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[SciELO Preprints] - Guidelines on the Diagnosis and Treatment of Hypertrophic Cardiomyopathy – 2024
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Fernandes, Fabio Simões, Marcus V. Correia, Edileide de Barros Marcondes-Braga, Fabiana G. Coelho-Filho, Otavio Rizzi Mesquita, Cláudio Tinoco Mathias-Junior, Wilson Rochitte, Carlos Eduardo Ramires, Felix José Alvarez Alves, Silvia Marinho Martins Montera, Marcelo Westerlund Lopes, Renato Delascio Oliveira-Junior, Mucio Tavares Scolari, Fernando L. Avila, Walkiria Samuel Canesin, Manoel Fernandes Bacal, Fernando Bocchi, Edimar Alcides Moura, Lídia Ana Zytynski Saad, Eduardo Benchimol Scanavacca, Mauricio I. Valdigem, Bruno Pereira Cano , Manuel Nicolas Abizaid , Alexandre Ribeiro, Henrique Barbosa Lemos-Neto, Pedro Alves Ribeiro, Gustavo Calado de Aguiar Jatene, Fabio Biscegli Dias, Ricardo Ribeiro Beck-da-Silva, Luis Rohde, Luis Eduardo P. Bittencourt, Marcelo Imbroinise Pereira, Alexandre Krieger, José Eduardo Villacorta, Humberto Martins, Wolney de Andrade Figueiredo-Neto, José Albuquerque de Cardoso , Juliano Novaes Pastore, Carlos Alberto Jatene, Ieda Biscegli Tanaka, Ana Cristina Sayuri Hotta, Viviane Tiemi Romano, Minna Moreira Dias Albuquerque, Denilson Campos de Mourilhe-Rocha, Ricardo Hajjar, Ludhmila Abrahão Brito, Fabio Sandoli de Caramelli , Bruno Calderaro, Daniela Farsky, Pedro Silvio Colafranceschi , Alexandre Siciliano Pinto, Ibraim Masciarelli Vieira , Marcelo Luiz Campos Danzmann, Luiz Claudio Barberato , Silvio Henrique Mady, Charles Martinelli-Filho, Martino Torbey , Ana Flavia Malheiros Schwartzmann, Pedro Vellosa Macedo, Ariane Vieira Scarlatelli Ferreira , Silvia Moreira Ayub Schmidt, Andre Melo , Marcelo Dantas Tavares de Lima-Filho, Moysés Oliveira Sposito, Andrei C. Brito, Flavio de Souza Biolo, Andreia Madrini-Junior, Vagner Rizk, Stéphanie Itala Mesquita, Evandro Tinoco

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Publication date: 2024-04-08

Abstract: Pt Es En

A cardiomiopatia hipertrófica (CMH) é uma forma de doença do músculo cardíaco de causa genética, caracterizada pela hipertrofia das paredes ventriculares. O diagnóstico requer detecção por métodos de imagem (Ecocardiograma ou Ressonância Magnética Cardíaca) de qualquer segmento da parede do ventrículo esquerdo com espessura > 15 mm, sem outra causa provável. A análise genética permite identificar mutações de genes codificantes de diferentes estruturas do sarcômero responsáveis pelo desenvolvimento da CMH em cerca de 60% dos casos, permitindo o rastreio de familiares e aconselhamento genético, como parte importante do manejo dos pacientes e familiares. Vários conceitos sobre a CMH foram recentemente revistos, incluindo sua prevalência de 1 em 250 indivíduos, não sendo, portanto, uma doença rara, mas subdiagnosticada. A vasta maioria dos pacientes é assintomática. Naqueles sintomáticos, a obstrução do trato de saída do ventrículo esquerdo (OTSVE) é o principal distúrbio responsável pelos sintomas, devendo-se investigar a sua presença em todos os casos. Naqueles em que o ecocardiograma em repouso ou com Manobra de Valsalva não detecta gradiente intraventricular significativo (> 30 mmHg), devem ser submetidos à ecocardiografia com esforço físico para detecção da OTSVE.   Pacientes com sintomas limitantes e grave OTSVE, refratários ao uso de betabloqueadores e verapamil, devem receber terapias de redução septal ou uso de novas drogas inibidoras da miosina cardíaca. Por fim, os pacientes adequadamente identificados com risco aumentado de morta súbita podem receber medida profilática com implante de cardiodesfibrilador implantável (CDI).

La miocardiopatía hipertrófica (MCH) es una forma de enfermedad cardíaca de origen genético, caracterizada por el engrosamiento de las paredes ventriculares. El diagnóstico requiere la detección mediante métodos de imagen (Ecocardiograma o Resonancia Magnética Cardíaca) que muestren algún segmento de la pared ventricular izquierda con un grosor > 15 mm, sin otra causa probable. El análisis genético permite identificar mutaciones en genes que codifican diferentes estructuras del sarcómero responsables del desarrollo de la MCH en aproximadamente el 60% de los casos, lo que permite el tamizaje de familiares y el asesoramiento genético, como parte importante del manejo de pacientes y familiares. Varios conceptos sobre la MCH han sido revisados recientemente, incluida su prevalencia de 1 entre 250 individuos, por lo tanto, no es una enfermedad rara, sino subdiagnosticada. La gran mayoría de los pacientes son asintomáticos. En los casos sintomáticos, la obstrucción del tracto de salida ventricular izquierdo (TSVI) es el trastorno principal responsable de los síntomas, y su presencia debe investigarse en todos los casos. En aquellos en los que el ecocardiograma en reposo o la maniobra de Valsalva no detecta un gradiente intraventricular significativo (> 30 mmHg), deben someterse a ecocardiografía de esfuerzo para detectar la obstrucción del TSVI. Los pacientes con síntomas limitantes y obstrucción grave del TSVI, refractarios al uso de betabloqueantes y verapamilo, deben recibir terapias de reducción septal o usar nuevos medicamentos inhibidores de la miosina cardíaca. Finalmente, los pacientes adecuadamente identificados con un riesgo aumentado de muerte súbita pueden recibir medidas profilácticas con el implante de un cardioversor-desfibrilador implantable (CDI).

