This study aimed to evaluate the effect of gamma irradiation (GI) on the physicochemical, technological, antioxidant and microbiological characteristics of different whole sorghum flours (WSF), as well as to characterize the profile of chemical constituents by paper spray mass spectrometry (PS-MS). The doses applied interfered in the staining characteristics of the evaluated flours, providing the darkening of the same. For the other physicochemical, technological, and antioxidant parameters, no significant influence of the process was observed. The fingerprint obtained in both ionization modes had not been influenced by irradiation, being flavonoids, phenylpropanoids, amino acids, benzoic acid derivatives, carboxylic acids, and sugars tentatively identified. In microbiological terms, there was a reduction of molds, yeasts, and Bacillus cereus in irradiated WSF compared to control (non-irradiated). Therefore, the application of low doses of gamma irradiation represents an advantageous alternative for the conservation of WSF and maintenance of bioactive compounds identified by the PS-MS technique.

Abstract Fruit ripening promoted by the exogenous application of ethylene analogs, such as calcium carbide, has commercial advantages. Thus, the knowledge of the responses of fruits treated with ethylene-inducing agents is essential to optimize the use of these substances. This work aimed to evaluate the influence of exposure to calcium carbide on the anticipation and standardization of postharvest ripening of cajá-manga fruits. Physiologically mature fruits were exposed to calcium carbide for 24 hours at concentrations 0, 20, 40, 80, and 110 g m-3. The fruits were stored at a temperature of 28±2 °C and evaluated at 0, 2, 4, and 6 days for the loss of fresh mass, color of the epidermis and pulp given by the CIELAB color space, titratable acidity, soluble solids content, the ratio between soluble solids content and titratable acidity, and vitamin C content. Cajá-manga fruits treated with different concentrations of calcium carbide had their ripening anticipated without compromising their characteristics. The concentrations of 20, 40, and 80 g m-3 of calcium carbide allowed the anticipation and standardization of fruit ripening within four days during storage, while for the highest concentration (110 g m-3), complete maturation was accelerated, occurring between two and four days of storage.

Resumo O amadurecimento de frutos promovido pela aplicação exógena de análogos de etileno, como o carbureto de cálcio, tem vantagens comerciais. Assim, o conhecimento das respostas de frutos tratados com agentes indutores de etileno é essencial para otimizar o uso dessas substâncias. Este trabalho teve como objetivo avaliar a influência da exposição ao carbureto de cálcio na antecipação e na padronização do amadurecimento pós-colheita de frutos de cajá-manga. Frutos fisiologicamente maduros foram expostos ao carbureto de cálcio nas concentrações de 0; 20; 40; 80 e 110 g m-3 por 24 horas. Os frutos foram armazenados a uma temperatura de 28±2 °C e avaliados aos 0; 2; 4 e 6 dias quanto à perda de massa fresca, cor da epiderme e polpa dada pelo espaço de cor CIELAB, acidez titulável, teor de sólidos solúveis, relação entre o teor de sólidos solúveis e a acidez titulável, e teor de vitamina C. Frutos de cajá-manga tratados com diferentes concentrações de carbureto de cálcio tiveram seu amadurecimento antecipado sem comprometer suas características. As concentrações de 20; 40 e 80 g m-3 de carbureto de cálcio permitiram a antecipação e a padronização do amadurecimento dos frutos em quatro dias, durante o armazenamento, Enquanto para a maior concentração (110 g m-3), a maturação completa foi acelerada, ocorrendo entre dois e quatro dias de armazenamento.

RESUMO Um dos principais fitopatógenos que causam prejuízos econômicos em diversas espécies agrícolas, inclusive cenoura, são os nematoides-das-galhas, pertencentes ao gênero Meloidogyne. Assim, com o objetivo de identificar o melhor nível populacional de inóculo de Meloidogyne incognita para a máxima expressão de sintomas do ataque de nematoides-das-galhas em cenoura, foi realizado um experimento que avaliou os genótipos de cenoura cv. Brasília (CBR) e a população Pop-750 (CRO). O experimento foi conduzido em casa de vegetação da Embrapa Hortaliças, Brasília-DF em vasos de 5 L, com seis repetições, em esquema fatorial 4x2 em delineamento inteiramente casualizado, nas dosagens de 0, 1, 5 e 10 mil ovos e eventuais juvenis de segundo estádio (O+J2R). O tomateiro suscetível ‘Rutgers’ foi utilizado como testemunha para verificar eficiência do inóculo. A inoculação foi realizada 30 dias após a semeadura e, a avaliação, 60 dias após a inoculação. Foi realizada a avaliação dos índices de galhas (IG) e de massas de ovos (IMO), do número de ovos mais eventuais juvenis de segundo estádio por grama de raiz (O+J2R) e do fator de reprodução (FR). Houve diferenças entre os genótipos e entre os níveis de inóculo para todas as variáveis avaliadas. Para CRO, os níveis de inóculo de M. incognita a partir de mil O+J2 as plantas já manifestaram sintomas e alterações para todas as variáveis avaliadas, com os níveis ideais em torno de 5 a 7 mil O+J2R, sendo que acima de 7 mil O+J2R a multiplicação do nematoide para expressar sintomas diminuiu. Para a CBR, as variáveis índices O+J2R na raiz e FR, os níveis de inóculo próximos a 5 mil O+J2R também apresentam os melhores resultados. Quando a caracterização for baseada na avaliação da formação de galha (IG) e massa de ovos (IMO), os níveis de inóculo adequados seriam entre 9 e 12 mil O+J2R.

