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ABSTRACT Purpose: To characterize the extracellular vesicle protein cargo in the aqueous humor and plasma of patients with ocular toxoplasmosis. Methods: Aqueous humor and plasma were collected from six patients with active ocular toxoplasmosis and six patients with cataract. Extracellular vesicles were isolated, and western blotting and mass spectrometry were performed for protein analysis. Results: All plasma samples from patients with ocular toxoplasmosis and cataract were positive for the tetraspanins CD63 and TSG101. However, the aqueous humor from patients with ocular toxoplasmosis was positive only for CD63. Sixty-seven new unreported proteins were identified in the aqueous humor and plasma of patients with the ocular toxoplasmosis and cataract. Of the 67 proteins, 10 and 7 were found only in the cataract and ocular toxoplasmosis groups, respectively. In general, these proteins were involved in immune system activation and retina homeostasis and were related to infections and retina-associated diseases. Conclusion: The distinct protein signatures between ocular toxoplasmosis and cataract may be helpful in the differential diagnosis of ocular toxoplasmosis. However, more studies are needed to better understand the role of these proteins in the pathogenesis of ocular toxoplasmosis. Purpose Methods isolated analysis Results CD CD6 TSG101 TSG However Sixtyseven Sixty seven 6 1 groups respectively general retinaassociated associated diseases Conclusion TSG10 TSG1

https://doi.org/10.5935/0004-2749.2023-0037

Novel Terpene-Reinforced Photopolymerizable Resins Derived from Methacrylate Salts of Imidazole TerpeneReinforced Terpene Reinforced
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Lins, Ilária M. S.

; Vieira, Anderson G.

; Ribeiro, Rubson P. S.

; Santos, Dayane K. D. N.

; Maciel, Larissa G.

; Santa-Cruz, Petrus A.

; Alves Júnior, Severino

; Anjos, Janaína V. dos

Journal of the Brazilian Chemical Society

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2025, Volume 36 N. 5 elocation e-20240201

Abstract: En | Text: En | PDF: En

This research aims to develop new 3D (three-dimensional) printable resins made from methacrylate salts of imidazole, 2-methyl-imidazole, and 1-methyl-imidazole, with glycerol trimethacrylate serving as a crosslinking agent. With their backbone structure, these resins are easy and rapid to prepare, offering an alternative to conventional ones. Reinforced with terpene-based additives such as α-pinene, (R)-limonene, trans-ethyl cinnamate, and safrole, they present a diverse range of fifteen resin formulations. Each resin underwent printability tests, including printing tests, which revealed accuracy, precision, and dimensional stability compared to a commercial resin and its respective digital 3D models. Mechanical tests further demonstrated that adding alpha-pinene and (R)-limonene enhanced hardness, while safrole had the opposite effect. Resins containing α-pinene and (R)-limonene as additives showcased an elasticity modulus comparable to the commercial resin. According to mechanical tests, a cytocompatibility assay was conducted for the best resin, showing that this resin holds potential for developing drug delivery systems and other biomedical devices. D threedimensional three (three-dimensional imidazole 2methylimidazole, 2methylimidazole methylimidazole 2 methyl 2-methyl-imidazole 1methylimidazole, 1methylimidazole 1 1-methyl-imidazole agent structure prepare ones terpenebased terpene based αpinene, αpinene α pinene, pinene Rlimonene, Rlimonene R limonene, limonene transethyl trans ethyl cinnamate formulations accuracy precision models alphapinene alpha hardness effect devices

https://doi.org/10.21577/0103-5053.20240201

Salicylic acid mitigates damage caused by water deficit in forage sorghum
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Marcelino, Rita M. O. da S.

; Morais, Francimar M. da S.

; Ferreira, Fagner N.

; Alves, Leonardo de S.

; Moura, Emanuele L.

; Melo, Aline K. de S.

; Medeiros, José F. de

; Souto, Antônio G. de L.

; Pessoa, Angela M. dos S.

; Ribeiro, João E. da S.

Revista Brasileira de Engenharia Agrícola e Ambiental

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2025, Volume 29 N. 3 elocation e286824

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO A cultura do sorgo é considerada uma das mais importantes do mundo devido a sua versatilidade de utilização. No entanto, o estresse hídrico pode ser considerado uma ameaça significativa para sua produtividade. A busca por produtos mitigadores do estresse hídrico é uma área de pesquisa crucial na agricultura e na gestão de recursos hídricos. Assim, o objetivo deste trabalho foi avaliar a viabilidade do uso do ácido salicílico como atenuante de estresse hídrico na cultura do sorgo. O experimento foi conduzido em ambiente telado, em delineamento em blocos ao acaso com esquema fatorial 4 × 2, com quatro repetições. Foram avaliados quatro níveis hídricos (40, 60, 80 e 100% da evapotranspiração) e duas concentrações de ácido salicílico (0 e 2,76 g L-1). Foram analisados a altura das plantas, diâmetro do caule, número de folhas, trocas gasosas, pigmentos fotossintéticos e fluorescência da clorofila a. A aplicação de lâminas de irrigação deficitárias reduziu a altura da planta, diâmetro do colmo, número de folhas e clorofila total no sorgo. No entanto, quando essas lâminas foram associadas ao ácido salicílico, foi observado que houve atenuação dos danos, especialmente em relação a clorofila a e b. Além disso, o ácido salicílico quando aplicado isoladamente, contribuiu para redução da temperatura da folha e aumento da eficiência de uso da água. Assim, o ácido salicílico pode ser usado para mitigar os efeitos do estresse salino em plantas de sorgo. utilização entanto produtividade Assim telado 2 repetições 40, 40 (40 60 8 100 evapotranspiração 0 ( 276 76 2,7 L1. L1 L 1 . L-1) caule gasosas planta colmo danos b disso isoladamente água (4 6 10 27 7 L-1 L-

ABSTRACT The sorghum crop is considered one of the most important worldwide due to its versatility. However, water stress can be considered a significant threat to its yield. The search for products that mitigate water stress is a crucial area of research in agriculture and water resources management. Thus, the objective in this study was to evaluate the feasibility of using salicylic acid as a water stress attenuator in sorghum. The experiment was conducted in a screened environment in a randomized block design with a 4 × 2 factorial scheme, with four replicates. Four levels of water (40, 60, 80, and 100% of evapotranspiration) and two concentrations of salicylic acid (0 and 2.76 g L-1) were evaluated. Plant height, stem diameter, number of leaves, gas exchange, photosynthetic pigments, and chlorophyll a fluorescence were analyzed. Application of deficit irrigation depths reduced plant height, stem diameter, number of leaves, and total chlorophyll in sorghum. However, when these depths were associated with salicylic acid, it was observed that the damage was attenuated, especially in chlorophyll a and b. Furthermore, salicylic acid reduced leaf temperature and increased water use efficiency when applied alone. Thus, salicylic acid can be used to mitigate the effects of salt stress on sorghum plants. versatility However yield management Thus scheme replicates 40, 40 (40 60 80 100 evapotranspiration 0 ( 276 76 2.7 L1 L 1 L-1 evaluated height diameter leaves exchange pigments analyzed attenuated b Furthermore alone plants (4 6 8 10 27 7 2. L-

https://doi.org/10.1590/1807-1929/agriambi.v29n3e286824

Structural and Biochemical Characterization of Levan Produced by Gluconobacter cerinus UELBM11 Isolated from Brazilian Grapes UELBM UELBM1
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Hata, Natália N. Y.

