Abstract Laterite gravels have been successfully adopted as pavement materials in the field. Despite that, they are often rejected in material selection processes because of its base on traditional gradation and consistency limits requirements. To allow a deeper evaluation of such material found abundantly in tropical countries, along to characterizing traditional parameters, repeated load triaxial tests were performed in a Laterite Gravel from Acre/Brazil to evaluate its elastic and plastic behavior through Resilient Modulus (RM) and Permanent Deformation (PD), respectively. In addition, a simulation was conducted in the MeDiNa software, based on the test results considering stress states that are usually applied in pavement layers. The material showed RM values higher than 500 MPa, which was considered high compared to materials such as Quartz and Granite. It was also observed low permanent deformation (below 1 mm for higher tensions applied) and accommodation of displacement (shakedown) for most specimens. The simulation results showed low rutting prediction for the Laterite Gravel applied in highway pavement layers. Thus, the results indicated that the lateritic gravel can be adopted in the composition of base or subbase layers of flexible pavements, even though some limits of the parameters specified by traditional specifications were violated, as expected. In addition, we also highlight the need for adoption of new material selection strategies that are based on key mechanical characteristics to avoid discarding potentially well performing materials.

Abstract Objective To assess the efficacy, safety, and acceptability of misoprostol in the treatment of incomplete miscarriage. Data sources The PubMed, Scopus, Embase, Web of Science, Cochrane Library, and Clinical Trials databases (clinicaltrials.gov) were searched for the relevant articles, and search strategies were developed using a combination of thematic Medical Subject Headings terms and text words. The last search was conducted on July 4, 2022. No language restrictions were applied. Selection of studies Randomized clinical trials with patients of gestational age up to 6/7 weeks with a diagnosis of incomplete abortion and who were managed with at least 1 of the 3 types of treatment studied were included. A total of 8,087 studies were screened. Data collection Data were synthesized using the statistical package Review Manager V.5.1 (The Cochrane Collaboration, Oxford, United Kingdom). For dichotomous outcomes, the odds ratio (OR) and 95% confidence interval (CI) were derived for each study. Heterogeneity between the trial results was evaluated using the standard test, I2 statistic. Data synthesis When comparing misoprostol with medical vacuum aspiration (MVA), the rate of complete abortion was higher in the MVA group (OR = 0.16; 95%CI = 0.07–0.36). Hemorrhage or heavy bleeding was more common in the misoprostol group (OR = 3.00; 95%CI = 1.96–4.59), but pain after treatment was more common in patients treated with MVA (OR = 0.65; 95%CI = 0.52–0.80). No statistically significant differences were observed in the general acceptability of the treatments. Conclusion Misoprostol has been determined as a safe option with good acceptance by patients.

Resumo Objetivo Avaliar a eficácia, segurança e aceitabilidade do misoprostol no tratamento do aborto incompleto. Fontes de dados Os bancos de dados PubMed, Scopus, Embase, Web of Science, Cochrane Library e bancos de dados de Ensaios Clínicos (clinicaltrials.gov) foram pesquisados para os artigos relevantes, e estratégias de busca foram desenvolvidas usando uma combinação de termos temáticos de Medical Subject Headings e palavras de texto. A última pesquisa foi realizada em 4 de julho de 2022. Nenhuma restrição de idioma foi aplicada. Seleção dos estudos Foram incluídos ensaios clínicos randomizados com pacientes com idade gestacional até 6/7 semanas com diagnóstico de aborto incompleto e que foram manejadas com pelo menos um dos três tipos de tratamento estudados. Um total de 8.087 estudos foram selecionados. Coleta de dados Os dados foram sintetizados usando o pacote estatístico Review Manager V.5.1 (The Cochrane Collaboration, Oxford, United Kingdom). Para resultados dicotômicos, o odds ratio (OR, na sigla em inglês) e o intervalo de confiança (IC) de 95% foram derivados para cada estudo. A heterogeneidade entre os resultados do ensaio foi avaliada usando o teste padrão, estatística I2. Síntese dos dados Ao comparar misoprostol com aspiração a vácuo médico (MVA, na sigla em inglês), a taxa de aborto completo foi maior no grupo MVA (OR = 0,16; IC95% = 0,07–0,36). Hemorragia ou sangramento intenso foi mais comum no grupo do misoprostol (OR = 3,00; 95%CI = 1,96–4,59), mas a dor após o tratamento foi mais comum em pacientes tratados com MVA (OR = 0,65; 95%CI = 0,52–0,80). Não foram observadas diferenças estatisticamente significativas na aceitabilidade geral dos tratamentos. Conclusão O misoprostol tem se mostrado uma opção segura e com boa aceitação pelos pacientes.

