ABSTRACT Custard apple (Annona squamosa L.) is a sensitive fruit crop to salinity. One of the alternatives to minimize the deleterious effects of salt stress is adopting mineral fertilization management practices, promoting increased crop tolerance to salts. Therefore, the objective of the present study was to evaluate NPK doses to mitigate salt stress in custard apple seedlings irrigated with saline wastewater. The experiment was performed in a greenhouse, adopting a randomized block design in a 3 × 5 factorial scheme, corresponding to three irrigation waters (local-supply water of 0.53 dS m-1 electrical conductivity (control); desalination reject of 3.5 dS m-1; fish farming effluent of 3.5 dS m-1) and five proportions of the NPK recommendation (25, 50, 75, 100, and 125% of the fertilization recommendation), with four replicates. The growth, biomass accumulation, and nutrients were evaluated. Irrigation with desalination reject, and fish farming effluent restricted the growth of custard apple seedlings, regardless of the NPK dose used. The ionic homeostasis of seedlings irrigated with desalination reject and fish farming effluent is optimized by fertilization with 50% of the NPK recommendation corresponding to 50, 150, and 75 mg of N, P2O5, and K2O dm-3, respectively. For the production of seedlings irrigated with local-supply water, the dose of 75% NPK, corresponding to 75, 225, and 112.5 mg of N, P2O5, and K2O dm-3, respectively, is recommended. Annona L. L salinity practices salts Therefore wastewater greenhouse scheme localsupply local supply 053 0 53 0.5 m1 m 1 m- control (control) 35 3. 25, 25 (25 50 100 125 recommendation, , recommendation) replicates accumulation evaluated used 150 7 N P2O5 PO P O KO K dm3, dm3 dm 3, dm-3 respectively 225 1125 112 112. recommended 05 0. (control 2 (2 10 12 15 P2O dm- 22 11 (

RESUMO A pinheira (Annona squamosa L.) é uma frutífera sensível à salinidade. Uma das alternativas para minimizar os efeitos deletérios do estresse salino é a adoção de práticas de manejo da fertilização mineral, promovendo o aumento da tolerância da cultura aos sais. Portanto, o objetivo foi avaliar as doses de NPK para mitigar o estresse salino em mudas de pinheira irrigadas com água residual salina. O experimento foi realizado em casa de vegetação, em delineamento de blocos casualizados, em esquema fatorial 3 × 5, correspondendo a três águas de irrigação (água de abastecimento local de 0,53 dS m-1 de condutividade elétrica (controle); rejeito salino da dessalinização de 3,50 dS m-1; efluente de piscicultura de 3,50 dS m-1) e cinco proporções da recomendação de NPK (25, 50, 75, 100 e 125% da recomendação de fertilização), com quatro repetições. O crescimento, acúmulo de biomassa e nutrientes foram avaliados. A irrigação com rejeito salino e efluente de piscicultura restringe o crescimento das mudas de pinha, independentemente da dose de NPK utilizada. A homeostase iônica das mudas irrigadas com rejeito salino e efluente de piscicultura é otimizada pela fertilização com 50% da recomendação de NPK correspondente a 50, 150 e 75 mg de N, P2O5 e K2O dm-3, respectivamente. Para a produção de mudas irrigadas com água de abastecimento local, recomenda-se a dose de 75% de NPK, correspondente a 75, 225 e 112,5 mg de N, P2O5 e K2O dm-3, respectivamente. Annona L. L salinidade mineral sais Portanto salina vegetação casualizados 5 053 0 53 0,5 m1 m 1 m- controle (controle) 350 50 3,5 25, 25 (25 10 125 fertilização, , fertilização) repetições avaliados pinha utilizada 15 7 N PO P P2O KO K dm3, dm3 dm 3, dm-3 respectivamente recomendase recomenda se 22 1125 112 112, 05 0, (controle 35 2 (2 12 dm- 11 (

Resumen La transformación de la atención de salud mental en Portugal en los últimos años ha sido fundamental para una mayor humanización, una mejor organización y proximidad. Con un enfoque predominantemente comunitario, las enfermeras de salud mental desempeñan un papel importante en su implementación debido a sus conocimientos y prácticas dentro de equipos interdisciplinarios. Contribuyen a través de intervenciones conjuntas y autónomas a lo largo del ciclo vital, promoviendo la salud mental, interpretando el sufrimiento mental y brindando apoyo en enfermedades mentales, tanto en entornos comunitarios como hospitalarios.

