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Abstract The quantity and quality of potato tubers are related to irrigation. We studied the effect of three levels of water deficit (L= low, M= medium, and H= high) on the yield and quality of three potato varieties (Fiana, Atlantic, and Ágata), induced by varying the parameter α3 of the maximum allowable deficit (MAD) function of a comprehensive irrigation programming model. The work was carried out in the north of Sinaloa, Mexico (autumn-winter cycle 2015-2016), using a design in divided plots with two factors and four repetitions, where the large plots were the levels of water deficit and the sub-plots were the varieties. There was a significant effect (p= 95%) on yield (Y) as it decreased by 3.65 t ha-1 in H compared to L. In the variety factor, Fiana and Ágata were the best in quantity and quality, with Fiana standing out with fewer noncommercial (NCO) tubers. In the water deficit-variety interaction, Fiana was the best, with more tubers of first and second quality (Q1 and Q2) in L. In M, Ágata was the best in Y but the lowest in Q1 and highest in deformed (DEF) and NCO. In H, the behavior was similar; Ágata was the best but with less Q1 and Q2 and a significant presence of DEF and NCO. A 29.5, 28.8, and 28.4 cm water requirement was estimated in L, M, and H, respectively. The behavior of Fiana suggests managing it under drip irrigation, while Ágata under gravity irrigation and limited water conditions.

Resumen La cantidad y calidad de tubérculos de papa están relacionados con el riego. Se estudió el efecto de tres niveles de déficit hídrico (B= bajo, M= medio y A= alto) en el rendimiento y calidad de tres variedades de papa (Fiana, Atlantic y Ágata), inducido al variar el parámetro α3 de la función máximo déficit permitido (MDP) de un modelo de programación integral del riego. El trabajo se realizó en el norte de Sinaloa, México (ciclo otoño-invierno 2015-2016), utilizando un diseño en parcelas divididas con dos factores y cuatro repeticiones, donde las parcelas grandes fueron los niveles de déficit hídrico y las sub-parcelas las variedades. Se tuvo efecto significativo (p= 95%) en rendimiento (Y) al reducirse 3.65 t ha-1 en A con respecto a B. En el factor variedades, Fiana y Ágata fueron las mejores en cantidad y calidad, destacando Fiana con menos tubérculos rezaga (REZ). En la interacción déficit hídrico-variedad, Fiana fue la mejor con más tubérculos de primera y segunda calidad (C1 y C2) en B. En M, Ágata fue la mejor en Y, pero la más baja en C1 y más alta en deformes (DEF) y REZ. En A, el comportamiento fue similar, Ágata fue la mejor, pero con menos C1 y C2 y presencia importante de DEF y REZ. Se estimó un requerimiento hídrico de 29.5, 28.8 y 28.4 cm en B, M y A respectivamente. El comportamiento de Fiana sugiere manejarla bajo goteo, mientras que Ágata en riego por gravedad y bajo condiciones limitadas de agua.

https://doi.org/10.29312/remexca.v14i8.3202

Resultados de traqueostomías realizadas en pacientes COVID-19 positivos en el Hospital Central del Estado Chihuahua, México
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Aponte-De la Rosa, Irving A.

; Saad-Manzanera, María Isabel

; Solís-Valdez, Jesús

; Enríquez-Sánchez, Luis B.

; Fabela-Lozano, Margarita A.

; Guevara-López, Javier A.

Cirugía y cirujanos

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Abr 2023, Volume 91 Nº 2 Páginas 253 - 261

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

Resumen Objetivo. Realizar una descripción de las características clínicas, los factores asociados y el desenlace de las traqueostomías realizadas en pacientes con COVID-19. Método. Estudio retrospectivo observacional de 14 pacientes a quienes se realizó traqueostomía. Diez de ellos se encontraban diagnosticados con COVID-19, confirmada con prueba RT-PCR de exudado nasofaríngeo y hallazgos tomográficos compatibles. Resultados. De los 10 pacientes, cinco fueron dados de alta y cinco fallecieron. La edad promedio de los pacientes que fallecieron fue de 66.6 años, y la de los que fueron dados de alta fue de 60.4 años. De los parámetros ventilatorios, se tomó como corte una FiO2 ≤ 40% y una PEEP ≤ 8; entre los pacientes dados de alta, cuatro cumplían con ambos criterios. En cambio, de los pacientes que fallecieron, ninguno los cumplió. En estos últimos se documentó un promedio de APACHE II de 16.4 y un SOFA de 7.4, mientras que en los pacientes dados de alta se observó un promedio de 12.6 y 4.6, respectivamente. Conclusiones. La traqueostomía realizada en pacientes con criterios específicos, como parámetros ventilatorios bajos, edad o puntuación baja en las escalas de gravedad, pueden llegar a tener mejor pronóstico.

