Resumo Fundamento A estimulação cardíaca artificial (ECA) por captura direta ou indireta do feixe de His resulta em contração ventricular sincrônica (ECA fisiológica). Objetivos Comparar sincronia cardíaca, características técnicas e resultados de parâmetros eletrônicos entre duas técnicas de ECA indireta do feixe de His: a não seletiva e a parahissiana. Métodos Intervenção experimental (novembro de 2019 a abril de 2020) com implante de marca-passo definitivo (MPd) DDD em pacientes com fração de ejeção ventricular esquerda > 35%. Foram comparadas a sincronia cardíaca resultante mediante algoritmo de análise eletrocardiográfica da variância espacial do QRS e as características técnicas associadas a cada método entre ECA hissiana não seletiva (DDD-His) e parahissiana (DDD-Var). Resultados De 51 pacientes (28 homens), 34 (66,7%) foram alocados no grupo DDD-Var e 17 (33,3%), no grupo DDD-His, com idade média de 74 e 79 anos, respectivamente. No grupo DDD-Var, a análise da variância espacial do QRS (índice de sincronia ventricular) mostrou melhora após o implante de MPd (p < 0,001). Ao ECG pós-implante, 91,2% dos pacientes do grupo DDD-Var mostraram padrão fisiológico de ECA, comprovando ativação similar à do DDD-His (88,2%; p = 0,999). O eixo do QRS estimulado também foi similar (fisiológico) para ambos os grupos. A mediana do tempo de fluoroscopia do implante foi de 7 minutos no grupo DDD-Var e de 21 minutos no DDD-His (p < 0,001), favorecendo a técnica parahissiana. A duração média do QRS aumentou nos pacientes do DDD-Var (114,7 ms pré-MPd e 128,2 ms pós-implante, p = 0,044). A detecção da onda R foi de 11,2 mV no grupo DDD-Var e de 6,0 mV no DDD-His (p = 0,001). Conclusão A ECA parahissiana comprova recrutamento indireto do feixe de His, mostrando-se uma estratégia eficaz e comparável à ECA fisiológica ao resultar em contração ventricular sincrônica similar à obtida por captura hissiana não seletiva.

Abstract Background Artificial cardiac pacing by direct or indirect His bundle capture results in synchronous ventricular contraction (physiological pacing). Objectives To compare cardiac synchronization, technical characteristics, and electronic parameters between two techniques of indirect His-bundle pacing: non-selective (NS-HBP) vs para-Hisian pacing (PHP). Methods The experimental intervention (between November 2019 and April 2020) consisted of implanting a DDD pacemaker in patients who had left ventricular ejection fraction (LVEF) > 35%. The resulting cardiac synchronization was compared using an electrocardiographic algorithm that analyzed QRS variation and the technical characteristics of non-selective Hisian pacing (DDD-His) and para-Hisian pacing (DDD-Var). Results Of 51 total patients (men: 28), 66.7% (34) were allocated to the DDD-Var group and 33.3% (17) to the DDD-His group. The mean ages in each group were 74 and 79 years, respectively. In the DDD-Var group, QRS variation (ventricular synchrony) improved after implantation (p < 0.001). In post-implantation ECG, 91.2% of the DDD-Var group presented a physiological pacing pattern, which was similar to the DDD-His group (88.2%; p = 0.999). The paced QRS axis was also similar (physiological) for both groups. Intraoperative fluoroscopy time (XRay) during implantation was lower for the para-Hisian technique (median 7 min in the DDD-Var group vs 21 min in the DDD-His group, p < 0.001). The mean QRS duration increased in the DDD-Var group (114.7 ms pre-implantation vs 128.2 ms post-implantation, p = 0.044). The mean post-implantation R-wave amplitude was 11.2 mV in the DDD-Var group vs 6.0 mV in the DDD-His group, p = 0.001. Conclusion Para-Hisian pacing appears to indirectly recruit the His bundle, which would make this an effective and comparable strategy for physiological pacing, resulting in synchronous ventricular contraction similar to that of non-selective Hisian pacing.

