RESUMO A durabilidade natural da madeira é essencial para a definição de seu uso, e essa propriedade pode ser potencializada com o tratamento químico adequado da madeira. Assim, o objetivo deste trabalho foi avaliar a resistência da madeira de Jacaranda copaia modificada quimicamente por acetilação a cupins e fungos apodrecedores. Cinco tratamentos experimentais foram avaliados: acetilação por 2, 4, 6 e 8 horas e um controle (não acetilado). A acetilação foi realizada por imersão das amostras de madeira em anidrido acético a 90°C. Amostras acetiladas e controle foram submetidas à ação de cupins xilófagos (Nasutitermes sp.) e fungos apodrecedores (Gloeophyllum trabeum e Trametes versicolor). O processo de acetilação aumentou significativamente a resistência da madeira de Jacaranda copaia ao ataque dos organismos xilófagos. Não houve perda de massa após exposição aos cupins da madeira em nenhum dos tratamentos de acetilação, enquanto na madeira controle a perda de massa foi de 9,5%. Em relação aos fungos em decomposição, ocorreu perda de massa em todos os tratamentos. Os tratamentos químicos mais eficientes foram os de acetilação por 6 e 8 horas, elevando a classe de resistência da madeira de Jacaranda copaia para altamente resistente.

ABSTRACT The natural durability of the wood is essential for the definition of its use, and this property can be enhanced with the proper chemical treatment of the wood. Thus, the objective of this study was to evaluate the resistance to termites and decay fungi of Jacaranda copaia wood chemically modified through acetylation. Five experimental treatments were assessed: acetylation for 2, 4, 6 and 8 hours and a control (non-acetylated). The acetylation was carried out by immersing wood samples in acetic anhydride at 90 °C. Acetylated and control samples were subjected to the action of xylophagous termites (Nasutitermes sp.) and decaying fungi (Gloeophyllum trabeum and Trametes versicolor). The acetylation process significantly increased the resistance of Jacaranda copaia wood to the attack of the xylophagous organisms. There was no mass loss after exposure to termites of the wood in any of the acetylation treatments, while in the control wood, mass loss was 9.5%. Regarding the decaying fungi, mass loss occurred in all treatments. Acetylation for 6 and 8 hours were the most efficient chemical treatments, increasing the resistance class of the Jacaranda copaia wood to highly resistant.

RESUMO: LIN28 é uma proteína de ligação ao RNA, com duas formas homólogas altamente conservadas, LIN28A e LIN28B. Os proto-oncogenes LIN28A e LIN28B são regulados pela família de miRNAs let-7 em diferentes tipos de cânceres em humanos. No presente trabalho, o objetivo foi determinar a expressão de LIN28A em amostras de tumor mamário de cadelas e a via LIN28/let-7 em linhagens celulares mamárias caninas. Nestas linhagens, através das técnicas de qPCR e RNAseq, foi identificado que a via LIN28/let-7 apresenta-se funcional, com alta expressão dos membros da família let-7 e baixa expressão de seus alvos, entre eles LIN28A e LIN28B. No entanto, as amostras de tecidos de carcinomas mamários caninos demonstraram expressão frequente de LIN28A, sendo observada principalmente em células epiteliais. Não foram observadas associações entre expressão de LIN28A com classificação e gradação histopatológicas, TNM e tempo de sobrevida. Nossos resultados sugerem uma possível relação da proteína LIN28A no desenvolvimento de carcinomas mamários caninos devido à alta frequência observada nas amostras tumorais (28 de 32). Os experimentos in vitro sugerem que a via LIN28/let-7 é ativa nas linhagens celulares caninas avaliadas. Entretanto, estudos funcionais ainda são necessários para elucidar a função exata da via LIN28/let-7 nos carcinomas mamários caninos.

