Resumo A brucelose, uma doença causada por bactérias do gênero Brucella, apresenta uma ampla gama de sintomas em seres humanos, o que torna o diagnóstico desafiador, especialmente quando ocorrem manifestações atípicas. Este artigo relata um caso raro de espodilodiscite e ressalta a importância de investigar a brucelose em pacientes com espodilodiscite prolongada que não respondem aos tratamentos antibióticos convencionais. Além disso, destaca a necessidade de uma análise epidemiológica e radiológica completa e a realização de testes sorológicos específicos para um diagnóstico preciso da causa subjacente. A suspeita precoce, baseada em uma anamnese detalhada e em um diagnóstico cuidadoso, juntamente com os avanços nas técnicas de imagem, é crucial para o planeamento de um tratamento eficaz.

Abstract Brucellosis, a disease caused by bacteria of the genus Brucella, presents a wide range of symptoms in humans, which makes diagnosis challenging, especially when atypical manifestations occur. This article reports a rare case of spondylodiscitis and highlights the importance of investigating brucellosis in patients with prolonged spondylodiscitis who do not respond to conventional antibiotic treatments. Furthermore, it highlights the need for a complete epidemiological e radiologic analysis and the performance of specific serological tests for an accurate diagnosis of the underlying cause. Early suspicion, based on a detailed history and careful diagnosis, together with advances in imaging techniques, is crucial for planning effective treatment.

Resumo Antecedentes Jogadores profissionais de futebol estão expostos a impactos cranianos repetitivos e ao risco de desenvolver encefalopatia traumática crônica. Objetivo Avaliar o metabolismo glicolítico cerebral regional (MCCr) e o volume de substância cinzenta (vSC) em jogadores de futebol aposentados (JFAs). Métodos Jogadores de futebol aposentados masculinos e controles pareados por idade e sexo foram incluídos prospectivamente entre 2017 e 2019. Foram realizadas avaliações neurológica e neuropsicológica, ressonância magnética (RM) e [18F]FDG-PET cerebrais (3.0-Tesla PET/RM). As imagens foram analisadas visualmente por um neurorradiologista e um médico nuclear cegos ao grupo de cada participante. O metabolismo glicolítico cerebral regional e o vSC foram avaliados através do programa SPM8. Os grupos foram comparados através de testes estatísticos apropriados disponíveis em SPM8 e R, de acordo com a distribuição e o tipo dos dados. Resultados Dezenove JFAs (mediana [IIQ]: 62 [50–64.5] anos) e 20 controles (60 [48–73] anos) foram incluídos. Os JFAs tiveram pior desempenho no mini-exame do estado mental e nos testes de dígitos, desenho do relógio, fluência verbal e fluência semântica e apresentaram MCCr significativamente reduzido no polo temporal e no giro temporal médio anterior esquerdos. Fluência semântica (animais) apresentou correlação positiva com MCCr no hipocampo direito, no polo temporal esquerdo e no aspecto posterior do giro temporal médio esquerdo. Menor vSC foi observado nas mesmas regiões, porém este achado não sobreviveu à correção para comparações múltiplas. Análise individual do [18F]FDG-PET cerebral revelou sete JFAs com claro hipometabolismo nas faces medial e lateral dos lobos temporais, nos lobos frontais e nas regiões temporoparietais. Os JFAs apresentaram ainda maior prevalência de anormalidades do septo pelúcido. Conclusão Os JFAs apresentam MCCr e vSC reduzidos nos lobos temporais, além de anormalidades do septo pelúcido, achados possivelmente relacionados a impactos cranianos repetitivos. crônica (MCCr (vSC JFAs. . (JFAs) 201 2019 neuropsicológica RM (RM 18FFDGPET FFDGPET 18F FDG PET F 3.0Tesla 30Tesla Tesla 3.0 3 0 PET/RM. PETRM PET/RM PET/RM) participante SPM R dados mediana IIQ [IIQ] 6 50–64.5 50645 50 64 5 [50–64.5 anos 2 60 (6 48–73 4873 48 73 [48–73 miniexame mini exame dígitos relógio esquerdos animais (animais direito múltiplas temporais temporoparietais pelúcido (JFAs 0Tesla 30 3. [IIQ 50–64. 5064 [50–64. ( 48–7 487 4 7 [48–7 50–64 506 [50–64 48– [48– 50–6 [50–6 [48 50– [50– [4 [50 [ [5

