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ABSTRACT Objective: To report outcomes from the largest multicenter series of penile cancer patients undergoing video endoscopic inguinal lymphadenectomy (VEIL). Materials and Methods: Retrospective multicenter analysis. Authors of 21 centers from the Penile Cancer Collaborative Coalition-Latin America (PeC-LA) were included. All centers performed the procedure following the same previously described standardized technique. Inclusion criteria included penile cancer patients with no palpable lymph nodes and intermediate/high-risk disease and those with non-fixed palpable lymph nodes less than 4 cm in diameter. Categorical variables are shown as percentages and frequencies whereas continuous variables as mean and range. Results: From 2006 to 2020, 210 VEIL procedures were performed in 105 patients. Mean age was 58 (45-68) years old. Mean operative time was 90 minutes (60-120). Mean lymph node yield was 10 nodes (6-16). Complication rate was 15.7%, including severe complications in 1.9% of procedures. Lymphatic and skin complications were noted in 8.6 and 4.8% of patients, respectively. Histopathological analysis revealed lymph node involvement in 26.7% of patients with non-palpable nodes. Inguinal recurrence was observed in 2.8% of patients. 10y- overall survival was 74.2% and 10-y cancer specific survival was 84.8%. CSS for pN0, pN1, pN2 and pN3 were 100%, 82.4%, 72.7% and 9.1%, respectively. Conclusion: VEIL seems to offer appropriate long term oncological control with minimal morbidity. In the absence of non-invasive stratification measures such as dynamic sentinel node biopsy, VEIL emerged as the alternative for the management of non-bulky lymph nodes in penile cancer.

https://doi.org/10.1590/s1677-5538.ibju.2023.0065

Agronomic and physical traits of grain in transgenic and conventional corn for industrial use
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Kluge, Elizandro R.

; Mendes, Marcelo C.

; Faria, Marcos V.

; Stanislavski, Iasmim E.

; Kluge, Fabiéli T. da R.

; Zucareli, Claudemir

Revista Brasileira de Engenharia Agrícola e Ambiental

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dec 2022, Volume 26 N. 12 Pages 887 - 893

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

RESUMO As características agronômicas e físicas do milho são fundamentais para produtores e indústrias que utilizam este cereal como matéria-prima, pois, interferem nos processos de industrialização, rendimento e qualidade dos produtos finais. Desse modo, o objetivo com este estudo foi avaliar as características agronômicas e físicas do grão de híbridos de milho transgênicos e convencionais cultivados na primeira safra (verão) no Estado do Paraná. Foram instalados três experimentos, nas safras agrícolas 2017/18, 2018/19 e 2019/20. O delineamento experimental utilizado foi de blocos casualizados com oito híbridos: (Supremo Vip, Supremo, P30F53VYH, P30F53, P3456H, P3456, DKB290PRO3, DKB290) e três repetições. Foram avaliadas as características físicas dos grãos para fins industriais como a canjica, gérmen, vitreosidade, flutuação e peso hectolitro, e as características agronômicas como a porcentagem de grãos ardidos, peso de mil grãos e produtividade de grãos. A canjica e gérmen são influenciados pela escolha do híbrido e pela safra agrícola avaliada, em que os híbridos Supremo (convencional), Supremo Vip (transgênico) e P3456 (convencional) apresentaram os melhores resultados. As características físicas de flutuação, peso hectolitro e vitreosidade foram influenciadas pela escolha do híbrido e safra agrícola avaliada, destacando-se os híbridos Supremo (convencional), Supremo Vip (transgênico), P30F53 (convencional), P30F53 VYH (transgênico), P3456 (convencional), P3456 VYH (transgênico), com os melhores resultados. Os híbridos convencionais mostraram superioridade industrial comparados aos híbridos transgênicos para canjica, flutuação e vitreosidade.