Abstract Objective. Provide a description of clinical characteristics, associated factors and outcome of tracheostomies performed in COVID-19 patients. Method. Observational prospective study of 14 patients who underwent tracheostomy. 10 of them were diagnosed with COVID 19, confirmed with RT-PCR test of nasopharyngeal exudate and compatible tomographic findings. Results. Of the 10 patients, five were discharged and five died. The average age of patients who died was 66.6 years; of those who were discharged, it was 60.4 years. Ventilatory parameters cut was taken as FiO2 ≤ 40% and PEEP ≤ 8; of the patients discharged, four met both criteria. On the other hand, of the patients who died, neither met both. Of the latter, an average of APACHE II of 16.4 and SOFA 7.4 were documented, while in discharged patients an average of 12.6 and 4.6 were observed, respectively. Conclusions. Tracheostomy performed in patients with specific criteria, such as low ventilatory parameters, age, or low score in severity scales, may have a better prognosis.

https://doi.org/10.24875/ciru.20001342

Noncommunicable diseases in the Americas: a review of the Pan American Health Organization’s 25-year program of work
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Luciani, Silvana

; Nederveen, Leendert

; Martinez, Ramon

; Caixeta, Roberta

; Chavez, Carolina

; Sandoval, Rosa C.

; Severini, Luciana

; Cerón, Diana

; Gomes, Adriana B.

; Malik, Sehr

; Gomez, Fabio

; Ordunez, Pedro

; Maza, Mauricio

; Monteiro, Maristela

; Hennis, Anselm

Revista Panamericana de Salud Pública

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2023, Volume 47 elocation e13

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

ABSTRACT This article describes progress in tackling noncommunicable diseases (NCDs) in the Americas since the Pan American Health Organization (PAHO) started its NCD program 25 years ago. Changes in the epidemiology of NCDs, NCD policies, health service capacity, and surveillance are discussed. PAHO’s NCD program is guided by regional plans of action on specific NCDs and risk factors, as well as a comprehensive NCD plan. Its work involves implementing evidence-based World Health Organization technical packages on NCDs and their risk factors with the aim of achieving the Sustainable Development Goal target of a one third reduction in premature mortality caused by NCDs by 2030. Important advances have been made in the past 25 years in implementation of: policies on NCD risk factors; interventions to improve NCD diagnosis and treatment; and NCD surveillance. Premature mortality from NCDs decreased by 1.7% a year between 2000 and 2011 and 0.77% a year between 2011 and 2019. However, policies on risk factor prevention and health promotion need to be strengthened to ensure more countries are on track to achieving the NCD-related health goals of the Sustainable Development Goals by 2030. Actions are recommended for governments to raise the priority of NCDs by: making NCDs a core pillar of primary care services, using revenues from health taxes to invest more in NCD prevention and control; and implementing policies, laws, and regulations to reduce the demand for and availability of tobacco, alcohol, and ultra-processed food products.

RESUMO Este artigo descreve o progresso no combate às doenças não transmissíveis (DNTs) nas Américas desde que a Organização Pan-Americana da Saúde (OPAS) iniciou seu programa para essas doenças há 25 anos. Discute-se como evoluíram a epidemiologia das DNTs, as políticas contra essas doenças, a capacidade dos serviços de saúde e a vigilância. O programa da OPAS para as DNTs é orientado por planos de ação regionais sobre DNTs específicas e fatores de risco, bem como por um plano integral contra essas doenças. O trabalho envolve a implementação de pacotes técnicos da Organização Mundial da Saúde baseados em evidências sobre as DNTs e seus fatores de risco, no intuito de alcançar a meta do Objetivo de Desenvolvimento Sustentável de reduzir em um terço a mortalidade prematura causada pelas DNTs até 2030. Avanços importantes foram obtidos nos últimos 25 anos na implementação de políticas sobre fatores de risco das DNTs, intervenções para melhorar o diagnóstico e o tratamento das DNTs, e vigilância das DNTs. A mortalidade prematura causada pelas DNTs diminuiu 1,7% ao ano entre 2000 e 2011 e 0,77% ao ano entre 2011 e 2019. Contudo, as políticas sobre a prevenção dos fatores de risco e a promoção da saúde precisam ser fortalecidas para que mais países estejam no rumo certo para alcançar as metas de saúde relacionadas a essas doenças, no âmbito dos Objetivos de Desenvolvimento Sustentável até 2030. São recomendadas medidas para que os governos elevem a prioridade das DNTs ao torná-las um pilar central dos serviços de atenção primária, usando a receita dos tributos saudáveis para investir mais na prevenção e no controle das DNTs, e ao implementar políticas, leis e regulamentos para reduzir a demanda e a disponibilidade de álcool, tabaco e produtos alimentícios ultraprocessados.

RESUMEN En este artículo se describe el progreso en la lucha contra las enfermedades no transmisibles (ENT) en la Región de las Américas desde que la Organización Panamericana de la Salud (OPS) iniciara su programa contra las ENT hace 25 años. Se abordan los cambios en las características epidemiológicas, las políticas, la capacidad de los servicios de salud y la vigilancia de estas enfermedades. Este programa de la OPS se rige por planes regionales de acción sobre enfermedades y factores de riesgo específicos, así como por un plan integral de ENT. Su labor consiste en poner en práctica paquetes técnicos de la Organización Mundial de la Salud basados en la evidencia sobre las ENT y sus factores de riesgo con el objetivo de alcanzar la meta de los Objetivos de Desarrollo Sostenible (ODS) de reducir en un tercio la mortalidad prematura causada por las ENT para el 2030. En los últimos 25 años se han logrado importantes avances en la ejecución de políticas sobre los factores de riesgo de estas enfermedades, en las intervenciones para mejorar su diagnóstico y tratamiento, y en la vigilancia. La mortalidad prematura por ENT disminuyó 1,7% anual entre el 2000 y el 2011 y 0,77% anual entre los años 2011 y 2019. Sin embargo, es necesario fortalecer las políticas de prevención de factores de riesgo y promoción de la salud para garantizar que más países estén bien encaminados para lograr las metas de salud de los ODS relacionadas con las ENT para el 2030. Se recomiendan medidas para que los gobiernos prioricen más las ENT y las conviertan en un pilar central de los servicios de atención primaria, al usar los ingresos generados por los impuestos en el sector de la salud para incrementar las inversiones en la prevención y control de las ENT, y ejecutar políticas, leyes y regulaciones para reducir la demanda y la disponibilidad de tabaco, alcohol y alimentos ultraprocesados.

