Resumo Este estudo foi conduzido para analisar o impacto da época de colheita (C) de maçãs‘Fuji Suprema’ sobre sua qualidade, produtividade e rentabilidade econômica nacolheita e após a armazenagem. Os frutos foram colhidos no início do período decolheita comercial(H1), após 10 dias (C2) e após 22 dias (C3) da primeira colheita, em 2008 e2009. Em cada ano e data de colheita, foram colhidas seis amostras de ~400 kg (~2.900maçãs), as quais foram analisadas na colheita (6 subamostras de 100 maçãs) e após 250 dias de armazenagem a 0,8 oC, sob atmosfera controlada. A análise econômica considerou custos fixos e variáveis de produção no pomar e das práticas pós-colheita e a produtividadede maçãs empacotadas. As maçãs colhidas precocemente apresentaram, na colheita e após aarmazenagem, maior firmeza da polpa, maior acidez e menor teor de açúcares que as colhidas tardiamente. O atraso da colheita em 22 dias aumentou a produção em 10,2% pelo aumento do tamanho dos frutos, mas reduziu a produção em 3,6% por queimadura de solsevera e podridões pré-colheita. Adicionalmente, a colheita tardia resultou em aumentodas perdas de produção por podridões em 4,4% e 10,9% durante armazenagem e prateleira,respectivamente,e reduziu as perdas de produção por escaldadura superficial em 17,1 a 22,7%. A análise econômica mostrou que a receita líquida (R$ ha-1) é maior para maçãs colhidas tardiamente (C3, firmeza da polpa de 15,6 lb e índice de amido 7,1) que paramaçãs colhidas precocemente (H1 e C2), quando comercializadas logo após a colheita.Entretanto, para maçãs comercializadas após longos períodos de armazenagem, a rentabilidade econômica é máxima quando colhidas em estádio de maturação intermediário (C2, firmeza dapolpa de 16,4 lb e índice de amido 6). C (C maçãsFuji Fuji Suprema qualidade comercialH1, comercialH1 comercialH comercial H1 , H comercial(H1) 1 C2 (C2 2 C3 (C3 200 e2009 400 ~40 ~2.900maçãs, 2900maçãs ~2.900maçãs 900maçãs (~2.900maçãs) 6 ( 25 08 0 8 0, oC controlada póscolheita pós empacotadas apresentaram aarmazenagem 102 10,2 36 3 3,6 précolheita. précolheita pré colheita. pré-colheita Adicionalmente 44 4 4,4 109 9 10,9 prateleirarespectivamentee prateleira respectivamente 171 17 17, 227 7 22,7% R$ R (R ha1 ha ha-1 C3, 156 15 15, 7,1 71 (H C2, C2) colheitaEntretanto Entretanto colheita.Entretanto 164 16 16, 6. . 6) comercial(H1 20 e200 40 ~4 (~2.900maçãs 10, 3, 4, 22,7 ha- 7, comercial(H e20 ~ 22, e2

Abstract This study aimed to analyze the effect of harvest date on ‘Fuji Suprema’ apple quality, productivity, and economic profitability at harvest and after storage. Apples were harvested at the beginning of the commercial harvest window (H1), ten days after H1 (H2), and 22 days after H1 (H3) in the 2008 and 2009 growing seasons. A total of six samples with ~400 kg of fruit (~2,900 apples) each were picked at each growing season and harvest date, which were assessed at harvest (six subsamples of 100 fruit) and after 250 days of controlled atmosphere storage at 0.8 °C. The economic analysis considered fixed and variable production costs in the orchard and postharvest practices and the productivity of packaged apples (pack-out). Early harvested (H1) apples had greater flesh firmness, acidity, and lower soluble solids content than late-harvested apples (H3), both at harvest and after storage. Delaying harvest by 22 days increased the production by 10.2% due to increased fruit size but reduced the production by 3.6% due to severe sunburn and pre-harvest decay incidence. Late harvest also increased production losses due to decay by 4.4% and 10.9% during storage and shelf, respectively, but reduced production losses due to superficial scald by 17.1 to 22.7%. The net revenue (R$ ha-1) is higher for apples harvested late (H3, flesh firmness of 15.6 lb and starch index of 7.1) than for apples harvested early (H1 and H2) when the fruit is marketed soon after harvest (between April and May). However, for apples marketed after long-term storage, economic profitability is maximum when harvested at an intermediate maturity stage (H2, flesh firmness of 16.4 lb and starch index of 6). Fuji Suprema quality H1, H , H2, H2 (H2) 2 H3 (H3 200 seasons 400 ~40 ~2,900 2900 900 (~2,90 10 25 08 0 8 0. C °C packout. packout pack out . (pack-out) acidity lateharvested H3, 102 10.2 36 3 6 3.6 preharvest pre incidence 44 4 4.4 109 9 10.9 shelf respectively 171 17 1 17. 227 7 22.7% R$ R (R ha1 ha ha-1 156 15 15. 7.1 71 (H between May. May May) However longterm long term (H2 164 16 16. 6. 6) 20 40 ~4 ~2,90 290 90 (~2,9 (pack-out 10. 3. 4. 22.7 ha- 7. ~ ~2,9 29 (~2, 22. ~2, (~2 ~2 (~ (

