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Resumen Nasutitermes corniger es una termita arbórea que causa daños económicos en las zonas urbanas, y su control es mediante insecticidas químicos. Una alternativa para el control de insectos es el uso de hongos entomopatógenos y extractos de plantas, o el efecto sinérgico de la asociación de estos. Se examinó la toxicidad de los extractos acuosos e hidroetanólicos de Agave sisalana sobre los aspectos biológicos de los hongos Cordyceps farinosa, C. fumosorosea y C. javanica y la acción de los extractos y su efecto sinérgico sobre N. corniger. Se evaluó el efecto de los extractos sobre hongos por germinación, esporulación y crecimiento micelial de los hongos en medio Sabouraud mediante el estudio de aspectos biológicos bajo condiciones de laboratorio y se examinó el control de N. corniger, por ingestión de extractos y de la asociación extracto y hongo sobre papel de filtro, siendo el porcentaje de mortalidad de soldados y obreras de la termita diaria. En general, los extractos resultaron inofensivos para los hongos a concentraciones de 10, 25, 50, 100 y 200 mg.mL-1. Los extractos demostraron acciones termiticidas a las concentraciones ensayadas, provocando la mortalidad de alrededor del 100% de los trabajadores después del tercer y sexto día (LC50: 0.778 a 0.803 mg.mL-1) y del 100% de los soldados entre el cuarto y séptimo días (LC50: 0.146 a 0.956 mg.mL-1). La asociación de los extractos con C. farinosa ESALQ1355 fue más eficiente para inducir la mortalidad en N. corniger. Estos resultados demostraron la eficiencia in vitro de los extractos de sisal en el control de las termitas de N. corniger, solas o en combinación con hongos, lo que sugiere su potencial utilidad conjunta en el control biológico de plagas de insectos.

Abstract Nasutitermes corniger is an arboreal termite that causes economic damage in urban areas, and its control is for chemical insecticides. An alternative for insect control is the use of entomopathogenic fungi and plant extracts, or the synergistic effect of the association of these. The toxicity of aqueous and hydroethanolic extracts of Agave sisalana on the biological aspects of the fungal Cordyceps farinosa, C. fumosorosea and C. javanica and the action of the extracts and their synergistic effect on N. corniger was examined. The effect of the extracts on fungi was evaluated by germination, sporulation and mycelial growth of fungi in Sabouraud medium through the study of biological aspects under laboratory conditions; and control of N. corniger were examined, by ingestion of extracts and of the association extract plus fungus on filter paper, being the percentage of mortality of soldiers and workers of the termite daily. In general, the extracts were inoffensive to the fungi at concentrations 10, 25, 50, 100 and 200 mg.mL-1. The extracts demonstrated termiticidal actions at concentrations tested, causing the mortalities about 100% of the workers after the third and sixth days (LC50: 0.778 to 0.803 mg.mL-1) and 100% of the soldiers between the fourth and seventh days (LC50:0.146 to 0.956 mg.mL-1). The association of the extracts with C. farinosa ESALQ1355 was more efficient in inducing the mortality in N. corniger. These results demonstrated the efficiency in vitro of the sisal extracts in controlling N. corniger termites, alone or in combination with fungi, suggesting their potential joint usefulness in the biological control of insect pests.

https://doi.org/10.25100/socolen.v48i2.11537

Desenvolvimento de um purificador de ar com radiação UVC e filtro HEPA no contexto de COVID-19
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Zhang, Julio Min Fei

; Andrade, Alyssa El Chihimi de

; Machado, Felipe Augusto Moraes

; Ghilardi, Larissa Bornia

; Almeida, Barbara Medeiros

; Falararo, Beatriz Vilas Boas Pugliese

; Machado, Gustavo Alves

; Emygdio, Ana Paula Mendes

; Pereira, Guilherme Martins

; Magalhães, Daniel Varela

; Forner-Cordero, Arturo

; Vasconcellos, Pérola de Castro

Engenharia Sanitaria e Ambiental

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nov 2022, Volume 27 N. 6 Pages 1113 - 1122

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

RESUMO A transmissão de infecções respiratórias tem importante impacto na saúde humana, sobretudo no atual contexto da pandemia de COVID-19. Neste trabalho, discute-se um purificador de ar que utiliza radiação ultravioleta-C (UVC) e filtro high efficiency particulate air (HEPA) como mecanismos para descontaminar ambientes internos com baixa circulação de ar. Para avaliar os parâmetros físico-químicos do equipamento e sua ação microbicida, foram determinados a irradiância produzida pela lâmpada, a vazão na entrada e saída do dispositivo, as alterações na concentração de ozônio e o potencial de descontaminação do equipamento para Staphylococcus aureus, Escherichia coli e Candida albicans. A dose total de radiação UVC que o ar recebe ao passar pelo equipamento foi de 801,4 μJ cm-2, o que representaria a inativação de até 80% de Sars-CoV-2 no ar. Além disso, a eficiência de filtração foi reduzida para cerca de 60% com a diminuição do tamanho da partícula para partículas com menos de 1 μm e manteve-se acima de 90% para MP2,5 e MP10. Nos testes microbiológicos, observou-se redução de 99,4, 99,9 e 99,5% para S. aureus, E. coli e C. albicans, respectivamente, em 11 minutos.