Hypertrophic cardiomyopathy (HCM) is a form of genetically caused heart muscle disease, characterized by the thickening of the ventricular walls. Diagnosis requires detection through imaging methods (Echocardiogram or Cardiac Magnetic Resonance) showing any segment of the left ventricular wall with a thickness > 15 mm, without any other probable cause. Genetic analysis allows the identification of mutations in genes encoding different structures of the sarcomere responsible for the development of HCM in about 60% of cases, enabling screening of family members and genetic counseling, as an important part of patient and family management. Several concepts about HCM have recently been reviewed, including its prevalence of 1 in 250 individuals, hence not a rare but rather underdiagnosed disease. The vast majority of patients are asymptomatic. In symptomatic cases, obstruction of the left ventricular outflow tract (LVOT) is the primary disorder responsible for symptoms, and its presence should be investigated in all cases. In those where resting echocardiogram or Valsalva maneuver does not detect significant intraventricular gradient (> 30 mmHg), they should undergo stress echocardiography to detect LVOT obstruction. Patients with limiting symptoms and severe LVOT obstruction, refractory to beta-blockers and verapamil, should receive septal reduction therapies or use new drugs inhibiting cardiac myosin. Finally, appropriately identified patients at increased risk of sudden death may receive prophylactic measure with implantable cardioverter-defibrillator (ICD) implantation.

https://doi.org/10.1590/SciELOPreprints.8394

Formation of guava seedlings under salt stress and foliar application of hydrogen peroxide
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Silva, Saulo S. da

; Lima, Geovani S. de

; Ferreira, Jean T. A.

; Soares, Lauriane A. dos A.

; Gheyi, Hans R.

; Nobre, Reginaldo G.

; Silva, Fellype J. L. da

; Mesquita, Evandro F. de

Revista Brasileira de Engenharia Agrícola e Ambiental

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feb 2024, Volume 28 N. 2 elocation e276236

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT The occurrence of water with high concentrations of salts hinders the expansion of irrigated agriculture in the semi-arid region of the Brazilian Northeast, making it necessary to adopt strategies capable of minimizing the effects of salt stress on plants. In this context, the objective of present study was to evaluate the effects of hydrogen peroxide application on water relations, gas exchange, photosynthetic pigments, and growth of guava cv. Paluma under irrigation with saline waters in the seedling formation stage. A randomized block design was used, in a 5 × 4 factorial scheme, with three replicates, with five levels of electrical conductivity of water - ECw (0.3, 1.3, 2.3, 3.3, and 4.3 dS m-1) and four concentrations of hydrogen peroxide - H2O2 (0, 25, 50, and 75 µM). Irrigation water salinity above 0.3 dS m-1 increased electrolyte leakage in the leaf blade and reduced the relative water content, synthesis of photosynthetic pigments, gas exchange, and growth of seedlings of guava cv. Paluma, at 80 days after sowing. Foliar application of hydrogen peroxide at concentrations of up to 75 µM reduces the relative water content in the leaf blade of guava seedlings and did not mitigate the effects of salt stress on guava plants in the seedling formation stage.

RESUMO A ocorrência de água com elevadas concentrações de sais dificulta a expansão da agricultura irrigada no semiárido do Nordeste brasileiro, tornando-se necessária a adoção de estratégias capazes de minimizar os efeitos do estresse salino sobre as plantas. Neste contexto, objetivou-se avaliar os efeitos da aplicação de peróxido de hidrogênio nas relações hídricas, nas trocas gasosas, nos pigmentos fotossintéticos e no crescimento de goiabeira cv. Paluma sob irrigação com águas salinas na formação de mudas. Foi utilizado o delineamento em blocos casualizados, em esquema fatorial 5 × 4, com três repetições, sendo cinco níveis de condutividade elétrica da água - CEa (0,3; 1,3; 2,3; 3,3 e 4,3 dS m-1) e quatro concentrações de peróxido de hidrogênio - H2O2 (0; 25; 50 e 75 µM). A salinidade da água de irrigação acima de 0,3 dS m-1 aumentou o extravasamento de eletrólitos no limbo foliar, reduziu o conteúdo relativo de água, a síntese de pigmentos fotossintéticos, as trocas gasosas e o crescimento das mudas de goiabeira cv. Paluma, aos 80 dias após a semeadura. A aplicação foliar de peróxido de hidrogênio em concentrações de até 75 µM, reduz o conteúdo relativo de água no limbo foliar de mudas de goiabeira e não ameniza os efeitos do estresse salino em plantas de goiabeira na fase de formação de mudas.

https://doi.org/10.1590/1807-1929/agriambi.v28n2e276236

Mining waste associated with bioinoculants and cattle manure for the mineral nutrition and growth of maize
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Silva, Vitor M. B. da

; Rocha, Josinaldo L. A.

; Lima, Adriana S.

; Soares, Anny K. de F.

; Sá, Francisco V. da S.

; Lima, Geovani S. de

; Mesquita, Evandro F. de

; Santos, José Z. L.