ABSTRACT One of the main phytopathogens that cause enormous economic losses in several agricultural species, including carrots, are the root-knot nematodes belonging to the genus Meloidogyne. Thus, in order to identify the best population level for inoculum of the root-knot nematode (Meloidogyne incognita) for maximum expression of symptoms of this nematode attack on carrots, an experiment was carried out to evaluate the carrot cultivar Brasília (CBR) and the population Pop-750 (CRO). The experiment was carried out in a greenhouse at Embrapa Vegetable, Brasília-DF, in 5 L pots, with six replications, in a 4x2 factorial scheme in a completely randomized design, in the dosages of 0, 1, 5 and 10 thousand eggs and occasional juveniles of 2nd stage (E+J2R). ‘Rutgers’ susceptible tomato cultivar was used as control to verify inoculum efficiency. Inoculation was carried out 30 days after sowing and evaluation 60 days after inoculation. Gall index (GI), egg mass index (EMI), number of eggs plus occasional second stage juveniles per gram of root (E+J2R) and reproduction factor (RF) were performed. There were differences between genotypes and between inoculum levels for all variables evaluated. For CRO, inoculum levels of M. incognita from 1,000 E+J2 the plants already manifested symptoms and changes in all evaluated variables, with ideal levels around 5 to 7 thousand E+J2R, above 7 thousand E+J2R nematode multiplication to express symptoms decreased. For CBR the response variables E+J2 at root and RF inoculum levels close to 5 thousand E+J2R also present the best results, but when the characterization is based on the evaluation of GI and EMI, suitable inoculum levels would be close to 9 and 12 thousand E+J2R.

RESUMO O objetivo deste trabalho foi prospectar fontes de resistência ao nematoide-das-galhas Meloidogyne enterolobii em espécies silvestres de Solanum e híbridos com potencial para serem utilizados como porta-enxertos para solanáceas cultivadas. Vinte e três acessos de sete espécies de Solanum, bem como 35 híbridos de dois cruzamentos interespecíficos, foram caracterizados quanto à resistência a M. enterolobii. Os experimentos foram conduzidos em casa de vegetação em Brasília-DF, Brasil, em delineamento de blocos inteiramente casualizados, com quatro repetições de uma planta por vaso inoculada com ovos do nematoide, avaliadas quanto às variáveis nematológicas: índice de massa de ovos, índice de galhas, número de ovos por grama de raiz e fator de reprodução. Todos os acessos de Solanum torvum, S. paludosum e S. paniculatum apresentaram alta resistência. No caso de S. crinitum, S. macrocarpon e S. sisymbriifolium, as reações foram variadas, com seis de sete, dois de cinco e um de três acessos resistentes, respectivamente. Vinte e três dos 24 híbridos interespecíficos entre S. stramonifolium var. inerme e S. stramonifolium, e cinco híbridos interespecíficos de S. stramonifolium e S. aethiopicum gr. gilo, entre onze, também foram resistentes. Esses resultados são de interesse prático para o controle do nematoide-das-galhas, uma vez que solanáceas cultivadas resistentes a M. enterolobii são de difícil obtenção por meio de melhoramento convencional. Por isso, a identificação de resistência em espécies de Solanum compatíveis com as espécies cultivadas pode ser importante para permitir o uso como porta-enxertos.

