ABSTRACT BACKGROUND: Down syndrome (DS) is a non-rare genetic condition that affects approximately 1 in every 800 live births worldwide. Further, it is associated with comorbidities, anatomical alterations of the respiratory tract, and immunological dysfunctions that make individuals more susceptible to respiratory infections. OBJECTIVE: To systematize the current scientific knowledge about the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among individuals with DS. DESIGN AND SETTING: This integrative review was conducted at the Universidade Federal de São Carlos, São Paulo, Brazil. METHODS: This review was conducted in the following databases: the Virtual Health Library (Biblioteca Virtual em Saúde, BVS), PubMed, and Web of Science, using MeSH descriptors. The search included English or Portuguese studies published between January 1, 2020, and October 14, 2022. RESULTS: A total of 55 articles from 24 countries were selected, comprising 21 case-control or cohort studies, 23 case reports or series, and 11 narrative reviews or opinion studies. The articles were grouped into five categories: previous comorbidities, coronavirus disease 2019 (COVID-19) clinical features and evolution, cytokine storm and interleukins, living in institutions as a risk factor, and behavioral actions as a protective factor against SARS-CoV-2 infection. CONCLUSION: Individuals with DS are more susceptible to COVID-19 infection due to variables such as previous comorbidities, immunological factors, and their habitable environments. These aspects confer a higher risk of infection and an unfavorable clinical course. The precise pathways involved in the pathophysiology of COVID-19 in individuals with DS are not clear, thus requiring further studies. SYSTEMATIC REVIEW REGISTRATION: The Open Science Framework registered the research protocol (https://osf.io/jyb97/). BACKGROUND (DS nonrare non rare 80 worldwide Further comorbidities tract infections OBJECTIVE SARSCoV2 SARSCoV SARS CoV (SARS-CoV-2 SETTING Carlos Paulo Brazil METHODS databases Biblioteca Saúde BVS, BVS , BVS) PubMed descriptors 2020 14 2022 RESULTS 5 selected casecontrol control series categories 201 COVID19 COVID 19 (COVID-19 evolution interleukins SARS-CoV- CONCLUSION COVID-1 factors environments course clear REGISTRATION https//osf.io/jyb97/. httpsosfiojyb97 httpsosfiojyb https //osf.io/jyb97/ . osf io jyb97 jyb (https://osf.io/jyb97/) 8 (SARS-CoV- 202 20 COVID1 (COVID-1 SARS-CoV COVID- https//osf.io/jyb97/ httpsosfiojyb9 osfiojyb97 osfiojyb //osf.io/jyb97 jyb9 (https://osf.io/jyb97/ (SARS-CoV (COVID- https//osf.io/jyb97 osfiojyb9 //osf.io/jyb9 (https://osf.io/jyb97 (COVID https//osf.io/jyb9 //osf.io/jyb (https://osf.io/jyb9 https//osf.io/jyb (https://osf.io/jyb

ABSTRACT Purpose: to analyze the telehealth speech therapy approach in patients with oropharyngeal dysphagia and determine the applications and effects of this practice. Methods: the following descriptors were used for selection: Telerehabilitation, Telemedicine, "Remote Consultation", "Healthcare Delivery", "Distance Counseling", "Therapy, Computer-Assisted", "Speech-Language Pathology", "Speech Therapy", "Swallowing Disorders", Dysphagia, “Bottle Feeding" and "Enteral Nutrition” in PubMed, MedLine, Scopus and Web of Science databases and in the gray literature, by Google Scholar and ProQuest. Studies were selected without time limits, in Portuguese, English and Spanish, that described the applicability and/or effects of telehealth in speech therapy practice in patients with swallowing disorders/dysphagia, regardless of gender and age. For analysis, the following were considered: level of scientific evidence and recommendation, telehealth modality, objectives, methods and results/conclusion. Literature Review: 490 articles were found and, after exclusion of duplicates, analysis of titles, abstracts and reading of full articles, 22 studies were selected. The articles were classified into telehealth modalities: tele-education, telediagnosis, teleconsulting, teleregulation and telemonitoring. Conclusion: the telehealth modalities described had a great potential to promote significant improvements in patients presented with swallowing disorders/dysphagia, suggesting them as viable for speech therapy services. Among them, teleconsultation was the least addressed. Purpose Methods selection Telerehabilitation Telemedicine Remote Consultation, Consultation , Consultation" Healthcare Delivery, Delivery Delivery" Distance Counseling, Counseling Counseling" Therapy, Therapy "Therapy ComputerAssisted, ComputerAssisted Computer Assisted Computer-Assisted" SpeechLanguage Speech Language Pathology, Pathology Pathology" Therapy" Swallowing Disorders, Disorders Disorders" Dysphagia Bottle Feeding Enteral Nutrition PubMed MedLine literature ProQuest limits Portuguese Spanish andor or disordersdysphagia disorders disorders/dysphagia age considered recommendation modality objectives resultsconclusion results conclusion results/conclusion Review 49 duplicates titles 2 teleeducation, teleeducation tele education, education tele-education telediagnosis teleconsulting telemonitoring Conclusion services addressed Computer-Assisted 4