Abstract Introduction Advanced Glycation End-Products (AGEs) are a diverse group of highly reactive molecules that play a vital role in the development of neurodegenerative disorders, such as Parkinson's Disease (PD), leading to a decline in functional and cognitive capacity. The objective of this study was to assess the intake and quantification of AGEs in individuals with PD and to correlate them with their functional and cognitive abilities. Methods This was a cross-sectional study involving 20 PD patients and 20 non-PD individuals as the Control group (C). The autofluorescence reader was used to evaluate skin AGEs, while food recall was used to quantify AGEs consumed for three different days. The Montreal Cognitive Assessment, Short Physical Performance Battery, and handgrip tests were used. PD patients demonstrated greater impairment in functional capacity compared to the control group. Results Dominant Handgrip (p = 0.02) and motor performance, in the sit and stand test (p = 0.01) and Short Physical Performance Battery (SPPB) (p = 0.01) were inferior in PD patients than the control group. Although PD patients tended to consume less AGEs than the control group, AGE intake was negatively correlated with handgrip strength in individuals with PD (r = -0.59; p < 0.05). Conclusion PD patients had lower strength and functional capacity, suggesting that the effects of AGEs might be exacerbated during chronic diseases like Parkinson's. EndProducts End Products (AGEs disorders Parkinsons Parkinson s PD, , (PD) abilities crosssectional cross sectional 2 nonPD non C. C . (C) days Assessment 0.02 002 0 02 performance 0.01 001 01 SPPB (SPPB r 0.59 059 59 -0.59 0.05. 005 0.05 05 0.05) Parkinsons. s. (PD (C 0.0 00 0.5 5 -0.5 0. -0. -0 -

In this report, we designed and synthesized ten N-(R-phenyl)-3-carboxamide-coumarin derivatives (2a-2j), exploring the coumarin nucleus, and an R-phenyl group as a structural scaffold and a peptide bond as a linker between them. The structure-activity relationships were investigated with different R-substituents (H, Br, NO2, Cl) in ortho, meta, or para positions from the phenyl group. Coumarins were obtained in good yields (72-95%), and in vitro screening against Canavalia ensiformis urease showed potential inhibitory percentages ranging from 42 to 65%. Half-maximal inhibitory concentration (IC50) values were determined for the best compounds 2b (R = 2-Br) and 2d (R = 4-Br). After conducting molecular docking and molecular dynamics on urease from C. ensiformis and Helicobacter pylori, potential binding modes for the most effective compounds 2b and 2d showed that these derivatives are able to interact with the crucial residue Cys592, thereby blocking the access of the urea substrate to the active site. According to density functional theory (DFT) calculations, 4-Br substitution on H. pylori urease was necessary for interacting with catalytic amino acids on the active site. report NRphenyl3carboxamidecoumarin NRphenylcarboxamidecoumarin N R 3 carboxamide 2a2j, 2a2j aj 2a 2j , j (2a-2j) nucleus Rphenyl them structureactivity structure activity Rsubstituents substituents H, H (H Br NO2 NO Cl ortho meta 7295%, 7295 72 95% 95 (72-95%) 4 65 65% Halfmaximal Half maximal IC50 IC (IC50 b 2Br 2 2-Br d 4Br. 4Br . 4-Br) C Cys592 Cys site DFT (DFT calculations NRphenyl carboxamidecoumarin (2a-2j 7295% 729 7 9 (72-95% 6 IC5 (IC5 Cys59 (72-95 (IC Cys5 (72-9 (72- (72 (7 (

