Publications by authors named "LEAL A"

 To evaluate the intra and intersurgeon variability regarding the positioning and selection of implants in reverse shoulder arthroplasty.  A cross-sectional study assessed computed tomography images of the shoulder joint of patients diagnosed with degenerative joint diseases. The study team included seven specialists in shoulder surgery, representing six different institutions.

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Although much is known about why people engage in collective action participation (e.g., politicized identity, group-based anger), little is known about the psychological consequences of such participation.

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 To identify the causes of revision of total knee arthroplasty in a referral center in Brazil.  This is a case series, with 80 patients undergoing revision surgery for total knee arthroplasty (RTKA) at a referral center for knee surgery, between August 2019 and November 2021, with a mean age of 69.6 years.

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Background: Latarjet surgery has emerged as a prevalent option for managing anterior glenohumeral instability. Despite its efficacy, concerns persist regarding the development of postoperative osteoarthritis (OA), a significant complication. Understanding arthritis pathogenesis in patients undergoing this procedure proves challenging, as OA can manifest even in cases without surgical repair.

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  • - Prostate cancer (PCa) risk is significantly influenced by genetic factors, and numerous Genome-Wide Association Studies (GWAS) have aimed to understand these genetic associations; however, many of these studies produce false-positive results.
  • - Researchers applied Bayesian statistical methods to GWAS data to improve the accuracy of genetic associations with PCa, focusing on significant genetic polymorphisms and their correlations with the disease.
  • - Their analysis included 13 GWAS studies, identifying multiple gene variations as potential biomarkers for PCa risk, particularly noting variations in the 8q24 locus and specific genes like MSMB, ITGA6, and KLK3.
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Interstitial lung diseases (ILDs) have an impact on patient quality of life at some point. Alternatives such as pulmonary rehabilitation, oxygen supplementation, yoga, and mindfulness practices can help in the care of patients with ILD. The current study was designed to explore the perceptions of gratitude by patients with various ILDs during an MBI.

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Rationale: Dyspnea and cough are frequent symptoms in ILD patients. The management of these symptoms is challenging, and evidence-based therapies are lacking.

Objectives: To evaluate the effect of an online Mindfulness-Based Intervention (eMBI) on reducing dyspnea in patients affected by different ILDs.

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Circulating cell-free DNA (cfDNA) assays for monitoring individuals with cancer typically rely on prior identification of tumor-specific mutations. Here, we develop a tumor-independent and mutation-independent approach (DELFI-tumor fraction, DELFI-TF) using low-coverage whole genome sequencing to determine the cfDNA tumor fraction and validate the method in two independent cohorts of patients with colorectal or lung cancer. DELFI-TF scores strongly correlate with circulating tumor DNA levels (ctDNA) (r = 0.

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Objectives: Individuals with congenital isolated growth hormone deficiency (IGHD) in Northeastern Brazil have a normal lifespan with a prolonged healthspan. We hypothesize that their increased healthspan is accompanied by a reduced cognitive decline during aging. We have recently shown that these individuals have a similar total cognitive function and better attention and executive function than controls.

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Post-fire regeneration characterizes woody vegetation of the Cerrado. Several species (e.g.

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Sleep is vital for health. It has regenerative and protective functions. Its disruption reduces the quality of life and increases susceptibility to disease.

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  • The tumor microenvironment (TME) in pancreatic cancer makes up about 90% of the tumor mass, influenced by factors like pancreatitis, which enhances macrophage infiltration and increases cancer risk.
  • The transcription factor NRF2 plays a crucial role in regulating oxidative stress responses and inflammation in macrophages, impacting cancer progression and drug resistance.
  • Using bromodomain inhibitors like I-BET-762 in treatment can decrease HO-1 levels in macrophages, suggesting a potential strategy to inhibit inflammation-related tumor growth in pancreatic cancer.
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Purpose: Despite the success of immune checkpoint inhibitors (ICI) across various cancers, their efficacy in metastatic castration-resistant prostate cancer (mCRPC) is modest, except for a subset of patients who experience significant, yet unpredictable, benefits. DNA repair defects (DRD) are associated with higher neoantigen load, which may predict response. Our study explored the potential of DRD for enhanced responsiveness to the ICI nivolumab.