ABSTRACT The transmission of respiratory infections has an important role on human health, especially in the current context of the COVID-19 pandemic. In this work, we present the assessment of an air purifier that uses ultraviolet-C (UVC) radiation and a “High Efficiency Particulate Air” (HEPA) filter as mechanisms to decontaminate indoor environments with low air circulation. To assess the physicochemical and microbicidal characteristics of the equipment, the irradiance produced by the lamp, the flow rate at the entrance and exit of the device, possible changes in the ozone concentration and the equipment's decontamination potential for Staphylococcus aureus, Escherichia coli and Candida albicans. The total dose of UVC radiation that the air receives when passing through the equipment was 801.4 μJ cm-2, which would represent an inactivation of up to 80% of SARS-CoV-2 in the air. Furthermore, the filtration efficiency dropped with smaller particle diameter, and reduced to around 60% for particles with less than 1 μm and remained above 90% for PM2.5 and PM10. In microbiological tests, there was a reduction of 99.4%, 99.9% and 99.5% for S aureus, E. coli and C. albicans, respectively, in 11 minutes.

https://doi.org/10.1590/s1413-415220220114

[SciELO Preprints] - Water immersion and one-year storage influence germination of the pyrenes of Copernicia alba Morong, a palm tree from a neotropical wetland
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Soares, Vanessa Couto Andrade, Luís Felipe Daibes de Damasceno-Junior, Geraldo Alves Lima, Liana Baptista de

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Publication date: 2022-09-26

Abstract: En Pt

Palm seeds are known for displaying dormancy and a thick endocarp that delays germination and embryo growth; but water treatments may accelerate their germination process. Additionally, ex-situ conservation can cause seed viability loss over time. Data on seed dormancy and storage have been neglected for many native palm species in Brazil. We investigated the effect of water treatments and one-year storage on the germination of Copernicia alba Morong, a palm tree from the Brazilian Pantanal wetland. To address our aim, fresh and stored pyrenes were immersed in water (at room temperature for 24, 48, and 72h) and in hot water (~75°C for 5- and 10-min). Fresh pyrenes germinated up to 84% in control, reaching 100% after water immersion for 48 and 72h. In contrast, one-year storage reduced germination by almost 50%, but water immersion slightly increased the germination of stored pyrenes. On the contrary, hot water decreased germination for both fresh and stored pyrenes. Seeds of C. alba may be classified as orthodox seed storage behavior. Taken all together, water treatments at room temperature improved the germination of the pyrenes. In contrast, long-term seed storage and hot-water treatments may jeopardize germination.

As sementes de palmeiras geralmente apresentam dormência e um endocarpo espesso que retarda a germinação e o crescimento do embrião, contudo, tratamentos com água podem acelerar o processo de germinação das suas sementes. Além disso, a conservação de sementes ex-situ pode causar perda de viabilidade das sementes ao longo do tempo. Dados sobre dormência e armazenamento de sementes têm sido negligenciados para muitas espécies de palmeiras nativas no Brasil. Nós investigamos o efeito da imersão em água e armazenamento de um ano sobre a germinação de sementes de Copernicia alba Morong, uma palmeira do Pantanal brasileiro. Para testar nosso objetivo, pirênios recém-colhidos e armazenados foram imersos em água a temperatura ambiente por 24, 48 e 72h e água quente (~75°C por 5 e 10 min). Pirênios recém coletados germinaram 84% no controle, atingindo 100% após imersão em água por 48 e 72h. Em contraste, o armazenamento de um ano reduziu germinação em ~50%; contudo, a imersão em água promoveu a germinação dos pirênios armazenadas. Por outro lado, a água quente diminuiu a germinação dos pirênios frescos e os armazenados. Sementes de C. alba podem ser classificados em ortodoxas. Em geral, nbsp;a imersão em água à temperatura ambiente aumentou a germinação dos pirênios. Entretanto, armazenamento for longa duração e tratamentos com água quente podem prejudicar a germinação.

https://doi.org/10.1590/2236-8906-78/2021

Endoscopic Holmium Laser harvesting of bladder mucosal graft for substitution urethroplasty
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Figueiredo, Felipe C. A.

; Carvalho, Luiz Augusto Westin

; Pinto, Luís Otávio

; Teloken, Patrick Ely

; Favorito, Luciano Alves

International braz j urol

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apr 2022, Volume 48 N. 2 Pages 371 - 372

Abstract: En | Text: En | PDF: En

ABSTRACT Introduction: Tissue transfer has been used in urethral reconstruction for decades, and several grafts have been described (1, 2). The ideal graft would have optimal tissue characteristics and lead to minimal morbidity at the donor site. Urethroplasty using bladder mucosa was first described by Memmelaar in 1947 (3). The main limitation in using bladder mucosal grafts has been the invasiveness of open harvesting (4). We describe an endoscopic technique using Holmium: YAG laser to harvest bladder mucosal graft for substitution urethroplasty. Methodology: A 33-year-old male with no history of urethral instrumentation, trauma, or infection presented with obstructive lower urinary tract symptoms. On retrograde urethrogram a 6cm bulbar urethral stricture was identified. Several options were discussed, and the patient opted for a one-sided onlay dorsal urethroplasty (5) using a bladder mucosal graft. Equipment used to harvest the graft included an 18.5Fr continuous flow laser endoscope with a Kuntz working element (RZ) and a 60W Holmium Laser (Quanta) with 550μm laser fiber. The procedure was started by making a perineal incision, urethral mobilization and incision of the stricture segment. The laser endoscope was then introduced via the perineum. Settings of 0.5J, 30 Hz, and long pulse were used and a 7 x 2.5cm graft was harvested from the posterior bladder wall. Hemostasis of the harvest site was performed. The bladder mucosal graft was thinned in similar fashion to a buccal mucosal graft and sutured as per previously described techniques. Conclusion: Endoscopic Holmium Laser harvesting of bladder mucosal graft is feasible and may allow this graft to become an alternative to buccal mucosa. Further studies are required to define its role in urethral reconstruction.

https://doi.org/10.1590/s1677-5538.ibju.2022.99.09

Water immersion and one-year storage influence the germination of the pyrenes of Copernicia alba Morong, a palm tree from a neotropical wetland
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Soares, Vanessa Couto

; Daibes, Luís Felipe

; Damasceno-Junior, Geraldo Alves

; Lima, Liana Baptista de

Hoehnea

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2022, Volume 49 elocation e782021