ABSTRACT Background: This study aimed to evaluate the effectiveness and safety of direct-acting antivirals (DAAs) for hepatitis C treatment by measuring sustained virologic response (SVR) and serious adverse events to help design effective interventions for reducing disease prevalence. Methods: This was a retrospective, observational, real-life study of patients with chronic hepatitis C receiving DAA treatment in the state of Ceará, Brazil. Data were collected in REDCap and analyzed using R® software by the Student's t, chi-square, and Fisher’s exact tests, with a significance level of 5%. Results: In this study, 1075 patients who were diagnosed with hepatitis C infection between October 2015 and October 2023 were included. The mean age of the participants was 56.6 ± 11 years and 60.2% were men. The sample included 51 HIV-infected patients (6.6%), 166 (15,4%) liver transplant recipients, 34 (3,1%) kidney transplant recipients, and 446 patients with cirrhosis (41.4%). The overall SVR rate was 96.4%. The sofosbuvir/daclatasvir/ribavirin regimen used in 354 (32.9%) patients achieved an SVR of 96%. The cure rate was 96.5%, with a lower SVR in patients with cirrhosis (93.4%) than in those with less severe fibrosis (97.9%) (p=0.0015). Serious adverse events associated with ribavirin use occurred in 3.5% of patients. Conclusions: DAA treatment for hepatitis C achieved SVR in real life in all patient profiles, including transplant recipients, HIV carriers, and patients with cirrhosis. Although these drugs are safe, a few decompensated patients with cirrhosis died during treatment. Background directacting direct acting DAAs (DAAs (SVR prevalence Methods retrospective observational reallife Ceará Brazil R Students Student s t chisquare, chisquare chi square, square chi-square Fishers Fisher tests 5 5% Results 107 201 202 566 56 6 56. 1 602 60 2 60.2 men HIVinfected infected 6.6%, 66 6.6% , (6.6%) 16 15,4% 154 15 4 (15,4% recipients 3 3,1% 31 (3,1% 44 41.4%. 414 41.4% . 41 (41.4%) 964 96 96.4% sofosbuvirdaclatasvirribavirin sofosbuvir daclatasvir 35 32.9% 329 32 9 (32.9% 96% 965 96.5% 93.4% 934 93 (93.4% 97.9% 979 97 (97.9% p=0.0015. p00015 p p=0.0015 0 0015 (p=0.0015) 3.5 Conclusions profiles carriers safe 10 20 60. 6.6 (6.6% 15,4 (15,4 3,1 (3,1 41.4 (41.4% 96.4 32.9 (32.9 96.5 93.4 (93.4 97.9 (97.9 p0001 p=0.001 001 (p=0.0015 3. 6. (6.6 15, (15, 3, (3, 41. (41.4 96. 32. (32. 93. (93. 97. (97. p000 p=0.00 00 (p=0.001 (6. (15 (3 (41. (32 (93 (97 p00 p=0.0 (p=0.00 (6 (1 ( (41 (9 p0 p=0. (p=0.0 (4 p=0 (p=0. p= (p=0 (p= (p

Abstract Climate change is one of the greatest threats to biodiversity, especially for species of high altitudes. However, biodiversity conservation policies that consider mitigation strategies for long-term climate impacts are still scarce. To analyze the effects of climate change on lizards in tropical mountainous areas, we selected two species from Serra do Espinhaço (Brazil) with different thermoregulation strategies and distributions (Tropidurus montanus and Rhachisaurus brachylepis). Serra do Espinhaço mountain range is recognized as an important center of endemism and can act as a refuge for species that manage to survive climate change. We produce models of environmental suitability from bioclimatic, edaphic, and topographic variables, and create projections for the present and for the year 2070 under an optimistic (RCP 4.5) and a pessimistic (RCP 8.5) climatic scenario. The results indicate that both future climate scenarios foresee a reduction of areas of environmental suitability for the studied species, but especially for the restricted distribution one (R. brachylepis). Although our results indicate that the studied species are recorded in areas of integral protection that possess climatic stability, the future will see a reduction of areas with environmental suitability, especially under the pessimistic scenario. altitudes However longterm long term scarce Brazil (Brazil Tropidurus brachylepis. brachylepis . brachylepis) bioclimatic edaphic variables 207 RCP 4.5 45 4 5 8.5 85 8 scenario R. R (R stability 20 4. 8. 2

