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Abstract Background Cardiovascular complications of COVID-19 are important aspects of the disease’s pathogenesis and prognosis. Evidence on the prognostic role of troponin and myocardial injury in Latin American hospitalized COVID-19 patients is still scarce. Objectives To evaluate myocardial injury as independent predictor of in-hospital mortality and invasive mechanical ventilation support in hospitalized patients, from the Brazilian COVID-19 Registry. Methods This cohort study is a substudy of the Brazilian COVID-19 Registry, conducted in 31 Brazilian hospitals of 17 cities, March-September 2020. Primary outcomes included in-hospital mortality and invasive mechanical ventilation support. Models for the primary outcomes were estimated by Poisson regression with robust variance, with statistical significance of p<0.05. Results Of 2,925 patients (median age of 60 years [48-71], 57.1% men), 27.3% presented myocardial injury. The proportion of patients with comorbidities was higher among patients with cardiac injury (median 2 [1-2] vs. 1 [0-2]). Patients with myocardial injury had higher median levels of brain natriuretic peptide, lactate dehydrogenase, creatine phosphokinase, N-terminal pro-brain natriuretic peptide, and C-reactive protein than patients without myocardial injury. As independent predictors, C-reactive protein and platelet counts were related to the risk of death, and neutrophils and platelet counts were related to the risk of invasive mechanical ventilation support. Patients with high troponin levels presented a higher risk of death (RR 2.03, 95% CI 1.60-2.58) and invasive mechanical ventilation support (RR 1.87, 95% CI 1.57-2.23), when compared to those with normal troponin levels. Conclusion Cardiac injury was an independent predictor of in-hospital mortality and the need for invasive mechanical ventilation support in hospitalized COVID-19 patients.

Resumo Fundamento As complicações cardiovasculares da COVID-19 são aspectos importantes da patogênese e do prognóstico da doença. Evidências do papel prognóstico da troponina e da lesão miocárdica em pacientes hospitalizados com COVID-19 na América Latina são ainda escassos. Objetivos Avaliar a lesão miocárdica como preditor independente de mortalidade hospitalar e suporte ventilatório mecânico em pacientes hospitalizados, do registro brasileiro de COVID-19. Métodos Este estudo coorte é um subestudo do registro brasileiro de COVID-19, conduzido em 31 hospitais brasileiros de 17 cidades, de março a setembro de 2020. Os desfechos primários incluíram mortalidade hospitalar e suporte ventilatório mecânico invasivo. Os modelos para os desfechos primários foram estimados por regressão de Poisson com variância robusta, com significância estatística de p<0,05. Resultados Dos 2925 pacientes [idade mediana de 60 anos (48-71), 57,1%], 27,3% apresentaram lesão miocárdica. A proporção de pacientes com comorbidades foi maior nos pacientes com lesão miocárdica [mediana 2 (1-2) vs. 1 (0-20)]. Os pacientes com lesão miocárdica apresentaram maiores valores medianos de peptídeo natriurético cerebral, lactato desidrogenase, creatina fosfoquinase, N-terminal do pró-peptídeo natriurético tipo B e proteína C reativa em comparação a pacientes sem lesão miocárdica. Como fatores independentes, proteína C reativa e contagem de plaquetas foram relacionados com o risco de morte, e neutrófilos e contagem de plaquetas foram relacionados ao risco de suporte ventilatório mecânico invasivo. Os pacientes com níveis elevados de troponina apresentaram um maior risco de morte (RR 2,03, IC95% 1,60-2,58) e suporte ventilatório mecânico (RR 1,87;IC95% 1,57-2,23), em comparação àqueles com níveis de troponina normais. Conclusão Lesão cardíaca foi um preditor independente de mortalidade hospitalar e necessidade de suporte ventilatório mecânico em pacientes hospitalizados com COVID-19.

https://doi.org/10.36660/abc.20220151

COVID-19 outcomes in people living with HIV: Peering through the waves
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Sales, Thaís Lorenna Souza

; Souza-Silva, Maíra Viana Rego

; Delfino-Pereira, Polianna

; Neves, João Victor Baroni

; Sacioto, Manuela Furtado

; Assis, Vivian Costa Morais de

; Duani, Helena

; Oliveira, Neimy Ramos de

; Sampaio, Natália da Cunha Severino

; Ramos, Lucas Emanuel Ferreira

; Schwarzbold, Alexandre Vargas

; Jorge, Alzira de Oliveira

; Scotton, Ana Luiza Bahia Alves

; Castro, Bruno Mateus de

; Silva, Carla Thais Cândida Alves da

; Ramos, Carolina Marques

; Anschau, Fernando

; Botoni, Fernando Antonio

; Grizende, Genna Maira Santos

; Nascimento, Guilherme Fagundes

; Ruschel, Karen Brasil

; Menezes, Luanna Silva Monteiro

; Castro, Luís César de

; Nasi, Luiz Antônio

; Carneiro, Marcelo

; Godoy, Mariana Frizzo de

; Nogueira, Matheus Carvalho Alves

; Guimarães Júnior, Milton Henriques

; Ziegelmann, Patricia Klarmann

; Almeida, Rafaela Charão de

; Francisco, Saionara Cristina

; Silveira Neto, Sidney Teodoro

; Araújo, Silvia Ferreira

; Avelino-Silva, Thiago Junqueira

; Aliberti, Márlon Juliano Romero

; Pires, Magda Carvalho

; Silva, Eduardo Sérgio da

; Marcolino, Milena Soriano

Clinics

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2023, Volume 78 elocation 100223

