ABSTRACT The aim of this study was to verify the response of the melon accessions MR1 and C14 to gamma radiation in terms of germination and morphology.The melon accessions came from the germplasm collection of the Federal Rural University of the Semi-arid Region, and were submitted to five doses of gamma radiation (0, 100, 200, 300, 400 Gy) in four replications, each comprising 25 seeds, at the Center for Nuclear Energy in Agriculture of the University of São Paulo. The seeds were grown in a greenhouse at UFERSA employing a completely randomised design. The germination potential, rate and index were evaluated during the first stage of the trial. During the second stage, the germinated plants were transplanted into eight-litre buckets containing substrate and sand, in four replications of 15 plants each. The inflorescence, leaf blade and fruit were evaluated. The IMAGE J image analysis software was used to obtain the leaf and fruit data. The germination potential varied for the gamma-ray doses being tested, while the germination rate and index were not affected; phenotypic variations were seen in the leaves. The gamma-ray doses had no effect on the germination process. MR C C1 morphologyThe morphology Semiarid Semi arid Region 0, 0 (0 100 200 300 40 Gy 2 Paulo design trial eightlitre eight litre sand 1 inflorescence data gammaray ray tested affected leaves process ( 10 20 30 4 3

ABSTRACT Purpose: This prospective, randomized, unmasked, clinical trial aimed to report the visual outcomes of cataract surgery on both eyes versus cataract surgery on one eye in Brazilian patients. Methods: This study included patients with bilateral cataracts and binocular visual acuity worse than or equal to 0.3 logarithm of the minimum angle of resolution. The patients were randomly assigned to undergo surgery on one (Control Group) or both eyes (one eye at a time; Intervention Group). Postoperatively, self-reported visual function using Catquest-9SF (primary outcome measure), binocular visual acuity, stereopsis, and ocular dominance (secondary outcome measures) were compared. Results: A total of 151 patients (77 and 148 eyes in the Control and Intervention Groups, respectively) completed the follow-up. Patients who underwent surgery on both eyes exhibited significantly better self-reported visual function (p=0.036) and stereopsis (p=0.026) than those who underwent surgery on one eye. Binocular visual acuity and ocular dominance did not affect the group comparisons. Conclusions: Surgery on both eyes resulted in significantly better self-reported visual function and stereopsis than surgery on one eye. Purpose prospective randomized unmasked Methods 03 0 3 0. resolution Group time Group. . Postoperatively selfreported self reported Catquest9SF CatquestSF Catquest 9SF SF primary measure, measure , measure) secondary measures compared Results 15 77 (7 14 Groups respectively followup. followup follow up. up follow-up p=0.036 p0036 p 036 (p=0.036 p=0.026 p0026 026 (p=0.026 comparisons Conclusions 1 7 ( p=0.03 p003 (p=0.03 p=0.02 p002 02 (p=0.02 p=0.0 p00 (p=0.0 p=0. p0 (p=0. p=0 (p=0 p= (p= (p

ABSTRACT Introduction: We aim to compare the safety and effectiveness of the KangDuo (KD)-Surgical Robot-01 (KD-SR-01) system and the da Vinci (DV) system for robot-assisted radical nephroureterectomy (RARNU). Materials and Methods: This multicenter prospective randomized controlled trial was conducted between March 2022 and September 2023. Group 1 included 29 patients undergoing KD-RARNU. Group 2 included 29 patients undergoing DV-RARNU. Patient demographic and clinical characteristics, perioperative data, and follow-up outcomes were collected prospectively and compared between the two groups. Results: There were no significant differences in patient baseline demographic and preoperative characteristics between the two groups. The success rates in both groups were 100% without conversion to open or laparoscopic surgery or positive surgical margins. No significant difference was observed in docking time [242 (120-951) s vs 253 (62-498) s, P = 0.780], console time [137 (55-290) min vs 105 (62-220) min, P = 0.114], operative time [207 (121-460) min vs 185 (96-305) min, P = 0.091], EBL [50 (10-600) mL vs 50 (10-700) mL, P = 0.507], National Aeronautics and Space Administration Task Load Index scores, and postoperative serum creatinine levels between the two groups. None of the patients showed evidence of distant metastasis, local recurrence, or equipment-related adverse events during the four-week follow-up. One (3.4%) patient in Group 2 experienced postoperative enterovaginal and enterovesical fistulas (Clavien-Dindo grade III). Conclusions: The KD-SR-01 system is safe and effective for RARNU compared to the DV Si or Xi system. Further randomized controlled studies with larger sample sizes and longer durations are required. Introduction KDSurgical KD Surgical Robot01 Robot 01 Robot-0 KDSR01 KDSR SR (KD-SR-01 (DV robotassisted robot assisted RARNU. . (RARNU) Methods 202 2023 KDRARNU. KDRARNU KD-RARNU DVRARNU. DVRARNU DV-RARNU data followup follow up Results 100 margins 242 [24 120951 120 951 (120-951 25 62498 62 498 (62-498 0.780, 0780 0.780 , 0 780 0.780] 137 [13 55290 55 290 (55-290 10 62220 220 (62-220 0.114, 0114 0.114 114 0.114] 207 [20 121460 121 460 (121-460 18 96305 96 305 (96-305 0.091, 0091 0.091 091 0.091] [5 10600 600 (10-600 5 10700 700 (10-700 0.507, 0507 0.507 507 0.507] scores metastasis recurrence equipmentrelated equipment related fourweek four week followup. up. 3.4% 34 3 4 (3.4% ClavienDindo Clavien Dindo III. III III) Conclusions KD-SR-0 required Robot0 Robot- KDSR0 (KD-SR-0 (RARNU 20 24 [2 12095 12 95 (120-95 6249 6 49 (62-49 078 0.78 78 13 [1 5529 (55-29 6222 22 (62-22 011 0.11 11 12146 46 (121-46 9630 9 30 (96-30 009 0.09 09 [ 1060 60 (10-60 1070 70 (10-70 050 0.50 3.4 (3.4 KD-SR- (KD-SR- 1209 (120-9 624 (62-4 07 0.7 7 552 (55-2 622 (62-2 0.1 1214 (121-4 963 (96-3 00 0.0 106 (10-6 107 (10-7 05 0.5 3. (3. KD-SR (KD-SR (120- (62- 0. (55- (121- (96- (10- (3 (120 (62 (55 (121 (96 (10 ( (12 (6 (5 (9 (1