ABSTRACT Root canal morphology and its anatomical variations pose a great challenge to endodontists Aim The aim of this in silico study was to perform a qualitative and quantitative analysis of the threedimensional morphological characteristics of the isthmus in the mesial root canals of mandibular molars using microcomputed tomography (micro-CT) Material and Method Six hundred first mandibular molars were selected, including 317 with two mesial canals with isthmuses between the canals, and fully formed root. Isthmus morphology was determined in 3D longitudinal sections using Fan et al. (2010) classification. Root length, and the volume and area of apical and coronal level were measured. Additionally, the structural model index (SMI) of the canals were also assessed Results The prevalence of isthmuses in the mesial root canals was 32% type II, 29% type III, 22% type IV, and 17% type I. The root length was found to be 9.1±0.5 mm, the volume and area, of all root canal system, were 41.8±40.1 mm3 and 63.6±24.2 mm2 respectively. The isthmi volume and area alone were 11.06±9.03 mm3 and 30.02±11.02 mm2. The study confirmed that isthmuses are present in mesial canals of mandibular first molars, being more frequent in the apical third Conclusion The high prevalence of isthmuses with complex morphological features underscores the importance of using intracanal medications to disinfect areas unprepared by instruments.

RESUMO A morfologia do canal radicular e suas variações anatômicas representam um grande desafio para os endodontistas. O objetivo deste estudo ex vivo foi realizar uma análise qualitativa e quantitativa das características morfológicas tridimensionais do istmo nos canais mesiais de molares inferiores por meio de microtomografia computadorizada (micro-CT) Material e Método Foram selecionados 600 primeiros molares inferiores, incluindo 317 com dois canais mesiais com istmos e raiz totalmente formada. A morfologia do istmo foi determinada em cortes longitudinais 3D usando a classificação Fan et al. (2010). Foram mensurados o comprimento da raiz, o volume e a área apical e coronal e da cavidade pulpar. Adicionalmente, também foram avaliados o structure model index (SMI) dos canais Resultados A prevalência de istmos nos canais mesiais foi de 32% tipo II, 29% tipo III, 22% tipo IV e 17% tipo I. O comprimento da raiz foi de 9,1±0,5 mm, o volume e a área de todo o sistema de canais radiculares foram de 41.8±40.1 mm3 e 63.6±24.2 mm2, respectivamente. O volume e área do istmo isoladamente foram 11.06±9,03 mm3 e 30.02±11.02 mm2. O estudo confirmou que os istmos estão presentes em canais mesiais dos primeiros molares inferiores, sendo mais frequentes no terço apical Conclusão A alta prevalência de istmos com características morfológicas complexas ressalta a importância do uso de medicação intracanal para desinfecção de áreas não tocadas por instrumentos.

ABSTRACT Salinity is one of the abiotic stresses that affect gas exchange and growth of pomegranate. In this context, the application of nitrogen fertilizer through the leaves can minimize these effects. Thus, the objective of present study was to evaluate the effect of foliar nitrogen fertilization on pomegranate seedlings irrigated with brackish water. The design used was randomized blocks, in an incomplete factorial scheme (Central Composite Design) with five electrical conductivities of irrigation water - ECw (0.50, 1.15, 2.75, 4.35, and 5.00 dS m-1) and five doses of foliar nitrogen fertilization - FNF (0, 0.33, 1.15, 1.97, and 2.30 g L-1), with four replicates and two plants per experimental plot. Plant height, number of leaves, stem diameter, and gas exchange (stomatal conductance, net photosynthesis, intercellular CO2 concentration, transpiration rate, instantaneous carboxylation efficiency, instantaneous water use efficiency, and intrinsic water use efficiency) were evaluated at 60 days after the beginning of irrigation with saline water. Salinity of irrigation water negatively affects the gas exchange of pomegranate seedlings. Foliar nitrogen fertilization up to 1.31 g L-1 improves plant height and number of leaves in pomegranate seedlings under salt stress. Foliar nitrogen fertilization up to 1.59 g L-1 increases the net photosynthesis of pomegranate seedlings.