ABSTRACT The objective of this work was to prospect sources of resistance to the root-knot nematode Meloidogyne enterolobii in wild Solanum species and hybrids to be used as potential rootstocks for cultivated Solanaceae. Twenty-three accessions of seven Solanum species, as well as 35 interspecific hybrids of two crosses, were characterized for their resistance to M. enterolobii. The experiments were conducted in a greenhouse in Brasília-DF, Brazil, in a completely randomized block design with four replications of one plant per pot. Plants were inoculated with egg masses and evaluated for the nematological variables egg mass index, galls index, number of eggs per root gram and reproduction factor. Solanum torvum, S. paludosum, and S. paniculatum presented high levels of resistance. Six among seven accessions of S. crinitum were resistant, as well as two accessions among five of S. macrocarpon, and one among three of S. sisymbriifolium. Except one, the 24 interspecific hybrids among S. stramonifolium var. inerme and S. stramonifolium, as well as five interspecific hybrids of S. stramonifolium and S. aethiopicum gr. gilo, among eleven were resistant. These results are relevant, since cultivated Solanaceae species of economic importance resistant to M. enterolobii are difficult to obtain by conventional breeding. Therefore, the identification of resistance in Solanum species compatible for grafting with cultivated species can be important to enable their use as rootstocks for disease control.

ABSTRACT Among the less exploited Brazilian native fruit trees, the Spondias dulcis (cajá-manga) has many uses, being their fruits appreciated in fresh consumption and its pulp used in popsicles, ice-creams, and jellies production. However, there is a lack of research on this species, being necessary more studies. This work aimed to characterize the physical and chemical quality and the genetic diversity of Spondias dulcis fruits harvested in different accessions in the municipality of Jataí - GO. The experiment was carried out in a completely randomized design with six treatments (accessions), ten replications with ten fruits per plot, totaling a sample of 600 fruits. The fruits were evaluated for pulp and peel color, pulp yield, soluble solids content, titratable acidity, soluble solids content/titratable acidity ratio, and vitamin C content. The fruits from accessions M4 and M5 presented physical and chemical characteristics higher than the other plants. The evaluated accessions presented genetic variability, being the methodology employed efficiently to indicate this variability, in which the accession M2 was the most divergent.

RESUMO Objetivo: Avaliar os preditores clínicos de má qualidade do sono em pacientes com DPOC, com e sem apneia obstrutiva do sono (AOS). Métodos: Pacientes estáveis consecutivos com DPOC foram avaliados quanto à AOS por meio de polissonografia noturna; quanto à qualidade do sono por meio do Índice de Qualidade do Sono de Pittsburgh (IQSP) e quanto ao impacto da doença por meio do Teste de Avaliação da DPOC. A gravidade da DPOC foi classificada conforme as diretrizes de 2020 da GOLD. Os preditores de má qualidade do sono foram avaliados por meio de análise de regressão logística multivariada. Resultados: Foram estudados 51 pacientes com DPOC apenas e 51 pacientes com DPOC e AOS. Ambos os grupos eram semelhantes quanto à idade (66,2 ± 9,2 anos vs. 69,6 ± 10,7, p = 0,09) e limitação do fluxo aéreo (p = 0,37). Sono de má qualidade esteve presente em 74,8% dos participantes, sem diferença significativa entre os pacientes com DPOC, com e sem AOS, quanto à pontuação no IQSP (p = 0,73). A polissonografia mostrou aumento do estágio 1 do sono non-rapid eye movement e do índice de despertares, bem como redução da eficiência do sono e do estágio 3 do sono non-rapid eye movement nos pacientes com DPOC e AOS (p < 0,05). Os preditores independentes de má qualidade do sono foram DPOC grau C/D da GOLD (OR = 6,4; IC95%: 1,79-23,3; p < 0,01), pontuação ≥ 10 no Teste de Avaliação da DPOC (OR = 12,3; IC95%: 4,1-36,5; p < 0,01) e menor SaO2 < 80% (p < 0,0001). Conclusões: O sono de má qualidade é bastante comum em pacientes com DPOC e apresenta relação com DPOC grave e estado de saúde ruim, além de ter impacto negativo na qualidade de vida global. Não obstante as alterações na polissonografia, a AOS aparentemente não tem impacto na qualidade do sono referida por pacientes com DPOC.

ABSTRACT Objective: To evaluate clinical predictors of poor sleep quality in COPD patients with and without obstructive sleep apnea (OSA). Methods: Consecutive stable patients with COPD were evaluated for OSA by means of overnight polysomnography; for sleep quality by means of the Pittsburgh Sleep Quality Index (PSQI); and for disease impact by means of the COPD Assessment Test. COPD severity was graded in accordance with the 2020 GOLD guidelines. Predictors of poor sleep quality were evaluated by multivariate logistic regression analysis. Results: We studied 51 patients with COPD alone and 51 patients with COPD and OSA. Both groups had similar age (66.2 ± 9.2 years vs. 69.6 ± 10.7, p = 0.09) and airflow limitation (p = 0.37). Poor sleep quality was present in 74.8% of the study participants, with no significant difference between COPD patients with and without OSA regarding PSQI scores (p = 0.73). Polysomnography showed increased stage 1 non-rapid eye movement sleep and arousal index, as well as reduced sleep efficiency and stage 3 non-rapid eye movement sleep, in the group of patients with COPD and OSA (p < 0.05). Independent predictors of poor sleep quality were GOLD grade C/D COPD (OR = 6.4; 95% CI, 1.79-23.3; p < 0.01), a COPD Assessment Test score ≥ 10 (OR = 12.3; 95% CI, 4.1-36.5; p < 0.01), and lowest SaO2 < 80% (p < 0.0001). Conclusions: Poor sleep quality is quite common in patients with COPD and is associated with severe COPD and poor health status, having a negative impact on overall quality of life. Despite changes in polysomnography, OSA appears to have no impact on subjective sleep quality in COPD patients.