Abstract Introduction. The parameters of physiological response to drought stress are the result of a combination of slow- or fast-acting attributes. Gas exchange variables are classified as fast-acting and their level of occurrence or impact depends on the interaction between factors such as genotype and the duration, intensity, and phenological stage of stress occurrence. Objective. To identify the levels of physiological response exhibited by Solanum phureja under progressive water deficit stress. Materials and methods. The experiment was conducted between 2019 and 2020 under semi-controlled conditions at the Obonuco Research Center of the Corporación Colombiana de Investigación Agropecuaria. Four potato cultivars were planted, with half of the trial was maintained at field capacity and the other half subjected to water deficit stress by withholding irrigation for 15 days, followed by rehydration. Gas exchange variables, chlorophyll content, and photosynthetic efficiency were evaluated every three days. Results. Significant differences were observed, with maximum gas exchange values in control plants showing 16.67 µmol m-2 s-1 photosynthesis rate (A); 0.34 mol m-2 s-1 stomatal conductance (gs); 5.5 mmol m-2 s-1 transpiration (E), and under stress, 1.17 µmol m-2 s-1 (A); 0.013 mol m-2 s-1 (gs); 0.29 mmol m-2 s-1 (E). Chlorophyll content values ranged between 451.7 and 474.69 mg m-2 with and without irrigation, respectively. Conclusions. Stomatic closure was the earliest response to water deficit, and potato plants showed recovery in gas exchange values after rehydration following stress. Finally, three levels of physiological response were identified: mild, moderate, and severe stress, depending on the intensity and duration of stress, which is useful for future studies and the development of irrigation schedules.

Resumen Introducción. Los parámetros de respuesta fisiológica al estrés por sequía son la conjugación de una serie de atributos de acción lenta o rápida. Las variables de intercambio gaseoso son catalogadas como de respuesta rápida, su nivel de aparición o afección dependen de la interacción entre factores como el genotipo y duración, intensidad y etapa fenológica de ocurrencia del estrés. Objetivo. Identificar los niveles de respuesta fisiológica que presenta Solanum phureja bajo el estrés progresivo por déficit hídrico. Materiales y métodos. El experimento se realizó entre 2019 y 2020, bajo condiciones semi-controladas en el Centro de Investigación Obonuco de la Corporación Colombiana de Investigación Agropecuaria. Se sembraron cuatro cultivares de papa, la mitad del ensayo se mantuvo con riego a capacidad de campo y a la otra parte se le suspendió para inducir estrés por déficit hídrico durante 15 días, luego se rehidrataron; se evaluaron variables de intercambio gaseoso, clorofila y eficiencia fotosintética cada tres días. Resultados. Se presentaron diferencias significativas con los valores máximos de intercambio gaseoso en plantas del tratamiento control con 16,67 µmol m-2 s-1 tasa de fotosíntesis (A); 0,34 mol m-2 s-1 conductancia estomática (gs) 5,5 mmol m-2 s-1 transpiración (E) y en estrés 1,17 µmol m-2 s-1 (A); 0,013 mol m-2 s-1 (gs); 0,29 mmol m-2 s-1 (E). En cuanto al contenido de clorofila, se presentaron valores entre 451,7 y 474,69 mg m-2 con riego y sin riego, respectivamente. Conclusiones. El cierre estomático fue la respuesta más temprana al déficit hídrico, además, las plantas de papa presentaron recuperación de los valores de intercambio gaseoso después del suministro de riego posterior al estrés. Finalmente, se identificaron tres niveles de respuesta fisiológica, estrés leve, moderado y severo, según la intensidad y duración del estrés, lo cual es de utilidad para futuros estudios y planteamientos de calendarios de riego.