RESUMO Objetivo: descrever o contexto do processo de construção e implantação da Matriz de Competências da Cirurgia Geral com tempo de formação em 3 anos e o processo sobre a regulação de vagas, por aditamento, descrevendo o panorama dos Programas de Residência Médica em Cirurgia Geral (PRMCG) e do Programa de Pré-Requisito em área cirúrgica básica (PRACB). Método: estudo descritivo, quanti-qualitativo, transversal, realizado a partir da análise documental das atas, súmulas, nota técnica, resoluções e atos autorizativos da Comissão Nacional de Residência Médica (CNRM), bem como do Diagnóstico Situacional (DS), considerando a matriz de competências da especialidade em sua implementação, por meio de dados coletados no Sistema da Comissão Nacional de Residência Médica (SisCNRM), no portal eletrônico do Ministério da Educação (MEC). Resultado: em 2018, após metodologia de avaliação dos serviços para adequação do número de vagas (DS), foi instituído o PRACB como uma modalidade de acesso às especialidades cirúrgicas e de adaptação dos serviços formadores, até mudança definitiva no tempo de formação do Cirurgião Geral, para três anos, em 2022. No primeiro aditamento de vagas, em 2018, foram autorizados 127 PRMCG (3 anos) com 736 vagas de R1 e 290 pracb (2 anos) com 1286 vagas ofertadas para R1. No segundo aditamento, em 2021, foram autorizados 423 PRM com 1564 vagas de R1 em PRMCG. Atualmente 2495 médicos residentes estão em curso nos PRMCG e 50 (R2) estão concluindo o pracb. A maior concentração de PRM e médicos residentes encontra-se no Estado de São Paulo, em oposição a Região Norte. Discussão: a regulação da oferta de vagas para a formação de especialistas no Brasil deve alinhar a avaliação dos cenários de prática ao perfil das competências para a Especialidade como as necessidades de médicos especialistas indicada pelo perfil socioepidemiológico da população. Contudo, as instituições devem possuir estrutura compatível para a aquisição de competências necessárias ao especialista e dotação orçamentária para o financiamento do processo. A modalidade PRACB foi instituída por tempo determinado para a preparação orçamentária e dos cenários de prática, até a transição completa para a formação em 3 anos, possibilitando ao médico residente, enquanto vigente, acesso às especialidades cirúrgicas. Conclusão: O Brasil até 2018 era o único país a conceder o Título de Especialista em Cirurgia Geral com um tempo exíguo de treinamento - 2 anos. Após um período de transição, a mesma metodologia de análise para aditamento e regulação da oferta de vagas foi aplicada aos serviços. A partir de 2023, o PRMCG com duração de 3 anos, será a modalidade de formação que confere o título de especialista em Cirurgião Geral pela CNRM, promovendo qualificação profissional para assistência e cenários de prática compatíveis com a aquisição de competências. . Objetivo (PRMCG PréRequisito Pré Requisito PRACB. (PRACB) Método descritivo quantiqualitativo, quantiqualitativo quanti qualitativo, qualitativo quanti-qualitativo transversal atas súmulas técnica CNRM , (CNRM) DS, DS (DS) implementação SisCNRM, SisCNRM (SisCNRM) MEC. MEC (MEC) Resultado formadores 2022 12 ( 73 R 29 128 2021 42 156 249 5 R2 (R2 encontrase encontra se Paulo Norte Discussão população Contudo residente vigente Conclusão 201 2023 (PRACB (CNRM (DS (SisCNRM (MEC 202 1 7 4 15 24 (R 20

ABSTRACT Objective: to describe vacancy regulation process by adding, describing the panorama of the General Surgery Residency Program (PRMCG) and the Basic Surgical Prerequisites Program (PRACB). Method: descriptive, quali-quantitative, cross sectional study conducted from document analysis from National Commission of Medical Residency (CNRM). Results: in 2018, after evaluation of the General Surgery Services for adequacy of the number of vacancies (DS), the PRACB was instituted as a modality of access to surgical specialties until definitive change in the time of the formation of the general surgeon for three years, in 2022. In the first addition of vacancies in 2018, 127 PRMCG were authorized with 736 vacancies of R1 and 290 PRACB (2 years) with 1.286 vacancies offered for R1. In the second addition in 2021, 423 PRM were authorized with 1.564 R1 vacancies in PRMCG. Discussion: the regulation of the offer of vacancies for the formation of specialties in Brazil should align the evaluation of practice scenarios with the profile of skills. The PRACB modality was instituted for a certain time for budgetary preparation and practice scenarios until the complete transition to training in 3 years. Conclusion: Brazil by 2018 was the only country to grant the Board Certification to General Surgeon with only 2 years of training. After a transitional period the same analysis methodology for adding and regulating vacancies was applied to services. Objective (PRMCG PRACB. . (PRACB) Method descriptive qualiquantitative, qualiquantitative quali quantitative, quantitative quali-quantitative CNRM. CNRM (CNRM) Results DS, DS , (DS) 2022 12 73 R 29 ( 1286 1 286 1.28 2021 42 1564 564 1.56 Discussion skills Conclusion 201 services (PRACB (CNRM (DS 202 7 128 28 1.2 4 156 56 1.5 20 1. 15 5

ABSTRACT. This study aimed to evaluate the effect of cultivating a combination of common vetch (Vicia sativa L.) with black oats (Avena strigosa Schreb.) on the chemical composition of forage and the grazing behavior of heifers. To accomplish this, two paddocks 2500m2 each from a Voisin Rational Grazing management system were divided into three blocks each and then into thirds (278m²) characterizing a randomized block design. Three different forage compositions were distributed into these thirds: oats grown alone, vetch grown alone, and oats grown with vetch. Forage samples were collected after 65 days through the square method. Right after collection, three groups of four heifers each grazed the plots for two hours in a 3x3 double Latin Square design for behavioral observation, grazing simulation through the hand-plucking method, and biting rate determination. Forage samples collected either by hand-plucking or the square method, were analyzed for chemical composition and “in vitro” degradability. Statistical analyses were performed using the R package lme4. Data were evaluated with linear mixed-effects models. The inclusion of common vetch significantly increased forage production and oat protein content, but decreased the fiber content, which promoted better “in vitro” degradability. Grazing frequency was higher in pasture where oats were grown with vetch, but the biting rate was similar in all the three forage compositions evaluated. Forage collected by the square method did not differ from forage consumed by the heifers, probably meaning low herbage selectivity by heifers. Furthermore, no interaction of investigated variables occurred between forage compositions and the method of collection. The inclusion of common vetch with black oats increased forage chemical composition, “in vitro” degradability, and forage production, thus having positive effects on the time cows spent grazing.