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

RESUMO As sementes de palmeiras geralmente apresentam dormência e um endocarpo espesso que retarda a germinação e o crescimento do embrião, contudo, tratamentos com água podem acelerar o processo de germinação das suas sementes. Além disso, a conservação ex-situ de sementes pode causar perda de viabilidade das sementes de Arecacea especies ao longo do tempo. Dados sobre dormência e armazenamento de sementes têm sido negligenciados para muitas espécies de palmeiras nativas no Brasil. Por conta disso, nós investigamos o efeito da imersão em água e armazenamento de um ano sobre a germinação de sementes de Copernicia alba Morong, uma palmeira do Pantanal brasileiro. Pirênios recém-colhidos e armazenados foram imersos em água a temperatura ambiente por 24, 48 e 72h e água quente (~75°C por 5 e 10 min). Pirênios recém coletados germinaram 84% no controle, atingindo 100% após imersão em água por 48 e 72h. O armazenamento de um ano reduziu a germinação em ~50%, todavia, a imersão em água promoveu a germinação dos pirênios armazenadas. A água quente diminuiu a germinação dos pirênios frescos e os armazenados. De acordo com os resultados, sementes de C. alba podem ser classificadas em ortodoxas. Em geral, a imersão em água à temperatura ambiente aumentou a germinação dos pirênios. Entretanto, armazenamento for longa duração e tratamentos com água quente podem prejudicar a germinação.

ABSTRACT Palm seeds are known for displaying dormancy and a thick endocarp that delays germination and embryo growth, but water treatments may accelerate their germination process. Additionally, ex-situ conservation of arecaceae species may cause loss of seed viability over time. Data on seed dormancy and storage have been neglected for many native palm species in Brazil. Therefore, we investigated the effect of water treatments and one-year storage on the germination of Copernicia alba Morong, a palm tree from the Brazilian Pantanal wetland. Fresh and stored pyrenes were immersed in water (at room temperature for 24, 48, and 72h) and in hot water (~75°C for 5 and 10-min). Fresh pyrenes germinated up to 84% in control, reaching 100% after water immersion for 48 and 72h. One-year storage reduced germination by almost 50%, but water immersion slightly increased the germination of stored pyrenes. Hot water decreased germination for both fresh and stored pyrenes. Seeds of C. alba may be classified as orthodox seed storage behavior. Taken all together, water treatments at room temperature improved the germination of the pyrenes. In contrast, long-term seed storage and hot-water treatments may jeopardize germination.

https://doi.org/10.1590/2236-8906-78-2021

Incidence and risk factors of postoperative visual function impairment in elderly patients undergoing nonocular surgery: a prospective cohort study
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Badessa, Guinther G.

; Almeida, Juliano Pinheiro

; Fukushima, Julia Tizue

; Badessa, Marianne

; Colella, Felipe

; Torres, Marcelo L.

; Alves, Milton Ruiz

; Falcão, Luiz Fernando R.

; Silveira, Cirilo Haddad

; Alfano, Adeli Mariane Vieira Lino

; Amaral Neto, Mauricio

; Nakashima, Aloísio Fumio

; Carmona, Maria José C.

Brazilian Journal of Anesthesiology

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dec 2021, Volume 71 N. 6 Pages 599 - 606

Abstract: En | Text: En | PDF: En

Abstract Background: Elderly patients may present with visual function impairment after surgery, which may increase the incidence of postoperative delirium and falls and decrease their quality of life. The aim of this study was to assess visual function in elderly patients after long-duration nonocular surgery to determine the incidence and risk factors for visual function impairment after surgery. Methods: This prospective and observational study included patients aged between 60 and 80 years who had been scheduled for elective non-ocular surgery expected to last longer than 120 minutes under general anaesthesia. Ocular examinations were performed before surgery, on post-operative day 3 and on post-operative day 21 and consisted of a LogMAR-Snellen chart test, a Jager chart test, biomicroscopy, optical tonometry, ocular motility assessment and fundoscopy. Baseline characteristics of all patients as well as intraoperative and postoperative data were collected. Results: A total of 107 patients were included in the final analysis. Visual function impairment was diagnosed in 21 patients (19.6%) at POD 3. Of those, 7 patients (6.5%) still presented with visual changes at POD 21. On POD 3, compared with that at baseline, visual acuity assessed by the Snellen chart test had decreased in these patients. Significant differences regarding refraction tests and intraocular pressure measures were also found. Multivariable analysis identified diabetes mellitus, duration of surgery, hypotension during anaesthesia induction, lower peripheral oxygen saturation at the end of the procedure and body mass index as independent risk factors for postoperative visual impairment. Conclusion: In elderly patients undergoing long-duration non-ocular procedures under general anaesthesia, the incidence of visual function impairment was considerably high. Most patients recovered to baseline visual function, but clinically significant visual changes may still be present 3 weeks after surgery. Obesity, diabetes mellitus, and the duration of surgical and anaesthetic techniques appear to increase the risk of visual impairment after surgery.

https://doi.org/10.1016/j.bjane.2021.09.002

Diretrizes da Sociedade Brasileira de Cardiologia sobre Angina Instável e Infarto Agudo do Miocárdio sem Supradesnível do Segmento ST – 2021
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Nicolau, José Carlos

; Feitosa Filho, Gilson Soares

; Petriz, João Luiz

; Furtado, Remo Holanda de Mendonça

; Précoma, Dalton Bertolim

; Lemke, Walmor

; Lopes, Renato Delascio

; Timerman, Ari

; Marin Neto, José A.

