assessment, considering the direct medical costs related to outpatients and inpatients from the perspective of reimbursement rates from the Unified Health System. Data were collected from the medical records of 41 randomized patients recruited, between 2013 and 2018. All cases were confirmed as squamous cell carcinoma of the mouth and oropharynx (C02 to C06, C09 and C10 according to the International Classification of Diseases for Oncology, 3rd Edition). Each cost value was adjusted for annual accumulated inflation. The statistical analysis of descriptive analyses, parametric tests, ANOVA and Student t test and non-parametric tests, Kruskal Wallis and Mann Whitney, was used using the SPSS® Statistical program. To adjust the differences in confidence intervals at 95%, the bootstrap method was used for 5.000 resamples using the Stata® statistical program. For all statistical tests, the significance level was set at 5%. Healthcare system cost estimates for 41 patients with OC/OPC amounted to a total cost of I$164,671.07 with an average of IS$4,042.5 per patient. 22,814 procedures and uses of health services were carried out. The sample was mostly made up of men (>80%) and aged between 51 and 60 years (41.5%). Carcinomas of the base of the tongue and floor of the mouth had the highest costs, I$4,288.25 and 6,586.88, respectively. Clinical stage III was the one with the most procedures and highest costs, I$5,415.11 (p<0.001) per patient. From the perspective of the Unified Health System, there is a high-cost demand for OC/OPC treatment, especially in advanced stages of the disease. This study contributes to decision- making regarding treatment as well as the implementation of programs aimed at early detection of diseases
- ItemCâncer de cabeça e pescoço : tendência de mortalidade e análise comparativa das técnicas de hibridização in situ, RT-qPCR e p16 para diagnóstico de infecção por HPV(Universidade Federal do Espírito Santo, 2024-12-17) Sant'Anna, Jéssica Graça; Zeidler, Sandra Lúcia Ventorin von ; https://orcid.org/0000-0002-8897-5747; http://lattes.cnpq.br/5785612863130498; https://orcid.org/0000-0001-9759-2978; http://lattes.cnpq.br/2132178774575269; Paula, Flavia de ; https://orcid.org/0000-0001-8679-2982; http://lattes.cnpq.br/7913201450663683; Curado, Maria Paula ; https://orcid.org/0000-0001-8172-2483; http://lattes.cnpq.br/3397823736381748; Silva, Melissa de Freitas Cordeiro ; https://orcid.org/0000-0002-7709-5912; http://lattes.cnpq.br/6753487805311437; Podesta, Olívia Perim Galvão de; https://orcid.org/0000-0001-6669-5915; http://lattes.cnpq.br/2110363960968286In Brazil, regional disparities in mortality rates from head and neck squamous cell carcinoma (HNSCC) are high. Infection with high-risk oncogenic human papillomavirus (HR-HPV) is an important risk factor, associated with an increase in cases of oropharyngeal squamous cell carcinoma (OPSCC) in Brazil and globally. This study analyzed mortality trends from HNSCC between 1998 and 2017 in Espírito Santo, Brazil (ES-BR), and methods for detecting HR-HPV in OPSCC using messenger RNA (mRNA) E6 by RT-qPCR, mRNA E6/E7 by in situ hybridization (RNA-ISH), and immunohistochemistry for p16 expression (IHC-p16) in Espírito Santo, Brazil (ES-BR) and Bogotá, Colombia (BO-CO). The mortality trend methodology was conducted in reference hospitals in ES-BR, using mortality data from DATASUS, the Mortality Information System (SIM), and data from the Brazilian Institute of Geography and Statistics (IBGE). Clinicopathological characteristics and HPV status of the studied sites were analyzed, and HPV detection methods were compared using RNA-ISH and IHC-p16 with RT-qPCR as the standard for sensitivity and specificity analysis. Between 1998 and 2017, mortality from HNSCC increased in ES, especially among men, rising from 48.96 to 58.24 deaths per 100,000 inhabitants. Regarding anatomical subsites, men showed an increase in deaths from oral cavity, oropharyngeal, and laryngeal cancers, while women’s increase was limited to oral cavity cancer. Regarding HR-HPV, samples from ES showed lower frequencies of infection compared to those from BO. Lymph node metastasis was associated with a worse prognosis, while HPV-positive patients had better survival. Smoking negatively impacted survival. Detection methods for HR-HPV, such as IHC p16, RNA-ISH, and RT-qPCR, showed statistical significance. The results show an increase in HNSCC mortality in ES, especially among men and in OPSCC. The IHC p16 technique had high sensitivity, while RNA-ISH showed high specificity. Regional strategies and advanced diagnostics are crucial for managing HNSCC