Abstract Background Professional soccer athletes are exposed to repetitive head impacts and are at risk of developing chronic traumatic encephalopathy. Objective To evaluate regional brain glucose metabolism (rBGM) and gray matter (GM) volume in retired soccer players (RSPs). Methods Male RSPs and age and sex-matched controls prospectively enrolled between 2017 and 2019 underwent neurological and neuropsychological evaluations, brain MRI and [18F]FDG-PET in a 3.0-Tesla PET/MRI scanner. Visual analysis was performed by a blinded neuroradiologist and a blinded nuclear physician. Regional brain glucose metabolism and GM volume were assessed using SPM8 software. Groups were compared using appropriate statistical tests available at SPM8 and R. Results Nineteen RSPs (median [IQR]: 62 [50–64.5] years old) and 20 controls (60 [48–73] years old) were included. Retired soccer players performed worse on mini-mental state examination, digit span, clock drawing, phonemic and semantic verbal fluency tests, and had reduced rBGM in the left temporal pole (pFDR = 0.008) and the anterior left middle temporal gyrus (pFDR = 0.043). Semantic verbal fluency correlated with rBGM in the right hippocampus, left temporal pole, and posterior left middle temporal gyrus (p ≤ 0.042). Cray matter volume reduction was observed in similar anatomic regions but was less extensive and did not survive correction for multiple comparisons (pFDR ≥ 0.085). Individual [18F]FDG-PET visual analysis revealed seven RSPs with overt hypometabolism in the medial and lateral temporal lobes, frontal lobes, and temporoparietal regions. Retired soccer players had a higher prevalence of septum pellucidum abnormalities on MRI. Conclusion Retired soccer players had reduced rBCM and CM volume in the temporal lobes and septum pellucidum abnormalities, findings possibly related to repetitive head impacts. encephalopathy (rBGM (GM RSPs. . (RSPs) sexmatched sex matched 201 evaluations 18FFDGPET FFDGPET 18F FDG PET F 3.0Tesla 30Tesla Tesla 3.0 3 0 PETMRI scanner physician SPM software R median IQR [IQR] 6 50–64.5 50645 50 64 5 [50–64.5 old 2 60 (6 48–73 4873 48 73 [48–73 included minimental mini mental examination span drawing pFDR 0.008 0008 008 0.043. 0043 0.043 043 0.043) hippocampus p 0.042. 0042 0.042 042 0.042) 0.085. 0085 0.085 085 0.085) (RSPs 0Tesla 30 3. [IQR 50–64. 5064 [50–64. ( 48–7 487 4 7 [48–7 0.00 000 00 004 0.04 04 0.08 08 50–64 506 [50–64 48– [48– 0.0 50–6 [50–6 [48 0. 50– [50– [4 [50 [ [5

Abstract Introduction: cystic fibrosis is a disease that causes inflammation, oxidative stress and metabolic changes that lead to nutrient deficiency, such as vitamin D deficiency. On the other hand, it is suggested that vitamin D has anti-inflammatory and antioxidant actions. Objective: to evaluate the prevalence of hypovitaminosis D and the association between serum 25 hydroxyvitamin D levels with markers of oxidative stress and inflammation in patients with cystic fibrosis. Method: a cross-sectional study was carried out with 48 patients with cystic fibrosis including children, adolescents and adults in the northeast region of Brazil. Blood collection was performed for analysis of 25-hydroxyvitamin D, calcium, parathyroid hormone, inflammatory process (C-reactive protein [CRP] and alpha-1-acid glycoprotein-A1 [A1GPA]) and oxidative stress (malondialdehyde (MDA) and total antioxidant capacity [CAOT]). The statistical analysis was performed using the "Statistical Package for the Social Sciences", adopting a significance level of p < 0.05. Results: vitamin D insufficiency/deficiency was found in 64.6 % of patients. After multiple linear regression analysis, MDA showed an inverse association with blood values of 25-hydroxyvitamin D (p < 0.05) conditioned by the presence of inflammatory process markers. When only oxidative stress was evaluated, this association disappeared. Conclusion: in conclusion, there was a high prevalence of hypovitaminosis D, with 25(OH)D levels associated with greater oxidative stress when combined with inflammatory markers. Improved vitamin D levels may be an alternative to reduce the damage caused by excess oxidative stress and inflammation in CF patients.

