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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

[SciELO Preprints] - Brazilian Guidelines for In-office and Out-of-office Blood Pressure Measurement – 2023
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Feitosa, Audes Diógenes de Magalhães Barroso, Weimar Kunz Sebba Mion Júnior, Décio Nobre, Fernando Mota-Gomes, Marco Antonio Jardim, Paulo Cesar Brandão Veiga Amodeo, Celso Camargo, Adriana Alessi, Alexandre Sousa, Ana Luiza Lima Brandão, Andréa Araujo Pio-Abreu, Andrea Sposito, Andrei Carvalho Pierin, Angela Maria Geraldo Paiva, Annelise Machado Gomes de Spinelli, Antonio Carlos de Souza Machado, Carlos Alberto Poli-de-Figueiredo, Carlos Eduardo Rodrigues, Cibele Isaac Saad Forjaz, Cláudia Lúcia de Moraes Sampaio, Diogo Pereira Santos Barbosa, Eduardo Costa Duarte Freitas, Elizabete Viana de Cestário , Elizabeth do Espírito Santo Muxfeldt, Elizabeth Silaid Lima Júnior, Emilton Campana, Erika Maria Gonçalves Feitosa, Fabiana Gomes Aragão Magalhães Consolim-Colombo, Fernanda Marciano Almeida, Fernando Antônio de Silva, Giovanio Vieira da Moreno Júnior, Heitor Finimundi, Helius Carlos Guimarães, Isabel Cristina Britto Gemelli, João Roberto Barreto Filho, José Augusto Soares Vilela-Martin, José Fernando Ribeiro, José Marcio Yugar-Toledo, Juan Carlos Magalhães, Lucélia Batista Neves Cunha Drager, Luciano Ferreira Bortolotto, Luiz Aparecido Alves, Marco Antonio de Melo Malachias, Marcus Vinícius Bolívar Neves, Mario Fritsch Toros Santos, Mayara Cedrim Dinamarco, Nelson Moreira Filho, Osni Passarelli Júnior, Oswaldo Valverde de Oliveira Vitorino, Priscila Valverde de Oliveira Miranda, Roberto Dischinger Bezerra, Rodrigo Pedrosa, Rodrigo Pinto Paula, Rogério Baumgratz de Okawa, Rogério Toshiro Passos Póvoa, Rui Manuel dos Santos Fuchs, Sandra C. Inuzuka, Sayuri Ferreira-Filho, Sebastião R. Paffer Fillho, Silvio Hock de Jardim, Thiago de Souza Veiga Guimarães Neto, Vanildo da Silva Koch, Vera Hermina Gusmão, Waléria Dantas Pereira Oigman, Wille Nadruz, Wilson

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Data de publicação: 2023-09-23

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Hypertension is one of the primary modifiable risk factors for morbidity and mortality worldwide, being a major risk factor for coronary artery disease, stroke, and kidney failure. Furthermore, it is highly prevalent, affecting more than one-third of the global population. Blood pressure measurement is a MANDATORY procedure in any medical care setting and is carried out by various healthcare professionals. However, it is still commonly performed without the necessary technical care. Since the diagnosis relies on blood pressure measurement, it is clear how important it is to handle the techniques, methods, and equipment used in its execution with care. It should be emphasized that once the diagnosis is made, all short-term, medium-term, and long-term investigations and treatments are based on the results of blood pressure measurement. Therefore, improper techniques and/or equipment can lead to incorrect diagnoses, either underestimating or overestimating values, resulting in inappropriate actions and significant health and economic losses for individuals and nations. Once the correct diagnosis is made, as knowledge of the importance of proper treatment advances, with the adoption of more detailed normal values and careful treatment objectives towards achieving stricter blood pressure goals, the importance of precision in blood pressure measurement is also reinforced. Blood pressure measurement (described below) is usually performed using the traditional method, the so-called casual or office measurement. Over time, alternatives have been added to it, through the use of semi-automatic or automatic devices by the patients themselves, in waiting rooms or outside the office, in their own homes, or in public spaces. A step further was taken with the use of semi-automatic devices equipped with memory that allow sequential measurements outside the office (ABPM; or HBPM) and other automatic devices that allow programmed measurements over longer periods (HBPM). Some aspects of blood pressure measurement can interfere with obtaining reliable results and, consequently, cause harm in decision-making. These include the importance of using average values, the variation in blood pressure during the day, and short-term variability. These aspects have encouraged the performance of a greater number of measurements in various situations, and different guidelines have advocated the use of equipment that promotes these actions. Devices that perform HBPM or ABPM, which, in addition to allowing greater precision, when used together, detect white coat hypertension (WCH), masked hypertension (MH), sleep blood pressure alterations, and resistant hypertension (RHT) (defined in Chapter 2 of this guideline), are gaining more and more importance. Taking these details into account, we must emphasize that information related to diagnosis, classification, and goal setting is still based on office blood pressure measurement, and for this reason, all attention must be given to the proper execution of this procedure.

