Abstract In the county of Pedra Lavrada - PB, various mineral occurrences of pegmatite are observed with prominence at Alto Dois Irmãos - PB, where quartz, feldspar and mica are mined. The understanding of mineral constituents is fundamental to define their industrial employment and to implement improvements in the beneficiation process. The proposal of this research is the detailed characterization and proof of that part of the ore (quartz) considered waste, presenting low poisoning (Fe2O3) and high silica (SiO2) content, to enable its industrial use. Besides that, to minimize the environmental impact through the reuse of this waste, and to determine the correct utilization of the milling equipment. For the pegmatite characterization, done were density determination tests, mineralogical identification by X-ray diffraction (XRD), chemical analysis by fluorescents X-rays and morphological analysis by scanning electron microscopy (SEM/EDS). Then tests were done for the Work Index (WI) calculous and consequently the empirical determination of the dimensions (LxD) of the pebble mill. The sterile presented a medium density of 2.66g/cm³, majority chemical composition of silicon and oxygen and quartz as the main mineralogical stage, indicating that this material has high purity. The. The Work Index (WI) was 15.9 kwh/t showing that this material can be considered resistant to breaking in the grinding process. The necessary energy to the milling was defined in 11.52 kwh/st, that corresponds to 57.28 HP. This power allowed the mill selection with diammeter and length of 1.83m, that provides the production maximization and the energy saving.

ABSTRACT Managing electrical conductivity levels is one of the fundamentals required to obtain greater production and better quality of vegetables. The aim of this study was to evaluate the effect of electrical conductivity of the nutrient solution on the kohlrabi crop cultivated in semi-hydroponic system. A randomized block design was used with five treatments associated with the electrical conductivity of the nutrient solution (1.31, 1.71, 2.37, 2.98, and 3.75 dS m-1) and four replications. The plants were harvested 78 days after transplanting and evaluated for growth, production, and postharvest quality. Nutrient solution with electrical conductivity (EC) of 1.31 dS m-1 promotes greater production of purple kohlrabi. The increase in EC reduced linearly most of the analyzed variables (leaf area, fresh mass of leaves, bulb and shoot, dry mass of leaves and total, bulb volume and firmness), with more significant losses for the bulb fresh mass (50.54%) and bulb volume (57.37%) variables. The use of nutrient solution with EC between 2.3 and 2.9 dS m-1 increased the vitamin C content and the titratable acidity.

RESUMO O manejo dos níveis de condutividade elétrica é um dos fundamentos necessários para se obter maior produção e melhor qualidade de hortaliças. O objetivo deste trabalho foi avaliar o efeito da condutividade elétrica da solução nutritiva na cultura da couve-rábano cultivada em sistema semi-hidropônico. O delineamento experimental foi em blocos casualizados com cinco tratamentos associados à condutividade elétrica da solução nutritiva (1,31; 1,71; 2,37; 2,98 e 3,75 dS m-1) e quatro repetições. As plantas foram colhidas 78 dias após o transplante e avaliadas quanto ao crescimento, produção e qualidade pós-colheita. Solução nutritiva com condutividade elétrica (CE) de 1,31 dS m-1 proporciona maior produção de couve-rábano roxa. O aumento da CE reduziu linearmente a maioria das variáveis analisadas (área foliar, massa fresca de folhas, bulbos e parte aérea, massa seca de folhas e totais, volume e firmeza de bulbos), com perdas mais expressivas para as variáveis massa fresca de bulbos (50,54%) e volume de bulbos (57,37%). A utilização de solução nutritiva com CE entre 2,3 e 2,9 dS m-1 aumentou o teor de vitamina C e a acidez titulável.