; Sartori, Daniele

; Ribeiro, Matheus M.

; Serrato, Rodrigo V.

; Tomal, Adriana Aparecida B.

; Constantino, Leonel Vinícius

; Cancian, Mariana A. Q.

; Marques, Francisco A.

; Hata, Fernando T.

; Bana, Fernanda Carla H.

; Macedo Jr., Fernando

; Spinosa, Wilma Aparecida

Journal of the Brazilian Chemical Society

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2025, Volume 36 N. 4 elocation e-20240176

Abstract: En | Text: En | PDF: En

Acetic acid bacteria (AAB) are versatile organisms that catalyze the conversion of a wide range of carbon sources into biomolecules of great industrial interest. In this study, we exploited the ability of Gluconobacter spp. to synthesize levans. Among the isolated strains, Gluconobacter cerinus UELBM11 produced approximately 14.0 g L−1 of levan under non-optimized conditions. Gas chromatography-mass spectrometry (GC-MS), Fourier transform infrared spectroscopy (FTIR), and nuclear magnetic resonance (NMR) analyses confirmed that levan obtained from G. cerinus UELBM11 consisted of a β-(2→6)-D-fructose backbone with some β-(2→1) ramifications. The average molecular weight (Mw) of the purified levan was 8.78 × 105 Da. Thermogravimetric/differential thermogravimetric (TGA/DTG) analysis indicated high thermal stability, with the maximum decomposition rate observed at 227.44 °C. Scanning electron microscopy (SEM) revealed a microporous morphology, and the antioxidant activity assays demonstrated that levan had a high scavenging capacity of 2,2’-azino-bis (3-ethylbenzothiazoline-6-sulfonic acid) (ABTS) and hydroxyl radicals. Therefore, it has been demonstrated the levan produced by G. cerinus UELBM11 is a promising natural antioxidant and, owing to its microporosity and excellent thermal properties and stability, is a potential candidate as an additive in cosmetics, pharmaceuticals, and food products. AAB (AAB interest study spp levans strains UELBM UELBM1 140 14 0 14. L1 L 1 L− nonoptimized non optimized conditions chromatographymass chromatography mass GCMS, GCMS GC MS , (GC-MS) FTIR, FTIR (FTIR) NMR (NMR G β2→6Dfructose β26Dfructose βDfructose β 2→6 D fructose 2 6 β2→1 β21 2→1 β-(2→1 ramifications Mw (Mw 878 8 78 8.7 10 Da Thermogravimetricdifferential Thermogravimetric differential TGA/DTG TGADTG TGA DTG (TGA/DTG stability 22744 227 44 227.4 C °C SEM (SEM morphology 2,2azinobis 22azinobis azinobis 2,2 azino bis 3ethylbenzothiazoline6sulfonic ethylbenzothiazolinesulfonic 3 ethylbenzothiazoline sulfonic ABTS (ABTS radicals Therefore cosmetics pharmaceuticals products (GC-MS (FTIR β2 6Dfructose Dfructose 26 2→ β2→ 21 β-(2→ 87 7 8. 2274 22 4 227. 2azinobis 2, β-(2 β-( β-

https://doi.org/10.21577/0103-5053.20240176

The Influence of the Acyl Side Chain on Pyrene Excimer Formation as a Model for Asphaltene Aggregation
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Alvarenga, Suyane D. S. de

; Garden, Simon J.

; Forero, Josué S. B.

; Teixeira, Raquel S. P.

; Souza, Rodrigo S.

; Gonçalves, Yan M. H.

; Horta, Bruno A. C.

; Gomez, Javier A. G.

; Santos, Luiz H. C. dos

; Ribeiro, Emerson S.

; Corrêa, Rodrigo J.

Journal of the Brazilian Chemical Society

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2025, Volume 36 N. 5 elocation e-20240199

Abstract: En | Text: En | PDF: En

Asphaltene aggregation mechanism is still a nebulous and controversial issue. Many authors argue that the aggregation of its components is due to π-stacking interactions, nonetheless, alkyl chains, heteroatoms, and even acidic groups are also constituents of asphaltenes and can play an important role in the chemistry of asphaltene. Excimers from pyrene are easily detected by fluorescence and were used in the current study to probe the effect of the side chain on the π-stacking capacity of pyrene. Pyrene was acylated with acyl chains varying from two to twelve carbon atoms, and the effect of the variation of the acyl chain length on excimer formation was followed by fluorescence emission spectroscopy. The results revealed that as the side chain grows from two to twelve carbon atoms the excimer/monomer ratio decreases and the excimer heat of formation drops from ΔH = -6.00 to -1.29 kcal mol-1. Further, the crystal structure of octanoyl pyrene (PC8) indicates that in the crystal structure, the aromatic moiety faces the acyl chain. This result was corroborated by density functional theory (DFT) calculations. Finally, the results were compared with two different asphaltenes and indicate that π-stacking cannot be assumed as the main driving force for asphaltene aggregation. issue πstacking π stacking interactions nonetheless heteroatoms spectroscopy excimermonomer monomer 6.00 600 6 00 -6.0 1.29 129 1 29 -1.2 mol1. mol1 mol 1. mol-1 Further PC8 PC (PC8 DFT (DFT calculations Finally 6.0 60 0 -6. 1.2 12 2 -1. mol- (PC 6. -6 -1 -

https://doi.org/10.21577/0103-5053.20240199

Pyroligneous extract as a mitigator of water deficit in pitanga plants
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Ferreira, Adriana dos S.

; Sousa, Geovana C. N. de

; Mendonça, Vander

; Souto, Antônio G. de L.

; Sá, Francisco V. da S.

; Brito, Fred A. L. de

; Ribeiro, João E. da S.