Resumen Introducción: la fibrosis quística es una enfermedad que cursa con inflamación, estrés oxidativo y cambios metabólicos que conducen a deficiencia de nutrientes como la vitamina D. Por otro lado, se sugiere que la vitamina D tiene acción antiinflamatoria y antioxidante. Objetivo: evaluar la prevalencia de hipovitaminosis D y la asociación entre los niveles séricos de 25 hidroxivitamina D con los marcadores de estrés oxidativo e inflamación en pacientes con fibrosis quística. Método: estudio transversal realizado con 48 pacientes con fibrosis quística, niños, adolescentes y adultos, de la región nordeste de Brasil. Se realizó una extracción de sangre para el análisis de 25-hidroxivitamina D, calcio, hormona paratiroidea, proceso inflamatorio (proteína C-reactiva [PCR] y alfa-1-glucoproteína ácida-A1 [A1GPA]) y estrés oxidativo (malondialdehído [MDA] y capacidad antioxidante total [CAOT]). El análisis estadístico se realizó utilizando el "Paquete Estadístico para las Ciencias Sociales", adoptando un nivel de significancia de p < 0,05. Resultados: se encontró insuficiencia/deficiencia de vitamina D en el 64,6 % de los pacientes. Después de un análisis de regresión lineal múltiple, la MDA mostró una asociación inversa con los valores sanguíneos de 25-hidroxivitamina D (p < 0,05) condicionado a la presencia de marcadores de proceso inflamatorio; cuando solo se evalúa el estrés oxidativo, esta asociación desaparece. Conclusión: en conclusión, hubo una alta prevalencia de hipovitaminosis D, con niveles de 25(OH)D asociados a mayor estrés oxidativo cuando se combina con marcadores inflamatorios. La mejora de los niveles de vitamina D puede ser una alternativa para reducir el daño causado por el exceso de estrés oxidativo y la inflamación en pacientes con FQ.

Resumo O Cerrado no Brasil Central é composto por tipos de vegetação únicos com uma grande fonte de compostos bioativos. As décadas de 1970 e 1980 foram marcadas pela intensa incorporação dessas áreas com vegetação nativa a pastagens e lavouras, o que aumentou o consumo de agrotóxicos como glifosato e atrazina. Hoje continua a haver uma perda constante de vegetação natural neste bioma, e a pressão do uso da terra está causando perdas significativas de vegetação nativa, impulsionadas principalmente pela expansão agrícola. Este artigo oferece um mapeamento do consumo médio estimado de agrotóxicos por safra, bem como uma compreensão dos riscos associados à contaminação por glifosato e atrazina no estado de Goiás. Ambas as áreas servem de base para entender os desafios e oportunidades de sustentabilidade associados à agricultura no Cerrado brasileiro.

Abstract The Cerrado in Central Brazil is composed of unique vegetation types with a large source of bioactive compounds. The 1970s and 1980s were marked by the intensive incorporation of these forested areas into pastures and cropland, which increased the consumption of pesticides like glyphosate and atrazine. Today there continues to be a constant loss of native vegetation in this biome, and the pressure from land use is causing significant losses of native vegetation, driven mainly by agricultural expansion. This article offers a mapping of the estimated average consumption of pesticide per crop as well as an understanding of the risks associated with glyphosate and atrazine contamination in the state of Goiás. Both of these areas serve as a basis for understanding the challenges and opportunities for sustainability associated with agriculture in the Brazilian Cerrado.