RESUMO Objetivo: analisar a abordagem fonoaudiológica por meio da telessaúde em pacientes com disfagia e determinar as aplicações e efeitos desta prática. Métodos: para seleção foram utilizados os descritores: Telerehabilitation, Telemedicine, "Remote Consultation", "Delivery of Health Care", "Distance Counseling", "Therapy, Computer-Assisted", “Speech-Language Pathology”, "Speech Therapy", "Deglutition Disorders", Dysphagia, “Bottle Feeding" e "Enteral Nutrition” nas bases de dados PubMed, MedLine, Scopus e Web of Science e na literatura cinzenta, por meio do Google Acadêmico e ProQuest. Foram selecionados estudos sem delimitação de tempo, nas línguas português, inglês e espanhol, que descrevessem a aplicabilidade e/ou efeitos da telessaúde na prática fonoaudiológica junto à pacientes com alteração da deglutição/disfagia, sem restrição de sexo e idade. Para análise considerou-se: nível de evidência científica e recomendação, modalidade de telessaúde, objetivos, métodos e resultados/conclusão. Revisão da Literatura: foram encontrados 490 artigos e, após exclusão de duplicatas, análise dos títulos, resumos e leitura completa dos artigos, 22 estudos foram selecionados. Os artigos foram classificados nas modalidades da telessaúde: tele-educação, telediagnóstico, teleconsultoria, telerregulação e telemonitoramento. Conclusão: as modalidades de telessaúde descritas tiveram grande potencial para promover melhoras significativas em pacientes com alteração de deglutição/disfagia, sugerindo-as como viáveis para serviços fonoaudiológicos. Entre elas, a teleconsulta foi a menos explorada. Objetivo Métodos descritores Telerehabilitation Telemedicine Remote Consultation, Consultation , Consultation" Delivery Care, Care Care" Distance Counseling, Counseling Counseling" Therapy, Therapy "Therapy ComputerAssisted, ComputerAssisted Computer Assisted Computer-Assisted" SpeechLanguage Speech Language Pathology, Pathology Pathology” Therapy" Deglutition Disorders, Disorders Disorders" Dysphagia Bottle Feeding Enteral Nutrition PubMed MedLine cinzenta ProQuest tempo português espanhol eou ou deglutiçãodisfagia deglutição deglutição/disfagia idade considerouse considerou se considerou-se recomendação objetivos resultadosconclusão resultados conclusão resultados/conclusão Literatura 49 duplicatas títulos 2 teleeducação, teleeducação tele educação, educação tele-educação telediagnóstico teleconsultoria telemonitoramento Conclusão sugerindoas sugerindo fonoaudiológicos elas explorada Computer-Assisted 4

Abstract Background StepWatch Activity Monitor (SAM) is used to measure the mobility of chronic hemiparetic patients and the Life Space Assessment (LSA) scale was developed to assess the displacement of hemiparetic patients in different contexts through self-reporting. Studies that apply the LSA remotely and correlate it with the number of steps measured by the SAM were not found. Objective To evaluate the measurement properties of the LSA applied remotely and to evaluate the correlation between the LSA scale score and the number of steps measured by the SAM in post-stroke chronic hemiparetic patients. Methods Nineteen patients participated in the study. The LSA scale was applied remotely and later, face to face. The SAM measured the steps taken by the participants over a period of three consecutive days. The correlation between the LSA and the SAM was performed using Pearson's correlation. The measurement properties calculated of remote LSA were the intraclass correlation coefficient (ICC), Cronbrach's alpha, standard error of measurement (SEM), and smallest real difference (SRD). Results The reproducibility of the LSA scale between remote and face-to-face applications was considered excellent with ICC = 0.85 (IC 95% 0.62-0.94); SEM = 8.4; SRD = 23.2, and Cronbach's alpha = 0.85. The correlation between SAM and LSA was positive, considered moderate (r = 0.51) and significant (p = 0.025). Conclusion The LSA is a reproducible measure for post-stroke chronic hemiparetic patients even if applied remotely and can be used as a remote measurement for mobility in a real-world environment for people with chronic hemiparesis after stroke. (SAM (LSA selfreporting. selfreporting self reporting. reporting self-reporting found poststroke post stroke study later days Pearsons Pearson s ICC, , (ICC) Cronbrachs Cronbrach SEM, (SEM) SRD. . (SRD) facetoface 085 0 85 0.8 IC 95 0.620.94 062094 0.62 0.94 62 94 0.62-0.94) 8.4 84 8 4 232 23 2 23.2 Cronbachs Cronbach positive r 0.51 051 51 p 0.025. 0025 0.025 025 0.025) realworld world (ICC (SEM (SRD 08 0. 9 620 0.620.9 06209 062 0.6 094 0.9 6 0.62-0.94 8. 23. 0.5 05 5 002 0.02 02 0.620. 0620 06 09 0.62-0.9 00 0.0 0.620 0.62-0. 0.62-0 0.62-

