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Abstract Objective: To describe fluid resuscitation practices in Brazilian intensive care units and to compare them with those of other countries participating in the Fluid-TRIPS. Methods: This was a prospective, international, cross-sectional, observational study in a convenience sample of intensive care units in 27 countries (including Brazil) using the Fluid-TRIPS database compiled in 2014. We described the patterns of fluid resuscitation use in Brazil compared with those in other countries and identified the factors associated with fluid choice. Results: On the study day, 3,214 patients in Brazil and 3,493 patients in other countries were included, of whom 16.1% and 26.8% (p < 0.001) received fluids, respectively. The main indication for fluid resuscitation was impaired perfusion and/or low cardiac output (Brazil: 71.7% versus other countries: 56.4%, p < 0.001). In Brazil, the percentage of patients receiving crystalloid solutions was higher (97.7% versus 76.8%, p < 0.001), and 0.9% sodium chloride was the most commonly used crystalloid (62.5% versus 27.1%, p < 0.001). The multivariable analysis suggested that the albumin levels were associated with the use of both crystalloids and colloids, whereas the type of fluid prescriber was associated with crystalloid use only. Conclusion: Our results suggest that crystalloids are more frequently used than colloids for fluid resuscitation in Brazil, and this discrepancy in frequencies is higher than that in other countries. Sodium chloride (0.9%) was the crystalloid most commonly prescribed. Serum albumin levels and the type of fluid prescriber were the factors associated with the choice of crystalloids or colloids for fluid resuscitation.

RESUMO Objetivo: Descrever as práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras e compará-las com as de outros países participantes do estudo Fluid-TRIPS. Métodos: Este foi um estudo observacional transversal, prospectivo e internacional, de uma amostra de conveniência de unidades de terapia intensiva de 27 países (inclusive o Brasil), com utilização da base de dados Fluid-TRIPS compilada em 2014. Descrevemos os padrões de ressuscitação volêmica utilizados no Brasil em comparação com os de outros países e identificamos os fatores associados com a escolha dos fluidos. Resultados: No dia do estudo, foram incluídos 3.214 pacientes do Brasil e 3.493 pacientes de outros países, dos quais, respectivamente, 16,1% e 26,8% (p < 0,001) receberam fluidos. A principal indicação para ressuscitação volêmica foi comprometimento da perfusão e/ou baixo débito cardíaco (Brasil 71,7% versus outros países 56,4%; p < 0,001). No Brasil, a percentagem de pacientes que receberam soluções cristaloides foi mais elevada (97,7% versus 76,8%; p < 0,001), e solução de cloreto de sódio a 0,9% foi o cristaloide mais comumente utilizado (62,5% versus 27,1%; p < 0,001). A análise multivariada sugeriu que os níveis de albumina se associaram com o uso tanto de cristaloides quanto de coloides, enquanto o tipo de prescritor dos fluidos se associou apenas com o uso de cristaloides. Conclusão: Nossos resultados sugerem que cristaloides são usados mais frequentemente do que coloides para ressuscitação no Brasil, e essa discrepância, em termos de frequências, é mais elevada do que em outros países. A solução de cloreto de sódio 0,9% foi o cristaloide mais frequentemente prescrito. Os níveis de albumina sérica e o tipo de prescritor de fluidos foram os fatores associados com a escolha de cristaloides ou coloides para a prescrição de fluidos.

https://doi.org/10.5935/0103-507x.20210028

Insecticidal potential of physic nut fruits of different stages of maturation on Myzus persicae (Hemiptera: Aphididae)
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Holtz, Anderson Mathias

; Marinho-Prado, Jeanne Scardini

; Cofler, Tatiane Pereira

; Mamedes Piffer, Ana Beatriz

; Gomes, Mylena da Silva

; Borghi Neto, Vergilio

Idesia (Arica)

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2021, Volume 39 N. 1 Pages 93 - 99