Abstract: En | Text: En | PDF: En

Abstract Objective To evaluate clinical characteristics and outcomes of COVID-19 patients infected with HIV, and to compare with a paired sample without HIV infection. Methods This is a substudy of a Brazilian multicentric cohort that comprised two periods (2020 and 2021). Data was obtained through the retrospective review of medical records. Primary outcomes were admission to the intensive care unit, invasive mechanical ventilation, and death. Patients with HIV and controls were matched for age, sex, number of comorbidities, and hospital of origin using the technique of propensity score matching (up to 4:1). They were compared using the Chi-Square or Fisher's Exact tests for categorical variables and the Wilcoxon for numerical variables. Results Throughout the study, 17,101 COVID-19 patients were hospitalized, and 130 (0.76%) of those were infected with HIV. The median age was 54 (IQR: 43.0;64.0) years in 2020 and 53 (IQR: 46.0;63.5) years in 2021, with a predominance of females in both periods. People Living with HIV (PLHIV) and their controls showed similar prevalence for admission to the ICU and invasive mechanical ventilation requirement in the two periods, with no significant differences. In 2020, in-hospital mortality was higher in the PLHIV compared to the controls (27.9% vs. 17.7%; p = 0.049), but there was no difference in mortality between groups in 2021 (25.0% vs. 25.1%; p > 0.999). Conclusions Our results reiterate that PLHIV were at higher risk of COVID-19 mortality in the early stages of the pandemic, however, this finding did not sustain in 2021, when the mortality rate is similar to the control group.

https://doi.org/10.1016/j.clinsp.2023.100223

Associações entre duração de sono e índices de massa gorda, muscular e corporal em adolescentes de São Luís, Maranhão, Brasil
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Santana, Karen das Graças Ferreira Passos

; Confortin, Susana Cararo

; Bragança, Maylla Luanna Barbosa Martins

; Batista, Rosângela Fernandes Lucena

; Santos, Iná da Silva dos

; Silva, Antônio Augusto Moura da

Cadernos de Saúde Pública

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2022, Volume 38 N. 3 elocation e00078721

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

O objetivo do estudo foi avaliar a associação entre duração de sono e composição corporal em adolescentes. Estudo transversal, com 1.269 adolescentes de 18 e 19 anos da coorte de nascimentos de 1997/1998 de São Luís, Maranhão, Brasil. A duração do sono foi avaliada a partir dos dados registrados por acelerometria. A composição corporal foi avaliada pelo o índice de massa gorda (IMG), índice de massa muscular (IMM) e índice de massa corporal (IMC). Os fatores de confusão foram identificados em gráfico acíclico direcionado no programa DAGitty 3.0. Foram realizadas análises descritivas para todas as variáveis e, posteriormente, regressão linear, com estimativa dos coeficientes de regressão brutos e ajustados, com os respectivos intervalos de 95% de confiança (IC95%). Nos adolescentes do sexo masculino, cada hora a mais de sono associou-se a reduções de 0,30kg/m2 do IMM (IC95%: -0,45; -0,15), de 0,26kg/m2 do IMG (IC95%: -0,48; -0,03) e 0,61kg/m2 do IMC (IC95%: -0,93; -0,30). Nas adolescentes, cada hora a mais de sono associou-se à redução de 0,22kg/m2 do IMM (IC95%: -0,36; -0,07). A maior duração do sono associou-se a menor IMM em ambos os sexos e menor IMG e IMC no sexo masculino, o que evidencia a importância de ter adequadas horas de sono para melhorar os índices de composição corporal.

The study aimed to assess the association between sleep duration and body composition in adolescents. A cross-sectional study was performed with 1,269 adolescents from the 1997/1998 birth cohort in São Luís, Maranhão State, Brazil, 18 and 19 years of age. Sleep duration was assessed with accelerometry data. Body composition was assessed with fat mass index (FMI), lean mass index (LMI), and body mass index (BMI). Confounding factors were identified in a directed acyclic graph in DAGitty 3.0. Descriptive analyses were performed for all variables, followed by linear regression, with estimation of crude and adjusted regression coefficient with respective 95% confidence intervals (95%CI). In adolescent boys, each additional hour of sleep was associated with reductions of 0.30kg/m2 in LMI (95%CI: -0.45; -0.15), 0.26kg/m2 in FMI (95%CI: -0.48; -0.03), and 0.61kg/m2 in BMI (95%CI: -0.93; -0.30). In adolescent girls, each additional hour of sleep was associated with a reduction of 0.22kg/m2 in LMI (95%CI: -0.36; -0.07). Longer duration of sleep was associated with lower LMI in both sexes and lower FMI and BMI in boys, evidencing the importance of adequate hours of sleep for improving body composition indices.

El objetivo fue evaluar la asociación entre duración del sueño y composición corporal en adolescentes. Estudio transversal, con 1.269 adolescentes de 18 y 19 años de la cohorte de nacimientos de 1997/1998 de São Luís, Maranhão, Brasil. La duración del sueño se evaluó a partir de los datos registrados por acelerometría. La composición corporal se evaluó por el índice de masa grasa (IMG), índice de masa muscular (IMM) e índice de masa corporal (IMC). Los factores de confusión se identificaron en un gráfico acíclico dirigido en el programa DAGitty 3.0. Se realizaron análisis descriptivos para todas las variables y, posteriormente, regresión lineal, con estimación de los coeficientes de regresión brutos y ajustados, con los respectivos intervalos de 95% de confianza (IC95%). En los adolescentes del sexo masculino, cada hora más de sueño se asoció con reducciones de 0,30kg/m2 del IMM (IC95%: -0,45; -0,15), de 0,26kg/m2 del IMG (IC95%: -0,48; -0,03) y 0,61kg/m2 del IMC (IC95%: -0,93; -0,30). En las adolescentes, cada hora más de sueño se asoció a la reducción de 0,22kg/m2 del IMM (IC95%: -0,36; -0,07). La mayor duración del sueño se asoció a un menor IMM en ambos sexos y menor IMG e IMC en el sexo masculino, lo que evidencia la importancia de tener adecuadas horas de sueño para mejorar los índices de composición corporal.

https://doi.org/10.1590/0102-311x00078721

Associações entre duração de sono e índices de massa gorda, muscular e corporal em adolescentes de São Luís, Maranhão, Brasil
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Santana, Karen das Graças Ferreira Passos

; Confortin, Susana Cararo

; Bragança, Maylla Luanna Barbosa Martins

; Batista, Rosângela Fernandes Lucena

; Santos, Iná da Silva dos

; Silva, Antônio Augusto Moura da

Cadernos de Saúde Pública

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2022, Volume 38 N. 3 elocation e00078721

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

https://doi.org/10.1590/0102-311x00078721

O Coração de Pacientes Pediátricos com COVID-19: Novos Insights a Partir de um Estudo Ecocardiográfico Sistemático em um Hospital Terciário no Brasil
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Diniz, Maria de Fátima Rodrigues