Resumo Antecedentes O StepWatch Activity Monitor (SAM) é utilizado para medir a mobilidade de pacientes hemiparéticos crônicos e a escala Life Space Assessment (LSA) avalia o deslocamento de pacientes hemiparéticos em diferentes contextos por meio de autorrelato. Não foram encontrados estudos que tenham aplicado a LSA remotamente nem que a correlacionam com o número de passos mensurados pelo SAM. Objetivo Avaliar as propriedades de medida da LSA aplicada remotamente e avaliar a correlação entre o escore da escala LSA e o número de passos mensurados pelo SAM em pacientes com hemiparesia crônica pós-AVC. Métodos Dezenove participantes responderam a LSA remotamente e, posteriormente, presencialmente. O SAM mediu os passos dados pelos participantes durante um período de três dias consecutivos. A correlação entre a LSA e o SAM foi realizada por meio da correlação de Pearson. As propriedades de medida calculadas da LSA aplicada remotamente foram o coeficiente de correlação intraclasse (ICC), alfa de Cronbrach, erro do padrão de medida (SEM) e menor diferença real (SRD). Resultados A reprodutibilidade da escala LSA entre as aplicações remotas e presenciais foi considerada excelente com ICC = 0,85 (IC 95% 0,62-0,94); SEM = 8,4; SRD = 23,2 e alfa de Cronbrach = 0,85. A correlação entre SAM e a LSA foi positiva, considerada moderada (r = 0,51) e significativa (p= 0,025). Conclusão A LSA é uma medida reprodutível para pacientes hemiparéticos crônicos pós-AVC mesmo se aplicada remotamente e pode ser usada como uma medida remota de mobilidade em ambiente real para pessoas com hemiparesia crônica após AVC. (SAM (LSA autorrelato pósAVC. pósAVC pós AVC posteriormente presencialmente consecutivos Pearson ICC, , (ICC) (SEM SRD. . (SRD) 085 0 85 0,8 IC 95 0,620,94 062094 0,62 0,94 62 94 0,62-0,94) 8,4 84 8 4 232 23 2 23, positiva r 0,51 051 51 p= p (p 0,025. 0025 0,025 025 0,025) (ICC (SRD 08 0, 9 620 0,620,9 06209 062 0,6 094 0,9 6 0,62-0,94 8, 0,5 05 5 002 0,02 02 0,620, 0620 06 09 0,62-0,9 00 0,0 0,620 0,62-0, 0,62-0 0,62-

Abstract Introduction Ileostomy formation is performed for multiple purposes related to intestinal pathology, such as obstructive malignant or benign tumors, inflammatory bowel diseases, intestinal ischemia, and, for the most part, as a protective stoma in high-risk anastomosis. The creation of this surgical opening, despite being considered a simple procedure, is undoubtedly followed by complications in certain cases. Materials and Methods We conducted an electronic literature search in the MEDLINE database using the PubMed search engine. A total of 43 articles were included in the present review. Results/Discussion Over the course of the present work, we were able to explore different types of complications that can arise in patients with an ileostomy. High-output stomas were found to be associated with dehydration and electrolyte imbalance. Skin-related morbidity was shown to be present in a great percentage of patients. More severe complications, such as peristomal pyoderma gangrenosum and necrosis, are less frequent and require urgent management. Several risk factors were identified in cases of retraction, obstruction, prolapse, and parastomal herniation. Conclusion Even though ileostomies may present numerous benefits in certain patients, they are also associated with many complications, which should be avoided and quickly managed, because they can severely affect the quality of life of the patients. Surveillance and follow-up by a multidisciplinary team is strongly advisable, bearing in mind that a good performance on the part of the responsible surgeon is also a key factor. pathology tumors diseases ischemia highrisk high anastomosis opening procedure engine 4 review ResultsDiscussion Results Discussion work ileostomy Highoutput High output imbalance Skinrelated Skin necrosis management retraction obstruction prolapse herniation managed followup follow up advisable factor

Abstract At low concentrations used for in-office bleaching gels, such as 6% HP, gingival barrier continues to be performed. If we take into account that, in the at-home bleaching technique, no barrier is indicated, it seems that the use of a gingival barrier fails to make much sense when bleaching gel in low concentration is used for in-office bleaching. Objective This double-blind, split-mouth, randomized clinical trial evaluated the gingival irritation (GI) of in-office bleaching using 6% hydrogen peroxide (HP) with and without a gingival barrier in adolescents, as well as color change and the impact of oral condition on quality of life. Methodology Overall, 60 participants were randomized into which side would or would not receive the gingival barrier. In-office bleaching was performed for 50 minutes with 6% HP in three sessions. The absolute risk and intensity of GI were assessed with a visual analogue scale. Color change was assessed using a digital spectrophotometer and color guides. The impact of oral condition on quality of life was assessed using the Brazilian version of the Oral Health Impact Profile (α=0.05). Results The proportion of patients who presented GI for the “with barrier” group was 31.6% and for the “without barrier” group, 30% (p=1.0). There is an equivalence for the evaluated groups regarding GI intensity (p<0.01). Color change was detected with no statistical differences (p>0.29). There was a significant impact of oral condition on quality of life after bleaching (p<0.001). Conclusions The use or not of the gingival barrier for in-office bleaching with 6% HP was equivalent for GI, as well as for bleaching efficacy, with improvement in the impact of oral condition on quality of life. inoffice office gels 6 athome at home technique indicated doubleblind, doubleblind double blind, blind double-blind splitmouth, splitmouth split mouth, mouth split-mouth (GI (HP adolescents Overall Inoffice In 5 sessions scale guides α=0.05. α005 α α=0.05 . 0 05 (α=0.05) 316 31 31.6 30 p=1.0. p10 p p=1.0 1 (p=1.0) p<0.01. p001 p<0.01 01 (p<0.01) p>0.29. p029 p>0.29 29 (p>0.29) p<0.001. p0001 p<0.001 001 (p<0.001) efficacy α00 α=0.0 (α=0.05 3 31. p1 p=1. (p=1.0 p00 p<0.0 (p<0.01 p02 p>0.2 2 (p>0.29 p000 p<0.00 00 (p<0.001 α0 α=0. (α=0.0 p=1 (p=1. p0 p<0. (p<0.0 p>0. (p>0.2 (p<0.00 α=0 (α=0. p= (p=1 p<0 (p<0. p>0 (p>0. α= (α=0 (p= p< (p<0 p> (p>0 (α= (p (p< (p> (α