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

ABSTRACT Jatropha curcas L. (Euphorbiaceae) is a plant species widely present in tropical and subtropical regions that have been studied mainly for its potential for biofuel production; it is also a plant known for its toxic substances. To explore its use as an insecticide, we studied the effect of the seed extract from green fruit and the seed oils from the mature and dried fruit of J. curcas on the green aphid Myzus persicae (Hemiptera: Aphididae). Seven concentrations of extracts and oils of different maturation stages of fruits were used and sprayed with the Potter Spray Tower on cabbage leaves containing 10 individuals of M. persicae. Ten repetitions for each concentration were carried out at each stage of maturation (green, ripe, and dry), and the evaluation of the mortality of individuals occurred for a period of 72 hours. The maturation stage of J. curcas, as well as the concentration and time after the application, influenced the mortality of M. persicae. The best results were obtained 48h after applying the dried fruit oil at 2.5% and 72 hours after the application of dry and ripe fruit oil at 2.5%.

RESUMEN La Jatropha curcas L. (Euphorbiaceae) es una especie vegetal, ampliamente presente en regiones tropicales y subtropicales, que ha sido estudiada principalmente por su potencial para la producción de biocombustibles. Pero también es una planta conocida por sus sustancias tóxicas. Para verificar su uso como insecticida, estudiamos el efecto del extracto de semillas de frutos verdes y aceites de semillas de frutos maduros y secos de J. curcas sobre el pulgón verde Myzus persicae (Hemiptera: Aphididae). Siete soluciones, en diferentes concentraciones de los extractos y aceites, fueron utilizadas y pulverizadas con la Torre de Pulverización de Potter en hojas de repollo, con 10 individuos de M. persicae cada una. Se realizaron diez repeticiones para cada concentración en cada etapa de maduración (verde, maduro y seco) y la evaluación de la mortalidad de los individuos ocurrió en un período de 72 horas. El estadio de maduración de J. curcas, la concentración y el tiempo después de la aplicación influyeron la mortalidad de M. persicae. Los mejores resultados se obtuvieron 48 horas después de la aplicación del aceite de frutos secos a 2,5%, y 72 horas después del aceite de los frutos secos y maduros a 2,5%.

Characteristics and outcomes of patients with COVID-19 admitted to the ICU in a university hospital in São Paulo, Brazil - study protocol
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Ferreira, Juliana C.

; Ho, Yeh-Li

; Besen, Bruno A.M.P.

; Malbuisson, Luiz M.S.

; Taniguchi, Leandro U.

; Mendes, Pedro V.

; Costa, Eduardo L.V.

; Park, Marcelo

; Daltro-Oliveira, Renato

; Roepke, Roberta M.L.

; Silva Jr, João M.

; Carmona, Maria José C.