Abstract Background: As some individuals present resistance to obesity development, experiments have been trying to understand their susceptibility to cardiometabolic diseases. Objetive: To evaluate if the cardiac remodeling was related to collagen protein expression change. Methods: Male Wistar rats were randomized into two experimental groups: control diet (CD, n=15) or high-fat diet (HFD, n=15) for 30 weeks. Rats fed with HFD were ranked based on their adiposity indexes and classified as obese (Ob, n = 8) or obesity-resistant (ROb, n = 6). Rats that failed to present the normal characteristic of the control group while fed with CD were excluded (Control, n = 8). Nutritional profile, comorbidities (dyslipidemia, hypertension, glucose metabolism, hyperleptinemia), cardiac remodeling, and collagen protein expression were evaluated. The groups were compared by One-Way ANOVA, together the Tukey post hoc test, with p<0.05 considered significant. Results: The Ob rats presented an increased adiposity index when compared to C and ROb. Both groups Ob and ROb presented increased low-density lipoprotein (LDL), insulin, homeostatic model assessment of insulin resistance (HOMA- IR) and systolic blood pressure (SBP), and low high-density lipoprotein (HDL) levels when compared to the control group. The levels of triglycerides, non-esterified fatty acid (NEFA), and leptin were lower in ROb as compared to Ob, but higher than the control group. The Ob and ROb groups presented cardiac remodeling, evidenced by echocardiographic and post-mortem analysis. The collagen protein expression did not differ among the groups. Conclusion: The ROb animals present cardiac remodeling that is not related to collagen type I and III protein expression change.

Abstract Background and objectives: Abdominal Hysterectomy (AH) is associated with significant inflammatory response and can result in moderate to severe postoperative pain. This study aimed to evaluate the efficacy of magnesium infusion in reducing postoperative pain and analgesic consumption after AH under spinal anesthesia with Intrathecal Morphine (ITM). Method: Eighty-six patients were included in this clinical, controlled, randomized, double-blind study. Patients received in Group Mg, MgSO4 50 mg kg−1 for 15 minutes followed by 15 mg kg−1 h−1 until the end of the surgery; and in Group C, (control) the same volume of isotonic saline. Both groups received 100 µg of ITM. All patients received dipyrone + ketoprofen intraoperatively and postoperatively, and dexamethasone intraoperatively only. We evaluated the intensity of pain, tramadol consumption, and adverse events 24 hours postoperatively. Results: Serum magnesium concentrations were higher in Group Mg at the end, and one hour after the operation (p = 0.000). Postoperative pain scores were reduced in Group Mg at 6 hours at rest and on movement (p < 0.05). Tramadol consumption did not show a statistically significant difference between Group Mg and Group C (15.5 ± 36.6 mg and 29.2 ± 67.8 mg respectively, p = 0.53). Hemodynamic variables, the incidence of pruritus, nausea, and vomiting were similar in the two groups. Conclusion: Infusion of MgSO4 during AH undergoing spinal anesthesia with ITM reduced at 6 hours at rest and on movement. More studies should be performed to evaluate the potential antinociceptive effect of MgSO4 in scenarios where a multimodal analgesia approach was employed.

