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1.
[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
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.
2.
Low-Temperature Partitioning: A Simple Screening Method for Determining Diethylene Glycol in Beer by Gas Chromatography
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Azevedo, Mariane M.
; Miranda, Liany D. L.
; Queiroz, Maria Eliana L. R. de
; Oliveira, André F. de
; Pereira, Alexandre F.
; Neves, Antônio A.
; Silva, Thaís L. R.
.
Diethylene glycol is an extremely toxic substance to humans. Recently, cases of beer contamination in Brazil have raised awareness of the need for developing simple screening methods to evaluate this type of compound. This research developed a liquid-liquid extraction with low-temperature partitioning technique to determine diethylene glycol in beer via gas chromatography. Employing a flame-ionization detector simplifies the method, lowers its cost and therefore, it can be used as screening step to assess the possibility of contamination. A gas chromatograph coupled to a mass spectrometer would be used only for a confirmatory analysis. The optimized method was validated for the main figures of merit, and it proved to be adequate, with good values of recovery rate (94-106%), limit of detection (3.0 mg L-1), and quantification (10.0 mg L-1). Accuracy, in terms of repeatability and intermediate accuracy, showed variation coefficients lower than or equal to 20%. This method was applied to 28 samples of beers marketed in Brazil, and diethylene glycol was found above the limit of detection in three of them (10.7%). These results were confirmed by a gas chromatograph coupled to a mass spectrometer, which showed the reliability of the screening method for determining diethylene glycol in beer samples.
3.
New evidence for in vitro conservation of nodal segments of the passion fruit ‘UENF Rio Dourado’ (Passiflora edulis Sims)
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Generoso, Andressa Leal
; Carvalho, Virginia Silva
; Sales, Roberta Aparecida
; Brito, Naiara Lopes
; Viana, Alexandre Pio
; Pereira, Telma Nair Santana
.
ABSTRACT. The germplasm of Passiflora L. is conserved through seed banks and field collections. Dormant seeds, seeds with low viability, and high-cost field collections make it difficult to maintain germplasm banks, and in vitro conservation can be a complementary alternative. The aim of this study was to investigate the survival of nodal segments of Passiflora edulis Sims ‘UENF Rio Dourado’ over 180 days of slow growth in vitro by reducing the mineral salt and sucrose concentrations and changing the incubation conditions (temperature and light intensity). The experiment was conducted in a completely randomized design with a 2 × 3 × 3 factorial arrangement consisting of two temperatures (20 ± 2°C and 27 ± 2°C), three concentrations of MSM mineral salts (100% MSM, 50% MSM, and 25% MSM), and three sucrose concentrations (10, 20, and 30 g L-1). Evaluations were performed at 60, 90, 120, 150, and 180 days for survival, number of leaves, and plant color (using a color scale where 1 = dark green, 2 = light green, and 3 = yellow). After 180 days of culture, mineral salt, sucrose concentration, and incubation temperature affected plant survival, regeneration, and acclimatization. During the 180 days, it was possible to slow the growth of nodal segments of passion fruit ‘UENF Rio Dourado’ in culture medium with 25% MSM mineral salts plus 10 g L-1 sucrose, at an average temperature of 20°C without compromising plant survival, regeneration, and acclimatization.
4.
Phosphite for the root rot (Rhizoctonia solani) management in common bean and compatibility with Rhizobium tropici
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Costa, Bruno Henrique Garcia
; Resende, Mário Lúcio Vilela de
; Monteiro, Ana Cristina Andrade
; Pereira, Matheus Henrique Brito
; Resende, Alexandre Ribeiro Maia de
; Botega, Gustavo Pucci
; Botelho, Deila Magna dos Santos
.
ABSTRACT Phosphites can be considered an additional strategy to be included in disease management programs. Therefore, this study aims to evaluate the application of potassium phosphite (KPhi) in common bean seeds, in the reduction of intensity of root rot (Rhizoctonia solani) and in the compatibility with Rhizobium tropici, a nitrogen-fixing bacterium. The emergence speed index (ESI) and the percentage of total emergence were evaluated in seeds inoculated with R. solani and treated with KPhi. The number of nodules per root system, dry nodule mass, quantified the compatibility Phi x R. tropici, dry mass, nitrogen content, and nitrogen accumulation in the shoots. KPhi promoted a higher ESI and increase in plant stand compared to the control treatment. The number of nodules formed and the nitrogen content and accumulation in the KPhi treatments were similar to control (seeds inoculated with R. tropici). Thus, the treatment of seeds with KPhi provides control of R. solani and is compatible with R. tropici.
5.
Saúde Cardiovascular e Fibrilação ou Flutter Atrial: Um Estudo Transversal do ELSA-Brasil
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Santos, Itamar S.
; Lotufo, Paulo A.
; Goulart, Alessandra C.
; Brant, Luisa C. C.
; Pinto Filho, Marcelo M
; Pereira, Alexandre C.
; Barreto, Sandhi M.
; Ribeiro, Antonio L. P.