ABSTRACT: Hops are grown mainly for the brewing market due to the rich chemical composition that gives beer aroma and bitterness. Brazil is one of the largest beer producers and consumers in the world and one of the largest hop importers. There is growing demand and interest in producing hops for domestic supply; however, as this crop originates from a temperate climate and the Northern Hemisphere, it is important to carry out research that describes the development of hops in a tropical climate to provide information on its cultivation in Brazil, as well as to determine its behavior in organic cultivation. A randomized block design was adopted, the treatments consisted of two cropping systems, conventional and organic, for Hallertau Mittelfrueh variety cultivation, with four blocks and three plants per plot. Gas exchange analyzes of plants under both cultivation systems were performed to obtain measurements of A, g s , Ci, E, WUE and A/Ci, morphometric and yield analyzes were also carried out. In comparison with the plants of the organic system, the plants of the conventional cultivation had greater photosynthetic efficiency; however, the practices adopted in the organic cultivation system provided the plants with greater productive capacity. ABSTRACT bitterness importers supply however Hemisphere plot Ci E ACi A/Ci efficiency capacity

RESUMO: O lúpulo é cultivado principalmente para o mercado cervejeiro devido à rica composição química que confere aroma e amargor à cerveja. O Brasil é um dos maiores produtores e consumidores de cerveja do mundo e um dos maiores importadores de lúpulo. Há crescente demanda e interesse na produção de lúpulo para abastecimento interno; porém, como essa cultura é originária de clima temperado e do Hemisfério Norte, é importante a realização de pesquisas que descrevam o desenvolvimento do lúpulo em clima tropical para fornecer informações sobre seu cultivo no Brasil, bem como determinar seu comportamento em cultivo orgânico cultivo. Adotou-se o delineamento em blocos ao acaso, e os tratamentos consistiram em dois sistemas de cultivo, convencional e orgânico, para a variedade Hallertau Mittelfrueh, com quatro blocos e três plantas por parcela. Análises de trocas gasosas de plantas sob ambos os sistemas de cultivo foram realizadas para obter medidas de A, gs, Ci, E, WUE e A/Ci, análises morfométricas e de produção também foram realizadas. Em comparação com as plantas do sistema orgânico, as plantas do cultivo convencional apresentaram maior eficiência fotossintética. No entanto, as práticas adotadas no sistema de cultivo orgânico proporcionaram maior capacidade produtiva às plantas. RESUMO interno porém Norte Adotouse Adotou se acaso Mittelfrueh parcela A gs Ci E ACi A/Ci fotossintética entanto

Abstract Objective To analyze marital outcomes, divorce or separation, and its association with demographic, socioeconomic, and clinicopathological factors among breast cancer (BC) survivors after 2-years of diagnosis. Methods We performed a retrospective analysis of marital status at baseline and at years 1 and 2 of follow-up of women aged ≥ 18 years diagnosed with invasive BC participating in the AMAZONA III (GBECAM0115) study. The BC diagnosis occurred between January 2016 and March 2018 at 23 institutions in Brazil. Results Of the 2974 women enrolled in AMAZONA III, 599 were married or living under common law at baseline. Divorce or separation occurred in 35 (5.8%) patients at 2 years of follow-up. In the multivariate analysis, public health insurance coverage was associated with a higher risk of marital status change (8.25% vs. 2.79%, RR 3.09, 95% CI 1.39 - 7.03, p = 0.007). Women who underwent mastectomy, adenomastectomy or skin-sparing mastectomy were associated with a higher risk of divorce or separation (8.1% vs. 4.49%, RR 1.97, 95 CI 1.04 – 3.72, p = 0.0366) than those who underwent breast-conserving surgery. Conclusion Women covered by the public health system and those who underwent mastectomy, adenomastectomy or skin-sparing mastectomy were associated with a higher risk of divorce or separation. This evidence further supports the idea that long-term marital stability is associated with a complex interplay between socioeconomic conditions and stressors, such as BC diagnosis and treatment. ClinicalTrials Registration: NCT02663973. outcomes demographic (BC 2years followup follow up GBECAM0115 GBECAM (GBECAM0115 study 201 Brazil 297 59 3 5.8% 58 5 8 (5.8% followup. up. 8.25% 825 25 (8.25 vs 279 79 2.79% 309 09 3.09 139 39 1.3 703 7 03 7.03 0.007. 0007 0.007 . 0 007 0.007) skinsparing skin sparing 8.1% 81 (8.1 449 4 49 4.49% 197 97 1.97 9 104 04 1.0 372 72 3.72 0.0366 00366 0366 breastconserving conserving surgery longterm long term stressors treatment Registration NCT02663973 NCT GBECAM011 (GBECAM011 20 29 5.8 (5.8 8.25 82 (8.2 27 2.79 30 3.0 13 1. 70 7.0 000 0.00 00 8.1 (8. 44 4.49 19 1.9 10 37 3.7 0.036 0036 036 NCT0266397 GBECAM01 (GBECAM01 5. (5. 8.2 2.7 3. 7. 0.0 8. (8 4.4 0.03 003 NCT026639 GBECAM0 (GBECAM0 (5 2. 0. ( 4. NCT02663 (GBECAM NCT0266 NCT026 NCT02 NCT0