; Bezerra Neto, Luiz

; Gomes, Bruno Ferraz de Oliveira

; Santos, Eduardo Cavalcanti Lapa

; Piegas, Leopoldo Soares

; Soeiro, Alexandre de Matos

; Negri, Alexandre Jorge de Andrade

; Franci, Andre

; Markman Filho, Brivaldo

; Baccaro, Bruno Mendonça

; Montenegro, Carlos Eduardo Lucena

; Rochitte, Carlos Eduardo

; Barbosa, Carlos José Dornas Gonçalves

; Virgens, Cláudio Marcelo Bittencourt das

; Stefanini, Edson

; Manenti, Euler Roberto Fernandes

; Lima, Felipe Gallego

; Monteiro Júnior, Francisco das Chagas

; Correa Filho, Harry

; Pena, Henrique Patrus Mundim

; Pinto, Ibraim Masciarelli Francisco

; Falcão, João Luiz de Alencar Araripe

; Sena, Joberto Pinheiro

; Peixoto, José Maria

; Souza, Juliana Ascenção de

; Silva, Leonardo Sara da

; Maia, Lilia Nigro

; Ohe, Louis Nakayama

; Baracioli, Luciano Moreira

; Dallan, Luís Alberto de Oliveira

; Dallan, Luis Augusto Palma

; Mattos, Luiz Alberto Piva e

; Bodanese, Luiz Carlos

; Ritt, Luiz Eduardo Fonteles

; Canesin, Manoel Fernandes

; Rivas, Marcelo Bueno da Silva

; Franken, Marcelo

; Magalhães, Marcos José Gomes

; Oliveira Júnior, Múcio Tavares de

; Filgueiras Filho, Nivaldo Menezes

; Dutra, Oscar Pereira

; Coelho, Otávio Rizzi

; Leães, Paulo Ernesto

; Rossi, Paulo Roberto Ferreira

; Soares, Paulo Rogério

; Lemos Neto, Pedro Alves

; Farsky, Pedro Silvio

; Cavalcanti, Rafael Rebêlo C.

; Alves, Renato Jorge

; Kalil, Renato Abdala Karam

; Esporcatte, Roberto

; Marino, Roberto Luiz

; Giraldez, Roberto Rocha Corrêa Veiga

; Meneghelo, Romeu Sérgio

; Lima, Ronaldo de Souza Leão

; Ramos, Rui Fernando

; Falcão, Sandra Nivea dos Reis Saraiva

; Dalçóquio, Talia Falcão

; Lemke, Viviana de Mello Guzzo

; Chalela, William Azem

; Mathias Júnior, Wilson

Arquivos Brasileiros de Cardiologia

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jul 2021, Volume 117 N. 1 Pages 181 - 264

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

https://doi.org/10.36660/abc.20210180 3052 downloads

Pre-sowing application of combinations of burndown and pre-emergent herbicides for Conyza spp. control in soybean
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Albrecht, Alfredo Junior Paiola

; Albrecht, Leandro Paiola

; Rodrigues Alves, Samuel Neves

; Silva, André Felipe Moreira

; Silva, Weslei de Oliveira

; Lorenzetti, Juliano Bortoluzzi

; Danilussi, Maikon Tiago Yamada

; Barroso, Arthur Arrobas Martins

Agronomía Colombiana

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apr 2021, Volume 39 N. 1 Pages 121 - 128

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

RESUMEN Juntas, Conyza bonariensis, C. canadensis y C. sumatrensis presentan 105 casos reportados de biotipos resistentes a herbicidas tales como glifosato, paraquat y los inhibidores de la acetolactato sintasa (ALS). Se cree que la aplicación de herbicidas pre-emergentes en mezclas con desecantes es efectiva para controlar Conyza spp. en el manejo pre-siembra de la soya. El objetivo de este estudio fue evaluar la eficacia de sulfentrazona/ diuron, imazetapir/flumioxazin y diclosulam, en mezcla con diquat, paraquat o glufosinato, en el control de Conyza spp. Se realizaron dos experimentos de campo en diseño de bloques al azar con cuatro repeticiones. Los tratamientos consistieron en la aplicación de herbicidas pre-emergentes en mezclas con desecantes, además del tratamiento control (sin aplicación), para un total de 10 tratamientos. El control de Conyza spp. se evaluó a los 7, 14, 21, 28 y 35 d después de la aplicación del herbicida, y se evaluaron los síntomas de daño en las plantas de soya a los 14, 21, 28 y 35 d después de la aplicación del herbicida. Los herbicidas sulfentrazona/diuron, imazetapir/flumioxazin y diclosulam en mezclas con diquat, paraquat o glufosinato, fueron efectivos para controlar Conyza spp. en la pre-siembra de la soya, destacando buenas opciones para la rotación de herbicidas antes y después de la emergencia. Las mezclas con diclosulam mostraron un mayor potencial de daño a las plantas de soya que sulfentrazona/diuron y imazetapir/flumioxazin.

ABSTRACT Together, Conyza bonariensis, C. canadensis and C. sumatrensis show 105 reported cases of biotypes resistant to herbicides like glyphosate, paraquat, and acetolactate synthase (ALS) inhibitors . The application of pre-emergent herbicides combined with burndown herbicides is believed to be effective in controlling Conyza spp. during soybean pre-sowing management. The objective of this study was to evaluate the efficacy of sulfen-trazone/diuron, imazethapyr/flumioxazin, and diclosulam in mixtures with diquat, paraquat, or glufosinate on the control of Conyza spp. Two field experiments were conducted in a randomized block design with four replicates. Treatments consisted of the application of pre-emergent plus burndown herbicides, besides the weedy control treatment (without application), for a total of 10 treatments. The control of Conyza spp. was evaluated at 7, 14, 21, 28, and 35 d after herbicide application, and symptoms of injury in soybean plants were evaluated at 14, 21, 28, and 35 d after herbicide application. The herbicides sulfentrazone/diuron, imazethapyr/flumioxazin, and diclosulam in combination with burndown herbicides diquat, paraquat, or glufosinate were effective in controlling Conyza spp. in the pre-sowing management of soybean, highlighting good options for pre- and post-emergent herbicide rotations. Mixtures with diclosulam showed a higher potential for injury to soybean plants than sulfentrazone/diuron and imazethapyr/flumioxazin.

https://doi.org/10.15446/agron.colomb.v39n1.89545 84 downloads

BRAZILIAN GASTRIC CANCER ASSOCIATION GUIDELINES (PART 2): UPDATE ON TREATMENT
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BARCHI, Leandro Cardoso