RESUMO A salinidade é um dos estresses abióticos que afeta as trocas gasosas e o crescimento de romãzeira. Neste sentido, à aplicação de adubo nitrogenado via foliar poderá minimizar estes efeitos. Com isso, o objetivo do presente estudo foi avaliar o efeito da aplicação foliar com nitrogênio em mudas de romã irrigadas com águas salobra. O delineamento utilizado foi de blocos casualizados, em esquema fatorial incompleto (Composto Central de Box), sendo cinco condutividade elétrica da água - CEa (0,50; 1,15; 2,75; 4,35 e 5,00 dS m-1) e cinco doses de adubação nitrogenada via foliar - ANF (0; 0,33; 1,15; 1,97 e 2,30 g L-1), com quatro repetições. A salinidade da água de irrigação afeta negativamente as trocas gasosas de mudas de romãzeira. A adubação nitrogenada foliar até 1,31 g L-1 melhora o crescimento em altura e no número de folhas em mudas de romãzeira sob estresse salino. Adubação nitrogenada foliar até a dose de 1,59 g L-1 aumenta a fotossíntese das mudas de romãzeira.

Introduction: The healthcare system is structured to prioritize Primary Health Care (PHC) as the main gateway for accessing care while reserving emergency services for situations requiring immediate attention. However, people's choices often deviate from what one would expect based on their health needs, leading to overburdened emergency services and reduced clinical care effectiveness and efficiency. Objective: This study aims to identify the motivations behind non-urgent health issues leading users to seek care at an emergency department. Method: A qualitative study involving semi-structured interviews was conducted in 2019 with users of an emergency department in Vitória-ES. The collected data underwent thematic analysis. Results: The study included 29 participants, predominantly women, of Black or mixed race, and under 30 years old, who reported issues related to pain or respiratory problems. Notably, participants perceived emergency services as places where they could readily obtain immediate and effective care. Accessing PHC was seen as challenging, and they anticipated that their needs (appointments, tests, medications) would not be promptly met within PHC. Conclusion: Utilizing emergency services for non-urgent concerns is a multifaceted and complex public health problem that extends beyond PHC access difficulties to encompass individual and collective understanding of PHC's role and emergency care. Merely expanding PHC is insufficient; reframing this level care is essential, particularly among younger individuals.

Introdução: o sistema de saúde é organizado de uma forma que prevê a Atenção Primária à Saúde (APS) como a porta de entrada preferencial para o cuidado, destinando-se os serviços de emergência para situações que exigem atendimento imediato. Contudo, o caminho percorrido pelas pessoas nem sempre reflete o que se esperaria pelo perfil de sua necessidade de saúde, resultando em sobrecarga e baixa efetividade e eficiência dos serviços de emergência. Objetivo: identificar motivações para uso pronto-atendimentos por problemas de saúde não urgentes em usuários deste serviço. Método: estudo qualitativo baseado em entrevistas semiestruturadas realizadas em 2019 com usuários de um pronto-atendimento do município de Vitória-ES. Os dados foram submetidos à análise temática derivada da análise de conteúdo. Resultados: Participaram 29 pessoas, sendo a maioria mulheres, negras ou pardas, com menos de 30 anos, queixando-se de dor ou problema respiratório. Observou-se, dentre outras coisas, que os entrevistados percebem os serviços urgência e emergência como aqueles onde obterão cuidados imediatos com maior facilidade e resolubilidade, já que é difícil acessar a APS e nela muito provavelmente não terão tudo aquilo que consideram necessário para manejar seu problema (consulta, exames e medicações) de uma maneira imediata, rápida e resolutiva. Conclusão: A utilização de pronto-atendimentos por motivos não urgentes é uma questão complexa. Envolve não apenas a dificuldade de acesso à APS, mas a própria compreensão individual e coletiva do papel da APS e do pronto-atendimento. Não basta, portanto, expandir a APS, mas é preciso também ressignificá-la, em especial junto aos mais jovens.

