ABSTRACT Introduction: Prostate cancer (PC) is the second most commonly diagnosed cancer in males. 68Ga-PSMA PET/CT, a non-invasive diagnostic tool to evaluate PC with prostate-specific membrane antigen (PSMA) expression, has emerged as a more accurate alternative to assess disease staging. We aimed to identify predictors of positive 68Ga-PSMA PET and the accuracy of this technique. Materials and methods: Diagnostic accuracy cross-sectional study with prospective and retrospective approaches. We performed a comprehensive literature search on PubMed, Cochrane Library, and Embase database in search of studies including PC patients submitted to radical prostatectomy or radiotherapy with curative intent and presented biochemical recurrence following ASTRO 1996 criteria. A total of 35 studies involving 3910 patients submitted to 68-Ga-PSMA PET were included and independently assessed by two authors: 8 studies on diagnosis, four on staging, and 23 studies on restaging purposes. The significance level was α=0.05. Results: pooled sensitivity and specificity were 0.90 (0.86-0.93) and 0.90 (0.82-0.96), respectively, for diagnostic purposes; as for staging, pooled sensitivity and specificity were 0.93 (0.86-0.98) and 0.96 (0.92-0.99), respectively. In the restaging scenario, pooled sensitivity and specificity were 0.76 (0.74-0.78) and 0.45 (0.27-0.58), respectively, considering the identification of prostate cancer in each described situation. We also obtained specificity and sensitivity results for PSA subdivisions. Conclusion: 68Ga-PSMA PET provides higher sensitivity and specificity than traditional imaging for prostate cancer.

Abstract Globally, the indiscriminate use of metal products discharged into water used in agriculture has led to severe contamination, therefore it is important to establish a methodology for decontamination through biological processes, with basidiomycete fungi because it has been shown to degrade a number of persistent organic pollutants using extracellular enzymes, in addition to removing dissolved metals from the water by biosorption, acting, as a natural exchanger. The objectives of this work were to determine between three metals (Pb, Cr and Cd) which was most efficiently removed from the aqueous solution by the fungus mycelium of Pleurotus ostreatus, as well as to evaluate its tolerance and describe the effects caused by each on its cellular structure. The adsorption of metals by mycelium in liquid medium was evaluated using modified Kirk medium, the concentrations retained for 8 days in solution of 20 mg L-1 of each element were quantified, the results indicated that the adsorption of Pb (75%) was the most efficient, followed by Cr (42%) Cd (2.25%). In the results in solid culture medium (PDA) no concentration of Pb and Cr inhibited mycelium growth, however, with Cd was inhibited from 60 mg L-1; however, the three elements caused structural alterations in mycelium. In conclusion, the P. ostreatus strain had tolerance and significant biosorption (p≤ 0.05) for Pb and Cr, so it could be a specific bioremediation biomaterial for Pb and Cr.

Resumen A nivel mundial, el uso indiscriminado de productos metálicos vertidos en agua utilizada en la agricultura ha generado una grave contaminación, por lo tanto, es importante establecer una metodología para su descontaminación a través de procesos biológicos, con hongos basidiomicetos ya que se ha demostrado que pueden degradar una serie de contaminantes orgánicos persistentes utilizando enzimas extracelulares, además de eliminar metales disueltos del agua mediante biosorción, actuando, como un intercambiador natural. Los objetivos de este trabajo fueron determinar entre tres metales (Pb, Cr y Cd) cuál fue removido más eficientemente de la solución acuosa por el micelio del hongo Pleurotus ostreatus, así como evaluar su tolerancia y describir los efectos causados por cada uno sobre su estructura celular. La adsorción de metales por el micelio en medio líquido se evaluó utilizando medio Kirk modificado, se cuantificaron las concentraciones retenidas durante 8 días en solución de 20 mg L-1 de cada elemento, los resultados indicaron que la adsorción de Pb (75%) fue la más eficiente, seguida de Cr (42%) y Cd (2.25%). En los resultados en medio de cultivo sólido (PDA) ninguna concentración de Pb y Cr inhibió el crecimiento del micelio, sin embargo, con Cd se inhibió a partir de 60 mg L-1; no obstante, los tres elementos causaron en el micelio alteraciones a nivel estructural. En conclusión, la cepa de P. ostreatus presento tolerancia y biosorción significativa (p≤ 0.05) para Pb y Cr, por lo que podría ser un biomaterial de biorremediación específica para Pb y Cr.