Abstract Introduction. The soil and climatic conditions of Ecuador are ideal for rice cultivation, yields are higher than the world average, but agronomic management leads to an increase of cadmium in the soil, which can reach the grain by translocation, which affects its safety. Objetive. To evaluate the absorption of cadmium through the omission of macronutrients technique in six soils of Ecuador and its effect on the vegetative development of rice crops. Materials and methods. The trial was carried out at the Pichilingue Tropical Experimental Station of the National Institute of Agricultural Research, Ecuador, during 2018. Nine treatments were studied: 1) Without fertilization and without Cd (control 1), 2) without fertilization and with Cd (Control 2), 3) Complete fertilization and six omission treatments of one nutrient at a time, a completely randomized block design of experiments, divided plots and three repetitions was used. The variables evaluated were those related to the production of dry matter in the root and aerial part. For the comparison between means, the Tukey test was used (p<0.05). Results. Nutrients omissions (N and P) led to reduced Cd absorption, which decreased dry matter production, particularly in very acidic or alkaline soils such as in Sucumbíos (pH 4) and Guayas (pH 7, 9), respectively. Conclusions. The absorption of cadmium in rice plants was reduced to a greater extent with the omission of the macronutrients N and P, mainly in the soils of Sucumbíos, Los Ríos, El Oro and Manabí, the nutrient omission technique also affecting the production of dry matter and yields, also observing that a pH below 5 or higher than 7.9 affects the absorption of cadmium in the soils studied.

Resumen Introducción. Las condiciones edafoclimáticas del Ecuador son ideales para el cultivo del arroz, los rendimientos son mayores al promedio mundial, pero su manejo agronómico conlleva a un aumento de cadmio en el suelo, que puede llegar al grano por translocación, lo cual afectan su inocuidad. Objetivo. Evaluar la absorción de cadmio mediante la técnica de omisión de macronutrientes en seis suelos del Ecuador y su efecto sobre el desarrollo vegetativo del cultivo de arroz. Materiales y métodos. El ensayo se realizó en la Estación Experimental Tropical Pichilingue del Instituto Nacional de Investigaciones Agropecuarias, Ecuador, durante el año 2018. Se estudiaron nueve tratamientos 1) Sin fertilización y sin Cd (testigo 1), 2) sin fertilización y con Cd (Testigo 2), 3) Fertilización completa y seis tratamientos de omisión de un nutriente a la vez, se usó un diseño de experimentos de bloques completamente al azar, parcelas divididas y tres repeticiones. Las variables evaluadas fueron las relacionadas a la producción de materia seca en raíz y parte aérea. Para la comparación entre medias, se utilizó la prueba de Tukey (p<0,05). Resultados. Las omisiones de los nutrientes (N y P) llevaron a la reducción de la absorción del Cd, que disminuyó la producción de materia seca, en particular en los suelos muy ácidos o alcalinos como en Sucumbíos (pH 4) y Guayas (pH 7,9), respectivamente. Conclusiones. La absorción de cadmio en plantas de arroz se redujo en mayor medida con la omisión de los macronutrientes N y P, principalmente en los suelos de Sucumbíos, Los Ríos, El Oro y Manabí, afectando también la omisión de nutrientes a la producción de materia seca y los rendimientos, observándose además que un pH por debajo de 5 o superior a 7,9 afecta la absorción de cadmio en los suelos estudiados

Abstract Introduction. Wild species are important in the ecosystem, and their preservation requires the development of effective techniques. Objective. To determine the in situ and ex situ germination characteristics and field growth of Porcelia mediocris N.A. Murray and Compsoneura trianae Warb. in Arosemena Tola, Napo, Ecuador. Materials and methods. The study was carried out between 2019 and 2020, with seeds collected from the primary forest of P. mediocris and C. trianae. Germination tests were conducted in a greenhouse and in the primary forest, measuring seed emergence, tray growth, and performing an analysis of variance between the testing sites. Seedlings were transplanted into three different soil covers at the Amazon Center for Teaching, Research, and Productivity, with measurements taken for height, stem diameter, number of leaves, and survival. Growth curves were created, and an analysis of variance was performed on the final growth measurements among the different soil covers. Results. For P. mediocris, greenhouse-grown plants showed fewer days to the emergence (67.6), but those grown under guaba cover had a greater height (19.45 cm) and germination percentage (70 %) at end of the trial. For C. trianae, plants grown at the collection site had greater height (13.38 cm) and number of leaves at the end of the evaluation. Field growth did not show differences between soil covers, with survival rate of 47 % for P. mediocris and 75 % for C. trianae. Conclusions. P. mediocris showed better germination percentages under guaba cover, while C. trianae exhibited greater growth in the primary forest, with the germination site not affecting post-transplant growth for either species.