La hipertensión arterial (HTA) es uno de los principales factores de riesgo modificables para la morbilidad y mortalidad en todo el mundo, siendo uno de los mayores factores de riesgo para la enfermedad de las arterias coronarias, el accidente cerebrovascular (ACV) y la insuficiencia renal. Además, es altamente prevalente y afecta a más de un tercio de la población mundial. La medición de la presión arterial (PA) es un procedimiento OBLIGATORIO en cualquier atención médica o realizado por diferentes profesionales de la salud. Sin embargo, todavía se realiza comúnmente sin los cuidados técnicos necesarios. Dado que el diagnóstico se basa en la medición de la PA, es claro el cuidado que debe haber con las técnicas, los métodos y los equipos utilizados en su realización. Debemos enfatizar que una vez realizado el diagnóstico, todas las investigaciones y tratamientos a corto, mediano y largo plazo se basan en los resultados de la medición de la PA. Por lo tanto, las técnicas y/o equipos inadecuados pueden llevar a diagnósticos incorrectos, subestimando o sobreestimando valores y resultando en conductas inadecuadas y pérdidas significativas para la salud y la economía de las personas y las naciones. Una vez realizado el diagnóstico correcto, a medida que avanza el conocimiento sobre la importancia del tratamiento adecuado, con la adopción de valores de normalidad más detallados y objetivos de tratamiento más cuidadosos hacia metas de PA más estrictas, también se refuerza la importancia de la precisión en la medición de la PA. La medición de la PA (descrita a continuación) generalmente se realiza mediante el método tradicional, la llamada medición casual o de consultorio. Con el tiempo, se han agregado alternativas a través del uso de dispositivos semiautomáticos o automáticos por parte del propio paciente, en salas de espera o fuera del consultorio, en su propia residencia o en espacios públicos. Se dio un paso más con el uso de dispositivos semiautomáticos equipados con memoria que permiten mediciones secuenciales fuera del consultorio (AMPA; o MRPA) y otros automáticos que permiten mediciones programadas durante períodos más largos (MAPA). Algunos aspectos en la medición de la PA pueden interferir en la obtención de resultados confiables y, en consecuencia, causar daños en las decisiones a tomar. Estos incluyen la importancia de usar valores promedio, la variación de la PA durante el día y la variabilidad a corto plazo. Estos aspectos han alentado la realización de un mayor número de mediciones en diversas situaciones, y diferentes pautas han abogado por el uso de equipos que promuevan estas acciones. Los dispositivos que realizan MRPA o MAPA, que además de permitir una mayor precisión, cuando se usan juntos, detectan la hipertensión de bata blanca (HBB), la hipertensión enmascarada (HM), las alteraciones de la PA durante el sueño y la hipertensión resistente (HR) (definida en el Capítulo 2 de esta guía), están ganando cada vez más importancia. Teniendo en cuenta estos detalles, debemos enfatizar que la información relacionada con el diagnóstico, la clasificación y el establecimiento de objetivos todavía se basa en la medición de la presión arterial en el consultorio, y por esta razón, se debe prestar toda la atención a la ejecución adecuada de este procedimiento.

A hipertensão arterial (HA) é um dos principais fatores de risco modificáveis para morbidade e mortalidade em todo o mundo, sendo um dos maiores fatores de risco para doença arterial coronária, acidente vascular cerebral (AVC) e insuficiência renal. Além disso, é altamente prevalente e atinge mais de um terço da população mundial. A medida da PA é procedimento OBRIGATÓRIO em qualquer atendimento médico ou realizado por diferentes profissionais de saúde. Contudo, ainda é comumente realizada sem os cuidados técnicos necessários. Como o diagnóstico se baseia na medida da PA, fica claro o cuidado que deve haver com as técnicas, os métodos e os equipamentos utilizados na sua realização. Deve-se reforçar que, feito o diagnóstico, toda a investigação e os tratamentos de curto, médio e longo prazos são feitos com base nos resultados da medida da PA. Assim, técnicas e/ou equipamentos inadequados podem levar a diagnósticos incorretos, tanto subestimando quanto superestimando valores e levando a condutas inadequadas e grandes prejuízos à saúde e à economia das pessoas e das nações. Uma vez feito o diagnóstico correto, na medida em que avança o conhecimento da importância do tratamento adequado, com a adoção de valores de normalidade mais detalhados e com objetivos de tratamento mais cuidadosos no sentido do alcance de metas de PA mais rigorosas, fica também reforçada a importância da precisão na medida da PA. A medida da PA (descrita a seguir) é habitualmente feita pelo método tradicional, a assim chamada medida casual ou de consultório. Ao longo do tempo, foram agregadas alternativas a ela, mediante o uso de equipamentos semiautomáticos ou automáticos pelo próprio paciente, nas salas de espera ou fora do consultório, em sua própria residência ou em espaços públicos. Um passo adiante foi dado com o uso de equipamentos semiautomáticos providos de memória que permitem medidas sequenciais fora do consultório (AMPA; ou MRPA) e outros automáticos que permitem medidas programadas por períodos mais prolongados (MAPA). Alguns aspectos na medida da PA podem interferir na obtenção de resultados fidedignos e, consequentemente, causar prejuízo nas condutas a serem tomadas. Entre eles, estão: a importância de serem utilizados valores médios, a variação da PA durante o dia e a variabilidade a curto prazo. Esses aspectos têm estimulado a realização de maior número de medidas em diversas situações, e as diferentes diretrizes têm preconizado o uso de equipamentos que favoreçam essas ações. Ganham cada vez mais espaço os equipamentos que realizam MRPA ou MAPA, que, além de permitirem maior precisão, se empregados em conjunto, detectam a HA do avental branco (HAB), HA mascarada (HM), alterações da PA no sono e HA resistente (HAR) (definidos no Capítulo 2 desta diretriz). Resguardados esses detalhes, devemos ressaltar que as informações relacionadas a diagnóstico, classificação e estabelecimento de metas ainda são baseadas na medida da PA de consultório e, por esse motivo, toda a atenção deve ser dada à realização desse procedimento.

https://doi.org/10.1590/SciELOPreprints.7057

Technical and economic indicators of papaya crops for the production factors water and organic compost
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Pinto, Caio S.

; Costa, Raimundo N. T.

; de Sousa, Alan B. O.

; de Almeida, Antônio V. R.

; Magalhães, José W. O.