ABSTRACT Salinity is one of the main challenges in agriculture, especially in arid and semi-arid regions. Salicylic acid application may be a strategy to mitigate the harmful effects of salt stress on plant growth. Basil (Ocimum basilicum ) is a medicinal, spice, and ornamental plant grown around the world that has its growth reduced by salt stress. Therefore, the objective was to evaluate salicylic acid in mitigating the damage caused by salt stress in ‘Cinnamon’ basil. Growth was evaluated at 90 days after the start of irrigation with saline water. Salicylic acid application attenuates the harmful effects of salt stress on the number of leaves, number of inflorescences, leaf dry mass, inflorescence dry mass, root dry mass, seed mass, leaf area, leaf area ratio, specific leaf area, leaf mass ratio, root mass ratio, inflorescence mass ratio, Dickson quality index, sclerophilia index, robustness quotient and shoot root ratio. Salt stress decreased plant height, stem diameter, stem dry mass, and stem mass ratio of basil ‘Cinnamon’. Salicylic acid can be used to lessen the harmful effects of salt stress on basil ‘Cinnamon’.

Resumo O beribéri é a manifestação clínica da deficiência grave e prolongada de tiamina (vitamina B1). Doença negligenciada que acomete a população de baixa renda, em situação de insegurança alimentar e nutricional. O objetivo do estudo foi comparar casos de beribéri em indígenas com casos em não indígenas no Brasil. Trata-se de estudo transversal de casos notificados de beribéri no período de 2013 a 2018, no formulário do SUS (FormSUS) do Ministério da Saúde. Foram comparados os casos em indígenas e em não indígenas pelo teste qui-quadrado ou teste exato de Fisher com nível de significância de p < 0,05. No período estudado foram notificados no país 414 casos de beribéri, sendo 210 (50,7%) indígenas. Referiram consumo de bebidas alcoólicas 58,1% dos indígenas e 71,6% dos não-indígenas (p = 0,004); adicionalmente, 71,0% dos indígenas consumiam caxiri (bebida alcoólica tradicional fermentada). Relataram fazer esforço físico diário 76,1% dos indígenas e 40,2% dos não-indígenas (p <0 ,001). Conclui-se que o beribéri no país acomete mais indígenas e está relacionado ao consumo de álcool e ao esforço físico.

Abstract Beriberi is the clinical manifestation of severe and prolonged thiamine (vitamin B1) deficiency. It is a neglected disease that affects low-income populations facing food and nutrition insecurity. The aim of this study was to compare cases of beriberi among indigenous and non-indigenous people in Brazil. We conducted a cross-sectional study using data on cases of beriberi during the period July 2013-September 2018 derived from beriberi notification forms available on the FormSUS platform. Cases in indigenous and non-indigenous patients were compared using the chi-squared test or Fisher’s exact test, adopting a significance level of 0.05. A total of 414 cases of beriberi were reported in the country during the study period, 210 of which (50.7%) were among indigenous people. Alcohol consumption was reported by 58.1% of the indigenous patients and 71.6% of the non-indigenous patients (p = 0.004); 71.0% of the indigenous patients reported that they consumed caxiri, a traditional alcoholic drink. Daily physical exertion was reported by 76.1% of the indigenous patients and 40.2% of the non-indigenous patients (p < 0.001). It is concluded that beriberi disproportionately affects indigenous people and is associated with alcohol consumption and physical exertion.

Abstract Beriberi is the clinical manifestation of severe and prolonged thiamine (vitamin B1) deficiency. It is a neglected disease that affects low-income populations facing food and nutrition insecurity. The aim of this study was to compare cases of beriberi among indigenous and non-indigenous people in Brazil. We conducted a cross-sectional study using data on cases of beriberi during the period July 2013-September 2018 derived from beriberi notification forms available on the FormSUS platform. Cases in indigenous and non-indigenous patients were compared using the chi-squared test or Fisher’s exact test, adopting a significance level of 0.05. A total of 414 cases of beriberi were reported in the country during the study period, 210 of which (50.7%) were among indigenous people. Alcohol consumption was reported by 58.1% of the indigenous patients and 71.6% of the non-indigenous patients (p = 0.004); 71.0% of the indigenous patients reported that they consumed caxiri, a traditional alcoholic drink. Daily physical exertion was reported by 76.1% of the indigenous patients and 40.2% of the non-indigenous patients (p < 0.001). It is concluded that beriberi disproportionately affects indigenous people and is associated with alcohol consumption and physical exertion.