https://doi.org/10.26633/rpsp.2023.13

Emotional, hyperactivity and inattention problems in adolescents with immunocompromising chronic diseases during the COVID-19 pandemic
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Campos, Reinan T.

; Lindoso, Livia

; Sousa, Renan A. de

; Helito, Alberto C.

; Ihara, Bianca P.

; Strabelli, Claudia A.A.

; Paradelas, Levi M.V.

; Carneiro, Beatriz O.L.

; Cardoso, Maria Paula R.

; Souza, Jean Paulo V. de

; Freire, Marianna R. de M.

; Astley, Camilla

; Laurentino, Moisés F.

; Buscatti, Izabel M.

; Kozu, Katia

; Aikawa, Nadia E.

; Sallum, Adriana M.E.

; Ferreira, Juliana CO.

; Simon, Juliana R.

; Viana, Vivianne S.L.

; Queiroz, Ligia B.

; Gualano, Bruno

; Roschel, Hamilton

; Pereira, Rosa Maria R.

; Toma, Ricardo K.

; Watanabe, Andréia

; Grangeiro, Patricia M.

; Casella, Caio B.

; Farhat, Sylvia C.

; Polanczyk, Guilherme V.

; Campos, Lucia Maria A.

; Silva, Clovis A.

Clinics

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2023, Volume 78 elocation 100167

Resumo: En | Texto: En | PDF: En

Abstract Objective: To assess factors associated with emotional changes and Hyperactivity/Inattention (HI) motivated by COVID-19 quarantine in adolescents with immunocompromising diseases. Methods: A cross-sectional study included 343 adolescents with immunocompromising diseases and 108 healthy adolescents. Online questionnaires were answered including socio-demographic data and self-rated healthcare routine during COVID-19 quarantine and validated surveys: Strengths and Difficulties Questionnaire (SDQ), Pittsburgh Sleep Quality Index (PSQI), Pediatric Quality of Life Inventory 4.0 (PedsQL4.0). Results: The frequencies of abnormal emotional SDQ scores from adolescents with chronic diseases were similar to those of healthy subjects (110/343 [32%] vs. 38/108 [35%], p = 0.548), as well as abnormal hyperactivity/inattention SDQ scores (79/343 [23%] vs. 29/108 [27%], p = 0.417). Logistic regression analysis of independent variables associated with abnormal emotional scores from adolescents with chronic diseases showed: female sex (Odds Ratio [OR = 3.76]; 95% Confidence Interval (95% CI) 2.00–7.05; p < 0.001), poor sleep quality (OR = 2.05; 95% CI 1.08–3.88; p = 0.028) and intrafamilial violence during pandemic (OR = 2.17; 95% CI 1.12–4.19; p = 0.021) as independently associated with abnormal emotional scores, whereas total PedsQL score was inversely associated with abnormal emotional scores (OR = 0.95; 95% CI 0.93–0.96; p < 0.0001). Logistic regression analysis associated with abnormal HI scores from patients evidenced that total PedsQL score (OR = 0.97; 95% CI 0.95–0.99; p = 0.010], changes in medical appointments during the pandemic (OR = 0.39; 95% CI 0.19–0.79; p = 0.021), and reliable COVID-19 information (OR = 0.35; 95% CI 0.16–0.77; p = 0.026) remained inversely associated with abnormal HI scores. Conclusion: The present study showed emotional and HI disturbances in adolescents with chronic immunosuppressive diseases during the COVID-19 pandemic. It reinforces the need to promptly implement a longitudinal program to protect the mental health of adolescents with and without chronic illnesses during future pandemics.

https://doi.org/10.1016/j.clinsp.2023.100167

Seasonal analysis of the diet and trophic niche breadth of Molossus rufus É. Geoffroy, 1805 (Mammalia: Chiroptera) in a tropical urban environment
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MORAIS, PEDRO HENRIQUE B.

; ORTÊNCIO-FILHO, HENRIQUE

; DIAS, ROSA MARIA

Anais da Academia Brasileira de Ciências

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2023, Volume 95 Nº 1 elocation e20210905

Resumo: En | Texto: En | PDF: En

Abstract This study aimed to analyze the diet and trophic niche breadth of an insectivorous bat very common in an urban environment in southern Brazil. To analyze the feeding habit of Molossus rufus, it was necessary to collect fecal samples in urban colonies in the city of Maringá, State of Paraná. Samplings occurred from November 2018 to September 2019, including rainy and dry seasons. The fragments found in the samples were identified up to the level of order or family whenever possible. Percentage of volume and frequency of occurrence, Feeding Index (IAi%), PERMANOVA, and trophic niche breadth were used. Thus, a total of 140 samples were obtained, 92 for the rainy season and 48 for the dry season. In terms of percentage of volume, the diet consisted mainly of Hymenoptera (46.9%) in the rainy season and Coleoptera (39.2%) in the dry season. The results for standardized trophic niche breadth were Ba = 0.36 for the rainy season and Ba = 0.37 in the dry season, indicating a low food diversity. In conclusion, there was a food preference on the part of M. rufus according to the season evaluated, with Hymenoptera and Coleoptera being the most relevant dietary items.

https://doi.org/10.1590/0001-3765202320210905

Rivaroxabana em Pacientes Ambulatoriais com COVID-19 Leve ou Moderada: Fundamentação e Desenho do Estudo CARE (CARE – Coalition COVID-19 Brazil VIII)
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Oliveira, Gustavo B. F.