; Carvalho, Carlos Roberto Ribeiro

; Hirota, Adriana

; Kanasiro, Alberto Kendy

; Crescenzi, Alessandra

; Fernandes, Amanda Coelho

; Miethke-Morais, Anna

; Bellintani, Arthur Petrillo

; Canasiro, Artur Ribeiro

; Carneiro, Bárbara Vieira

; Zanbon, Beatriz Keiko

; Batista, Bernardo Pinheiro De Senna Nogueira

; Nicolao, Bianca Ruiz

; Besen, Bruno Adler Maccagnan Pinheiro

; Biselli, Bruno

; Macedo, Bruno Rocha De

; Toledo, Caio Machado Gomes De

; Pompilio, Carlos Eduardo

; Carvalho, Carlos Roberto Ribeiro De

; Mol, Caroline Gomes

; Stipanich, Cassio

; Bueno, Caue Gasparotto

; Garzillo, Cibele

; Tanaka, Clarice

; Forte, Daniel Neves

; Joelsons, Daniel

; Robira, Daniele

; Costa, Eduardo Leite Vieira

; Silva Júnior, Elson Mendes Da

; Regalio, Fabiane Aliotti

; Segura, Gabriela Cardoso

; Marcelino, Gustavo Brasil

; Louro, Giulia Sefrin

; Ho, Yeh-Li

; Ferreira, Isabela Argollo

; Gois, Jeison de Oliveira

; Silva Junior, Joao Manoel Da

; Reusing Junior, Jose Otto

; Ribeiro, Julia Fray

; Ferreira, Juliana Carvalho

; Galleti, Karine Vusberg

; Silva, Katia Regina

; Isensee, Larissa Padrao

; Oliveira, Larissa dos Santos

; Taniguchi, Leandro Utino

; Letaif, Leila Suemi

; Lima, Lígia Trombetta

; Park, Lucas Yongsoo

; Chaves Netto, Lucas

; Nobrega, Luciana Cassimiro

; Haddad, Luciana

; Hajjar, Ludhmila

; Malbouisson, Luiz Marcelo

; Pandolfi, Manuela Cristina Adsuara

; Park, Marcelo

; Carmona, Maria José Carvalho

; Andrade, Maria Castilho Prandini H De

; Santos, Mariana Moreira

; Bateloche, Matheus Pereira

; Suiama, Mayra Akimi

; Oliveira, Mayron Faria de

; Sousa, Mayson Laercio

; Louvaes, Michelle

; Huemer, Natassja

; Mendes, Pedro

; Lins, Paulo Ricardo Gessolo

; Santos, Pedro Gaspar Dos

; Moreira, Pedro Ferreira Paiva

; Guazzelli, Renata Mello

; Reis, Renato Batista Dos

; Oliveira, Renato Daltro De

; Roepke, Roberta Muriel Longo

; Pedro, Rodolpho Augusto De Moura

; Kondo, Rodrigo

; Rached, Samia Zahi

; Fonseca, Sergio Roberto Silveira Da

; Borges, Thais Sousa

; Ferreira, Thalissa

; Cobello Junior, Vilson

; Sales, Vivian Vieira Tenório

; Ferreira, Willaby Serafim Cassa

Clinics

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2020, Volume 75 elocation e2294

Abstract: En | Text: En | PDF: En

OBJECTIVES: We designed a cohort study to describe characteristics and outcomes of patients with coronavirus disease (COVID-19) admitted to the intensive care unit (ICU) in the largest public hospital in Sao Paulo, Brazil, as Latin America becomes the epicenter of the pandemic. METHODS: This is the protocol for a study being conducted at an academic hospital in Brazil with 300 adult ICU beds dedicated to COVID-19 patients. We will include adult patients admitted to the ICU with suspected or confirmed COVID-19 during the study period. The main outcome is ICU survival at 28 days. Data will be collected prospectively and retrospectively by trained investigators from the hospital’s electronic medical records, using an electronic data capture tool. We will collect data on demographics, comorbidities, severity of disease, and laboratorial test results at admission. Information on the need for advanced life support and ventilator parameters will be collected during ICU stay. Patients will be followed up for 28 days in the ICU and 60 days in the hospital. We will plot Kaplan-Meier curves to estimate ICU and hospital survival and perform survival analysis using the Cox proportional hazards model to identify the main risk factors for mortality. ClinicalTrials.gov: NCT04378582. RESULTS: We expect to include a large sample of patients with COVID-19 admitted to the ICU and to be able to provide data on admission characteristics, use of advanced life support, ICU survival at 28 days, and hospital survival at 60 days. CONCLUSIONS: This study will provide epidemiological data about critically ill patients with COVID-19 in Brazil, which could inform health policy and resource allocation in low- and middle-income countries.

https://doi.org/10.6061/clinics/2020/e2294

Flora das cangas da Serra dos Carajás, Pará, Brasil: Bignoniaceae
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Lohmann, Lúcia G.

; Firetti, Fabiana

; Gomes, Beatriz M.

Rodriguésia

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sep 2018, Volume 69 N. 3 Pages 1063 - 1079

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

Abstract This work is a floristic survey of the Bignoniaceae in canga vegetation of the Serra dos Carajás, Pará, Brazil. The family is represented in this region by 13 species distributed in eight genera: Amphilophium (2 spp.), Anemopaegma (2 spp.), Bignonia (1 sp.), Fridericia (3 spp.), Jacaranda (1 sp.), Lundia (1 sp.), Pachyptera (1 sp.), and Pleonotoma (2 spp.). We present descriptions, identification keys, illustrations and comments. A new species, Anemopaegma carajasense, is described and illustrated.