Revista Caatinga

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Jun 2023, Volume 36 Nº 2 Páginas 390 - 401

Resumo: En Pt | Texto: En Pt | PDF: En | PDF: Pt

ABSTRACT The objective of this study was to analyze technical and economic indicators of responses of papaya (Carica papaya L.) to the production factors water and organic compost, in a rural property with characteristic of family farming in the Semiarid region of Brazil. The study was conducted from August 2019 to July 2020, in the first crop cycle, in the municipality of Pentecoste, Ceara, Brazil. A Formosa papaya crop (cultivar Tainung 1) was established with spacing of 2.5 × 2.5 m, and irrigated by a micro-sprinkler localized system. A randomized block design was used, with a split-plot arrangement and four replications. The primary treatments consisted of four irrigation water depths (60%, 80%, 100%, and 120% of the crop evapotranspiration), and the secondary treatments consisted of four organic compost rates (0%, 50%, 100%, and 150% of the required rate for the crop). The irrigation water productivity of 5.38 R$ (BRL) m-3, related to the requirements of the production factors, on average, is five-fold the reference value for papaya crops under conventional production system. Rural credit allows the farmer to reach a social reproduction level with a papaya crop area that can be, on average, half of that needed under conditions without financing.

RESUMO A pesquisa teve como objetivo analisar indicadores técnicos e econômicos da resposta do mamoeiro (Carica papaya L.) aos fatores de produção água e composto orgânico em uma propriedade com característica de agricultura familiar no semiárido brasileiro. O estudo foi conduzido no período de agosto de 2019 a julho de 2020 no primeiro ciclo de produção no município de Pentecoste-CE. A cultura do mamoeiro Formosa tipo Tainung 1 foi estabelecida no espaçamento de 2,5 m x 2,5 m, sendo a irrigação realizada por sistema localizado do tipo microaspersão. O delineamento foi em blocos ao acaso com parcelas subdivididas em quatro repetições, com tratamentos primários constituídos por quatro lâminas de irrigação (60%, 80%, 100% e 120% da evapotranspiração da cultura) e tratamentos secundários por quatro níveis de composto orgânico (0%, 50%, 100% e 150% da dose requerida pela cultura). A produtividade da água de irrigação relativa aos requerimentos dos fatores de produção no valor 4,51 R$ m-3 representou em média cinco vezes o valor de referência para o cultivo do mamoeiro em sistema de produção convencional; O crédito rural permitiu alcançar o nível de reprodução social com o cultivo de uma área que em média representa a metade da área em condições que não ocorra o financiamento.

https://doi.org/10.1590/1983-21252023v36n216rc

The Challenges of Implementing a Text Message Intervention to Promote Behavioral Change in Primary Care Patients With Hypertension and Diabetes
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Oliveira, João Antonio de Queiroz

; Cimini, Christiane

; Almeida, Vania

; Maia, Junia Xavier

; Resende, Raissa Eda

; Gualberto, Leticia Alves

; Santos, Pedro Henrique Lauar

; Gomes, Paulo R.

; Bonisson, Leonardo

; Paixão, Maria Cristina

; Costa, Janaina Moutinho

; Cardoso, Clareci Silva

; Santo, Karla

; Ribeiro, Antonio

; Martins, Maria Auxiliadora

; Marcolino, Milena S.

International Journal of Cardiovascular Sciences

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2023, Volume 36 elocation e20220050

Resumo: En | Texto: En | PDF: En

Abstract Background Controlling blood pressure and glycemic levels is a challenge that requires innovative solutions. Objective To assess the feasibility of implementing a text message intervention among low-income primary care patients, as well as to assess self-reported behavioral change. Methods A set of 200 text messages was developed on healthy eating, physical activity, adherence, and motivation. Participants from Vale do Mucuri, MG, Brazil diagnosed with diabetes or hypertension or undergoing screening for those diseases, received 5 to 8 messages per week for 6 months. They answered a questionnaire to report their satisfaction and behavioral changes. Results Of the 136 patients, 117 (86.0%) answered the questionnaire. Most reported that the messages were very useful (86.3%), easy to understand (90.6%), and were very helpful for behavioral change (65.0%); 84.6% reported that they had started eating healthier. The most frequent reported lifestyle changes were: improved diet quality (85.5%), reduced portions (65.8%), and weight loss (56.4%). The majority of patients shared the messages (60.7%) with family or other acquaintances, considered the number of messages to be adequate (89.7%) and would recommend the program to others (95.7%). Conclusion An intervention based on text messages to promote behavioral change in patients with hypertension or diabetes in primary care is feasible in low-resource settings. Future studies are needed to assess the program’s long-term effects on clinical outcomes.

https://doi.org/10.36660/ijcs.20220050

NEURO-FUZZY MODELING AS SUPPORT FOR DECISION-MAKING IN THE PRODUCTION OF IRRIGATED CORIANDER UNDER MULCH IN THE SEMI-ARID REGION
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Gabriel Filho, Luís R. A.

; Rodrigueiro, Golbery R. O.

; Silva, Alexsandro O. da

; Almeida, Antonio V. R. de

; Cremasco, Camila P.