Resumo O beribéri é a manifestação clínica da deficiência grave e prolongada de tiamina (vitamina B1). Doença negligenciada que acomete a população de baixa renda, em situação de insegurança alimentar e nutricional. O objetivo do estudo foi comparar casos de beribéri em indígenas com casos em não indígenas no Brasil. Trata-se de estudo transversal de casos notificados de beribéri no período de 2013 a 2018, no formulário do SUS (FormSUS) do Ministério da Saúde. Foram comparados os casos em indígenas e em não indígenas pelo teste qui-quadrado ou teste exato de Fisher com nível de significância de p < 0,05. No período estudado foram notificados no país 414 casos de beribéri, sendo 210 (50,7%) indígenas. Referiram consumo de bebidas alcoólicas 58,1% dos indígenas e 71,6% dos não-indígenas (p = 0,004); adicionalmente, 71,0% dos indígenas consumiam caxiri (bebida alcoólica tradicional fermentada). Relataram fazer esforço físico diário 76,1% dos indígenas e 40,2% dos não-indígenas (p <0 ,001). Conclui-se que o beribéri no país acomete mais indígenas e está relacionado ao consumo de álcool e ao esforço físico.

ABSTRACT Introduction: Distension of the rectum wall and subsequent momentary relaxation of the internal anal sphincter (IAS) trigger a reflex called the rectoanal inhibitory reflex (RAIR). This same rectal distension causes a reflex contraction of the external anal sphincter (EAS), responsible for conscious continence called rectoanal excitatory reflex (RAER). This set of reflexes are named sampling reflex. Objectives: The sampling reflex is necessary to initiate defecation or flatulence. The objective of this study is to evaluate the sampling reflex and its practical applicability as a manometric marker of the main defecation disorders. Methodology: This review followed the Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) items. The development method consisted of searching for articles in the research platforms BVS, PubMed, Cochrane Library, SciELO and ScienceDirect and for the selection of articles the Rayyan Platform was used. The articles resulting from the search strategies were added to the platform and five collaborators were invited for the blind selection. Finally, 6 articles were included in the final review. Results: An intact sampling reflex allows the individual to facilitate discrimination between flatus and stool and to choose whether to discharge or retain rectal contents. On the other hand, an impaired sampling reflex can predispose an individual to incontinence. Therefore, it was observed that patients with defecation disorders had an impaired sampling reflex, since it was found that constipated patients have incomplete opening of the IAS, lower amplitude of RAIR and increase of RAER. Most incontinent patients present a failure in the recruitment of the EAS, a decrease in the RAER and an increase in the RAIR, in duration and amplitude.

ABSTRACT Salinity can have detrimental effects on plant development. To minimize this damage, strategies such as balanced maintenance of plants’ nutritional status have been proposed previously. The objective of this study is to investigate whether the optimization of foliar nitrogen fertilization can promote the growth and photochemical efficiency of purple basil subjected to salt stress. The experiment was performed using a randomized block design with an incomplete 5 × 5 factorial arrangement generated through experimental matrix Central Composite Design with two parameters: salinity of irrigation water at 0.5, 0.81, 2.75, 4.69, and 5.50 dS m-1; and nitrogen doses at 0, 58.58, 200, 341.42, and 400 mg L-1. It was found that an increase in the salinity of irrigation water reduced the growth and photochemical efficiency of purple basil. However, the foliar application of nitrogen at the concentration of 400 mg L-1 attenuated the harmful effects of salinity on both the absolute and relative growth rates of stem diameter, the relative growth of plant height, and chlorophyll A fluorescence. These results showed that foliar nitrogen fertilization is a suitable strategy to help mitigate salt stress in basil plants.

RESUMO A salinidade pode promover efeitos danosos ao desenvolvimento vegetal, sendo o necessário o uso de estratégias para minimizar os danos promovidos, como a manutenção equilibrada do estado nutricional da planta. Assim, o objetivo deste estudo foi avaliar o efeito da adubação nitrogenada foliar e da salinidade no crescimento e eficiência fotoquímica de manjericão roxo. O experimento foi conduzido com o delineamento de blocos casualizados, em arranjo fatorial incompleto 5 × 5 (salinidades da água de irrigação: 0,5; 0,81; 2,75; 4,69 e 5,50 dS m-1 × doses de nitrogênio: 0; 58,58; 200; 341,42 e 400 mg L-1), gerados através da matriz experimental Composto Central de Box. O aumento da salinidade da água de irrigação reduz o crescimento e a eficiência fotoquímica das plantas de manjericão roxo. Todavia, a aplicação foliar de 400 mg L-1 de N atenuou os efeitos deletérios da salinidade sobre as taxas de crescimento absoluto e relativo para o diâmetro do caule e relativo para a altura de plantas, assim como na fluorescência da clorofila a. Esses resultados mostram que a adubação foliar nitrogenada é uma estratégia para mitigar o estresse salino em plantas de manjericão.