; Thomas, G Neil
; Lip, Gregory Y. H.
; Bensenor, Isabela M.
; Arasalingam, Ajini
; Beane, Abi
; Bensenor, Isabela M
; Brocklehurst, Peter
; Cheng, Kar Keung
; El-Bouri, Wahbi
; Feng, Mei
; Goulart, Alessandra C
; Greenfield, Sheila
; Guo, Yutao
; Guruparan, Mahesan
; Gusso, Gustavo
; Gooden, Tiffany E
; Haniffa, Rashan
; Humphreys, Lindsey
; Jolly, Kate
; Jowett, Sue
; Kumarendran, Balachandran
; Lancashire, Emma
; Lane, Deirdre A
; Li, Xuewen
; Lip (Co-PI), Gregory Y.H.
; Li, Yan-guang
; Lobban, Trudie
; Lotufo, Paulo A
; Manseki-Holland, Semira
; Moore, David J
; Nirantharakumar, Krishnarajah
; Olmos, Rodrigo D
; Paschoal, Elisabete
; Pirasanth, Paskaran
; Powsiga, Uruthirakumar
; Romagnolli, Carla
; Santos, Itamar S
; Shantsila, Alena
; Sheron, Vethanayagam Antony
; Shribavan, Kanesamoorthy
; Szmigin, Isabelle
; Subaschandren, Kumaran
; Surenthirakumaran, Rajendra
; Tai, Meihui
; Neil Thomas (Co-PI), G
; Varella, Ana C
; Wang, Hao
; Wang, Jingya
; Zhang, Hui
; Zhong, Jiaoyue
.
Resumo Fundamento A associação entre o status de saúde cardiovascular ideal ( ideal cardiovascular health ( ICVH) e diagnóstico de fibrilação ou flutter atrial (FFA) foi menos estudado em comparação a outras doenças cardiovasculares. Objetivos Analisar a associação entre o diagnóstico de FFA e métricas e escores de ICVH no Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil). Métodos Este estudo analisou dados de 13141 participantes com dados completos. Os traçados eletrocardiográficos foram codificados de acordo com o Sistema de Minnesota, em um centro de leitura centralizado. As métricas do ICVH (dieta, atividade física, índice de massa corporal, tabagismo, glicemia de jeju, e colesterol total) e escores do ICVH foram calculados conforme proposto pela American Heart Association . Modelos de regressão logística bruta e ajustada foram construídos para analisar associações de métricas e escores do ICVH com diagnóstico de FFA. O nível de significância foi estabelecido em 0,05. Resultados A idade mediana da amostra foi de 55 anos, e 54,4% eram mulheres. Nos modelos ajustados, os escores de ICVH não apresentaram associação significativa com diagnóstico de FFA prevalente [odds ratio (OR):0,96; intervalo de confiança de 95% (IC95%):0,80-1,16; p=0,70). Perfis de pressão arterial ideal (OR:0,33; IC95%:0,1-0,74; p=0,007) e colesterol total ideal (OR:1,88; IC95%:1,19-2,98; p=0,007) foram significativamente associados com o diagnóstico de FFA. Conclusões Não foram identificadas associações significativas entre escores de ICVH global e diagnóstico de FFA após ajuste multivariado em nossas análises, devido, ao menos em parte, às associações antagônicas da FFA com métricas de pressão arterial e de colesterol total do ICVH. Nossos resultados sugerem que estimar a prevenção da FFA por meio de escore de ICVH global pode não ser adequado, e as métricas do ICVH devem ser consideradas separadamente.
Abstract Background The association between ideal cardiovascular health (ICVH) status and atrial fibrillation or flutter (AFF) diagnosis has been less studied compared to other cardiovascular diseases. Objective To analyze the association between AFF diagnosis and ICVH metrics and scores in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Methods This study analyzed data from 13,141 participants with complete data. Electrocardiographic tracings were coded according to the Minnesota Coding System, in a centralized reading center. ICVH metrics (diet, physical activity, body mass index, smoking, blood pressure, fasting plasma glucose, and total cholesterol) and scores were calculated as proposed by the American Heart Association. Crude and adjusted binary logistic regression models were built to analyze the association of ICVH metrics and scores with AFF diagnosis. Significance level was set at 0.05. Results The sample had a median age of 55 years and 54.4% were women. In adjusted models, ICVH scores were not significantly associated with prevalent AFF diagnosis (odds ratio [OR]:0.96; 95% confidence interval [95% CI]:0.80-1.16; p=0.70). Ideal blood pressure (OR:0.33; 95% CI:0.15–0.74; p=0.007) and total cholesterol (OR:1.88; 95% CI:1.19–2.98; p=0.007) profiles were significantly associated with AFF diagnosis. Conclusions No significant associations were identified between global ICVH scores and AFF diagnosis after multivariable adjustment in our analyses, at least partially due to the antagonistic associations of AFF with blood pressure and total cholesterol ICVH metrics. Our results suggest that estimating the prevention of AFF burden using global ICVH scores may not be adequate, and ICVH metrics should be considered in separate.