; Cardoso, Maira Freire

; Sawamura, Karen Saori Shiraishi

; Menezes, Carolina Rocha Brito

; Lianza, Alessandro Cavalcanti

; Pereira, Maria Fernanda Badue

; Litvinov, Nadia

; Ferranti, Juliana Ferreira

; Forsait, Silvana

; Watanabe, Andreia

; Farhat, Sylvia Costa Lima

; Aikawa, Nadia Emi

; Campos, Lucia Maria Arruda

; Delgado, Artur Figueiredo

; Carneiro-Sampaio, Magda

; Carvalho, Werther Brunow de

; Silva, Clovis Artur

; Leal, Gabriela Nunes

Arquivos Brasileiros de Cardiologia

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nov 2021, Volume 117 N. 5 Pages 954 - 964

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

Resumo Fundamento A pandemia da COVID-19 representa uma enorme carga para o sistema de saúde do mundo. Apesar de pacientes pediátricos terem sido relativamente poupados em comparação a adultos, estudos recentes mostraram um número crescente de pacientes críticos com Síndrome Inflamatória Multisistêmica Pediátrica (SIM-P) com disfunção cardiovascular importante. No entanto, pouco se conhece a respeito da relação entre anormalidades cardíacas e biomarcadores inflamatórios e de coagulação. Objetivos Investigar anormalidades ecocardiográficas em pacientes pediátricos com COVID-19 admitidos em um hospital terciário. Métodos Este foi um estudo longitudinal retrospectivo, baseado na revisão de prontuários médicos e ecocardiogramas de pacientes (0-19 anos) admitidos em um hospital terciário entre 30 de março e 30 de junho de 2020. Para a análise estatística, o nível de significância foi estabelecido em 5% (p<0,05). Resultados Foram incluídos 48 pacientes, 73% com doenças pré-existentes, 20 (41,7%) com SIM-P. A idade mediana foi 7,5 (0-18,6) anos; 27 (56,2%) eram do sexo masculino. A duração mediana de internação foi 15,4 (2-92) dias e sete (14,6%) pacientes morreram. Um total de 70 ecocardiografias foram realizadas, 66,7% submeteram-se ao exame somente uma vez, e 33,3% várias vezes. Vinte e três (48%) pacientes apresentaram anormalidades no ecocardiograma: oito (16.6%) disfunção sistólica do ventrículo esquerdo, seis (12.5%) disfunção sistólica do ventrículo direito, e 12 (25%) dilatação da artéria coronária (Z-score>+2,5). Anormalidades ecocardiográficas foram significativamente associadas com SIM-P, admissão na unidade de terapia intensiva pediátrica, suporte ventilatório/vasoativo, e morte ( p <0,05). Níveis significativamente mais altos de d-dímero (ng/mL) foram detectados em pacientes com disfunção ventricular esquerda [16733(4157-115668) vs. 2406.5(190-95040)], disfunção ventricular direita [25769(3422-115668) vs. 2803.5(190-95040)] e dilatação da artéria coronária [9652.5(921-115668) vs. 2724(190- 95040)] (p<0,05). Conclusão Anormalidades ecocardiográficas eram frequentes nos pacientes pediátricos com COVID-19 e associadas com piores desfechos clínicos. Exacerbação das vias de inflamação e coagulação pode exercer um importante papel na lesão cardiovascular nesses pacientes.

Abstract Background COVID-19 pandemic represents a huge burden to the health system in the world. Although pediatric COVID-19 patients have been relatively spared compared with adults, recent reports showed an increasing number of critically ill patients with multisystemic inflammatory syndrome in children (MIS-c), with marked cardiovascular impairment. Nevertheless, little is known about the relationship between cardiac abnormalities and inflammatory and coagulation biomarkers. Objectives to investigate echocardiographic abnormalities in pediatric patients with COVID-19 admitted to tertiary hospital. Methods this was a retrospective longitudinal study, based on the review of medical records and echocardiograms of patients (0-19 years) admitted to a tertiary hospital between March 30 and June 30, 2020. For statistical analysis, the significance level was set at 5% (p < 0.05). Results Forty-eight patients were enrolled, 73% with preexisting diseases, 20 (41.7%) with MIS-c. Median age was 7.5 (0-18.6) years; 27 (56.2%) were male. Median duration of hospitalization was 15.4 (2-92) days and seven (14.6%) patients died. A total of 70 echocardiograms were performed; 66.7% patients were scanned only once and 33.3% multiple times. Twenty-three (48%) patients showed echocardiographic abnormalities: eight (16.6%) left ventricle (LV) systolic dysfunction, six (12.5%) right ventricle (RV) systolic dysfunction and 12 (25%) coronary dilatation (Z-score>+2.5). Echocardiographic abnormalities were significantly associated with MIS-c, admission to the pediatric intensive care unit, multiple organ dysfunction, ventilatory/vasoactive support, and death (p<0.05). Significantly higher d-dimer (ng/mL) levels were detected in patients with LV dysfunction [16733(4157-115668) vs. 2406.5(190-95040)], RV dysfunction [25769(3422-115668) vs. 2803.5(190-95040)] and coronary artery dilation [9652.5(921-115668) vs. 2724(190- 95040)] (p<0.05). Conclusion Echocardiographic abnormalities in COVID-19 pediatric patients were frequent and associated with worse clinical outcomes. Exacerbation of the inflammation and coagulation pathways may play an important role in cardiovascular injury in those patients.

https://doi.org/10.36660/abc.20200920 3 downloads

Fatores sociodemográficos, alimentares e hábitos de vida associados à maior adiposidade corporal em adolescentes de São Luís, Maranhão, Brasil
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Santana, Karen das Graças Ferreira Passos

; Bragança, Maylla Luanna Barbosa Martins

; Oliveira, Bianca Rodrigues de

; Coelho, Carla Cristine Nascimento da Silva

; Silva, Antônio Augusto Moura da

Cadernos de Saúde Pública

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2021, Volume 37 N. 10 elocation e00088320