Resumo Este trabalho consiste no levantamento florístico das Bignoniaceae na vegetação de canga da Serra dos Carajás, Pará, Brasil. A família está representada na região por 13 espécies distribuídas em oito gêneros: Amphilophium (2 spp.), Anemopaegma (2 spp.), Bignonia (1 sp.), Fridericia (3 spp.), Jacaranda (1 sp.), Lundia (1 sp.), Pachyptera (1 sp.), e Pleonotoma (2 spp.). Apresentamos descrições, chaves para a identificação, ilustrações e comentários. Uma espécie nova, Anemopaegma carajasense, é descrita e ilustrada.

https://doi.org/10.1590/2175-7860201869313

Long-term follow-up of a female with congenital adrenal hyperplasia due to P450-oxidoreductase deficiency
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Bonamichi, Beatriz D. S. F.

; Santiago, Stella L. M.

; Bertola, Débora R.

; Kim, Chong A.

; Alonso, Nivaldo

; Mendonca, Berenice B.

; Bachega, Tania A. S. S.

; Gomes, Larissa G.

Archives of Endocrinology and Metabolism

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oct 2016, Volume 60 N. 5 Pages 500 - 504

Abstract: En | Text: En | PDF: En

SUMMARY P450 oxidoreductase deficiency (PORD) is a variant of congenital adrenal hyperplasia that is caused by POR gene mutations. The POR gene encodes a flavor protein that transfers electrons from nicotinamide adenine dinucleotide phosphate (NADPH) to all microsomal cytochrome P450 type II (including 21-hydroxylase, 17α-hydroxylase 17,20 lyase and aromatase), which is fundamental for their enzymatic activity. POR mutations cause variable impairments in steroidogenic enzyme activities that result in wide phenotypic variability ranging from 46,XX or 46,XY disorders of sexual differentiation, glucocorticoid deficiency, with or without skeletal malformations similar to Antley-Bixler syndrome to asymptomatic newborns diagnosed during neonatal screening test. Little is known about the PORD long-term evolution. We described a 46,XX patient with mild atypical genitalia associated with severe bone malformation, who was diagnosed after 13 years due to sexual infantilism. She developed large ovarian cysts and late onset adrenal insufficiency during follow-up, both of each regressed after hormone replacement therapies. We also described a late surgical approach for the correction of facial hypoplasia in a POR patient.

https://doi.org/10.1590/2359-3997000000213

I Diretriz sobre Aspectos Específicos de Diabetes (tipo 2) Relacionados à Cardiologia
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Soeiro, Alexandre de Matos

; Mansur, Antonio de Pádua

; Schaan, Beatriz D.

; Caramelli, Bruno

; Rochitte, Carlos Eduardo

; Serrano Jr., Carlos Vicente

; Garzillo, Cibele Larrosa

; Calderaro, Daniela

; Gualandro, Danielle M.

; Lima, Eduardo Gomes

; Marcondes-Braga, Fabiana G.

; Lima, Felipe Gallego

; Oliveira, Felipe Martins de

; Azevedo, Fernanda Reis

; Chauhan, Hiteshi

; Salles, João Eduardo Nunes

; Soares Junior, José

; Cardoso, Juliano Novaes

; Pellanda, Lucia Campos

; Sacilotto, Luciana

; Baracioli, Luciano

; Bortolotto, Luiz A.

; César, Luiz Antonio Machado

; Ochiai, Marcelo Eidi

; Minami, Marcio H.

; Pinheiro, Martina Battistini

; Moretti, Miguel Antonio

; Oliveira, Mucio Tavares de

; Rezende, Paulo Cury

; Lemos Neto, Pedro Alves

; Admoni, Sharon Nina

; Lottenberg, Simão Augusto

; Rocha, Viviane Z.

; Hueb, Whady

; Mathias Jr., Wilson

Arquivos Brasileiros de Cardiologia

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may 2014, Volume 102 N. 5 Pages 1 - 41

Abstract: En | Text: En | PDF: En

https://doi.org/10.5935/abc.2014S002

Identification of the bacterial community responsible for traditional fermentation during sour cassava starch, cachaça and minas cheese production using culture-independent 16s rRNA gene sequence analysis
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Lacerda, Inayara C. A.