ABSTRACT: LIN28 is a RNA-binding protein including two highly conserved homologous, LIN28A and LIN28B. Proto-oncogenes such as LIN28A and LIN28B are generally targeted by the let-7 miRNAs in different types of human cancers. Here, we determined the expression of LIN28A in canine mammary tumor samples and the LIN28/let-7 pathway in canine mammary cell lines. In those cell lines, we identified a functional LIN28/let-7 pathway which exhibited high expression of let-7 members and low expression of its targets, including LIN28A and LIN28B. However, the mammary carcinoma tissue samples showed a frequent expression of LIN28A being expressed mainly in the epithelial cells. No association was observed between LIN28A expression and histopathological classification and grade, TNM and survival time. Our results suggested a possible role of the LIN28A protein in the development of canine mammary carcinomas due to the high frequency observed in the tumor samples (28 of 32). The in vitro experiments suggested that the LIN28/let-7 pathway is active in the tumor cells evaluated. However, more studies are necessary to elucidate the exact role of LIN28/let-7 pathway in canine mammary carcinomas.

Abstract Importance: Despite ambulation capacity being associated with a decreased level of physical activity and survival may be influenced by the functional capacity, studies have not addressed the association between ambulation capacity and death in patients hospitalized by COVID-19. Objective: To verify the functional, clinical, and sociodemographic risk factors associated with in-hospital death in individuals with severe COVID-19. Methods: It is a cohort retrospective study performed at a large tertiary hospital. Patients 18 years of age or more, of both sexes, hospitalized due to severe COVID-19 were included. Cases with dubious medical records and/or missing essential data were excluded. Patients were classified according to their ambulation capacity before the COVID-19 infection. Information regarding sociodemographic characteristics, in-hospital death, total hospital stays, Intensive Care Unit (ICU) stays, and the necessity of Mechanical Ventilation (MV) were collected from medical records and registered in a RedCap database. Multiple logistic regression analysis was used to identify possible factors associated with the in-hospital death rate. Results: Data from 1110 participants were included in the statistical analysis. The median age of the patients was 57 (46‒66) years, 58.42% (n = 590) were male, and 61.73% (n = 602) were brown or black. The case fatality rate during hospitalization was 36.0% (n = 363). In-hospital death was associated with ambulation capacity; dependent ambulators (OR = 2.3; CI 95% = 1.2-4.4) and non-functional ambulation (OR = 1.9; CI 95% = 1.1-3.3), age [older adults (OR = 3.0; CI 95% = 1.9‒4.), ICU stays (OR = 1.4; CI 95% = 1.2‒1.4), immunosuppression (OR = 5.5 CI 95% = 2.3‒13.5) and mechanical ventilation (OR = 27.5; CI 95% = 12.0-62.9). Conclusion and relevance: Decreased ambulation capacity, age, length of ICU stay, immunosuppression, and mechanical ventilation was associated with a high risk of in-hospital death due to COVID-19.

ABSTRACT Introduction: The Sociedade Portuguesa de Cuidados Intensivos and the Infection and Sepsis Group have previously issued health service and management recommendations for critically ill patients with COVID-19. Due to the evolution of knowledge, the panel of experts was again convened to review the current evidence and issue updated recommendations. Methods: A national panel of experts who declared that they had no conflicts of interest regarding the development of the recommendations was assembled. Operational questions were developed based on the PICO methodology, and a rapid systematic review was conducted by consulting different bibliographic sources. The panel determined the direction and strength of the recommendations using two Delphi rounds, conducted in accordance with the principles of the GRADE system. A strong recommendation received the wording “is recommended”, and a weak recommendation was written as “is suggested.” Results: A total of 48 recommendations and 30 suggestions were issued, covering the following topics: diagnosis of SARS-CoV-2 infection, coinfection and superinfection; criteria for admission, cure and suspension of isolation; organization of services; personal protective equipment; and respiratory support and other specific therapies (antivirals, immunomodulators and anticoagulation). Conclusion: These recommendations, specifically oriented to the Portuguese reality but that may also apply to Portuguese-speaking African countries and East Timor, aim to support health professionals in the management of critically ill patients with COVID-19. They will be continuously reviewed to reflect the progress of our understanding and the treatment of this pathology.