6.
Diagnóstico de Fibrilação Atrial na Comunidade Utilizando Eletrocardiograma e Autorrelato: Análise Transversal do ELSA-Brasil
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Santos, Itamar S.
; Lotufo, Paulo A.
; Brant, Luisa
; Pinto Filho, Marcelo M.
; Pereira, Alexandre da Costa
; Barreto, Sandhi Maria
; Ribeiro, Antonio L.
; Thomas, G Neil
; Lip, Gregory Y. H.
; Bensenor, Isabela M.
.
Resumo Fundamento: A fibrilação ou flutter atrial (FFA) é a arritmia cardíaca sustentada mais comum. Existem poucos dados sobre a epidemiologia da FFA na América do Sul. Objetivo: O presente estudo procurou descrever a epidemiologia clínica da FFA e o uso de anticoagulantes na avaliação da linha de base do Estudo Longitudinal da Saúde do Adulto (ELSA-Brasil). Métodos: Foram analisados dados de 13.260 participantes do ELSA-Brasil. A FFA foi definida pelo eletrocardiograma ou por autorrelato. Modelos de regressão logística foram construídos para analisar fatores associados à FFA. Este estudo também analisou se idade e sexo estavam associados ao uso de anticoagulantes para evitar acidente vascular cerebral. O nível de significância foi de 5%. Resultados: A idade mediana foi de 51 anos, e 7.213 (54,4%) participantes eram mulheres. A FFA foi detectada em 333 (2,5%) participantes. O aumento da idade (razão de chances [RC]:1,05; intervalo de confiança de 95% [IC95%]: 1,04-1,07), hipertensão (RC:1,44; IC95%:1,14-1,81) coronariopatia (RC: 5,11; IC95%:3,85–6,79), insuficiência cardíaca (RC:7,37; IC95%:5,00–10,87) e febre reumática (RC:3,38; IC95%:2,28–5,02) foram associadas à FFA. Dos 185 participantes com FFA e pontuação no CHA2DS2-VASc≥2, apenas 20 (10,8%) usavam anticoagulantes (50,0% entre aqueles com FFA no eletrocardiograma de linha de base). O uso de anticoagulantes nesse grupo foi associado a maior idade (1,8% vs 17,7% naqueles com idade ≤ 54 e ≥ 65 anos, respectivamente; p=0,013). Observou-se uma tendência ao menor uso de anticoagulantes em mulheres (7,1% vs. 16,4% em mulheres e homens, respectivamente; p=0,055). Conclusões: No recrutamento do ELSA-Brasil, 2,5% dos participantes tinham FFA. O baixo uso de anticoagulantes era comum, o que representa um desafio para os cuidados de saúde nesse cenário.
Abstract Background: Atrial fibrillation or flutter (AFF) is the most common sustained cardiac arrhythmia. Limited data can be found on AFF epidemiology in South America. Objective: The present study sought to describe the clinical epidemiology of AFF and the use of stroke prevention medication in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline assessment. Methods: This study analyzed data from 13,260 ELSA-Brasil participants. AFF was defined according to ECG recording or by self-report. Logistic regression models were built to analyze factors associated with AFF. This study also analyzed if age and sex were associated with anticoagulant use for stroke prevention. Significance level was set at 5%. Results: Median age was 51 years and 7,213 (54.4%) participants were women. AFF was present in 333 (2.5%) participants. Increasing age (odds ratio [OR]:1.05; 95% confidence interval [95%CI]: 1.04–1.07), hypertension (OR:1.44; 95%CI: 1.14–1.81), coronary heart disease (OR: 5.11; 95%CI: 3.85–6.79), heart failure (OR:7.37; 95%CI: 5.00–10.87), and rheumatic fever (OR:3.38; 95%CI: 2.28–5.02) were associated with AFF. From 185 participants with AFF and a CHA2DS2-VASc score ≥2, only 20 (10.8%) used anticoagulants (50.0% among those with AFF in the baseline ECG). Stroke prevention in this group was associated with a higher age (1.8% vs 17.7% in those aged ≤ 54 and ≥ 65 years, respectively; p=0.013). A trend towards a reduced anticoagulant use was observed in women (7.1% vs. 16.4% in women and men, respectively; p=0.055). Conclusions: At the ELSA-Brasil baseline, 2.5% of the participants had AFF. The lack of stroke prevention was common, which is an especially challenging point for healthcare in this setting.
https://doi.org/10.36660/abc.20190873
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7.
Práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras: uma análise secundária do estudo Fluid-TRIPS
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Freitas, Flavio Geraldo Rezende de
; Hammond, Naomi
; Li, Yang
; Azevedo, Luciano Cesar Pontes de
; Cavalcanti, Alexandre Biasi
; Taniguchi, Leandro
; Gobatto, André
; Japiassú, André Miguel
; Bafi, Antonio Tonete
; Mazza, Bruno Franco
; Noritomi, Danilo Teixeira
; Dal-Pizzol, Felipe
; Bozza, Fernando
; Salluh, Jorge Ibrahin Figueira
; Westphal, Glauco Adrieno
; Soares, Márcio
; Assunção, Murillo Santucci César de
; Lisboa, Thiago
; Lobo, Suzana Margarete Ajeje
; Barbosa, Achilles Rohlfs
; Ventura, Adriana Fonseca
; Souza, Ailson Faria de
; Silva, Alexandre Francisco
; Toledo, Alexandre
; Reis, Aline
; Cembranel, Allan
; Rea Neto, Alvaro
; Gut, Ana Lúcia
; Justo, Ana Patricia Pierre
; Santos, Ana Paula
; Albuquerque, André Campos D. de
; Scazufka, André
; Rodrigues, Antonio Babo
; Fernandino, Bruno Bonaccorsi
; Silva, Bruno Goncalves
; Vidal, Bruno Sarno
; Pinheiro, Bruno Valle
; Pinto, Bruno Vilela Costa
; Feijo, Carlos Augusto Ramos
; Abreu Filho, Carlos de
; Bosso, Carlos Eduardo da Costa Nunes
; Moreira, Carlos Eduardo Nassif
; Ramos, Carlos Henrique Ferreira
; Tavares, Carmen
; Arantes, Cidamaiá
; Grion, Cintia
; Mendes, Ciro Leite
; Kmohan, Claudio
; Piras, Claudio
; Castro, Cristine Pilati Pileggi
; Lins, Cyntia
; Beraldo, Daniel
; Fontes, Daniel
; Boni, Daniela
; Castiglioni, Débora
; Paisani, Denise de Moraes
; Pedroso, Durval Ferreira Fonseca
; Mattos, Ederson Roberto
; Brito Sobrinho, Edgar de
; Troncoso, Edgar M. V.
; Rodrigues Filho, Edison Moraes
; Nogueira, Eduardo Enrico Ferrari
; Ferreira, Eduardo Leme
; Pacheco, Eduardo Souza
; Jodar, Euzebio
; Ferreira, Evandro L. A.
; Araujo, Fabiana Fernandes de
; Trevisol, Fabiana Schuelter
; Amorim, Fábio Ferreira
; Giannini, Fabio Poianas
; Santos, Fabrício Primitivo Matos
; Buarque, Fátima
; Lima, Felipe Gallego
; Costa, Fernando Antonio Alvares da
; Sad, Fernando Cesar dos Anjos
; Aranha, Fernando G.
; Ganem, Fernando
; Callil, Flavio
; Costa Filho, Francisco Flávio
; Dall´Arto, Frederico Toledo Campo
; Moreno, Geovani
; Friedman, Gilberto
; Moralez, Giulliana Martines
; Silva, Guilherme Abdalla da
; Costa, Guilherme
; Cavalcanti, Guilherme Silva
; Cavalcanti, Guilherme Silva
; Betônico, Gustavo Navarro
; Betônico, Gustavo Navarro
; Reis, Hélder
; Araujo, Helia Beatriz N.
; Hortiz Júnior, Helio Anjos
; Guimaraes, Helio Penna
; Urbano, Hugo
; Maia, Israel
; Santiago Filho, Ivan Lopes
; Farhat Júnior, Jamil
; Alvarez, Janu Rangel
; Passos, Joel Tavares
; Paranhos, Jorge Eduardo da Rocha
; Marques, José Aurelio
; Moreira Filho, José Gonçalves
; Andrade, Jose Neto
; Sobrinho, José Onofre de C
; Bezerra, Jose Terceiro de Paiva
; Alves, Juliana Apolônio
; Ferreira, Juliana
; Gomes, Jussara
; Sato, Karina Midori
; Gerent, Karine
; Teixeira, Kathia Margarida Costa
; Conde, Katia Aparecida Pessoa
; Martins, Laércia Ferreira
; Figueirêdo, Lanese
; Rezegue, Leila
; Tcherniacovsk, Leonardo
; Ferraz, Leone Oliveira
; Cavalcante, Liane
; Rabelo, Ligia
; Miilher, Lilian
; Garcia, Lisiane
; Tannous, Luana
; Hajjar, Ludhmila Abrahão
; Paciência, Luís Eduardo Miranda
; Cruz Neto, Luiz Monteiro da
; Bley, Macia Valeria
; Sousa, Marcelo Ferreira
; Puga, Marcelo Lourencini
; Romano, Marcelo Luz Pereira
; Nobrega, Marciano
; Arbex, Marcio
; Rodrigues, Márcio Leite
; Guerreiro, Márcio Osório
; Rocha, Marcone
; Alves, Maria Angela Pangoni
; Alves, Maria Angela Pangoni
; Rosa, Maria Doroti
; Dias, Mariza D’Agostino
; Martins, Miquéias
; Oliveira, Mirella de
; Moretti, Miriane Melo Silveira
; Matsui, Mirna
; Messender, Octavio
; Santarém, Orlando Luís de Andrade
; Silveira, Patricio Júnior Henrique da
; Vassallo, Paula Frizera
; Antoniazzi, Paulo
; Gottardo, Paulo César
; Correia, Paulo
; Ferreira, Paulo
; Torres, Paulo
; Silva, Pedro Gabrile M. de Barros e
; Foernges, Rafael
; Gomes, Rafael
; Moraes, Rafael
; Nonato filho, Raimundo
; Borba, Renato Luis
; Gomes, Renato V
; Cordioli, Ricardo
; Lima, Ricardo
; López, Ricardo Pérez
; Gargioni, Ricardo Rath de Oliveira
; Rosenblat, Richard
; Souza, Roberta Machado de
; Almeida, Roberto
; Narciso, Roberto Camargo
; Marco, Roberto
; waltrick, Roberto
; Biondi, Rodrigo
; Figueiredo, Rodrigo
; Dutra, Rodrigo Santana
; Batista, Roseane
; Felipe, Rouge
; Franco, Rubens Sergio da Silva
; Houly, Sandra
; Faria, Sara Socorro
; Pinto, Sergio Felix
; Luzzi, Sergio
; Sant’ana, Sergio
; Fernandes, Sergio Sonego
; Yamada, Sérgio
; Zajac, Sérgio
; Vaz, Sidiner Mesquita
; Bezerra, Silvia Aparecida Bezerra
; Farhat, Tatiana Bueno Tardivo
; Santos, Thiago Martins
; Smith, Tiago
; Silva, Ulysses V. A.
