ABSTRACT It is believed that nitrogen fertilization will attenuate the salt stress on pearl millet plants. Thus, the objective was to evaluate the agronomic performance of the millet crop under different saline water irrigation strategies and nitrogen fertilization. The experimental design adopted was completely randomized (CRD), in a 4 x 2 factorial scheme, with 4 replicates, with the first factor being four irrigation strategies: S1 = low-salinity water (W1) = 0.3 dS m-1 throughout the cycle; S2 = saline water (W2) = 4.0 dS m-1 from 30 days after sowing - DAS; S3 = W2 from 45 DAS; and S4 = W2 from 65 DAS; and the second factor being two nitrogen doses (60 and 120 kg ha-1 of N). At the end of the experiment, the following variables were evaluated: photosynthesis, transpiration, stomatal conductance, instantaneous water use efficiency, internal CO2 concentration, leaf temperature, plant height, stem diameter, root length, panicle length, leaf dry mass, stem dry mass and root dry mass. Fertilization with 60 and 120 kg ha-1 promotes greater photosynthesis, transpiration, stomatal conductance and internal CO2 concentration in millet plants under the strategies S1, S2 and S3. The strategies S1 and S4 were more efficient to increase the efficient use of water and reduce leaf temperature.

RESUMO Acredita-se que a adubação nitrogenada atenuará o estresse salino sobre as plantas de milheto. Dessa forma, objetivou-se avaliar o desempenho agronômico da cultura do milheto sob diferentes estratégias de irrigação com água salina e adubação nitrogenada. O delineamento experimental adotado foi inteiramente casualizado (DIC), em esquema fatorial 4 x 2, com 4 repetições, sendo o primeiro fator, quatro estratégias de irrigação: S1 = água de baixa salinidade (W1) = 0,3 dS m-1 durante todo o ciclo; S2 = água salina (W2) = 4,0 dS m-1 utilizada a partir dos 30 dias após a semeadura – DAS; S3 = W2 a partir dos 45 DAS e S4 = W2 a partir dos 65 DAS; e o segundo fator, duas doses de nitrogênio (60 e 120 kg ha-¹ de N). Ao final do experimento foram avaliadas: fotossíntese, transpiração, condutância estomática, eficiência instantânea no uso da água, concentração interna de CO2, temperatura foliar, altura de planta, diâmetro do colmo, comprimento da raiz, comprimento da panícula, massas secas da das folhas, do colmo e da raiz. Adubações com 60 e 120 kg ha-¹ proporcionam maior fotossíntese, transpiração, condutância estomática e concentração interna de CO2 em plantas de milheto nas estratégias S1, S2 e S3. As estratégias S1 e S4 foram mais eficientes para aumentar o uso eficiente de água e reduzir a temperatura foliar.

RESUMO A produção de amendoim tem crescido anualmente no Brasil. Com as secas que ocorrem frequentemente em todas as regiões brasileiras, é necessário identificar germoplasma precoce para ser utilizado em trabalhos de melhoramento visando à adaptação ambiental. Aqui, uma mini coleção de amendoim foi estudada com o objetivo de selecionar germoplasma para uso posterior em procedimentos de melhoramento, com foco em ambiente com restrição hídrica. Doze características agronômicas foram adotadas e posteriormente utilizadas em métodos multivariados, baseados em modelos hierárquicos (UPGMA) e dispersão gráfica (variáveis canônicas), visando identificar agrupamentos de acessos precoces. Diferenças estatísticas significativas foram encontradas para a maioria das variáveis, indicando variabilidade genética nos acessos estudados. Com base nas análises multivariadas, verificou-se coerência na formação de três agrupamentos, um deles (G3: PI-268-689 e AHK-85-3) aglomerou os acessos mais promissores para produção de vagens e eficiência reprodutiva, previamente identificados na análise de variância. Portanto, ambos germoplasma são recomendados para uso em trabalhos de melhoramento voltados para o ambiente com restrição hídrica.