Engenharia Agrícola

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2023, Volume 43 Nº 2 elocation e20220208

Resumo: En | Texto: En | PDF: En

ABSTRACT Reducing water consumption by crops in semi-arid regions is an important factor for the sustainability of agriculture in these locations. In this sense, this study aims to evaluate the neuro-fuzzy inference method as a support for decision-making in irrigated coriander cultivation. The experiment was performed in two cultivation cycles in Pentecoste-CE, Brazil. The experiment was conducted in randomized blocks arranged in a split-plot design with five primary treatments, consisting of irrigation depths (50, 75, 100, 125, and 150% of the localized evapotranspiration, ETcloc), and five secondary treatments, consisting of different levels of bagana mulch (0, 25, 50, 75, and 100%, equivalent to 16 t ha−1). Neuro-fuzzy models with two input variables and eight output biometric variables were developed to evaluate growth (plant height, number of roots, and root length) and yield variables (productivity and shoot and root fresh and dry mass). In the first cycle, the best results occurred close to 55% ETcloc and between 40 and 50% of mulch; in the second cycle, water consumption returned results between 50 and 80% ETcloc. The fuzzy and multiple regression models showed MAE, MSE, and RMSE errors of 9, 22, and 10% lower, respectively. The neuro-fuzzy model might be a viable option for decision-making in irrigated crops, being able to optimize the use of natural resources and available water in semi-arid regions. The use of 55% of irrigation depth and a range of 40 to 50% of mulch can be a strategy for a higher water use efficiency.

https://doi.org/10.1590/1809-4430-eng.agric.v43n2e20220208/2023

Analysis of the Influence Of Friction Stir Welding on the Microstructure and Mechanical Properties of Alloy UNS-C27200 (CU-ZN)
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Rosa, Renato F.

; Almeida, Italo O.

; Varasquim, Francisco M. F. A.

; Junior, Eli J. C.

; Couto, Antônio A.

; Santos, Vinicius T.

; Silva, Márcio R.

; Nakamoto, Francisco Y.

; Santos, Givanildo A.

Materials Research

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2023, Volume 26 Supl. 1 elocation e20220581

Resumo: En | Texto: En | PDF: En

The copper alloy UNS-C27200 is a binary brass, composed of 38wt%Zn, beeing one of the most used in the industry. The union of Cu-Zn alloys by conventional welding by fusion in thin plates presents several challenges. The Friction Stir Welding (FSW) process performs the union of two, or more materials, through a rotating tool that travels throughout the welding region. One the great advantages of FSW is working below the melting point of the material, which reduces the change in the microstructure and properties of the material, when compared to conventional welding processes. Due to the lack of research on FSW process in lap brass joints with thin thicknesses, the present work aims to expand these studies in order to contribute to future research. Eight conditions were evaluated, varying rotation and welding speed. In the best results by visual inspection, analyzes of microstructure, temperature, microhardness and mechanical strength were performed. The better welding results were obtained with ω=1050 rpm and ν=20 mm/min. There was reduction of approximately 50% between Stir Zone and Base metal. The mechanical strength was affected by the pin hole resulting from the process. The microstructure revealed a homogeneous mixture in the stir zone and no defects were detected.

https://doi.org/10.1590/1980-5373-mr-2022-0581

Advantages of treating sponge-gourd waste by mechanical refining on the properties of fiber-based poly(butylene adipate-co-terephthalate)/polylactide biocomposites
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CORREIA, THIAGO R.

; ALMEIDA, RENAN HENRIQUES G.

; CAMPOS, GUSTAVO N.

; SANTOS, CAIO C.

; COLAÇO, MARCOS VINICIUS

; FIGUEIREDO, MARCO ANTONIO G.

; SOUSA, ANA MARIA F.

; SILVA, ANA LÚCIA N.

Anais da Academia Brasileira de Ciências

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2023, Volume 95 Supl. 1 elocation e20230003

Resumo: En | Texto: En | PDF: En

Abstract This study compares the morphology, thermal, and dynamic-mechanical properties of composites based on polybutylene adipate terephthalate/polylactide biocomposites with sponge gourd waste treated code as R, and non-treated sponge gourd, coded as NR, by mechanical disc refining after milled process. Extrusion followed by compression molding was used to produce biocomposites with fiber contents of 0, 2.5, 5, 10, and 15% wt/wt for R and NR sponge gourd fibers. Scanning electron microscopy analysis reveals that NR has the morphology of a rigid tubular shape, whereas R is a thinner, twisted, and fibrillated fiber. Regardless of the type of sponge gourd fiber used, the thermal stability of the composite decreases as the sponge gourd content increases. At 25°C, the biocomposite with 10%wt/wt R fiber has the highest storage modulus value. The comparison of Tangent peak values reveals that the presence of sponge gourd fibers reduces the energy dissipation of the biocomposites. The analysis of the loss modulus at 25°C reveals that R fiber contributes more to the reduction of energy dissipation of the biocomposites than NR. Furthermore, the Cole-Cole plot shows that R and NR fibers are dispersed and do not significantly change the homogeneity of the biopolymer systems.

https://doi.org/10.1590/0001-3765202320230003

Bulb yield and economic viability of onion in response to sulfur fertilization
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Lacerda, Rodolfo R. de A.

; Grangeiro, Leilson C.

; Bertino, Nubia M. F.

; Gomes, Victor E. de V.

; Costa, João P. N. da

; Almeida, Antônio F. de

Revista Brasileira de Engenharia Agrícola e Ambiental

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Ago 2022, Volume 26 Nº 8 Páginas 602 - 609

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO O cultivo da cebola na região Nordeste vem ganhando destaque devido às condições edafoclimáticas favoráveis e ao uso de tecnologia. No entanto, o aumento dos custos de produção, as oscilações de preços e a supressão do enxofre nas formulações dos fertilizantes constituem um risco para o produtor. Nesse sentido, objetivou-se avaliar os aspectos produtivos e econômicos da cebola em resposta a adubação com enxofre. Dois experimentos foram realizados de junho a novembro de 2018 e 2019, ambos na Fazenda Experimental Rafael Fernandes, pertencente à Universidade Federal Rural do Semiárido, município de Mossoró, Rio Grande do Norte, Brasil, em Argissolo. O delineamento experimental foi em blocos casualizados com 14 tratamentos e quatro repetições, correspondendo à combinação de duas cultivares de cebola e sete doses de enxofre. Foram avaliados: teor de enxofre na folha diagnóstica, rendimento de bulbos, custos operacionais totais, receita bruta, receita líquido, taxa de retorno e índice de lucratividade. Independente da cultivar utilizada, os custos dos insumos somam as maiores despesas, atingindo valores aproximados de 60,6 e 48,4% do custo operacional total para as cultivares Rio das Antas e IPA 11, respectivamente. A Rio das Antas foi mais eficiente no uso do enxofre, obtendo maior rendimento e receita líquida. O fornecimento de 34 kg ha-1 de enxofre proporcionou rendimento e receita líquida máxima para a Rio das Antas. A aplicação de enxofre não influenciou o rendimento da cultivar IPA 11.