; Damasceno, Valnei Bento
; Nobre, Vandack
; Dantas, Vicente Cés de Souza
; Irineu, Vivian Menezes
; Bogado, Viviane
; Nedel, Wagner
; Campos Filho, Walther
; Dantas, Weidson
; Viana, William
; Oliveira Filho, Wilson de
; Delgadinho, Wilson Martins
; Finfer, Simon
; Machado, Flavia Ribeiro
.
RESUMO Objetivo: Descrever as práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras e compará-las com as de outros países participantes do estudo Fluid-TRIPS. Métodos: Este foi um estudo observacional transversal, prospectivo e internacional, de uma amostra de conveniência de unidades de terapia intensiva de 27 países (inclusive o Brasil), com utilização da base de dados Fluid-TRIPS compilada em 2014. Descrevemos os padrões de ressuscitação volêmica utilizados no Brasil em comparação com os de outros países e identificamos os fatores associados com a escolha dos fluidos. Resultados: No dia do estudo, foram incluídos 3.214 pacientes do Brasil e 3.493 pacientes de outros países, dos quais, respectivamente, 16,1% e 26,8% (p < 0,001) receberam fluidos. A principal indicação para ressuscitação volêmica foi comprometimento da perfusão e/ou baixo débito cardíaco (Brasil 71,7% versus outros países 56,4%; p < 0,001). No Brasil, a percentagem de pacientes que receberam soluções cristaloides foi mais elevada (97,7% versus 76,8%; p < 0,001), e solução de cloreto de sódio a 0,9% foi o cristaloide mais comumente utilizado (62,5% versus 27,1%; p < 0,001). A análise multivariada sugeriu que os níveis de albumina se associaram com o uso tanto de cristaloides quanto de coloides, enquanto o tipo de prescritor dos fluidos se associou apenas com o uso de cristaloides. Conclusão: Nossos resultados sugerem que cristaloides são usados mais frequentemente do que coloides para ressuscitação no Brasil, e essa discrepância, em termos de frequências, é mais elevada do que em outros países. A solução de cloreto de sódio 0,9% foi o cristaloide mais frequentemente prescrito. Os níveis de albumina sérica e o tipo de prescritor de fluidos foram os fatores associados com a escolha de cristaloides ou coloides para a prescrição de fluidos.
Abstract Objective: To describe fluid resuscitation practices in Brazilian intensive care units and to compare them with those of other countries participating in the Fluid-TRIPS. Methods: This was a prospective, international, cross-sectional, observational study in a convenience sample of intensive care units in 27 countries (including Brazil) using the Fluid-TRIPS database compiled in 2014. We described the patterns of fluid resuscitation use in Brazil compared with those in other countries and identified the factors associated with fluid choice. Results: On the study day, 3,214 patients in Brazil and 3,493 patients in other countries were included, of whom 16.1% and 26.8% (p < 0.001) received fluids, respectively. The main indication for fluid resuscitation was impaired perfusion and/or low cardiac output (Brazil: 71.7% versus other countries: 56.4%, p < 0.001). In Brazil, the percentage of patients receiving crystalloid solutions was higher (97.7% versus 76.8%, p < 0.001), and 0.9% sodium chloride was the most commonly used crystalloid (62.5% versus 27.1%, p < 0.001). The multivariable analysis suggested that the albumin levels were associated with the use of both crystalloids and colloids, whereas the type of fluid prescriber was associated with crystalloid use only. Conclusion: Our results suggest that crystalloids are more frequently used than colloids for fluid resuscitation in Brazil, and this discrepancy in frequencies is higher than that in other countries. Sodium chloride (0.9%) was the crystalloid most commonly prescribed. Serum albumin levels and the type of fluid prescriber were the factors associated with the choice of crystalloids or colloids for fluid resuscitation.
https://doi.org/10.5935/0103-507x.20210028
273 downloads
8.