Resumen El Cerrado en el centro de Brasil está compuesto por tipos de vegetación únicos con una gran fuente de compuestos bioactivos. Las décadas de 1970 y 1980 estuvieron marcadas por la intensa incorporación de estas áreas nativas a pastos y cultivos, lo que incrementó el consumo de plaguicidas como el glifosato y la atrazina. Hoy en día, continúa habiendo una pérdida constante de vegetación natural en este bioma, y la presión del uso de la tierra está causando pérdidas significativas de vegetación nativa, impulsadas principalmente por la expansión agrícola. Este artículo proporciona un mapeo del consumo promedio estimado de pesticidas por cultivo, así como una comprensión de los riesgos asociados con la contaminación por glifosato y atrazina en el estado de Goiás. Ambas áreas sirven como base para comprender los desafíos y oportunidades de sostenibilidad asociados con agricultura en el estado de Goiás Cerrado brasileño.

RESUMO Populações vulneráveis, como imigrantes e refugiados, apresentam maior risco de tuberculose doença, especialmente nos primeiros anos após a chegada ao país de acolhimento. A presença de imigrantes e refugiados no Brasil cresceu exponencialmente no período entre 2011 e 2020, sendo estimado que aproximadamente 1,3 milhão de imigrantes do Sul Global residiam no Brasil, a maioria proveniente da Venezuela e do Haiti. Os programas de controle da tuberculose para imigrantes podem ser divididos em estratégias de triagem pré- e pós-migração. A triagem pré-migração visa identificar casos de tuberculose infecção (TBI) e pode ser realizada no país de origem (pré-entrada) ou no país de destino (no momento da entrada). A triagem pré-migração também pode detectar imigrantes com maior risco de desenvolver tuberculose no futuro. Os imigrantes de alto risco são então acompanhados na triagem pós-migração. No Brasil, os imigrantes são considerados um grupo prioritário para a busca ativa de casos de tuberculose. No entanto, não há recomendação ou plano sobre triagem para TBI em imigrantes e refugiados. Garantir a prevenção, o diagnóstico e o tratamento da TBI e da tuberculose doença em populações imigrantes é um aspecto importante do controle e eliminação da tuberculose. Neste artigo de revisão, abordamos aspectos epidemiológicos e acesso à saúde para imigrantes no Brasil. Além disso, revisou-se a triagem médica de imigrantes para tuberculose. vulneráveis acolhimento 201 2020 13 1 3 1, Haiti pré pósmigração. pósmigração pós migração. migração pós-migração prémigração (TBI préentrada entrada (pré-entrada entrada. . entrada) futuro entanto prevenção revisão disso revisouse revisou se 20 202 2

ABSTRACT Vulnerable populations, such as migrants and refugees, have an increased risk of tuberculosis disease, especially in the first years after arrival in the host country. The presence of migrants and refugees in Brazil exponentially grew over the period between 2011 and 2020, and approximately 1.3 million migrants from the Global South were estimated to be residing in Brazil, most of whom from Venezuela and Haiti. Tuberculosis control programs for migrants can be divided into pre- and post-migration screening strategies. Pre-migration screening aims to identify cases of tuberculosis infection (TBI) and can be carried out in the country of origin (pre-entry) or in the destination country (at entry). Pre-migration screening can also detect migrants at an increased risk of developing tuberculosis in the future. High-risk migrants are then followed up in post-migration screening. In Brazil, migrants are considered a priority group for the active search for tuberculosis cases. However, there is no recommendation or plan regarding screening for TBI in migrants and refugees. Ensuring prevention, diagnosis, and treatment for TBI and tuberculosis disease in migrant populations is an important aspect of tuberculosis control and elimination. In this review article, we address epidemiological aspects and access to health care for migrants in Brazil. In addition, the migration medical screening for tuberculosis was reviewed. 201 2020 13 1 3 1. Haiti pre postmigration post strategies Premigration Pre (TBI preentry entry (pre-entry entry. . entry) future Highrisk High However prevention diagnosis elimination article addition reviewed 20 202 2