ABSTRACT The cultivation of onion in the Brazilian Northeast region has been gaining prominence due to the favorable edaphoclimatic conditions and the use of technology. However, the increase in production costs, price fluctuations and the suppression of sulfur in fertilizer formulations constitute a risk for the farmers. Thus, the aim of this study was to evaluate the productive and economic aspects of onion production as a response to sulfur fertilization. Two experiments were carried out from June to November 2018 and 2019, at the Rafael Fernandes Experimental Farm, belonging to the Universidade Federal Rural do Semi-árido, in the municipality of Mossoró, Rio Grande do Norte, Brazil, in an Ultisol. The experimental design was randomized complete blocks with 14 treatments and four replicates, corresponding to the combination of two onion cultivars and seven doses of sulfur. The following characteristics were evaluated: sulfur content in the diagnostic leaf, bulb yield, total operating costs, gross revenue, net revenue, rate of return and yield index. Regardless of the cultivar, input costs add up to higher expenses, reaching approximate values of 60.6 and 48.4% of the total operating cost for the Rio das Antas and IPA 11 cultivars, respectively. Rio das Antas was more sulfur efficient, achieving greater bulb yield and net revenue. The 34 kg ha-1 sulfur dose promoted maximum yield and net revenue for Rio das Antas. The application of sulfur did not influence the yield of the IPA 11 cultivar.

https://doi.org/10.1590/1807-1929/agriambi.v26n8p602-609

10.

COVID-19 in the Perioperative Period of Cardiovascular Surgery: the Brazilian Experience
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Gomes, Walter J.

; Rocco, Isadora

; Pimentel, Wallace S.

; Pinheiro, Aislan H. B.

; Souza, Paulo M. S.

; Costa, Luiz A. A.

; Teixeira, Marjory M. P.

; Ohashi, Leonardo P.

; Bublitz, Caroline

; Begot, Isis

; Moreira, Rita Simone L

; Hossne Jr, Nelson A.

; Vargas, Guilherme F.

; Branco, João Nelson R.

; Teles, Carlos A.

; Medeiros, Eduardo A. S.

; Sáfadi, Camila

; Rampinelli, Amândio

; Moratelli Neto, Leopoldo

; Rosado, Anderson Rosa

; Mesacasa, Franciele Kuhn

; Capriata, Ismael Escobar

; Segalote, Rodrigo Coelho

; Palmieri, Deborah Louize da Rocha Vianna

; Jardim, Amanda Cristina Mendes

; Vianna, Diego Sarty

; Coutinho, Joaquim Henrique de Souza Aguiar

; Jazbik, João Carlos

; Coutinho, Henrique Madureira da Rocha

; Kikuta, Gustavo

; Almeida, Zely Sant'Anna Marotti de

; Feguri, Gibran Roder

; Lima, Paulo Ruiz Lucio de

; Franco, Anna Carolina

; Borges, Danilo de Cerqueira

; Cruz, Felipe Ramos Honorato De La

; Croti, Ulisses Alexandre

; Borim, Bruna Cury

; Marchi, Carlos Henrique De

; Goraieb, Lilian

; Postigo, Karolyne Barroca Sanches

; Jucá, Fabiano Gonçalves

; Oliveira, Fátima Rosane de Almeida

; Souza, Rafael Bezerra de

; Zilli, Alexandre Cabral

; Mas, Raul Gaston Sanchez

; Bettiati Junior, Luiz Carlos

; Tranchesi, Ricardo

; Bertini Jr, Ayrton

; Franco, Leandro Vieira

; Fernandes, Priscila

; Oliveira, Fabiana

; Moraes Jr, Roberto

; Araújo, Thiago Cavalcanti Vila Nova de

; Braga, Otávio Penna

; Pedrosa Sobrinho, Antônio Cavalcanti

; Teixeira, Roberta Tavares Barreto

; Camboim, Irla Lavor Lucena

; Gomes, Eduardo Nascimento

; Reis, Pedro Horigushi

; Garcia, Luara Piovan

; Scorsioni, Nelson Henrique Goes

; Lago, Roberto

; Guizilini, Solange

Brazilian Journal of Cardiovascular Surgery

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Dez 2021, Volume 36 Nº 6 Páginas 725 - 735

Resumo: En | Texto: En | PDF: En

Abstract Introduction: We investigated the clinical course and outcomes of patients submitted to cardiovascular surgery in Brazil and who had developed symptoms/signs of coronavirus disease 2019 (COVID-19) in the perioperative period. Methods: A retrospective multicenter study including 104 patients who were allocated in three groups according to time of positive real time reverse transcriptase-polymerase chain reaction (RT-PCR) for the SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2): group 1, patients who underwent cardiac surgery > 10 days after positive RT-PCR; group 2, patients with a positive RT-PCR within 10 days before or after surgery; group 3, patients who presented positive RT-PCR > 10 days after surgery. The primary outcome was mortality and secondary outcomes were postoperative complications, intensive care unit (ICU) length of stay, and postoperative days of hospitalization. Results: The three groups were similar with respect to age, the European System of Cardiac Operative Risk Evaluation score, and comorbidities, except hypertension. Postoperative complications and death were significantly higher in groups 2 and 3 than in group 1, and no significant difference between groups 2 and 3 was seen. Group 2 showed a high prevalence of surgery performed as an urgent procedure. Although no significant differences were observed in ICU length of stay, total postoperative hospitalization time was significantly higher in group 3 than in groups 1 and 2. Conclusion: COVID-19 affecting the postoperative period of patients who underwent cardiovascular surgery is associated with a higher rate of morbidity and mortality. Delaying procedures in RT-PCR-positive patients may help reduce risks of perioperative complications and death.

https://doi.org/10.21470/1678-9741-2021-0960

11.