; Neves, Precil Diego M. M.

; Oliveira, Haliton A.

; Catarino, Daniela Ghidetti Mangas

; Alves, Lucas B. O.

; Cavalcanti, Alexandre B.

; Rosa, Regis G.

; Veiga, Viviane C.

; Azevedo, Luciano C.P.

; Berwanger, Otávio

; Lopes, Renato D.

; Avezum, Álvaro

Arquivos Brasileiros de Cardiologia

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2023, Volume 120 Nº 3 elocation e20220431

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

Abstract Background Previous studies have demonstrated a high risk of arterial and venous thromboembolic events as a consequence of direct viral damage to endothelial cells by SARS-CoV-2 and a procoagulant milieu due to increased biomarkers, such as D-dimer, fibrinogen, and factor VIII. Although randomized controlled trials of antithrombotic therapies have been conducted in hospitalized patients, few have evaluated the role of thromboprophylaxis in an outpatient setting. Objective To assess whether antithrombotic prophylaxis with rivaroxaban reduces the risk of venous or arterial thrombotic events, invasive ventilatory support, and death in COVID-19 outpatients. Methods The COVID Antithrombotic Rivaroxaban Evaluation (CARE) study, a multicenter, randomized, open-label, controlled trial of rivaroxaban 10 mg once daily for 14 days or local standard treatment alone to prevent adverse outcomes, is registered in clinicaltrials.gov (NCT04757857). The inclusion criteria are adults with confirmed or suspected SARS-CoV-2 infection and mild or moderate symptoms without indication for hospitalization, within 7 days of symptom onset, and 1 risk factor for COVID-19 complication (> 65 years, hypertension, diabetes mellitus, asthma, chronic obstructive pulmonary disease or other chronic lung diseases, smoking, immunosuppression, or obesity). The primary composite endpoint, which includes venous thromboembolism, invasive mechanical ventilation, major acute cardiovascular events, and mortality within 30 days of randomization, will be assessed according to the intention-to-treat principle. All patients will provide informed consent. A significance level of 5% will be used for all statistical tests. Results Major thrombotic and bleeding outcomes, hospitalizations, and deaths will be centrally adjudicated by an independent clinical events committee blinded to the assigned treatment groups. Conclusion The CARE study will provide relevant and contemporary information about the potential role of thromboprophylaxis in outpatients with COVID-19.

Resumo Fundamento Estudos anteriores revelaram alto risco de eventos tromboembólicos arteriais e venosos como consequência de danos virais diretos do SARS-CoV-2 em células endoteliais e um meio procoagulante devido ao aumento de biomarcadores como o D-dímero, fibrinogênio, fator VIII. Foram realizados ensaios controlados randomizados de terapias antitrombóticas em pacientes internados, no entanto, poucos estudos avaliaram o papel da tromboprofilaxia no ambiente ambulatorial. Objetivo Avaliar se a profilaxia antitrombótica com rivaroxabana reduz o risco de eventos trombóticos venosos ou arteriais, suporte ventilatório invasivo e morte em pacientes ambulatoriais com COVID-19. Métodos O estudo CARE é um ensaio randomizado, aberto, multicêntrico e controlado por rivaroxabana 10 mg uma vez por dia durante 14 dias ou tratamento local padrão isolado, para a prevenção de resultados adversos, registrado no Clinicaltrials.gov (NCT04757857). Os critérios de inclusão são adultos com infecção confirmada ou suspeita do SARS-CoV-2, com sintomas leves ou moderados, sem indicação de hospitalização, no prazo de 7 dias após o início dos sintomas e um fator de risco de complicação da COVID-19 (>65 anos, hipertensão, diabetes, asma, doença pulmonar obstrutiva crônica ou outras doenças pulmonares crônicas, tabagismo, imunossupressão ou obesidade). O desfecho primário composto inclui tromboembolismo venoso, necessidade de ventilação mecânica invasiva, eventos cardiovasculares agudos maiores e mortalidade no prazo de 30 dias após a randomização, sendo avaliado segundo o princípio da intenção de tratar. Todos os pacientes assinaram termo de consentimento. Foi estabelecido um nível de significância de 5% para todos os testes estatísticos. Resultados Os principais desfechos trombóticos e hemorrágicos, hospitalizações e mortes serão avaliados centralmente por um comitê de eventos clínicos independente, sob a condição cega para a alocação dos grupos de tratamento. Conclusão O estudo CARE fornecerá informação relevante e contemporânea sobre o possível papel da tromboprofilaxia em pacientes ambulatoriais com COVID-19.

https://doi.org/10.36660/abc.20220431

xButyagrus nabonnandii (Prosch.) Vorster (Arecaceae): a sterile and rare palm with variable morphology?
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Rosa, L. Z.