ABSTRACT Erosion process occurs naturally, shaping the Earth’s surface. Soil loss can cause harmful effects to the environment when intensive anthropic activities occur. Mathematical models have been used as effective and less costly alternatives for identifying sites highly prone to soil loss, especially at the watershed scale. In Brazil, the Revised Universal Soil Loss Equation (RUSLE) is one of the most commonly used soil loss prediction models. The RUSLE requires information on soil erodibility, rainfall erosivity, topography, land use and cover (C), and conservation practices (P) to estimate average annual soil losses. Images derived from remote sensing techniques are generally used to quantify the spatialization of C factor; however, the variation in land use throughout the year is not usually considered. This study aimed to estimate soil losses in an important subwatershed of Candiota river watershed (CRWsub) by using RUSLE, considering land use and rainfall erosivity in different periods of the year. The periods considered were P1 (January, February and March), P2 (April, May and June), P3 (July, August and September) and P4 (October, November and December). Based on the results, the lowest soil losses occurred in P1. Probably, the high vegetation cover in the soil increases its protection against rainfall erosivity. In P3, the heavy rainfall events are predominantly frontal, occurring in the same months as those when the preparation of the soil for later planting takes place; that is, there is no vegetation cover in this period, thus making the soil more prone to erosion. The use of different images to classify and identify land uses is the best way to understand soil losses throughout the year in the study area. It was possible to observe that agricultural areas are generally associated with greater soil losses in the subwatershed. In addition, the land uses were considered to vary quarterly, thereby making it possible to identify the periods most prone to erosion processes throughout the year. Finally, the erosion percentages in the subwatershed can be linked to the tolerance index for different land-uses, soil classes, and slope categories.

Resumo Introdução: A queda da 25-hidroxivitamina D [25 (OH) D] na doença renal crônica (DRC) limita a capacidade renal de sintetizar a vitamina. A deficiência de vitamina D, (25(OH)D<20 ng/mL), é prevalente em pacientes com DRC e associada ao estresse oxidativo (EO). Avaliamos possível associação entre a deficiência de vitamina D e EO em pacientes pré-dialíticos. Métodos: estudo transversal com 206 pacientes com DRC. Exames para 25(OH)D, 1,25(OH)2D, marcadores inflamatórios e EO foram adicionados àqueles de rotina, incluindo creatinina, albumina, cálcio, fósforo, fosfatase alcalina, iPTH, glicose, hemoglobina, ácido úrico, colesterol total , LDL, HDL e triglicerídeos. Resultados: 55 pacientes com DRC tinham deficiência de vitamina D e os 149 tinham níveis normais da vitamina. Houve uma associação significativa entre a vitamina D e a taxa estimada de filtração glomerular (TFGe). Os níveis de homocisteína foram melhor previstos pela TFGe, gênero e idade; proteína C reativa de alta sensibilidade (hsCRP) por estadiamento e IMC; os metabólitos de óxido nítrico (NOx) aumentaram na doença tardia; a leptina foi influenciada pelo IMC, e mais alta em mulheres, assim como os níveis de adiponectina. Conclusões: biomarcadores do EO não correlacionaram com a deficiência de vitamina D, mas houve aumento de NOx nos estágios 4-5 da DRC. Apesar dos grandes números de pacientes com DRC, de biomarcadores inflamatórios e EO usados neste estudo, não houve associação entre os níveis de vitamina D e a TFGe. Mais estudos são necessários para avaliar a influência do status da vitamina D no EO em pacientes com DRC em pré-diálise.

Abstract Introduction: The progressive decline in 25-hydroxyvitamin D [25(OH)D] in chronic kidney disease (CKD) limits the kidney ability of synthesizing the vitamin. Vitamin D deficiency as defined by KDIGO (25(OH)D <20 ng/mL) is prevalent in CKD patients and associated to oxidative stress (OS). We studied a possible association between vitamin D deficiency and OS in pre-dialysis patients. Methods: A cross-sectional study with 206 CKD patients was carried out. Laboratory tests for 25(OH)D, 1,25(OH)2D, inflammatory markers, and OS were added to routine tests including creatinine, albumin, calcium, phosphorus, alkaline phosphatase, iPTH, glucose, hemoglobin, uric acid, total cholesterol, LDL, HDL, and triglycerides. Results: Vitamin D deficiency was present in 55 CKD patients and normal vitamin D levels were seen in 149 patients. There was a significant association between vitamin D and estimated glomerular filtration rate (eGRF). Homocysteine levels were best predicted by eGRF, sex, and age; high sensitivity C-reactive protein (hsCRP) by staging and BMI; nitric oxide metabolites (NOx) were increased in late disease; leptin was influenced by BMI and higher in women than man; and adiponectin levels were higher in women. Conclusions: OS biomarkers were not correlated with vitamin D deficiency but increased NOx were seen in stages 4-5 CKD patients. Even though a relatively large number of CKD patients was included and a broad number of OS and inflammatory biomarkers were used in this studied we failed to find an association between vitamin D levels and eGRF. More studies are needed to evaluate the influence of vitamin D status in OS in pre-dialysis CKD patients.