Modos de aprendizaje en los contextos actuales para mejorar el proceso de enseñanza
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López Fernández, Raúl

; Nieto Almeida, Lázaro Emilio

; Vera Zapata, Juan Antonio

; Quintana Álvarez, Moisés R.

Revista Universidad y Sociedad

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Out 2021, Volume 13 Nº 5 Páginas 542 - 550

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

ABSTRACT Learning is a subject of constant concern for all those dedicated to this activity, where there are different paradigmatic approaches. The objective of this work is to assess the different types of learning associated with current contexts in order to improve the teaching-learning process. The fundamental methods used have been, from the theoretical, the logical historical and the synthetic analytic; and from empyrean, observation and analysis of documents. The main results are associated with the description of the most useful methods in these times, the psychological current that underlies each one of them, their complementary elements and adaptations (whether virtual or face-to-face) to the generation that today is in the classrooms. With the assessment of the different learning concepts, a tool has been provided to support the work of teachers of these times.

RESUMEN El aprendizaje es un tema de constate preocupación para todos los dedicados a esta actividad, donde existen diferentes enfoques paradigmáticos. El objetivo de este trabajo es valorar los diferentes tipos de aprendizaje asociados a los contextos actuales para la mejora del proceso de enseñanza aprendizaje. Los métodos fundamentales utilizados han sido, desde lo teórico, el histórico lógico y al analítico sintético; y desde la empírea, la observación y el análisis de documentos. Los principales resultados se asocian a la descripción de los métodos de mayor utilidad en estos tiempos, la corriente psicológica que subyace detrás de cada uno de ellos, sus elementos complementarios y adaptaciones (sean virtuales o presenciales) a la generación que hoy se encuentra en las aulas. Con la valoración de los diferentes conceptos de aprendizajes, se ha propiciado una herramienta de sustento al quehacer de los docentes de estos tiempos.

12.

Diretrizes Brasileiras de Hipertensão Arterial – 2020
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Barroso, Weimar Kunz Sebba

; Rodrigues, Cibele Isaac Saad

; Bortolotto, Luiz Aparecido

; Mota-Gomes, Marco Antônio

; Brandão, Andréa Araujo

; Feitosa, Audes Diógenes de Magalhães

; Machado, Carlos Alberto

; Poli-de-Figueiredo, Carlos Eduardo

; Amodeo, Celso

; Mion Júnior, Décio

; Barbosa, Eduardo Costa Duarte

; Nobre, Fernando

; Guimarães, Isabel Cristina Britto

; Vilela-Martin, José Fernando

; Yugar-Toledo, Juan Carlos

; Magalhães, Maria Eliane Campos

; Neves, Mário Fritsch Toros

; Jardim, Paulo César Brandão Veiga

; Miranda, Roberto Dischinger

; Póvoa, Rui Manuel dos Santos

; Fuchs, Sandra C

; Alessi, Alexandre

; Lucena, Alexandre Jorge Gomes de

; Avezum, Alvaro

; Sousa, Ana Luiza Lima

; Pio-Abreu, Andrea

; Sposito, Andrei Carvalho

; Pierin, Angela Maria Geraldo

; Paiva, Annelise Machado Gomes de

; Spinelli, Antonio Carlos de Souza

; Nogueira, Armando da Rocha

; Dinamarco, Nelson

; Eibel, Bruna

; Forjaz, Cláudia Lúcia de Moraes

; Zanini, Claudia Regina de Oliveira

; Souza, Cristiane Bueno de

; Souza, Dilma do Socorro Moraes de

; Nilson, Eduardo Augusto Fernandes

; Costa, Elisa Franco de Assis

; Freitas, Elizabete Viana de

; Duarte, Elizabeth da Rosa

; Muxfeldt, Elizabeth Silaid

; Lima Júnior, Emilton

; Campana, Erika Maria Gonçalves

; Cesarino, Evandro José

; Marques, Fabiana

; Argenta, Fábio

; Consolim-Colombo, Fernanda Marciano

; Baptista, Fernanda Spadotto

; Almeida, Fernando Antonio de

; Borelli, Flávio Antonio de Oliveira

; Fuchs, Flávio Danni

; Plavnik, Frida Liane

; Salles, Gil Fernando

; Feitosa, Gilson Soares

; Silva, Giovanio Vieira da

; Guerra, Grazia Maria

; Moreno Júnior, Heitor

; Finimundi, Helius Carlos

; Back, Isabela de Carlos

; Oliveira Filho, João Bosco de

; Gemelli, João Roberto

; Mill, José Geraldo

; Ribeiro, José Marcio

; Lotaif, Leda A. Daud

; Costa, Lilian Soares da

; Magalhães, Lucélia Batista Neves Cunha

; Drager, Luciano Ferreira

; Martin, Luis Cuadrado

; Scala, Luiz César Nazário

; Almeida, Madson Q.