; Sant’Anna-Santos, B. F.

; Almeida, C. G. M.

; Kuhn, S. A.

; Hüther, C. M.

; Souza, V. Q.

Brazilian Journal of Biology

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2023, Volume 83 elocation e271366

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

Abstract ×Butyagrus nabonnandii (Prosch.) Vorster is known as mule palm due to sterility, but recently, its pollen has been successfully used in backcrosses. It was first described as an artificial cross between Syagrus romanzoffiana (Cham.) Glassman and Butia odorata (Barb.Rodr.) Noblick in 1890. It has been considered rare in nature, and its morphology has been little studied. Thus, we aimed to verify if ×B. nabonnandii is sterile by studying its morphology and seed germination from different natural populations. The hybrid was sampled in four municipalities and is new to three of these. In one of the visited cities, 20 specimens were counted. The vegetative morphology showed less variation than the reproductive. However, part of the vegetative characters differed from previous descriptions relying solely on cultivated specimens. Contrary to previous reports, our data indicate that ×Butyagrus nabonnandii is neither rare nor infertile. Seed germination rates of ×B. nabonnandii are low due to seed predation by beetle larvae and seedless fruit production, which is also observed in the genera of the parental species. Furthermore, as in its parents, the morphology of the hybrid is complex, and future anatomical and molecular approaches are important for a better delimitation and understanding of the biology of ×B. nabonnandii.

Resumo ×Butyagrus nabonnandii (Prosch.) Vorster é conhecida como palmeira-mula por ser considerada estéril, apesar de ter sido utilizada com sucesso em retrocruzamentos. O híbrido resulta do cruzamento entre Syagrus romanzoffiana (Cham.) Glassman e Butia odorata (Barb.Rodr.) Noblick, é tido como raro e possui morfologia pouco estudada. Objetivou-se estudar a morfologia de ×B. nabonnandii e verificar sua esterilidade através da germinação de suas sementes a partir de diferentes populações naturais. O híbrido foi registrado em quatro municípios sendo, em três desses, de ocorrência inédita. Em um dos municípios visitados, foram contabilizados 20 espécimes. A morfologia vegetativa apresentou menor variação do que a reprodutiva. Entretanto, parte dos caracteres morfológicos vegetativos diferem do descrito na literatura para espécimes cultivados. Nossos dados indicam que além de não ser raro, o híbrido é fértil. As taxas de germinação das sementes de ×B. nabonnandii são baixas devido à predação das sementes por larvas de besouros, além da produção de frutos sem sementes, o que também ocorre nos gêneros das espécies progenitoras. Além disso, assim como em seus parentais, a morfologia do híbrido é complexa, sendo importantes futuros estudos anatômicos e moleculares para uma melhor delimitação e compreensão da biologia de ×B. nabonnandii.

https://doi.org/10.1590/1519-6984.271366

Risk of malignancy and diagnostic accuracy of fine-needle aspiration biopsy in thyroid nodules with diameters greater than 4 centimeters
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Barcelos, Rafaela N.

; Camacho, Cléber P.

; Mamone, Maria da Conceição de O. C.

; Ikejiri, Elza S.

; Vanderlei, Felipe A. B.

; Yang, Ji H.

; Padovani, Rosália P.

; Martins, Leandro A. L.

; Biscolla, Rosa Paula M.

; Macellaro, Danielle

; Lindsey, Susan C.

; Maciel, Rui M. B.

; Martins, João Roberto M.

Archives of Endocrinology and Metabolism

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2023, Volume 67 Nº 6 elocation e000644

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective: The risk of malignancy and diagnostic accuracy of fine-needle aspiration biopsy (FNAB) of thyroid nodules (TN) with diameters ≥ 3-4 cm remains controversial. However, some groups have indicated surgical treatment in these patients regardless of the FNAB results. We aimed to evaluate the diagnostic accuracy of the FNAB in systematically resected ≥4 cm TN and if the risk of malignancy is higher in these patients. Subjects and methods: We retrospectively evaluated 138 patients (142 nodules) with TN with diameters ≥4 cm who underwent thyroidectomy. Results: The FNAB results were nondiagnostic/unsatisfactory (ND/UNS) in 2.1% of the cases and benign in 51.4%. They indicated atypia of undetermined significance/follicular lesion of undetermined significance (AUS/FLUS) in 23.9% of cases, follicular neoplasia/suspicious for a follicular neoplasm (FN/SFN) in 9.2%, suspicion of malignancy (SUS) in 8.5%, and malignant in 4.9%. The histopathological analysis after thyroidectomy revealed a thyroid cancer rate of 100% in the FNABs classified as malignant, 33.3% in SUS cases, 7.7% in FN/SFN, 17.6% in AUS/FLUS, and 4.1% in benign FNABs. None of the ND/UNS FNABs were malignant. The global malignancy diagnosis was 14.8% (n = 21). However, the rate of false negatives for FNAB was low (4.1%). Conclusion: We showed that the risk of malignancy in nodules with diameters ≥4 cm was higher compared to the risk of thyroid cancer in TN in general. However, we found a low rate of false-negative cytological results; therefore, our data do not justify the orientation of routine resection for these larger nodules.

https://doi.org/10.20945/2359-3997000000644

Association study between ceftriaxone and a synthetic amide against strains of Pseudomonas aeruginosa
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Rosa, L. L. S.