ABSTRACT Peanut production is growing annually in Brazil, but with frequent droughts throughout the country, it is necessary to identify an earliness germplasm for the improved environmental adaptation of peanuts. Here, a mini-core collection of peanuts was studied to select germplasms for further use in breeding, with a focus on dry environments. Twelve agronomic traits were adopted and later used in multivariate methods based on hierarchical models (UPGMA) and graphical dispersion (canonical variables), which aimed to identify earliness accession clusters. Statistically significant differences were found for most traits, indicating that there was genetic variability among accessions. Multivariate analyses subsequently revealed coherence in the formation of three clusters, one of which (G3: PI-268-689 and AHK-85-3) combined the most promising accessions for pod production and reproductive efficiency, previously identified through analysis of variance. Therefore, both germplasms are recommended here for use in future breeding studies focused on water-restricted environments.

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RESUMO Objetivo. A colistina é um antibiótico de último recurso para o tratamento de infecções graves por bactérias Gram-negativas. Entretanto, o uso indevido da colistina, principalmente como promotor de crescimento animal, tem contribuído para o aumento da resistência a antimicrobianos, principalmente por transferência horizontal do gene mcr-1 mediada por plasmídeos. Este estudo avaliou a prevalência de resistência fenotípica e molecular à colistina em Escherichia coli e Klebsiella pneumoniae no Equador em humanos hígidos e em galinhas e porcos por eles criados. Métodos. Entre abril e agosto de 2020, foram coletadas amostras de fezes de habitantes de duas regiões litorâneas e amazônicas do Equador e de galinhas e porcos por eles criados. Bactérias Gram-negativas foram isoladas e identificadas por meio de técnicas convencionais. A resistência fenotípica foi determinada pela técnica de microdiluição em caldo, e o gene mcr-1 foi detectado por reação em cadeia da polimerase convencional. Resultados. Foram obtidas 438 amostras fecais de 137 humanos, 147 suínos e 154 galinhas. A prevalência de isolados de E. coli foi de 86,3% (378/438), e de K. pneumoniae, 37,4% (164/438). Em geral, o gene mcr-1 foi encontrado em 90% (340/378) dos isolados de E. coli, com maiores prevalências encontradas em isolados de regiões litorâneas (96,5%, 191/198), humanos (95,6%, 111/116) e galinhas (91,8%, 123/134); para K. pneumoniae, o gene foi encontrado em 19,5% (32/164) dos isolados, com igual distribuição entre regiões e hospedeiros. Somente quatro isolados, dois de E. coli e dois de K. pneumoniae, demonstraram resistência fenotípica: o gene mcr-1 estava presente em ambas as cepas de E. coli, mas ausente nas de K. pneumoniae. Conclusões. Apesar da baixa prevalência de resistência fenotípica à colistina, a alta prevalência do gene mcr-1 em E. coli é preocupante. É preciso fiscalizar a proibição ao uso agropecuário de colistina no Equador e implementar o monitoramento contínuo da situação.

ABSTRACT Objective. Colistin is an antibiotic of last resort for treating serious Gram-negative bacterial infections. However, the misuse of colistin, especially as an animal growth promoter, has contributed to increasing antimicrobial resistance, mediated mainly through plasmid transfer of the mcr-1 gene. This study assessed the prevalence of phenotypic and molecular colistin resistance in Escherichia coli and Klebsiella pneumoniae in Ecuador in healthy humans and their chickens and pigs. Methods. Fecal samples were collected from humans and their chickens and pigs in two rural coastal and Amazon regions between April and August 2020. Gram-negative bacteria were isolated and identified using conventional techniques. Phenotypic resistance was determined using the broth microdilution technique, and the mcr-1 gene was detected using conventional polymerase chain reaction. Results. A total of 438 fecal samples were obtained from 137 humans, 147 pigs and 154 chickens. The prevalence of E. coli isolates was 86.3% (378/438) and K. pneumoniae, 37.4% (164/438). Overall, the mcr-1 gene was found in 90% (340/378) of E. coli isolates, with higher prevalences found in isolates from coastal regions (96.5%, 191/198), humans (95.6%, 111/116) and chickens (91.8%, 123/134); for K. pneumoniae, the gene was found in 19.5% (32/164) of isolates, with equal distribution between regions and hosts. Only four isolates, two E. coli and two K. pneumoniae, showed phenotypic resistance: mcr-1 was present in both E. coli strains but absent in the K. pneumoniae strains. Conclusions. Despite a low prevalence of phenotypic resistance to colistin, the high prevalence of the mcr-1 gene in E. coli is of concern. Ecuador’s ban on using colistin in animal husbandry must be enforced, and continual monitoring of the situation should be implemented.