RESUMO Introdução: A Sociedade Portuguesa de Cuidados Intensivos e o Grupo de Infeção e Sépsis emitiram previamente recomendações visando à organização dos serviços de saúde e ao manejo dos doentes críticos com COVID-19. Em virtude da evolução do conhecimento, o painel de peritos voltou a se organizar para rever a atual evidência e emitir recomendações atualizadas. Métodos: Foi reunido um painel nacional de peritos que declararam não ter conflitos de interesse para o desenvolvimento das recomendações. Foram desenvolvidas perguntas operacionais conforme a metodologia PICO, e foi conduzida uma revisão sistemática rápida por meio da consulta de diferentes fontes bibliográficas. O painel determinou a direção e a força das recomendações com a utilização de duas rodadas de um método Delphi, conduzido seguindo princípios do sistema GRADE. Uma recomendação forte recebeu a redação “recomenda-se”, e uma recomendação fraca foi redigida como “sugere-se”. Resultados: Foram emitidas 48 recomendações e 30 sugestões abrangendo os seguintes tópicos: diagnóstico de infecção por SARS-CoV-2, coinfecção e superinfecção; critérios de admissão, cura e suspensão de isolamento; organização dos serviços; Equipamentos de Proteção Individual; terapêuticas de suporte respiratório e outras e terapêuticas específicas (antivirais, imunomodeladores e anticoagulação). Conclusão: Essas recomendações, especificamente orientadas para a realidade portuguesa, mas que podem se aplicar também aos Países Africanos de Língua Oficial Portuguesa e ao Timor-Leste, visam apoiar os profissionais de saúde no manejo de doentes críticos com COVID-19. Pretende-se que sejam constantemente revistas, de modo a refletir o avanço de nossa compreensão e o da terapêutica dessa patologia.

Resumo Introdução Dentre os efeitos terapêuticos da ozonioterapia, destacam-se a melhora do metabolismo celular e da oxigenação dos tecidos periféricos. Objetivo avaliar o efeito sistêmico da terapia bio-oxidativa com gás ozônio na cicatrização de feridas. Material e método Lesões teciduais com circunferência de 1,0 cm foram induzidas na pele do dorso de 24 ratos Wistar machos. Os animais foram divididos aleatoriamente em dois grupos: 1) Grupo C (controle; n = 12): com simulação da aplicação de gás ozônio pelo reto e, 2) Grupo O3 (teste; n = 12): com aplicação de gás ozônio por meio de insuflação retal na concentração de 50 µg / mL. Os animais foram sacrificados com sete e 15 dias, e as amostras foram retiradas, fixadas em formalina e submetidas às análises macroscópica, histológica e histométrica. Resultado Os animais do grupo O3 apresentaram inflamação mista aos sete dias, que se traduziu em ausência de inflamação aos 15 dias. O grupo C apresentou inflamação aguda no 7º dia, traduzindo-se em inflamação crônica, que aumentou significativamente do 7º para o 15º dia. Os achados mostraram que o grupo O3 apresentou maior contração da ferida (P <0,05) e maior grau de neovascularização no 7º dia (P <0,05) quando comparado ao grupo C. No 15º dia, ambos os grupos (O3 e C) apresentaram completa reepitelização, entretanto, o grupo O3 demonstrou completa regeneração muscular. Conclusão A ozonioterapia sistêmica teve efeito biomodulador, reduzindo as características de inflamação aguda e aumentando a reparação e regeneração tecidual na pele de ratos.

Abstract Introduction Among the therapeutic effects of ozone therapy, improvement in cell metabolism and peripheral tissue oxygenation have been highlighted. Objective to evaluate the systemic effect of bio-oxidative therapy with ozone gas on wound healing. Material and method Tissue lesions with a circumference of 1.0 cm were induced in the skin on the back of 24 male Wistar rats. The animals were randomly divided into two groups: 1) Group C (control; n=12): with simulation of the application of ozone gas via the rectum and, 2) Group O3 (test; n=12): with application of ozone gas by means of rectal insufflation at a concentration of 50 µg/mL. The animals were euthanized at seven and 15 days, and samples were removed, fixed in formalin, and submitted to macroscopic, histological, and histometric analyses. Result The animals in the O3 group presented mixed inflammation at seven days, which translated into an absence of inflammation at 15 days. The C group exhibited acute inflammation on the 7th day, translating to chronic inflammation, which significantly increased from the 7th to the 15th day. The findings showed that the O3 group presented greater wound contraction (P<0.05) and a greater degree of neovascularization on the 7th day (P<0.05) when compared to group C. On the 15th day, both groups (O3 and C) showed complete re-epithelialization, however, the O3 group demonstrated complete muscle regeneration. Conclusion The systemic ozone therapy had a biomodulatory effect, reducing the characteristics of acute inflammation and increasing tissue repair and regeneration in rat skin.