RESUMO O objetivo deste trabalho foi produzir e caracterizar o biocarvão a partir da palha de cana-de-açúcar, bem como investigar possíveis efeitos fitotóxicos às germinações de algodão, milho e soja. Para tanto, o biocarvão foi produzido em forno de duplo tambor e caracterizado por diferentes técnicas. Os ensaios de germinação foram conduzidos in vitro, com doses de biocarvão variando entre 0 e 100 t/ha. O biocarvão foi obtido com rendimento de 40%, pH igual a 9,10, condutividade elétrica de 2,22 dS/m e área superficial específica de 20,3 m2/g. A análise elementar mostrou razões atômicas H/C e O/C de 0,41 e 0,21, respectivamente. A FTIR mostrou a presença de grupos C=C, enquanto a MEV/EDS mostrou estrutura porosa tipo favo de mel e nutrientes, como o Mg, K e Ca. O ensaio de germinação classificou o biocarvão como fitoestimulante para o milho e mostrou ausência de fitotoxicidade para soja. Por outro lado, para o algodão, as doses mais elevadas (50 e 100 t/ha) causaram fitotoxicidade. Os resultados deste trabalho vêm ao encontro das demandas globais por técnicas verdes. O biocarvão feito da palha de cana-de-açúcar é uma tecnologia promissora para melhorar a infertilidade de solos pobres e gerir o sequestro de carbono. canadeaçúcar, canadeaçúcar cana açúcar, açúcar algodão soja tanto vitro 10 tha t ha t/ha 40 40% 910 9 9,10 222 2 22 2,2 dSm dS m 203 20 3 20, m2g mg m2 g m2/g HC H C OC 041 41 0,4 021 21 0,21 respectivamente CC C=C MEVEDS MEV EDS nutrientes Mg Ca lado 50 (5 verdes carbono 1 4 91 9,1 2, 04 0, 02 0,2 5 ( 9,

ABSTRACT The objective of this work was to produce and characterize biochar from sugarcane straw, as well as to investigate possible phytotoxic effects on the germination of cotton, maize, and soybean. To this end, the biochar was produced in a double-drum oven and characterized by different techniques. The germination trials were conducted in vitro, with biochar doses varying between 0 and 100 t/ha. The biochar was obtained with a yield of 40%, pH equal to 9.10, electrical conductivity of 2.22 dS/m and specific surface area of 20.3 m2/g. The elemental analysis showed H/C and O/C atomic ratios of 0.41 and 0.21, respectively. The FTIR showed the presence of C=C groups, while SEM/EDS showed a honeycomb porous structure and nutrients such as Mg, K and Ca. The germination test classified the biochar as a phytonutrient for corn and showed no phytotoxicity for soybeans. On the other hand, for cotton, the highest doses (50 and 100 t/ha) caused phytotoxicity. The results of this work meet the global demands for green techniques. Biochar made from sugarcane straw is a promising technology to improve the infertility of poor soils and manage carbon sequestration. cotton maize soybean end doubledrum double drum techniques vitro 10 tha t ha t/ha 40 40% 910 9 9.10 222 2 22 2.2 dSm dS m 203 20 3 20. m2g mg m2 g m2/g HC H C OC O 041 41 0.4 021 21 0.21 respectively CC groups SEMEDS SEM EDS Mg Ca soybeans hand 50 (5 sequestration 1 4 91 9.1 2. 04 0. 02 0.2 5 ( 9.