RESUMO A salinidade da água de irrigação pode causar sérios problemas na produção agrícola, enquanto as fontes de fertilizantes orgânicos potencialmente mitigam o estresse salino. Assim, este trabalho teve como objetivo avaliar a produtividade da cultura do milho sob irrigação com água salina e adubação orgânica. O estudo foi conduzido em campo de agosto a novembro de 2020 na fazenda experimental da Universidade da Integração Internacional da Lusofonia Afro-Brasileira (UNILAB), Redenção-CE. Utilizou-se o delineamento em blocos casualizados, em parcelas subdivididas, em que as parcelas consistiram em dois níveis de salinidade da água de irrigação (0,8 e 3,0 dS m-1). Nas subparcelas foram aplicadas quatro combinações de fontes de adubo orgânico, compostas por 10 plantas cada, com quatro repetições: C1, esterco bovino + biofertilizante de aves + biofertilizante de cabra; C2, esterco bovino + biofertilizante caprino; C3, esterco bovino + biofertilizante de aves; e C4, tratamento controle. A combinação de fontes de fertilizantes orgânicos não influenciou o acúmulo de assimilados e a produtividade das lavouras de milho sob a salinidade da água de irrigação de 3,0 dS m-1, exceto C3, que atenuou o efeito salino.

ABSTRACT Irrigation water salinity can cause serious problems in crop production, while organic fertilizer sources potentially mitigate saline stress. Thus, this study aimed to evaluate the productivity of maize crops under irrigation with saline water and organic fertilization. The study was conducted in the field from August to November 2020 at the experimental farm of the Universidade da Integração Internacional da Lusofonia Afro-Brasileira (UNILAB), Redenção-CE. A randomized block design was used, in subdivided plots, in which the plots consisted of two levels of irrigation water salinity (0.8 and 3.0 dS m-1). Four combinations of organic fertilizer sources were applied in the subplots, composed of 10 plants each, with four replications: C1, cattle manure + poultry biofertilizer + goat biofertilizer; C2, cattle manure + goat biofertilizer; C3, cattle manure + poultry biofertilizer; and C4, control treatment. The combination of organic fertilizer sources did not influence the accumulation of assimilates and productivity of maize crops under the irrigation water salinity of 3.0 dS m-1, except for C3, which attenuated the saline effect.

ABSTRACT Introduction: Systemic Mastocytosis comprises a group of neoplastic diseases characterized by clonal expansion and infiltration of mast cells into several organs. The diagnosis and treatment of this disease may be challenging for non-specialists. Objective: Make suggestions or recommendations in Systemic Mastocytosis based in a panel of Brazilian specialists. Method and results: An online expert panel with 18 multidisciplinary specialists was convened to propose recommendations on the diagnosis and treatment of Systemic Mastocytosis in Brazil. Recommendations were based on discussions of topics and multiple-choice questions and were graded using the Oxford Centre for Evidence-Based Medicine 2011 Levels of Evidence Chart. Conclusion: Twenty-two recommendations or suggestions were proposed based on a literature review and graded according to the findings.

RESUMO A cultura do amendoim apresenta grande interesse econômico, em decorrência de suas sementes, constituírem importante fonte de proteína vegetal e de óleo comestível. O objetivo do presente trabalho foi avaliar a fisiologia e crescimento da cultura do amendoim submetido a estresse salino e hídrico. O experimento foi conduzido em Auroras, Redenção, Ceará, Brasil. O delineamento experimental foi inteiramente casualizado em parcelas subdivididas, cujas parcelas referem-se aos níveis de condutividade elétrica da água de irrigação - CEa (1,0; 2,0; 3,0; 4,0 e 5,0 dS m-1) e as subparcelas aos regimes hídricos de 50 e 100% da evapotranspiração da cultura. O estresse salino afeta negativamente a altura de planta, número de folhas e massa seca da parte aérea, índices relativos de clorofila, transpiração e a temperatura foliar da cultura do amendoim. O regime hídrico de 100% da ETc proporcionou maiores desempenhos para as variáveis diâmetro do caule, número de folhas e massa seca da parte aérea da cultura do amendoim.