Abstract In recent decades, there have been significant advances in the diagnosis of diffuse gliomas, driven by the integration of novel technologies. These advancements have deepened our understanding of tumor oncogenesis, enabling a more refined stratification of the biological behavior of these neoplasms. This progress culminated in the fifth edition of the WHO classification of central nervous system (CNS) tumors in 2021. This comprehensive review article aims to elucidate these advances within a multidisciplinary framework, contextualized within the backdrop of the new classification. This article will explore morphologic pathology and molecular/genetics techniques (immunohistochemistry, genetic sequencing, and methylation profiling), which are pivotal in diagnosis, besides the correlation of structural neuroimaging radiophenotypes to pathology and genetics. It briefly reviews the usefulness of tractography and functional neuroimaging in surgical planning. Additionally, the article addresses the value of other functional imaging techniques such as perfusion MRI, spectroscopy, and nuclear medicine in distinguishing tumor progression from treatment-related changes. Furthermore, it discusses the advantages of evolving diagnostic techniques in classifying these tumors, as well as their limitations in terms of availability and utilization. Moreover, the expanding domains of data processing, artificial intelligence, radiomics, and radiogenomics hold great promise and may soon exert a substantial influence on glioma diagnosis. These innovative technologies have the potential to revolutionize our approach to these tumors. Ultimately, this review underscores the fundamental importance of multidisciplinary collaboration in employing recent diagnostic advancements, thereby hoping to translate them into improved quality of life and extended survival for glioma patients.

Resumo Nas últimas décadas, houve avanços significativos no diagnóstico de gliomas difusos, impulsionados pela integração de novas tecnologias. Esses avanços aprofundaram nossa compreensão da oncogênese tumoral, permitindo uma estratificação mais refinada do comportamento biológico dessas neoplasias. Esse progresso culminou na quinta edição da classificação da OMS de tumores do sistema nervoso central (SNC) em 2021. Esta revisão abrangente tem como objetivo elucidar esses avanços de forma multidisciplinar, no contexto da nova classificação. Este artigo irá explorar a patologia morfológica e as técnicas moleculares/genéticas (imuno-histoquímica, sequenciamento genético e perfil de metilação), que são fundamentais no diagnóstico, além da correlação dos radiofenótipos da neuroimagem estrutural com a patologia e a genética. Aborda sucintamente a utilidade da tractografia e da neuroimagem funcional no planejamento cirúrgico. Destacaremos o valor de outras técnicas de imagem funcional, como ressonância magnética de perfusão, espectroscopia e medicina nuclear, na distinção entre a progressão do tumor e as alterações relacionadas ao tratamento. Discutiremos as vantagens das diferentes técnicas de diagnóstico na classificação desses tumores, bem como suas limitações em termos de disponibilidade e utilização. Além disso, os crescentes avanços no processamento de dados, inteligência artificial, radiômica e radiogenômica têm grande potencial e podem em breve exercer uma influência substancial no diagnóstico de gliomas. Essas tecnologias inovadoras têm o potencial de revolucionar nossa abordagem a esses tumores. Em última análise, esta revisão destaca a importância fundamental da colaboração multidisciplinar na utilização dos recentes avanços diagnósticos, com a esperança de traduzi-los em uma melhor qualidade de vida e uma maior sobrevida.

Abstract Objectives: To present and execute a protocol for the capture of 3D facial images using photogrammetry through the open access software Blender and its add-on OrtogOnBlender (OOB) and to evaluate the compatibility of the 3D meshes generated with Computed tomography (CT) of the sinuses. Methods: Individuals > 18 years old, candidates for Rhinoseptoplasty in a tertiary hospital, were submitted to a photographic session to perform the standardized protocol. In the session, divided into 3 phases, sequential photos were taken for processing the photogrammetry in the OOB and producing 3D meshes of the face. The photogrammetry reconstructions were compared with the reference mesh of the soft tissue surface of the Sinus CT scan to assess compatibility between them. Results: 21 patients were included, 67% female. 3 photogrammetry meshes and 1 CT reference mesh were generated, which demonstrated matching compatibility, as most of the mean distances between cloud points were <1.48mm. Phase 3 of the session with the highest number of photos (54.36 ± 15.05) generated the most satisfactory mesh with the best resolution. Conclusions: The proposed protocol is reproducible and feasible in clinical practice, generated satisfactory 3D meshes of the face, being a potential tool for surgical planning and comparison of results. For the implementation of photogrammetry for use in 3D anthropometry, it is necessary to validate this method. Level of evidence: 3. OCEBM Levels of Evidence Working Group.1 The Oxford 2011 Levels of Evidence. Oxford Centre for Evidence-Based Medicine. http://www.cebm.net/index.aspx?o=5653