Resumen Introducción. Las especies silvestres son importantes en el ecosistema, estas requieren el desarrollo de técnicas que permitan su preservación. Objetivo. Determinar las características de germinación in situ y ex situ y el crecimiento en campo de las especies Porcelia mediocris N.A. Murray y Compsoneura trianae Warb. en Arosemena Tola, Napo, Ecuador. Materiales y métodos. El estudio se realizó entre 2019 y 2020, se colectaron semillas en el bosque primario de P. mediocris y C. trianae. Se desarrollaron pruebas de germinación en invernadero y en bosque primario, se midió la emergencia de las semillas, crecimiento en bandeja y se aplicó un análisis de varianza entre los sitios de ensayo. Las plántulas fueron trasplantadas en tres diferentes coberturas de suelo en el Centro de Enseñanza, Investigación y Productividad de la Amazonía, se tomaron medidas de crecimiento en altura, diámetro del tallo, número de hojas y supervivencia, se elaboraron las curvas de crecimiento y se realizó un análisis de varianza en las medidas finales de crecimiento entre las diferentes coberturas. Resultados. En P. mediocris, las plantas desarrolladas en invernadero reportaron menos días a la emergencia (67,6), pero las desarrolladas en la cobertura guabas tuvieron mayor altura (19,45 cm) y porcentaje de germinación (70 %) al final de la prueba. En C. trianae las plantas desarrolladas en el sitio de colecta tuvieron mayor altura (13,38 cm) y número de hojas al final de la evaluación. El crecimiento en campo no mostró diferencias entre coberturas y tuvo una supervivencia del 47 % en P. mediocris y 75 % en C. trianae. Conclusiones. P. mediocris reportó mejores porcentajes de germinación en la cobertura guabas y C. trianae tuvo mayor crecimiento en el bosque primario, sin que el sitio de germinación influyera en el crecimiento posterior al trasplante en ambas especies.

Resumen: Hay poca evidencia sobre la eficacia de las psicoterapias para reducir los nuevos intentos de suicidio. Este artículo tiene como objetivo evaluar la efectividad de las intervenciones psicoterapéuticas en la reducción de los intentos de suicidio entre pacientes con intentos previos. Se seleccionaron 17 artículos de cuatro bases de datos: PubMed, Cochrane, APA PsycInfo y LILACS. Seis estudios mostraron diferencias estadísticas que favorecieron la intervención psicoterapéutica en algún momento durante el período de seguimiento. Estas psicoterapias abordaron: resolución de problemas, inducción de esperanza y entrenamiento de habilidades. Al comparar la psicoterapia con el tratamiento habitual, el metanálisis reveló un odds ratio de 0.41 (IC del 95 %, 0.17 a 0.99, p = .05) en el análisis hasta los 12 meses de seguimiento, y un odds ratio de 0.48 (IC del 95 %, 0.30 a 0.78, p < .001) después de 12 meses de seguimiento. Los resultados apuntan a la eficacia de estas intervenciones para reducir los intentos de suicidio adicionales, pero deben analizarse con cautela, dada la heterogeneidad de la muestra, los tratamientos y los comparadores. Esta revisión apoya el desarrollo de estrategias de prevención indicadas para pacientes que han intentado suicidarse.

Abstract: There is little evidence on the effectiveness of psychotherapeutic interventions in reducing new suicide attempts. This article aims to evaluate the effectiveness of psychotherapeutic interventions in reducing suicide attempts among patients with a history of previous attempts. We selected 17 articles from four databases: PubMed, Cochrane, APA PsycInfo and LILACS, in 2023. Six studies showed statistical differences that favored psychotherapeutic intervention at some point during the follow-up period. These psychotherapies addressed: problem-solving, hope induction, skills training. When comparing psychotherapy with usual care, a meta-analysis revealed an odds ratio of 0.41 (95 % CI, 0.17-0.99, p = .05) in the analysis up to 12 months of follow-up, and an odds ratio of 0.48 (95 % CI, 0.30-0.78, p < .001) after 12 months of follow-up. The results indicate the efficacy of these interventions in reducing additional suicide attempts, but they should be analyzed with caution, given the heterogeneity of the sample, treatments, and comparators. This review supports the development of prevention strategies indicated for patients who have attempted suicide.

RESUMEN El objetivo de este artículo es plantear una política pública destinada a garantizar un uso adecuado de las medidas cautelares, las unidades de servicios previos al juicio. Estas estructuras administrativas, por un lado, potencian la aplicación de las salidas alternativas a la prisión preventiva, así como, por otro, se ocupan de que su aplicación no sea sinónimo de impunidad e inseguridad. Esta estrategia enfrenta dos problemas centrales de la justicia tradicional, la ausencia de un diagnóstico adecuado para escoger la opción cautelar más adecuada, datos del arraigo social, y el seguimiento al régimen impuesto. La ventaja práctica es que esta propuesta se fundamenta en una metodología probada en el contexto internacional, en el Ecuador y recomendada como una buena práctica por la Comisión Interamericana de Derechos Humanos. De hecho, en Latinoamérica las distintas experiencias cuyos resultados fueron medidos revelan que la aplicación de esta estrategia en diversos momentos alcanzó una efectividad sin precedentes para potenciar medidas sustitutivas y para conseguir la presentación de las personas al juicio. Inclusive, en un momento en el que la prensa y la ciudadanía ejercen presiones para aumentar el encarcelamiento provisional son una respuesta válida, pues el informe emitido transparenta las causas de la resolución judicial adoptada.