- ItemRegulación de plantas genéticamente editadas y selección del gen SAMT para la edición de carica papaya buscando resistencia a meleira(Universidade Federal do Espírito Santo, 2024-05-09) Gaitán, Julia Bibiana Merchán; Rodrigues, Silas Pessini; Fernandes, Patrícia Machado Bueno; https://orcid.org/0000-0003-2695-3638; Ventura, José Aires; Tarazi, Roberto; Pérez Brito, Daisy De La Caridad; Rodrigues, Juliany Cola FernandesThis paper addresses the regulation of one of the most modern technologies for the control of plant pathologies, the CRISPR (Clustered regularly interspaced short palindromic repeats) technique, which is based on the action of a Cas protein and an gRNA that together can target specific areas of the DNA to modify them, through a systematic review of the regulatory systems of different countries. The different approaches adopted by countries in the Latin American region to regulate CRISPR technology were analyzed, taking into account the opportunities it offers and the possible associated ethical and social risks. So far, Brazil has analyzed the case-by case evaluation process of genetically modified crops by the regulatory committee CTNBio for the use of new plant breeding technologies to determine whether it would be considered a GMO or conventional breeding. This analysis was carried out because there is great interest in using CRISPR technology to develop new plant cultivars, especially plants relevant to Brazilian fruit growing. The Carica papaya cultivar, is of particular interest because of limitations in its production, due to the plant's susceptibility to the virus complex that causes papaya meleira disease, is economically and biologically relevant, as viruses have been identified in plant latex, a fluid derived from laticifers, which occur in more than 20 plant families and on which there is a body of information that points to laticifers as plant response systems to viruses. For this reason, a detailed review was conducted on the role of laticiferans of different species, examining the ability of both pro- and antiviral latex to protect plants, as well as its potential to be used as a natural source of defense molecules against insect vectors and fungal infections. The potential use of CRISPR in response to control viruses affecting laticifers was also evaluated through a compilation of articles targeting gene editing with specific expression or related to laticifer biology, confirming that it is possible to modulate laticifer function using CRISPR. The relationship of the PMeV complex in the C. papaya L. plant was discussed and the importance of the cloning of the Salicylate O-methyltransferase gene in the defense against this viral complex are discussed, due to its presence in the plant defense mechanisms related to laticifers. Describing experimental advances in the development of a protocol to silence the salicylate O-methyltransferase gene of C. papaya by means of the Golden Gate Assembly, detailing the design of gRNA for the construction and multiplication of gene editing vectors, intermediate steps in the process of gene silencing of the SAMT gene for the control of meleira disease in papaya, resulting in optimal conditions for the use of CRISPR technology in C. papaya plants.
- ItemDesenvolvimento de biomaterial ósseo descelularizado enriquecido com hidrogel de osso fetal bovino(Universidade Federal do Espírito Santo, 2024-10-10) Barros, Rodolpho José da Silva; Nogueira, Breno Valentim ; https://orcid.org/0000-0002-2199-0635; http://lattes.cnpq.br/0011229320439147; https://orcid.org/0000-0001-6214-733X; http://lattes.cnpq.br/5652361736715531; Maranduba, Carlos Magno da Costa ; https://orcid.org/0000-0001-7327-1934; http://lattes.cnpq.br/4763153859701731; Oliveira, Jairo Pinto de ; https://orcid.org/0000-0001-7595-1183; http://lattes.cnpq.br/2228283301316218; Guimarães, Marco Cesar Cunegundes ; https://orcid.org/0000-0003-2146-0180; http://lattes.cnpq.br/0261991057482057; Aires, Rafaela; https://orcid.org/0000-0002-9532-9401; http://lattes.cnpq.br/5449202639864996The global bone graft material market is projected to grow at a rate of 6-7% annually until 2032. Conventional bone grafting strategies are no longer considered sufficient or adequate for most treatments. The development of decellularized biomaterials derived from animal tissues (xenografts) offers a promising and viable strategy. The structural similarity between animal and human bones, along with the decellularization technique, can result in a high-quality biomaterial that provides mechanical support, preserves the organic matrix, and supplies essential biological stimuli for tissue regeneration. Adult and fetal bovine bones were decellularized to produce biomaterials (blocks, granules, and hydrogel) with residual DNA levels lower than 50 ng/mg and SDS levels below 2 μg/mg of dry tissue. Thermogravimetric assays (DSC and TGA) and infrared spectroscopy (FTIR and Raman) demonstrated the adequate preservation of both the mineral and organic bone matrices. Scanning electron microscopy (SEM) and elemental composition analysis (EDS and CHNS-O) confirmed the preservation of the microstructure and biochemical composition of the bone matrix. pH stability, absence of heavy metals, and sterility were verified. Comparative tests showed that the decellularized biomaterials, particularly those derived from fetal bone, exhibit superior porosity, density, mechanical support capacity, and organic composition compared to other biomaterials. In vitro tests revealed no cytotoxicity and a higher ability to stimulate the proliferation of mesenchymal cells and fibroblasts. The results indicate that the production of decellularized bovine bone biomaterials coated with fetal hydrogel could contribute to better biocompatibility of implants and help meet the global demand for bone graft materials