OBJECTIVE: This study aimed to analyze the physical and pulmonary capacities of hospitalized patients with severe coronavirus disease and its correlation with the time of hospitalization and complications involved. METHODS: A total of 54 patients, aged ≥18 years of both sexes, were evaluated 2-4 months after hospital discharge in São Paulo, Brazil. The physical characteristics analyzed were muscle strength, balance, flexibility, and pulmonary function. The K-means cluster algorithm was used to identify patients with similar physical and pulmonary capacities, related to the time of hospitalization. RESULTS: Two clusters were derived using the K-means algorithm. Patients allocated in cluster 1 had fewer days of hospitalization, intensive care, and intubation than those in cluster 2, which reflected a better physical performance, strength, balance, and pulmonary condition, even 2-4 months after discharge. Days of hospitalization were inversely related to muscle strength, physical performance, and lung function: hand grip D (r=−0.28, p=0.04), Short Physical Performance Battery score (r=−0.28, p=0.03), and forced vital capacity (r=−0.29, p=0.03). CONCLUSION: Patients with a longer hospitalization time and complications progressed with greater loss of physical and pulmonary capacities.

Abstract The objective of this study was to evaluate the efficiency of a preservative treatment with Chromated Copper Borate (CCB) in different concentrations and autoclave pressure time on the biological resistance of Eucalyptus urophylla x Eucalyptus grandis (called urograndis). Urograndis fence posts were submitted to industrial autoclaving in nine treatments as a function of CCB concentration and pressure time: 1.5% (30, 60 and 90 minutes); 2.0% (30, 60 and 90 minutes); and 2.5% (30, 60 and 90 minutes). Then the obtained specimens were submitted to an accelerated laboratory decay test. The industrial preservative treatment increased the resistance of the wood to decay and the concentration of 1.5% CCB and 30 minutes of autoclave pressure can be applied to treat urograndis wood without compromising its resistance to the attack of white-rot and brown-rot fungi.

Abstract Objectives: This study sought to evaluate the impact of prosthesis-patient mismatch (PPM) on the risk of early-term mortality after transcatheter aortic valve implantation (TAVI). Methods: Databases (Medical Literature Analysis and Retrieval System Online [MEDLINE], Excerpta Medica dataBASE [EMBASE], Cochrane Controlled Trials Register [CENTRAL/CCTR], ClinicalTrials.gov, Scientific Electronic Library Online [SciELO], Latin American and Caribbean Literature on Health Sciences [LILACS], and Google Scholar) were searched for studies published until February 2019. PPM after TAVI was defined as moderate if the indexed effective orifice area (iEOA) was between 0.85 cm2/m2 and 0.65 cm2/m2 and as severe if iEOA ≤ 0.65 cm2/m2. Results: The search yielded 1,092 studies for inclusion. Of these, 18 articles were analyzed, and their data extracted. The total number of patients included who underwent TAVI was 71,106. The incidence of PPM after TAVI was 36.3% (25,846 with PPM and 45,260 without PPM). One-year mortality was not increased in patients with any PPM (odds ratio [OR] 1.021, 95% confidence interval [CI] 0.979-1.065, P=0.338) neither in those with moderate PPM (OR 0.980, 95% CI 0.933-1.029, P=0.423). Severe PPM was separately associated with high risk (OR 1.109, 95% CI 1.041-1.181, P=0.001). Conclusion: The presence of severe PPM after TAVI increased early-term mortality. Although moderate PPM seemed harmless, the findings of this study cannot not rule out the possibility of it being detrimental, since there are other registries that did not address this issue yet.