Isolation of 27 polymorphic nuclear microsatellite markers for Roupala montana var. brasiliensis (Proteaceae)
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PEREIRA, FERNANDA B.
; SEBBENN, ALEXANDRE M.
; ROSSINI, BRUNO C.
; MELCHERT, GUILHERME F.
; MARINO, CELSO L.
; RIBOLLA, PAULO E.M.
; ALONSO, DIEGO P.
; VIDAL, EDSON
; TAMBARUSSI, EVANDRO V.
.
Abstract Microsatellite primers pairs were developed for the Neotropical tree Roupala montana var. brasiliensis for use in studies on genetic diversity, mating system, and gene flow. Forty-two primer pairs were developed, resulting in 27 polymorphic loci, with two to 27 alleles per locus. The primer pairs were validated against 34 R. montana var. brasiliensis adult trees from four populations. The observed (H o) and expected (H e)heterozygosities ranged among loci from 0.061 to 0.930 (mean of 0.544) and from 0.116 to 0.950 (mean of 0.700), respectively. Null alleles were observed for ten loci. No genotypic linkage disequilibrium was detected in any pair of loci. This set of loci is suitable for population genetic studies of the species.
https://doi.org/10.1590/0001-3765202120200452
118 downloads
9.
Seasonal variation in essential oil content and chemical profile of mint in southeast of Brazil
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Alvarenga, Joyce Pereira
; Braga, Andreísa Flores
; Pacheco, Fernanda Ventorim
; Carvalho, Alexandre Alves de
; Pinto, José Eduardo Brasil Pereira
; Bertolucci, Suzan Kelly Vilela
.
RESUMO: O estudo teve como objetivo avaliar a influência da sazonalidade na composição química do óleo essencial (OE) de Mentha x piperita L. e Mentha viridis L. cultivadas no sudeste do Brasil. As folhas foram coletadas de novembro de 2011 até agosto de 2013, em meados das seguintes estações: primavera (novembro), verão (fevereiro), outono (maio) e inverno (agosto). A extração do OE foi realizada por hidrodestilação em aparelho de Clevenger por uma hora. A composição química do EO foi analisada por GC-FID and GC-MS. O teor de OE e sua composição química foram influenciados pela sazonalidade em ambas as espécies. O maior teor de OE foi obtido para M. x piperita na primavera (4,26%) e para M. viridis na primavera (3,30%) e verão (3,70%). Mentha x piperita aumentou o conteúdo de mentol (16,31 a 41,26%), neomentol (3,02 a 6,39%) e mentona (5,56 a 41,58%) durante a primavera e o verão, respectivamente. Já o conteúdo de OE de M. viridis não apresentou padrão de resposta de qualidade em relação à sazonalidade. Portanto, a colheita para M. x piperita é recomendada durante a primavera, e para M. viridis é recomendada durante a primavera e verão.
ABSTRACT: This study evaluated the influence of seasonality in essential oil (EO) chemical composition of Mentha x piperita L. and Mentha viridis L. grown in southeast of Brazil. Leaves were collected from November 2011 until August 2013, in the middle of the following seasons: Spring (November), Summer (February), Autumn (May) and Winter (August). EO extraction was carried out by hydrodistillation in Clevenger apparatus for 1 hour. Chemical composition of EO was analyzed by GC-FID and GC-MS. The EO content and its chemical composition were influenced by seasonality in both species. The highest EO content was obtained for M. x piperita during spring (4.26%) and for M. viridis during spring (3.30%) and summer (3.70%). Mentha x piperita increased menthol (16.31 to 41.26%), neomenthol (3.02 to 6.39%) and menthone (5.56 to 41.58%) contents during spring and summer, respectively. Whereas, M. viridis EO content did not show a quality response pattern in relation to seasonality. Therefore, harvest time for M. x piperita is recommended during spring, and for M. viridis is recommended during spring and summer.
https://doi.org/10.1590/0103-8478cr20200979
122 downloads
10.
‘UC14’: a new papaya cultivar with intermediate fruit size
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Pereira, Messias Gonzaga
; Luz, Lucas Nunes da
; Santa-Catarina, Renato
; Ramos, Helaine Christine Cancela
; Pereira, Telma Nair Santana
; Barros, Gislanne de Brito
; Ferregueti, Geraldo Antônio
; Cortes, Diego Fernando Marmolejo
; Vettorazzi, Julio Cesar Fiorio
; Azecedo, Alinne Oliveira Nunes
; Silveira, Silvaldo Filipe da
; Oliveira, Jurandi Gonçalves de
; Viana, Alexandre Pio
.