RESUMO Introdução: Os marcadores pró-inflamatórios desempenham papel importante na severidade de pacientes com COVID-19. Assim, terapêuticas anti-inflamatórias são agentes interessantes para potencialmente combater a cascata inflamatória descontrolada em tais pacientes. Delineamos um ensaio para testar tocilizumabe em comparação com o tratamento padrão, tendo como objetivo melhorar os desfechos por meio da inibição da interleucina 6, um importante mediador inflamatório na COVID-19. Métodos e análises: Este será um estudo aberto multicêntrico, randomizado e controlado, que comparará os desfechos de pacientes tratados com tocilizumabe mais tratamento padrão com o tratamento padrão isoladamente em pacientes com COVID-19 moderada a grave. Como critérios de inclusão, serão exigidos dois dos quatro critérios a seguir: dosagens de dímero D acima de 1.000ng/mL, proteína C-reativa acima de 5mg/dL, ferritina acima de 300mg/dL e desidrogenase lática acima do limite superior do normal. O objetivo primário será comparar a condição clínica no dia 15, conforme avaliação por meio de escala ordinal de 7 pontos aplicada nos estudos de COVID-19 em todo o mundo. O desfecho primário será avaliado por regressão logística ordinal assumindo razões de propensão proporcionais ajustadas pelas variáveis de estratificação (idade e sexo). Ética e disseminação: O TOCIBRAS foi aprovado pelos comitês de ética locais e central (nacional) do Brasil em conformidade com as atuais diretrizes e orientações nacionais e internacionais. Cada centro participante obteve aprovação do estudo por parte de seu comitê de ética em pesquisa, antes de iniciar as inscrições no protocolo. Os dados derivados deste ensaio serão publicados independentemente de seus resultados. Se tiver sua efetividade comprovada, esta estratégia terapêutica poderá aliviar as consequências da resposta inflamatória na COVID-19 e melhorar os resultados clínicos.

ABSTRACT Introduction: Pro-inflammatory markers play a significant role in the disease severity of patients with COVID-19. Thus, anti-inflammatory therapies are attractive agents for potentially combating the uncontrolled inflammatory cascade in these patients. We designed a trial testing tocilizumab versus standard of care intending to improve the outcomes by inhibiting interleukin-6, an important inflammatory mediator in COVID-19. Methods and analysis: This open-label multicentre randomized controlled trial will compare clinical outcomes of tocilizumab plus standard of care versus standard of care alone in patients with moderate to severe COVID-19. Two of the following four criteria are required for protocol enrolment: D-dimer > 1,000ng/mL; C reactive protein > 5mg/dL, ferritin > 300mg/dL, and lactate dehydrogenase > upper limit of normal. The primary objective will be to compare the clinical status on day 15, as measured by a 7-point ordinal scale applied in COVID-19 trials worldwide. The primary endpoint will be assessed by an ordinal logistic regression assuming proportional odds ratios adjusted for stratification variables (age and sex). Ethics and dissemination: The TOCIBRAS protocol was approved by local and central (national) ethical committees in Brazil following current national and international guidelines/directives. Each participating center had the study protocol approved by their institutional review boards before initiating protocol enrolment. The data derived from this trial will be published regardless of the results. If proven active, this strategy could alleviate the consequences of the inflammatory response in COVID-19 patients and improve their clinical outcomes.

Abstract Introduction: obesity is increasing among women at reproductive age in Brazil. Excess body weight during pregnancy negatively impacts women's health. Objectives: to identify and analyze the publications that showed the effects of pregestational excess weight on pregnancy, delivery, and post-delivery in Brazilian women. Methods: this systematic review was performed including studies that involve Brazilian pregnant women with adverse outcomes caused by pregestational excess weight. Search, selection, and reporting were conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The study was conducted by manually searching and screening the databases LILACS, PubMed, Scopus, Cochrane, and Periodicos CAPES. The selected articles were evaluated according to the quality of evidence using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE), and categorized as studies with high (A), moderate (B), low (C), or extremely low (D) evidence quality. Results: a total of 1,582 studies were found, of which 39 were included for final reading and evaluation. Among these, 12.8 %, 69.2 %, and 18.0 % were classified as A, B, and C or D for evidence quality, respectively. Hypertensive disorders of pregnancy, caesarean section, excessive weight gain, and gestational diabetes mellitus were commonly associated with pregestational excess weight in Brazilian women. Conclusions: the negative effects of excess body weight during pregnancy reflect the need for effective public policies that can address the problem, focusing on interventions that promote the health of women at reproductive age.