ABSTRACT The agronomic and physical traits of corn are fundamental for producers and industries that use this cereal as a raw material since they interfere in the industrialization processes, yield, and quality of the final products. This study aimed to evaluate the agronomic and physical traits of the grain in transgenic and conventional corn hybrids grown in the first crop season (summer) in Paraná State. Three experiments were set up in 2017/18, 2018/19, and 2019/20 crop seasons. A randomized block design with three replications was used. Eight hybrids (Supremo Vip, Supremo, P30F53VYH, P30F53, P3456H, P3456, DKB290PRO3, DKB290) were evaluated. The physical traits of grains for industrial purposes, such as grits, germ, vitreousness, flotation, and hectoliter weight, and the agronomic traits (percentage of rot grains, 1000-grain weight, and grain yield) were evaluated. The hybrids and crop seasons influence the industrial physical traits of grits and germ. The hybrids Supremo (conventional), Supremo Vip (transgenic), and P3456 (conventional) had the best results. The hybrids and crop season influenced the flotation, hectoliter weight, and vitreousness, highlighting the hybrids Supremo (conventional), Supremo Vip (transgenic), P30F53 (conventional), P30F53 VYH (transgenic), P3456 (conventional), P3456 VYH (transgenic), with the best results. The conventional hybrids showed industrial superiority compared to transgenic hybrids for grits, flotation, and vitreousness.

https://doi.org/10.1590/1807-1929/agriambi.v26n12p887-893

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

Regenerated Cellulose Membrane from Peanut Shell for Biodiesel Purification
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Reis, Ana Maria S.

; Vieira, Andressa T.

; Santos, Allyson L. R.

; Ferreira, Marcos V.

; Batista, Antônio C. F.

; Assunção, Rosana M. N.

; Rodrigues Filho, Guimes

; Ribeiro, Elaine A. M.

; Faria, Anizio M.

Journal of the Brazilian Chemical Society

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may 2020, Volume 31 N. 5 Pages 1011 - 1020

Abstract: En | Text: En | PDF: En

Biodiesel purification by water washing has been proved to be an unattractive process from an economic and environmental point of view. In this work, we propose the use of regenerated cellulose membranes from peanut shell as an alternative in the biodiesel purification. The preparation of the membranes was optimized from a central composite design, resulting in dense and non-porous membranes. However, in contact with biodiesel, the membranes undergo expansion due to the retention of methanol, water, and glycerol molecules, allowing the permeation of fatty acid methyl esters. The filtered biodiesel presents quality parameters, such as total ester content of 98.3 ± 1.4% and free glycerol content < 0.02%, in agreement with the main regulatory agencies. The regenerated cellulose membranes from peanut shell are easily prepared, with high repeatability (relative standard deviation (RSD) < 1.8%) and are presented as an economical and environmental solution for the biodiesel purification.

https://doi.org/10.21577/0103-5053.20190267 277 downloads

A new species of Phylloptera Serville, 1831 (Orthoptera, Tettigoniidae, Phaneropterinae) from southern Brazil and lectotype designation for Phylloptera picta Brunner von Wattenwyl, 1891
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Fianco, Marcos

; Szinwelski, Neucir

; Faria, Luiz R. R.

Revista Brasileira de Entomologia

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2020, Volume 64 N. 4 elocation e20200058

Abstract: En | Text: En | PDF: En

Abstract Here we describe a new katydid species, Phylloptera jaci sp. nov., from the Iguaçu National Park, a large Atlantic Forest protected remnant in southern Brazil. This is the first record of a species of Phylloptera of the picta species group both for Brazil and the Atlantic Forest. We also designate the lectotype for Phylloptera picta, from Peru, and present a complementary description of this species. An occurrence map for the species of Phylloptera of the picta species group are also presented.

https://doi.org/10.1590/1806-9665-rbent-2020-0058 591 downloads

Pyrazolyl-Tetrazoles and Imidazolyl-Pyrazoles as Potential Anticoagulants and their Integrated Multiplex Analysis Virtual Screening
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Lourenço, André L. P. G.

; Vegi, Percilene F.

; Faria, Jéssica V.

; Pinto, Gustavo S. P.

; Santos, Maurício S. dos

; Sathler, Plínio C.

; Saito, Max S.

; Santana, Marcos

; Dutra, Tatiana P. P.

; Rodrigues, Carlos R.

; Monteiro, Robson Q.

; Bernardino, Alice M. R.

; Castro, Helena C.