Revista Brasileira de Engenharia Agrícola e Ambiental

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feb 2024, Volume 28 N. 2 elocation e273189

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT Vermiculite mining residues, although of low solubility, contain nutrients such as calcium, magnesium, and potassium at concentrations that allow their agricultural use. Beneficial bacteria can increase the solubility of this waste and its efficiency. The objective of the present study was to evaluate the influence of bio-inoculation of vermiculite residue, associated with cattle manure, on the release of nutrients and initial growth of maize. A completely randomized design was performed in a greenhouse with seven treatments and four replications. The treatments were: T1 - soil without fertilization; T2 - soil fertilized with soluble sources of nutrients (conventional fertilization); T3 - application of vermiculite residue (VR); T4 - VR enriched with cattle manure (CM); T5 - VR + CM with Bacillus subtilis; T6 - VR + CM + B. amyloliquefaciens, and T7 - VR + CM +B. subtilis + B. amyloliquefaciens). Regardless of the use of cattle manure or beneficial microorganisms, vermiculite mining waste increased the availability of Ca and K in the soil, but was not able to match the soluble sources of nutrients. Mining waste associated with cattle manure and beneficial microorganisms (B. subtilis and B. amyloliquefaciens) increased microbial activity and enhanced the release of available calcium for maize. VR increased the growth and the dry mass production of maize compared to the non-fertilized soil, but was consistently inferior to conventional fertilizer.

RESUMO Os resíduos da mineração de vermiculita, embora de baixa solubilidade, contêm nutrientes como cálcio, magnésio e potássio em concentrações que permitem seu uso agrícola. Bactérias benéficas podem aumentar a solubilidade deste resíduo e sua eficiência. Objetivou-se avaliar a influência da bioinoculação do resíduo de vermiculita, associado ao esterco bovino, na liberação de nutrientes e no crescimento inicial do milho. Foi realizado delineamento inteiramente casualizado em casa de vegetação com sete tratamentos e quatro repetições. Os tratamentos foram: T1 - solo sem adubação; T2 - solo adubado com fontes solúveis de nutrientes (fertilização convencional); T3 - aplicação de resíduo de vermiculita (VR); T4 - VR enriquecido com esterco bovino (CM); T5 -VR+CM com Bacillus subtilis; T6 - VR + CM + B. amyloliquefaciens e T7 - VR + CM + B. subtilis + B. amyloliquefaciens). O VR aumentou a disponibilidade de Ca e K no solo, porém seu desempenho foi inferior às fontes solúveis. Independentemente da utilização de esterco bovino ou de microrganismos benéficos, os resíduos da mineração de vermiculita aumentaram a disponibilidade de Ca e K no solo, mas não foram capazes de igualar as fontes solúveis de nutrientes. Os resíduos de mineração associados ao esterco bovino e aos microrganismos benéficos (B. subtilis e B. amyloliquefaciens) aumentaram a atividade microbiana e aumentaram a liberação de cálcio disponível para o milho. Os resíduos da mineração de vermiculita aumentaram o crescimento e a produção de massa seca do milho em comparação ao solo não fertilizado, mas foram consistentemente inferiores ao fertilizante convencional.

https://doi.org/10.1590/1807-1929/agriambi.v28n2e273189

Evaluation of cardiac autonomic function and low-grade inflammation in children with obesity living in the Northeast Brazilian region
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Costa, Paulo César Trindade

; Souza, Joelma Rodrigues de

; Lima, Poliana Correia

; Duarte, Davyson Barbosa

; Neves, Thallyta Alanna Ferreira Viana das

; Pereira, Joicy Karla Grangeiro

; Silva-Luis, Cristiane Cosmo

; Moraes, Rúbia Cartaxo Squizato de

; Braga, Valdir de Andrade

; Souza, Evandro Leite de

; Martins, Vinícius José Baccin

; Alves, José Luiz de Brito

Jornal de Pediatria

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2024, Volume 100 N. 1 Pages 74 - 80

Abstract: En | Text: En | PDF: En

Abstract Objective Evaluate autonomic function and low-grade inflammation and characterize the correlation between these variables in schoolchildren with obesity living in the Brazilian northeast region. Methods 84 children with obesity and 41 with normal weight were included in this cross-sectional study. Anthropometry, body composition, blood pressure (BP), inflammatory biomarkers, and heart rate variability (HRV) indexes were analyzed in children aged 7 to 11 years. Results children with obesity had increased systolic (p= 0.0017) and diastolic (p= 0.0131) BP and heart rate (p= 0.0022). The children with obesity displayed significantly lower SDNN, RMSSD, NN50, HF (ms), HF (nu), SD1, SD2, and higher LF (ms), LF (nu), LF/HF, SD1/SD2, DFA-α1, and DFA-α2, compared to normal weight. A lower and higher capacity for producing IL-10 (p= 0.039) and IL-2 (p= 0.009), respectively, were found in children with obesity compared to children with normal weight. Although IL-2, IL-4 and IL17A did not correlate with HRV parameters, IL-6 was positively correlated with SDNN, LF (ms) and SD2, TNF-α was positively correlated with LF/HF and SD1/SD2 ratio, and IFN-γ was positively correlated with SDNN, RMMSSD, NN50, LF (ms), HF (ms), SD1, and SD2. Conclusions The findings suggest that children with obesity have impaired autonomic function and systemic low-grade inflammation compared to children within the normal weight range, the inflammatory biomarkers were correlated with HRV parameters in schoolchildren living in the northeastern region of Brazil.

https://doi.org/10.1016/j.jped.2023.07.003

Segurança alimentar: reflexões sobre um problema complexo
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DOMENE, SEMÍRAMIS MARTINS ÁLVARES

; AGOSTINI, KAYNA

; ALMEIDA, GABRIEL NATALE PINTO DE

; CAMARGO, RAFAELLA GUIMARÃES MORAES

; CARVALHO, ALINE MARTINS DE

; CORRÊA, FERNANDO ELIAS

; DELBEM, ALEXANDRE CLÁUDIO BOTAZZO

; DOMINGOS, SARA STEFANI

; DRUCKER, DEBORA PIGNATARI

; MARCHIONI, DIRCE MARIA LOBO

; MARTINS, ISABELA PRADO

; MONTEDO, UIARA BANDINELI

; RIBEIRO, EVANDRO MARCOS SAIDEL

; SANTIAGO, RAQUEL DE ANDRADE CARDOSO

; SILVA, ROBERTO FRAY DA

; SOARES, FILIPI MIRANDA

; STELUTI, JOSIANE

; SARAIVA, ANTÓNIO MAURO

Estudos Avançados

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dec 2023, Volume 37 N. 109 Pages 181 - 206