Revista Brasileira de Engenharia Agrícola e Ambiental

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2025, Volume 29 N. 2 elocation e286827

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO No clima semiárido, o crescimento de mudas frutíferas é desafiado pelo estresse hídrico característico da região, o que pode restringir seu desenvolvimento e, consequentemente, afetar a produção. Nesse contexto, o objetivo foi avaliar o efeito do extrato pirolenhoso nas características de troca gasosa, pigmentos fotossintéticos, crescimento e biomassa de pitangueira sob diferentes intensidades de déficit hídrico. O experimento foi conduzido em casa de vegetação utilizando um delineamento em blocos casualizados em um esquema fatorial 3 × 2, com quatro repetições, correspondendo a períodos de déficit hídrico foram de 7 e 14 dias, além do controle (irrigação diária), no substrato sem e com extrato pirolenhoso. As plantas foram avaliadas quanto às características de trocas gasosas foliares, índices de clorofila, crescimento e biomassa seca. A aplicação de extrato pirolenhoso aos 7 dias de déficit hídrico elevou a taxa fotossintética, a eficiência de carboxilação e o índice de qualidade de Dickson das mudas de pitanga em 40,04, 42,85 e 41,51%, respectivamente, em comparação aos 14 dias de déficit hídrico. O extrato pirolenhoso foi efetivo como um atenuante do estresse hídrico nas mudas de pitanga, especialmente durante os primeiros sete dias de exposição ao estresse. Assim, sua aplicação é recomendada como uma medida preventiva e de curto prazo para mitigar tais efeitos nas mudas de pitanga. semiárido região consequentemente produção contexto gasosa fotossintéticos 2 repetições 1 irrigação diária, diária , diária) foliares clorofila seca fotossintética 4004 40 04 40,04 4285 42 85 42,8 4151 41 51 41,51% respectivamente Assim 400 4 0 40,0 428 8 42, 415 5 41,51 40, 41,5 41,

ABSTRACT In the semi-arid climate, the growth of fruit seedlings is challenged by the water stress characteristic of the region, which can restrict their development and, consequently, affect production. In this context, the aim was to assess the effect of pyroligneous extract on gas exchange characteristics, photosynthetic pigments, growth, and biomass of pitanga under different intensities of water deficit. The experiment was conducted using a randomized block design in a 3 × 2 factorial scheme, with four replicates, corresponding to water deficit periods (7 and 14 days) and control (daily irrigation), in substrates with and without pyroligneous extract. The plants were evaluated for gas exchange characteristics, chlorophyll indices, growth, and dry biomass. Application of pyroligneous extract after 7 days of water deficit increased the photosynthetic rate, carboxylation efficiency and Dickson quality index of pitanga seedlings by 40.04, 42.85 and 41.51%, respectively, compared to 14 days of water deficit. Pyroligneous extract was effective as a water stress attenuator in pitanga seedlings, especially during the first seven days of exposure to stress. Therefore, its application is recommended as a preventive and short-term measure to mitigate such effects on pitanga seedlings. semiarid semi arid climate region consequently production context characteristics pigments scheme replicates ( 1 daily irrigation, irrigation , irrigation) indices rate 4004 40 04 40.04 4285 42 85 42.8 4151 41 51 41.51% respectively Therefore shortterm short term 400 4 0 40.0 428 8 42. 415 5 41.51 40. 41.5 41.

https://doi.org/10.1590/1807-1929/agriambi.v29n2e286827

Physicochemical quality and bioactive compounds in orange-fleshed sweet potato orangefleshed orange fleshed
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Santos Júnior, José T. dos

; Oliveira, Pablo H. de A.

; Silveira, Flávio P. da M.

; Santos, Gisele L. dos

; Ribeiro, João E. da S.

; Silva, Antonio G. C. da

; Barros Júnior, Aurélio P.

; Silveira, Lindomar M. da

Revista Caatinga

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2025, Volume 38 elocation e12724

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO A batata-doce é uma raiz alimentar vital, rica em vitaminas, minerais e compostos bioativos. Genótipos que atendam a essas demandas nutricionais são essenciais para combater deficiências de nutrientes e promover a saúde humana. Assim, pressupõe-se a hipótese de que os genótipos de batata-doce diferem na qualidade físico-química e nos compostos bioativos quando avaliados sob as mesmas condições ambientais. Deste modo, este estudo tem como objetivo avaliar a qualidade físico-química e os compostos bioativos em genótipos de batata-doce de polpa alaranjada. O experimento foi conduzido de abril de 2022 a agosto de 2022, na área experimental de Engenharia Agronômica, localizada na Unidade Acadêmica Especializada em Ciências Agrárias (UAECA) - UFRN, em Macaíba, RN, Brasil. Os tratamentos foram compostos por oito genótipos, sendo duas cultivares (BRS Amélia e Beauregard) e seis acessos (Macaíba I, Macaíba II, Macaíba III, Macaíba IV, Ceará-Mirim e Natal I) de batata-doce de polpa alaranjada da coleção didática da UAECA. Após a colheita, foram avaliadas as seguintes características: firmeza, elasticidade, potencial hidrogeniônico (pH), acidez titulável (AT), sólidos solúveis (SS), razão (SS/AT), vitamina C e os compostos bioativos: antocianinas, flavonoides e carotenoides totais. Os genótipos de batata-doce de polpa alaranjada apresentaram características distintas para as variáveis físico-químicas e os compostos bioativos. Devido ao aumento do pH da polpa, as antocianinas foram reduzidas nos genótipos Ceará-Mirim, Macaíba III e Macaíba IV. Os genótipos Macaíba II e Natal I se destacaram quanto à relação SS/AT, flavonoides e antocianinas. Em contrapartida, o genótipo Macaíba III apresentou o maior teor de carotenoides e grande potencial bioativo. batatadoce batata doce vital vitaminas humana Assim pressupõese pressupõe físicoquímica físico química ambientais modo 202 Agronômica UAECA (UAECA UFRN RN Brasil BRS Beauregard IV CearáMirim Ceará Mirim colheita firmeza elasticidade pH, , (pH) AT, AT (AT) SS, SS (SS) SSAT SS/AT (SS/AT) totais físicoquímicas químicas CearáMirim, Mirim, contrapartida bioativo 20 (pH (AT (SS (SS/AT 2

ABSTRACT Sweet potato is a vital food root, rich in vitamins, minerals, and bioactive compounds. Genotypes that meet these nutritional demands are essential to combat nutrient deficiencies and promote human health. Thus, it presupposes the hypothesis that sweet potato genotypes differ in physicochemical quality and bioactive compounds when evaluated under the same environmental conditions. Thus, this study aims to evaluate the physicochemical quality and bioactive compounds in genotypes of orange-fleshed sweet potato. The experiment was conducted from April 2022 to August 2022 in the experimental area of Agronomic Engineering, located at the Academic Unit Specialized in Agricultural Sciences (UAECA) - UFRN, in Macaíba, RN, Brazil. The treatments were composed of eight genotypes, being two cultivars (BRS Amélia and Beauregard) and six accessions (Macaíba I, Macaíba II, Macaíba III, Macaíba IV, Ceará-Mirim, and Natal I) of orange-fleshed sweet potato from the UAECA teaching collection. After harvest, the following characteristics were evaluated: firmness, elasticity, hydrogen potential (pH), titratable acidity (TA), soluble solids (SS), ratio (SS/TA), Vitamin C, and the bioactive compounds: anthocyanins, flavonoids, and total carotenoids. The orange-fleshed sweet potato genotypes showed distinct characteristics for the physicochemical variables and the bioactive compounds. Due to increased pulp pH, anthocyanins were reduced in the Ceará-Mirim, Macaíba III, and Macaíba IV genotypes. The Macaíba II and Natal I genotypes stood out regarding the SS/TA ratio, flavonoids, and anthocyanins. In contrast, the Macaíba III genotype had the highest carotenoid content and great bioactive potential. root vitamins minerals health Thus conditions orangefleshed orange fleshed 202 Engineering (UAECA UFRN RN Brazil BRS Beauregard CearáMirim, CearáMirim Ceará Mirim, Mirim Ceará-Mirim collection harvest firmness elasticity pH , (pH) TA, TA (TA) SS, SS (SS) SS/TA, SSTA (SS/TA) C flavonoids carotenoids contrast 20 (pH (TA (SS (SS/TA 2