; RAMOS, Marcus Fernando Kodama Pertille

; DIAS, André Roncon

; FORONES, Nora Manoukian

; CARVALHO, Marineide Prudêncio de

; CASTRO, Osvaldo Antonio Prado

; KASSAB, Paulo

; COSTA-JÚNIOR, Wilson Luiz da

; WESTON, Antônio Carlos

; ZILBERSTEIN, Bruno

; Ferraz, Álvaro Antônio Bandeira

; ZeideCharruf, Amir

; Brandalise, André

; Silva, André Maciel da

; Alves, Barlon

; Marins, Carlos Augusto Martinez

; Malheiros, Carlos Alberto

; Leite, Celso Vieira

; Bresciani, Claudio José Caldas

; Szor, Daniel

; Mucerino, Donato Roberto

; Wohnrath, Durval R.

; JirjossIlias, Elias

; Martins Filho, Euclides Dias

; PinatelLopasso, Fabio

; Coimbra, Felipe José Fernandez

; Felippe, Fernando E. Cruz

; Tomasisch, Flávio Daniel Saavedra

; Takeda, Flavio Roberto

; Ishak, Geraldo

; Laporte, Gustavo Andreazza

; Silva, Herbeth José Toledo

; Cecconello, Ivan

; Rodrigues, Joaquim José Gama

; Grande, José Carlos Del

; Lourenço, Laércio Gomes

; Motta, Leonardo Milhomem da

; Ferraz, Leonardo Rocha

; Moreira, Luis Fernando

; Lopes, Luis Roberto

; Toneto, Marcelo Garcia

; Mester, Marcelo

; Rodrigues, Marco Antônio Gonçalves

; Franciss, Maurice Youssef

; AdamiAndreollo, Nelson

; Corletta, Oly Campos

; Yagi, Osmar Kenji

; Malafaia, Osvaldo

; Assumpção, Paulo Pimentel

; Savassi-Rocha, Paulo Roberto

; Colleoni Neto, Ramiro

; Oliveira, Rodrigo Jose de

; AissarSallun, Rubens Antonio

; Weschenfelder, Rui

; Oliveira, Saint Clair Vieira de

; Abreu, Thiago Boechat de

; Castria, Tiago Biachi de

; Ribeiro Junior, Ulysses

; Barra, Williams

; Freitas Júnior, Wilson Rodrigues de

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

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2021, Volume 34 N. 1 elocation e1563

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

RESUMO Racional: O II Consenso Brasileiro de Câncer Gástrico da Associação Brasileira de Câncer Gástrico ABCG (Parte 1) foi recentemente publicado. Nesta ocasião inúmeros especialistas que atuam no tratamento desta doença expressaram suas opiniões diante declarações apresentadas. Objetivo: Apresentar as Diretrizes da ABCG (Parte 2) quanto às indicações de tratamento cirúrgico, técnicas operatórias, extensão de ressecção e terapia combinada. Métodos: Para formulação destas diretrizes os autores realizaram extensa e atual revisão referente a cada declaração presente no II Consenso, utilizando as bases Medline/PubMed, Cochrane Library e SciELO, inicialmente com os seguintes descritores: câncer gástrico, gastrectomia, linfadenectomia, terapia combinada. Ainda, cada declaração foi classificada de acordo com o nível de evidência e grau de recomendação. Resultados: Das 43 declarações presentes neste estudo, 11 (25,6%) foram classificadas com nível de evidência A, 20 (46,5%) B e 12 (27,9%) C. Quanto ao grau de recomendação, 18 (41,9%) declarações obtiveram grau de recomendação 1, 14 (32,6%) 2a, 10 (23,3%) 2b e um (2,3%) 3. Conclusão: O complemento das diretrizes aqui presentes possibilita que cirurgiões e oncologistas que atuam no combate ao câncer gástrico possam oferecer o melhor tratamento possível, de acordo com as condições locais disponíveis.

ABSTRACT Background : The II Brazilian Consensus on Gastric Cancer of the Brazilian Gastric Cancer Association BGCA (Part 1) was recently published. On this occasion, countless specialists working in the treatment of this disease expressed their opinion in the face of the statements presented. Aim : To present the BGCA Guidelines (Part 2) regarding indications for surgical treatment, operative techniques, extension of resection and multimodal treatment. Methods: To formulate these guidelines, the authors carried out an extensive and current review regarding each declaration present in the II Consensus, using the Medline/PubMed, Cochrane Library and SciELO databases initially with the following descriptors: gastric cancer, gastrectomy, lymphadenectomy, multimodal treatment. In addition, each statement was classified according to the level of evidence and degree of recommendation. Results : Of the 43 statements present in this study, 11 (25,6%) were classified with level of evidence A, 20 (46,5%) B and 12 (27,9%) C. Regarding the degree of recommendation, 18 (41,9%) statements obtained grade of recommendation 1, 14 (32,6%) 2a, 10 (23,3%) 2b e one (2,3%) 3. Conclusion : The guidelines complement of the guidelines presented here allows surgeons and oncologists who work to combat gastric cancer to offer the best possible treatment, according to the local conditions available.

https://doi.org/10.1590/0102-672020210001e1563 768 downloads

10.

COMVC-19: A Program to protect healthcare workers’ mental health during the COVID-19 Pandemic. What we have learned
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Fukuti, Pedro

; Uchôa, Caroline Louise Mesquita

; Mazzoco, Marina Flaborea

; Cruz, Isabella D'Andrea Garcia da

; Echegaray, Mariana V.F.

; Humes, Eduardo de Castro

; Silveira, Júlia Belizário

; Santi, Talita Di

; Miguel, Euripedes Constantino

; Corchs, Felipe

; Fatori, Daniel

; Campello, Guilherme

; Oliveira, Gabriel M. de

; Argolo, Felipe C.