Resumo Objetivo Este estudo pretende responder: (i) as comunidades de fitoplâncton podem ser utilizadas como substitutos de comunidades zooplanctônicas? (ii) podemos utilizar abordagens ecológicas como grupos funcionais (FG) ou classificação morfofuncional (MBFG) como substitutos para espécies de fitoplâncton?; (iii) podemos usar grupos substitutos (cladóceros, copépodes, rotíferos ou amebas testáceas) como substitutos para espécies zooplanctônicas?; (iv) a ordenação das variáveis ambientais é concordante com o padrão de ordenação de espécies de fitoplâncton e zooplâncton?; e (v) para ambas as comunidades, o padrão espacial de ordenação é mantido utilizando dados de densidade ou presença/ausência de indivíduos ou resoluções taxonômicas menores? Métodos O estudo foi conduzido em 25 corpos d'água que fornecem irrigação por pivô central no Distrito Federal - Brasil (Bacia do Rio Preto), em outubro de 2012. Nós avaliamos algumas variáveis físicas e químicas, além de amostras de fitoplâncton e zooplâncton. Para avaliar a correlação entre grupos biológicos, resoluções numéricas e maiores resoluções taxonômicas, realizamos algumas análises de Mantel e Procrustes. Resultados Avaliando o uso de grupos substitutos, as comparações entre fitoplâncton e zooplâncton, as classificações de FG e MBFG e quase todas as comparações entre grupos de zooplâncton sugeriram padrões concordantes. No entanto, os valores de r obtidos foram baixos, todos abaixo de 0,70. As análises biológicas com fitoplâncton e zooplâncton podem ser realizadas utilizando dados de presença/ausência de indivíduos sem perda significativa de informação, exceto a classificação MBFG e os copépodes. Os dados também podem ser usados em nível de gênero ou família para copépodes e amebas testáceas e só dados em nível de gênero para cladóceros e rotíferos. Diferentes resultados foram encontrados quanto à resolução taxonômica do fitoplâncton, considerando que, embora significativo, o valor foi menor que 0,70. Conclusão Para fins de monitoramento ambiental, é importante amostrar tanto as comunidades de fitoplâncton como de zooplâncton, porque uma não é substituta da outra, da mesma forma que a densidade do fitoplâncton e suas abordagens funcional e morfofuncional. Por outro lado, para simplificar o monitoramento ambiental, é possível adotar dados de presença/ausência de espécies em vez de dados de abundância para as comunidades de zooplâncton e fitoplâncton, exceto para copépodes e para abordagem morfofuncional. Também é possível adotar nível de gênero para a comunidade zooplanctônica e nível de família para copépodes e amebas testadas.

Abstract Aim This study aimed to answer: (i) can phytoplankton communities be used as surrogate of zooplankton communities?; (ii) can we use ecological approaches like functional groups (FG) or morphofunctional classification (MBFG) as surrogate for phytoplankton species?; (iii) can we use substitute groups (cladocera, copepod, rotifer or testate amoebae) as surrogate for zooplankton species?; (iv) are the environmental variables’ ordination standards concordant with the ordering patterns of phytoplankton and zooplankton species?; and (v) for both communities, is the spatial pattern of ordination maintained using density data or presence/absence of individuals or lower taxonomic resolutions? Methods The study was conducted in 25 water bodies that supply central-pivot irrigation in the Federal District - Brazil (Rio Preto Basin), in October 2012. We evaluated some physical and chemical variables as well as phytoplankton and zooplankton samples. To evaluate correlation among biological groups, numerical and higher taxonomic resolutions, we performed some Mantel and Procrustes analyses. Results Evaluating the use of substitute groups, comparisons between phytoplankton and zooplankton, FG and MBFG classifications and almost all the comparisons between zooplankton groups suggested concordant patterns. However, the values of r were low, all below 0.70. Biological analyses with phytoplankton and zooplankton can be performed using presence/absence of individuals without significant loss of information, except for MBFG classification and copepods. Data may also be used at genus or family level for copepods and testate amoebae and only data at genus level for cladocerans and rotifers. Different results were found concerning taxonomic resolution for phytoplankton considering that, while being significant, the r value was less than 0.70. Conclusions For environmental monitoring purposes, it is important to sample both phytoplankton and zooplankton communities because one is not surrogate of the other one, in the same way as phytoplankton density and their functional and morphofunctional approaches. On the other hand, to simplify the environmental monitoring, it is possible to adopt presence/absence species data instead of abundance data for both zooplankton and phytoplankton communities, except for copepods and morphofunctional approach. It is also possible to adopt genera level for zooplankton community and family level for copepods and testate amoebae.