Abstract The papaya cultivar UC14, recommended for the Southeast and Northeast regions of Brazil, was developed by UENF/CALIMAN breeding program. ‘UC14’ produces smaller fruit than those of Formosa hybrid, with a mean weight of 0.8 kg and a mean fruit yield of 199.45 t ha-1.
https://doi.org/10.1590/1984-70332019v19n2c31
652 downloads
11.
Irrigation levels and use of hydro retainer polymer in greenhouse lettuce production
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Silva, Welcio R. da
; Salomão, Leandro C.
; Pereira, Débora R. M.
; Oliveira, Henrique F. E. de
; Pereira, Alexandre I. de A.
; Cantuario, Fernando S.
.
Revista Brasileira de Engenharia Agrícola e Ambiental
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RESUMO Uma das possíveis alternativas para potencializar a utilização de recursos hídricos é a utilização de polímeros hidrorretentores. Objetivou-se avaliar como níveis de irrigação e doses de solução hidrorretentora interferem na produção da alface crespa, cultivar Vanda. O experimento foi realizado de dezembro de 2017 a janeiro de 2018, sob canteiros em ambiente protegido na área experimental do Instituto Federal Goiano - Campus Urutaí, GO (17º 29’ 10” S de latitude, 48º 12’ 38” O de longitude e 697 m de altitude). Testaram-se quatro níveis de irrigação (50, 75, 100 e 125%) da evaporação obtida diariamente pelo micrômetro de gancho e cinco doses de solução de hidrogel (0, 50, 100 e 200 g planta-1). Utilizou-se o delineamento de blocos ao acaso e esquema de parcelas subdivididas e quatro blocos. Foram avaliadas massa fresca da parte aérea, massa seca da parte aérea, altura de plantas, número de folhas e produtividade. Verificou-se incremento de 29,24% da massa seca da parte aérea comparando as doses de solução hidrorretentora de 0 e 169,28 g e acréscimo de 14,36% da altura de plantas quando comparados os níveis de irrigação de 50 e 125%. O uso de solução hidrorretentora proporciona aumento significativo em todos os parâmetros produtivos avaliados. Os níveis de irrigação utilizados influenciam as variáveis massa fresca da parte aérea, altura de planta e produtividade. A produtividade aumentou 18,42% para os níveis de irrigação utilizados, e os maiores valores estimados foram com a dose de solução hidrorretentora de 157,49 g (14,46 t ha-1).
ABSTRACT One of the potential alternatives to improve the use of water resources is the use of hydro retainer polymer applied to the soil. The objective of this study was to evaluate how irrigation levels and doses of hydro retainer polymer interfere in the production of ’Vanda’ lettuce. The experiment was carried out from December 2017 to January 2018 under protected environment in the Instituto Federal Goiano, Urutaí Campus, Goiás State, GO, Brazil (17º 29’ 10” S of latitude, 48º 12’ 38” W of longitude and 697 m of altitude). The work tested four irrigation levels of 50, 75, 100 and 125% of the evaporation obtained daily by the hook micrometer and five doses of hydrogel polymer (0, 50, 100, 150 and 200 g plant-1). The experimental design was a randomized block design in a scheme of split-plot and four blocks. Canopy fresh and dry mass, plant height, number of leaves and productivity were evaluated. There was 29.24% increase in the dry mass comparing the hydro retainer polymer doses of 0 and 169.28 g and an increase of 14.36% of the height of plants when compared with the irrigation levels of 50 and 125%. The use of a hydro retainer polymer provided a significant increase in all the evaluated productive variables. The irrigation levels influence the fresh mass from aerial part, plant height and productivity. The productivity increased 18.42% for the irrigation levels used and the highest estimated values were presented in the dose of 157.49 g (14.46 t ha-1) hydro retainer polymer.
https://doi.org/10.1590/1807-1929/agriambi.v23n6p406-412
664 downloads
12.
Quantification of floral abnormalities in a population generated from sexual polymorphism aiming at recurrent selection in papaya
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Moreira, Nádia Fernandes
; Pereira, Telma Nair Santana
; Catarina, Renato Santa
; Cortes, Diego Fernando Marmolejo
; Vettorazzi, Júlio Cesar Fiorio
; Ramos, Helaine Christine Cancela
; Viana, Alexandre Pio
; Pereira, Messias Gonzaga
.
ABSTRACT The aim of this study was to estimate the percentage of deformed fruits (carpelloid, pentandric, and bananoid), summer sterility, repeatability coefficients, and correlations among the variables for floral abnormalities; and select genotypes withthe lowest incidence of deformed fruits and summer sterility. In theexperiment, which involved 254 plants, traits were evaluated using the digital-phenotypic method and the obtained images were processed and analysed using ImageJ v1.48 software with the Cell Counter plugin. Summer sterility had the highest percentage of occurrence in the evaluated periods. Based on the quantificationof total abnormalities, the 30 genotypes with the lowest incidence offloral abnormalities were selected. Summer sterility is the main problem of the papaya crop in terms of floral abnormalities. The non-significant correlations between the traits: NDF/TNF+NFN (number of deformed fruits/number of fruits + number of fruitless nodes) and NFS/TNF+NFN (number of fruitless nodes/number of fruits + number of fruitless nodes); NDF/TNF+NFN and NFN/SUM(number of fruitless nodes/sum of abnormalities); andNFS/TNF+NFN and NDF/SUM (number of deformed fruits/sum of abnormalities) indicate that the variables are independent of each other. Of the 254 evaluated progenies, at least 30 were identified as having potential for selection, with lower occurrence of total floral abnormalities.
https://doi.org/10.1590/1678-4499.20180197
844 downloads
13.