Journal of the Brazilian Chemical Society

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jan 2019, Volume 30 N. 1 Pages 33 - 47

Abstract: En | Text: En | PDF: En

This article reports a novel virtual screening algorithm seeking the rational identification of novel lead anticoagulants. Seven 5-(3-methyl-1-aryl-1H-pyrazol-4-yl)-1H-tetrazoles and seven novel 1-aryl-4-(4,5-dihydro-1H-imidazol-2-yl)-3-methyl-1H-pyrazoles were obtained in three steps starting from arylhydrazine hydrochlorides as raw materials in good yields: 50-72% and 50-85%, respectively. All compounds were submitted to an in silico target-base pipeline named integrated multiplex analysis virtual screening (IMA-VS), which comprises the evaluation of their (i) fitting physicochemical properties to the chemical environment of the target enzyme; (ii) active-site homing electrostatic potential to the target enzyme; (iii) structural fitting to the target active site through molecular docking; and (iv) overall absorption, distribution, metabolism, excretion and toxicity (ADMET) profile. After the virtual selection of potential anticoagulant hits, all molecules were synthesized and candidates were evaluated in vitro for their anticoagulant and hemolytic profile. The most promising candidate pointed out by IMA-VS was compound 1-(3',4'-dichlorophenyl)-4-(4,5-dihydro-1H-imidazol-2-yl)-3-methyl-1H-pyrazole that shown to display factor Xa (FXa)-specific inhibitory activity in vitro, acting as an uncompetitive inhibitor with an inhibition constant (Ki) = 61.16 ± 12.96 µM, in addition to the lowest hemolytic activity of the series. Further experiments revealed the antithrombotic activity of this compound in an in vivo model of arterial thrombosis induced by FeCl3.

https://doi.org/10.21577/0103-5053.20180150 940 downloads

Validation of the brazilian version of Guy's neurological disability scale
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Araujo, Carolina R.

; Simão, Luciano M.

; Ybarra, Mariana I.

; Faria, Natasha V.M.G.

; Botelho, Caroline M.

; Moreira, Marcos A.

; Teixeira, Antônio L.

; Lana-Peixoto, Marco A.

Arquivos de Neuro-Psiquiatria

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sep 2007, Volume 65 N. 3a Pages 615 - 618

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

A Guy's neurological disability scale (GNDS) é uma escala de incapacidade criada recentemente, orientada para o paciente, multidimensional, e que não privilegia nenhum tipo específico de incapacidade. O objetivo deste estudo é validar a GNDS para a língua portuguesa. A adaptação da escala foi feita através do método de tradução e re-tradução. Sessenta e dois pacientes com esclerose múltipla (EM) clinicamente definida de acordo com os critérios de Poser participaram deste estudo. A GNDS foi aplicada individualmente em cada paciente. O EDSS e o índice ambulatorial (IA) foram determinados por neurologista. A correlação intra-classe e o valor de Cronbach's alfa da versão brasileira da GNDS (0.94 e 0.83, respectivamente) foram comparáveis aos do artigo original (0.98 e 0.79, respectivamente). Como no artigo original, a análise fatorial da versão brasileira da GNDS sugeriu uma solução de quatro fatores que explicaria 68.8% da variação total. A versão brasileira da GNDS mostrou-se clinicamente relevante uma vez que se correlacionou com o EDSS e o IA. Em conclusão, a versão brasileira da GNDS pode ser considerada como um importante instrumento de avaliação incapacidade na EM com significado clínico e relevância psicométrica.

The Guy's neurological disability scale (GNDS) has recently been introduced as a new measure of disability in multiple sclerosis. It is patient-oriented, multidimensional, and not biased towards any particular disability. The purpose of the present study was to validate the Brazilian version of the GNDS. The adaptation of the scale was based on the translation/back-translation methodology. Sixty-two patients with clinically definite multiple sclerosis (CDMS) according to Poser's criteria were recruited for this study. GNDS was administered individually to each subject. The EDSS and the ambulation index (AI) scores were assigned by a neurologist. The intraclass correlation coefficient and the Cronbach's alpha values of the Brazilian version of GNDS (0.94 and 0.83, respectively) were comparable to the original one (0.98 and 0.79, respectively). Furthermore, the factor analysis of the Brazilian version of GNDS suggested, as the original article, a four-factor solution which accounted for 68.8% of the total variance. The Brazilian version of GNDS was found to be clinically relevant as it correlated significantly with the EDSS and AI. In conclusion, the Brazilian version of GNDS can be considered an important tool to evaluate the disability in MS patients, with clinical usefulness and psychometrics soundness.