During the period extending from the 70th to the 80th anniversary of the founding of Pedro Kouri Tropical Medicine Institute, researchers, professionals and technicians from the center, in joint cooperation with a variety of Cuban academic and health care institutions, have integrated into multidisciplinary teams engaged in tasks related to scientific development, technological innovation and capacity building. The paper summarizes the main research studies about tuberculosis conducted from 2008 to 2017 as contributions to the National Tuberculosis Control and Elimination Program, with a view to enhancing the quality, effectiveness and efficiency of actions, swiftly finding a solution to tuberculosis incidence and mortality, and fostering tuberculosis research, surveillance and control. Evidence is presented which substantiates innovations in the clinical therapeutic management of both immunocompetent and immunocompromised patients, children and adolescents, and indications are provided for latent tuberculosis infection control, surveillance of anti-tuberculosis treatment outcomes, investigation of case contacts, changes in the record and information system, quality monitoring and evaluation of the detection of tuberculosis cases, and impact on morbidity and mortality.

Desde el 70 al 80 Aniversario de la fundación del Instituto de Medicina Tropical "Pedro Kourí", los investigadores, profesionales y técnicos de este centro, han laborado en cooperación con diversas instituciones académicas y de los servicios de salud de Cuba (en equipos multidisciplinarios) en las tareas de desarrollo científico, innovación tecnológica y construcción de capacidades. Este artículo resume las principales investigaciones realizadas sobre la tuberculosis desde 2008-2017; como contribuciones al Programa Nacional de Control y Eliminación de la Tuberculosis con la perspectiva de aumentar la calidad, efectividad y eficiencia de las acciones y acelerar la solución de la incidencia y la mortalidad por tuberculosis, para la investigación, la vigilancia y control de la tuberculosis. Se presentan evidencias que fundamentan las innovaciones en el manejo clínico terapéutico de pacientes inmunocompetentes e inmunocomprometidos, en niños y adolescentes, sobre las indicaciones para el control de la infección tuberculosa latente, la vigilancia de los desenlaces del tratamiento anti-tuberculosis, la investigación de contactos de casos, los cambios en el sistema de registro e información, el monitoreo y evaluación de la calidad de la detección de casos de tuberculosis, el impacto sobre la morbilidad y la mortalidad.

Objetivo: Verificar a validade do Questionário de Frequência Alimentar utilizado para avaliar o consumo de alimentos dos adolescentes em Salvador, Bahia. Métodos : Participaram do estudo 70 adolescentes, com idade entre 11 e 17 anos, matriculados nas escolas da rede pública. Seu consumo alimentar foi avaliado pelo Questionário de Frequência Alimentar e pela média de três registros alimentares como método de referência. Foram estimadas as médias (desvio-padrão) da energia e dos nutrientes extraídos do Questionário de Frequência Alimentar e dos registros alimentares. Para verificar as diferenças foi aplicado o teste t Student pareado. Para medir a concordância entre os dois instrumentos foram calculados os coeficientes de correlação de Pearson e estatística de Kappa. Resultados: A análise dos coeficientes de correlação de Pearson não ajustados brutos, foi possível observar uma variação entre (r=0,61-0,73), já nos deatenuados entre (r=0,33-0,99). Após ajustados por energia os valores brutos variaram entre (r=0,53-0,81) e os deatenuados (r=0,27-0,99), observou-se valores adequados para energia e a maioria dos nutrientes, com exceção da fibra (r=0,27) e do cálcio (r=0,33), que apresentaram fraca correlação. No método de Kappa, todos os valores obtidos na análise apresentaram boa correlação, variando entre (r=0,470,73). Conclusão: Considera-se que a média dos coeficientes para boa correlação deve estar acima de 0,40, esses resultados indicam a capacidade do Questionário de Frequência Alimentar em classificar os indivíduos segundo seu consumo habitual para a maioria dos nutrientes.

Objective: This study assessed the validity of a Food Frequency Questionnaire used to assess food intake in adolescents in Salvador, Bahia, Brazil. Methods: Seventy adolescents enrolled in public schools aged 11 to 17 years participated in this study. The dietary intake of the adolescents was assessed using the Food Frequency Questionnaire and the mean value of three-day food record, used as the reference method. The mean (and standard deviation) energy and nutrient intakes estimated from the Food Frequency Questionnaire and food records were calculated. The paired Student's t test was used to determine differences between the data. Results: Pearson's correlation coefficient and Kappa statistics were used to measure the strength of the association between the two instruments. There was variation in the crude unadjusted (r=0.61-0.73) and deattenuated (r=0.33-0.99) Pearson correlation coefficients. After adjusting for energy, the crude and deattenuated coefficients ranged from r=0.53-0.81 and r=0.27-0.99, respectively. The intake of energy and most nutrients were found to be adequate, except for fiber (r=0.27) and calcium (r=0.33), which showed a weak correlation. Kappa statistics showed good correlation between all values varying from r=0.47 to 0.73. Conclusion: It is considered that an average r value greater than 0.40 indicates a good correlation, the results obtained indicate the good ability of the Food Frequency Questionnaire to assess individuals according to their usual intake of most nutrients.