ABSTRACT Peanut crops are of great economic interest because their seeds are used as an important source of vegetable protein and edible oil. The objective of this study was to evaluate the physiological indices and growth of peanut crops subjected to saline and water stress. The experiment was conducted in Auroras, Redenção, Ceará, Brazil using a completely randomized split plot statistical design. The plots were composed of irrigation water treatments with varying levels of electrical conductivity - ECw (1.0, 2.0, 3.0, 4.0 and 5.0 dS m-1), while the subplots were formed by the water regimes of 50% and 100% crop evapotranspiration. Plant height, leaf number, shoot dry matter, relative chlorophyll level, transpiration, and leaf temperature were affected by salt stress. The water regime of 100% ETc provided better performance for the variables stem diameter, leaf number, and shoot dry mass of peanuts.

Resumen Gamochaeta cabrerae, G. simplicicaulis y G. subfalcata se citan por primera vez en Ecuador y se confirma la presencia de G. humilis. Estos nuevos registros se suman a las cuatro especies del género conocidas hasta el momento para el país, i.e., G. americana, G. pensylvanica, G. purpurea y G. sphacelata. Para cada uno de los nuevos registros se aporta una descripción, ilustración y mapa de distribución. Además, se incluye una clave del género en Ecuador.

Abstract Gamochaeta cabrerae, G. simplicicaulis, and G. subfalcata are newly reported for Ecuador, and the presence of G. humilis is confirmed. Four species have been previously recorded: G. americana, G. pensylvanica, G. purpurea, and G. sphacelata. These new records of Gamochaeta are described, illustrated and their distributional maps are presented. A key to the Ecuadorian species of Gamochaeta is provided.

Abstract Pseudognaphalium Kirp. (Asteraceae, Gnaphalieae) consist of about 60 species mainly distributed in South, Central, and North America. As a first contribution toward a comprehensive taxonomic review of Pseudognaphalium, we perform here the first morphometric analysis of North American species, using UPGMA method for the construction of the dendrogram. Based upon these results we present a synopsis including a key to identify species and their associated synonymy. Thirty-seven species are recognized, two taxa are newly synonymized, Pseudognaphalium microcephalum under the name P. canescens and Pseudognaphalium semilanatum under the name P. semiamplexicaule, and two other names are confirmed as synonyms as previously proposed, Pseudognaphalium micradenium as a synonym of P. helleri and Pseudognaphalium crenatum as a synonym of P. viscosum. Lectotypes are newly designated for Gnaphalium beneolens, G. berlandieri (= Pseudognaphalium stramineum), Gnaphalium decurrens (= Pseudognaphalium macounii), G. leucocephalum, G. oxyphyllum, G. oxyphyllum var. semilanatum (= P. semiamplexicaule), G. semiamplexicaule, G. sulphurescens (= P. stramineum), G. thermale, and second-step lectotypifications are proposed for G. helleri and G. wrightii (= P. canescens). In addition, the first illustrations of Pseudognaphalium helleri and P. semiamplexicaule, and a colour figure of P. canescens and P. beneolens emphasizing the results of the morphometric analysis are provided.

Resumen La hemicorporectomía o amputación translumbar es una cirugía radical indicada en casos de tumores, osteomielitis crónicas y traumas graves de la pelvis, y también, en pacientes parapléjicos con úlceras por decúbito intratables. La tasa de mortalidad por este procedimiento es del 50% y la gran mayoría de los pacientes que sobreviven quedan confinados a una silla de ruedas. El equipamiento de todo el hemicuerpo inferior es sumamente complejo. Comunicamos el caso de un paciente con una hemicorporectomía, secuela de una osteomielitis pélvica, su equipamiento completo posterior y su evolución a los 15 años de seguimiento.