ABSTRACT Lettuce is a leafy vegetable sensitive to salinity, and under saline stress conditions it presents nutritional imbalance, mainly in calcium absorption. Thus, the objective was to evaluate the effect of enriching the nutrient solution with calcium nitrate in solutions prepared with saline water in the lettuce crop. A completely randomized design was used, with five treatments and four replicates. The treatments were represented by five nutrient solutions [S1 - standard nutrient solution (SNP); S2 - SNP + NaCl (3.5 dS m-1); S3 - S2 + Ca (NO3)2 (50% = 6.86 mmol L-1); S4 - S2 + Ca(NO3)2 (100% = 9.15 mmol L-1); S5 - S2 + Ca(NO3)2 (150% = 11.43 mmol L-1)] in lettuce from the curly group, cv. Elba. After preparing the nutrient solutions, the solutions had the following electrical conductivities: 1.8 (S1); 4.8 (S2); 5.4 (S3); 6.0 (S4); 6.6 (S5) dS m-1. Variables of growth, nutrition and postharvest quality of lettuce were evaluated. With the exception of stem diameter, number of total leaves, plant pH and vitamin C content, the other variables were affected by the extra addition of Ca(NO3)2 in the nutrient solutions. The lettuce cv Elba grown in coconut fiber is tolerant to the salinity of 4.8 dS m-1 (S2). In conditions where the use of saline water with 3.5 dS m-1 for the preparation of the nutrient solution is unavoidable, the use of extra doses of Ca(NO3)2 in the lettuce crop is not recommended.

RESUMO A alface é uma hortaliça folhosa sensível à salinidade, e em condições de estresse salino apresenta crescimento reduzido e desequilíbrio nutricional, principalmente na absorção de cálcio. Assim, objetivou-se avaliar o efeito do enriquecimento da solução nutritiva com nitrato de cálcio em soluções preparadas com água salina na cultura da alface. Utilizou-se o delineamento inteiramente casualizado, com cinco tratamentos e quatro repetições. Os tratamentos foram representados por cinco soluções nutritivas [S1 - solução nutritiva padrão (SNP); S2 - SNP + NaCl (3,5 dS m-1); S3 - S2 + Ca(NO3)2 (50% = 6,86 mmol L-1); S4 - S2 + Ca(NO3)2 (100% = 9,15 mmol L-1); S5 - S2 + Ca (NO3)2 (150% = 11,43 mmol L-1)] em alface do grupo crespa, cv. Elba. Após o preparo das soluções nutritivas, as soluções apresentaram as seguintes condutividades elétricas: 1,8 (S1); 4,8 (S2); 5,4 (S3); 6,0 (S4); 6,6 (S5) dS m-1. Foram avaliadas variáveis de crescimento, nutrição e qualidade pós-colheita da alface. Com exceção do diâmetro do caule, número de folhas totais, pH da planta e teor de vitamina C, as demais variáveis foram afetadas pela adição extra de Ca(NO3)2 nas soluções nutritivas. A alface cv. Elba cultivada em fibra de coco é tolerante à salinidade de 4,8 dS m-1 (S2). Em condições onde o uso de água salina com 3,5 dS m-1 para o preparo da solução nutritiva é inevitável, não é recomendado o uso de doses extras de Ca(NO3)2 na cultura da alface.

ABSTRACT The use of biostimulants in second-crop maize (Zea mays) can promote higher physiological activity in plants, resulting in higher grain yield. This study aimed to evaluate the effects of phytohormones and nicotinamide on growth and yield traits of second-crop maize. The statistical design used was a randomized block design arranged in a factorial scheme with two doses of phytohormones (0 and 500 mL ha-1) × five concentrations of nicotinamide (0, 200, 400, 600, and 800 mg L-1) with four replications. The use of biostimulants favored all variables evaluated for the maize crop. The isolated use of phytohormones and nicotinamide promoted grain yields of 6089.6 and 6242.5 kg ha-1, respectively, representing gains of 6.0 and 11.6%, respectively, compared with the control. The application of 800 mg L-1 nicotinamide resulted in the highest maize grain yield. The use of phytohormones and nicotinamide, isolated or associated, was favorable for the growth characteristics and grain yield of second-crop maize. A synergistic effect was noted between phytohormones and nicotinamide on the first ear insertion height and number of rows per ear.