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT Overcoming malnutrition in all its forms, which is also manifested in the obesity epidemic, is one of the priorities of the 2030 Agenda and the Sustainable Development Goals. This article presents reflections on food insecurity in Brazil, based on topics such as population growth, climate change, biodiversity and traditional and regenerative food systems; it also addresses the role of social initiatives to guarantee the Human Right to Adequate Food. The Nutrition and Poverty Research Group, Planetary Health - Brazil Group, and the Center for Artificial Intelligence (C4AI) - AgriBio Axis, assume that the organized and systemic resumption of the initiatives mentioned out in this position paper can contribute to the articulation between research, public policies and services, to combat all forms of malnutrition, as a complex and priority problem to ensure social welfare.

RESUMO O combate à má alimentação em todas as suas formas, que também se expressa na epidemia da obesidade, é uma das prioridades da Agenda 2030 e dos Objetivos de Desenvolvimento Sustentável. Este artigo traz elementos sobre insegurança alimentar no Brasil, a partir de temas relativos ao crescimento populacional, mudanças climáticas, biodiversidade e sistemas alimentares tradicionais e regenerativos; trata também do papel dos movimentos sociais para a garantia do Direito Humano à Alimentação Adequada. O Grupo de Pesquisa em Nutrição e Pobreza, o Saúde Planetária Brasil, e o Centro de Inteligência Artificial (C4AI) - Eixo AgriBio, entendem que a retomada organizada e sistêmica das frentes apontadas neste artigo de posicionamento, pode constituir um caminho para a articulação entre pesquisa, serviço e políticas públicas na direção do combate à fome e às demais manifestações da má alimentação, enquanto problema complexo prioritário para a garantia do bem-estar social.

https://doi.org/10.1590/s0103-4014.2023.37109.012

Exchange of germoplasm and genetic diversity to enrichment the Desmanthus genebank
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Silva, Ana V. C. da

; Nascimento, Isa M. R. do

; Rangel, José H. A.

; Pereira, Camila S. A.

; Muniz, Evandro N.

Revista Caatinga

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mar 2023, Volume 36 N. 1 Pages 33 - 40

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT The genus Desmanthus presents wide ecogeographical distribution and complex taxonomy. Desmanthus pernambucanus (L.) Thellung, popularly known in Brazil as Jureminha, is a leguminous species native to the Northeast region of Brazil, which stands out by its high protein content, resistance to droughts, and by presenting no toxicity to animals. The objective of this work was to evaluate the genetic diversity of 15 progenies from the Commonwealth Scientific and Industrial Research Organization (CSIRO; Australia), through germplasm exchange for enrichment of the Desmanthus genebank of Embrapa Tabuleiros Costeiros, in Nossa Senhora das Dores, SE, Brazil. Fifteen ISSR markers were used, from which 8 were selected. The progenies identified as 242, 245, 246, 255, and 268 were the most genetically distant, and the most recommended to be introduced to the genebank.

RESUMO O gênero Desmanthus apresenta ampla distribuição ecogeográfica e complexa taxonomia. O Desmanthus pernambucanus (L.) Thellung, popularmente conhecido como Jureminha, é uma leguminosa nativa do Nordeste brasileiro, que se destaca pelo elevado teor de proteína, resistência à seca e por não apresentar toxicidade aos animais. O trabalho foi desenvolvido com o objetivo de avaliar a diversidade genética de 15 progênies oriundas do CSIRO (Commonwealth Scientific and Industrial Research Organization, Austrália), através de intercâmbio de germoplasma, para o enriquecimento do Banco Ativo de Germoplasma de Desmanthus da Embrapa Tabuleiros Costeiros (BAG), em Nossa Senhora das Dores, SE, Brasil. Foram utilizados 15 marcadores ISSR, dos quais oito foram selecionados. As progênies identificadas como 242, 245, 246, 255 e 268 foram as mais distantes geneticamente, e as mais indicadas para serem introduzidas no BAG.

https://doi.org/10.1590/1983-21252023v36n104rc

Soybean extracts can improve plant development
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May, André

; Silva, Evandro Henrique Figueiredo Moura da

; Vieira Junior, Nilson Aparecido

; Vilela, Elke Simoni Dias

; Santos, Michelli de Souza dos

; Coelho, Luciana Fontes

; Pedrinho, Alexandre

; Batista, Bruna Durante

; Viana, Ronaldo da Silva

Scientia Agricola

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2023, Volume 80 elocation e20210102

Abstract: En | Text: En | PDF: En

ABSTRACT: Microbial biodiversity of an environment can contribute to plant growth and increase crop yield. Plant extracts from soybean (Glycine max (L.) Merrill) were investigated on soybean plants grown after inoculation with these extracts. Soil samples were collected from two important Brazilian soybean-growing regions to produce the extracts used in the experiments. The extracts were produced with material collected from aboveground biomass and rhizosphere of soybean plants cultivated in a controlled greenhouse (phase 1). The extracts produced in phase 1 were applied in a sequential experiment (phase 2). Phase 2 was conducted to examine the plant microbiome after the microbial alteration process in the greenhouse through seed inoculation with the extracts produced previously. Samples of aboveground biomass were collected to determine root dry matter and crop yield. Bacterial 16S rRNA sequences were processed to determine the final microbial content of soybean. The inoculated treatments had lower species diversity; however, the phyla Firmicutes and Bacteroidetes were more abundant in the treatments than in the non-inoculated treatment. The soybean plant stem in the inoculated treatment also had a positive response to enrichment of the bacterial classes Betaproteobacteria, Bacilli and Flavobacteria. Inoculation affected the microbial composition of soybean plants. The alteration of microbiome changes revealed differences for crop yield between the inoculated and non-inoculated treatments, with up to 93.5 % higher crop yields per plant according to the extract applied.