ABSTRACT This cross-sectional seroepidemiological survey presents the seroprevalence of SARS-CoV-2 in a population living in 15 Long-Term Care Facilities (LTCFs), after two intra-institutional outbreaks of COVID-19 in the city of Botucatu, Sao Paulo State, Brazil. Residents were invited to participate in the serological survey performed in June and July 2020. Sociodemographic and clinical characterization of the participants as well as the LTCF profile were recorded. Blood samples were collected, processed and serum samples were tested using the rapid One Step COVID-19 immunochromatography test to detect IgM and IgG anti-SARS-CoV-2. Among 209 residents, the median of age was 81 years old, 135 (64.6%) were female and 171 (81.8%) self-referred as being white. An overall seroprevalence of 11.5% (95% CI: 7.5% – 16.6%) was found. The highest seroprevalences of 100% and 76.9% were observed in LTCFs that had experienced COVID-19 outbreaks. Most residents with positive immunochromatography tests (70.8%) referred previous contact with a confirmed COVID-19 case. Although there was a relatively low seroprevalence of COVID-19 in the total number of elderly people, this population is highly vulnerable and LTCFs are environments at higher risk for COVID-19 dissemination. A well-established test for COVID-19 policies, the adequate characterization of the level of interaction between residents and the healthcare provider team and the level of complexity of care are crucial to monitor and control the transmission of SARS-CoV-2 in these institutions.

ABSTRACT Rhizophora mangle is an abundant plant in mangroves and tannic acid is a polyphenol produced by the secondary metabolism of plants. The aim of the study was to evaluate the embryotoxic and embriostatic effects of the aqueous extract of R. mangle and synthetic tannic acid on eggs and larvae of Aedes aegypti. A. aegypti eggs were exposed in duplicate at concentrations of 250, 500, 750 and 1000 µg/mL of extract and tannic acid for a period of 14 days. Mineral water was used as a negative control. The eggs were observed and counted in a stereomicroscope (1.2x). In all extract concentrations there was stimulation in hatching in relation to the control, but only in concentration of 750 mg/mL it was statistically significant. In tannic acid (250µg/ml) there was significant stimulus in hatching, but in 500, 750 and 1000 µg/mL there was significant inhibition. All concentrations of aqueous extract and tannic acid on larvae showed embryotoxic and embryostatic effects when compared to the control. The aqueous extract of R. mangle showed effect on hatching of A. aegypti eggs and synthetic tannic acid showed embryotoxic and embryostatic effects. On larvae, both the aqueous extract as tannic acid showed embryotoxic and embryostatic effects.