https://doi.org/10.1590/1983-21252025v3812724rc

Preditores de prognóstico nos Tumores Neuroendócrinos Gástricos: um estudo retrospetivo
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Ortigão, Raquel

; Afonso, Luís Pedro

; Pimentel-Nunes, Pedro

; Dinis-Ribeiro, Mário

; Libânioa, Diogo

GE-Portuguese Journal of Gastroenterology

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aug 2024, Volume 31 N. 4 Pages 12 - 21

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Introdução/Objetivo: Os tumores neuroendócrinos gástricos (TNEs-G) têm frequentemente um curso indolente, apesar do seu potencial metastático. O objetivo deste trabalho foi identiﬁcar fatores de prognóstico associados à sobrevida global e à metastização nos doentes com TNEs-G e avaliar o impacto da análise seriada de cromogranina A (CgA). Methods: Estudo retrospectivo in-cluindo doentes consecutivos admitidos por TNE-G entre 2010 e 2019, com um follow-up mínimo de 1 ano. Foi realizada análise univariada e multivariada. Results: Foram incluídos 132 doentes com TNE-G (Tipo I, 113 doentes; Tipo II, 1 doente; Tipo III, 14 doentes; Tipo IV, 2 doentes; Não classiﬁcável, 2 doentes), sendo 61% mulheres, com idade média de 66 anos. Durante o periodo de follow-up (mediana 66 meses), 3 (2.3%) doentes faleceram por doença metastática (1 doente com Tipo III e 2 com Tipo IV). O sexo masculino (p = 0,030), tipo III/IV (p < 0,001), Ki-67 index >20% (p < 0,001), Grau 2/3 (p < 0,001), invasão além da submucosa (p < 0,001) e presença de metástases (p < 0,001) foram identiﬁcados como fatores de risco para mortalidade na análise univariada. Sete doentes desenvolveram metástases (5,3%). A análise multivariáda revelou que o Ki-67 >20% (p = 0,016) era um factor de risco independente para metastização. Globalmente, a CgA mostrou uma sensibilidade de de-tecção de recorrência de 20% e uma especiﬁcidade de 79% (sensibilidade de 8% e especiﬁcidade de 71% em em TNEs-G do Tipo I). Conclusão: A identiﬁcação dos fatores de risco para a presença de metástases e para a mortalidade neste grupo de pacientes pode ajudar a individualizar a estratégia terapêutica. A CgA parece ser um marcador fraco para a monitorização de doentes com TNEs-G.

Abstract Introduction/Aim: Gastric neuroendocrine tumors (GNETs) frequently have an indolent clinical course, despite their metastatic potential. The aim of the study was to identify prognostic factors associated with overall survival and risk of metastases and to evaluate the impact of serial measurements of chromogranin A (CgA). Methods: The authors performed a retrospective cohort study including consecutive patients with GNET diagnosed between 2010 and 2019, with a minimum follow-up of 1 year. Univariate and multivariate analyses were performed. Results: We included 132 patients with GNET (type I, 113 patients; type II, 1 patient; type III, 14 patients; type IV, 2 patients; not classiﬁable, 2 patients), with 61% being female and a mean age at diagnosis of 66 years. During the follow-up period (median 66 months), 3 (2.3%) patients died due to metastatic disease (1 patient with type III and 2 patients with type IV). Male gender (p = 0.030), type III/IV (p < 0.001), Ki-67 index >20% (p < 0.001), grade 2/3 (p < 0.001), invasion beyond the submucosa (p < 0.001), and presence of metastases (p < 0.001) were identiﬁed as risk factors for mortality in the univariate analysis. Metastasis developed in 7 patients (5.3%). Multivariable analysis revealed that Ki-67 >20%(p = 0.016) was an independent risk factor for metastasis. Overall, CgA showed a sensitivity of 20% for detection of recurrence and a speciﬁcity of 79% (sensitivity of 8% and speciﬁcity of 71% in type I GNETs). Conclusion: Identiﬁcation of risk factors for the presence of metastases and for mortality in these groups of patients can help in individualizing the therapeutic strategy. CgA seems to be a weak marker for monitoring patients with GNET. © 2023 The Author(s).

https://doi.org/10.1159/000530684

A OFERTA DE CAIM E A LINGUAGEM DO PROGRESSO – UMA AVALIAÇÃO TEOLÓGICA SOBRE AS IMPLICAÇÕES DO URBANISMO NO ANTIGO SISTEMA RELIGIOSO ISRAELITA
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Ribeiro, Celia Maria

; Righi, Maurício G.

Perspectiva Teológica

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aug 2024, Volume 56 N. 2 Pages 531 - 550

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO As personagens Caim e Abel, protagonistas de Gn 4,1-16, e o subsequente desfecho narrativo entre elas, em função da oferta Àquele que os acompanhava diligentemente, estão entre as passagens mais instigantes do Antigo Testamento, motivo pelo qual dedicamos uma breve reflexão sobre a inteligência antropológica bíblica, observada mais detidamente a partir das atividades laborais e rituais do relato caímico, pelas quais é possível compor o extenso cenário formativo de comunidades afins assim como de territórios imperiais no período em questão. O vasto repertório teórico associado a esse tema bíblico e os avanços nas escavações arqueológicas nos permitem algumas elucidações centrais que o texto caímico nos proporciona. A prática sacrificial animal e a oferta descrita na passagem é sinal, em seu antagonismo, de alterações significativas no sistema religioso, que designam transformações socioeconômicas e uma resposta teológica a essas transformações. Com base nesse embate, se dá uma nova orientação teológica ao sacrifício, verdadeiramente esperado pelo Senhor. Abel 4,116, 4116 4,1 16, 4 1 16 4,1-16 elas diligentemente Testamento bíblica questão proporciona sinal antagonismo religioso embate sacrifício Senhor 116 4,116 411 41 4, 4,1-1 11 4,11 4,1-