Abstract Hemicorporectomy or translumbar amputation is a radical surgery indicated in localized pelvic tumors, chronic osteomyelitis, severe trauma, and intractable decubitus ulcers in paraplegic patients. It has a death rate of about 50% and most of the patients are confined to a wheelchair. The equipment of the entire lower body is extremely complex. We report a case of a patient with a hemi-corporectomy, sequel to pelvic osteomyelitis, his subsequent complete equipment, and his evolution after 15 years of follow-up.

Abstract Aims: hypovitaminosis D has frequently been identified in patients with heart failure (HF). However, few studies have been conducted in regions with high solar incidence. Therefore, this study aimed to evaluate vitamin D status and predictors of 25-hydroxyvitamin D (25(OH)D) levels in patients with HF living in a sunny region (5 °- 6 °S). Methods: this cross-sectional study enrolled 70 patients with HF. Biodemographic, clinical, biochemical, dietary, and sun exposure data were collected, and 25(OH)D levels were measured. Results: the mean 25(OH)D level was 40.1 (12.4) ng/mL, and 24.3 % (95 % CI: 14.2-33.8) of patients with HF had hypovitaminosis D (25(OH)D < 30 ng/mL). Female patients (p = 0.001), those with ischemic etiology (p = 0.03) and those with high parathyroid hormone levels (> 67 pg/mL) (p = 0.034) were more likely to present hypovitaminosis D. Higher 25(OH)D levels were observed in men than in women (β = 7.78, p = 0.005) and in patients with HF in New York Heart Association (NHYA) functional class I when compared to those in class III/IV (β = 8.23, p = 0.032). Conclusions: the majority of patients with HF had sufficient 25(OH)D levels. Sex and functional classification were identified as independent predictors of 25(OH)D levels. These results highlight the need for increased monitoring of vitamin D status among female patients with heart failure and those with more severe symptoms.

Resumen Objetivos: la hipovitaminosis D se ha identificado con frecuencia en pacientes con insuficiencia cardíaca (IC). Sin embargo, pocos estudios se han realizado en regiones con una alta exposición solar. Por lo tanto, este estudio tuvo como objetivo evaluar el estado de la vitamina D y los predictores de los niveles de 25-hidroxivitamina D (25(OH)D) en pacientes con IC que viven en una región soleada (5 °-6 °S). Métodos: este estudio transversal incluyó a 70 pacientes con IC. Se recopilaron datos biodemográficos, clínicos, bioquímicos, dietéticos y de exposición solar, y se midieron los niveles de 25(OH)D. Resultados: el nivel medio de 25(OH)D fue de 40,1 (,) ng/mL y el 24,3 % (IC 95 %: 14,2-33,8) de los pacientes con IC tenían hipovitaminosis D (25(OH)D < 30 ng/mL. Las pacientes mujeres (p = 0,001), aquellos con IC de etiología isquémica (p = 0,03) y aquellos otros pacientes con niveles altos de hormona paratiroidea (> 67 pg/mL) (p = 0,034) tenían más probabilidades de presentar hipovitaminosis D. Se observaron niveles más altos de 25(OH)D en los hombres que en las mujeres (β = 7,78, p = 0,005), y en los pacientes con IC de clase funcional I de la New York Heart Association (NHYA) que en los de clase III/IV (β = 8,23, p = 0,032). Conclusiones: la mayoría de los pacientes con IC tenían niveles suficientes de 25(OH)D. El sexo y la clasificación funcional se identificaron como predictores independientes de los niveles de 25(OH)D. Estos resultados destacan la necesidad de un mayor control del estado de la vitamina D entre las mujeres con insuficiencia cardíaca y los pacientes con síntomas más graves.