RESUMO Objetivo: Avaliar a captação de 18F-fluordesoxiglicose (FDG) na tomografia por emissão de pósitrons – tomografia computadorizada (PET-CT) – e os níveis séricos de diferentes citocinas e da metaloproteinases da matriz (MMP) em pacientes com arterite de Takayasu (AT) e associações com a atividade da doença. Métodos: Foram mensurados os níveis séricos do fator de necrose tumoral-α (TNF-α), interleucina (IL)-2, IL-6, IL-8, IL-12, IL-18, MMP-3 e MMP-9 em 36 pacientes com AT e 36 controles. O valor padronizado de captação máximo (SUVmax) de 18F-FDG nas paredes arteriais foi determinado por exames de PET-CT. Os pacientes com AT foram classificados como doença ativa, doença inativa e possível doença ativa. Resultados: Os níveis séricos de IL-6 e MMP-3 foram mais altos em pacientes com AT do que nos controles (p < 0,001). Os níveis séricos de IL-6 foram mais elevados em pacientes com doença ativa e em pacientes com possível doença ativa do que naqueles com doença inativa (p < 0,0001). Os pacientes com doença ativa apresentaram níveis séricos mais elevados de TNF-α do que os pacientes com doença inativa (p = 0,049), enquanto os indivíduos com possível doença ativa apresentaram maiores níveis séricos de IL-18 do que os pacientes com doença inativa (p = 0,046). Aqueles com doença ativa apresentaram maiores valores de SUVmax do que aqueles com doença inativa (p = 0,042). De acordo com a curva ROC, o SUVmax foi capaz de predizer a doença ativa na AT e valores ≥ 1,3 estavam associados à atividade da doença (p = 0,039). Os níveis séricos de TNF-α foram maiores em pacientes com SUVmax ≥ 1,3 do que naqueles com valor < 1,3 (p = 0,045) e controles (p = 0,012). Os níveis séricos de IL-6 foram mais elevados em pacientes com SUVmax ≥ 1,3 do que nos controles (p < 0,001). Não foram encontradas diferenças em relação a outros biomarcadores entre pacientes com AT e controles. Conclusões: Níveis séricos elevados de IL-6 e TNF-α, bem como uma maior captação arterial de 18F-FDG, estão associados à AT ativa.

ABSTRACT Objective: To evaluate 18F-fluorodeoxyglucose (18F-FDG) uptake on positron emission tomography–computed tomography (PET–CT) and serum levels of different cytokines and matrix metalloproteinases (MMPs) in patients with Takayasu arteritis (TA) and associations with disease activity. Methods: Serum levels of tumor necrosis factor-α (TNF-α), interleukin (IL)-2, IL-6, IL-8, IL-12, IL-18, MMP-3 and MMP-9 were measured in 36 TA patients and 36 controls. Maximum standard uptake value (SUVmax) of 18F-FDG in arterial walls was determined by PET–CT scans. TA patients were classified as active disease, inactive disease and possible active disease. Results: Serum IL-6 and MMP-3 levels were higher in TA patients than in controls (p < 0.001). Serum IL-6 was higher in patients with active disease and in patients with possible active disease than in inactive disease (p < 0.0001). Patients with active disease had higher serum TNFα levels than patients with inactive disease (p = 0.049) while patients with possible active disease presented higher IL-18 levels than patients with inactive disease (p = 0.046). Patients with active disease had higher SUVmax values than those with inactive disease (p = 0.042). By receiver operating characteristic (ROC) curve SUVmax was predictive of active disease in TA and values ≥1.3 were associated with disease activity (p = 0.039). Serum TNF-α levels were higher in patients with SUVmax ≥ 1.3 than <1.3 (p = 0.045) and controls (p = 0.012). Serum IL-6 levels were higher in patients with SUVmax ≥ 1.3 than in controls (p < 0.001). No differences regarding other biomarkers were found between TA patients and controls. Conclusions: Higher serum IL-6 and TNFα levels as well as higher 18F-FDG uptake in arterial wall are associated with active TA.

O objetivo deste trabalho foi analisar técnica e economicamente as etapas da colheita mecanizada de madeira de eucalipto correspondentes ao corte, extração, processamento e transporte. Na análise técnica, comparou-se diferentes modos de produção em termos de produtividade por hora efetiva e observou-se os tempos dos elementos do ciclo operacional de cada máquina estudada. Economicamente, determinou-se os custos de produção de cada máquina que atuam nestas etapas. Concluiu-se que o maior custo de produção foi o da máquina Feller-Buncher, que atua na etapa de corte. Os diferentes modos de produção não se diferenciaram estatisticamente dos modos para o Feller-Buncher e para o Traçador florestal. Entretanto, para o Carregador florestal obteve diferença estatítica entre o tempo de preenchimento dos dois diferentes tamanhos de carga.