ABSTRACT The paper departs from instantiation to explore text in relation to the quantitative properties of language - more specifically how probability plays a part in the matching of an instance and a particular socially-oriented use. Such matching not only links instantiation and stratification, but also helps explaining how different context configurations (patterns of register and genre) are accordingly related to steps in subpotentialization. The fact that language is an inherently probabilistic system may yield a quantitative account of this process if a more complete modelling of language is to be obtained. As part of our exploration, we compiled a corpus of procedures and applied dynamics modelling to tease out quantitative properties of instances associated with context. We described some properties of instantiation - reweighting, association, and dynamics -, which determine the probabilities of an instance configuration, as they also behave following register variation. The paper goes on to show quantitatively how the process of subpotentialization is obtained, leading up to a complementary definition of ‘text’ as a probable unit of instantiation. sociallyoriented socially oriented use stratification patterns genre obtained exploration reweighting association , configuration variation ‘text

RESUMO Este trabalho considera o aspecto probabilístico da organização do texto a partir da instanciação. Cada instância manifesta de texto se associa à tipologia textual, tanto pelo contexto - como se registra amplamente na literatura - quanto pela configuração linguística mais provável, que é o foco deste trabalho. Descrever como a organização de probabilidade e frequência, assim como os mecanismos pelos quais as frequências emergem, motiva uma configuração linguística e determina como um texto é instanciado torna-se passo necessário para incluir propriedades quantitativas na modelagem. O artigo parte de um corpus de procedimentos, Subcorpus1 - experimentos científicos e receitas; e Subcorpus2 - referente à atividade social de “assar bolo”. Em seguida, identifica o perfil metafuncional dos textos e estabelece regras de associação entre os sistemas para identificar sua chavicidade. Por fim, aplica a metodologia da dinâmica de sistemas. Nos resultados, descrevem-se os mecanismos de subpotencialização, bem como determinam as probabilidades para uma instância ao mesmo tempo em que são constrangidos pela variação do registro. O trabalho aponta a alternativa complementar à análise dos gêneros para se compreender como os textos se organizam e são estruturados. instanciação textual provável frequência emergem tornase torna modelagem procedimentos Subcorpus receitas assar bolo. bolo . bolo” seguida chavicidade fim resultados descrevemse descrevem subpotencialização registro estruturados

ABSTRACT Purpose: This study evaluated the prevalence of complications in the postoperative period of esophagogastric oncological surgeries. Methods: We conducted a retrospective cross-sectional study, adhering to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. The study size implied 163 patients who underwent surgical treatment for esophageal and gastric cancer and experienced postoperative complications between January 2018 and December 2022. These patients were treated at the Liga Norte Riograndense Contra o Câncer, a high-complexity oncology center and a reference for cancer treatment in Northeast Brazil. Results: The prevalence found was 88.3%. The most prevalent complications were Clavien-Dindo I and II, and infection was the most common. According to our statistics analysis, hypoalbuminemia showed a positive correspondence with the occurrence of postoperative complications (odds ratio = 8.60; 95% confidence interval 1.35–54.64, p = 0.0358). Conclusions: Postoperative complications of gastroesophageal surgeries increase patient morbidity and mortality. Purpose Methods crosssectional cross sectional STROBE (STROBE guidelines 16 201 2022 Câncer highcomplexity high complexity Brazil Results 883 88 3 88.3% ClavienDindo Clavien Dindo II common analysis odds 8.60 860 8 60 95 1355464 1 35 54 64 1.35–54.64 0.0358. 00358 0.0358 . 0 0358 0.0358) Conclusions mortality 20 202 88.3 8.6 86 6 9 135546 5 1.35–54.6 0035 0.035 035 2 88. 8. 13554 1.35–54. 003 0.03 03 1355 1.35–54 00 0.0 135 1.35–5 0. 13 1.35– 1.35 1.3 1.