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

Resumo: O objetivo do estudo foi verificar os fatores associados à elevada adiposidade corporal em adolescentes. Trata-se de um estudo transversal tendo como fonte de dados uma coorte de nascimentos iniciada em São Luís, Maranhão, Brasil, em 1997/1998 e reentrevistada em 2016. A adiposidade corporal foi mensurada por meio de pletismografia por deslocamento de ar. Variáveis sociodemográficas, hábitos de vida e alimentares foram incluídos como possíveis fatores associados à elevada adiposidade corporal, sendo estratificada por sexo. A adiposidade corporal foi considerada elevada quando ≥ 25% para o sexo masculino e ≥ 30% para o sexo feminino. Verificaram-se maiores prevalências de alta adiposidade corporal nas adolescentes do sexo feminino que tinham 19 anos (RP = 1,17; IC95%: 1,02-1,35), que consumiam bebida alcoólica (RP = 1,14; IC95%: 1,00-1,30), as que nunca faziam o desjejum (RP = 1,46; IC95%: 1,17-1,81) ou o almoço (RP = 1,51; IC95%: 1,18-1,93). Os adolescentes do sexo masculino que tinham maior prevalência de elevada adiposidade corporal eram ativos fisicamente (RP = 1,49; IC95%: 1,07-2,09). Menor prevalência de elevada adiposidade corporal foi encontrada nos adolescentes do sexo masculino pertencentes à classe econômica D/E (RP = 0,38; IC95%: 0,16-0,90). Conclui-se que adolescentes do sexo feminino de 19 anos, que consumiam bebida alcoólica, e as que não costumavam fazer o desjejum e o almoço tinham maior adiposidade corporal, assim como os adolescentes do sexo masculino ativos fisicamente. Enquanto adolescentes do sexo masculino pertencentes à classe socioeconômica D/E tinham menor adiposidade corporal.

Abstract: The study aimed to verify factors associated with increased body fat in adolescents. This was a cross-sectional study in which the data source was a birth cohort launched in São Luís, Maranhão State, Brazil, in 1997/1998 and revisited in 2016. Body fat was measured with air displacement plethysmography. Sociodemographic, lifestyle, and dietary variables were included as possible factors associated with elevated body fat, stratified by sex. Body fat was considered elevated when ≥ 25% for males and ≥ 30% for females. The highest prevalence rates of high body fat were associated with female gender and age 19 years (PR = 1.17; 95%CI: 1.02-1.35), alcohol consumption (PR = 1.14; 95%CI: 1.00-1.30), and never eating breakfast (PR = 1.46; 95%CI: 1.17-1.81) or lunch (PR = 1.51; 95%CI: 1.18-1.93). Male adolescents with the highest prevalence of high body fat were physically active (PR = 1.49; 95%CI: 1.07-2.09). Lower prevalence of high body fat was found in male adolescents belonging to economic class D/E (PR = 0.38; 95%CI: 0.16-0.90). In conclusion, female adolescents 19 years of age that consumed alcohol and that did not eat breakfast or lunch had higher body fat, as did physically active male adolescents. Meanwhile, male adolescents in socioeconomic class D/E had less body fat.

Resumo: El objetivo del estudio fue verificar los factores asociados a la elevada adiposidad corporal en adolescentes. Se trata de un estudio transversal, teniendo como fuente de datos una cohorte de nacimientos iniciada en São Luís, Maranhão, Brasil, en 1997/1998 y reentrevistada en 2016. La adiposidad corporal se midió mediante pletismografía por desplazamiento de aire. Las variables sociodemográficas, hábitos de vida y alimentarios fueron incluidos como posibles factores asociados a la elevada adiposidad corporal, siendo estratificada por sexo. La adiposidad corporal se consideró elevada cuando ≥ 25% para el sexo masculino y ≥ 30% para el sexo femenino. Se verificaron mayores prevalencias de alta adiposidad corporal en las adolescentes del sexo femenino que tenían 19 años (RP = 1,17; IC95%: 1,02-1,35), que consumían bebida alcohólica (RP = 1,14; IC95%: 1,00-1,30), quienes nunca tomaban el desayuno (RP = 1,46; IC95%: 1,17-1,81) o la comida (RP = 1,51; IC95%: 1,18-1,93). Los adolescentes del sexo masculino que tenían una mayor prevalencia de elevada adiposidad corporal eran activos físicamente (RP = 1,49; IC95%: 1,07-2,09). Menor prevalencia de elevada adiposidad corporal se encontró en los adolescentes del sexo masculino, pertenecientes a la clase económica D/E (RP = 0,38; IC95%: 0,16-0,90). Se concluye que las adolescentes del sexo femenino de 19 años, que consumían bebida alcohólica y las que no estaban acostumbradas a desayunar y comer tenían mayor adiposidad corporal, así como los adolescentes del sexo masculino activos físicamente. Mientras que los adolescentes del sexo masculino pertenecientes a la clase socioeconómica D/E tenían menor adiposidad corporal.

https://doi.org/10.1590/0102-311x00088320

Fatores sociodemográficos, alimentares e hábitos de vida associados à maior adiposidade corporal em adolescentes de São Luís, Maranhão, Brasil
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Santana, Karen das Graças Ferreira Passos

; Bragança, Maylla Luanna Barbosa Martins

; Oliveira, Bianca Rodrigues de

; Coelho, Carla Cristine Nascimento da Silva

; Silva, Antônio Augusto Moura da

Cadernos de Saúde Pública

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2021, Volume 37 N. 10 elocation e00088320

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

https://doi.org/10.1590/0102-311x00088320 145 downloads

COVID-19: The question of genetic diversity and therapeutic intervention approaches
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Figueiredo, David Livingstone Alves