The objective of this paper was to technically and economically analyze the stages of the automated harvest of eucalyptus wood relating to its cutting, extraction, processing and transport. In the technical analysis, different production modes were compared in productivity terms per effective hour and the time for the elements of the operational cycle of each studied machine was observed. Economically, the costs of production of each machine that act in these stages were determined. It was observed that the highest production cost was for the Feller-Buncher machine used in the cut stage. The different production modes did not differ statistically from the modes for Feller-Buncher and for the Tracer forest. However, for the forest Loader there was a statistical difference for the time of filling of the two different load sizes.

Este estudo visou investigar o perfil dos fisioterapeutas que atuam nas unidades de terapia intensiva (UTIs) no Brasil, focalizando a direção do serviço, técnicas fisioterapêuticas empregadas e nível de autonomia em relação à ventilação mecânica invasiva e não-invasiva. Questionários foram enviados aos chefes dos serviços de fisioterapia de 1.192 hospitais registrados na Associação Médica de Terapia Intensiva, com retorno de 461 (39%) UTIs. Em 88% destas, os serviços são chefiados por fisioterapeutas; em 78%, compostos por até oito fisioterapeutas; 44,4% dos fisioterapeutas trabalham em regime de 30 horas semanais e 46,1% têm contrato de trabalho. Há assistência fisioterapêutica durante 24 horas em 33,6% das UTIs; 88% delas mantêm assistência nos finais de semana. Quanto às técnicas fisioterapêuticas, todos realizam mobilização, posicionamento e aspiração; 91,5% atuam na ventilação não-invasiva, sendo que 43% trabalham com total autonomia. Em relação à ventilação mecânica invasiva, 80% realizam extubação; 79,2% realizam regulagem e desmame do ventilador; entretanto, só 22% têm total autonomia (78% necessitam de protocolo ou opinião da equipe médica). Os fisioterapeutas brasileiros atuam, em sua maioria, em instituições privadas e assistenciais, cujos serviços são chefiados por fisioterapeutas. Têm relativa autonomia quanto às técnicas fisioterapêuticas e o manuseio da ventilação mecânica não-invasiva mas, no caso da invasiva, atuam sob diretiva da equipe médica.

The purpose of this study was to outline a profile of physical therapists who work in intensive care units (ICU) in Brazil, focusing on service management, techniques used, and the degree of therapists' autonomy regarding invasive and non-invasive mechanical ventilation. Questionnaires were sent to the heads of physical therapy (PT) services of 1,192 hospitals registered at the Brazilian Intensive Care Medicine Association and 461 (39%) ICUs replied. In 88% of these, PT services are headed by physical therapists and up to eight therapists work in 78% of the ICUs. Therapists work 30 hours a week in 44.4% of the units; 46.1% are formally hired. PT 24-hour assistance is available in 32.8% of the ICUs and on weekends, in 88%. Concerning PT techniques, all therapists perform mobilization, positioning, and aspiration; 91.5% play an active role in non-invasive ventilation, with 42.5% working with full autonomy. As to invasive mechanical ventilation, 80% perform extubation, 79.2% adjusting and weaning; however, only 22% have full autonomy (the others requiring physicians' protocol). Brazilian physical therapists work mostly in private institution ICUs, in services headed by physiotherapists, and have relative autonomy in handling PT techniques and non-invasive mechanical ventilation; as to invasive mechanical ventilation, most depend on protocols or discussions with a physician.