ABSTRACT. Ractopamine is a drug used as an additive in animal production to improve growth, body composition, and production efficiency, although its use in fish is still poorly known. This study aimed to evaluate ractopamine hydrochloride (RAC) effects at increasing levels (0, 10, 20, and 40 mg kg−1) in Nile tilapia (Oreochromis niloticus) diets during 40 days by considering growth performance, body composition, and muscle fiber morphometry. One hundred and twelve fish (mean initial weight 518.63 ± 5.49 g) were housed in 16 circular tanks (450 L), following a completed randomized design with four treatments and four replicates. Body composition was significantly affected (P < 0.05), and the content of lipids in fish fillets dropped 26.7% (20 mg kg−1 RAC) and 26.1% (40 mg kg−1 RAC), as well as the amount of unsaturated fatty acids C14:0 and C18:0 in fish fillets (P < 0.05) by treatment with 10 mg kg−1 of RAC. Results demonstrate that fish fed 20 mg kg−1 RAC for 40 days changed Nile tilapia fillet chemical composition, decreasing lipid levels, altering the fatty acid profile, and increasing protein levels. RAC did not affect any productive performance parameters evaluated for muscle fiber morphometry.

ABSTRACT Salinity is one of the major obstacles to agriculture in semi-arid regions, as it affects the physiological processes, growth, and yield of numerous crops. Hence, the application of salt stress attenuators is of paramount importance, as it enables the use of saline water for agricultural purposes. Among these, humic acid promotes the growth as well as water and nutrient uptake of plants. To this end, the present study evaluated the effects of humic acid on the growth and physiology of Carica papaya seedlings irrigated with saline water. The experiment followed the randomized block design with five levels of electrical conductivity (0.5, 1.15, 2.75, 4.35, and 5.0 dS m-1) and five concentrations of humic acid (0.5, 0.94, 2.0, 3.06, and 3.5 mL L-1). Growth, gas exchange, chlorophyll content, and chlorophyll a fluorescence were evaluated. Irrigation with 4.9 dS m-1 water and application of 3.05 mL L-1 humic acid promoted the growth of papaya seedlings. Irrigation with high-salinity water (4.96 and 3.09 dS m-1) coupled with the application of 3.05 and 2.21 mL L-1 humic acid increased internal CO2 concentration, transpiration, instantaneous water use efficiency, carboxylation efficiency, and chlorophyll b content. Overall, humic acid (3.5 mL L-1) attenuated the deleterious effects of salt stress, promoting the growth and improving the performance of papaya seedlings under moderate salinity (4 dS m-1).

RESUMO A salinidade é um dos grandes entraves na agricultura em regiões semiáridas, pois afeta os processos fisiológicos, crescimento e produção de diversas culturas. Assim, o uso de atenuadores do estresse salino é de extrema importância, pois permite o uso de águas salinas para fins agrícolas. Dentre estes, destacam-se os ácidos húmicos que promovem o crescimento e a absorção de água e nutrientes. Assim, o objetivo deste trabalho foi avaliar o efeito do ácido húmico sob o crescimento e a fisiologia de mudas de mamão irrigadas com água salina. O delineamento experimental utilizado foi em blocos casualizados com cinco níveis de condutividade elétrica (0,5; 1,15; 2,75; 4,35 e 5,0 dS m-1), e cinco concentrações de ácido húmico (0,5; 0,94; 2,0; 3,06 e 3,5 mL L-1). Foram avaliados o crescimento, trocas gasosas, índice de clorofilas e fluorescência da clorofila a. A irrigação com água de 4,9 dS m-1 e aplicação de 3,05 mL L-1 de ácido húmico proporcionou maior crescimento das mudas de mamoeiro. A irrigação de mudas de mamoeiro com alta salinidade (4,96 e 3,09 dS m-1) aliada à aplicação de 3,05 e 2,21 mL L-1 de ácido húmico proporcionou aumento da concentração interna de CO2, taxa de transpiração, eficiência instantânea do uso da água, eficiência de carboxilação e teor de clorofila b. O ácido húmico (3,5 mL L-1) atenua os efeitos deletérios da salinidade no mamoeiro, sendo capaz de aumentar o crescimento e melhorar o desempenho das mudas de mamão em salinidade moderada (4 dS m-1).