Resumo Fundamento A precisão da classificação da New York Heart Association (NYHA) para avaliar o prognóstico pode ser limitada em comparação com os parâmetros objetivos do teste de exercício cardiopulmonar (TECP) na insuficiência cardíaca (IC). Objetivo Investigar o valor prognóstico da classificação da NYHA e da classe Weber. Métodos Foram incluídos pacientes ambulatoriais adultos com IC submetidos a TECP em um centro terciário brasileiro. A classe NYHA atribuída pelo médico e a classe Weber derivada do TECP foram estratificadas como “favorável” (NYHA I ou II com Weber A ou B) ou “adversa” (NYHA III ou IV com Weber C ou D). Pacientes com uma classe favorável e uma classe adversa foram definidos como “discordantes”. O desfecho primário foi o tempo para mortalidade por todas as causas. Um valor de p bilateral < 0,05 foi considerado estatisticamente significativo. Resultados Foram incluídos 834 pacientes. A mediana de idade foi de 57 anos; 42% (351) eram do sexo feminino e a mediana da fração de ejeção do ventrículo esquerdo foi de 32%. Entre os pacientes com classes NYHA e Weber concordantes, aqueles com classes NYHA e Weber adversas tiveram mortalidade por todas as causas significativamente maior em comparação com aqueles com classes favoráveis ( hazard ratio [HR]: 5,65; intervalo de confiança de 95%: 3,38 a 9,42). Entre os pacientes com classes discordantes, não houve diferença significativa na mortalidade por todas as causas (HR: 1,38; intervalo de confiança de 95%: 0,82 a 2,34). No modelo multivariado, incrementos na classe NYHA (HR: 1,55 por aumento na classe; intervalo de confiança de 95%: 1,26 a 1,92) e reduções no VO 2 pico (HR: 1,47 por diminuição de 3 ml/kg/min; intervalo de confiança de 95%: 1,28 a 1,70) previu significativamente a mortalidade. Conclusões A classe NYHA atribuída pelo médico e as medidas objetivas do TECP fornecem informações prognósticas complementares para pacientes com IC. (TECP . (IC) brasileiro “favorável B “adversa D. D D) discordantes. discordantes “discordantes” 005 0 05 0,0 significativo 83 5 anos 42 351 (351 32 32% concordantes HR [HR] 5,65 565 65 95% 95 338 38 3,3 9,42. 942 9,42 9 9,42) (HR 1,38 138 1 082 82 0,8 2,34. 234 2,34 34 2,34) multivariado 155 55 1,5 126 26 1,2 1,92 192 92 147 47 1,4 ml/kg/min mlkgmin ml kg min 128 28 1,70 170 70 (IC “discordantes 00 0, 8 4 35 (35 [HR 5,6 56 6 33 3, 94 9,4 1,3 13 08 23 2,3 15 1, 12 1,9 19 14 1,7 17 7 (3 5, 9, 2,

Abstract Background The accuracy of the New York Heart Association (NYHA) classification to assess prognosis may be limited compared with objective cardiopulmonary exercise test (CPET) parameters in heart failure (HF). Objective To investigate the prognostic value of the NYHA classification in addition to Weber class. Methods Adult outpatients with HF undergoing CPET in a Brazilian tertiary care center were included. The physician-assigned NYHA class and the CPET-derived Weber class were stratified into “favorable” (NYHA I or II; Weber A or B) or “adverse” (NYHA III or IV; Weber C or D). Patients with one favorable class and one adverse class were defined as “discordant.” The primary endpoint was time to all-cause mortality. A 2-sided p value < 0.05 was considered statistically significant. Results A total of 834 patients were included. Median age was 57 years; 42% (351) were female, and median left ventricular ejection fraction was 32%. Among patients with concordant NYHA and Weber classes, those with adverse NYHA and Weber classes had significantly higher all-cause mortality compared to those with favorable classes (hazard ratio [HR]: 5.65; 95% confidence interval [CI]: 3.38 to 9.42). Among patients with discordant classes, there was no significant difference in all-cause mortality (HR: 1.38; 95% CI: 0.82 to 2.34). In the multivariable model, increments in NYHA class (HR: 1.55 per class increase; 95% CI: 1.26 to 1.92) and reductions in peak VO 2 (HR: 1.47 per 3 ml/kg/min decrease; 95% CI: 1.28 to 1.70) significantly predicted mortality. Conclusions Physician-assigned NYHA class and objective CPET measures provide complementary prognostic information for patients with HF. (CPET . (HF) included physicianassigned physician assigned CPETderived derived “favorable II B “adverse IV D. D D) discordant. “discordant. allcause all cause 2sided sided 005 0 05 0.0 83 5 years 42 351 (351 female 32 32% hazard HR [HR] 5.65 565 65 95 CI [CI] 338 38 3.3 9.42. 942 9.42 9 9.42) (HR 1.38 138 1 082 82 0.8 2.34. 234 2.34 34 2.34) model 155 55 1.5 increase 126 26 1.2 1.92 192 92 147 47 1.4 mlkgmin ml kg min decrease 128 28 1.70 170 70 Physicianassigned Physician (HF “discordant 00 0. 8 4 35 (35 [HR 5.6 56 6 [CI 33 3. 94 9.4 1.3 13 08 23 2.3 15 1. 12 1.9 19 14 1.7 17 7 (3 5. 9. 2. (