; Gomes, Fátima C. O.

; Borelli, Beatriz M.

; Faria Jr, César L. L.

; Franco, Gloria R.

; Mourão, Marina M.

; Morais, Paula B.

; Rosa, Carlos A.

Brazilian Journal of Microbiology

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jun 2011, Volume 42 N. 2 Pages 650 - 657

Abstract: En | Text: En | PDF: En

We used a cultivation-independent, clone library-based 16S rRNA gene sequence analysis to identify bacterial communities present during traditional fermentation in sour cassava starch, cachaça and cheese production in Brazil. Partial 16S rRNA gene clone sequences from sour cassava starch samples collected on day five of the fermentation process indicated that Leuconostoc citreum was the most prevalent species, representing 47.6% of the clones. After 27 days of fermentation, clones (GenBank accession numbers GQ999786 and GQ999788) related to unculturable bacteria were the most prevalent, representing 43.8% of the clones from the bacterial community analyzed. The clone represented by the sequence GQ999786 was the most prevalent at the end of the fermentation period. The majority of clones obtained from cachaça samples during the fermentation of sugar cane juice were from the genus Lactobacillus. Lactobacillus nagelli was the most prevalent at the beginning of the fermentation process, representing 76.9% of the clones analyzed. After 21 days, Lactobacillus harbinensis was the most prevalent species, representing 75% of the total clones. At the end of the fermentation period, Lactobacillus buchneri was the most prevalent species, representing 57.9% of the total clones. In the Minas cheese samples, Lactococcus lactis was the most prevalent species after seven days of ripening. After 60 days of ripening, Streptococcus salivarius was the most prevalent species. Our data show that these three fermentation processes are conducted by a succession of bacterial species, of which lactic acid bacteria are the most prevalent.

https://doi.org/10.1590/S1517-83822011000200029

Avaliação no Ensino Médico: o papel do portfólio nos currículos baseados em metodologias ativas
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Gomes, Andréia Patrícia

; Arcuri, Mariana Beatriz

; Cristel, Etelka Czako

; Ribeiro, Regina Meireles

; Souza, Luciana M. Borges da Matta

; Siqueira-Batista, Rodrigo

Revista Brasileira de Educação Médica

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sep 2010, Volume 34 N. 3 Pages 390 - 396

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

Current changes in medical education related to transformations in contemporary democratic societies have increasingly posed issues pertaining to the evaluation of teaching-learning processes. New methods and strategies are thus needed to supplant the prevailing summative grading approach. The current article thus discusses elements to construct such a new approach to evaluation, highlighting the portfolio as an evaluation tool.

As atuais mudanças na educação médica - relacionadas às transformações em curso nas sociedades democráticas contemporâneas - têm colocado em questão, de modo cada vez mais incisivo, os aspectos relativos à avaliação dos processos de ensino-aprendizagem, cabendo a formulação de novos métodos/estratégias, capazes de ultrapassar a orientação somativa prevalecente na avaliação. Neste contexto, discutem-se, no presente artigo, elementos para a construção desta nova avaliação, destacando-se o uso do portfólio.

https://doi.org/10.1590/S0100-55022010000300008

10.

Identification of lactic acid bacteria associated with traditional cachaça fermentations
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Gomes, Fatima C. O.

; Silva, Carol L. C.

; Vianna, Cristina R.

; Lacerda, Inayara C. A.

; Borelli, Beatriz M.

; Nunes, Álvaro C.

; Franco, Gloria R.

; Mourão, Marina M.

; Rosa, Carlos A.