Abstract Objective The present study aimed to investigate FOXO3a deregulation in Uterine Smooth Muscle Tumors (USMT) and its potential association with cancer development and prognosis. Methods The authors analyzed gene and protein expression profiles of FOXO3a in 56 uterine Leiomyosarcomas (LMS), 119 leiomyomas (comprising conventional and unusual leiomyomas), and 20 Myometrium (MM) samples. The authors used techniques such as Immunohistochemistry (IHC), FISH/CISH, and qRT-PCR for the present analyses. Additionally, the authors conducted an in-silico analysis to understand the interaction network involving FOXO3a and its correlated genes. Results This investigation revealed distinct expression patterns of the FOXO3a gene and protein, including both normal and phosphorylated forms. Expression levels were notably elevated in LMS, and Unusual Leiomyomas (ULM) compared to conventional Leiomyomas (LM) and Myometrium (MM) samples. This upregulation was significantly associated with metastasis and Overall Survival (OS) in LMS patients. Intriguingly, FOXO3a deregulation did not seem to be influenced by EGF/HER-2 signaling, as there were minimal levels of EGF and VEGF expression detected, and HER-2 and EGFR were negative in the analyzed samples. In the examination of miRNAs, the authors observed upregulation of miR-96-5p and miR-155-5p, which are known negative regulators of FOXO3a, in LMS samples. Conversely, the tumor suppressor miR-let7c-5p was downregulated. Conclusions In summary, the outcomes of the present study suggest that the imbalance in FOXO3a within Uterine Smooth Muscle Tumors might arise from both protein phosphorylation and miRNA activity. FOXO3a could emerge as a promising therapeutic target for individuals with Unusual Leiomyomas and Leiomyosarcomas (ULM and LMS), offering novel directions for treatment strategies. FOXOa FOXO USMT (USMT prognosis 5 , (LMS) 11 comprising leiomyomas, leiomyomas) 2 MM (MM samples IHC, IHC (IHC) FISHCISH FISH CISH FISH/CISH qRTPCR qRT PCR analyses Additionally insilico silico genes forms ULM LM (LM OS (OS patients Intriguingly EGF/HER2 EGFHER2 EGFHER EGF/HER HER EGF/HER- signaling detected HER2 HER- miRNAs miR965p miRp miR 96 5p p miR1555p, miR1555p 155 5p, miR-155-5p Conversely miRlet7c5p miRletcp let7c let c downregulated summary activity LMS) strategies (LMS 1 (IHC 9 15 miRlet letc

Abstract The total cost of processes that use lipases can be reduced by using the mycelium or not purified crude extract with lipolytic activity. These catalysts can be used without complex purification and can show desirable properties to emerging applications like hydrolysis and biotransformation of vegetable oils. To explore the potential of multiple forms of lipases (produced by the same filamentous fungus species), this work investigated intracellular and extracellular lipases produced by Trichoderma koningii (intracellular lipases were never studied), Penicillium spp. F02 (isolated from industrial grease trap) and Aspergillus niger. For this, batch fermentations were conducted for 96h using olive oil as a carbon source. The submerged culture was interrupted with vacuum filtration to isolate the mycelium and crude extract. The lipolytic activities were determined by the hydrolysis method of olive oil. The best results were obtained for intracellular activity with T. koningii (81.5 U/g of dry biomass) and for extracellular activity with A. niger (10.6 U/mL of crude extract). Both were attained in 96h of fermentation. T. koningii showed an accumulation of intracellular lipases and a depreciated extracellular activity in the initial 24 hours, which can be reasonable indications that there is strong retention of lipases in the mycelium. Statistical analysis within the range of 37°C to 44°C associated with pH from 7.8 to 8.0 favored the activity of lipases from T. koningii. All these findings are promising for future studies in the enzymatic synthesis of biodiesel with lipases (intracellular and extracellular) from T. koningii. oils species, species , species) studied, studied studied) spp F F0 isolated trap h source T 81.5 815 81 5 (81. Ug U g biomass A 10.6 106 10 6 (10. UmL mL . extract) fermentation 2 hours 37C C 37 44C 44 78 7 8 7. 80 0 8. 81. (81 10. 1 (10 3 4 (8 (1 (

RESUMEN Objetivo: Conocer las estrategias utilizadas para el subregistro del uso de plaguicidas en áreas rurales. Métodos: Estudio cualitativo realizado en ocho unidades de atención primaria en áreas rurales y dos unidades de atención de emergencia en un municipio del sur de Brasil. La recopilación de datos se realizó en 2023 mediante entrevistas. Participaron 20 profesionales de enfermería. Los datos fueron sometidos a análisis de contenido. Resultados: Las estrategias identificadas fueron la educación continua y permanente de los profesionales que realizan la notificación, la búsqueda activa y la capacitación de los trabajadores que tratan directamente con este tipo de sustancia, la informatización de la notificación mediante el llenado de los formularios en línea y la realización de investigaciones sobre el tema. Consideraciones finales: Los enfermeros desempeñan un papel importante en la notificación de accidentes laborales causados por el uso de plaguicidas, mejorando la seguridad laboral en las zonas rurales. Objetivo Métodos Brasil 202 entrevistas 2 enfermería contenido Resultados sustancia tema finales