Abstract The transformation of mental healthcare in Portugal in recent years has been instrumental in promoting greater humanisation, improved organisation, and proximity to patients. With a predominantly community-focused approach, mental health nurses play a crucial role in its implementation through their knowledge and practice within interdisciplinary teams. They contribute through joint and autonomous interventions across the lifespan, promoting mental health, interpreting mental distress, and providing support for mental illness in community and hospital settings.

Resumo A transformação dos cuidados de saúde mental em Portugal, nos anos recentes tem sido determinante para uma maior humanização, melhor organização e proximidade. Com um foco predominantemente comunitário, os enfermeiros especialistas em Enfermagem de Saúde Mental e Psiquiátrica têm um importante papel na sua implementação, pelo seu conhecimento e prática, incluídos em equipas interdisciplinares, dando contributos através de intervenções conjuntas e autónomas, ao longo do ciclo vital, através da promoção da saúde mental, interpretação do sofrimento mental e acompanhamento na doença mental, em contextos comunitários e hospitalares.

Abstract This paper presents an approach to the profile of the general auditors of war during the last decades of the viceroyalty of New Spain. On the basis of a socio-professional study that delves into those who held the post, focusing on elements referring to their judicial practice and their respective particular and family strategies for promotion, the objective is to reconstruct some procedures within the dynamics of the high viceregal administration. We will start by collating information gathered from the preceding bibliography and, mainly, from documentation found in Spanish and Mexican archives. In doing so, we seek to contribute to the study of the functioning of Bourbon military justice and its operatives in overseas environments within the Spanish monarchy, appreciating the effects that reformist processes, the establishment of permanent armies or different wartime situations exerted on these ministers.

Resumen Este artículo presenta una aproximación al perfil de los auditores generales de guerra durante las últimas décadas del virreinato de Nueva España. A partir de un estudio socio-profesional que ahonda en quienes desempeñaron el cargo, centrado en elementos referentes a su ejercicio judicial y sus respectivas estrategias particulares y familiares de promoción, el objetivo consiste en reconstruir algunos procedimientos dentro de las dinámicas propias de la alta administración virreinal. Se parte del cotejo de informaciones recabadas en la bibliografía precedente y, principalmente, de documentación localizada en archivos españoles y mexicanos. Con ello, se trata de contribuir al estudio del funcionamiento de la justicia militar borbónica y sus operarios en entornos ultramarinos dentro de la Monarquía española, y apreciar los efectos que los procesos reformistas, la implantación de ejércitos permanentes o diferentes tesituras bélicas ejercieron en estos ministros.

Abstract The presence of Eristalis tenax in a dairy farm in the province of Salta is described. Larvae of E. tenax, known as "rat-tailed maggots", were found in large quantities on the premises, specifically in the feeding trough and waste pit. Taxonomic identification revealed distinctive morphological characteristics of the species. This finding expands the known geographical distribution of E. tenax in Argentina. Although the medical significance of these syrphids is relative, their ability to act as mechanical vectors of certain pathogens, such as mycobacteria, suggests the need to control their populations in anthropized environments. The importance of hygiene measures to prevent accidental ingestion of larvae is stressed, and monitoring of water tanks and pits is suggested. In conclusion, the relevance of recognizing the facultative nature of infestations is highlighted, along with the potential contribution of E. tenax control in sanitation measures of affected herds.

Resumen Este trabajo documenta la presencia de Eristalis tenax en un establecimiento lechero de la provincia de Salta. Las larvas de E. tenax, conocidas como "gusanos de cola de rata", se encontraron específicamente en el comedero y la fosa de desechos. La observación de las características morfológicas de la especie permitió su identificación taxonómica. Este hallazgo amplía la distribución geográfica conocida de E. tenax en Argentina. Aunque la importancia médica de estos sírfidos es relativa, se destaca su capacidad de actuar como vectores mecánicos de micobacterias, lo que sugiere la necesidad de controlar sus poblaciones en entornos antropizados. Se enfatiza la importancia de medidas de higiene para prevenir la ingestión accidental de larvas y se sugiere incorporar supervisión en depósitos de agua y piletones de decantación. En conclusión, se subraya la relevancia de reconocer la naturaleza facultativa de esta especie como posible vector y la contribución de su control en las medidas de saneamiento en rodeos afectados.