RESUMO Objetivo: Avaliar quais parâmetros radiográficos do equilíbrio sagital e espinopélvico influenciam os resultados clínicos e funcionais de uma amostra composta por pacientes submetidos a artrodese da coluna vertebral. Métodos: Foram estudados 32 pacientes submetidos a artrodese da coluna vertebral. Radiografias da coluna total foram obtidas de todos os pacientes. Os parâmetros clínicos e funcionais estudados foram: análise da dor pela escala visual analógica (EVA) e os questionários de Oswestry e SRS-30. Foi analisada a correlação entre os parâmetros clínicos e funcionais e os parâmetros radiográficos do equilíbrio sagital e espinopélvico. Resultados: Não houve correlação significante entre os parâmetros incidência pélvica (IP), versão pélvica (VP), lordose lombar (LL) e diferença entre IP e LL (IP-LL) e os parâmetros clínicos (p > 0,05 e r < 0,2). Houve correlação significante apenas entre o eixo vertical sagital (EVS) e o domínio Satisfação com o Tratamento do SRS-30 (r = 0,402 e p = 0,023) e entre a cifose torácica (CT) e o SRS-30 total (r = 0,419 e p = 0,017). Conclusões: Pelos resultados do estudo, não foi possível caracterizar precisamente o papel dos parâmetros do equilíbrio sagital e espinopélvico na análise do resultado clínico pós-operatório da artrodese da coluna vertebral. Houve correlação significante apenas entre o EVS e o domínio Satisfação com o Tratamento do SRS-30 e entre a CT e o SRS-30 total.

ABSTRACT Objective: Evaluates which radiographic parameters of the sagittal and spinopelvic balance influence the clinical and functional outcomes of a sample of patients undergoing spinal fusion. Methods: We studied 32 patients who underwent spinal fusion. Radiographs of the total spine were obtained from all patients. The clinical and functional parameters studied were analysis of pain by visual analogic scale (VAS) and Oswestry and SRS-30 questionnaires. We analyzed the correlation between the clinical and functional parameters and radiographic parameters of the sagittal and spinopelvic balance. Results: There was no significant correlation between parameters pelvic incidence (PI), pelvic tilt (PT), lumbar lordosis (LL) and difference between PI and LL (PI-LL) and clinical parameters (p > 0.05 and r <0.2). Significant correlation were identified only between Sagittal Vertical Axis (SVA) and Satisfaction with Treatment domain of SRS-30 (r = 0.402 e p = 0.023) and between thoracic kyphosis (TK) and the total SRS-30 (r = 0.419 and p = 0.017). Conclusions: According to the study results, it was not possible to precisely characterize the role of the parameters of the sagittal and spinopelvic balance in the post-operative analysis of the clinical outcome of spinal fusion. There was a significant correlation only between SVA and the Satisfaction with Treatment domain of SRS-30 and between TK and total SRS-30.

RESUMEN Objetivo: Evaluar qué parámetros radiográficos del equilibrio sagital y espinopélvico influencian los resultados clínicos y funcionales en una muestra de pacientes sometidos a la fusión espinal. Métodos: Se estudiaron 32 pacientes que fueron sometidos a la artrodesis de la columna vertebral. Las radiografías de la columna total se obtuvieron de todos los pacientes. Los parámetros clínicos y funcionales estudiados fueron: análisis del dolor mediante escala visual analógica (EVA) y cuestionarios Oswestry y SRS-30. Se analizó la correlación entre los parámetros clínicos y funcionales y los parámetros radiográficos del balance pélvico sagital y espinopélvico. Resultados: No hubo correlación significativa entre los parámetros incidencia pélvica (IP), la inclinación de la pelvis (IncP), lordosis lumbar (LL) y la diferencia entre la IP y LL (IP-LL) y los parámetros clínicos (p > 0,05 y r < 0,2). Hubo una correlación significativa sólo entre el eje sagital vertical (ESV) y el dominio de Satisfacción con el Tratamiento del SRS-30 (r = 0,402 y p = 0,023) y entre la cifosis torácica (CT) y el SRS-30 total (r = 0,419 y p = 0,017). Conclusiones: De acuerdo con los resultados del estudio, no fue posible caracterizar con precisión el papel de los parámetros del balance sagital y espinopélvico en el análisis post-operatorio de la artrodesis de la columna vertebral. Hubo una correlación significativa sólo entre ESV y el dominio Satisfacción con el Tratamiento de SRS-30 y entre el CT y el SRS-30 total.