RESUMO O uso de bioestimulantes no milho segunda safra (Zea mays) pode promover maior atividade fisiológica das plantas, resultando em maior produtividade de grãos. Assim, este trabalho teve como objetivo avaliar as características de crescimento e produtividade do milho segunda safra sob aplicação de fitormônios e nicotinamida. O delineamento estatístico utilizado foi em blocos casualizados dispostos em esquema fatorial com 2 doses de fitohormônios (0 e 500 mL ha-1) × 5 concentrações de nicotinamida (0, 200, 400, 600 e 800 mg L-1) com quatro repetições. O uso dos dois bioestimulantes favoreceu todas as variáveis avaliadas para a cultura do milho. O uso isolado de fitormônios e nicotinamida promoveu produtividades de grãos de 6.089,6 e 6.242,5 kg ha-1, representando respectivamente, ganhos de 6,0 e 11,6%, em relação à testemunha. A aplicação de 800 mg L-1 de nicotinamida proporcionou maior produtividade de grãos de milho. O uso de fitohormônios e nicotinamida, isolados ou associados, foram favoráveis às características de crescimento e produtividade do milho segunda safra. Houve efeito sinérgico de fitormônios e nicotinamida para altura de inserção da primeira espiga e o número de fileiras por espiga.

Abstract Purpose This study aims to understand customer’s assessments of neighborhood stores during the COVID-19 pandemic through the influence of in-store environmental factors on patronage intention. Design/methodology/approach Online survey with 528 participants about the last shopping trip in neighborhood retail. The authors performed data analysis using structural equation modeling techniques. Findings High-perceived spatial crowding negatively influences shopping experience value perceptions, while human crowding influences patronage intentions through increased perceived hedonic value. Research limitations/implications Results suggest that purchase experience at well-known neighborhood stores during a sanitary crisis is becoming less convenience-oriented and a substitute for leisure activities due to social distancing. Practical implications The findings elucidate the social function of neighborhood convenience retailing during the COVID-19 pandemic. The results emphasize that a pleasant shopping experience arising from a good relationship with shopkeepers and other customers is more influential on patronage intention than a good product assortment and store layout. Social implications This paper contributes to the survival of small neighborhood businesses during the financial crisis installed due to Covid-19 by helping businesses become more attractive to their consumers and competitive in the new context. Originality/value The combined context of the health crisis due to COVID-19 and neighborhood retail of an emerging country raises the need for tests to better understand established marketing theories. Based on this rationale, this work intends to replicate and extend selected previous findings to the new environment dictated by the pandemic.

Abstract Objective To evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on the care of patients with miscarriage and legal termination of pregnancy in a university hospital in Brazil. Methods A cross-sectional study of women admitted for abortion due to any cause at Hospital da Mulher Prof. Dr. J. A. Pinotti of Universidade Estadual de Campinas (UNICAMP), Brazil, between July 2017 and September 2021. Dependent variables were abortion-related complications and legal interruption of pregnancy. Independent variables were prepandemic period (until February 2020) and pandemic period (from March 2020). The Cochran-Armitage test, Chi-squared test, Mann-Whitney test, and multiple logistic regression were used for statistical analysis. Results Five-hundred sixty-one women were included, 376 during the prepandemic period and 185 in the pandemic period. Most patients during pandemic were single, without comorbidities, had unplanned pregnancy, and chose to initiate contraceptive method after hospital discharge. There was no significant tendency toward changes in the number of legal interruptions or complications. Complications were associated to failure of the contraceptive method (odds ratio [OR] 2.44; 95% confidence interval [CI] 1.23–4.84), gestational age (OR 1.126; 95% CI 1.039–1.219), and preparation of the uterine cervix with misoprostol (OR 1.99; 95% CI 1.01–3.96). Conclusion There were no significant differences in duration of symptoms, transportation to the hospital, or tendency of reducing the number of legal abortions and increasing complications. The patients’ profile probably reflects the impact of the pandemic on family planning.