Abstract Introduction. During the SARS-CoV-2 pandemic, many countries experienced decreased respiratory virus circulation, followed by an out-of-season outbreak. In a pediatric hospital in Colombia, we observed a surge in severe adenovirus infections, leading to concerns about the impact of eased public health restrictions and immune debt in children under five years old. Objective. To describe the clinical characteristics of patients with severe adenovirus infection in a pediatric hospital in Colombia. Materials and methods. We reviewed the data of 227 patients with severe adenovirus infection at the Fundación Hospital Pediátrico La Misericordia. Results. A total of 196 patients were included in this study. The median age was two years, and 62% were male. Adenoviruses were isolated from all patients’ samples. Ninetyseven percent were admitted to the pediatric intensive care unit, 94% required respiratory support, and the in-hospital lethality rate was 11%. Conclusion. In 2022, there was an outbreak of severe adenovirus infections, affecting mainly children under five years of age, with higher-than-usual mortality.

Resumen Introducción. Durante la pandemia por SARS-CoV-2, muchos países evidenciaron una disminución en la circulación de virus respiratorios, seguida por un brote fuera de la temporada esperada. En un hospital de Colombia, se observó un aumento en los casos de infección grave por adenovirus, lo cual generó preocupación sobre el impacto que tuvo la disminución de los cuidados establecidos durante pandemia y la posible deuda inmunológica en niños menores de cinco años. Objetivo. Describir las características clínicas de los pacientes con infección grave por adenovirus en un hospital pediátrico de Colombia. Materiales y métodos. Se revisaron 227 pacientes con infección grave por adenovirus en la Fundación Hospital Pediátrico La Misericordia, desde el 1° de enero hasta el 31 de diciembre de 2022. Resultados. El estudio incluyó 196 casos. La edad media de los pacientes fue de dos años y el 62 % eran de sexo masculino. Los adenovirus se aislaron a partir de las muestras de todos los pacientes. El 97 % de los pacientes ingresó a la unidad de cuidados intensivos, el 94 % requirió soporte ventilatorio y la tasa de mortalidad fue del 11 %. Conclusiones. En el 2022 hubo un brote de adenovirus que afectó principalmente a los niños menores de cinco años, con una mortalidad mayor a lo reportado con anterioridad en Colombia.

Abstract Objectives: Intraoperative bleeding may compromise the results of functional endoscopic sinus surgery (FESS). Tranexamic acid (TXA) and hot saline irrigations (HSI) are potentially useful in reducing blood loss during FESS. To date, no review comprehensively compared outcomes between TXA and HSI. The objective was to bring an insight between these two modalities in FESS. Study design: Systematic review and meta-analysis Material and Methods: The research was performed across PUBMED and Cochrane collaboration databases. A meta-analysis was performed to allow the comparison between TXA and HSI outcomes in FESS. Results: Twelve papers met the eligibility criteria for meta-analysis. HSI presented a more significant reduction in volumetric blood loss compared to TXA (p=0.01). No statistically significant difference was found between HSI and TXA considering surgical field quality (p = 0.99) and duration of surgery (p=0.24). Conclusions: This study suggests similar efficacy of HSI and TXA in improving operative conditions in FESS, although with lower volumetric blood loss in HSI.