; Andrade-Júnior, F. P.

; Cordeiro, L. V.

; Souza, H. D. S.

; Athayde-Filho, P. F.

; Gadelha, D. D. A.

; Melo, D. M.

; Silva, D. F.

; Alves, D. N.

; Sobreira, A. L. C.

; Ferreira, S. R. D.

; Teixeira, A. P. C.

; Farias, B. K. S.

; Firmino, R. G.

; Maia, A. K. H. L.

; Lima, E. O.

Brazilian Journal of Biology

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2023, Volume 83 elocation e274149

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

Abstract Pseudomonas aeruginosa is a non-lactose fermenting Gram-negative bacteria responsible for causing numerous nosocomial infections. The present research aimed to analyze the anti-Pseudomonas aeruginosa potential of 2-Chloro-N-(4-fluoro-3-nitrophenyl)acetamide (A8). The antibacterial potential of A8 was evaluated from the Minimum Inhibitory Concentration (MIC), Minimum Bactericidal Concentration (MBC) and Association using the checkerboard method. MIC and MBC values were 512 µg/mL for all P. aeruginosa strains evaluated, demonstrating predominantly bactericidal activity. Furthermore, when A8 was associated with the drug ceftriaxone, pharmacological additivity and indifference were evidenced. In this sense, the synthetic amide was interesting, since it demonstrates the potential to become a possible candidate for an antimicrobial drug.

Resumo Pseudomonas aeruginosa é uma bactéria Gram-negativa não fermentadora de lactose, responsável por causar inúmeras infecções nosocomiais. A presente pesquisa teve como objetivo analisar o potencial anti-Pseudomonas aeruginosa da molécula 2-Cloro-N-(4-fluoro-3-nitrofenil)acetamida (A8). O potencial antibacteriano do A8 foi avaliado a partir da Concentração Inibitória Mínima (CIM), Concentração Bactericida Mínima (CBM) e Associação pelo método de checkboard. Os valores de CIM e CBM foram de 512 µg/mL para todas as cepas de P. aeruginosa avaliadas, demonstrando atividade predominantemente bactericida. Além disso, quando o A8 foi associado ao fármaco ceftriaxona, evidenciou-se aditividade e indiferença farmacológica. Nesse sentido, a amida sintética se mostrou interessante, pois demonstra potencial para se tornar um possível candidato a fármaco antimicrobiano.

https://doi.org/10.1590/1519-6984.274149

10.

Reproductive health syndemics impact retention in care among women living with HIV in Rio de Janeiro, Brazil
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Zachek, Christine M.

; Coelho, Lara E.

; Clark, Jesse L.

; Domingues, Rosa M.S.M.

; Luz, Paula M.

; Friedman, Ruth K.

; Andrade, Ângela C. Vasconcelos de

; Veloso, Valdilea G.

; Lake, Jordan E.

; Grinsztejn, Beatriz

; Boni, Raquel B. De

Brazilian Journal of Infectious Diseases

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2023, Volume 27 Nº 4 elocation 102779

Resumo: En | Texto: En | PDF: En

ABSTRACT Syndemic psychosocial and reproductive factors affecting women’s retention in HIV care remain understudied. We analyzed correlates of non-retention in a cohort of women with HIV in Brazil from 2000–2015. Participants self-reported exposure to physical/sexual violence, illicit drug use, adolescent pregnancy, or induced abortion. Lifetime history of these psychosocial stressors were used to create a syndemic score based on the presence or absence of these conditions. All dichotomous variables were summed (range 0 to 4), with greater scores indicating more syndemic factors experienced. Logistic regression models identified predictors of non-retention, defined as < 2 HIV viral load or CD4 results within the first year of enrollment. Of 915 women, non-retention was observed for 18%. Prevalence of syndemic factors was adolescent pregnancy (53.2%), physical/sexual violence (38.3%), induced abortion (27.3%), and illicit drug use (17.2%); 41.2% experienced > 2 syndemic conditions. Syndemic scores of 2 and 3 were associated with non-retention, as well as low education, years with HIV and seroprevalent syphilis. Psychosocial and reproductive syndemics can limit women’s retention in HIV care. Syphilis infection predicted non-retention and could be explored as a syndemic factor in future studies.

https://doi.org/10.1016/j.bjid.2023.102779

11.

Histomorphological evaluation of acellularized bovine pericardium in breast implant coverage
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Silva, C. Frutuoso

; Felzemburgh, V. A.

; Vasconcelos, L. Q.

; Nunes, V. L. C.

; Barbosa Júnior, A. A.

; Giglioti, A. F.

; Araújo, R. P. C.

; Miguel, F. B.

; Meneses, J. V. L.

; Rosa, F. P.