The metal concentrations in water, sediments and mollusks (Tagelus plebeius) of the Manguaba Lagoon and the influence of humic substances from water and sediments in the distribution of these metals were investigated in this work. The mean metal concentrations in water were: Mg (89.0 ± 0.11), Ca (32.0 ± 0.10), Fe (0.97 ± 0.02), Mn (0.52 ± 0.01), Zn (0.33 ± 0.10) and Pb (0.22 ± 0.02) mg L-1. The Pb concentrations were above the Brazilian legislation limit. All sediment data were below maximum limit established by the National Council for the Environment (CONAMA, Brazil) of the Ministry of the Environment, and the concentration ranges for metals were: Fe (1199-60000), Mg (339-8870), Ca (461-3838), Cr (< LOQ-39.5) and Pb (< LOQ-12.5) mg kg-1 (LOQ: limit of quantification). None of the principal contaminants (Cr, Pb and Cd) was determined in Tagelus plebeius, being a positive fact once the population nearby Manguaba Lagoon consumes large amounts of this mollusk. According to the results, the influence of humic substances in the contaminant retention is evident as they become unavailable for absorption by mollusks of Manguaba Lagoon.

RESUMO A interleucina-4 (IL-4) tem grande importância nos processos inflamatórios em casos de acidente vascular cerebral (AVC), uma vez que ela é capaz de polarizar micróglias para o fenótipo anti-inflamatório chamado M2. Este estudo analisou se a variação entre o genótipo TT e os demais genótipos (CT e CC), no polimorfismo -589 (rs2243250) do gene IL4, possui associação com o prognóstico de AVC hemorrágico e com aspectos clínicos que são fatores de risco para doenças cerebrovasculares. O resultado deste estudo mostra que não há associação estatística do polimorfismo do IL4 nem com prognóstico nem com os aspectos clínicos dos pacientes com AVC hemorrágico.

ABSTRACT Interleukin-4 (IL-4) has great significance in inflammatory processes in cases of stroke, since it is able to polarize microglia to the antiinflammatory phenotype called M2. This study analyzed if the variation between TT genotype and the other genotypes (CT and CC), in -589 (rs2243250) polymorphism of IL4 gene, has association with the prognosis of hemorrhagic stroke (HS) and with clinical aspects which are risk factors for cerebrovascular diseases. The result of this study shows that there is no statistical association of the IL4 polymorphism with either prognosis or clinical aspects in HS patients.

RESUMEN La interleucina-4 (IL-4) tiene gran importancia en los procesos inflamatorios en casos de accidente cerebrovascular (ACV), puesto que hace que las microglías sean polarizadas hacia el fenotipo antiinflamatorio M2. Este estudio analizó si la variación entre el genotipo TT y los demás genotipos (CT y CC), en el polimorfismo -589 (rs2243250) del gen IL4, posee asociación con el pronóstico de ACV hemorrágico y con aspectos clínicos que son factores de riesgo para enfermedades cerebrovasculares. El resultado de este estudio enseña que no hay asociación estadística del polimorfismo del IL4 ni con el pronóstico ni con los aspectos clínicos de pacientes con ACV hemorrágico.

Abstract Introduction: The arrival of direct-acting oral anticoagulants (DOACs) has led to a change in the management of non-valvular atrial fibrillation (NVAF) in recent years. The objectives of this study are to determine the level of therapeutic control of anticoagulation with vitamin K antagonists (VKA) and its possible involvement in major adverse cardiovascular events (MACE) and to evaluate differences between the group on VKA with respect to the group on DOACs. Patients and methods: Prospective cohort study that included consecutive patients diagnosed with NVAF in Cardiology Consultations with a clinical follow-up of 18 months. Demographic, clinical and analytical differences between groups were analyzed, including the level of therapeutic control of anticoagulation on the VKA group and its association with MACE. Results: Overall, 273 patients were included: 46.5% on VKA, 42.5% on DOACs, 11% without antithrombotic treatment. Patients on VKA spent 62.1% of their time within therapeutic range (TTR by the Rosendaal formule). There were no differences in MACE depending on anticoagulation control. The DOACs group presented lesser MACE rate than the VKA group (13.4 vs. 4.3%; 0.90; HR 0.90; 0.83-0.98 p = 0.01) with lower cardiovascular mortality (0.0 vs. 5.5%; HR, 0.94; 0.90-0.98; p = 0.01) and total mortality (0.9 vs. 12.6%; HR, 0.88; 0.82-0.94; p less 0.01) although without significant differences in hemorrhagic (0.9 vs. 4.7 %; p = 0.07), or ischemic events (2.6 vs. 0.8%, p = 0.27). Conclusions: Patients on VKA have a different clinical profile than those who receive DOACs. Patients on VKA have an inadequate control of the anticoagulation in quite the half of the cases. The VKA group presented more MACE than the DOACs group.