; Ximenez, João Paulo Bianchi

; Seiva, Fábio Rodrigues Ferreira

; Panis, Carolina

; Bezerra, Rafael dos Santos

; Ferrasa, Adriano

; Cecchini, Alessandra Lourenço

; Medeiros, Alexandra Ivo de

; Almeida, Ana Marisa Fusco

; Ramão, Anelisa

; Boldt, Angelica Beate Winter

; Moya, Carla Fredrichsen

; Chin, Chung Man

; Paula, Daniel de

; Rech, Daniel

; Gradia, Daniela Fiori

; Malheiros, Danielle

; Venturini, Danielle

; Tavares, Eliandro Reis

; Carraro, Emerson

; Ribeiro, Enilze Maria de Souza Fonseca

; Pereira, Evani Marques

; Tuon, Felipe Francisco

; Follador, Franciele Aní Caovilla

; Fernandes, Glaura Scantamburlo Alves

; Volpato, Hélito

; Cólus, Ilce Mara de Syllos

; Oliveira, Jaqueline Carvalho de

; Rodrigues, Jean Henrique da Silva

; Santos, Jean Leandro dos

; Visentainer, Jeane Eliete Laguila

; Brandi, Juliana Cristina

; Serpeloni, Juliana Mara

; Bonini, Juliana Sartori

; Oliveira, Karen Brajão de

; Fiorentin, Karine

; Lucio, Léia Carolina

; Faccin-Galhardi, Ligia Carla

; Ferreto, Lirane Elize Defante

; Lioni, Lucy Megumi Yamauchi

; Consolaro, Marcia Edilaine Lopes

; Vicari, Marcelo Ricardo

; Arbex, Marcos Abdo

; Pileggi, Marcos

; Watanabe, Maria Angelica Ehara

; Costa, Maria Antônia Ramos

; Giannini, Maria José S. Mendes

; Amarante, Marla Karine

; Khalil, Najeh Maissar

; Lima Neto, Quirino Alves de

; Herai, Roberto H.

; Guembarovski, Roberta Losi

; Shinsato, Rogério N.

; Mainardes, Rubiana Mara

; Giuliatti, Silvana

; Yamada-Ogatta, Sueli Fumie

; Gerber, Viviane Knuppel de Quadros

; Pavanelli, Wander Rogério

; Silva, Weber Claudio da

; Petzl-Erler, Maria Luiza

; Valente, Valeria

; Soares, Christiane Pienna

; Cavalli, Luciane Regina

; Silva Jr, Wilson Araujo

Genetics and Molecular Biology

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2021, Volume 44 N. 1 elocation e20200452

Abstract: En | Text: En | PDF: En

Abstract Coronavirus disease 2019 (COVID-19), caused by the Severe Acute Respiratory Syndrome Coronavirus type 2 (SARS-CoV-2), is the largest pandemic in modern history with very high infection rates and considerable mortality. The disease, which emerged in China’s Wuhan province, had its first reported case on December 29, 2019, and spread rapidly worldwide. On March 11, 2020, the World Health Organization (WHO) declared the COVID-19 outbreak a pandemic and global health emergency. Since the outbreak, efforts to develop COVID-19 vaccines, engineer new drugs, and evaluate existing ones for drug repurposing have been intensively undertaken to find ways to control this pandemic. COVID-19 therapeutic strategies aim to impair molecular pathways involved in the virus entrance and replication or interfere in the patients’ overreaction and immunopathology. Moreover, nanotechnology could be an approach to boost the activity of new drugs. Several COVID-19 vaccine candidates have received emergency-use or full authorization in one or more countries, and others are being developed and tested. This review assesses the different strategies currently proposed to control COVID-19 and the issues or limitations imposed on some approaches by the human and viral genetic variability.

https://doi.org/10.1590/1678-4685-gmb-2020-0452

Presence of langerhans cells, regulatory T cells (Treg) and mast cells in asymptomatic apical periodontitis
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BERGAMINI, Mariana Lobo

; MARDEGAN, Andressa Pinto

; DE ROSA, Catharina Simioni

; PALMIERI, Michelle

; SARMENTO, Dmitry José de Santana

; HIRAKI, Karen Renata Nakamura

; COSTA, André Luiz Ferreira

; HASSÉUS, Bengt

; JONASSON, Peter

; BRAZ-SILVA, Paulo Henrique

Brazilian Oral Research

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2020, Volume 34 elocation e108

Abstract: En | Text: En | PDF: En

Abstract Asymptomatic Apical Periodontitis is essentially an inflammatory disease of microbial aetiology. Association and function of the cell components involved, or specific inductive factors and growth mediators associated with development, maintenance and resolution of the periapical lesions are still unknown. The objective of this study was to evaluate the concentration of Regulatory T cells (FoxP3+; Treg), Langerhans cells (CD1a+; LC) and mast cells in asymptomatic apical periodontitis. 73 cases were selected: 30 periapical granulomas, 29 radicular cysts and 14 residual cysts. All groups were submitted to morphological analysis for classification of inflammatory infiltrate and thickness of the epithelial lining as well as to immunohistochemical analysis for detection of LC and Treg cells. Toluidine blue staining was used for detecting mast cells. Analysis showed higher mean numbers of LC (8.2 cells/0.2mm2), and Treg cells in radicular cysts (5.910 cells/0.2mm2). As for mast cells, it was found that radicular cysts had a higher mean number of these cells compared to other periapical lesions (12.68 cells/0.2mm2). The association between thickness of the epithelial lining and inflammatory cells showed that the presence of hypertrophic epithelium in radicular cysts presented higher density of LC. The number of LC and Treg cells play an important role in the control of the inflammatory micro-environment in periapical granulomas and radicular cysts, respectively. The presence of mast cells in radicular cysts may be associated with progression of the lesion. Knowledge regarding the inflammatory cell profile is therefore essential for a better understanding of the pathogenesis of asymptomatic periapical periodontitis.

https://doi.org/10.1590/1807-3107bor-2020.vol34.0108 665 downloads

10.