- ItemUma nova proposta para terapia psicomotora e método de avaliação de crianças e adolescentes com síndrome de Down e com transtorno do espectro autista utilizando robô socialmente assistivo(Universidade Federal do Espírito Santo, 2024-10-25) Schreider, Sheila da Luz; Caldeira, Eliete Maria de Oliveira; Bastos Filho, Teodiano Freire; https://orcid.org/0000-0002-1185-2773; Gouvêa, Sônia Alves; Jiménez, Nicolás Jacobo Valencia; Freitas, Éberte Valter da Silva; Santo, Caroline do EspíritoAutism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by atypical neuropsychomotor development, communication and social interaction impairments, repetitive behaviors, stereotypies, and a preference for a restricted range of interests and activities. Children with ASD may present with muscle hypotonia and balance deficits in early childhood, leading to neuropsychomotor delay. Down Syndrome (DS) is the most common genetic alteration in humans, characterized by an imbalance in chromosomal constitution related to chromosome 21. Hypotonia is a typical feature in individuals with DS, influencing postural control and proprioception. This study aims to evaluate the effects of three therapeutic protocols of game therapy, using serious games applied through the socially assistive robot MARIA T-21, which stands for "Mobile Autonomous Robot for Interaction with Autistics and Trisomy 21 (Down Syndrome)," to assess proprioception and postural balance in children and adolescents with ASD and DS. Additionally, the study evaluated the functional performance and therapeutic progress of these children and adolescents through body image analysis, captured by a multi-camera system placed in the four corners of the experimental room. The serious games used in the research were designed by the MARIA T-21 robot. The sample consisted of 20 children and adolescents, with 11 having ASD and 9 with DS, aged between 5 and 18 years, divided into three data collection groups. These children and adolescents were recruited from institutions such as the Associação dos Amigos dos Autistas do Espírito Santo (AMAES Vitória), Vitória Down, and Associação de Pais e Amigos dos Excepcionais (APAE) in Vitória and Vila Velha. Before starting the serious game protocols, parents/guardians were informed about the study objectives, and the participants underwent a psychomotor assessment based on Victor da Fonseca’s Psychomotor Battery. Parents/guardians of children and adolescents in the third data collection phase answered the PEDI-CAT questionnaire, a functional assessment tool, before and after the application of the serious game protocol. This protocol consisted of 10 sessions of 45 minutes at AMAES Vitória and APAE Vitória and 4 sessions of 45 minutes at APAE Vila Velha, held twice a week, focusing on proprioception, balance, and both gross and fine praxia. The games used included Sound Sequence, Arara Game, Hopscotch, Healthy Food, Cross Kids, Bricks, and Star Wars, along with Warm-Up and Drawing activities (called Draw with Me). At the end of the protocol, participants underwent a psychomotor assessment identical to the initial one. The results showed that the use of the MARIA T-21 robot and serious games was an effective therapeutic strategy, providing a playful approach and increasing children's adherence to therapy. There was a significant improvement in psychomotor profile, with gains in posture maintenance, such as unipedal support and tiptoe standing, as well as an increase in average levels achieved in the Arara Game. Body image analysis of two adolescents with DS revealed fluctuations in postural control, with improved motor efficiency over the sessions. The image analysis tool used, BalancePro, proved highly valuable for tracking the progress of these two evaluated adolescents, providing numerical data on movement during the analyzed task. In conclusion, the use of the MARIA T-21 robot and serious games in this study proved to be a promising alternative for motor rehabilitation in children and adolescents with ASD and DS, contributing to improved motor skills and overall development, facilitating their integration into school and social settings, and promoting greater autonomy. It is believed that, for families, these advances may lead to improved quality of life and family interactions, as well as facilitate the social and school inclusion of children and adolescents.