ABSTRACT In fruit species, the amount of solar energy absorbed can influence fruit quality; hence, ensuring optimal light distribution management in the canopy of plants is essential. Therefore, the objectives of this study were (i) to analyze the variations in gas exchange through the day and (ii) identify the photosynthetically active photon flux density (PPFD) that promotes higher chlorophyll fluorescence and electron transport rate in jaboticaba seedlings. The experimental design was completely randomized, with treatments consisting of 18 photosynthetic photon flux densities and three evaluations throughout the day. Six replicates were used, with two plants per plot. Gas exchange and chlorophyll a fluorescence in P. peruviana were altered due to fluctuating photosynthetic photon flux density (0; 25; 50; 75; 100; 125; 150; 175; 200; 400; 600; 800; 1,000; 1,200; 1,400; 1,600; 1,800; and 2,000 μmol m-2 s-1) and environmental conditions throughout the day (8:00 a.m., 12:00 and 4:00 p.m.). The higher PPFD (1,384.6 μmol m-2 s-1) and air temperature (39.74 °C) at noon (12:00 p.m.) favored gas exchange in this species. An increase in PPFD of up to 1,000 μmol m-2 s-1 positively influenced the gas exchange and chlorophyll a fluorescence of P. peruviana.

RESUMO Em espécies fruteiras, é essencial considerar o gerenciamento da distribuição da luz nas copas das plantas, pois a quantidade de energia solar absorvida pode influenciar na qualidade dos frutos. Diante disso, os objetivos deste estudo foram: (i) analisar as variações das trocas gasosas ao longo do dia; (ii) identificar a densidade de fluxo de fótons fotossinteticamente ativos (PPFD) que promove maior fluorescência da clorofila e maior taxa de transporte de elétrons em mudas de jaboticaba. O delineamento experimental foi inteiramente casualizado, sendo os tratamentos compostos por 18 densidades de fluxo de fótons fotossinteticamente ativos (0; 25; 50; 75; 100; 125; 150; 175; 200; 400; 600; 800; 1.000; 1.200; 1.400; 1.600; 1.800 e 2.000 μmol m-2 s-1) e três horários de avaliação ao longo do dia (08:00, 12:00 e 16:00 h). Foram utilizadas seis repetições, considerando duas plantas por parcela útil. Trocas gasosas e fluorescência da clorofila a de P. peruviana foram alterados em virtude da PPFD e das condições ambientais ao longo do dia. A alta PPFD (1.384,6 μmol m-2 s-1) e temperatura do ar (39,74 °C) no horário de 12 horas favoreceu as trocas gasosas dessa espécie. O aumento da PPFD até 1.000 µmol m-2 s-1 influenciou positivamente as trocas gasosas e fluorescência da clorofila a de P. peruviana.

RESUMO Considerando a relevância do cajueiro e a limitação imposta pelo estresse salino em regiões semiáridas, o uso de alternativas capazes de mitigar os efeitos deletérios em decorrência da salinidade são de grande importância ao setor produtivo. O uso de plantas enxertadas, principalmente com porta-enxertos de materiais tolerantes, influencia no acúmulo de íons tóxicos nas folhas das mudas enxertadas. Assim, o objetivo deste trabalho foi avaliar características morfofisiológicas e concentração foliar de Na+, K+, Ca+2 de combinações de copa e porta-enxerto de cajueiro anão precoce, contrastantes à salinidade. O experimento foi realizado em delineamento inteiramente casualizado, com cinco repetições, tendo os tratamentos dispostos em arranjo fatorial de 4 × 3, correspondentes a quatro combinações de mudas enxertadas (auto-enxerto CCP 09/CCP 09, CCP 09/CCP 76, auto-enxerto CCP 76/CCP 76 e CCP 76/CCP 09) e a três concentrações de NaCl (0-controle, 50 e 100 mM L-1). Foram avaliados altura, número de folhas, área foliar, massa seca, índice de tolerância e concentração foliar de Na+, K+ e Ca+2 após 30 dias da aplicação das concentrações de NaCl. A combinação copa/porta-enxerto CCP 76/09 apresentou tolerância à salinidade de 50 mM L-1, devido ao aumento da área foliar e número de folhas. A combinação copa/porta-enxerto CCP 76/09 foi mais adequada, pois manteve a concentração foliar de K+ e o menor concentração de Na+.