Resumo Objetivos: A hemorragia intraoperatória pode comprometer os resultados da cirurgia endoscópica nasosinusal (CENS). O ácido tranexâmico (ATX) e a irrigação com soro quente (ISQ) demonstraram ser úteis na redução da perda sanguínea na CENS. O objetivo desta revisão foi o de comparar os resultados destas duas modalidades na CENS. Desenho do estudo: Revisão sistemática e meta-análise Material e Métodos: A investigação incluiu as bases de dados da PUBMED e Cochrane. Foi efetuada uma meta-análise que explorou os resultados do ATX e da ISQ na CENS. Resultados: Doze trabalhos cumpriram os critérios de elegibilidade para meta-análise. A ISQ apresentou uma redução mais significativa na perda sanguínea comparativamente ao ATX (p=0,01). Não foi encontrada diferença estatisticamente significativa entre ATX e ISQ quanto à qualidade do campo cirúrgico (p = 0,99) e à duração da cirurgia (p=0,24). Conclusões: Este estudo sugere eficácia semelhante entre ATX e ISQ na melhoraria das condições operatórias na CENS, com vantagem da ISQ na perda sanguínea volumétrica.

Abstract Background: The European Society of Cardiology guidelines recommend an LDL-cholesterol (LDL-C) < 55 mg/dL for patients with established cardiovascular disease. While the Friedewald equation to estimate LDL-C is still widely used, the newer Martin-Hopkins equation has shown greater accuracy. Objectives: We aimed to assess: A) the proportion of patients reaching LDL-C goal and the therapies used in a tertiary center; B) the impact of using the Martin-Hopkins method instead of Friedewald’s on the proportion of controlled patients. Methods: A single-center cross-sectional study including consecutive post-myocardial infarction patients followed by 20 cardiologists in a tertiary hospital. Data was collected retrospectively from clinical appointments that took place after April 2022. For each patient, the LDL-C levels and attainment of goals were estimated from an ambulatory lipid profile using both Friedewald and Martin-Hopkins equations. A two-tailed p-value of < 0.05 was considered statistically significant for all tests. Results: Overall, 400 patients were included (aged 67 ± 13 years, 77% male). Using Friedewald’s equation, the median LDL-C under therapy was 64 (50-81) mg/dL, and 31% had LDL-C within goals. High-intensity statins were used in 64% of patients, 37% were on ezetimibe, and 0.5% were under PCSK9 inhibitors. Combination therapy of high-intensity statin + ezetimibe was used in 102 patients (26%). Applying the Martin-Hopkins method would reclassify a total of 31 patients (7.8%). Among those deemed controlled by Friedewald’s equation, 27 (21.6%) would have a Martin-Hopkins’ LDL-C above goals. Conclusions: Less than one-third of post-myocardial infarction patients had LDL-C within the goal. Applying the Martin-Hopkins equation would reclassify one-fifth of presumably controlled patients into the non-controlled group. Background LDLcholesterol LDL cholesterol LDLC C (LDL-C 5 mgdL mg dL disease MartinHopkins Martin Hopkins accuracy Objectives assess center B Friedewalds s Methods singlecenter single crosssectional cross sectional postmyocardial post myocardial 2 hospital 2022 patient equations twotailed two tailed pvalue p value 005 0 05 0.0 tests Results Overall 40 aged 6 1 years 77 male. male . male) 5081 50 81 (50-81 Highintensity High intensity 37 0.5 PCSK inhibitors highintensity high 10 26%. 26 26% (26%) 3 7.8%. 78 7.8% 7 8 (7.8%) 21.6% 216 21 (21.6% Conclusions onethird one third onefifth fifth noncontrolled non group 202 00 0. 4 508 (50-8 (26% 7.8 (7.8% 21.6 (21.6 (50- (26 7. (7.8 21. (21. (50 (2 (7. (21 (5 ( (7