Resumo Este artigo busca analisar diferenças nas condições de vida e saúde das professoras principais provedoras do domicílio em comparação às coprovedoras, durante a pandemia de Covid-19. Trata-se de estudo transversal realizado em 2020, por meio de formulário on-line enviado aos professores da rede estadual de Minas Gerais. A variável dependente foi ser ou não a principal provedora da família (principal provedora vs. coprovedora) e as independentes foram agrupadas em sociodemográficas, ocupacionais, situação de saúde e comportamentos. Analisaram-se dados somente das mulheres e estimou-se a regressão logística. Entre as 12.817 professoras participantes, 47,2% declararam-se principais provedoras. Dentre elas, observou-se predomínio de mulheres mais velhas, que viviam sem companheiro(a), com filhos(as) e, no geral, apresentavam características que retrataram pior condição socioeconômica, maior acúmulo de trabalho e comportamentos menos saudáveis. Os resultados permitiram identificar desvantagens nas condições de vida e saúde das professoras principais provedoras financeiras de suas famílias em comparação às coprovedoras.

Abstract The objective was to analyze differences in living and health conditions of teachers who are the main providers for their household compared to co-providers during the COVID-19 pandemic. The cross-sectional study was carried out in 2020, through an online form sent to teachers of public schools in the state of Minas Gerais, Brazil. The dependent variable was whether or not they were their family’s main provider (main provider vs. co-provider) and independent variables were grouped into sociodemographic, occupational, health status and behaviors. Only women’s data were analyzed and logistic regression was estimated. Among the 12,817 participating female schoolteachers, 47.2% declared to be the main providers. In this subgroup, there was a predominance of older women, who lived without a partner, with children and, in general, these teachers presented worse socioeconomic conditions, greater accumulation of work and less healthy behaviors. The results of the present study allow to identify disadvantages in living and health conditions of female schoolteachers who are the main financial providers of their families compared to co-providers.

Resumen El objetivo fue analizar las diferencias en las condiciones de vida y salud entre las profesoras que son las principales proveedoras del hogar y las coproveedoras, durante la pandemia de COVID-19. Estudio transversal realizado en 2020, a través de un formulario en línea enviado a profesoras de escuelas públicas del estado de Minas Gerais, Brasil. La variable dependiente fue ser o no la proveedora principal de la familia (proveedora principal versus coproveedora) y las variables independientes se agruparon en sociodemográficas, ocupacionales, sanitarias y conductuales. Solo se analizaron los datos de las mujeres y se estimó una regresión logística. Entre las 12.817 maestras participantes, el 47,2 % se declaró proveedora principal. En este subgrupo predominaron las mujeres mayores, que vivían sin pareja, con hijos y, en general, estas profesoras tenían características que retrataban una peor condición socioeconómica, mayor acumulación de trabajo y conductas menos saludables. Los resultados del presente estudio permiten identificar desventajas en las condiciones de vida y salud de las profesoras de escuela que son las principales proveedoras económicas de sus familias en comparación con las coproveedoras.

ABSTRACT. The intergovernmental panel on climate change predicts a progressive increase in atmospheric CO2 concentration and temperature; however, their effects on cereals have been shown for a limited number of species. This study evaluates the effects of increased CO2 concentration and temperature separately and combined on millet growth and grain production in open-top chambers where the microclimate was adjusted to the following conditions: ambient CO2 and temperature; CO2 enriched (~ 800 ppm) and ambient temperature; ambient CO2 and higher temperature (+3ºC); and CO2-enriched and higher temperature. For each treatment, two chambers were used, each containing 15 7 L pots. Each pot received five seeds at the beginning of the experiment and thinning to one plant per pot at 15 days after sowing. Ten plants were harvested from each chamber 65 days after sowing and the plant height, the number of leaves and the longest root length as well as shoot and root biomass were measured. The remaining plants were harvested 130 days after sowing to evaluate grain production. The results indicate that high CO2 levels did not affect plant growth and biomass. On the other hand, plants subjected to high temperature grew 7% taller than those grown under ambient temperature. Contrastingly, plants submitted to both elevated CO2 and temperature were 19% taller and had 22% more shoot biomass than plants under ambient CO2 and temperature. However, grain production did not change in any of the environmental conditions. We provide evidence that millets are tolerant of the predicted climate changes and that grain production potential may not be affected.