; Ferreira, Felipe de M.

; Machado, Gustavo

; Argeu, Adriana

; Oliveira, Graça Maria Ramos de

; Serafim, Antônio de Pádua

; Siqueira, Luciana de Lima

; Rossi, Luciane de

; Rios, Izabel Cristina

; Oliveira, Talita Rodrigues de

; Antoniazzi, Leilane C. K.

; Gagliotti, Daniel Augusto Mori

; Abelama Neto, Emílio

; Oliveira Junior, Paulo Novais de

; Correia, Aline Villalobo

; Gonçalves, Luca Schilling

; Tortato, Liana Silva

; Busato, Wagner Machado Moraes

; Guimarães-Fernandes, Flávio

; Alves, Marcos

; Leite Netto, Oswaldo Ferreira

; Schoueri, Patrícia de Campos Lindenberg

; Roque, Márcio de Assis

; Merlin, Silvia Stahl

; Boer, Giovana Cardoso Machado

; Sallet, Paulo Clemente

; Malbergier, André

; Spedo, Mariana Abrahão

; Kamitsuji, Carla Satie

; Faria, Elizabeth de

; Moreira, Moacyr Vergara de Godoy

; Kaufman, Arthur

; Abdo, Carmita

; Scanavino, Marco de Tubino

; Lancman, Selma

; Tavares, Hermano

; Polanczyk, Guilherme

; Brunoni, André R.

; Forlenza, Orestes V.

; Barros-Filho, Tarcísio Eloy Pessoa de

Clinics

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2021, Volume 76 elocation e2631

Abstract: En | Text: En | PDF: En

OBJECTIVE: In 2020, the COVID-19 pandemic brought a work and stress overload to healthcare workers, increasing their vulnerability to mental health impairments. In response, the authors created the COMVC-19 program. The program offered preventive actions and mental health treatment for the 22,000 workers of The Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP). This paper aims to describe its implementation and share what we have learned from this experience. METHODS: Workers were able to easily access the program through a 24/7 hotline. Additionally, a mobile phone app that screened for signs and symptoms of emotional distress and offered psychoeducation and/or referral to treatment was made available. Data from both these sources as well as any subsequent psychiatric evaluations were collected. RESULTS: The first 20 weeks of our project revealed that most participants were female, and part of the nursing staff working directly with COVID-19 patients. The most frequently reported symptoms were: anxiety, depression and sleep disturbances. The most common diagnoses were Adjustment, Anxiety, and Mood disorders. CONCLUSIONS: Implementing a mental health program in a multimodal intervention was feasible in a major quaternary public hospital. Our data also suggests that preventive actions should primarily be aimed at anxiety and depression symptoms, with a particular focus on the nursing staff.

https://doi.org/10.6061/clinics/2021/e2631

11.

BRAZILIAN GASTRIC CANCER ASSOCIATION GUIDELINES (PART 1): AN UPDATE ON DIAGNOSIS, STAGING, ENDOSCOPIC TREATMENT AND FOLLOW-UP
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BARCHI, Leandro Cardoso

; RAMOS, Marcus Fernando Kodama Pertille

; YAGI, Osmar Kenji

; MUCERINO, Donato Roberto

; BRESCIANI, Claudio José Caldas

; RIBEIRO JÚNIOR, Ulysses

; ANDREOLLO, Nelson Adami

; ASSUMPÇÃO, Paulo Pimentel

; WESTON, Antônio Carlos

; COLLEONI NETO, Ramiro

; ZILBERSTEIN, Bruno

; Ferraz, Álvaro Antônio Bandeira

; Charruf, Amir Zeide

; Dias, André Roncon

; Brandalise, André

; Silva, André Maciel da

; Alves, Barlon

; Malheiros, Carlos Alberto

; Marins, Carlos Augusto Martinez

; Leite, Celso Vieira

; Szor, Daniel

; Wohnrath, Durval R.

; Ilias, Elias Jirjoss

; Martins Filho, Euclides Dias

; Lopasso, Fabio Pinatel

; Coimbra, Felipe José Fernandez

; Felippe, Fernando E. Cruz

; Tomasisch, Flávio Daniel Saavedra

; Takeda, Flavio Roberto

; Ishak, Geraldo

; Laporte, Gustavo Andreazza

; Silva, Herbeth José Toledo

; Cecconello, Ivan

; Rodrigues, Joaquim José Gama

; Grande, José Carlos Del

; Lourenço, Laércio Gomes

; Motta, Leonardo Milhomem da

; Ferraz, Leonardo Rocha

; Moreira, Luis Fernando

; Lopes, Luis Roberto

; Toneto, Marcelo Garcia

; Mester, Marcelo

; Rodrigues, Marco Antônio Gonçalves

; Carvalho, Marineide Prudêncio de

; Franciss, Maurice Youssef

; Forones, Nora Manoukian

; Corletta, Oly Campos

; Castro, Osvaldo Antonio Prado

; Malafaia, Osvaldo

; Kassab, Paulo

; Savassi-Rocha, Paulo Roberto

; Oliveira, Rodrigo Jose de

; Sallun, Rubens Antonio Aissar

; Weschenfelder, Rui

; Oliveira, Saint Clair Vieira de

; Abreu, Thiago Boechat de

; Castria, Tiago Biachi de

; Barra, Williams

; Costa Júnior, Wilson Luiz da

; Freitas Júnior, Wilson Rodrigues de

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

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2020, Volume 33 N. 3 elocation e1535