; Gowdak, Marcia Maria Godoy

; Klein, Marcia Regina Simas Torres

; Malachias, Marcus Vinícius Bolívar

; Kuschnir, Maria Cristina Caetano

; Pinheiro, Maria Eliete

; Borba, Mario Henrique Elesbão de

; Moreira Filho, Osni

; Passarelli Júnior, Oswaldo

; Coelho, Otavio Rizzi

; Vitorino, Priscila Valverde de Oliveira

; Ribeiro Junior, Renault Mattos

; Esporcatte, Roberto

; Franco, Roberto

; Pedrosa, Rodrigo

; Mulinari, Rogerio Andrade

; Paula, Rogério Baumgratz de

; Okawa, Rogério Toshiro Passos

; Rosa, Ronaldo Fernandes

; Amaral, Sandra Lia do

; Ferreira-Filho, Sebastião R.

; Kaiser, Sergio Emanuel

; Jardim, Thiago de Souza Veiga

; Guimarães, Vanildo

; Koch, Vera H.

; Oigman, Wille

; Nadruz, Wilson

Arquivos Brasileiros de Cardiologia

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Mar 2021, Volume 116 Nº 3 Páginas 516 - 658

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

https://doi.org/10.36660/abc.20201238 10948 downloads

13.

The Program for Biodiversity Research in Brazil: The role of regional networks for biodiversity knowledge, dissemination, and conservation
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ROSA, CLARISSA

; BACCARO, FABRICIO

; CRONEMBERGER, CECILIA

; HIPÓLITO, JULIANA

; BARROS, CLAUDIA FRANCA

; RODRIGUES, DOMINGOS DE JESUS

; NECKEL-OLIVEIRA, SELVINO

; OVERBECK, GERHARD E.

; DRECHSLER-SANTOS, ELISANDRO RICARDO

; ANJOS, MARCELO RODRIGUES DOS

; FERREGUETTI, ÁTILLA C.

; AKAMA, ALBERTO

; MARTINS, MARLÚCIA BONIFÁCIO

; TOMAS, WALFRIDO MORAES

; SANTOS, SANDRA APARECIDA

; FERREIRA, VANDA LÚCIA

; CUNHA, CATIA NUNES DA

; PENHA, JERRY

; PINHO, JOÃO BATISTA DE

; SALIS, SUZANA MARIA

; DORIA, CAROLINA RODRIGUES DA COSTA

; PILLAR, VALÉRIO D.

; PODGAISKI, LUCIANA R.

; MENIN, MARCELO

; BÍGIO, NARCÍSIO COSTA

; ARAGÓN, SUSAN

; MANZATTO, ANGELO GILBERTO

; VÉLEZ-MARTIN, EDUARDO

; SILVA, ANA CAROLINA BORGES LINS E

; IZZO, THIAGO JUNQUEIRA

; MORTATI, AMANDA FREDERICO

; GIACOMIN, LEANDRO LACERDA

; ALMEIDA, THAÍS ELIAS

; ANDRÉ, THIAGO

; SILVEIRA, MARIA AUREA PINHEIRO DE ALMEIDA

; SILVEIRA, ANTÔNIO LAFFAYETE PIRES DA

; MESSIAS, MARILUCE REZENDE

; MARQUES, MARCIA C.M.

; PADIAL, ANDRE ANDRIAN

; MARQUES, RENATO

; BITAR, YOUSZEF O.C.

; SILVEIRA, MARCOS

; MORATO, ELDER FERREIRA

; PAGOTTO, RUBIANI DE CÁSSIA

; STRUSSMANN, CHRISTINE

; MACHADO, RICARDO BOMFIM

; AGUIAR, LUDMILLA MOURA DE SOUZA

; FERNANDES, GERALDO WILSON

; OKI, YUMI

; NOVAIS, SAMUEL

; FERREIRA, GUILHERME BRAGA

; BARBOSA, FLÁVIA RODRIGUES

; OCHOA, ANA C.

; MANGIONE, ANTONIO M.

; GATICA, AILIN

; CARRIZO, MARÍA CELINA

; RETTA, LUCÍA MARTINEZ

; JOFRÉ, LAURA E.

; CASTILLO, LUCIANA L.

; NEME, ANDREA M.

; RUEDA, CARLA

; TOLEDO, JOSÉ JULIO DE

; GRELLE, CARLOS EDUARDO VIVEIROS

; VALE, MARIANA M.

; VIEIRA, MARCUS VINICIUS

; CERQUEIRA, RUI

; HIGASHIKAWA, EMÍLIO MANABU

; MENDONÇA, FERNANDO PEREIRA DE

; GUERREIRO, QUÊZIA LEANDRO DE MOURA

; BANHOS, AUREO

; HERO, JEAN-MARC

; KOBLITZ, RODRIGO

; COLLEVATTI, ROSANE GARCIA

; SILVEIRA, LUÍS FÁBIO

; VASCONCELOS, HERALDO L.

; VIEIRA, CECÍLIA RODRIGUES

; COLLI, GUARINO RINALDI

; CECHIN, SONIA ZANINI

; SANTOS, TIAGO GOMES DOS

; FONTANA, CARLA S.

; JARENKOW, JOÃO A.

; MALABARBA, LUIZ R.

; RUEDA, MARTA P.

; ARAUJO, PUBLIO A.

; PALOMO, LUCAS

; ITURRE, MARTA C.

; BERGALLO, HELENA GODOY

; MAGNUSSON, WILLIAM E.