ABSTRACT The biblical characters Cain and Abel, protagonists in Gn 4,1-16, including the subsequent outcome between them, and due to the offering to the One who watched over them diligently, are among the most thought-provoking plots in the Old Testament, which is why we dedicate a brief reflection about the biblical anthropological intelligence observed more closely from the Caimic way of ministering ritual and labor, through which it is possible do compose the extensive formative scenario of related communities as well as imperial territories of the period in question. The vast theoretical repertoire on this biblical theme and the advances in archaeological excavations enhanced our understanding about the Caimic narrative. The animal sacrifice and the offering described in the passage signalize, in their internal antagonism, meaningful changes in the religious system, designating socioeconomical transformations and a theological response to these transformations. Within that framework, a new theological guidance is given to the sacrifice truly expected by the Lord. Abel 4,116, 4116 4,1 16, 4 1 16 4,1-16 diligently thoughtprovoking thought provoking Testament labor question narrative signalize antagonism system framework Lord 116 4,116 411 41 4, 4,1-1 11 4,11 4,1-

https://doi.org/10.20911/21768757v56n2p531/2024

10.

Physiology and production of colored bell pepper cultivars in a semi-hydroponic system semihydroponic semi hydroponic
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Leal, Márcia P. da S.

; Dias, Thiago J.

; Sousa, Valéria F. de O.

; Silva, Toshik I. da

; Ribeiro, João E. da S.

; Pereira, Walter E.

; Souza, Aline das G.

; Smiderle, Oscar J.

; Alves, Edna U.

Revista Brasileira de Engenharia Agrícola e Ambiental

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jun 2024, Volume 28 N. 6 elocation e274380

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO O sistema semi-hidropônico é uma alternativa para a produção de hortaliças, pois combina substrato inerte e solução nutritiva, necessitando de menos água. O pimentão é uma hortaliça da família Solanaceae, principalmente produzida em ambiente protegido, apresentando diversas vantagens financeiras e agronômicas no seu manejo. Com os avanços nas pesquisas e a necessidade de uma produção de qualidade, selecionar cultivares produtivas e com alto rendimento econômico, adaptadas às condições favoráveis, torna-se um grande avanço para esta cultura hortícola. O objetivo deste estudo foi avaliar o crescimento, características fisiológicas e produtivas das cultivares Red Jet, Spinel, Bachata e Fulgor em sistema semi-hidropônico. O delineamento experimental foi inteiramente casualizado com quatro cultivares de pimentão colorido (Spinel, Bachata, Fulgor e Red Jet) subdivididas em cinco épocas de avaliação (7, 14, 21, 28 e 35 dias após transplantio - DAT) para as variáveis de crescimento e duas épocas (45 e 95 DAT) de avaliação para fisiologia. As variáveis produtivas e pós-colheita não foram subdivididas no tempo, levando-se em consideração apenas o fator cultivar para estas variáveis, com cinco repetições, sendo cada parcela composta por duas plantas. Os índices de clorofila a e b, fluorescência máxima e eficiência no uso da água foram maiores nas plantas de pimentão da cultivar Spinel. Os frutos mais doces foram obtidos com a cultivar Bachata. A cultivar Fulgor foi a mais indicada para cultivo nas condições estudadas devido ao maior comprimento, diâmetro e peso médio dos frutos. semihidropônico semi hidropônico hortaliças nutritiva Solanaceae protegido manejo qualidade econômico favoráveis tornase torna se hortícola Jet Spinel semihidropônico. hidropônico. (Spinel 7, 7 (7 14 21 2 3 DAT 45 (4 9 fisiologia póscolheita pós colheita tempo levandose levando repetições b comprimento ( 1 4

ABSTRACT Semi-hydroponic systems are an alternative for vegetable production, combining inert substrates and nutrient solutions and requiring less water. Bell pepper (Capsicum annuum L.) is a vegetable species of the Solanaceae family that is mainly grown in protected environments, which provide several financial and agronomic advantages for their management. Advancements in research and the need for high-quality productions have significantly contributed to this horticultural crop through the selection of productive cultivars with high economic yields and adapted to favorable conditions. The objective of this study was to evaluate growth, physiological, and production characteristics of colored bell pepper cultivars in a semi-hydroponic system. The experiment was conducted in a completely randomized design, using four colored pepper cultivars (Spinel, Bachata, Fulgor, and Red Jet), five evaluation times (7, 14, 21, 28, and 35 days after transplanting - DAT) for growth variables, and evaluations at two developmental stages (45 and 95 DAT) for physiological variables. Production and post-harvest variables were not evaluated in different times, considering only the cultivar factor, with five replications, each plot consisting of two plants. Chlorophyll a and b, maximum fluorescence, and water use efficiency were greater in bell pepper plants of the cultivar Spinel. The sweetest fruits were those of the cultivar Bachata. The cultivar Fulgor was the most suitable for growth under the studied conditions due to its greater fruit length and diameter and total fruit weight. Semihydroponic Semi hydroponic Capsicum L. L environments management highquality quality semihydroponic semi system design Spinel, Spinel (Spinel Bachata Jet, Jet , Jet) 7, 7 (7 14 21 28 3 DAT 45 (4 9 postharvest post harvest factor replications b fluorescence weight ( 1 2 4

https://doi.org/10.1590/1807-1929/agriambi.v28n6e274380

11.

[SciELO Preprints] - Guidelines on the Diagnosis and Treatment of Hypertrophic Cardiomyopathy – 2024
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Fernandes, Fabio Simões, Marcus V. Correia, Edileide de Barros Marcondes-Braga, Fabiana G. Coelho-Filho, Otavio Rizzi Mesquita, Cláudio Tinoco Mathias-Junior, Wilson Rochitte, Carlos Eduardo Ramires, Felix José Alvarez Alves, Silvia Marinho Martins Montera, Marcelo Westerlund Lopes, Renato Delascio Oliveira-Junior, Mucio Tavares Scolari, Fernando L. Avila, Walkiria Samuel Canesin, Manoel Fernandes Bacal, Fernando Bocchi, Edimar Alcides Moura, Lídia Ana Zytynski Saad, Eduardo Benchimol Scanavacca, Mauricio I. Valdigem, Bruno Pereira Cano , Manuel Nicolas Abizaid , Alexandre Ribeiro, Henrique Barbosa Lemos-Neto, Pedro Alves Ribeiro, Gustavo Calado de Aguiar Jatene, Fabio Biscegli Dias, Ricardo Ribeiro Beck-da-Silva, Luis Rohde, Luis Eduardo P. Bittencourt, Marcelo Imbroinise Pereira, Alexandre Krieger, José Eduardo Villacorta, Humberto Martins, Wolney de Andrade Figueiredo-Neto, José Albuquerque de Cardoso , Juliano Novaes Pastore, Carlos Alberto Jatene, Ieda Biscegli Tanaka, Ana Cristina Sayuri Hotta, Viviane Tiemi Romano, Minna Moreira Dias Albuquerque, Denilson Campos de Mourilhe-Rocha, Ricardo Hajjar, Ludhmila Abrahão Brito, Fabio Sandoli de Caramelli , Bruno Calderaro, Daniela Farsky, Pedro Silvio Colafranceschi , Alexandre Siciliano Pinto, Ibraim Masciarelli Vieira , Marcelo Luiz Campos Danzmann, Luiz Claudio Barberato , Silvio Henrique Mady, Charles Martinelli-Filho, Martino Torbey , Ana Flavia Malheiros Schwartzmann, Pedro Vellosa Macedo, Ariane Vieira Scarlatelli Ferreira , Silvia Moreira Ayub Schmidt, Andre Melo , Marcelo Dantas Tavares de Lima-Filho, Moysés Oliveira Sposito, Andrei C. Brito, Flavio de Souza Biolo, Andreia Madrini-Junior, Vagner Rizk, Stéphanie Itala Mesquita, Evandro Tinoco