https://doi.org/10.1590/1678-992x-2021-0102

Prevalence of dynapenia and overlap with disability, depression, and executive dysfunction
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Teixeira, Ivan Abdalla

; Coutinho, Evandro Silva Freire

; Marinho, Valeska

; Castro-Costa, Erico

; Deslandes, Andrea Camaz

Revista de Saúde Pública

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2023, Volume 57 elocation 43

Abstract: En | Text: En | PDF: En

ABSTRACT OBJECTIVE This study aims to investigate handgrip strength and dynapenia prevalence among older adults stratified by Brazilian macroregions. Additionally, we aim to evaluate the overlap between dynapenia and Instrumental Activities of Daily Living (IADL) disability, depression, and executive dysfunction on a national basis and by each Brazilian macroregion. METHODS This cross-sectional analysis was based on data from the Brazilian Longitudinal Study of Aging (ELSI-Brazil). A multistage cluster sample design was used, with a representative population-based study of non-institutionalized community-dwelling Brazilians aged ≥ 50 years from 70 municipalities across all five macroregions of the country. The outcome variable was dynapenia. Covariables were IADL disability, depression, and executive dysfunction. The Brazilian macroregions were used for stratification. In addition, the following additional variables were included: age group, gender, education level, macroregions (North, Northeast, Southeast, South, and Midwest), self-reported health, multimorbidity, and falls. RESULTS A total of 8,849 (94%) of the sample provided complete information for the handgrip strength assessment and were included in this analysis. Dynapenia prevalence was higher in North and Northeast regions (28.5% and 35.1%, respectively). We identified statistically significant differences between different macroregions for dynapenia, IADL disability, and verbal fluency, with worse values in the North and Northeast regions. In the North and Northeast macroregions, nearly half of the subjects that presented executive dysfunction and IADL disability also had dynapenia. There was a more significant overlap in the prevalence of all four conditions in the North and Northeast regions (4.8% and 5.5%, respectively), whereas the overlap was smaller in the South (2.3%). There was also a smaller overlap in the prevalence of dynapenia and depression in the South (5.8%) compared with other macroregions. CONCLUSIONS Macroregions in Brazil exhibit marked differences in the prevalence of dynapenia and in its overlap with IADL disability, depression, and executive dysfunction.

https://doi.org/10.11606/s1518-8787.2023057004580

Psychometric properties and measurement invariance of the Rigid and Flexible Persistence Scale in a Brazilian professional sample
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Peixoto, Evandro Morais

; Silva, Marcus Vinicius

; Noronha, Ana Paula Porto

; Chichekian, Tanya

; Vallerand, Robert J.

Psicologia: Reflexão e Crítica

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2023, Volume 36 elocation 1

Abstract: En | Text: En | PDF: En

Abstract Persistence involves the intention to maintain efforts when faced with obstacles and challenges, in order to achieve a specific goal. The Rigid and Flexible Persistence Scale (RFPS) is a self-report measure that assesses persistence that is theoretically derived from the premises of the Dualistic Model of Passion. The aim of the present research was to adapt the RFPS to Brazilian Portuguese and to estimate its evidence of validity and reliability in the context of work. Participants were 400 professionals, 55.8% women, aged between 18 and 68 years. The results indicate that the RFPS presented validity evidence based on the content. Corresponding to the theoretical expectations, exploratory and confirmatory factor analyses demonstrated adequacy of the structure composed of two factors, explaining 75% of the data variance, with good levels of reliability. The RFPS also revealed strong invariance across gender and work conditions (in-person vs remote). Flexible persistence showed positive association with harmonious passion and occupational self-efficacy. Conversely, rigid persistence showed positive association with obsessive passion. It was observed a mediational role of occupational self-efficacy in the relationship between harmonious passion and flexible persistence. Overall, the findings suggest that the RFPS is an adequate measure of persistence in a Brazilian occupational sample.

https://doi.org/10.1186/s41155-022-00240-0

10.

Influence of killer immunoglobulin-like receptors genes on the recurrence rate of ocular toxoplasmosis in Brazil
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Perce-da-Silva, Daiana de Souza

; Joaquim, Thays Euzebio

; Aleixo, Ana Luisa Quintella do Couto

; Motta, Juliana Pessanha Rodrigues

; Lima-Junior, Josué da Costa

; Ribeiro-Alves, Marcelo

; de Oliveira-Ferreira, Joseli

; Porto, Luís Cristóvão de Moraes Sobrino

; Banic, Dalma Maria

; Amendoeira, Maria Regina Reis

Memórias do Instituto Oswaldo Cruz

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2023, Volume 118 elocation e220203

Abstract: En | Text: En | PDF: En

BACKGROUND Recurrence is a hallmark of ocular toxoplasmosis (OT), and conditions that influence its occurrence remain a challenge. Natural killer cells (NK) are effectors cells whose primary is cytotoxic function against many parasites, including Toxoplasma gondii. Among the NK cell receptors, immunoglobulin-like receptors (KIR) deserve attention due to their high polymorphism. OBJECTIVES This study aimed to analyse the influence of KIR gene polymorphism in the course of OT infection and its association with recurrences after an active episode. METHODS Ninety-six patients from the Ophthalmologic Clinic of the National Institute of Infectology Evandro Chagas were followed for up to five years. After DNA extraction, genotyping of the patients was performed by polymerase chain reaction sequence-specific oligonucleotide (PCR-SSO) utilising Luminex equipment for reading. During follow-up, 60.4% had a recurrence. FINDINGS We identified 25 KIR genotypes and found a higher frequency of genotype 1 (31.7%) with worldwide distribution. We note that the KIR2DL2 inhibitor gene and the gene activator KIR2DS2 were more frequent in patients without recurrence. Additionally, we observed that individuals who carry these genes progressed recurrence episodes slowly compared to individuals who do not carry these genes. MAIN CONCLUSIONS The KIR2DL2 and KIR2DS2 are associated as possible protection markers against ocular toxoplasmosis recurrence (OTR).

https://doi.org/10.1590/0074-02760220203

11.