ABSTRACT Objective: To learn the strategies used regarding underreporting of pesticide use in rural areas. Methods: A qualitative study was carried out in eight primary healthcare units in rural areas and two emergency care units in a municipality in southern Brazil. Data collection took place in 2023 through interviews. Twenty professional nurses participated. The data was submitted to content analysis. Results: The strategies identified were lifelong and continuing education for the professionals who carry out the notification, active search and training of workers who deal directly with this type of substance, computerizing the notification by filling in the forms online, and carrying out research on the subject. Final considerations: Nurses play an important role in reporting occupational accidents caused by the use of pesticides, improving occupational safety in rural areas. Objective Methods Brazil 202 interviews participated analysis Results substance online subject considerations pesticides 20 2

RESUMO Objetivo: Conhecer as estratégias utilizadas acerca das subnotificações por uso de agrotóxicos no meio rural. Método: Estudo qualitativo realizado em oito unidades básicas de regiões rurais e duas unidades de pronto atendimento de um município do sul do Brasil. A coleta de dados deu-se em 2023, por entrevistas. Participaram 20 profissionais enfermeiros. Os dados foram submetidos à análise de conteúdo. Resultados: Apontaram como estratégias a realização da educação permanente e continuada dos profissionais que realizam a notificação, a busca ativa e a capacitação dos trabalhadores que lidam diretamente com esse tipo de substância, a informatização da notificação por meio do preenchimento das fichas online e a realização de pesquisas acerca da temática. Considerações Finais: Os enfermeiros desempenham um papel importante na notificação de acidentes de trabalho pelo uso de agrotóxicos, melhorando a segurança ocupacional no meio rural. Objetivo rural Método Brasil deuse deu se 2023 entrevistas 2 conteúdo Resultados substância temática Finais 202

ABSTRACT This study used a pedigree analysis to monitor trends in the genetic structure of the Mangalarga breed and identify factors that could impact its genetic variability. For this, genealogical information was used from the Associação Brasileira dos Criadores de Cavalo da Raça Mangalarga, considering as total population (TP) the animals born between 1919 and 2018 (n = 206,426) and as reference population (RP) those born between 2009 and 2018 (n = 20,539), which is the most recent generation according to the average generation interval calculated for the breed of 9.37 years. We evaluated the number of male and female births per year, foals produced by Mangalarga breeding animals, using the ENDOG 4.8, generation interval, proportion of known ancestors per parental generation, number of equivalent generations known per animal, inbreeding coefficient, increase in inbreeding, average relatedness (AR), effective population size, effective number of founders, effective number of ancestors, and founder genome equivalent. The number of equivalent generations known per animal increased over time, reaching an average of 2.75 in TP and 4.88 in RP. The calculated F was 2.26% for TP and 5.57% for RP, while AR was 2.41% for TP and 4.10% for RP. The effective population size was 40.85 for TP and 38.89 for RP. The 206,426 registered Mangalarga horses (TP) were derived from the genetic contribution of 9,011 founders and 8,908 ancestors, whereas those registered in or after 2009 (RP) originated from 2,662 founders and 2,193 ancestors. The effective number of founders represented 1.11 and 1.35% of the total number of founders in TP and RP, respectively. For RP, 11 animals accounted for 29.21% of the genetic pool of the breed. The analysis of population parameters estimated in the present study indicates that the Mangalarga horse population was formed through uneven contributions from founders and ancestors; therefore, genetic management of the breed is required to restrict average inbreeding from increasing over generations. variability this (TP 191 201 n 206426 206 426 RP (RP 200 20,539, 20539 20,539 , 20 539 20,539) 937 9 37 9.3 years year 48 4 8 4.8 coefficient AR, (AR) time 275 2 75 2.7 488 88 226 26 2.26 557 5 57 5.57 241 41 2.41 410 10 4.10 4085 40 85 40.8 3889 38 89 38.8 206,42 9011 011 9,01 8908 908 8,90 2662 662 2,66 2193 193 2,19 111 1 1.1 135 35 1.35 respectively 2921 29 21 29.21 therefore 19 20642 42 2053 20,53 53 93 3 9. 4. (AR 27 7 2. 22 2.2 55 5.5 24 2.4 4.1 408 40. 388 38. 206,4 901 01 9,0 890 90 8,9 266 66 2,6 219 2,1 1. 13 1.3 292 29.2 2064 205 20,5 5. 206, 0 9, 8, 6 2, 29. 20,

ABSTRACT The Revista Acadêmica was a critic-literary periodical of great importance in the Brazilian publishing scene. This magazine contributed to spread the modern art followed by specialized critics between the 1930’s and the 1940’s. Murilo Miranda, editor of this magazine headquartered in Rio de Janeiro, built a wide intellectual network to publish and distribute the publication, including Brazilian and foreign writers. For that matter, the article presented herein seeks to analyze the literatures in Spanish language in the Revista Acadêmica. The article seeks to reaffirm the reach of the network built by the journalist, as well as analyzing the insertion of the Brazilian literature in a wider geographic and cultural scene. The article is based on studies of Laura Ribeiro (1989), Muza Velasques (2000), Raúl Antelo (1997), and Vagner Camilo (2013) regarding the present publishing activities of the magazine. Thus, one can see, amid the publishing legacy, the interchange with the literature in Spanish language, and the Brazilian literature beyond the national borders. criticliterary critic literary scene 1930s s 1930 1940s. 1940s 1940 s. 1940’s Miranda Janeiro publication writers matter journalist 1989, 1989 , (1989) 2000, 2000 (2000) 1997, 1997 (1997) 2013 (2013 Thus see legacy borders 193 194 198 (1989 200 (2000 199 (1997 201 (201 19 (198 20 (200 (199 (20 1 (19 2 (2 (1 (