Acute and subacute effects of resistance training with and without blood flow restriction on muscle thickness and cytokines
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Evangelista, Alexandre L.
; Rica, Roberta L.
; Paulo, Anderson C.
; Vieira, Rodolfo P.
; Corso, Simone D.
; S-Dias, Alana
; Pereira, Paulo E. de Assis
; Teixeira, Cauê V. La Scala
; Reis, Victor M.
; Bocalini, Danilo S.
.
It was our objective to verify the time course of muscle thickness and cytokine concentration after a resistance training session. In one of the experimental conditions, the training session was performed with low load (20% 1RM) and restriction of blood flow. In the other experimental condition, the same training was performed with high load (80% 1RM) and without blood flow restriction. Femoral rectus muscle, vastus lateralis, brachial biceps and triceps brachii muscle thickness and the serum cytokine dosage were analyzed pré, 0h, 24h and 48h after the training sessions. For the upper and lower limbs, the main results showed significant (p< 0.05) effect on time for the thickness in all muscle but not (p> 0.05) to experimental condition. To cytokines concentrations, a significant (p= 0.004) interaction between the time and conduction for IL10. Conversely, there was no difference between the weeks (p= 0.698) or time (p= 0.142) in the means of TNF. In conclusion both experimental conductions promoted similar changes on muscular swelling without alterations on TNFa, however, the RST protocol induced increase on IL-10 concentration after 24 hours of exercise session.
https://doi.org/10.6063/motricidade.14910
483 downloads
14.
UC10: a new early Formosa papaya cultivar
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Pereira, Messias Gonzaga
; Luz, Lucas Nunes da
; Santa-Catarina, Renato
; Ramos, Helaine Christine Cancela
; Pereira, Telma Nair Santana
; Barros, Gislanne de Brito
; Ferregueti, Geraldo Antônio
; Vivas, Marcelo
; Cortes, Diego Fernando Marmolejo
; Vettorazzi, Julio Cesar Fiorio
; Azecedo, Alinne Oliveira Nunes
; Silveira, Silvaldo Filipe da
; Oliveira, Jurandi Gonçalves de
; Viana, Alexandre Pio
.
Abstract UC10 is a new papaya cultivar, recommended to the southeast and northern regions of Brazil. It has a very good agronomic performance in and adaptation to these regions, with Formosa fruits of approximately 1.9 kg and yield of 260 t ha-1. The cultivar has early fruit production, and fruits have excellent flavor.
https://doi.org/10.1590/1984-70332019v19n1c18
896 downloads
15.
A new cecidogenous species of many-plumed moth (Alucitidae) associated with Cordiera A. Rich. ex DC. (Rubiaceae) in the Brazilian Cerrado
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Moreira, Gilson R.P.
; Pereira, Cristiano M.
; Becker, Vitor O.
; Specht, Alexandre
; Gonçalves, Gislene L.
.
ABSTRACT Larvae of many-plumed moths (Alucitidae), especially in the world-wide genus Alucita Linnaeus, 1758 are known as borers or gall-inducers on flowers, fruits and shoots of a few dicotyledonous families, including Bignoniaceae, Caprifoliaceae and Rubiaceae. However, there is no study available on the biology of the monotypic, Neotropical genus Prymnotomis Meyrick, 1931 except for its original description that was based on a single male, the holotype of Prymnotomis crypsicroca Meyrick, 1931 from Espirito Santo, Brazil. We describe here a second species for this genus, Prymnotomis cecidicola sp. nov. whose larvae induce galls on Cordiera elliptica (Cham.) Kuntze (Rubiaceae), a dioecious plant with dimorphic inflorescences found in the Brazilian Cerrado, Planaltina City, Federal District. Adults, larvae, pupae and galls are illustrated under light and scanning electron microscopy. Galls are green, spherical, unilocular and develop individually on C. elliptica flower buds. During development they look like fruits in shape and colour but are larger, do not have style scars when on female plants, and are induced also in male inflorescences. Pupation occurs outside the gall within a silk cocoon, presumably in the litter. A preliminary analysis of DNA barcode sequences including putative members of other alucitid lineages and Neotropical BINs (Barcode Index Number) supports Prymnotomis cecidicola sp. nov. as an independent phylogenetic unit, with 12 to 18% divergence. Its nearest-neighbour was the BIN cluster 5 (BOLD:AAA0842) that includes specimens from Costa Rica.
https://doi.org/10.3897/zoologia.36.e34604
438 downloads
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