Brazilian Journal of Biology

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2023, Volume 83 elocation e276220

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

Abstract Bovine pericardium (BP) has been used as a biomaterial for several decades in many medical applications particularly due to its mechanical properties and the high collagen content. In the acellular form it favors faster tissue repair, providing a three-dimensional support for cellular and vascular events observed during tissue repair and due, to a low elastin content, may favor its use as a breast implant cover, resulting in a low possibility of contracture of the biomaterial, preventing the appearance of irregularities during the reconstruction process. Thus, the aim of this study was to evaluate, histomorphologically, the behavior of acellularized bovine pericardium (ABP) as a mammary implant cover in rats. For this purpose, 16 animals were divided into two groups, with eight animals at each biological point: 7 and 15 days after surgery. Of the 16 animals, 32 specimens were obtained: 16 in the experimental group (EG) and 16 in the control group (CG). Throughout this study, none of the studied groups had postoperative complications. Results: The histomorphological results showed, in the two biological points, both in the EG and in the CG, chronic inflammatory infiltrate, leukocyte fibrin exudate, formation of granulation tissue and deposition of collagen fibers, more evident in the EG, regressive along the biological points. At 15 days, the implanted ABP showed initial biointegration with the fibrous capsule and surrounding tissues of the recipient bed. Conclusion: These results indicate that the due to the observed favorable tissue response ABP may be of potential use as a breast implant cover.

Resumo O pericárdio bovino (PB) tem sido utilizado como biomaterial há várias décadas em diversas aplicações médicas, principalmente devido às suas propriedades mecânicas e ao alto teor de colágeno. Na forma acelular, favorece a reparação tecidual mais rápida, dando um suporte tridimensional para eventos celulares e vasculares observados durante a reparação tecidual e devido ao baixo teor de elastina, pode favorecer seu uso como cobertura de implantes mamários, resultando em baixa possibilidade de contratura do biomaterial, evitando o aparecimento de irregularidades durante o processo de reconstrução. Assim, o objetivo deste estudo foi avaliar, histomorfologicamente, o comportamento do pericárdio bovino acelularizado (PBA) como cobertura de implante mamário em ratos. Dezesseis animais foram divididos em dois grupos, com oito animais em cada ponto biológico: 7 e 15 dias após a cirurgia. Dos 16 animais, 32 espécimes foram obtidos: 16 no grupo experimental (GE) e 16 no grupo controle (GC). Ao longo deste estudo, nenhum dos grupos estudados apresentou complicações pós-operatórias. Os achados histomorfológicos mostraram, nos dois pontos biológicos, tanto no GE quanto no GC, infiltrado inflamatório crônico, exsudato fibrino leucocitário, formação de tecido de granulação e deposição de fibras colágenas, mais evidentes no GE, regressivas ao longo dos pontos biológicos. Aos 15 dias, o PBA implantado apresentou biointegração inicial com a cápsula fibrosa e tecidos circundantes do leito receptor. Esses resultados indicam que, devido à resposta favorável do tecido observado, o PBA pode ser de uso potencial como cobertura de implante mamário.

https://doi.org/10.1590/1519-6984.276220

12.

Formulation of diets for slow-growing broilers slaughtered at different ages on carcass characteristics and composition of commercial cuts
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SILVA, LARISSA A.R.

; NASCIMENTO, KARINA MÁRCIA R. DE SOUZA

; GOMES, MARINA DE N.B.

; KIEFER, CHARLES

; COPAT, LUANNA L.P.

; SILVA, THIAGO R. DA

; CHAVES, NATÁLIA R.B.

; FREITAS, HENRIQUE B. DE

; MACIE, VIOLETA A.

; ROSA, MAURÍCIO S.

Anais da Academia Brasileira de Ciências

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2023, Volume 95 Nº 4 elocation e20191374

Resumo: En | Texto: En | PDF: En

Abstract This study was conducted to examine the effects of a diet formulated with industrial amino acids and a commercial vitamin-mineral mixture on the characteristics of carcass and meat cuts of slow-growing broilers slaughtered at different ages. The experiment involved 600 one-day-old male and female white Naked Neck chicks. The chicks were allotted randomly to a 2 × 3 factorial arrangement consisting of two diets and three slaughter ages, in a completely randomized experimental design with five replicates of 20 birds each. The experimental period was 84 days. Six chicks were selected and slaughtered on the first day, and then at 56, 70 and 84 days of age 10 birds unit was selected and slaughtered per experimental period. Weight and yield of carcass, abdominal fat and breast, thigh and drumstick meat were determined. Additionally, moisture, protein, fat and mineral matter contents and protein and fat deposition in the breast, drumstick and thigh muscles were determined. The diet did not influence the yields of carcass, abdominal fat, or meat cuts or the nutritional composition of meat. Slaughter age influenced the yields of breast and thigh meat and abdominal fat; the protein content of breast meat; and the moisture, crude protein, fat, and mineral matter contents of drumstick and thigh meat. There was an interaction effect between diet and slaughter age for protein deposition in breast meat. The age factor influenced fat deposition in the drumstick muscles. Protein deposition in the thigh muscles was influenced by the diet. Moreover, a difference was observed between the ages for protein and fat deposition in the thigh muscle. In conclusion, the use of a commercial mixture in the diet results in decreased protein deposition in the breast and thigh muscles, although this difference does not affect the characteristics of carcass or meat cuts. Birds slaughtered at 70 days exhibit similar carcass characteristics to those of birds slaughtered at 84 days, indicating the possibility of an earlier slaughter age.

https://doi.org/10.1590/0001-3765202320191374

13.

Influence Of Hulling And Storage Conditions On Maintaining Coffee Quality
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ABREU, GISELLE F.

; ROSA, STTELA D.V.F.

; COELHO, STEFÂNIA V.B.

; PEREIRA, CRISTIANE C.

; MALTA, MARCELO R.

; FANTAZZINI, TATIANA B.