This work evaluated the toxicity and molluscicidal effect of the oil extracted from Pimenta dioica leaves against the snail Biomphalaria glabrata (Say, 1818). For this, the essential oil was extracted quantitatively by hydrodistillation. Then quantifications of its components were performed by gas chromatography coupled to mass spectrometry (CG-MS) and the toxicity and molluscicidal activity were tested, respectively, against Artemia salina and snails Biomphalaria glabrata (Say, 1818). The lethal concentration (LC50) was calculated from the Reed-Muench & Pizzi methods, respectively, for toxicity and molluscicide testing. The results of the chromatographic analysis showed that the oil contains 85.67% eugenol (major constituent) and 0.88% linalool (minor component). In the toxicity evaluation, the oil was considered highly toxic with a LC50 of 14.13 mg∙L-1, in a 95% confidence interval, while the molluscicidal activity presented a lethal concentration (LC50) of 18.62. mg∙L-1 at a 95% confidence interval. Therefore, the oil is active against the snail Biomphalaria glabrata.

Estetrabajo evaluó la toxicidad y el efecto molusquicida del aceite extraído de las hojas de Pimenta dioica contra el caracol Biomphalaria glabrata (Say, 1818). Para esto, el aceite esencial se extrajo cuantitativamente por hidrodestilación. Luego se realizaron cuantificaciones de sus componentes mediante cromatografía de gases acoplada a espectrometría de masas (CG-MS) y se analizaron la toxicidad y la actividad molusquicida, respectivamente, contra Artemia salina y los caracoles Biomphalaria glabrata (Say, 1818). La concentración letal (CL50) se calculó a partir de los métodos de Reed-Muench y Pizzi, respectivamente, para pruebas de toxicidad y molusquicidas. Los resultados del análisis cromatográfico mostraron que el aceite contiene un 85,67% de eugenol (constituyente principal) y un 0,88% de linalool (componente secundario). En la evaluación de toxicidad, el aceite se consideró altamente tóxico con una CL50 de 14.13 mg∙L-1, en un intervalo de confianza del 95%, mientras que la actividad molusquicida presentó una concentración letal (CL50) de 18.62. mg∙L-1 en un intervalo de confianza del 95%. Por lo tanto, el aceite es activo contra el caracol Biomphalaria glabrata.

Abstract Lafoensia pacari A. St. Hill has been used in traditional medicine as an anti-ulcerogenic and anti-inflammatory. Although there is an ethnopharmacological indication for cancer treatment, only a few studies have demonstrated its possible anticancer activity. Thus, the aims of this study were: (1) to evaluate the antineoplastic effect of L. pacari ethanolic extract (LPE) in lung carcinoma cells, (2) to determine the mode of action of LPE and (3) to identify the substances present in LPE. Human and murine lung cancer cell lines were grown in vitro and treated with different concentrations of LPE. Cell cycle and caspase-3 activity assays were performed in order to verify the mode of action. LC-ESI-MS screening was performed to detect the compounds present in LPE. LPE showed a dose-dependent cytotoxic effect, where neoplastic cells were more sensitive than non-neoplastic. The LPE induced sub-G1 cell cycle arrest in cancer cells suggesting cell death, which was confirmed as apoptosis by the activation of caspase-3. The LC-ESI-MS analysis indicated a high level of procyanidins, which could be responsible for the antineoplastic effect of LPE. Thus, we concluded that a Lafoensia pacari extract, rich in procyanidins, is cytotoxic against lung cancer cells through activation of caspase-3-dependent apoptosis.

Abstract Objective: We aimed to analyze whether patent foramen ovale (PFO) closure reduces the risk of stroke, assessing also some safety outcomes after the publication of a new trial. Introduction: The clinical benefit of closing a PFO has been an open question, so it is necessary to review the current state of published medical data in regards to this subject. Methods: MEDLINE, EMBASE, CENTRAL/CCTR, SciELO, LILACS, Google Scholar and reference lists of relevant articles were used to search for randomized controlled trials (RCTs) that reported any of the following outcomes: stroke, death, major bleeding or atrial fibrillation. Six studies fulfilled our eligibility criteria and included 3560 patients (1889 for PFO closure and 1671 for medical therapy. Results: The risk ration (RR) for stroke in the “closure” group compared with the “medical therapy” showed a statistically significant difference between the groups, favouring the “closure” group (RR 0.366; 95%CI 0.171–0.782, P=0.010). There was no statistically significant difference between the groups regarding the safety outcomes, death and major bleeding, but we observed an increase in the risk of atrial fibrillation in the “closure” group (RR 4.131; 95%CI 2.293–7.443, P<0.001). We also observed that the larger the proportion of effective closure, the lower the risk of stroke. Conclusion: This meta-analysis found that stroke rates are lower with percutaneously implanted device closure than with medical therapy alone, being these rates modulated by the rates of hypertension, atrial septal aneurysm and effective closure. The publication of a new trial did not change the scenario in the medical literature.