Esta pesquisa foi desenvolvida com dados coletados em áreas de colheita de madeira em três empresas do Estado de Minas Gerais; o objetivo geral foi avaliar os níveis de ruído, luz e calor, em máquinas de colheita florestal. Foram avaliados os postos de trabalho das seguintes máquinas: Feller-Buncher, Skidder, Garra-Traçadora, Traçador Mecânico e Carregador Florestal e os níveis de ruído medidos com o uso de um dosímetro, a iluminação através de um luxímetro digital e a exposição ao calor com o IBUTG. Na empresa 1, os dois tratores florestais avaliados enquanto parados emitem o mesmo nível de ruído, possuem luz interna e boas condições térmicas; na empresa 2, para as três máquinas avaliadas o nível de ruído está abaixo do limite recomendado pela NR 15, as cabines possuem luz interna e climatização regulável e na empresa 3 todas as máquinas apresentaram níveis de ruído superiores ao permitido pela legislação brasileira, o carregador florestal e o Mini-skidder apresentaram iluminação inadequada e os índices de temperatura efetiva estão fora da zona de conforto térmico para todas as máquinas. Conclui-se que todas as máquinas utilizadas pela empresa 3 estão em desconformidade ergonômica.

This research was developed with data collected in areas of wood harvesting by three companies of the State of Minas Gerais, Brazil. The general objective was to evaluate the level of noise, light and heat of forest harvesting machines. The work stations of the following machines were evaluated: Feller-Buncher, Skidder, Bucking Tongs, Mechanical Bucking and Forest Loader. The noise levels were measured with the use of a dosimeter, the light with a digital luximeter and the heat exposure with the IBUTG. At company 1, the two evaluated forest tractors, while stopped, presented the same level of noise, both had internal lighting and good thermal conditions. At company 2, for the three evaluated machines, the level of noise was below the limits recommended by the NR 15. The cabins had internal light and thermal regulation. At company 3, all the machines showed noise levels above those allowed by the Brazilian legislation. The forest loader and the mini-skidder showed poor lighting and the indexes of effective temperature were outside the thermal comfort zone for all machines. It is concluded that all the machines used by company 3 are ergonomically non-complient.

O uso de extratos de plantas, em grande parte ainda inexplorada na Amazônia, constitui uma alternativa para o controle de insetos fitófagos, devido o baixo custo operacional, facilidade de preparação, utilização e segurança para o meio ambiente. O objetivo do presente trabalho foi avaliar a ação inseticida de Piper aduncum sobre Aetalion sp. Insetos adultos, coletados em Clitoria fairchildiana, foram separados em grupos de dez indivíduos, colocados em recipientes plásticos e expostos à aplicação tópica de extratos aquosos de folhas e raízes de P. aduncum. Os extratos foram aplicados nas concentrações de 10, 20 e 30 mg.ml-1. Os grupos de controle tratados com água destilada. Os testes tiveram 48 horas de duração e a cada 12 horas a porcentagem de mortalidade foi avaliada. O experimento se caracterizou num delineamento inteiramente ao acaso com três tratamentos em cinco repetições mais o grupo controle. O extrato de folhas de P. aduncum apresentou menor toxicidade (CL50 = 20,9 mg.ml-1) do que o extrato de raízes (CL50 = 20,2 mg.ml-1), mas não foram estatisticamente distintos. Tanto o extrato aquoso de raízes como o de folhas de P. aduncum apresentam atividade inseticida sobre adultos de Aetalion sp. Entretanto, por não causar impacto ambiental durante a coleta, recomenda-se o extrato de folhas em programas de controle alternativo desse inseto.

The use of extracts of plants, usually under exploited in Amazonia, is an alternative to control phytophagous insects due to their low costs, easy preparation, use and environmental safety. The aim of this work was to evaluate the insecticidal action of P. aduncum on Aetalion sp. Adult insects collected on the Clitoria fairchildiana were separated in groups of ten individuals into plastic vessels and exposed to topic application of aqueous extracts of leaves and roots of P. aduncum. The extracts were applied at the concentrations of 10, 20 and 30 mg.ml-1. The control groups treated with distilled water. The tests lasted 48 h and every 12 h the mortality rate was evaluated. The experiments were performed in a complete randomized design with three treatments in five replicates more a attest group. The extract of leaves of P. aduncum showed shorter toxicity (CL50 = 20,9 mg.ml-1) than the extract of roots (CL50 = 20,2 mg.ml-1), but not statistically different. As much the watery extract of roots as of leaves of P. aduncum show insecticidal activity on adults of Aetalion sp. However, for not causing ambient impact during the collection, sends regards the leaves extract in programs of alternative control of this insect.