Resumo Objetivo Avaliar o impacto da pandemia de coronavirus disease 2019 (Covid-19) no atendimento de pacientes com aborto espontâneo e interrupção legal da gravidez em um hospital universitário no Brasil. Métodos Estudo transversal com mulheres admitidas por aborto por qualquer causa no Hospital da Mulher Prof. Dr. J. A. Pinotti da Universidade de Campinas (UNICAMP), Brasil, entre julho de 2017 e setembro de 2021. As variáveis dependentes foram complicações relacionadas ao aborto e interrupção legal da gravidez. As variáveis independentes foram período pré-pandemia (até fevereiro de 2020) e período pandêmico (a partir de março de 2020). O teste de Cochran-Armitage, teste do qui-quadrado, teste de Mann-Whitney e regressão logística múltipla foram utilizados para análise estatística. Resultados Foram incluídas 561 mulheres, 376 no período pré-pandemia e 185 no período pandêmico. A maioria das pacientes durante a pandemia era solteira, sem comorbidades, teve gravidez não planejada e optou por iniciar método anticoncepcional após a alta hospitalar. Não houve tendência significativa para mudanças no número de interrupções legais ou complicações. As complicações foram associadas a: falha do método contraceptivo (razão de chances [RC] 2,44; intervalo de confiança [IC] 95% 1,23–4,84), idade gestacional (RC 1,126; IC 95% 1,039–1,219) e preparo do colo uterino com misoprostol (RC 1,99; IC 95% 1,01–3,96). Conclusão Não houve diferenças significativas na duração dos sintomas, transporte ao hospital ou tendência de redução do número de abortos legais e aumento de complicações. O perfil das pacientes provavelmente reflete o impacto da pandemia no planejamento familiar.

Considering the relevance of natural products to the development of new drugs, this study focuses on the species Sida rhombifolia (L.), Malvaceae, widely used as a traditional remedy in several countries. The species is used to treat several diseases such as fevers, skin diseases, stomach pain, diarrhea, gum infection, conjunctivitis, urinary infections and inflammation. Many researchers around the word have investigated its pharmacological potential, and many uses have been confirmed. In spite of that, the phytochemical composition of its extracts is still poorly investigated. This research aims to make advances on the understanding of the constituents of S. rhombifolia identifying its alkaloidal compounds using ultra-high performance liquid chromatography coupled to mass spectrometry (UPLC-QTOF-MS/MS). By analyzing its alkaloidal fraction, it was possible to identify: 11-cryptolepine carboxylic acid (1), cryptolepine (2), quindoline (3), 11 methoxyquidoline (4), quindolinone (5), cryptolepinone (6), and 11-quindoline methyl ester (7). The alkaloids 1 and 7 are being reported for the first time from Sida genus. Based on the antimicrobial potential of cryptolepinone-type alkaloids, we prepared by semi-synthesis two cryptolepinone derivatives: 10-methylcryptolepinone (8) and the unreported compound 10-ethylcryptolepinone (9). Both derivatives were tested against fungal and bacterial strains and 10-methylcryptolepinone (8) showed strong activity against Cryptococcus neoformans, Candida albicans, Candida tropicalis, Aspergillus fumigatus and Aspergillus flavus.

Abstract The soymilk is a ready-to-eat, nutritious and naturally cholesterol-free product. Several soybean specialty cultivars were developed in Brazil in order to increase the human consumption of soybean products. The aim of this work was to evaluate the nutritional composition and consumer acceptance of soymilk from three soybean cultivars with special features such as high-protein and isoflavone contents, mild flavor and lipoxygenase-free compared to three conventional ones. The soymilk was obtained after blanching with a bicarbonate solution, grinding, centrifugation and pasteurization. The physicochemical and nutritional evaluation data were analyzed using Analysis of Variance (ANOVA) and Tukey’s test to check differences among means, and the consumer data through cluster analysis and internal preference mapping. The lipoxygenases were inactivated after thermal processing. There were significant differences among soybean cultivars and soymilks related to the protein, isoflavones, oil, and sugar contents and soymilk yield (p < 0.05). The BRS 133 and BRS 284 cultivars and soymilks presented the highest total isoflavone content (p < 0.05). Regarding the overall consumer acceptance, there were significant differences among cultivars (p < 0.05) with means ranging from 5.9 to 6.7 and the lower score was obtained by BRS 267. However, the cluster analysis identified three consumer segments according to preference similarity. The cultivars BRS 284 and BRS 267 reached the highest mean among the consumers of segment 1 (6.8 and 6.7 respectively). The consumers of segment 2 preferred the cultivar without lipoxygenases, BRS 213 (mean of 7.5) while segment 3 preferred the BRS 133 (mean of 7.4). The process of blanching of soybean with bicarbonate solution, grinding with boiling water and pasteurization mitigated the differences between conventional and specialty cultivars and the six cultivars evaluated were suitable for soymilk production.