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Publication date: 2024-04-08

Abstract: Pt Es En

A cardiomiopatia hipertrófica (CMH) é uma forma de doença do músculo cardíaco de causa genética, caracterizada pela hipertrofia das paredes ventriculares. O diagnóstico requer detecção por métodos de imagem (Ecocardiograma ou Ressonância Magnética Cardíaca) de qualquer segmento da parede do ventrículo esquerdo com espessura > 15 mm, sem outra causa provável. A análise genética permite identificar mutações de genes codificantes de diferentes estruturas do sarcômero responsáveis pelo desenvolvimento da CMH em cerca de 60% dos casos, permitindo o rastreio de familiares e aconselhamento genético, como parte importante do manejo dos pacientes e familiares. Vários conceitos sobre a CMH foram recentemente revistos, incluindo sua prevalência de 1 em 250 indivíduos, não sendo, portanto, uma doença rara, mas subdiagnosticada. A vasta maioria dos pacientes é assintomática. Naqueles sintomáticos, a obstrução do trato de saída do ventrículo esquerdo (OTSVE) é o principal distúrbio responsável pelos sintomas, devendo-se investigar a sua presença em todos os casos. Naqueles em que o ecocardiograma em repouso ou com Manobra de Valsalva não detecta gradiente intraventricular significativo (> 30 mmHg), devem ser submetidos à ecocardiografia com esforço físico para detecção da OTSVE.   Pacientes com sintomas limitantes e grave OTSVE, refratários ao uso de betabloqueadores e verapamil, devem receber terapias de redução septal ou uso de novas drogas inibidoras da miosina cardíaca. Por fim, os pacientes adequadamente identificados com risco aumentado de morta súbita podem receber medida profilática com implante de cardiodesfibrilador implantável (CDI).

La miocardiopatía hipertrófica (MCH) es una forma de enfermedad cardíaca de origen genético, caracterizada por el engrosamiento de las paredes ventriculares. El diagnóstico requiere la detección mediante métodos de imagen (Ecocardiograma o Resonancia Magnética Cardíaca) que muestren algún segmento de la pared ventricular izquierda con un grosor > 15 mm, sin otra causa probable. El análisis genético permite identificar mutaciones en genes que codifican diferentes estructuras del sarcómero responsables del desarrollo de la MCH en aproximadamente el 60% de los casos, lo que permite el tamizaje de familiares y el asesoramiento genético, como parte importante del manejo de pacientes y familiares. Varios conceptos sobre la MCH han sido revisados recientemente, incluida su prevalencia de 1 entre 250 individuos, por lo tanto, no es una enfermedad rara, sino subdiagnosticada. La gran mayoría de los pacientes son asintomáticos. En los casos sintomáticos, la obstrucción del tracto de salida ventricular izquierdo (TSVI) es el trastorno principal responsable de los síntomas, y su presencia debe investigarse en todos los casos. En aquellos en los que el ecocardiograma en reposo o la maniobra de Valsalva no detecta un gradiente intraventricular significativo (> 30 mmHg), deben someterse a ecocardiografía de esfuerzo para detectar la obstrucción del TSVI. Los pacientes con síntomas limitantes y obstrucción grave del TSVI, refractarios al uso de betabloqueantes y verapamilo, deben recibir terapias de reducción septal o usar nuevos medicamentos inhibidores de la miosina cardíaca. Finalmente, los pacientes adecuadamente identificados con un riesgo aumentado de muerte súbita pueden recibir medidas profilácticas con el implante de un cardioversor-desfibrilador implantable (CDI).

Hypertrophic cardiomyopathy (HCM) is a form of genetically caused heart muscle disease, characterized by the thickening of the ventricular walls. Diagnosis requires detection through imaging methods (Echocardiogram or Cardiac Magnetic Resonance) showing any segment of the left ventricular wall with a thickness > 15 mm, without any other probable cause. Genetic analysis allows the identification of mutations in genes encoding different structures of the sarcomere responsible for the development of HCM in about 60% of cases, enabling screening of family members and genetic counseling, as an important part of patient and family management. Several concepts about HCM have recently been reviewed, including its prevalence of 1 in 250 individuals, hence not a rare but rather underdiagnosed disease. The vast majority of patients are asymptomatic. In symptomatic cases, obstruction of the left ventricular outflow tract (LVOT) is the primary disorder responsible for symptoms, and its presence should be investigated in all cases. In those where resting echocardiogram or Valsalva maneuver does not detect significant intraventricular gradient (> 30 mmHg), they should undergo stress echocardiography to detect LVOT obstruction. Patients with limiting symptoms and severe LVOT obstruction, refractory to beta-blockers and verapamil, should receive septal reduction therapies or use new drugs inhibiting cardiac myosin. Finally, appropriately identified patients at increased risk of sudden death may receive prophylactic measure with implantable cardioverter-defibrillator (ICD) implantation.

https://doi.org/10.1590/SciELOPreprints.8394

12.

Algae biostimulant improves salt tolerance and visual quality of tropical ornamental herbaceous species
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Sales, Jonnathan R. da S.

; Lacerda, Claudivan F. de

; Melo, Alberto S. de

; Sousa, Geocleber G. de

; Mesquita, Rosilene O.

; Ferreira, Jorge F. da S.

; Oliveira, Adriana C. de

; Canjá, Juvenaldo F.

; Cavalcante, Eduardo S.

; Ribeiro, Rute M. R.