ABSTRACT The aim of this article is to propose a public policy intended to ensure an appropriate use of precautionary measures, pre-trial service units. These administrative structures, on the one hand, enhance the application of alternative exits from pretrial detention and, on the other, ensure that their implementation is not synonymous with impunity and insecurity. Specifically, this strategy addresses two central problems of traditional justice: the absence of an adequate diagnosis to choose the most suitable preventive option and the monitoring of the imposed regimen. It specifically focuses on providing verified information about social ties. The practical advantage is that this proposal is based on a methodology proven in the international context, in Ecuador, and recommended as a best practice by the Inter-American Commission on Human Rights. In fact, in Latin America, various experiences, whose results were measured, reveal that the application of this strategy at different times achieved an unprecedented effectiveness in enhancing substitute measures and ensuring the appearance of individuals at trial. Even at a time when the press and the public exert pressure to increase provisional incarceration, they are a valid response, as the issued report transparently elucidates the reasons behind the adopted judicial resolution.

Abstract: The functions that guarantee or control courts must fulfill in adversarial accusatory models are crucial for the proper protection of the rights and guarantees of all participants, especially the defendant and the accused. These functions are critical to the debates regarding the appropriateness of personal precautionary measures and require the judge to strictly observe the principles governing such measures and to justify how these principles are applied in each case. Supervisory courts must define and clearly state the standards required for each type of personal precautionary measure requested by the litigants and must reproduce in their rulings the criteria employed and the reasoning used to either confirm or dismiss the requirements of the personal precautionary measures, such as their material prerequisites and the necessity for caution

Resumen: Las funciones que los tribunales de garantía o de control deben cumplir en los modelos acusatorios de corte adversarial son fundamentales para la debida protección de los derechos y las garantías de todos los intervinientes, en especial del imputado y el acusado. Estas funciones resultan críticas para los debates en torno a la procedencia de las medidas cautelares personales y suponen por parte del juez la estricta observancia de los principios que regulan tales medidas y la fundamentación acerca del modo en que estos principios son aplicados en cada caso. Los tribunales de garantía deben definir y explicitar los estándares exigibles para cada tipo de medida cautelar personal solicitada por los litigantes, y reproducir en sus resoluciones los criterios empleados y los fundamentos utilizados para dar por acreditados o desestimados los requisitos de las medidas cautelares personales, como son los presupuestos materiales de estas y la necesidad de cautela

Resumo: As funções que os tribunais de garantias ou de controle devem cumprir nos modelos acusatórios de corte adversarial são fundamentais para a devida proteção dos direitos e garantias dos intervenientes, especialmente do imputado e do acusado. Essas funções são críticas para os debates sobre a procedência das medidas cautelares pessoais e implicam, por parte do juiz, a estrita observância dos princípios que regulam tais medidas e a fundamentação sobre a maneira como esses princípios são aplicados em cada caso. Os tribunais de garantia devem definir e explicitar os padrões exigíveis para cada tipo de medida cautelar pessoal solicitada pelos litigantes, e reproduzir em suas resoluções os critérios empregados e os fundamentos utilizados para considerar comprovados ou rejeitados os requisitos das medidas cautelares pessoais, como são os pressupostos materiais dessas medidas e a necessidade de cautela

Resumo: Introdução: A warfarina é um dos medicamentos mais prescritos para o tratamento e prevenção de doenças tromboembólicas. O benefício na prevenção de eventos trombóticos e na redução da mortalidade está amplamente documentado. No entanto, problemas de segurança limitaram seu uso. O acompanhamento dos pacientes, com atenção especial à informação e educação sobre suas patologias, hábitos saudáveis, adesão ao tratamento e compreensão dos riscos, é fundamental para o alcance de bons resultados, reduzindo a morbimortalidade e internações. Informações sobre o perfil de segurança e a qualidade da anticoagulação em um programa de intervenção educacional são escassas no Uruguai. O objetivo deste estudo é analisar o efeito de um plano de intervenção educacional aprimorado com assistência farmacêutica (IEPAF) , na qualidade da anticoagulação com warfarina em pacientes ambulatoriais na unidade multidisciplinar de insuficiência cardíaca (UMIC), e comparar a eficácia e segurança de tratamento e avaliar a utilidade do escore SAMeTT2R2. Metodologia: Ensaio clínico randomizado. Pacientes em acompanhamento em UMIC em tratamento com warfarina foram recrutados e randomizados para controle médico usual versus controle médico com ajustes de dose de acordo com protocolo estabelecido, além IEPAF. Resultados: Após 24 meses de seguimento, ambos os grupos mantiveram um bom nível de anticoagulação, com tempo na faixa terapêutica (TTR) de 83,15% e 83,80% para os grupos controle e intervenção, respectivamente. A intervenção educacional aprimorada e o protocolo de ajuste de dose de warfarina forneceram resultados comparáveis ao monitoramento de anticoagulação convencional. Conclusões: O IEPAF com assistência farmacêutica promoveu resultado comparável em segurança, eficácia e adesão em relação ao acompanhamento convencional. Ambos os grupos alcançaram um excelente nível de anticoagulação avaliado pela TTR. Da análise post hoc emerge uma associação estatisticamente significativa dos valores 4 e 6 do SAMeTT2R2 com a ocorrência de eventos, com risco relativo 5 vezes maior para o sexo feminino.

