Abstract Background The neuropeptide Y (NPY) is one of the most abundant neurotransmitters in the nervous system. NPY acts as a potent stimulator of angiogenesis, inflammation, and adipogenesis, through the NPY 2 receptor (NPY2R). Changes in the NPY signaling pathway have been linked to Acute Coronary Syndrome (ACS). Objectives The purpose of this study is to determine the association between variants in the NPY and NPY2R genes, as well as the severity of acute coronary syndrome (ACS). Methods Approximately 221 ACS patients and 278 healthy controls were selected for this study. Four variants in NPY and two variants in NPY2R genes were genotyped using Taqman allelic discrimination and sequencing. The Chi-square and Fisher's exact tests were used to verify the genotype frequencies. The logistic regression analyses were used for the evaluation of the studied variables. Haplotype analysis was used to evaluate the linkage disequilibrium (LD) between the variants (p<0.05). Results An association of NPY c.20T>C variant was found with the ACS group when compared to the healthy group. In the analysis between variants and risk factors in the ACS group, NPY c.84G>A was associated with hypertension. The analysis between TIMI risk showed a significance for NPY c.20T>C between the low and intermediate/high TIMI risk groups. In the haplotype analysis, strong linkage disequilibrium (LD) was found between the variants NPY c.150G>A and NPY c.-485T>C. Conclusion The NPY c.20T>C variant appears to contribute to the development of ACS. The NPY2R c.-1116A>G variant may contribute to the early development of ACS and the NPY c.84G>A variant appears to contribute to the development of hypertension. In addition, the NPY c.20T>C is associated with a protective effect in ACS severity.

Abstract Objective: To test the German Aortic Valve (GAV) score at our university hospital in patients undergoing isolated aortic valve replacement (AVR). Methods: A total of 224 patients who underwent isolated conventional AVR between January 2015 and December 2018 were included. Patients with concomitant procedures and transcatheter aortic valve implantation were excluded. Patients’ data were collected and analyzed retrospectively. Patients’ risk scores were calculated according to criteria described by GAV score. Sensitivity, specificity, and accuracy (area under the ROC curve [AUC]) were also calculated. The calibration of the model was tested by the Hosmer-Lemeshow method. Results: The mortality rate was 8.04% (18 patients). The patients’ mean age was 58.2±19.3 years and 25% of them were female (56 patients). Mean GAV score was 1.73±5.86 (min: 0.0; max: 3.53). The GAV score showed excellent discriminative capacity (AUC 0.925, 95% confidence interval 0.882-0.956; P<0.001). The cutoff “1.8” turned out to be the best discriminatory point with the best combination of sensitivity (88.9%) and specificity (75.7%) to predict operative death. Hosmer-Lemeshow method revealed a P-value of 0.687, confirming a good calibration of the model. Conclusion: The GAV score applies to our population with high predictive accuracy.

RESUMO A irrigação é um fator limitante para o desenvolvimento das culturas, e todas as fontes de água contem sais, podendo acumular-se no solo e na planta, comprometendo seu desenvolvimento. Dentre algumas alternativas para atenuar os efeitos negativos dos sais nos vegetais está a utilização de vermicomposto, sendo este um adubo orgânico condicionador do solo e fonte de nutrientes para as plantas. Dessa forma, o estudo teve como objetivo avaliar o crescimento e o índice de clorofila do noni à salinidade da água de irrigação em substrato sem e com proporções de vermicomposto. Foi utilizado o delineamento inteiramente casualizado, com quatro repetições utilizando o esquema fatorial 4 × 3, correspondente a quatro níveis de condutividade elétrica da água de irrigação (0,5; 1,5; 3,0; 4,5 dS m-1), em substratos sem húmus e com 33,33 e 66,66% de húmus com o solo. Três meses após a germinação foram avaliados: altura de planta; diâmetro caulinar; número de folhas; índices de clorofila (a, b e total) das folhas; e matéria fresca e seca da parte aérea e radicular das plantas. O aumento da salinidade na água de irrigação influência negativamente no crescimento em altura, diâmetro caulinar, produção de biomassa e índices de clorofila a e total, mas com menor intensidade nos substratos com húmus, que melhora a fertilidade do substrato e favorece o crescimento das plantas de noni, independentemente da salinidade da água de irrigação; no entanto, seu efeito benéfico diminui com o aumento da condutividade elétrica da água de irrigação.

ABSTRACT Irrigation is a limiting factor for the development of crops, and all water sources contain salts, which can accumulate in the soil and in the plant, compromising its development. The use of vermicompost is one of the alternatives to mitigate the negative effects of salts on plants. This organic compost is a soil conditioner and a nutrient source for plants. Thus, this study aimed to evaluate the growth and chorophyll of noni (Morinda citrifolia L.) in response to the salinity of irrigation water in substrates with and without vermicompost. A completely randomized design in a 4 × 3 factorial scheme was used, corresponding to four levels of electrical conductivity of the irrigation water (0.5, 1.5, 3.0 and 4.5 dS m-1), in three soil substrates (without humus, with 33.33 and 66.66% of humus). Three months after germination, the following variables were evaluated: plant height; stem diameter; number of leaves; chlorophyll index (a, b and total) in the leaves; and fresh and dry matter of shoots and roots. The increase of salinity in irrigation water negatively influences growth in height, stem diameter, biomass production and chlorophyll a and total indexes, but with lower intensity in substrates with humus, that improves the fertility of the substrate and favors the growth of noni plants, regardless of the salinity of the irrigation water; however, its beneficial effect decreases with the intensification of electrical conductivity of irrigation water.