ABSTRACT New strategies for sugarcane production have been very important since the incorporation of ethanol in the Brazilian energy mix in the early 1970s. Prior to planting sugarcane, the soil is prepared, and this process can affect root development and, consequently, sugarcane production. This study was conducted in an area of sugarcane crop renewal in the Cerrado biome (Brazilian tropical savanna), with the objective of identifying which tillage system generates the better root development and improved yield in sugarcane. The treatments were: 1) weed desiccation + moldboard plowing (0.4 m) + mild spike tooth harrowing (0.15 m); 2) subsoiler (0.3 m) + mild spike tooth harrowing (0.15 m); 3) weed desiccation + no-tillage (furrow opening and fertilizer); 4) weed desiccation + subsoiler (0.4 m); 5) ratoon destruction + subsoiler (0.4 m); 6) ratoon destruction + spike tooth harrowing (0.2 m) + moldboard plowing (0.4 m) + mild spike tooth harrowing (0.15 m). Characteristics of the sugarcane root system, such as the root length density, average distance between roots, and root soil exploration, after the first harvest (1.5 years) were studied. Root length density was greater for the treatments that included plowing (0.4 m) and harrowing (0.15 m) operations. The average distance between roots was low in the no-tillage system. The highest sugarcane yield in the plant crop was achieved by management practices with more extensive soil profile disturbances, like plowing followed by harrowing.

A avaliação das tecnologias empregadas ao sistema de produção agrícola, tais como rotação de culturas e preparo de solo, ambos associados à integração lavoura-pecuária, é importante para tomadas de decisões futuras. Portanto, objetivou-se, no presente trabalho, avaliar a incorporação de calcário por três sistemas de preparo do solo e dois manejos culturais, em sistema de integração lavoura-pecuária, com ênfase para produtividade de grãos de milho. O experimento foi conduzido no período compreendido de janeiro de 2003 a abril de 2005, no município de Selvíria-MS, em Latossolo Vermelho distroférrico, textura argilosa. O delineamento experimental adotado foi o de blocos ao acaso, com parcelas subdivididas, constituídas por três tratamentos principais, visando o condicionamento físico do solo e a incorporação de calcário: PD - Plantio Direto; CM - Cultivo Mínimo, e PC - Preparo Convencional; e por dois tratamentos secundários, relacionados ao manejo: rotação e sucessão de culturas, com quatro repetições. As características agronômicas do milho analisadas foram: altura de planta, diâmetro de colmo, altura de inserção da primeira espiga, massa de 100 grãos e produtividade de grãos. Os resultados mostraram que não houve diferenças estatísticas na produtividade do milho, tanto em função dos tratamentos de manejo do solo para incorporação de calcário, como nos manejos culturais, rotação e sucessão, após dois anos de cultivo.

The evaluation of technologies employed at the agricultural production system such as crop rotation and soil preparation, both associated with crop-livestock integration, is crucial. Therefore, the aim of the present study was to evaluate the incorporation of lime for three no-tillage systems and cultural managements in system of crop-livestock integration, with emphasis on corn grain yield. The experiment was conducted from January 2003 to April 2005 at Selvíria city, MS, in Dystroferric Red Latosol, clay texture. The experimental design was randomized blocks with split plots consisted of three main treatments, aimed the soil physics conditioning and the incorporation of lime: PD - No-no-tillage; CM - minimum no-tillage, and PC - conventional no-tillage; and of two secondary treatments related to the management: rotation and crop succession, with four replications. Data on agronomic traits of maize were analyzed: plant height, stem diameter, height of the first spike insertion, 100 grains weight and grain yield. The results showed that the maize produced under the system of crop-livestock integration is quite feasible, showing that grain yields are comparable to averages in the region and the different soil physical conditioning and incorporation of lime did not influence the corn yield as well as the cultural managements, rotation and succession, did not affect the maize crop behavior after two years of cultivation.