Revista Brasileira de Engenharia Agrícola e Ambiental

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apr 2024, Volume 28 N. 4 elocation e278645

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO O uso de bioestimulantes pode mitigar os efeitos deletérios do estresse salino no crescimento e variáveis fisiológicos. Assim, objetivou-se com o presente estudo avaliar o crescimento, fisiologia, solutos orgânicos e características visuais de duas espécies ornamentais tropicais (Celosia argentea and Catharanthus roseus) cultivadas utilizando-se águas salobras e tratadas com extrato de Ascophyllum nodosum. O experimento foi conduzido em casa de vegetação, em delineamento experimental em blocos ao acaso, dispostos em parcelas subsubdivididas, sendo as parcelas constituídas por três níveis de condutividade elétrica da água de irrigação (CEa - 0,5, 2,5 e 4,5 dS m-1), as subparcelas quatro concentrações de extrato de algas (0, 400, 800 e 1200 mg L-1) e as subsubparcelas de duas espécies herbáceas ornamentais tropicais: C. argentea e C. roseus. A salinidade da água de irrigação afeta negativamente as características morfológicas e fisiológicas das duas espécies estudadas, principalmente C. roseus. A irrigação com água de até 2,5 dS m-1 favoreceu a qualidade visual e aumentou a preferência de compra por C. argentea. O uso de concentrações intermediárias (400 mg L-1) de extrato de alga (A. nodosum) promoveu mitigação parcial dos efeitos do estresse salino na produção de biomassa e nas trocas gasosas foliares, especialmente para C. argentea, mas essas respostas positivas diminuíram ou desapareceram com a intensificação do estresse salino e com o aumento da concentração do extrato de algas. fisiológicos Assim objetivouse objetivou se fisiologia Celosia roseus utilizandose utilizando nodosum vegetação acaso subsubdivididas CEa 05 0 5 0,5 25 2 2, 45 4 4, m1, m1 m 1 , m-1) 0, (0 400 80 120 L1 L L-1 C estudadas m- (40 A. (A foliares ( 40 8 12 L- (4

ABSTRACT The use of biostimulants may mitigate the deleterious effects of salt stress on plant growth and physiological variables. Thus, the present study aimed to evaluate the growth, physiology, organic solutes, and visual characteristics of two tropical ornamental species (Celosia argentea and Catharanthus roseus) cultivated with brackish waters and treated with Ascophyllum nodosum extract. The experiment was performed in greenhouse conditions. The experimental design was a complete randomized block arranged in a split-plot scheme. The plots comprised three levels of electrical conductivity of the irrigation water (ECw - 0.5, 2.5, and 4.5 dS m-1), the subplots four concentrations of algae extract (0, 400, 800, and 1200 mg L-1), and the sub-subplots two tropical ornamental herbaceous species [C. argentea and C. roseus]. The salinity of the irrigation water negatively affects the morphological and physiological characteristics of the two species studied, mainly C. roseus. Irrigation with water up to 2.5 dS m-1 favored visual quality and increased the purchasing preference for C. argentea. The use of intermediate concentrations (400 mg L-1) of algae extract (A. nodosum) promoted partial mitigation of the effects of salt stress on biomass production and leaf gas exchange, especially for C. argentea, but these positive responses decreased or disappeared with the intensification of salt stress and the increase in algae extract concentration. variables Thus physiology solutes Celosia roseus conditions splitplot split plot scheme ECw 05 0 5 0.5 25 2 45 4 4. m1, m1 m 1 , m-1) 0, (0 400 800 120 L1, L1 L subsubplots sub C [C . roseus] studied 2. m- (40 L-1 A. A (A exchange concentration 0. ( 40 80 12 (4 L- 8

https://doi.org/10.1590/1807-1929/agriambi.v28n4e278645

13.

Melatonin mitigates salt stress effects on the growth and production aspects of radish
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Ribeiro, João E. da S.

; Silva, Antonio G. C. da

; Coêlho, Ester dos S.

; Oliveira, Pablo H. de A.

; Silva, Elania F. da

; Oliveira, Anna K. S. de

; Santos, Gisele L. dos

; Lima, John V. L.

; Silva, Toshik I. da

; Silveira, Lindomar M. da

; Barros Júnior, Aurélio P.

Revista Brasileira de Engenharia Agrícola e Ambiental

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apr 2024, Volume 28 N. 4 elocation e279006

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO A alta concentração de sais no solo provoca impacto na disponibilidade de água e nutrientes essenciais para o crescimento e fisiologia das plantas. Assim, são necessárias estratégias de manejo que possam mitigar os efeitos negativos do estresse salino, como por exemplo o uso de hormônios vegetais. Assim, este estudo teve como objetivo avaliar o efeito do estresse salino e aplicação de melatonina sobre crescimento e aspectos produtivos de plantas de rabanete. O experimento foi realizado em delineamento em blocos casualizados, em esquema fatorial 3 × 3, com quatro repetições, sendo considerada uma planta por parcela experimental. Os tratamentos foram compostos por três condutividades elétricas da água de irrigação - CEa (0,5; 2,75 e 5,0 dS m-1) e três concentrações de melatonina (0; 0,5 e 1,0 mM). Foram avaliadas a altura de plantas, diâmetro do caule, número de folhas, área foliar, massa seca de folhas, pecíolos e raízes, área foliar específica, razão de área foliar e razão de peso foliar. Além disso, foram analisados aspectos produtivios, como comprimento, diâmetro e peso fresco do bulbo. A aplicação exógena de melatonina reduz os efeitos deletérios do estresse salino no crescimento e aspectos produtivos em plantas de rabanete. A aplicação de melatonina na dose de 0,5 mM é a mais indicada para mitigar os efeitos do estresse salino até o nível de 2,5 dS m-1. O uso da melatonina abre novas perspectivas para o desenvolvimento de estratégias de manejo destinadas a otimizar o crescimento e proteger a cultura do rabanete em condições de salinidade. Assim vegetais casualizados repetições experimental 05 0 5 (0,5 275 2 75 2,7 50 5, m1 m 1 m-1 (0 0, 10 1, mM. . mM) caule folhas raízes específica disso produtivios comprimento bulbo 25 2, m1. 1. salinidade (0, 27 7 m- (

ABSTRACT High concentration of salts in the soil impacts the availability of water and nutrients essential for plant growth and physiology. Therefore, management strategies that can mitigate the negative effects of salt stress are necessary, such as the use of plant hormones. Thus, this study aimed to evaluate the effect of salt stress and the application of melatonin on the growth and production aspects of radish plants. The experiment was carried out in a randomized block design, in a 3 × 3 factorial scheme, with four replications, considering one plant per experimental plot. The treatments consisted of three electrical conductivities of irrigation water - ECw (0.5, 2.75, and 5.0 dS m-1) and three concentrations of melatonin (0, 0.5, and 1.0 mM). Growth variables were evaluated, namely plant height, stem diameter, number of leaves, leaf area, dry mass of leaves, petioles and roots, specific leaf area, leaf area ratio, and leaf weight ratio. In addition, production aspects were analyzed, namely bulb length, bulb diameter, and bulb fresh weight. Exogenous application of melatonin reduces the deleterious effects of salt stress on the growth and production aspects of radish plants. Application of melatonin at a dose of 0.5 mM is the most recommended to mitigate the effects of salt stress up to the level of 2.75 dS m-1. The use of melatonin opens new perspectives for the development of management strategies aimed at optimizing growth and protecting the radish crop under saline conditions. physiology Therefore necessary hormones Thus plants design scheme replications plot 05 0 5 (0.5 275 2 75 50 5. m1 m 1 m-1 0, (0 10 1. mM. . mM) evaluated height diameter leaves roots ratio addition analyzed length 0. 2.7 m1. conditions (0. 27 7 m- ( 2.

https://doi.org/10.1590/1807-1929/agriambi.v28n4e279006

14.