Resumen Introducción: la obesidad está aumentando entre las mujeres en edad reproductiva en Brasil. El exceso de peso corporal durante el embarazo afecta negativamente a la salud de las mujeres. Objetivos: identificar y analizar publicaciones que mostraran los efectos del exceso de peso pregestacional sobre el embarazo, el parto y el posparto en mujeres brasileñas. Métodos: esta revisión sistemática incluye estudios de mujeres embarazadas brasileñas con resultados adversos causados por el exceso de peso pregestacional. La búsqueda, la selección y la presentación de los resultados se realizaron de acuerdo con el sistema Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). El estudio se realizó mediante la búsqueda manual y el cribado de las bases de datos LILACS, PubMed, Scopus, Cochrane y Periódicos CAPES. Los artículos seleccionados se evaluaron de acuerdo con la calidad de la evidencia utilizando el sistema Grading of Recommendations, Assessment, Development and Evaluation (GRADE), y se clasificaron como estudios de alta (A), moderada (B), baja (C) o extremadamente baja (D) calidad de la evidencia. Resultados: se encontraron un total de 1582 estudios, de los cuales 39 se incluyeron para su lectura final y evaluación. Entre estos, el 12,8 %, 69,2 % y 18,0 % se clasificaron como A, B y C o D en cuanto a calidad de evidencia, respectivamente. Los trastornos hipertensivos del embarazo, la cesárea, el aumento de peso excesivo y la diabetes mellitus gestacional se asociaron comúnmente con el exceso de peso pregestacional en las mujeres brasileñas. Conclusiones: los efectos negativos del exceso de peso corporal durante el embarazo reflejan la necesidad de políticas públicas efectivas que puedan abordar el problema, centrándose en intervenciones que promuevan la salud de las mujeres en edad reproductiva.

Abstract Objective: This study aims to assess good pharmacy practice (GPP) aspects and compare GPP scores among community pharmacies in Lebanon, using a tool developed jointly by the International Pharmaceutical Federation (FIP) and the World Health Organization (WHO) to improve and maintain standards of pharmacy practice. Methods: Data collection was carried out between July and October 2018 by a team of 10 licensed inspectors who work at the Lebanese Order of Pharmacists (OPL) and visited community pharmacies across Lebanon. The questionnaire was adapted to the Lebanese context and included 109 questions organized under five sections: socio-demographics, Indicator A (data management and data recording), Indicator B (services and health promotion), Indicator C (dispensing, preparation and administration of medicines), and Indicator D (storage and facilities). The value of 75% was considered as the cutoff point for adherence to indicators. Results: Out of 276 pharmacies visited, a total of 250 (90.58%) pharmacists participated in the study with one pharmacist being interviewed in every pharmacy. Results showed that 18.8% of pharmacists were generally adherents to GPP guidelines (scores above the 75% cutoff): 23.3% were adherent to indicator A, 21.6% to indicator B, 14.8% to indicator C and 13.2% to indicator D. Moreover, comparison of GPP scores across geographical regions revealed a higher adherence among community pharmacists working in the Beirut region compared to the North region, the South region, Mount Lebanon, and the Bekaa. Conclusions: Our study shows that community pharmacists in Lebanon do not fulfill GPP criteria set by FIP/WHO, and that this poor adherence is a trend across the country's geographical regions. Therefore, efforts should be made to raise awareness among pharmacists about the necessity to adhere to GPP guidelines and standards, and train them and support them appropriately to reach that goal. This is the first indicator-based comprehensive pilot assessment to evaluate GPP adherence in community pharmacies across Lebanon. Working on the optimization of this assessment tool is also warranted.

RESUMO Este trabalho teve como objetivo a caracterização de 37 genótipos de pimenta das espécies Capsicum chinense, C. annuum e C. frutescens, quanto à resistência a três espécies de nematoides-das-galhas Meloidogyne javanica, M. incognita raça 1 e M. enterolobii, visando prospectar potenciais fontes de resistência para serem utilizadas no melhoramento. Para isso, foram realizados três experimentos em 2013, 2014 e 2016, em casa de vegetação, com delineamento em blocos casualizados com seis repetições em parcelas constituídas por uma planta/vaso. Os dados foram submetidos a análises de variância e de agrupamento de médias. Todos genótipos de pimenta avaliados foram resistentes ou imunes a M. javanica. Para M. incognita raça 1, todos genótipos de C. frutescens avaliados no primeiro experimento foram resistentes, enquanto que os seis genótipos de C. chinense foram suscetíveis. Ainda, para M. incognita, todos genótipos de C. chinense e C. annuum avaliados no segundo experimento, foram resistentes. No terceiro experimento, com genótipos de C. annuum, a maioria foi suscetível a M. incognita raça 1, mas os genótipos CNPH 30118 e CNPH 6144 foram resistentes. Quanto a M. enterolobii, que é a espécie mais agressiva, com poucas fontes de resistência descritas, houve uma tendência de maior grau de resistência em C. chinense e C. frutescens. Mas, apesar de a maioria dos genótipos avaliados serem suscetíveis, foram observadas diferenças significativas quanto ao grau de suscetibilidade. A principal contribuição deste trabalho foi a identificação de um genótipo resistente a M. enterolobii, a cultivar BRS Nandaia, sendo possível explorar esta fonte de resistência no melhoramento genético.