Resumo Fundamento: As diretrizes da Sociedade Europeia de Cardiologia recomendam um nível de colesterol LDL (LDL-C) < 55 mg/dL para pacientes com doença cardiovascular estabelecida. Embora a fórmula de Friedewald ainda seja amplamente utilizada para estimar o LDL-C, a fórmula mais recente de Martin-Hopkins mostrou maior precisão. Objetivos: Nosso objetivo foi avaliar: A) a proporção de pacientes que atingiram a meta de LDL-C e as terapias utilizadas em um centro terciário; B) o impacto da utilização do método de Martin-Hopkins em vez do método de Friedewald na proporção de pacientes controlados. Métodos: Estudo transversal monocêntrico, incluindo pacientes consecutivos pós-infarto do miocárdio, acompanhados por 20 cardiologistas, em um hospital terciário. Os dados foram coletados retrospectivamente de consultas clínicas realizadas após abril de 2022. Para cada paciente, os níveis de LDL-C e o atingimento das metas foram estimados a partir de um perfil lipídico ambulatorial, utilizando as fórmulas de Friedewald e Martin-Hopkins. Um valor-p bicaudal < 0,05 foi considerado estatisticamente significativo para todos os testes. Resultados: Foram incluídos 400 pacientes (com 67 ± 13 anos, 77% do sexo masculino). Utilizando a fórmula de Friedewald, a mediana de LDL-C sob terapia foi de 64 (50-81) mg/dL, e 31% tinham LDL-C dentro da meta. Estatinas de alta intensidade foram usadas em 64% dos pacientes, 37% estavam em uso de ezetimiba e 0,5% estavam em uso de inibidores de PCSK9. A terapia combinada de estatina de alta intensidade + ezetimiba foi utilizada em 102 pacientes (26%). A aplicação do método de Martin-Hopkins reclassificaria um total de 31 pacientes (7,8%). Entre aqueles considerados controlados pela fórmula de Friedewald, 27 (21,6%) teriam LDL-C estimado por Martin-Hopkins acima da meta. Conclusões: Menos de um terço dos pacientes pós-infarto do miocárdio apresentaram LDL-C dentro da meta. A aplicação da fórmula de Martin-Hopkins reclassificaria um quinto dos pacientes presumivelmente controlados no grupo de pacientes não controlados. Fundamento LDLC C (LDL-C 5 mgdL mg dL estabelecida LDLC, C, MartinHopkins Martin Hopkins precisão Objetivos avaliar terciário B Métodos monocêntrico pósinfarto pós infarto 2 cardiologistas 2022 paciente ambulatorial MartinHopkins. Hopkins. valorp valor p 005 0 05 0,0 testes Resultados 40 6 1 anos 77 masculino. masculino . masculino) 5081 50 81 (50-81 37 0,5 PCSK9 PCSK 10 26%. 26 26% (26%) 3 7,8%. 78 7,8% 7 8 (7,8%) 21,6% 216 21 (21,6% Conclusões 202 00 0, 4 508 (50-8 (26% 7,8 (7,8% 21,6 (21,6 (50- (26 7, (7,8 21, (21, (50 (2 (7, (21 (5 ( (7

ABSTRACT Inflammatory bowel disease (IBD) can be accompanied by several neurological disorders. Since 2004, we started a Brazilian cohort to assess neuropsychiatric complications in IBD patients. Changes in therapeutic strategy and differences in the prevalence and relevance of neuropsychiatric disorders have been reported in the literature. We conducted a short patient-reported survey about the medical management of IBD (with a special focus on neuropsychiatric management) and its complications. During the enrollment period (9/1/2021 to 8/31/2022), 279 patients with IBD answered the survey (128 patients with ulcerative colitis and 151 with Crohn’s disease). This is the first medical management survey aimed to verify the level of perception of IBD patients about their neuropsychiatric conditions. We found a high prevalence of neurologic (59%), psychiatric (32%), and neuropsychiatric co-morbidities (69%). There is a marked discrepancy between the findings of neurological disorders reported in our studies over the first 10 years of the cohort in comparison with the current perception/knowledge among the patients registered in the present management survey. Patients tend to have a better understanding of central rather than peripheral nerve conditions. (IBD 2004 literature patientreported patient 9/1/2021 912021 9 1 2021 (9/1/202 8/31/2022, 8312022 8/31/2022 , 8 31 2022 8/31/2022) 27 128 (12 15 Crohns Crohn s disease. . disease) conditions 59%, 59 59% (59%) 32%, 32 32% (32%) comorbidities co morbidities 69%. 69 69% (69%) perceptionknowledge knowledge 200 9/1/202 91202 202 (9/1/20 831202 8/31/202 3 2 12 (1 5 (59% (32% 6 (69% 20 9/1/20 9120 (9/1/2 83120 8/31/20 ( (59 (32 (69 9/1/2 912 (9/1/ 8312 8/31/2 (5 (3 (6 9/1/ 91 (9/1 831 8/31/ 9/1 (9/ 83 8/31 9/ (9 8/3 8/