Effects of supplementation of tropical fruit processing by-products on lipid profile, retinol levels and intestinal function in Wistar rats
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BATISTA, KAMILA S.

; CAVALCANTE, HASSLER CLEMENTINO

; GOMES, JÉSSYCA A. DE SOUSA

; SILVA, LAIANE A. DA

; CAVALCANTI, NATÁLIA S. DE HOLANDA

; GARCIA, ESTEFÂNIA F.

; MENEZES, FRANCISCA NAYARA D.D.

; LIMA, TAMIRES A.S. DE

; SOUZA, EVANDRO L. DE

; MAGNANI, MARCIANE

; AQUINO, JAILANE DE SOUZA

Anais da Academia Brasileira de Ciências

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2023, Volume 95 N. 2 elocation e20201684

Abstract: En | Text: En | PDF: En

Abstract Fruits agro-industrial by-products may have a great variety of bioactive compounds that promote health. Thus, the effects of supplementation with acerola, cashew and guava processing by-products for 28 days on retinol level, lipid profile and on some aspects related to intestinal function in rats were investigated. The animals supplemented with different fruit by-products presented similar weight gain, faecal pH values and intestinal epithelial structures; however, they showed higher moisture and Lactobacillus spp. and Bifidobacterium spp. counts in faeces compared to the control group. Supplementation with the cashew by-product decreased the blood glucose, acerola and guava by-products reduced serum lipid levels and all fruit by-products tested increased serum and hepatic retinol. The results indicated that acerola and guava by-products possess a potential hypolipidemic effect. The three fruit by-products increase the hepatic retinol deposition and the faecal populations of beneficial bacterial groups and modulated aspects of intestinal function. The findings of this study can contribute to sustainable fruticulture and support future clinical studies with the supplementation of by-products.

https://doi.org/10.1590/0001-3765202320201684

12.

Incidence of Begomovirus and Crinivirus in tomato and potato crops in Paraná State, Brazil
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Keller, Evandro

; Koch, Gabriel

; Silva, Mayara Catherine Candido

; Wyler, Patrícia

; Barbosa, Júlio César

; Rezende, Jorge Alberto Marques

; Duarte, Henrique da Silva Silveira

; Calegario, Renata Faier

Ciência Rural

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2023, Volume 53 N. 11 elocation e20210883

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT: In the last decades, the high incidence of viruses transmitted by whiteflies has become a problem in the tomato fields, threatening, more recently, the potato crops. The present study carried out a survey of begomoviruses and criniviruses in tomato and potato crops, from 2015 to 2018, in the municipalities of Araucária, Campo do Tenente, Campo Largo, Contenda, Lapa, Faxinal, Morretes, Reserva, Castro, Palmeira and São Mateus do Sul, in Paraná State, Brazil. Total DNA and RNA from leaves were extracted and used as templates to detect, respectively, begomoviruses by PCR and criniviruses by RT-PCR. Out of 215 tomato samples, 14 from Faxinal were infected by crinivirus. The other tomato samples and 243 potato samples showed negative results for begomovirus and crinivirus. Results indicated a low incidence (6.5%) of crinivirus infecting tomato crops in Paraná State, and the nucleotide sequence of one amplified fragment shared 99.71% identity with tomato chlorotic virus (ToCV).

RESUMO: Nas últimas décadas, a alta incidência de vírus transmitidos por mosca-branca tornou-se um problema nos campos de tomateiros, ameaçando, mais recentemente, a cultura da batateira. O presente trabalho teve como objetivo realizar um levantamento de begomovírus e crinivírus em lavouras de tomateiro e batateira nos municípios de Araucária, Campo do Tenente, Campo Largo, Contenda, Lapa, Faxinal, Morretes, Reserva, Castro, Palmeira e São Mateus do Sul, no Estado do Paraná, Brasil, de 2015 à 2018. DNA e RNA totais de folhas foram extraídos e utilizados como molde para detectar begomovírus por PCR e crinivírus por RT-PCR. Das 215 amostras de tomateiros coletadas, 14 provenientes de Faxinal estavam infectadas por crinivírus. As demais amostras de tomateiro e as 243 amostras de batateira analisadas apresentaram resultados negativo para begomovírus e crinivírus. Os resultados indicaram baixa incidência (6,5%) de crinivírus infectando lavouras de tomateiros no Estado do Paraná e a sequência de nucleotídeos de um amplicon apresentou 99,71% de identidade com o crinivírus tomato chlorotic virus (ToCV).

https://doi.org/10.1590/0103-8478cr20210883

13.

Intake and apparent nutrient digestibility, ruminal parameters, and nitrogen balance of lambs fed with corn and forage-free diets with sodium bicarbonate
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Vicente, Ana Carolina Silva

; Carlis, Matheus Sousa de Paula

; Santos, Isabela Jorge dos

; Silva, Adrielly Lais Alves da

; Dias Junior, Paulo César Gonzales

; Eckermann, Nathalia Rubio

; Souza, Terezinha Teixeira de

; Polizel, Daniel Montanher

; Baggio, Marcelo

; Biava, Janaina Socolovski

; Pires, Alexandre Vaz

; Ferreira, Evandro Maia

Ciência Rural

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2023, Volume 53 N. 9 elocation e20220406