Resumo O extrato de soja é um produto pronto para o consumo, nutritivo e naturalmente livre de colesterol. Diversas cultivares especiais de soja foram desenvolvidas no Brasil com o objetivo de aumentar o consumo humano de produtos derivados da soja. O objetivo deste trabalho foi avaliar a composição nutricional e a aceitação pelo consumidor do extrato de soja de três cultivares de soja com características especiais, como alto teor de proteínas e isoflavonas, sabor suave e livre de lipoxigenases, em relação a três cultivares convencionais. O extrato de soja foi obtido após branqueamento com solução de bicarbonato, trituração, centrifugação e pasteurização. Os resultados foram analisados por meio do teste de Anova e Tukey, para verificar diferenças entre as médias, e os dados do consumidor, por meio de análise de agrupamento e mapa de preferência interno. As lipoxigenases foram inativadas após o processamento térmico. Houve diferenças significativas entre as cultivares de soja e os extratos obtidos em relação aos teores de proteína, isoflavonas, lipídios e açúcares, e para o rendimento de extrato (p < 0,05). As cultivares BRS 133 e BRS 284 apresentaram o maior teor de isoflavonas totais (p < 0,05). Em relação à aceitação geral pelo consumidor, houve diferenças significativas entre as cultivares (p < 0,05), sendo que a menor média foi obtida por BRS 267. No entanto, a análise de cluster identificou três segmentos de consumidores de acordo com a similaridade de preferência. As cultivares BRS 284 e BRS 267 alcançaram a maior média entre os consumidores do segmento 1 (6,8 e 6,7, respectivamente). Os consumidores do segmento 2 preferiram a cultivar sem lipoxigenases, BRS 213 (média de 7,5), enquanto o segmento 3 preferiu a BRS 133 (média de 7,4). O processo de branqueamento da soja com solução de bicarbonato, trituração com água quente e pasteurização atenuou as diferenças entre as cultivares convencionais e especiais, e as seis cultivares avaliadas foram adequadas para a produção de extrato de soja.

Abstract The effects of onion and its by-products on metabolic changes induced by excessive consumption of a high fat diet have been the focus of many studies. The aim of this study was to systematically review the effects of onion and its by-products antioxidant, anti-inflammatory and anti-obesity in rats exposed to a high-fat diet. Five databases were used: Pubmed, EMBASE, Science Direct, Web of science and Scopus until June 2020 updated December 1, 2022. Research of the articles was carried out by two reviewers, searching and selecting studies after an initial reading of the titles and abstracts. In total, 2,448 papers were found and, after assessing against the inclusion and exclusion criteria, 18 papers were selected for this review. The findings of this review show the beneficial effects of onion and its by-products on inflammatory parameters, obesity, cardiovascular disease, thermogenesis and hepatic alterations generally associated with the consumption of a high-fat diet.

Resumo Os efeitos da cebola e seus subprodutos nas alterações metabólicas induzidas pelo consumo excessivo de uma dieta rica em gordura têm sido foco de muitos estudos. O objetivo deste estudo foi revisar sistematicamente os efeitos da cebola e seus subprodutos antioxidantes, anti-inflamatórios e anti-obesidade em ratos expostos a uma dieta hiperlipídica. Foram utilizadas cinco bases de dados: Pubmed, EMBASE, Science Direct, Web of science e Scopus até junho de 2020, atualizado em 01 de dezembro de 2022. A pesquisa dos artigos foi realizada por dois revisores, buscando e selecionando os estudos após leitura inicial dos títulos e resumos. No total, 2.448 artigos foram encontrados e, após avaliação de acordo com os critérios de inclusão e exclusão, 18 artigos foram selecionados para esta revisão. Os achados desta revisão mostram os efeitos benéficos da cebola e seus subprodutos sobre parâmetros inflamatórios, obesidade, doenças cardiovasculares, termogênese e alterações hepáticas geralmente associadas ao consumo de uma dieta hiperlipídica.