Resumen: Introducción: La warfarina es uno de los medicamentos más prescritos en el tratamiento y prevención de enfermedades tromboembólicas. El beneficio en la prevención de eventos trombóticos y en la reducción de la mortalidad está ampliamente documentado. Sin embargo, los aspectos relacionados con la seguridad han limitado su uso. El acompañamiento de pacientes, con especial atención en la información y educación sobre sus patologías, hábitos saludables, cumplimiento de tratamientos y comprensión de riesgos, es fundamental para conseguir buenos resultados, disminuyendo la morbi-mortalidad y las internaciones. La información respecto al perfil de seguridad y la calidad de la anticoagulación bajo un programa de intervención educativa es escasa en Uruguay. El objetivo de este estudio es analizar el efecto de un plan de intervención educativa potenciada con atención farmacéutica (IEPAF), sobre la calidad de anticoagulación con warfarina de pacientes ambulatorios de la unidad multidisciplinaria de insuficiencia cardíaca (UMIC), comparar la efectividad y seguridad del tratamiento, y evaluar la utilidad del score SAMeTT2R2. Metodología: Ensayo clínico randomizado. Se reclutaron pacientes en seguimiento en la UMIC tratados con warfarina y se randomizaron a control médico habitual vs control médico con ajustes de dosis según un protocolo establecido, más IEPAF. Resultados: Luego de 24 meses de seguimiento, ambos grupos mantuvieron buen nivel de anticoagulación, con tiempo en rango terapéutico (TTR) de 83,15% y 83,80% para grupo control e intervención respectivamente. La intervención educativa potenciada y el protocolo de ajuste de dosis de warfarina, aportó un resultado equiparable al seguimiento convencional de la anticoagulación. Conclusiones: La IEPAF promovió un resultado equiparable en seguridad, efectividad y adherencia con respecto al seguimiento convencional. Ambos grupos lograron un excelente nivel de anticoagulación evaluado por TTR. Del análisis post hoc surge una asociación estadísticamente significativa de los valores de SAMeTT2R2 4 y 6, con la aparición de eventos, con un riesgo relativo 5 veces mayor para el sexo femenino.

Abstract: Introduction: Warfarin is one of the most prescribed drugs for the treatment and prevention of thromboembolic diseases. The benefit of the prevention of thrombotic events and the reduction of mortality is widely documented. However, security issues have limited its use. Monitoring patients, with special attention to information and education about their pathologies, healthy habits, compliance with treatment, and understanding of risks, is essential to achieve good results, reducing morbidity, mortality and hospitalizations. Information regarding anticoagulation’s safety profile and quality under an educational intervention program is scarce in Uruguay. The objective of this study is to analyze the effect of an enhanced educational intervention plan with pharmaceutical care (IEPAF), on the quality of anticoagulation with warfarin in outpatients in the multidisciplinary heart failure unit (UMIC), and to compare the effectiveness and safety of treatment, and to evaluate the usefulness of the SAMeTT2R2 score. Methodology: Randomized clinical trial. Patients under follow-up in UMIC treated with warfarin were recruited and randomized to usual medical control vs medical control with dose adjustments according to an established protocol, plus enhanced educational intervention IEPAF. Results: After 24 months of follow-up, both groups maintained a good level of anticoagulation, with time in therapeutic range (TTR) of 83,15% and 83,80% for the control and intervention groups, respectively. The enhanced educational intervention and the warfarin dose adjustment protocol provided results comparable to conventional anticoagulation monitoring. Conclusions: The IEPAF with pharmaceutical care promoted a comparable result in safety, effectiveness, and adherence concerning conventional follow-up. Both groups achieved an excellent level of anticoagulation as assessed by TTR. From the post hoc analysis, a statistically significant association of SAMeTT2R2 values 4 and 6 emerges with events, with a relative risk 5 times greater for the female sex.

ABSTRACT The proper disposal of fruit and vegetable waste is essential to promote environmental sustainability, reduce the carbon footprint, improve soil quality, and contribute to the transition to a circular economy. This study examined the impact of incorporating dairy cattle wastewater (DCWW) into anaerobic co-digestion with fruit and vegetable residues and utilization of the resulting biofertilizer as a diluent in the anaerobic mono-digestion of fruit and vegetable residues (recycle). The specific biogas and methane production and the agronomic quality of the biofertilizer were evaluated in a semi-continuous trial. Two startup strategies were employed: initially, the reactors were entirely fed with inoculum (biofertilizer derived from DCWW), and fruit and vegetable residue feedstock was gradually introduced. Anaerobic co-digestion of fruit and vegetable residues with DCWW yielded the highest specific production of biogas and methane at 720 and 436 L kg-1 of volatile solids (VS), respectively. The addition of DCWW increases fruit and vegetable residue alkalinity by 249% and reduces the volatile acidity by 83.4%. Anaerobic mono-digestion of fruit and vegetable residues enhances macronutrient recovery in the biofertilizer through recycle. Logistically, directing fruit and vegetable residues to rural areas for anaerobic co-digestion with DCWW promotes agricultural biofertilizer use. sustainability footprint economy (DCWW codigestion co digestion monodigestion mono recycle . (recycle) semicontinuous semi continuous trial employed initially DCWW, , DCWW) introduced 72 43 kg1 kg 1 kg- VS, VS (VS) respectively 249 834 83 4 83.4% Logistically use (recycle 7 (VS 24 8 83.4 2 83.