RESUMO A doença inflamatória intestinal (DII) pode ser acompanhada por vários distúrbios neurológicos. Desde 2004, iniciamos uma coorte brasileira para avaliar complicações neuropsiquiátricas em pacientes com DII. Mudanças na estratégia terapêutica e diferenças na prevalência e relevância dos transtornos neuropsiquiátricos têm sido relatadas na literatura. Realizamos uma breve pesquisa relatada pelos pacientes sobre o manejo médico da DII (com foco especial no manejo neuropsiquiátrico) e suas complicações. Durante o período de 01/09/2021 a 31/08/2022, 279 pacientes com DII responderam à pesquisa (128 pacientes com retocolite ulcerativa e 151 com doença de Crohn). Esta é a primeira pesquisa de gestão médica que visa verificar o nível de percepção dos pacientes com DII acerca de suas condições neuropsiquiátricas. Encontramos uma alta prevalência de comorbidades neurológicas (59%), psiquiátricas (32%) e neuropsiquiátricas (69%). Há uma discrepância marcante entre os achados de distúrbios neurológicos relatados em nossos estudos durante os primeiros 10 anos da coorte em comparação com a percepção/conhecimento atual entre os pacientes da presente pesquisa de manejo. Os pacientes tendem a ter uma melhor compreensão das condições que afetam o sistema nervoso central do que as que afetam o sistema nervoso periférico. (DII 2004 literatura neuropsiquiátrico 01092021 01 09 2021 01/09/202 31082022 31 08 2022 31/08/2022 27 128 (12 15 Crohn. Crohn . Crohn) 59%, 59 59% , (59%) 32% 32 (32% 69%. 69 69% (69%) 1 percepçãoconhecimento conhecimento periférico 200 0109202 0 202 01/09/20 3108202 3 31/08/202 2 12 (1 5 (59% (32 6 (69% 20 010920 01/09/2 310820 31/08/20 ( (59 (3 (69 01092 01/09/ 31082 31/08/2 (5 (6 0109 01/09 3108 31/08/ 010 01/0 310 31/08 01/ 31/0 31/

ABSTRACT Effluent from fish farming with saline water is a source of water, also rich in organic matter and nutrients, that can be used in irrigation of cultivated plants and even fully or partially replace mineral fertilization. The objective was to evaluate the growth, biomass production and quality of P. maximum cultivars fertigated with fish farming effluent in a greenhouse experiment, using a randomized block design with eight replicates. Treatments were arranged in a split-split-plot scheme, with three irrigation managements in the plot (irrigation with public-supply water, irrigation with public-supply water + conventional fertilization, and irrigation with fish farming effluent), three cultivars of P. maximum (Tanzania, Mombasa, and Massai) in the sub-plot, and four cutting times in the sub-sub-plot (45, 90, 135, and 180 days after sowing). Plant height, number of tillers, production of fresh biomass, neutral detergent fiber, acid detergent fiber, ether extract, crude protein, dry matter, and mineral matter contents were analyzed. The highest growth, production, and quality of P. maximum grass occurs when irrigated with public-supply water and under conventional NPK fertilization. Fertigation with fish farming effluent reduces the growth and production of P. maximum grass, but allows obtaining better quality forage. It is possible to irrigate P. maximum grass using fish farming effluent with satisfactory yields. The growth of cv. Massai was more sensitive to irrigation with fish farming effluent than those of the cultivars Tanzania and Mombasa. nutrients fertilization P experiment replicates splitsplitplot split scheme publicsupply public supply effluent, , effluent) Tanzania, (Tanzania Mombasa subplot, subplot sub plot, sub-plot subsubplot 45, 45 (45 90 135 18 sowing. sowing . sowing) height tillers fiber extract protein analyzed forage yields cv 4 (4 9 13 1 (