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT: This study evaluated forage-free diets supplemented with sodium bicarbonate (SB) based on ground flint corn on intake, apparent nutrient digestibility, ruminal parameters, and N balance. Four rumen-cannulatedDorper × Santa Inês lambs, with a body weight of 43.4 ± 0.85 kg (mean ± standard deviation) were used. The experimental design was a 4×4 Latin square. Each experimental period lasted 21 days. Experimental diets were: positive control, a diet without SB containing 400 g/kg DM of soybean hulls (CONT), and three diets based on ground flint corn, containing 10 (10SB), 20 (20SB) or 30 (30SB) g/kg DM of SB. Intake of neutral and acid detergent fiber was greater for CONT (P < 0.01) when compared to SB. Intake and apparent nutrient digestibility of dry and organic matter, ether extract, and crude protein did not differ. Intake (P = 0.01) and digestibility (P < 0.01) of non-fiber carbohydrates were greater for SB diets and neutral detergent fiber digestibility was greater (P = 0.03) for CONT. The total digestible nutrients and metabolizable energy were greater for SB (P = 0.04). Rumen concentrations of acetate (P < 0.01), isobutyrate (P < 0.01), butyrate (P < 0.01), isovalerate (P < 0.01), and total short-chain fatty acids (P < 0.01) were greater for CONT. Ruminal pH showed a quadratic (P = 0.05) response to SB levels, with greater values for 20SB. Sodium bicarbonate was efficient in increasing ruminal pH at the level of 20 g/kg DM without interfering with the intake and apparent nutrient digestibility characteristics.

RESUMO: O presente estudo avaliou a suplementação de bicarbonato de sódio (BS) em dietas sem forragem à base de milho moído sobre o consumo e a digestibilidade aparente dos nutrientes, os parâmetros ruminais e o balanço de N. Foram utilizados quatro cordeiros Dorper × Santa Inês, com um peso corporal inicial de 43,4 ± 0,85 kg (média ± desvio padrão). O delineamento experimental foi quadrado latino 4×4. Cada período experimental durou 21 dias. As dietas experimentais foram: controle positivo, sem BS, contendo 400 g/kg de MS de casca de soja (CONT) e três dietas à base de milho moído, sem casca de soja, contendo 10 (10BS), 20 (20BS) ou 30 (30BS) g/kg de MS de BS. O consumo de fibra em detergente neutro e ácido foi maior (P < 0,01)para o CONT quando comparado com BS. O consumo e a digestibilidade aparente da matéria seca, matéria orgânica, extrato etéreo e proteína bruta não diferiram entre os tratamentos. O consumo (P = 0,01) e digestibilidade (P < 0,01) dos carboidratos não fibrosos foram superiores para as dietas contendo BS e a digestibilidade da fibra em detergente neutro foi maior para o CONT. Os teores de nutrientes digestivos totais e energia metabolizável foram superiores para as dietas contendo BS (P = 0,04). A concentração ruminal de acetato (P < 0,01), isobutirato (P < 0,01), butirato (P < 0,01), isovalerato (P < 0,01) e ácidos graxos totais de cadeia curta (P < 0,01) foram mais elevadas para o CONT. O pHruminal apresentou resposta quadrática (P = 0,05) em relação aos níveis de BS, sendo observado maior pH para os animais alimentados com a dieta 20BS. O BS foi eficiente em aumentar o pHruminal no teor de 20 g/kg MS sem interferir no consumo e na digestibilidade aparente dos nutrientes. Portanto, 20 g/kg de MS é a dose indicada de BS em dietas sem forragem para terminação de cordeiros em confinamento.

https://doi.org/10.1590/0103-8478cr20220406

14.

Panorama das Intervenções Coronárias Percutâneas em Oclusões Totais Crônicas em Centros Participantes do LATAM CTO Registry no Brasil
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Silva, Antonio Carlos Botelho da

; Paula, João Eduardo Tinoco de

; Campos, Carlos M.

; Ribeiro, Marcelo Harada

; Martins Filho, Evandro

; Oliveira, Marcos Danillo Peixoto

; Côrtes, Leandro Assumpção

; Abelin, Aníbal Pereira

; Zukowski, Cleverson Neves

; Martinelli, Gustavo Cervino

; Brito, Fábio Sândoli de

; Muniz, Antônio José

; Cantarelli, Marcelo José de Carvalho

; Andrade, Pedro Beraldo de

; Medeiros, César Rocha

; Falcão, Breno de Alencar Araripe

; Fuchs, Felipe Costa

; Silva, Leonardo Sinnott

; Fattah, Tammuz

; Degrazia, Ramiro Caldas

; Mangione, José Armando

; Bezerra, Cristiano Guedes

; Baradel, Sandra

; Silveira, João Brum

; Ybarra, Luiz Fernando

; Weillenmann, Daniel

; Gottschall, Carlos

; Lemke, Viviana

; Silva, Franciele Rosa da

; Schmidt, Marcia Moura

; Belli, Karlyse Claudino

; Oliveira, Pedro Piccaro de

; Quadros, Alexandre Schaan de

Arquivos Brasileiros de Cardiologia

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2023, Volume 120 N. 4 elocation e20210462

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Abstract Background Major advances have been seen in techniques and devices for performing percutaneous coronary interventions (PCIs) for chronic total occlusions (CTOs), but there are limited real-world practice data from developing countries. Objectives To report clinical and angiographic characteristics, procedural aspects, and clinical outcomes of CTO PCI performed at dedicated centers in Brazil. Methods Included patients underwent CTO PCI at centers participating in the LATAM CTO Registry, a Latin American multicenter registry dedicated to prospective collection of these data. Inclusion criteria were procedures performed in Brazil, age 18 years or over, and presence of CTO with PCI attempt. CTO was defined as a 100% lesion in an epicardial coronary artery, known or estimated to have lasted at least 3 months. Results Data on 1196 CTO PCIs were included. Procedures were performed primarily for angina control (85%) and/or treatment of moderate/severe ischemia (24%). Technical success rate was 84%, being achieved with antegrade wire approaches in 81% of procedures, antegrade dissection and re-entry in 9%, and retrograde approaches in 10%. In-hospital adverse cardiovascular events occurred in 2.3% of cases, with a mortality rate of 0.75%. Conclusions CTOs can be treated effectively in Brazil by using PCI, with low complication rates. The scientific and technological development observed in this area in the past decade is reflected in the clinical practice of dedicated Brazilian centers.