Este trabalho teve como objetivo analisar as eficiências produtivas, de acordo com modelos de Análise Envoltória de Dados [(Data Envelopment Analysis) DEA], sob critérios agroecológicos, buscando a maior estabilidade e menor variabilidade sazonal, maior variedade/diversidade de itens produzidos e quantidade de itens disponibilizados para venda. O monitoramento e a avaliação das eficiências de lotes de agricultores pode auxiliar na gestão da agricultura familiar agroecológica. A metodologia DEA foi aplicada para medir a eficiência produtiva de dezessete lotes de agricultores familiares agroecológicos, localizados em uma faixa de dutos da Petrobras no Município de Nova Iguaçu-RJ, na baixada fluminense. Foram levantados dados primários listados em itens, quantidades e valor médio, referentes à produção disponibilizada para venda em feiras semanais distribuídas ao longo dos meses de janeiro a dezembro de 2009. Foi registrada uma relação conjunta de critérios agroecológicos, com foco econômico, social e ambiental. Pôde-se observar que sete lotes tiveram eficiência média composta acima do valor médio de 67,6%, variando de 71,3 a 86,6%.

The aim of this study was to analyze productive efficiencies (evaluated according to DEA models, Data Envelopment Analysis) under agroecological criteria, seeking greater stability and less seasonal variability, greater variety, diversity, quantity of items produced and sold items. DEA methodology was applied to measure the efficiency of 17 agricultural plots of agroecological farmers. These plots are located in a strip of Petrobras ducts area in the municipality of Nova Iguaçu, Rio de Janeiro state, Brazil. Primary data were collected referring to the production sold in weekly markets, distributed over the months from January to December 2009; organized in items, quantities and average value. A joint agroecological relationship with economic, social and environmental criteria focus was recorded. Seven plots comprised efficiency above the average (67.6%), ranging from 71.3 to 86.6%.

A escassez de dados pluviográficos na região do Pantanal fez com que muitos autores utilizassem equações de regressão obtidas em outras regiões do Brasil para calcular o Fator R da Equação Universal de Perda de Solo (USLE). O presente estudo define equações para a previsão da erosividade em região do bioma Pantanal, correlacionando a erosividade das chuvas calculada pelo índice EI30 e o coeficiente de chuva (Rc). A equação desenvolvida, do tipo potencial, apresenta consistência e correlação significativa com os dados observados, obtendo valor de coeficiente de determinação de 97%. Portanto, a equação de erosividade proposta pode ser utilizada para estimativa do fator R da USLE a partir dos dados mensais e anuais de precipitação da região e de outras regiões com características climáticas semelhantes.

The scarcity of pluviograph data in the Pantanal zone forced many researchers to use regression equations obtained in others regions of Brazil to calculate the R factor of Universal Soil Loss Equation (USLE). This study defines a model to predict the erosivity of the Pantanal Biome correlating the calculated rainfall erosivity index EI30 and the rainfall coefficient (Rc). The model showed a significant correlation with the observed data, yielding coefficient of determination of 97%. Therefore, the rainfall erosivity model proposed can be used to estimate the R Factor of USLE data from monthly and annual precipitation for the region and other regions with similar climatic characteristics.

Purpose To report the surgical technique, procedural outcomes, and feasibility of simultaneous bilateral Video Endoscopic Inguinal Lymphadenectomy (VEIL) in the management of patients with indication for inguinal lymphadenectomy. Surgical Technique: VEIL was applied in all patients using the oncological landmarks (the adductor longus muscle medially, the sartorius muscle laterally and the inguinal ligament superiorly). A 1.5 cm incision was made 2 cm distally to the lower vertex of the femoral triangle. A second incision was made 2 cm proximally and 6 cm medially. Two 10 mm Hasson trocars were inserted in these incisions and the working space was insufflated with CO2 at 5-15 mmHg. The final trocar was placed 2 cm proximally and 6 cm laterally from the first port. Results: A total of 5 VEIL procedures in 3 patients were performed. Two patients underwent simultaneous bilateral VEIL while another underwent simultaneous bilateral surgery with VEIL on the right and open lymphadenectomy on the left side due to an enlarged node. All laparoscopic procedures were successfully performed without conversion and maintained the oncological templates. One lymphocele occurred in the patient who underwent the open procedure. None of the patients presented with skin necrosis after the procedure. Mean number of nodes retrieved was 6 from each side and 2 patients presented with positive inguinal nodes. After one year of follow-up no recurrences were observed. Conclusion: Simultaneous lymphadenectomy procedures are feasible. Improvement in operative and anesthesia time could decrease the morbidity associated with inguinal lymphadenectomy while maintaining the oncological principles.