ABSTRACT Sympathetic ophthalmia is a rare and potentially devastating bilateral diffuse granulomatous panuveitis. It is caused by surgical or non-surgical eye injuries and is an uncommon and serious complication of trauma. It is diagnosed clinically and supported by imaging examinations such as ocular ultrasonography and optical coherence tomography. Its treatment consists of immunosuppressive therapy with steroids and sometimes steroid-sparing drugs, such as cyclosporine, azathioprine, cyclophosphamide, and mycophenolate mofetil. Fast and effective management with systemic immunosuppressive agents allows for disease control and achievement of good visual acuity in the sympathizing eye. By contrast, enucleation should be considered only in situations where the injured eye has no light perception or in the presence of severe trauma. In addition to a bibliographic review of this topic, we report six cases involving different immunosuppressive and surgical treatment modalities. panuveitis nonsurgical non trauma tomography steroidsparing steroid sparing drugs cyclosporine azathioprine cyclophosphamide mofetil contrast topic modalities

RESUMO A oftalmia simpática consiste em uma panuveíte granulomatosa bilateral rara e potencialmente devastadora, ocorrendo geralmente após trauma ocular cirúrgico ou não cirúrgico. O diagnóstico é baseado em aspectos clínicos e apoiado por exames de imagem, como ultrassonografia ocular e tomografia de coerência óptica. O tratamento consiste em terapia imunossupressora com esteróides e, eventualmente, drogas poupadoras de esteróides, como ciclosporina, azatioprina, ciclofosfamida e micofonato de mofetila. O manejo rápido e eficaz com agentes imunossupressores sistêmicos permite o controle da doença e a obtenção de boa acuidade visual no olho simpatizante. A enucleação, por outro lado, poderia ser considerada apenas em situações em que o olho lesado não tem percepção luminosa ou há trauma grave. Além de uma revisão bibliográfica sobre o tema, foi relatada uma série de 6 casos com diferentes modalidades de tratamento imunossupressor e cirúrgico. devastadora imagem óptica eventualmente ciclosporina azatioprina mofetila simpatizante enucleação lado grave tema

ABSTRACT Water scarcity is a significant challenge faced in semi -arid regions, especially concerning agriculture. Therefore, alternatives for utilizing available water resources of inferior quality and adding organic matter to the soil are fundamental strategies to address this challenge. Considering this, the objective was to investigate the use of fish farming effluent and cattle manure in the production of melon seedlings of the Cantaloupe variety, specifically the Hales Best Jumbo cultivar. The experiment was conducted in a greenhouse, using a completely randomized design with a 5 x 5 factorial scheme. The treatments consisted of five proportions of cattle manure (0%, 5%, 10%, 15%, and 20%) combined with five dilutions of fish farming effluent (FFE) in public-supply water (PSW): D1 - 0% FFE; D2 - 15% FFE and 85% PSW; D3 - 30% FFE and 70% PSW; D4 - 45% FFE and 55% PSW; D5 - 60% FFE and 40% PSW, with six repetitions, totaling 150 experimental units. The results indicate that using substrate containing 20% cattle manure, irrigated with the D3 dilution (30% fish farming effluent and 70% public-supply water), promoted benefits for morphological variables of melon. The reuse of fish farming effluent, with electrical conductivity up to 1.75 dS m-1, is an alternative for reutilization and favors the growth and biomass production of Cantaloupe melon, Hales Best Jumbo cultivar. arid regions agriculture Therefore variety cultivar greenhouse scheme 0%, 0 (0% 5% 10 10% 15 20 (FFE publicsupply public supply PSW (PSW) D 85 30 70 45 55 60 40 repetitions units (30 water, , water) 175 1 75 1.7 m1, m1 m 1, m-1 (0 2 (PSW 8 3 7 4 6 (3 17 1. m- (