ABSTRACT: The use of crop residues as a bioenergy feedstock is considered a potential strategy to mitigate greenhouse gas (GHG) emissions. However, indiscriminate harvesting of crop residues can induce deleterious effects on soil functioning, plant growth and other ecosystem services. Here, we have summarized the information available in the literature to identify and discuss the main trade-offs and synergisms involved in crop residue management for bioenergy production. The data consistently showed that crop residue harvest and the consequent lower input of organic matter into the soil led to C storage depletions over time, reducing cycling, supply and availability of soil nutrients, directly affecting the soil biota. Although the biota regulates key functions in the soil, crop residue can also cause proliferation of some important agricultural pests. In addition, crop residues act as physical barriers that protect the soil against raindrop impact and temperature variations. Therefore, intensive crop residue harvest can cause soil structure degradation, leading to soil compaction and increased risks of erosion. With regard to GHG emissions, there is no consensus about the potential impact of management of crop residue harvest. In general, residue harvest decreases CO2 and N2O emissions from the decomposition process, but it has no significant effect on CH4 emissions. Plant growth responses to soil and microclimate changes due to crop residue harvest are site and crop specific. Adoption of the best management practices can mitigate the adverse impacts of crop residue harvest. Longterm experiments within strategic production regions are essential to understand and monitor the impact of integrated agricultural systems and propose customized solutions for sustainable crop residue management in each region or landscape. Furthermore, private and public investments/cooperations are necessary for a better understanding of the potential environmental, economic and social implications of crop residue use for bioenergy production.

RESUMO A gérbera pode ser cultivada como flor de corte ou em vasos, porém há poucas informações sobre nutrição e adubação, especialmente relacionadas ao fósforo e uso de resíduos orgânicos em vasos. O objetivo do trabalho foi avaliar o crescimento e a produção de gérbera em vaso sob doses de fósforo e uso de esterco bovino. O experimento foi conduzido em vasos, em casa de vegetação. Foi empregado delineamento experimental em blocos ao acaso, em esquema fatorial 5 × 2 e 4 repetições totalizando 40 unidades experimentais. Os tratamentos foram constituídos por 5 doses de P: 0, 20, 40, 60 e 80 mg dm−3 de P, na forma de superfosfato triplo em pó e uso ou não de esterco bovino. A adubação fosfatada e o esterco bovino, em solo com baixo teor de P, não influencia o crescimento e a produção de gérbera de vaso. As doses de fósforo proporcionam melhorias no estado nutricional da gérbera cultivada em vaso, mas não contribuem para a qualidade comercial das plantas. O uso de esterco bovino aumenta a disponibilidade de fósforo no solo para cultivo de gérbera em vaso, sem, contudo contribuir para a qualidade comercial. A gérbera cultivada em vaso é pouco responsiva às adições de fósforo, fornecido tanto por fertilizante mineral como orgânico.

ABSTRACT Gerbera can be grown as a cut flower or in pots. However, there is little information on nutrition and fertilization, especially related to phosphorus and the use of organic matter in pots. This study aimed to evaluate the growth and production of potted gerbera under doses of phosphorus and the use of cattle manure. The experiment was carried out in pots, under greenhouse conditions. A randomized block experimental design was used in a 5 × 2 factorial scheme with 4 replications, totaling 40 experimental units. The treatments consisted of 5 P rates: 0, 20, 40, 60 and 80 mg dm−3 P, as triple superphosphate powder and use, or not, of cattle manure. Phosphate fertilization and cattle manure in soil with low P contents did not influence the growth and production of potted gerbera. Phosphorus rates improve the nutritional status of potted gerbera, but do not contribute to the commercial quality of the plants. The use of cattle manure increases the availability of phosphorus in the soil for potted gerbera cultivation without, however, contributing to commercial quality. Potted gerbera is poorly responsive to phosphorus addition, supplied by both mineral and organic fertilizers.