ABSTRACT. Signal grass (Urochloa decumbens) and guinea grass (Megathyrsus maximus) are African grasses that are well established in the Brazilian Savannah and we tested their adaptation to different light intensity. Plants were grown for 45 days under 0% shade (full sun) and 25, 40, and 80% induced shade to evaluate their photosynthetic performance. Light curves showed higher values of electron transport rate, photochemical quenching, and effective quantum yield in plants subjected to 0 and 25% shade for signal grass and in 25 and 40% shade for guinea grass. The potential quantum yield evaluations revealed that signal grass felt the effects of excessive light around 11:30 am on plants subjected to 0 and 25% shade. Conversely, guinea grass showed these photoinhibition effects at the same shade level but in a longer time range (9:30 am to 1:30 pm). As shade increased, there was a reduction tendency of the pigment content in signal grass and the opposite was observed for guinea grass. Stomatal conductance showed different values during the day and among different shade levels and there were no differences in relative water content between treatments and species. Results indicated better photosynthetic performance for signal grass under high intensity and better photosynthetic performance for guinea grass subjected to intermediate and higher levels of shade. Altogether, the results indicate that guinea grass seems to be a more appropriate choice for silvopasture systems.

ABSTRACT Background: An outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant was detected in the psychiatric ward of a general hospital in Brasília, Brazil. Methods: We report the investigation, clinical outcomes, viral sequencing, and control measures applied to outbreak containment. Results: The overall attack rate was 95% (23/24) in a period of 13 days. Among the cases, 78% (18/23) were vaccinated and 17% (4/23) required intensive care. The Omicron variant was isolated from the 19 sequenced samples. Conclusions: The findings highlight the potential harm that highly transmissible variants may generate among hospitalized populations, particularly those with comorbidities.

BACKGROUND Paracoccidioidomycosis (PCM) is a systemic mycosis endemic to Latin America. Etiological agents are Paracoccidioides species that diverge phylogenetically throughout South America. OBJECTIVES This study aimed to document the epidemiology of PCM in Venezuela. METHODS We have performed a retrospective cross-sectional descriptive study in 31,081 clinical records of patients from two reference centres during 65 years (1954-2019). FINDINGS PCM diagnosis was confirmed in 745 patients. Chronic PCM was the most prevalent form (90.06% cases); 80.67% were male and the most affected age range was 41-60. Farming and construction were the most prevalent occupation and Miranda State had a higher prevalence. Lung and skin were the most affected organs, followed by oral manifestations. Direct examination, culture and serology showed a high sensibility, and no statistical difference was observed among the diagnostic tools. Out of 17 Paracoccidioides isolates genotyped from Venezuela, one was typed as Paracoccidioides americana and 16 as Paracoccidioides venezuelensis. MAIN CONCLUSIONS Clinical manifestations observed, information about the epidemiology and molecular profile is essential not only for diagnosis but also for understanding therapeutic responses to mycotic drugs and prognosis. Therefore, it is necessary to sequence all positive isolated strains in order to confirm the dominance of P. venezuelensis in Venezuela.

The aim of this paper was to determine the influence of machining parameters on the surface layer, and consequently on the electrochemical properties, of ASTM F138 austenitic stainless steels. Eight different surface conditions were generated in cylindrical samples by turning and polishing. The surface was characterized by surface roughness Ra and Rt, Vickers microhardness and microstructural characteristics. Cyclic voltammetric tests were performed to evaluate the potential of repassivation and pitting. The surfaces were analyzed by Scanning Electron Microscopy after the electrochemical tests were performed. The cutting parameters were identified to have a significant influence, and the feed rate was as influential as the depth of cut. The use of polishing alone is not sufficient to ensure that a surface has good surface integrity. Even with the polishing application, usually used to produce prostheses, a significant reduction in corrosion resistance occurs if care is not taken to minimize surface machining damage. Corrosion resistance is lower and pitting nucleation is higher in the samples with no polishing and with more severe machining parameters. The tests indicated that softer machining parameters can contribute to an increase in the life of implantable components, reducing the probability of localized corrosion, as well as improving the mechanical properties of prostheses.