Resumen Introducción: La llegada de los anticoagulantes directos (ACD) ha supuesto un cambio en el tratamiento de la fibrilación auricular no valvular (FANV) en los últimos años. Los objetivos de este estudio son determinar el grado de control de la anticoagulación con antivitamina K (AVK) y su posible implicación en efectos cardiovasculares adversos mayores (ECAM) y evaluar las diferencias entre el grupo en tratamiento con AVK respecto del grupo con ACD. Pacientes y métodos: Estudio de cohorte prospectivo que incluyó a pacientes consecutivos diagnosticados con FANV valorados en el Servicio de Cardiología con un seguimiento de 18 meses. Se analizaron diferencias demográficas, clínicas y analíticas entre grupos, incluido el grado de control de la anticoagulación del grupo AVK y su posible relación con ECAM. Resultados: Se incluyó a 273 pacientes: 46.5% tratados con AVK, 42.5% con ACD y 11% sin tratamiento anticoagulante. El control de la anticoagulación con AVK fue del 62.1%, sin diferencias en ECAM en función de control. El grupo ACD presentó menos ECAM que el grupo de AVK (13.4 vs. 4.3%; HR, 0.90; 0.83-0.98; p = 0.01), con una menor mortalidad cardiovascular (0.0 vs. 5.5%; HR, 0.94; 0.90-0.98; p = 0.01) y total (0.9 vs. 12.6%; HR, 0.88; 0.82-0.94; p menor que 0,01), aunque sin diferencias significativas en eventos hemorrágicos (0.9 vs. 4.7%; p = 0.07) ni isquémicos (2.6 vs. 0.8%; p = 0.27). Discusión: Los pacientes con AVK poseen un perfil clínico diferente en comparación con los que reciben ACD. El control de anticoagulación del grupo de AVK fue inadecuado en casi la mitad de los casos. El grupo de AVK presentó más ECAM que el grupo de ACD.

ABSTRACT Cacao is a species of great economic and social importance. Expanding the area grown with this crop has been limited by its climatic requirements. Agroclimatic zoning for agricultural sector and creation of land suitability maps by fuzzy logic contribute to such production expansion. In this sense, this study aimed to develop rainfall zoning for cacao in Bahia state using the fuzzy logic method. The used data came from rainfall historical series of 519 meteorological stations distributed throughout the state. Geostatistical analyses were used to quantify the spatial dependence degree of studied variable and kriging was used to develop maps representing mean monthly rainfall. These maps were submitted to continuous classification by fuzzy mapping for identification of high-risk areas for cocoa growing based on rainfall. Based on the fuzzy method, the southern mesoregion of Bahia state presented the highest rainfall uniformity, suggesting that this area is more suitable for cocoa growing.

Chagas disease is a neglected tropical disease caused by the hemoflagellated parasite Trypanosoma cruzi (Kinetoplastida). The only available drug to treat chagasic patients in Brazil, the nitroheterocycle benznidazole, is effective solely during the acute phase of the infection. There is accordingly a need to develop new therapeutic tools for the treatment of Chagas disease. This work reports the synthesis, trypanocidal evaluation and human serum albumin (HSA) interactions of a novel series of 1,2,4-triazoles. The new derivatives were synthesized via microwave irradiation in good yields. Most compounds showed toxic effects against T. cruzi with low toxicity to host cells. Three S-alkylated-triazoles showed the best activity profile against amastigotes, with half maximal inhibitory concentration (IC50) values of 3.95 ± 1.41, 4.15 ± 0.92 and 3.61 ± 0.65 µmol L-1, respectively. The interaction between HSA and 3-[(1E,3E)-4-(1,3-benzodioxol-5-yl)buta-1,3-dien-1-yl]-5-(butylthio)-4-cyclohexyl-4,5-dihydro-1H-1,2,4-triazole was investigated using multiple spectroscopic techniques and molecular docking, revealing that serum albumin is a potential endogenous carrier to this compound in the human bloodstream.