; VILELA, AMANDA L.

Anais da Academia Brasileira de Ciências

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2023, Volume 95 Nº 4 elocation e20190612

Resumo: En | Texto: En | PDF: En

Abstract Storage is important in the coffee post-harvest. Determining the maximum period that coffee can remain storaged is important aiming to reduce losses in quality and, consequently, allow the producer to achieve maximum profitability. The aim was to determine the suitable storage period for natural and fully washed coffees, under different conditions. Beans were dried to 11% moisture content after dry processing (natural coffee, dry cherry coffee) and wet processing (parchment coffee, fully washed). Before storage, part of the coffee was hulled and part was not. The coffee was stored under refrigerated air (10ºC and 50% relative humidity) or in an environment at 25ºC. In the periods of 0, 3, 6, and 12 months, samples were taken for sensory, electrical conductivity and tetrazolium evaluation. Refrigerated environment favors conservation of sensory and physiological quality of the natural hulled coffee beans and fully washed coffee. Hulled beans of natural and fully washed coffee stored under refrigerated conditions have the initial quality conserved for up to 12 months and in non-controlled environmental, for up to 3 months. Mechanical damage caused by hulling, associated with the lack of tissue fruit parts, contributes to reduction hulled coffee quality in storage, regardless of the processing.

https://doi.org/10.1590/0001-3765202320190612

14.

Ocean-atmosphere turbulent CO2 fluxes at Drake Passage and Bransfield Strait
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RODRIGUES, CELINA CÂNDIDA F.

; SANTINI, MARCELO F.

; LIMA, LUCIANA S.

; SUTIL, UESLEI ADRIANO

; CARVALHO, JONAS T.

; CABRERA, MYLENE JEAN

; ROSA, ELIANA B.

; BURNS, JACOB W.

; PEZZI, LUCIANO P.

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2023, Volume 95 Supl. 3 elocation e20220652

Resumo: En | Texto: En | PDF: En

Abstract The oceans play an important role in mitigating climate change by acting as large carbon sinks, especially at high latitude regions. The Southern Ocean plays a major role in the global carbon dioxide (CO2) budget. This work aims to investigate the behavior of turbulent CO2 fluxes and quantify it under different atmospheric and oceanic conditions in the Drake Passage and Bransfield Strait regions on high spatiotemporal resolutions when compared with traditional CO2 fluxes estimations. The atmospheric stability condition was used to corroborate the description of CO2 fluxes. In situ, satellite, and reanalysis data from 08 to 22 November 2018, were used in this work. The Bransfield Strait uptaked 38.59% more CO2 than the Drake Passage due to the cold and fresh waters, allied to the influence of glacial meltwater dilution. Which increased the CO2 solubility, directing the CO2 fluxes to the ocean. The Bransfield Strait had predominantly stable atmospheric conditions, which contributed to this region acting as a CO2 sink. The Drake Passage, on average, behaved as a CO2 sink, mainly due to physical characteristics. This research contributes to a better understanding of the Southern Ocean’s role in the global carbon balance on scales that are very difficult to monitor.

https://doi.org/10.1590/0001-3765202320220652

15.

Long-term Ecological Research: Chasing fashions or being prepared for fashion changes?
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BERGALLO, HELENA G.

; ROSA, CLARISSA

; OCHOA, ANA C.

; MANZATTO, ANGELO GILBERTO

; GUIMARAES, ARETHA F.

; BANHOS, AUREO

; CASTILHO, CAROLINA V.

; BARROS, CLAUDIA F.

; NORRIS, DARREN

; DRUCKER, DEBORA P.

; RODRIGUES, DOMINGOS J.

; BACCARO, FABRICIO B.

; LOURENÇO, IGOR H.

; ZUANON, JANSEN

; STEGMANN, LIS F.

; ANJOS, MARCELO R.

; SILVEIRA, MARCOS

; ARAÚJO, PATRICIA S.G.

; BOBROWIEC, PAULO E.D.

; FADINI, RODRIGO

; NECKEL-OLIVEIRA, SELVINO

; EMILIO, THAISE

; SANTORELLI JUNIOR, SERGIO

; MAGNUSSON, WILLIAM E.

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2023, Volume 95 Nº 3 elocation e20230051

Resumo: En | Texto: En | PDF: En

Abstract Long-term-ecological-research (LTER) faces many challenges, including the difficulty of obtaining long-term funding, changes in research questions and sampling designs, keeping researchers collecting standardized data for many years, impediments to interactions with local people, and the difficulty of integrating the needs of local decision makers with “big science”. These issues result in a lack of universally accepted guidelines as to how research should be done and integrated among LTER sites. Here we discuss how the RAPELD (standardized field infrastructure system), can help deal with these issues as a complementary technique in LTER studies, allowing comparisons across landscapes and ecosystems and reducing sampling costs. RAPELD uses local surveys to understand broad spatial and temporal patterns while enhancing decision-making and training of researchers, local indigenous groups and traditional communities. Sampling of ecological data can be carried out by different researchers through standardized protocols, resulting in spatial data that can be used to answer temporal questions, and allow new questions to be investigated. Results can also be integrated into existing biodiversity networks. Integrated systems are the most efficient way to save resources, maximize results, and accumulate information that can be used in the face of the unknown unknowns upon which our future depends.

https://doi.org/10.1590/0001-3765202320230051

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