Anais da Academia Brasileira de Ciências

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2021, Volume 93 Nº 2 elocation e20201604

Resumo: En | Texto: En | PDF: En

Abstract The Program for Biodiversity Research (PPBio) is an innovative program designed to integrate all biodiversity research stakeholders. Operating since 2004, it has installed long-term ecological research sites throughout Brazil and its logic has been applied in some other southern-hemisphere countries. The program supports all aspects of research necessary to understand biodiversity and the processes that affect it. There are presently 161 sampling sites (see some of them at Supplementary Appendix), most of which use a standardized methodology that allows comparisons across biomes and through time. To date, there are about 1200 publications associated with PPBio that cover topics ranging from natural history to genetics and species distributions. Most of the field data and metadata are available through PPBio web sites or DataONE. Metadata is available for researchers that intend to explore the different faces of Brazilian biodiversity spatio-temporal variation, as well as for managers intending to improve conservation strategies. The Program also fostered, directly and indirectly, local technical capacity building, and supported the training of hundreds of undergraduate and graduate students. The main challenge is maintaining the long-term funding necessary to understand biodiversity patterns and processes under pressure from global environmental changes.

https://doi.org/10.1590/0001-3765202120201604 1034 downloads

14.

Serological evidence of Rickettsia in horses from a semi-arid Brazilian region
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Farias, Ila Ferreira

; Souza, Eline Almeida Rodrigues de

; Serpa, Maria Carolina de Azevedo

; Palha, Flávio Silva

; Oliveira, Glauber Meneses Barboza de

; Labruna, Marcelo Bahia

; Horta, Mauricio Claudio

Revista Brasileira de Parasitologia Veterinária

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2021, Volume 30 Nº 2 elocation e026220

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

Resumo A Febre Maculosa Brasileira (FMB) é uma importante zoonose causada por Rickettsia rickettsii, sendo seu vetor o Amblyomma sculptum. Cavalos são os principais hospedeiros desse carrapato e considerados sentinelas eficientes para detectar a circulação de Rickettsia. O objetivo deste estudo foi detectar anticorpos reativos a antígenos de R. rickettsii em cavalos de uma área não-endêmica na região Centro-Norte da Bahia, Brasil. Foram coletadas amostras de sangue e carrapatos de 70 cavalos nos municípios de Senhor do Bonfim, Antônio Gonçalves, Pindobaçu e Campo Formoso. Os soros obtidos foram testados pela reação de imunofluorescência indireta para detectar anticorpos anti-Rickettsia. No geral, 5,7% (4/70) dos cavalos reagiram sorologicamente para antígenos de R. rickettsii. Os carrapatos foram coletados em 18,6% (13/70) dos cavalos e foram identificados como A. sculptum e Dermacentor nitens. Embora seja uma área não endêmica, foram observados animais soropositivos, sugerindo a circulação de riquétsias na região estudada. Este é o primeiro estudo de levantamento sorológico desse agente em cavalos do Centro-Norte da Bahia. São necessários mais estudos para compreender a epidemiologia da FMB nesses locais.

Abstract Brazilian spotted fever (BSF) is a common tick-borne disease caused by Rickettsia rickettsii. Horses are the primary hosts of the main vector, Amblyomma sculptum, and are considered efficient sentinels for circulation of Rickettsia. Therefore, the aim of this study was to detect antibodies reactive to R. rickettsii antigens in horses from a non-endemic area in the north-central region of Bahia state, Brazil. Blood samples and ticks were collected from 70 horses from the municipalities of Senhor do Bonfim, Antônio Gonçalves, Pindobaçu, and Campo Formoso. The sera obtained were tested by an indirect immunofluorescence assay to detect anti-Rickettsia antibodies. Overall, 5.7% (4/70) of the horses reacted to R. rickettsii antigens. Ticks were collected from 18.6% (13/70) of the horses and were identified as A. sculptum and Dermacentor nitens. Despite being a non-endemic area, seropositive animals were identified in our study, suggesting circulation of rickettsial agents in the region. This is the first serological survey of this agent in horses from the north-central region of Bahia, and further studies are needed to understand the epidemiology of BSF in these locations.

https://doi.org/10.1590/s1984-29612021011 276 downloads

15.

A preliminary survey and range extension of millipedes species introduced in Brazil (Myriapoda, Diplopoda)
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Iniesta, Luiz Felipe Moretti

; Bouzan, Rodrigo Salvador

; Rodrigues, Patrícia Elesbão da Silva

; Almeida, Thais Melo de

; Ott, Ricardo

; Brescovit, Antonio Domingos

Papéis Avulsos de Zoologia

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2021, Volume 61 elocation e20216188

Resumo: En | Texto: En | PDF: En

Abstract The present study provides historical and new records of the introduced millipedes species in Brazil, Oxidus gracilis (C.L. Koch, 1847), Orthomorpha coarctata (Saussure, 1860) (Paradoxosomatidae), Prosopodesmus jacobsoni Silvestri, 1910 (Haplodesmidae), Trachyjulus calvus (Pocock, 1893a), Glyphiulus granulatus (Gervais, 1847) (Cambalopsidae), Trigoniulus corallinus (Gervais, 1842), Leptogoniulus sorornus (Butler, 1876), Epitrigoniulus cruentatus (Brölemann, 1903) (Pachybolidae), Paraspirobolus lucifugus (Gervais, 1837) (Spirobolellidae), Cylindroiulus britannicus (Verhoeff, 1891), Cylindroiulus truncorum (Silvestri, 1896) (Julidae), and Rhinotus purpureus (Pocock, 1894) (Siphonotidae). Among the 27 federative units in Brazil, 21 states present at least one record of a non-native species. Orthomorpha coarctata was the most widely distributed species, occurring in 15 states. Glyphiulus granulatus (state of Rio Grande do Sul), C. truncorum (São Paulo), and R. purpureus (Amazonas) were recorded from only one Brazilian state. The Southeast region concentrates most of the compiled records (42,6%) and richness by grid (5-7 species), mainly in urban areas of the states of Rio de Janeiro and São Paulo.

https://doi.org/10.11606/1807-0205/2021.61.88

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