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

RESUMO Racional: O II Consenso Brasileiro de Câncer Gástrico da Associação Brasileira de Câncer Gástrico (ABCG) foi recentemente publicado. Nesta ocasião, inúmeros especialistas que atuam no tratamento desta doença expressaram sua opinião diante declarações apresentadas. Objetivo: Apresentar as Diretrizes da ABCG (Parte 1) quanto ao diagnóstico, estadiamento, tratamento endoscópico e seguimento dos pacientes com câncer gástrico. Métodos: Para formulação destas Diretrizes os autores realizaram extensa e atual revisão referente a cada declaração presente no II Consenso, utilizando as bases Medline/PubMed, Cochrane Library e SciELO com os seguintes descritores: câncer gástrico, estadiamento, tratamento endoscópico e seguimento. Ainda, cada declaração foi classificada de acordo com o nível de evidência e grau de recomendação. Resultados: Das 24 declarações, duas (8,3%) foram classificadas com nível de evidência A, 11 (45,8%) B e 11 (45,8%) C. Quanto ao grau de recomendação, seis (25%) declarações obtiveram grau de recomendação 1, nove (37,5%) grau 2a, seis (25%) 2b e três (12,5%) 3. Conclusão: As diretrizes aqui presentes têm a finalidade de auxiliar os profissionais que atuam no combate ao câncer gástrico com informações relevantes e atuais, permitindo que sejam aplicadas na prática médica diária.

ABSTRACT Background: The II Brazilian Consensus on Gastric Cancer by the Brazilian Gastric Cancer Association (ABCG) was recently published. On this occasion, several experts in gastric cancer expressed their opinion before the statements presented. Aim: To present the ABCG Guidelines (part 1) regarding the diagnosis, staging, endoscopic treatment and follow-up of gastric cancer patients. Methods: To forge these Guidelines, the authors carried out an extensive and current review regarding each statement present in the II Consensus, using the Medline/PubMed, Cochrane Library and SciELO databases with the following descriptors: gastric cancer, staging, endoscopic treatment and follow-up. In addition, each statement was classified according to the level of evidence and degree of recommendation. Results: Of the 24 statements, two (8.3%) were classified with level of evidence A, 11 (45.8%) with B and 11 (45.8%) with C. As for the degree of recommendation, six (25%) statements obtained grade of recommendation 1, nine (37.5%) recommendation 2a, six (25%) 2b and three (12.5%) grade 3. Conclusion: The guidelines presented here are intended to assist professionals working in the fight against gastric cancer with relevant and current information, granting them to be applied in the daily medical practice.

https://doi.org/10.1590/0102-672020200003e1535 2100 downloads

12.

Ten-year seasonal climate reforecasts over South America using the Eta Regional Climate Model
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CHOU, SIN CHAN

; DERECZYNSKI, CLAUDINE

; GOMES, JORGE LUÍS

; PESQUERO, JOSÉ FERNANDO

; AVILA, ANA MARIA H. DE

; RESENDE, NICOLE C.

; ALVES, LUÍS FELIPE

; RUIZ-CÁRDENAS, RAMIRO

; SOUZA, CARLOS RENATO DE

; BUSTAMANTE, JOSIANE FERREIRA F.

Anais da Academia Brasileira de Ciências

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2020, Volume 92 N. 3 elocation e20181242

Abstract: En | Text: En | PDF: En

Abstract Ten-year seasonal climate reforecasts over South America are obtained using the Eta Regional Climate Model at 40 km resolution, driven by the large-scale forcing from the global atmospheric model of the Center for Weather Forecasts and Climate Studies. The objective of this work is to evaluate these regional reforecasts. The dataset is comprised of four-month seasonal forecasts performed on a monthly basis between 2001 and 2010. An ensemble of five members is constructed from five slightly different initial conditions to partially reduce the uncertainty in the seasonal forecasts. The seasonal mean precipitation and 2-meter temperature forecasts are compared with the observations. The comparison shows that, in general, forecasted precipitation is underestimated in the central part of the continent in the austral summer, whereas the forecasted 2 meter temperature is underestimated in most parts of the continent and throughout the year. Skill scores show higher skill in the northern part of the continent and lower skill in the southern part of the continent, but mixed skill signs are seen in the central part of the continent. During the El Niño and La Niña seasons, the forecast skill scores clearly increase. The downscaling of the Eta model seasonal forecasts provides added value over the driver global model forecasts, especially during rainy periods.

https://doi.org/10.1590/0001-3765202020181242 793 downloads

13.

Confirmed Invasive Pulmonary Aspergillosis and COVID-19: the value of postmortem findings to support antemortem management
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Santana, Monique Freire

; Pivoto, Guilherme

; Alexandre, Márcia A. Araujo

; Baía-da-Silva, Djane Clarys

; Borba, Mayla Gabriela da Silva

; Val, Fernando Almeida

; Brito-Sousa, Jose Diego

; Melo, Gisely Cardoso

; Monteiro, Wuelton Marcelo

; Souza, João Vicente Braga

; Pinheiro, Silviane Bezerra

; Ferreira, Luiz Carlos Lima

; Naveca, Felipe Gomes

; Nascimento, Valdinete Alves

; Corado, André Lima Guerra

; Hajjar, Ludhmila Abrahão

; Silva Neto, João Ricardo

; Siva, George Alan Villarouco

; Pasqualotto, Alessandro C.

; Lacerda, Marcus Vinícius Guimarães

Revista da Sociedade Brasileira de Medicina Tropical

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2020, Volume 53 elocation e20200401

Abstract: En | Text: En | PDF: En

Abstract We present postmortem evidence of invasive pulmonary aspergillosis (IPA) in a patient with severe COVID-19. Autopsies of COVID-19 confirmed cases were performed. The patient died despite antimicrobials, mechanical ventilation, and vasopressor support. Histopathology and peripheral blood galactomannan antigen testing confirmed IPA. Aspergillus penicillioides infection was confirmed by nucleotide sequencing and BLAST analysis. Further reports are needed to assess the occurrence and frequency of IPA in SARS-CoV-2 infections, and how they interact clinically.

https://doi.org/10.1590/0037-8682-0401-2020 2017 downloads

14.