ABSTRACT Thirty seven pepper genotypes, Capsicum chinense, C. annuum and C. frutescens, were characterized for resistance to three root-knot nematode species (Meloidogyne javanica, M. incognita race 1 and M. enterolobii) aiming to find potential resistance sources to be used in breeding programs. Three experiments were carried out, in 2013, 2014 and 2016, in a greenhouse, in randomized block design and six replicates, one plant/pot. Data were submitted to analysis of variance and average clustering. All evaluated pepper genotypes were resistant or immune to M. javanica. For M. incognita race 1, all accessions of C. frutescens, evaluated in the first experiment, were resistant, whereas the six accessions of C. chinense were susceptible. For M. incognita, all genotypes of C. chinense and C. annuum, evaluated in the second experiment, were resistant. In the third experiment, evaluating C. annuum genotypes, we verified that most were susceptible to M. incognita race 1; genotypes CNPH 30118 and CNPH 6144 were resistant, though. M. enterolobii, which is the most aggressive species, with few resistance sources described, showed a tendency of greater degree of resistance in C. chinense and C. frutescens. Although most of the evaluated genotypes were susceptible, significant differences were observed regarding the degree of susceptibility. The main contribution of this study was the identification of a genotype resistant to M. enterolobii, cultivar BRS Nandaia, which can be used in breeding programs.

RESUMO Objetivo: a violência civil é responsável por 2,5% da mortalidade mundial, matou mais pessoas no século XXI do que o somatório de todas as guerras deste período. Este estudo descreve as vítimas de violência admitidas em um hospital de referência em trauma em Salvador - Bahia, Brasil e analisa o impacto dos diferentes tipos de violência interpessoal. Métodos: foram incluídos vítimas de violência interpessoal admitidas entre julho de 2015 e julho de 2017. 1296 pacientes (média de idade foi 30,3 anos, 90% do sexo masculino) foram divididos em três grupos de acordo com o mecanismo de violência interpessoal: espancamento, ferimentos por projétil de arma de fogo (FPAF), ferimentos por arma branca (FAB). Os grupos foram comparados de acordo com as seguintes variáveis: idade, sexo, mecanismo de trauma, Revised Trauma Score (RTS) na admissão, necessidade de internamento em unidade de tratamento intensivo (UTI), tempo de internamento, necessidade de transfusão de hemocomponentes e morte. Resultados: FPAF foram o principal mecanismo de injúria (59%), seguido por agressão (24%) e FAB (17%). As vítimas de FPAF apresentaram a menor média de RTS na admissão, maior necessidade de uso de hemocomponentes e de internamento em UTI. Vítimas de espancamento tiveram a maior média de duração de internação hospitalar (11,6±19,6 dias). Os FPAF causaram 77,4% das mortes. Conclusão: vítimas de FPAF são mais críticas, requerendo maior tempo de tratamento em UTI, mais hemocomponentes e maior mortalidade comparativamente às vítimas de FAB e espancamento.

ABSTRACT Purpose: Civil violence is responsible for 2.5% of deaths worldwide; it killed more people in the 21st century than the sum of all wars. This study describes violence victims treated at a trauma reference hospital in Salvador, Brazil and analyzes the impact of different types of interpersonal violence. Methods: Interpersonal violence victims admitted between July 2015 and July 2017 were included. The 1,296 patients (mean age: 30.3 years; 90% male) were divided into three groups according to the mechanism of interpersonal violence: 1) beating, 2) firearm injury and 3) stab wound (STW) injury. The groups were compared for the following variables: age, gender, trauma mechanism, Revised Trauma Score (RTS) at admission, need for intensive care unit (ICU) attention, length of hospital stay, need for transfusion of blood products and death. Results: Gunshot wounds (GSW) were the primary mechanism of injury (59%), followed by beating (24%) and STW (17%). Gunshot wound victims had a lower mean RTS upon admission, increased need for blood products and more Intensive Care Unit (ICU) admissions. Beating victims had the longest mean hospital stay (11.6 ± 19.6 days). The GSW group accounted for 77.4% of all deaths. The in-hospital mortality rate was significantly higher in the GSW group (12.7%) than in the beating group (5.4%) and in the STW group (4.9%). Conclusions: Gunshot wound victims are more critical: they require longer ICU stays, more transfusions of blood products and exhibit increased mortality compared with STW and beating victims.