RESUMO A destinação adequada dos resíduos de frutas e vegetais é fundamental para promover a sustentabilidade ambiental, reduzir a pegada de carbono, melhorar a qualidade do solo e contribuir para a transição para uma economia circular. Neste estudo, foram avaliados os efeitos da adição de água residuária da bovinocultura de leite em codigestão anaeróbia com resíduos de frutas e vegetais e o uso do biofertilizante como diluente na monodigestão anaeróbia dos resíduos de frutas e vegetais (reciclo). A produção específica de biogás e metano, bem como a qualidade agronômica do biofertilizante em um estudo semicontínuo, foram avaliados. Foram utilizadas duas estratégias para partida dos reatores: o abastecimento inicial dos reatores totalmente com inóculo (biofertilizante proveniente da digestão anaeróbia da água residuária da bovinocultura de leite) e a progressão de carga para os resíduos de frutas e vegetais. A maior produção específica de biogás e metano foi atingida pela codigestão anaeróbia de resíduos de frutas e vegetais com água residuária da bovinocultura de leite, 720 e 436 L kg-1 de sólidos voláteis (SV), respectivamente. A adição da água residuária da bovinocultura de leite aumentou em 249% a alcalinidade dos resíduos de frutas e vegetais e diminuiu em 83,4% sua acidez volátil. A recuperação de macronutrientes no biofertilizante é favorecida pela monodigestão anaeróbia dos resíduos de frutas e vegetais em função do uso do reciclo. Entretanto, visando a destinação destes ao meio rural, a codigestão anaeróbia com água residuária da bovinocultura de leite favorece o uso agrícola do biofertilizante. ambiental carbono circular reciclo . (reciclo) semicontínuo 72 43 kg1 kg 1 kg- SV, SV , (SV) respectivamente 249 834 83 4 83,4 volátil Entretanto rural (reciclo 7 (SV 24 8 83, 2

Abstract: The purpose of this research study is to assess the perceptions of pedagogy students in basic general education from a Chilean regional university about the value of a pedagogical experience of teaching orality. The methodology is qualitative and data are gathered through a survey administered to 25 teachers in training. The strategy consists of linking aspects of knowledge in the field of language and orality. The results are structured in three areas: 1) learning acquired in the field of literature, 2) learning achieved in the field of orality, and 3) the pedagogical value of the “Oral Trial” activity. All of them highlight the interaction space associated with the experience and with the possibility of learning a series of strategies that allow them to participate appropriately in different training spaces. It is concluded that the “Oral Trial” activity strengthens the communicative and professional skills of teachers in training.

Resumen: Esta investigación tiene como propósito recoger las percepciones de estudiantes de pedagogía en educación general básica de una universidad regional chilena sobre el valor de una experiencia pedagógica de enseñanza de la oralidad. La metodología es cualitativa y se realiza a través de una encuesta administrada a 25 profesores en formación. La estrategia consiste en la vinculación de aspectos del saber en el ámbito del lenguaje y la oralidad. Los resultados se estructuran en tres áreas: 1) los aprendizajes adquiridos en el ámbito de la literatura, 2) aprendizajes logrados en el ámbito de la oralidad y 3) el valor pedagógico de la actividad “Juicio Oral”. Todas ellas relevan el espacio de interacción asociado a la experiencia y a la posibilidad de aprender una serie de estrategias que les permiten participar adecuadamente en los distintos espacios formativos. Se concluye que la actividad de “Juicio Oral” fortalece las competencias comunicativas y profesionales de los docentes en formación.

SUMMARY OBJECTIVE: The aim of this study was to investigate the effect of different dietary inflammatory index diets on inflammatory markers, anthropometric measurements, and sleep quality in obese subjects. METHODS: This study was conducted in a public hospital in Turkey between November 2021 and May 2022. Participants with pro-inflammatory dietary habits were included in the study. Randomly divided into two groups of 33 participants, they were subjected to an anti-inflammatory diet or a control diet for 8 weeks. The study evaluated the anthropometric parameters, inflammatory biomarkers, and sleep quality indices of the diet groups. RESULTS: Significant reductions in body mass index were observed in both groups, more marked in the anti-inflammatory diet cohort. C-reactive protein levels, indicative of inflammation, also decreased substantially in both groups, with a more marked reduction in the anti-inflammatory diet cohort. Despite the improvement in sleep quality in both groups, the variation was not statistically significant. CONCLUSION: This study demonstrates the importance of anti-inflammatory diets in nutritional strategies for obesity by reducing body mass index and inflammation. OBJECTIVE markers measurements subjects METHODS 202 2022 proinflammatory pro 3 participants antiinflammatory anti weeks parameters biomarkers RESULTS cohort Creactive C reactive levels inflammation significant CONCLUSION 20 2