Brazilian Journal of Microbiology

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jun 2010, Volume 41 N. 2 Pages 486 - 492

Abstract: En | Text: En | PDF: En

During the production of traditional cachaça (alembic´s cachaça), contamination of the fermented must is one of the factors leading to economic losses in the beverage manufacturing industry. The diversity of bacterial populations and the role of these microorganisms during the cachaça production process are still poorly understood in Brazil. In our work, the fermentation process was followed in two distilleries located in the state of Minas Gerais. The objective of this work was to identify the populations of lactic acid bacteria present during cachaça fermentation using physiological and molecular methods. Lactic acid bacteria were isolated in high frequencies during all of the fermentative processes, and Lactobacillus plantarum and L. casei were the most prevalent species. Other lactic acid bacteria were found in minor frequencies, such as L. ferintoshensis, L. fermentum, L. jensenii, L. murinus, Lactococcus lactis, Enterococcus sp. and Weissella confusa. These bacteria could contribute to the increase of volatile acidity levels or to the production of compounds that could influence the taste and aroma of the beverage.

https://doi.org/10.1590/S1517-83822010000200031

11.

Avaliação do potencial de coberturas verdes e de sitemas de rotações de cultura na supressão do nematoide anelado (Mesocriconema xenoplax) em pré-plantio ao pessegueiro
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Gomes, Cesar Bauer

; Carvalho, Flávio Luiz Carpena

; Casagrande Júnior, João Guilherme

; Radmann, Elizete Beatriz

Revista Brasileira de Fruticultura

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mar 2010, Volume 32 N. 1 Pages 074 - 081

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

In a field naturally infested with ring nematode (Mesocriconema xenoplax), green covering were tested for their hostel in winter and summer crops comparing to plots kept in fallow lands. Tree crop rotation system with the same plant species (black oat/pig bean/ millet/forage radish; forage radish/ millet/white oat/corn; and white oat/mucuna deeringiana/wheat/sorghum) were evaluated for suppression potential to nematode M. xenoplax for two years, using as witness plots that were kept in fallow lands. The experiments were conducted in the field in a randomized block design with six repetitions. Before and after the establishment of each plot, the nematode populations were evaluated on the number of M. xenoplax/100cm³ of soil and the reproduction factor (RF= final population/initial population) of the ring nematode, where RF<1,00 showed suppression and RF> 1,00, favoring of the reproduction. Most of the crops analyzed were unfavorable host (RF<1,00) of M. xenoplax, except the mucuna deeringiana that behaved as favorable to the nematode reproduction. Although all treatments have removed M. xenoplax the crop rotations forage radish/ millet/white oat/corn and white oat/mucuna deeringiana/wheat/sorghum realized the largest reduction of the nematode in the soil (93-95%).It was noted a sharp decline in the M. xenoplax population in the first two crops, with later stabilization of its level, regardless of the studied system.

Em uma área naturalmente infestada com o nematoide anelado (Mesocriconema xenoplax), coberturas verdes foram testadas quanto a sua hospedabilidade, em cultivos de inverno e verão, comparativamente às parcelas mantidas sob pousio. Três sistemas de rotação de culturas, com as mesmas espécies vegetais (aveia-preta/feijão-de-porco/milheto/nabo-forrageiro; nabo-forrageiro/milheto/aveia-branca/milho, e aveia-branca/mucuna-anã/trigo/sorgo), foram avaliados quanto ao potencial supressor do nematóide de M. xenoplax por dois anos, utilizando-se, como testemunhas, de parcelas mantidas sob pousio e alqueive. Os experimentos foram conduzidos a campo, em blocos ao acaso, com seis repetições. Antes e após o estabelecimento de cada cultivo, as populações do nematoide foram avaliadas quanto ao número de M. xenoplax/100cm³ de solo e fator de reprodução (FR= população final/população inicial) do nematoide anelado, onde FR<1,00 indicou supressão e FR>1,00, favorecimento da reprodução. A maioria das culturas testadas foi hospedeira desfavorável (FR<1,00) de M. xenoplax, exceto a mucuna-anã, que se comportou como favorável à reprodução do nematóide. Embora todos os tratamentos tenham suprimido M. xenoplax, as rotações nabo-forrageiro/milheto/aveia-branca/milho e aveia-branca/mucuna/ trigo/sorgo prorcionaram as maiores reduções do nematoide no solo (93-95%). Constatou-se maior queda nas populações de M. xenoplax nos dois primeiros cultivos, com posterior estabilização de seus níveis, independentemente do sistema estudado.

https://doi.org/10.1590/S0100-29452010005000035

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