Atualização da Diretriz de Ressuscitação Cardiopulmonar e Cuidados Cardiovasculares de Emergência da Sociedade Brasileira de Cardiologia - 2019
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Bernoche, Claudia

; Timerman, Sergio

; Polastri, Thatiane Facholi

; Giannetti, Natali Schiavo

; Siqueira, Adailson Wagner da Silva

; Piscopo, Agnaldo

; Soeiro, Alexandre de Matos

; Reis, Amélia Gorete Afonso da Costa

; Tanaka, Ana Cristina Sayuri

; Thomaz, Ana Maria

; Quilici, Ana Paula

; Catarino, Andrei Hilário

; Ribeiro, Anna Christina de Lima

; Barreto, Antonio Carlos Pereira

; Azevedo Filho, Antonio Fernando Barros de

; Pazin Filho, Antonio

; Timerman, Ari

; Scarpa, Bruna Romanelli

; Timerman, Bruno

; Tavares, Caio de Assis Moura

; Martins, Cantidio Soares Lemos

; Serrano Junior, Carlos Vicente

; Malaque, Ceila Maria Sant’Ana

; Pisani, Cristiano Faria

; Batista, Daniel Valente

; Leandro, Daniela Luana Fernandes

; Szpilman, David

; Gonçalves, Diego Manoel

; Paiva, Edison Ferreira de

; Osawa, Eduardo Atsushi

; Lima, Eduardo Gomes

; Adam, Eduardo Leal

; Peixoto, Elaine

; Evaristo, Eli Faria

; Azeka, Estela

; Silva, Fabio Bruno da

; Wen, Fan Hui

; Ferreira, Fatima Gil

; Lima, Felipe Gallego

; Fernandes, Felipe Lourenço

; Ganem, Fernando

; Galas, Filomena Regina Barbosa Gomes

; Tarasoutchi, Flavio

; Souza, Germano Emilio Conceição

; Feitosa Filho, Gilson Soares

; Foronda, Gustavo

; Guimarães, Helio Penna

; Abud, Isabela Cristina Kirnew

; Leite, Ivanhoé Stuart Lima

; Linhares Filho, Jaime Paula Pessoa

; Moraes Junior, João Batista de Moura Xavier

; Falcão, João Luiz Alencar de Araripe

; Ramires, Jose Antônio Franchini

; Cavalini, José Fernando

; Saraiva, José Francisco Kerr

; Abrão, Karen Cristine

; Pinto, Lecio Figueira

; Bianchi, Leonardo Luís Torres

; Lopes, Leonardo Nícolau Geisler Daud

; Piegas, Leopoldo Soares

; Kopel, Liliane

; Godoy, Lucas Colombo

; Tobase, Lucia

; Hajjar, Ludhmila Abrahão

; Dallan, Luís Augusto Palma

; Caneo, Luiz Fernando

; Cardoso, Luiz Francisco

; Canesin, Manoel Fernandes

; Park, Marcelo

; Rabelo, Marcia Maria Noya

; Malachias, Marcus Vinícius Bolívar

; Gonçalves, Maria Aparecida Batistão

; Almeida, Maria Fernanda Branco de

; Souza, Maria Francilene Silva

; Favarato, Maria Helena Sampaio

; Carrion, Maria Julia Machline

; Gonzalez, Maria Margarita

; Bortolotto, Maria Rita de Figueiredo Lemos

; Macatrão-Costa, Milena Frota

; Shimoda, Mônica Satsuki

; Oliveira-Junior, Mucio Tavares de

; Ikari, Nana Miura

; Dutra, Oscar Pereira

; Berwanger, Otávio

; Pinheiro, Patricia Ana Paiva Corrêa

; Reis, Patrícia Feitosa Frota dos

; Cellia, Pedro Henrique Moraes

; Santos Filho, Raul Dias dos

; Gianotto-Oliveira, Renan

; Kalil Filho, Roberto

; Guinsburg, Ruth

; Managini, Sandrigo

; Lage, Silvia Helena Gelas

; Yeu, So Pei

; Franchi, Sonia Meiken

; Shimoda-Sakano, Tania

; Accorsi, Tarso Duenhas

; Leal, Tatiana de Carvalho Andreucci

; Guimarães, Vanessa

; Sallai, Vanessa Santos

; Ávila, Walkiria Samuel

; Sako, Yara Kimiko

Arquivos Brasileiros de Cardiologia

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sep 2019, Volume 113 N. 3 Pages 449 - 663

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.5935/abc.20190203 54793 downloads

11.

Culture media for the multiplication of wild Manihot species
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Sá, Jucieny Ferreira de

; Sampaio, Emília dos Santos

; Mendes, Maria Inês de Souza

; Santos, Karen Cristina Fialho dos

; Sousa, Antônio da Silva

; Ledo, Carlos Alberto da Silva

Ciência e Agrotecnologia

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dec 2018, Volume 42 N. 6 Pages 598 - 607

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

RESUMO O sistema de propagação da mandioca é vagaroso e favorece a transmissão de doenças para sucessivas gerações. A micropropagação é uma alternativa para disponibilizar uma maior quantidade de plantas isentas de pragas e patógenos. Portanto, o objetivo desse estudo foi verificar o efeito de meios de cultura na multiplicaçãoin vitrode cinco espécies silvestres deManihot. O experimento foi realizado no delineamento experimental inteiramente ao acaso, em esquema fatorial 5 (espécies silvestres deManihot) x 6 (meios de cultura), com 11 repetições. Os explantes consistiram de segmentos nodais das espéciesManihot flabellifolia,M. tristis,M. caerulescens,M. chlorostictaeM. jacobinensis, com 1 cm de tamanho e uma gema lateral. Colocou-se um segmento por tubo de ensaio, contendo 10 mL dos meios de cultura MS 0,01, 17N, 12A3, 4E, 8S e WPM, mantendo-os durante 90 dias em sala de crescimento com irradiância de 30 µmol m-2 s-1, temperatura de 27± 1 °C e fotoperíodo de 16 horas. Foram analisadas as variáveis altura de planta (cm), número de folhas verdes, número de folhas senescentes, número de brotos, número de microestacas, massas fresca e seca de parte aérea (mg), massas fresca e seca de raízes (mg) e massa de calo (mg). O meio de cultura 12A3 não foi responsivo para nenhuma das espécies, no entanto, considerando-se às variáveis altura de planta e número de microestacas os demais meios podem ser utilizados na multiplicação in vitro das espécies estudadas, e possivelmente, podem ser utilizados na micropropagação de outras espécies silvestres do gêneroManihot.