Abstract Introduction Coronary artery bypass grafting (CABG) surgery is associated with a decline in ventilatory muscle strength and lung function. Inspiratory muscle training (IMT) based on anaerobic threshold (AT) has been used to minimize the impact of CABG on these parameters, but the long-term impact is unknown. Objective To test the hypothesis that AT-based IMT improves inspiratory muscle strength and lung function even six months after CABG. Methods This is a randomized controlled clinical trial. In the preoperative period, maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP), vital capacity (VC) and peak expiratory flow (PEF) rate were assessed. On the first postoperative day, patients were randomized into two groups: AT-based IMT (IMT-AT) (n=21) where the load was prescribed based on glycemic threshold and conventional IMT (IMT-C) (n=21), with load of 40% of MIP. Patients were trained during hospitalization until the day of discharge and were assessed at discharge and six months later. For within-group comparison, paired Student's t-test or Wilcoxon test was used, and independent Student's t-test or the Mann-Whitney test was used to analyze the different time points. A p<0.05 was considered significant. Results At six months after CABG surgery, statistical difference was found between the IMT-AT and the IMT-C groups in MIP (difference between the means of -5cmH2; 95% CI=- 8.21to-1.79) and VC (difference between the means of -2ml/kg;95%CI=-3.87to-0.13). No difference was found between groups in the other variables analyzed. Conclusion IMT-AT promoted greater recovery of inspiratory muscle strength and VC after six months of CABG when compared to conventional training.

ABSTRACT The effect of using natural growth promoters (NGP) to replace traditional antimicrobials on performance, biometry of digestive and reproductive organs, sexual maturity and bone characteristics of replacement pullets was evaluated; and the relationship between these variables according to the diets was verified. Eight-week-old birds were randomly assigned to a completely randomized design and fed different diets: negative control (without growth promoters); positive control - conventional growth promoter; organic acids (OA); symbiotic (S); essential oil (EO); OA + S; and EO + S. The performance, relative weight of digestive and reproductive organs and length intestines, height and crest length, sternum length, bone quality and sexual maturity of birds were similar (p>0.05) between treatments. The heat map combined with cluster analysis showed a uniform static pattern with the formation of three horizontal groups formed by the treatments: 1) negative control, S and OA + S; 2) positive control and OE and 3) OA and OE + S. A null relationship between the treatments and the variables under study was observed. The principal components analysis revealed an association of variables in three components with 60.55% of variation. NGP can replace traditional promoters, as they do not interfere with performance, biometrics or sexual maturity. Height and length are predictive variables for the development of reproductive organs, especially the oviduct. A similarity was identified through multivariate techniques between symbiotic and organic + symbiotic acids; positive control and essential oils; and organic and symbiotic acids + essential oils.

Abstract Venous thromboembolism is a complex multifactorial disease considered the most common cause of preventable deaths in hospitalized patients. Recommendations about pharmacological venous thromboembolism prophylaxis in adult hospitalized patients are available in clinical practice guidelines for optimization of healthcare delivery and improvement of patient outcomes. We conducted a systematic review of clinical practice guidelines using ADAPTE to synthesize recommendations for pharmacological prophylaxis of venous thromboembolism in hospitalized medical patients at a medium complexity university hospital. Recommendations for pharmacological prophylaxis were extracted from seven clinical practice guidelines considered of high quality after assessment with the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument. These recommendations will support discussion with specialists and implementation of practices in the setting of the hospital studied.

Resumo O tromboembolismo venoso é uma doença multifatorial complexa, considerada uma causa comum de óbitos evitáveis em pacientes hospitalizados. Recomendações sobre profilaxia farmacológica de tromboembolismo venoso em pacientes adultos hospitalizados estão disponíveis em diretrizes clínicas para otimizar os cuidados à saúde e contribuir com a melhora do desfecho do paciente. Dessa forma, foi conduzida uma revisão sistemática de diretrizes clínicas utilizando a metodologia ADAPTE para sintetizar as recomendações para profilaxia farmacológica de tromboembolismo venoso em pacientes clínicos adultos hospitalizados em um hospital universitário de média complexidade. As recomendações para profilaxia farmacológica foram extraídas de sete diretrizes clínicas consideradas de alta qualidade após avaliação pelo Appraisal of Guidelines for Research and Evaluation (AGREE II). Essas recomendações servirão de apoio para discussão com especialistas e implementação de práticas dentro do contexto do hospital estudado.

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

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