Diferenças inter e intra-específicas na habilidade de suportar períodos de estresse nutricional podem dever-se à capacidade de armazenar e liberar íons dos vacúolos, e, ou, à intensidade de retranslocação de nutrientes em tais condições. Neste trabalho, pretendeu-se avaliar diferenças varietais quanto ao tamanho do "pool" não-metabólico de Pi; velocidade de liberação do Pi previamente armazenado (VLPi), quando o P citoplasmático cai a um valor limite; capacidade de transportar Pi de regiões menos ativas para aquelas mais ativas metabolicamente e definir compartimentos que são preferencialmente fontes e os que são preferencialmente drenos para o Pi, em condições de absorção limitada de P. Avaliaram-se a produção de matéria seca e os teores internos de Pi, orgânico (Po) e total solúvel em ácido (Pts), de diferentes órgãos de plantas dos cultivares de soja (Glycine max L. Merrill) Santa Rosa, Uberaba, IAC8, Doko e UFV1, submetidos a oito dias de omissão do elemento. A VLPi foi estimada como tangente às equações obtidas para Pi como função do perído de omissão no ponto médio do período de omissão em que houve maior decréscimo em Pi (zero a quatro dias de omissão de P), t = dois dias, considerando-se que -deltaPi/deltat expressa a velocidade de liberação de Pi. A capacidade interna de tamponamento de Pi (CTIPi) foi calculada como o inverso da VLPi. O cultivar Santa Rosa apresentou maior capacidade de armazenar Pi, quando o suprimento externo foi alto, liberando-o mais intensamente sob condições de baixo suprimento de P que os cultivares IAC8 e UFV1. O cultivar Uberaba mostrou-se superior ao Doko em sua habilidade de armazenar e utilizar o Pi. Folhas superiores mostraram ser o principal dreno para o Pi armazenado em folhas medianas e inferiores, seguidas por raízes e caules. Raízes comportaram-se como fontes ou drenos para o Pi. Raízes e folhas superiores apresentaram maiores (VLPi) e menores valores de CTIPi que folhas medianas e folhas inferiores, sendo o caule o compartimento com menor VLPi e maior CTIPi. Dentre as variedades, as diferenças foram pequenas, destacando-se a maior VLPi e menor CTIPi do cultivar Santa Rosa. O cultivar Doko apresentou a menor VLPi e maior CTIPi, enquanto Uberaba, IAC8 e UFV1 ocuparam posição intermediária quanto a essas características.

Differences among plants in their ability to support nutritional stress periods may be caused by a differential vacuole capacity of ion storage and release and may also depend on the intensity of nutrient re-translocation under such conditions. In five soybean cultivars, submitted to eight days of P deprivation, the dry matter production and the contents of three phosphorus (P) forms - inorganic (Pi), organic (Po), and acid-soluble total (Pts) of different plant organs were determined. Pi release velocity (RSPi) was estimated as the tangent to the equations obtained for Pi f(t) at the point t = 2 days (the mean point in the period of greatest Pi decrease), considering that -deltaPi/deltat expresses the rate of Pi release. The internal Pi buffering capacity (IBCPi) was calculated as the inverse of the RSPi. Cultivars' differences in size of the non-metabolic Pi pool, RSPi, and the ability to transport Pi from less to more actively metabolizing regions were evaluated. The preferential Pi source and sink compartments under limited P absorption conditions were also evaluated. The cultivar Santa Rosa showed the highest Pi storage ability when the external supply was high, and a more intensive release under low P supply conditions than IAC8 and UFV1. The cultivar Uberaba was superior to Doko in its ability to store and use Pi. In all cultivars, upper leaves and roots were the main sink of Pi stored in the middle and lower leaves. Roots and upper leaves showed larger RSPi and lower IBCPi values than middle and lower leaves.