Caesalpinia pulcherrima seed galactomannan on rheological properties of dairy desserts
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Medeiros, Stella Regina Arcanjo

; Oliveira, Victor Alves de

; Oliveira, Amanda Mazza Cruz de

; Araujo, Marjory Lima Holanda

; Feitosa, Judith Pessoa de Andrade

; Paula, Regina Celia Monteiro de

; Sousa, Felipe Domingos de

; Moreira, Ana Cristina de Oliveira Monteiro

; Beserra, Frederico José

; Moreira, Renato de Azevedo

Ciência Rural

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2020, Volume 50 N. 6 elocation e20190176

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

RESUMO: Sobremesas lácteas contendo galactomanana de semente de Caesalpinia pulcherrima tiveram suas propriedades reológicas estáticas e dinâmicas avaliadas. As variações nos índices de consistência (K) e comportamento de fluxo (n), assim como na tensão inicial de fluxo e na tixotropia das sobremesas mostraram o efeito da galactomanana sobre a tensão de cisalhamento e viscosidade aparente dos sistemas lácteos. Todas as sobremesas exibiram comportamento pseudoplástico, com índices de comportamento de fluxo (n) variando entre 0,06 e 0,37. A reologia dinâmica dos grupos MD (alto teor de sólidos) e MD/2 (metade do teor de sólidos), mostrou G’ > G’’ e módulos dependentes da frequência e da temperatura. Alterações químicas nos componentes das sobremesas foram observadas a 50° C em virtude da maior sensibilidade dos valores de G’ e G” a partir dessa temperatura. A galactomanana de C. pulcherrima contribuiu para o desenvolvimento de géis mais fortes e resistentes nas sobremesas lácteas, bem como mostrou sinergismo com amido, proteína do leite e sacarose.

ABSTRACT: Dairy desserts containing Caesalpinia pulcherrima seed galactomannan were evaluated to determine their static and dynamic rheological behaviors. Variations in consistency index (k), flow behavior (n), yield stress and thixotropy of the desserts indicated that the galactomannan caused an increase in the shear stress and apparent viscosity of the system. All samples exhibited shear-thinning behavior with flow behavior index values (n) between 0.06 and 0.37. Dynamic rheological behavior was evaluated for MD (high solid levels) and MD/2 (half the amount of solids) groups, and both G’ and G’’ moduli were depended on the frequency. The MD and MD/2 groups showed variations in the elastic modulus (G’) throughout the temperature range (mainly at 50 °C), showing greater sensitivity at high temperatures. C. pulcherrima galactomannan was able to promote synergism with starch, milk protein and sucrose and to improve the development of stronger and more resistant gels.

https://doi.org/10.1590/0103-8478cr20190176 767 downloads

15.

Updated Cardiovascular Prevention Guideline of the Brazilian Society of Cardiology - 2019
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Précoma, Dalton Bertolim

; Oliveira, Gláucia Maria Moraes de

; Simão, Antonio Felipe

; Dutra, Oscar Pereira

; Coelho, Otávio Rizzi

; Izar, Maria Cristina de Oliveira

; Póvoa, Rui Manuel dos Santos

; Giuliano, Isabela de Carlos Back

; Alencar Filho, Aristóteles Comte de

; Machado, Carlos Alberto

; Scherr, Carlos

; Fonseca, Francisco Antonio Helfenstein

; Santos Filho, Raul Dias dos

; Carvalho, Tales de

; Avezum Jr., Álvaro

; Esporcatte, Roberto

; Nascimento, Bruno Ramos

; Brasil, David de Pádua

; Soares, Gabriel Porto

; Villela, Paolo Blanco

; Ferreira, Roberto Muniz

; Martins, Wolney de Andrade

; Sposito, Andrei C.

; Halpern, Bruno

; Saraiva, José Francisco Kerr

; Carvalho, Luiz Sergio Fernandes

; Tambascia, Marcos Antônio

; Coelho-Filho, Otávio Rizzi

; Bertolami, Adriana

; Correa Filho, Harry

; Xavier, Hermes Toros

; Faria-Neto, José Rocha

; Bertolami, Marcelo Chiara

; Giraldez, Viviane Zorzanelli Rocha

; Brandão, Andrea Araújo

; Feitosa, Audes Diógenes de Magalhães

; Amodeo, Celso

; Souza, Dilma do Socorro Moraes de

; Barbosa, Eduardo Costa Duarte

; Malachias, Marcus Vinícius Bolívar

; Souza, Weimar Kunz Sebba Barroso de

; Costa, Fernando Augusto Alves da

; Rivera, Ivan Romero

; Pellanda, Lucia Campos

; Silva, Maria Alayde Mendonça da

; Achutti, Aloyzio Cechella

; Langowiski, André Ribeiro

; Lantieri, Carla Janice Baister

; Scholz, Jaqueline Ribeiro

; Ismael, Silvia Maria Cury

; Ayoub, José Carlos Aidar

; Scala, Luiz César Nazário

; Neves, Mario Fritsch

; Jardim, Paulo Cesar Brandão Veiga

; Fuchs, Sandra Cristina Pereira Costa

; Jardim, Thiago de Souza Veiga

; Moriguchi, Emilio Hideyuki

; Schneider, Jamil Cherem

; Assad, Marcelo Heitor Vieira

; Kaiser, Sergio Emanuel

; Lottenberg, Ana Maria

; Magnoni, Carlos Daniel

; Miname, Marcio Hiroshi

; Lara, Roberta Soares

; Herdy, Artur Haddad

; Araújo, Cláudio Gil Soares de

; Milani, Mauricio

; Silva, Miguel Morita Fernandes da

; Stein, Ricardo

; Lucchese, Fernando Antonio

; Nobre, Fernando

; Griz, Hermilo Borba

; Magalhães, Lucélia Batista Neves Cunha

; Borba, Mario Henrique Elesbão de

; Pontes, Mauro Ricardo Nunes

; Mourilhe-Rocha, Ricardo

Arquivos Brasileiros de Cardiologia

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oct 2019, Volume 113 N. 4 Pages 787 - 891

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

https://doi.org/10.5935/abc.20190204 40841 downloads

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