Resumo Fundamento Tem sido observado um grande avanço nas técnicas e nos dispositivos para a realização de intervenções coronárias percutâneas (ICP) em oclusões totais coronarianas crônicas (OTC), mas existem poucos dados da prática do mundo real em países em desenvolvimento. Objetivos Relatar as características clínicas e angiográficas, os aspectos dos procedimentos e os resultados clínicos da ICP de OTC em centros dedicados a esse procedimento no Brasil. Métodos Os pacientes incluídos foram submetidos à ICP de OTC em centros participantes do LATAM CTO Registry, um registro multicêntrico latino-americano dedicado à coleta prospectiva desses dados. Os critérios de inclusão foram procedimentos realizados no Brasil, idade acima de 18 anos e presença de OTC com tentativa de ICP. A definição de OTC foi lesão de 100% em uma artéria coronária epicárdica, conhecida ou estimada como tendo pelo menos 3 meses de evolução. Resultados Foram incluídos dados de 1.196 ICPs de OTC. Os procedimentos foram realizados principalmente para controle da angina (85%) e/ou tratamento de uma grande área isquêmica (24%). A taxa de sucesso técnico foi de 84% e foi alcançada com técnicas de fios anterógrados em 81%, dissecção/reentrada anterógrada em 9% e retrógrada em 10% dos procedimentos. Os eventos cardiovasculares adversos intra-hospitalares ocorreram em 2,3% dos casos, sendo a mortalidade de 0,75%. Conclusões As OTC podem ser tratadas no Brasil por intervenção coronária percutânea de forma efetiva e com baixas taxas de complicações. O desenvolvimento científico e tecnológico observado nessa área na última década reflete-se na prática clínica de centros brasileiros dedicados a essa técnica.

https://doi.org/10.36660/abc.20210462

15.

Droplet spectrum characteristics and drift potential of different droplet classes and spray volumes application of atrazine with nicosulfuron
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Rodrigues Neto, Arthur Duarte

; Ribeiro, Naiane Antunes Alves

; Oliveira, Fagner Angelo da Silva e

; Faria, Glaucia Amorim

; Prado, Evandro Pereira

Ciência Rural

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2023, Volume 53 N. 12 elocation e20220509

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT: In this research, the Volumetric Median Diameters (VMDs), Relative Span (RS), percentage of droplets with a diameter smaller than 100 µm (V100), and percentage ofdrift (% drift) of four droplet classes (Fine, Medium, Coarse, and Very Coarse) were analyzedin two spray volumes (77 L.ha-1and 144 L.ha-1) employinga tank-mix of atrazine and nicosulfuron herbicides (2500 + 15 gaiha-1), usingParticle/Droplet Imaging Analyze (PDIA) and wind tunnel techniques. The experiments were performed under Completely Randomized Design, in a 4 × 2 factorial scheme (droplet classes × sprayvolumes). Data underwent analysis of variance and Tukey’s test at 5%, and the correlation between variables was computedconsidering Pearson’s coefficient at 1% and 5%. The VMD of all droplet classes was considerably distinct in the two spray volumes. In both application spray volumes, the minimum VMD for the Coarsedropletclass classification was not attained. The highest means of RS were detectedin the spray volume of 77 L.ha-1. All treatments demonstratedsignificant differences in the analysis of V100 and % drift, with the highest means observed in the Fine droplet (144 L.ha-1) and Medium (77 L.ha-1). A negative correlation existed between VMD × V100 and VMD × % drift and a positive correlation between V100 × % drift in the two spray volumes. RS was negatively correlated with VMD and positively with V100 and % drift, in the spray volume of 77 L.ha-1. In the spray volume of 144 L.ha-1, the correlation between RSand VMD, V100, and % drift was insignificant.

RESUMO: Nesta pesquisa foram avaliados os Diâmetros Medianos Volumétricos (DMVs), Amplitude Relativa (AR), percentual de gotas com diâmetro menor que 100 µm (V100) e porcentagem de deriva (% deriva) de quatro classes de gota (Fina, Média, Grossa e Muito Grossa) em dois volumes de aplicação (77L.ha-1e 144L.ha-1) utilizando a mistura dos herbicidas atrazine e nicosulfuron (2500 + 15 gi.a. ha-1), utilizando os métodos de PDIA e de túnel de vento. Os experimentos foram realizados sob o delineamento inteiramente casualizado, no esquema fatorial 4 × 2 (classes de gota × volumes de aplicação), com cinco repetições. Os dados foram submetidos à análise de variância e ao teste de Tukey a 5%, e a correlação entre as variáveis calculada considerando o coeficiente de Pearson a 1% e 5%. O DMV de todas as classes de gotas foi significativamente diferente nos dois volumes. O DMV mínimo para a classificação da classe de gota Grossa não foi atingido nos dois volumes de aplicação. As maiores médias de AR foram observadas no volume de 77 L.ha-1. Todos os tratamentos apresentaram diferenças significativas na análise de V100 e % deriva com as maiores médias observadas nas classes de gota Fina (144 L.ha-1) e Média (77 L.ha-1). Verificou-se correlação negativa entre DMV × V100 e DMV × % deriva e correlação positiva entreV100 × % deriva nos dois volumes. No volume de 77 L.ha-1 a AR correlacionou-se negativamente com o DMV e positivamente com V100 e % deriva. No volume de 144 L.ha-1 a correlação entre AR e DMV, V100 e % deriva não foi significativa.

https://doi.org/10.1590/0103-8478cr20220509

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