Correlation between nasal anatomical characteristics in newborns and short binasal prong dimensions
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Ribeiro, Débora F.C.

; Nakato, Adriane M.

; Hembecker, Paula K.

; Fernandes, Beatriz L.

; Nohama, Percy

Jornal de Pediatria

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apr 2024, Volume 100 N. 2 Pages 177 - 183

Abstract: En | Text: En | PDF: En

Abstract Objective: To correlate the nasal anatomical characteristics of newborns with the dimensions of short binasal prongs. Method: Observational, cross-sectional study carried out in two hospitals in southern Brazil. The authors evaluated 1620 newborns with neonatal data and nasal dimensions. To measure the dimensions of the nasal region, the authors considered the width of the medial columella, the right nostril diameter, and the left nostril diameter. These data were correlated with the dimensions of two models of short binasal prongs. Results: Of the total newborns evaluated, 807 were female (49.8%), and 813 were male (50.2%). The majority were white (96.2%). The mean gestational age was 37.4 ± 2.9 weeks, ranging from 22 to 42 weeks. The birth weight was 2946.8 ± 699.3 g, ranging from 490.0 to 4740.0 g. Most of the nasal measures were significantly larger than both prong model measurements. Conclusion: The sizes of short binasal prongs available on the Brazilian market do not match the nasal anatomical characteristics of newborns. Objective Method Observational crosssectional cross sectional Brazil 162 region columella diameter Results 80 49.8%, 498 49.8% , 49 8 (49.8%) 81 50.2%. 502 50.2% . 50 2 (50.2%) 96.2%. 962 96.2% 96 (96.2%) 374 37 4 37. 29 9 2. weeks 29468 2946 2946. 6993 699 3 699. g 4900 490 0 490. 47400 4740 4740. measurements Conclusion 16 49.8 (49.8% 50.2 5 (50.2% 96.2 (96.2% 294 69 474 1 49. (49.8 50. (50.2 96. (96.2 6 47 (49. (50. (96. (49 (50 (96 (4 (5 (9 (

https://doi.org/10.1016/j.jped.2023.09.007

15.

Infectious etiology and indicators of malabsorption or intestinal injury in childhood diarrhea
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Martins, Adson Santos

; Santos, Samara Alves

; Lisboa, Claudia Alves da Silva

; Barros, Tânia Fraga

; Ribeiro, Tereza Cristina Medrado

; Costa-Ribeiro Junior, Hugo da

; Mattos, Ângela Peixoto de

; Mendes, Patrícia Silva de Almeida

; Mendes, Carlos Maurício Cardeal

; Souza, Edna Lúcia

; Amor, Ana Lúcia Moreno

; Soares, Neci Matos

; Teixeira, Márcia Cristina Aquino

Biomédica

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mar 2024, Volume 44 N. 1 Pages 80 - 91

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract Introduction. The multifactorial etiology of gastroenteritis emphasizes the need for different laboratory methods to identify or exclude infectious agents and evaluate the severity of diarrheal disease. Objective. To diagnose the infectious etiology in diarrheic children and to evaluate some fecal markers associated with intestinal integrity. Materials and methods. The study group comprised 45 children with diarrheal disease, tested for enteropathogens and malabsorption markers, and 76 children whose feces were used for fat evaluation by the traditional and acid steatocrit tests. Results. We observed acute diarrhea in 80% of the children and persistent diarrhea in 20%. Of the diarrheic individuals analyzed, 40% were positive for enteropathogens, with rotavirus (13.3%) and Giardia duodenalis (11.1%) the most frequently diagnosed. Among the infected patients, occult blood was more evident in those carrying pathogenic bacteria (40%) and enteroviruses (40%), while steatorrhea was observed in infections by the protozoa G. duodenalis (35.7%). Children with diarrhea excreted significantly more lipids in feces than non-diarrheic children, as determined by the traditional (p<0.0003) and acid steatocrit (p<0.0001) methods. Moreover, the acid steatocrit method detected 16.7% more fecal fat than the traditional method. Conclusions. Childhood diarrhea can lead to increasingly severe nutrient deficiencies. Steatorrhea is the hallmark of malabsorption, and a stool test, such as the acid steatocrit, can be routinely used as a laboratory tool for the semi-quantitative evaluation of fat malabsorption in diarrheic children.

Resumen Introducción. La etiología multifactorial de la gastroenteritis enfatiza la necesidad de usar diferentes métodos de laboratorio para identificar o excluir agentes infecciosos y evaluar la gravedad de la enfermedad diarreica. Objetivo. Diagnosticar la etiología infecciosa de la diarrea en niños y evaluar algunos marcadores fecales asociados con la integridad intestinal. Materiales y métodos. Se estudiaron 45 niños con enfermedad diarreica, en los cuales se evaluaron la presencia de enteropatógenos y los marcadores de malabsorción. Se analizaron las muestras fecales de 76 niños, mediante las pruebas de esteatocrito tradicional y esteatocrito ácido, para la cuantificación de la grasa. Resultados. Se observó diarrea aguda en el 80 % de los niños y diarrea persistente en el 20 %. De los individuos con diarrea, el 40 % fue positivo para enteropatógenos; los más diagnosticados fueron rotavirus (13,3 %) y Giardia duodenalis (11,1 %). Entre los pacientes infectados, la sangre oculta fue más evidente en aquellos portadores de bacterias patógenas (40 %) o enterovirus (40%), mientras que la esteatorrea se observó en infecciones por el protozoo G. duodenalis (35,7 %). Los niños con diarrea excretaron significativamente más lípidos en las heces que aquellos sin diarrea, según lo determinado por los métodos de esteatocrito tradicional (p<0,0003) y esteatocrito ácido (p<0,0001). Conclusiones. La diarrea infantil puede provocar deficiencias graves de nutrientes. La esteatorrea es distintiva de la malabsorción intestinal y puede detectarse mediante la estimación del esteatocrito ácido. Esta prueba podría utilizarse de forma rutinaria como una herramienta de laboratorio para la evaluación semicuantitativa de la malabsorción de grasas en niños con diarrea.

https://doi.org/10.7705/biomedica.6913

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