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Prevalência de sobrepeso e obesidade em pacientes com diabetes mellitus do tipo 2 no Brasil: estudo multicêntrico nacional
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Gomes, Marilia de Brito

; Giannella Neto, Daniel

; Mendonça, Eurico de

; Tambascia, Marcos A.

; Fonseca, Reine Marie

; Réa, Rosangela R.

; Macedo, Geísa

; Modesto Filho, João

; Schmid, Helena

; Bittencourt, Alcina Vinhaes

; Cavalcanti, Saulo

; Rassi, Nelson

; Faria, Manuel

; Pedrosa, Hermelinda

; Dib, Sérgio Atala

Arquivos Brasileiros de Endocrinologia & Metabologia

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feb 2006, Volume 50 N. 1 Pages 136 - 144

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

OBJETIVO: Avaliar a prevalência de sobrepeso e obesidade em pacientes ambulatoriais com diabetes mellitus tipo 2 (DM2) em diferentes regiões do Brasil. PACIENTES E MÉTODOS: Avaliamos aleatoriamente 2.519 pacientes em 11 hospitais, 2 ambulatórios especializados e um posto de saúde em 10 cidades brasileiras. Consideramos sobrepeso um índice de massa corporal (IMC) > 25 e obesidade um IMC > 30 kg/m². O controle glicêmico (CG) foi avaliado pelo índice de CG [ICG= HbA1 e ou HbA1c do paciente/limite superior de normalidade do método x 100]. RESULTADOS: Os pacientes tinham idade de 58,8 ± 11,6 anos, tempo de diagnóstico clínico de DM de 9,0 ± 7,3 anos, IMC de 28,3 ± 5,2 kg/m², e 39% eram do sexo masculino. Do total da amostra, 265 pacientes (10,5%) não apresentavam avaliação do IMC. Os pacientes da região Nordeste apresentaram menor IMC em comparação com os das regiões Centro-Oeste, Sudeste e Sul, respectivamente (26,4 ± 4,7 vs. 27,9 ± 4,8 vs. 29,2 ± 5,1 vs. 29,4 ± 5,4 kg/m²; p< 0,001). Houve maior prevalência de obesidade na região Sudeste e Sul em comparação à região Nordeste (p< 0,001) e nos pacientes do sexo feminino, respectivamente (69 vs. 31%; p< 0,001). Os pacientes com peso normal apresentaram menor ICG. Aqueles em tratamento com associação de duas ou mais drogas orais e associação de insulina + droga oral apresentaram maior IMC do que aqueles em tratamento com dieta, hipoglicemiante oral e insulina; p< 0,001. O IMC não diferiu entre os pacientes assistidos ou não por especialistas. CONCLUSÕES: Da população estudada, 75% não estava na faixa de peso ideal, sendo que um terço tinha obesidade. Nossos dados indicam que o sobrepeso e a obesidade já atingem um percentual de pacientes com DM2 no Brasil semelhante ao relatado em estudos europeus, mas ainda menor do que o observado nos EUA. A prevalência de obesidade nos pacientes diabéticos foi três vezes maior do que a observada na população brasileira em geral de acordo com os dados do IBGE.

AIM: To evaluate the prevalence of overweight and obesity in type 2 diabetic (DM2) outpatients from different regions of Brazil. PATIENTS AND METHODS: We studied 2,519 randomly selected patients, from 11 hospitals, 2 endocrine and one general public care clinics from 10 cities. Overweight was defined as body-mass index (BMI) > 25 and obesity as BMI > 30 kg/m². Glycemic control (GC) was evaluated by GC index (GCI= patient's HbA1 or HbA1c/upper limit of normal for the method x 100). RESULTS: 39% of the population studied was male, the mean age was 58.8 ± 11.6 y, the duration from clinical diagnosis of DM2 was 9.0 ± 7.3y, and BMI was 28.3 ± 5.2 kg/m². No measurements of BMI were recorded from 265 patients (10.5%). Patients from the Northeast presented lower BMI as compared with those from the Midwest, Southeast and South areas, respectively (26.4 ± 4.7 vs. 27.9 ± 4.8 vs. 29.2 ± 5.1 vs. 29.4 ± 5.4 kg/m²; p< 0.001). A greater prevalence of obesity was observed in the Southeast and South areas as compared to the Northeast (p< 0.001), as well as in the female group, respectively (69% vs. 31%; p< 0.001). Normal weight patients presented lower GCI. Patients being treated with two or more oral drugs and an association of insulin plus oral drug presented greater BMI values than those being treated with diet, oral hypoglycemic agents and insulin p< 0.001. The BMI of patients treated by a specialist did not differ from those treated by a generalist. CONCLUSIONS: 75% of our sample was out of adequate BMI and 30% was obese. The percentage of patients with overweight and obesity was comparable to those found in similar European studies but still lower than those found in the USA. The prevalence of obesity in diabetic patients was three times higher than in the overall Brazilian population according to data from the Brazilian Institute of Geography and Statistics (IBGE).