ABSTRACT The cassava propagation system is slow and favors disease transmission through successive generations. Micropropagation is an alternative to overcome the aforementioned limitations, besides allowing the generation of a larger number of pest- and pathogen-free plants. Therefore, the aim of the present study is to investigate the effect of culture media on the multiplication in vitro of five wild Manihot species. The experiment followed a completely randomized design, at factorial arrangement 5 (wild Manihot species) x 6 (culture media), with 11 repetitions. Explants consisted in nodal segments (91 cm long and one lateral bud) of species Manihot flabellifolia, M. tristis, M. caerulescens, M. chlorosticta and M. jacobinensis, which were extracted in vitro from the collection of wild cassava species. One segment was placed in each test tube added with 10 mL of MS media 0.01, 17N, 12A3, 4E, 8S and WPM, and kept for 90 days in growth room under 30 μmol m-2 s-1irradiance, temperature 27 ± 1 °C and 16h photoperiod. Variables plant height (cm), number of green leaves, number of senescent leaves, number of shoots, number of microcuttings, fresh and dry shoot mass, fresh and dry root mass (mg) and callus mass (mg) were analyzed. Our results showed that the culture medium 12A3 was not responsive to any of the species; however, if one takes into consideration variables plant height and number of microcuttings, this medium can possibly be used in the micropropagation of other wild species belonging to genus Manihot.

https://doi.org/10.1590/1413-70542018426024718 1053 downloads

12.

Nickel, chromium and cobalt: the relevant allergens in allergic contact dermatitis. Comparative study between two periods: 1995-2002 and 2003-2015
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Duarte, Ida

; Mendonça, Rodolfo Ferreira

; Korkes, Karen Levy

; Lazzarini, Rosana

; Hafner, Mariana de Figueiredo Silva

Anais Brasileiros de Dermatologia

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feb 2018, Volume 93 N. 1 Pages 59 - 62

Abstract: En | Text: En | PDF: En

Abstract: Background: Metals are common agents of allergic contact dermatitis, occupational or not, with decreasing incidence over the last years in some countries that have regulated the amount of nickel in objects. Objectives: To analyze and compare with previous studies the profile of metal sensitization between 2003-2015. Methods: Patients who underwent patch testing between 2003-2015 were evaluated retrospectively regarding the sensitization rates to metals, the associations between them, the relationship with profession and epidemiology. Results: Of the 1,386 patients tested, 438 (32%) had positive test to some metal, similar results to the 404/1,208 (33%) of the previous study (1995-2002) performed at the same service (p=0.32). The frequency of nickel (77%), cobalt (32%) and chromium (29%) changed slightly (p=0.20). Most cases of sensitization to chromium were related to the occupation (64%), in contrast to nickel and cobalt (p<0.0001). There was a predominance of females among those sensitized to metal in both studies (p=0.63) and the age group of 20-49 years old (p=0.11); the number of fair-skinned individuals increased (p<0.001), as well as the lesions in the cephalic segment (50.5%; p<0.0001) and hands (45%; p<0.0001), which are not the most frequent location anymore. The number of cleaners decreased (39% vs. 59%; p<0.0001), which still lead in front of bricklayers/painters, which increased (14% vs. 9%; p=0.013). The frequency of wet work reduced (65% vs. 81%; p<0.0001). Study limitations: The study included a single population group; only patients with positive tests to metals were considered - the others were not evaluated for the possibility of false negatives. Conclusion: The sensitization to metals, occupational or not, has been significant over the last 21 years, with few epidemiological changes.

https://doi.org/10.1590/abd1806-4841.20186047 877 downloads

13.

Influence of the presence of Temporomandibular Disorders on postural balance in the elderly
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Oltramari-Navarro, Paula Vanessa Pedron

; Yoshie, Marjorie Takei

; Silva, Rubens Alexandre da

; Conti, Ana Cláudia de Castro Ferreira

; Navarro, Ricardo de Lima

; Marchiori, Luciana Lozza do Moraes

; Fernandes, Karen Barros Parron

CoDAS

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2017, Volume 29 N. 2 elocation e20160070

Abstract: En | Text: En | PDF: En

ABSTRACT Purpose To investigate the influence of the presence of Temporomandibular Disorders (TMD) on postural balance in elderly individuals. Methods The study sample consisted of 150 elderly: 103 women (67.7±5.0 years) and 47 men (69.3±5.5 years). Evaluation of the presence and severity of TMD included an anamnesis questionnaire, an evaluation of the temporomandibular joint (TMJ), and a muscular examination, which allowed the division of the elderly into 2 groups: G1 (experimental, n=95), with TMD; G2 (control, n=55), without TMD. Postural balance was assessed by means of the one-leg stance test (OLST) on a force platform (BIOMEC400), thus permitting the following measurements: center of foot pressure (COP); mean sway velocity (MV) and frequency (MF) of COP in both the anteroposterior (VAP and FAP) and medial/lateral (VML and FML) directions. The statistical analysis of data was performed using independent t-test, Variance Analysis, and Chi Square test (α=5%). Results Presence of TMD was observed in 63.3% of the individuals (Group 2), with different degrees of severity (mild: 42.7%, moderate: 14.7%, severe: 6%). Significantly higher TMD was observed for women (73.8%) compared with men (40.4%) (p=0.0002). No significant difference was found in between the groups for all balance parameters, e.g., presence and severity of TMD, presence of pain to palpation of TMJ and of masticatory and cervical muscles. Conclusion The presence and severity of TMD, in addition to the presence of pain to palpation of TMJ and masticatory and cervical muscles did not alter the variables related to postural balance in this population.

https://doi.org/10.1590/2317-1782/20172016070 2767 downloads

14.

Valores Humanos e Atitudes Homofóbicas Flagrante e Sutil
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Gusmão, Estefânea Élida da Silva

; Nascimento, Bruna da Silva

; Gouveia, Valdiney Veloso

; Moura, Hysla Magalhães de

; Monteiro, Renan Pereira

; Ferreira Filho, Laurentino Gonçalo

; Costa, Káren Maria Rodrigues da

Psico-USF

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aug 2016, Volume 21 N. 2 Pages 367 - 380

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

Resumo Esta pesquisa objetivou verificar em que medida os valores humanos estão relacionados com a homofobia flagrante e sutil. Para tanto, contou-se com a participação de 174 estudantes universitários, com idade variando de 17 a 56 anos (M = 22,3, DP = 4,60), a maioria do sexo feminino (57,6%). Estes responderam à Escala de Homofobia Explícita e Implícita, o Questionário dos Valores Básicos e perguntas demográficas. Realizaram-se regressões múltiplas, tendo os resultados indicado que valores normativos e de realização são melhores explicadores da homofobia sutil e geral, enquanto que apenas valores normativos se associaram com a homofobia flagrante. Esses construtos foram responsáveis por explicar aproximadamente 10% da variância em atitudes homofóbicas. Concluiu-se que os valores podem ser bons preditores da homofobia, principalmente aqueles materialistas, reforçando a adequação da teoria funcionalista para explicar atitudes socialmente desviantes.