RESUMO A Revista Acadêmica foi um periódico crítico-literário de grande destaque no cenário editorial brasileiro. A revista contribuiu para difundir a arte moderna acompanhada de crítica especializada, entre as décadas de 1930 e 1940. Murilo Miranda, editor da publicação carioca, criou uma extensa rede intelectual para a produção e a distribuição do periódico, incluindo escritores brasileiros e estrangeiros. Nesse sentido, este artigo propõe a análise da presença das literaturas de língua espanhola na Revista Acadêmica. Busca-se reiterar a abrangência da rede tecida pelo jornalista e analisar a inserção da literatura brasileira num panorama geográfico e cultural mais amplo. Para o trabalho proposto, parte-se dos estudos de Laura Ribeiro (1989), Muza Velasques (2000), Raúl Antelo (1997) e Vagner Camilo (2013) sobre a atuação editorial da revista. Constata-se, assim, entre os legados da publicação, o intercâmbio realizado com as literaturas de língua espanhola e da literatura brasileira além das fronteiras nacionais. críticoliterário crítico literário brasileiro especializada 193 1940 Miranda carioca estrangeiros sentido Buscase Busca se amplo proposto partese parte 1989, 1989 , (1989) 2000, 2000 (2000) 1997 (1997 2013 (2013 Constatase, Constatase Constata se, Constata-se assim nacionais 19 194 198 (1989 200 (2000 199 (199 201 (201 1 (198 20 (200 (19 (20 2 (1 (2 (

Abstract The objective of the present study was to investigate the frequency of oral leukoplakia and oral erythroplakia among young patients from three Brazilian reference centers in Oral and Maxillofacial Pathology. A retrospective study was carried out from 2011 to 2021 on 861 patients diagnosed with oral leukoplakia and oral erythroplakia. Demographic and clinicopathological data were evaluated. Fisher’s exact test was used to evaluate the association among sex, age, anatomical location, and histopathological diagnosis. A total of 83 (9.64%) cases involved young patients (aged <40 years). Among these, biopsy records were included in 31 (37.34%) cases, all of which received a clinical diagnosis of oral leukoplakia. Seventeen (54.84%) patients were female, mostly in their fourth decade of life (n = 22/70.97%), and their mean age at diagnosis was 32.61(± 5.21) years. Among informed cases, seven (22.58%) patients were smokers. The lateral border of the tongue (n = 9/29.03%) was the most affected site. In 13 (41.94%) cases, oral leukoplakias showed a homogeneous appearance. The mean size of the lesions was 1.47 cm (0.2–3.0 cm) and the mean time of disease progression was 64.37 (± 65.90) months. The histopathological analysis showed that 11 cases (35.48%) exhibited some degree of epithelial dysplasia. Acanthosis and/or hyperkeratosis were observed in 20 cases (64.52%). No significant associations were observed between sex and anatomical location, age and anatomical location, nor between sex and histological diagnosis (p > 0.05). Oral leukoplakia and oral erythroplakia are uncommon diseases in young patients. In this population, oral leukoplakia shows a slight predilection for women aged between 30 and 39 years. Pathology 201 202 86 evaluated Fishers Fisher s location 8 9.64% 964 9 64 (9.64% 40 <4 years . years) these 3 37.34% 3734 37 34 (37.34% 54.84% 5484 54 84 (54.84% female n 22/70.97%, 227097 22/70.97% , 22 70 97 22/70.97%) 32.61± 3261 32.61 ± 32 61 32.61( 5.21 521 5 21 22.58% 2258 58 (22.58% smokers 9/29.03% 92903 29 03 site 1 41.94% 4194 41 94 (41.94% appearance 147 47 1.4 0.2–3.0 0230 0 2 (0.2–3. 6437 64.3 ( 65.90 6590 65 90 months 35.48% 3548 35 48 (35.48% dysplasia andor or 64.52%. 6452 64.52% 52 (64.52%) p 0.05. 005 0.05 05 0.05) population 9.64 96 6 (9.64 4 < 37.34 373 (37.34 54.84 548 (54.84 22709 22/70.97 7 326 32.6 5.2 22.58 225 (22.58 9/29.03 9290 41.94 419 (41.94 14 1. 0.2–3. 023 (0.2–3 643 64. 65.9 659 35.48 354 (35.48 645 64.52 (64.52% 00 0.0 9.6 (9.6 37.3 (37.3 54.8 (54.8 2270 22/70.9 32. 5. 22.5 (22.5 9/29.0 929 41.9 (41.9 0.2–3 02 (0.2– 65. 35.4 (35.4 64.5 (64.52 0. 9. (9. 37. (37. 54. (54. 227 22/70. 22. (22. 9/29. 92 41. (41. 0.2– (0.2 35. (35. (64.5 (9 (37 (54 22/70 (22 9/29 (41 0.2 (0. (35 (64. (3 (5 22/7 (2 9/2 (4 (0 (64 22/ 9/ (6