SUMMARY OBJECTIVE: The aim of the study was to compare the postoperative effects of endotracheal tube cuff inflation with alkalized lidocaine in patients undergoing thyroidectomy surgery. METHODS: This is a randomized, double-blind clinical trial between August 2020 and August 2022 at the Hospital São Domingos, São Luís, Maranhão, Brazil. Patients over 18 years who underwent thyroidectomy of both sexes, American Society of Anesthesiologists (ASA) I or ASA II, were included. Patients with difficult orotracheal intubation, smoking, cuff rupture during orotracheal intubation, heart, lung, or neuropathies, previous surgery of the larynx or trachea, with risk of aspiration of gastric contents, or with the need to use a nasogastric tube were excluded. Patients were randomly selected and divided into the control group, whose cuff was filled with 0.9% saline solution, and the alkalinized lidocaine group, where the cuff was filled with 2% lidocaine and 8.4% sodium bicarbonate. RESULTS: The control group had higher systolic blood pressure [137 (94–183) mmHg] medians after extubation than the alkalinized lidocaine group [127 (82–189) mmHg] (p=0.03). The same was observed in heart rate values [control group: 86 (62–120); alkalinized lidocaine group: 80 (53–120)] (p=0.034). The alkalinized lidocaine group showed a significant increase in the ability to sustain phonation in the 24 h postoperatively, from 82.0 to 98.0% (p=0.031). CONCLUSION: There was no protective effect of the use of alkalinized lidocaine on the sensation of swallowing and complaints after thyroidectomy surgery. There was a significant improvement in hemodynamic response in the intervention group after extubation. OBJECTIVE METHODS randomized doubleblind double blind 202 Domingos Luís Maranhão Brazil 1 sexes (ASA II included intubation smoking lung neuropathies trachea contents excluded 09 0 9 0.9 solution 2 84 8 4 8.4 bicarbonate RESULTS 137 [13 94–183 94183 94 183 (94–183 mmHg 127 [12 82–189 82189 82 189 (82–189 p=0.03. p003 p p=0.03 . 03 (p=0.03) 62–120 62120 62 120 (62–120) 53–120 53120 53 (53–120) p=0.034. p0034 p=0.034 034 (p=0.034) postoperatively 820 82. 980 98 98.0 p=0.031. p0031 p=0.031 031 (p=0.031) CONCLUSION 20 0. 8. 13 [1 94–18 9418 (94–18 12 82–18 8218 (82–18 p00 p=0.0 (p=0.03 62–12 6212 6 (62–120 53–12 5312 5 (53–120 (p=0.034 98. (p=0.031 [ 94–1 941 (94–1 82–1 821 (82–1 p0 p=0. (p=0.0 62–1 621 (62–12 53–1 531 (53–12 94– (94– 82– (82– p=0 (p=0. 62– (62–1 53– (53–1 (94 (82 p= (p=0 (62– (53– (9 (8 (p= (62 (53 ( (p (6 (5

SUMMARY OBJECTIVE: This randomized clinical trial study aims to investigate the effects of antioxidant food supplementation on the total antioxidant capacity of seminal plasma, sperm DNA fragmentation, sperm chromatin quality, and semen parameters. METHODS: In this study, a total of 48 subfertile men with moderate physical activity were included. Group 1 was recommended to use the antioxidant supplements, while antioxidant food supplements were not given to Group 2. Total antioxidant capacity, sperm DNA fragmentation, sperm chromatin structure, hormone levels, physical activities, and semen parameters were evaluated before and after treatment. Total antioxidant capacity, sperm DNA fragmentation, and sperm chromatin structure were assessed using ELISA, transferase dUTP nick end labeling, and aniline blue staining, respectively. RESULTS: Sperm DNA fragmentation (p=0.003) and histone/protamine ratio (p<0.001) were significantly decreased in the patients receiving antioxidant treatment. There was no statistical difference in the total antioxidant capacity values of the post-treatment groups. CONCLUSION: Antioxidant therapy seems to improve sperm DNA fragmentation and histone/protamine ratios in subfertile patients. Clinical Trial Registration Number: NCT06042738. OBJECTIVE plasma quality METHODS 4 included 2 levels activities treatment ELISA labeling staining respectively RESULTS p=0.003 p0003 p 0 003 (p=0.003 histoneprotamine histone protamine p<0.001 p0001 001 (p<0.001 posttreatment post groups CONCLUSION Number NCT06042738 NCT p=0.00 p000 00 (p=0.00 p<0.00 (p<0.00 NCT0604273 p=0.0 p00 (p=0.0 p<0.0 (p<0.0 NCT060427 p=0. p0 (p=0. p<0. (p<0. NCT06042 p=0 (p=0 p<0 (p<0 NCT0604 p= (p= p< (p< NCT060 (p NCT06 NCT0