ABSTRACT Considering the cashew tree’s relevance and the limitations imposed by salinity stress in semi-arid regions, the use of alternatives capable of mitigating the harmful effects due to salinity is of great importance to the production sector. The use of grafted plants, especially with rootstock made of tolerant materials, influences the accumulation of toxic ions in leaves of grafted seedlings. Thus, the objective of this work was to evaluate morphophysiological characteristics and leaf concentrations of Na+, K+ and Ca+2 of combinations of scion and rootstock of early dwarf cashew, contrasting in terms of salinity tolerance. The experiment was carried out in a completely randomized design with five replicates, in a 4 × 3 factorial arrangement, corresponding to four dwarf cashew scion/rootstock combinations (self-graft CCP 09, CCP 09/CCP 76, self-graft CCP 76, and CCP 76/CCP 09) and three NaCl concentrations (0, 50, and 100 mM L-1). Height, number of leaves, leaf area, dry matter, tolerance index and leaf concentrations of Na+, K+ and Ca+2 were evaluated after 30 days of application of NaCl concentrations. The scion/rootstock combination CCP 76/09 showed tolerance to 50 mM L-1, due to the increase of leaf area and number of leaves. The scion/rootstock combination CCP 76/09 was more suitable, as it kept the leaf K+ concentration and had the lowest Na+ concentration.

ABSTRACT BACKGROUND: Although bariatric surgery is today’s gold standard treatment for obesity, weight regain affects the success rate of the procedure. Recent studies have identified psychiatric and neurological factors as possible causes. AIMS: The aim of this study was to evaluate the influence of psychiatric diseases on the outcome and long-term success of bariatric surgeries and find a weight regain threshold that has an acceptable sensibility to mental health-related issues to be used in research and clinical studies. METHODS: This is a observational study of bariatric patients submitted to Roux-en-Y bypass or sleeve gastrectomy, with a postoperative time of 2–10 years to access weight regain, depression, and binge-eating disorder. RESULTS: Of 217 patients studied, 163 were women and 54 were men, with an average postoperative time of 5.2±2.6 years. Weight regain was experienced in 35% of the patients, binge-eating disorder in 24.9%, and depression in 24%. The greater weight before surgery, body mass index (BMI), percentage increase to maximum weight loss, and time postoperatively all have a significant positive correlation with weight regain (p=0.045, p=0.026, p<0.001, and p<0.001, respectively). A significant association between binge-eating disorder, depression, and anxiety with weight regain (p=0.004, p=0.008, and p=0.001, respectively) was found. CONCLUSIONS: The significant weight regain rates with significant impact on psychiatric disorders highlight the need for continuous postoperative monitoring focused on the psychiatric aspects of obesity to aid surgeries’ long-term success.

RESUMO INTRODUÇÃO: Embora a cirurgia bariátrica atualmente é considerada o tratamento padrão ouro para a obesidade, o reganho de peso afeta a taxa de sucesso do procedimento. Estudos recentes identificaram fatores psiquiátricos e neurológicos como possíveis causas. OBJETIVOS: Avaliar a influência de transtornos psiquiátricos no resultado a longo prazo das cirurgias bariátricas; testar a sensibilidade e correlação das fórmulas de reganho de peso e de seus respectivos pontos de corte para questões relacionadas à saúde mental. MÉTODOS: Estudo observacional de pacientes pós bariátricos submetidos à by-pass em Y de Roux ou gastrectomia vertical com pós-operatório de 2 a10 anos avaliados quanto a reganho de peso, depressão e transtorno da compulsão alimentar. RESULTADOS: Foram avaliados 217 pacientes, 163 mulheres e 54 homens com pós-operatório de 5,2±2,6 anos. O reganho de peso foi registrado em 35% dos pacientes, o transtorno da compulsão alimentar (TCA) foi encontrado em 24,9% e depressão em 24%. O ganho de peso pré-operatório, o índice de massa corporea (IMC), o aumento percentual para perda máxima de peso e tempo de pós-operatório, apresentaram correlação positiva significativa com o reganho de peso (p=0,045), (p=0,026), (<0,001), (<0,001). Foi encontrada associação significativa entre TCA, depressão e ansiedade com reganho de peso (p=0,004), (p=0,008) e (p=0,001). CONCLUSÕES: As taxas significativas de reganho de peso associado ao impacto dos transtornos psiquiátricos reforçam a necessidade de acompanhamento pós-operatório contínuo focado nos aspectos psiquiátricos da obesidade, para sucesso do tratamento cirúrgico em longo prazo.