Abstract This study aimed to know to what extent human values are correlated with flagrant and subtle homophobia. The participants were 174 undergraduate students, with ages ranging from 17 to 56 years of age (M = 22.3, SD = 4.60), most of them female (57.6%). They answered the Explicit and Implicit Homophobia Scale, the Basic Values Survey and demographic questions. Multiple regressions were performed, indicating the predictive power of normative and promotion values for explaining subtle and general homophobia, whereas only normative values explained the flagrant homophobia. These constructs were responsible for accounting for approximately 10% of the variance in homophobic attitudes. In conclusion, values can be good predictors of homophobia, especially materialist values, enhancing the adequacy of the functional theory of values to explain socially deviant attitudes.

Resumen Este estudio tuvo como objetivo verificar en qué medida los valores humanos están relacionados con homofobia flagrante y sutil. Participaron 174 estudiantes universitarios, con edades entre 17 a 56 años (M = 22.3, DT = 4.60), la mayoría de sexo femenino (57.6%). Estos respondieron la Escala de Homofobia Explícita e Implícita, el Cuestionario de los Valores Básicos y preguntas demográficas. Se llevaron a cabo regresiones múltiples, indicando que los valores normativos y de realización han sido los mejores exponentes de homofobia sutil y general, mientras que sólo los valores normativos se han asociado con la homofobia flagrante. Estos constructos lograron explicar aproximadamente un 10% de la varianza en las actitudes homofóbicas. Se concluyó que los valores pueden ser buenos predictores de la homofobia, especialmente los materialistas, mejorando la capacidad de respuesta de la teoría funcionalista para explicar las actitudes socialmente desviadas.

https://doi.org/10.1590/1413-82712016210213 4603 downloads

15.

USE OF BOTANICAL INSECTICIDES AS AN ALTERNATIVE FOR THE MANAGEMENT OF THE MEXICAN BEAN WEEVIL
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SILVA, KAREN FERREIRA DA

; BALDIN, EDSON LUIZ LOPES

; PANNUTI, LUIZ EDUARDO DA ROCHA

Revista Caatinga

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jun 2016, Volume 29 N. 2 Pages 348 - 357

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

RESUMO: O objetivo do trabalho foi avaliar o efeito de pós de oito espécies botânicas, misturados aos grãos de feijão, Phaseolus vulgaris (Fabaceae), ou em sachês, sobre os aspectos comportamentais e de desenvolvimento biológico de Zabrotes subfasciatus (Coleoptera: Chrysomelidae: Bruchinae) em laboratório. Três ensaios foram realizados. Primeiro, a repelência de adultos de Z. subfasciatus pelas espécies vegetais foi avaliada com 20 casais em teste com chance de escolha. Segundo, a mortalidade de adultos foi avaliada, diariamente, até o sétimo dia após a infestação. Terceiro, sete casais foram mantidos por sete dias em recipientes contendo 0,3 g de pó de cada espécie vegetal e 10 g de grãos de feijão (3% p.p-1) para avaliação dos parâmetros oviposição, emergência de adultos (%) e período de desenvolvimento ovo-adulto (dias) de Z. subfasciatus. Os ensaios seguiram arranjo fatorial 2 x 9 (fator 1 = formas de aplicação pó e sachê; fator 2 = oito espécies vegetais e testemunha) em delineamento inteiramente casualizado com oito repetições. A forma de pó foi mais eficiente no controle de Z. subfasciatus. As espécies Azadirachta indica (na forma de pó), Ruta graveolens (na forma de pó) e Piper aduncum (na forma de sachê) reduziram a infestação por adultos do inseto. A. indica, Piper tuberculatum, Trichilia catigua, Pfaffia glomerata, R. graveolens e Mentha pulegium, independente da forma de aplicação utilizada, inibiram a oviposição do inseto. R. graveolens (na forma de pó) controlou 100% de adultos. Pós das espécies R. graveolens e M. pulegium reduziram a viabilidade de ovos e emergência do inseto, apresentando alto potencial no controle alternativo de Z. subfasciatus em feijão armazenado.

ABSTRACT: This study aimed to evaluate the insecticidal activity of eight botanical species in the behavior and biological development of Zabrotes subfasciatus (Coleoptera: Chrysomelidae: Bruchinae) under laboratory conditions. The botanical species were applied on bean grains (Phaseolus vulgaris Linnaeus) directly as powder or indirectly within TNT bags. Three laboratory assays were performed. First, a repellent activity test was performed by exposing twenty couples of Z. subfasciatus adults in a choice-test arena. Second, a mortality test was performed for seven days after infestation. Finally, the oviposition and emergency rates of adults (%) and the development from egg to adult (in days) were evaluated in seven couples (males and females) for seven days inside of a vial containing 0.3g of the powder from each botanical species and 10 g of bean grains (3% w.w-1). The study was conducted in a completely randomized design, and the treatments were arranged as a factorial design (2 x 9) with two factors (factor 1= powder and TNT bag application forms and factor 2= eight botanical species and control) with eight replications. The powder application form was more efficient in controlling Z. subfasciatus. Azadirachta indica (powder application), Ruta graveolens (powder application), and Piper aduncum (TNT bag) reduced the infestation of adults. The species A. inidica, Piper tuberculatum, Trichilia catigua, Pfaffia glomerata, R. graveolens, and Mentha pulegium inhibited the oviposition of the insects regardless of the formulation applied. R. graveolens (powder application) caused 100% of mortality. The powder application of R. graveolens and M. pulegium reduced egg viability and insect emergence; therefore, they are very promising alternatives to control Z. subfasciatus in stored grains.

https://doi.org/10.1590/1983-21252016v29n211rc 2128 downloads

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