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Background: Reward and threat processes work together to support adaptive learning during development. Adolescence is associated with increasing approach behavior (e.g.

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  • - The study investigates the relationship between specific shoulder muscle injuries and the occurrence of pseudoparalysis in patients with massive chronic rotator cuff injuries, suggesting that certain muscle conditions are linked to better active shoulder movement.
  • - A total of 68 patients were analyzed, with 41 showing good shoulder movement (No Pseudoparalysis group), while 29 had limited movement, leading to further assessments and injections, leading to a distinction between False and True Pseudoparalysis groups.
  • - Key findings indicate that the presence of certain signs and tear extensions in the shoulder muscles can increase the risk of pseudoparalysis, highlighting the importance of specific muscle health in shoulder functionality.
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This study aimed to measure access to medicines for the treatment of systemic arterial hypertension and type 2 diabetes mellitus in Brazil according to the mode of acquisition, as well as to analyze the factors associated with this access, based on data from the 2019 Brazilian National Survey of Health (PNS, acronym in Portuguese). Socioeconomic data and data related to the use of medicines by people aged 15 and over were analyzed in relation to access via the Brazilian Popular Pharmacy Program (PFPB, acronym in Portuguese) and via public services. The majority of Brazilians who took part in the PNS reported using medication to control hypertension in the previous 15 days (91.

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Background: Premenopausal, high-risk, hormone receptor-positive breast cancer patients are often treated with ovarian suppression in combination with aromatase inhibitors (AI). This combination has important adverse effects, particularly in sexual function, such as vaginal dryness and loss of libido. There is no effective therapy for reduced sexual function in this setting.

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We report acute Oropouche virus infections in 2 previously healthy women from a nonendemic region of Brazil outside the Amazon Basin. Infections rapidly progressed to hemorrhagic manifestations and fatal outcomes in 4-5 days. These cases highlight the critical need for enhanced surveillance to clarify epidemiology of this neglected disease.

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Renal transplant is the gold standard treatment for end-stage kidney disease (ESKD). Despite the evolution of renal transplant procedures, complications can still occur. Transplant renal artery pseudoaneurysm is a rare but potentially life-threatening complication, which can be asymptomatic or cause mass-effect symptoms.

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  • - The study synthesized zinc oxide nanoparticles (ZnO NPs) using an environmentally friendly method with Batavia lettuce extract, allowing for a simple and rapid creation process.
  • - Characterization revealed that the ZnO NPs have a small average diameter of 6 nm, a wurtzite crystalline structure, and emit blue fluorescence when excited, making them suitable for detecting ascorbic acid (AA).
  • - The fluorescence sensing method showed high sensitivity and rapid detection capabilities for AA at a limit of 5.15 μM and maintained photostability, indicating its potential use in clinical analysis.
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Our objective was to compare HIV prevalence between two national surveys among men who have sex with men in Brazil in 2009 and 2016. HIV prevalence was estimated stratifying by age and socioeconomic status. HIV prevalence increased from 11.

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This study aimed to evaluate the role of pathological features beyond tumor size in the risk of lymph node metastasis in appendiceal neuroendocrine tumors. Analyzing data from the national cancer database, we found that among 5353 cases, 18.8% had lymph node metastasis.

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Background: Modulation of glucocorticoid receptor (GR) activity in tumor cells enhances chemotherapy efficacy. We evaluated the selective GR modulator relacorilant plus nab-paclitaxel in patients with metastatic pancreatic ductal adenocarcinoma (mPDAC) who had received at least 2 prior therapy lines.

Patients And Methods: In this open-label, single-arm, phase III study, patients received once-daily oral relacorilant (100 mg, titrated to 150 mg in 25 mg increments/cycle) and nab-paclitaxel (80 mg/m2) on days 1, 8, and 15 of 28-day cycles.

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Objective: The objective of the present study is to describe the sociodemographic and behavioral characteristics of a group of transgender women and travestis (TGW) with a history of incarceration and the institutional and social context of this experience in Brazil.

Methods: The analyzed data were derived from the TransOdara Study, a cross-sectional study conducted in five Brazilian capitals from December 2019 to July 2021. Participants were recruited using the Respondent-Driven Sampling (RDS) technique, in which, after an initial formative and exploratory stage, the first participants were identified; in turn, these participants recruited up to six other transgender women and travestis for the research.

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