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Food consumption of Rhammatocerus schistocercoides Rehn (Orthoptera: Acrididae) infected by the fungus Metarhizium flavoviride Gams & Rozsypal
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Faria, Marcos R. de

; Almeida, Danylo de O.

; Magalhães, Bonifácio P.

Anais da Sociedade Entomológica do Brasil

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mar 1999, Volume 28 N. 1 Pages 91 - 99

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

Foi examinada a capacidade de consumo foliar de ninfas e adultos do gafanhoto Rhammatocerus schistocercoides Rehn após infecção pelo fungo Metarhizium flavoviride Gams & Rozsypal. Ninfas de sexto e oitavo estádios e fêmeas adultas consumiram diariamente, em média, 6,9 ± 0,36 cm² (60,7 ± 2,92 mg de matéria seca), 11,0 ± 1,35 cm² (74,9 ± 9,24 mg m.s.), e 16,0 ± 0,50 cm² (126,5 ± 6,35 mg m.s.) de folhas de cana-de-açúcar, equivalente a 85,4, 35,9 e 41,9% do peso vivo dos insetos, respectivamente. Ninfas de oitavo estádio e fêmeas adultas inoculadas com o fungo M. flavoviride (5.000 conídios/ gafanhoto) ingeriram significativamente menos alimento a partir do terceiro dia após a inoculação do patógeno e apresentaram no décimo dia um consumo médio 74,5 e 45,6% inferior ao do controle, respectivamente. Fêmeas adultas tratadas topicamente com dose subletal (3 ml de uma solução 8 ppm/ inseto) do inseticida químico diflubenzuron apresentaram consumo semelhante àquele da testemunha (P=0,065), e a combinação do químico com o fungo não apresentou resultados diferentes daqueles obtidos com o fungo isoladamente (P=0,405). Observou-se forte correlação (r²=0,998) entre a produção de pellets fecais por R. schistocercoides e o consumo foliar. Os resultados obtidos confirmaram a grande voracidade do gafanhoto R. schistocercoides e demonstraram marcante efeito adverso do fungo na ingestão de alimentos por adultos e ninfas da espécie.

Foliage consumption by nymphs and adults of the grasshopper Rhammatocerus schistocercoides Rehn infected with the fungus Metarhizium flavoviride Gams & Rozsypal was evaluated. Sixth and eighth instar nymphs and female adults consumed on average (±SEM) 6.9 ± 0.36 cm² (60.7 ± 2.92 mg of dry matter), 11.0 ± 1.35 cm² (74.9 ± 9.24 mg d.m.), and 16.0 ± 0.50 cm² (126.5 ± 6.35 mg d.m.) of sugarcane leaves per day, equivalent to 85.4, 35.9 and 41.9% of the insect body weights, respectively. Eighth instar nymphs and female adults inoculated with M. flavoviride (5,000 conidia / insect) ingested less food from day three onward and showed at day 10 an average consumption 74.5 and 45.6% lower than control insects, respectively. Adult females topically treated with a sub-lethal dosage (3 ml of a 8 ppm suspension / insect) of the chemical insecticide diflubenzuron showed consumption rates comparable to untreated insects (P=0.065). The combination fungus + chemical did not show results different from those obtained with the fungus alone (P=0.405). A strong correlation (r²=0.998) between production of fecal pellets by R. schistocercoides and food consumption was observed. These results confirmed the high voracity of R. schistocercoides and showed a remarkable adverse effect of the fungus on food intake by infected nymphs and adults.

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