RESUMO A escassez hídrica é um grande desafio enfrentado nas regiões semiáridas, especialmente, no que diz respeito à agricultura. Assim, alternativas para o uso de águas disponíveis que têm qualidade inferior, bem como a adição de matéria orgânica no solo, são estratégias fundamentais para enfrentar esse desafio. Diante disso, objetivou-se investigar o uso de efluente da piscicultura e esterco bovino na produção de mudas de meloeiro da variedade Cantaloupe, cultivar Hales Best Jumbo. Realizou-se o experimento em casa de vegetação, com delineamento inteiramente casualizado, em esquema fatorial 5 x 5, cujos tratamentos foram compostos de cinco proporções de esterco bovino - E (0%; 5%; 10%; 15% e 20%) e cinco diluições do efluente de piscicultura (EP) em água de abastecimento público (AA): D1 - 0% EP; D2 - 15% EP e 85% AA; D3 - 30% EP e 70% AA; D4 - 45% EP e 55% AA; D5 - 60% EP e 40% AA, com 6 repetições, totalizando 150 unidades experimentais. Os resultados indicam que a utilização do substrato contendo 20% de esterco bovino, irrigado com a diluição D3 (30% de efluente de piscicultura e 70% de água de abastecimento) proporcionou benefícios no desempenho das variáveis de crescimento e fitomassa do meloeiro. O reúso de efluente da piscicultura, apresentando condutividade elétrica até 1,75 dS m-1, é uma alternativa de reaproveitamento e favorece o crescimento e a produção de fitomassa de meloeiro Cantaloupe da cultivar Hales Best Jumbo. semiáridas especialmente agricultura Assim inferior solo disso objetivouse objetivou se Jumbo Realizouse Realizou vegetação casualizado 0 (0% 5% 10% 10 15 20 (EP AA (AA) D 85 30 70 45 55 60 40 repetições experimentais (30 175 1 75 1,7 m1, m1 m 1, m-1 (0 2 (AA 8 3 7 4 (3 17 m- (

Abstract Background: The interference caused by volunteer soybean plants from grains lost before or during harvest can cause economic losses to bean producers due to the competition they cause, especially for succeeding crops. Objective: Therefore, the objective of this work was to determine the competitive ability and economic damage level (EDL) of bean cultivars in the presence of different densities of soybean volunteer plants. Methods: The experiments were installed in completely randomized design, and replicated for two consecutive years, 2020/21 and 2021/22. Treatments consisted of the carioca bean cultivars BRS Tangará, IAC 1850, and BRS Estilo and the black type IPR Uirapuru, IPR Urutau, and BRS Esteio, and 12 volunteer soybean densities established for each cultivar, ranging from 0 to a maximum of 66 plants m−2. Plant density, soil cover, leaf area, and shoot dry matter of volunteer soybean plants were determined 40 days after emergence. For bean, productivity, control cost, selling price, and control efficacy were determined. Results: Bean cultivars IPR Tangará, BRS Estilo, IPR Uirapuru and BRS Esteio showed greater competitive ability in the presence of soybean. The highest EDL values ranged from 1.00 to 2.89 plants m−2 for BRS Estilo, IPR Uirapuru, IPR Urutau and BRS Esteio cultivars when competing with soybean. Conclusions: Bean cultivars have different competitive abilities, and EDL is directly influenced by these different genetic traits. Background crops Objective Therefore (EDL Methods design years 202021 2020 21 2020/2 202122 2021 22 2021/22 Tangará 1850 1 cultivar 6 m2 m 2 density cover area 4 emergence productivity cost price Results 100 00 1.0 289 89 2.8 m− Conclusions abilities traits 20202 202 2020/ 20212 2021/2 185 10 1. 28 8 2. 20 2021/ 18

RESUMO O principal objetivo da pesquisa é analisar a gestão escolar do ponto de vista da identidade profissional dos gestores escolares, partindo da ideia de que o sucesso de suas práticas depende, em grande medida, de como se configura sua identidade profissional. Com uma abordagem biográfico-narrativa, as vozes de 12 diretores de centros educacionais públicos selecionados por meio de amostragem intencional contam como vivem e constituem sua identidade no desenvolvimento de suas funções. Foram realizadas três entrevistas a cada participante, nas quais se recolheu informação sobre a configuração da identidade profissional, tendo em conta a carreira anterior e a identidade profissional e o exercício da liderança escolar e da identidade profissional. Os resultados referem-se a estas dimensões de análise: perspetiva interna da identidade profissional e dupla identidade; identidade para os outros; e construção da identidade no exercício diário da gestão. escolares depende medida biográficonarrativa, biográficonarrativa biográfico narrativa, narrativa biográfico-narrativa 1 funções participante referemse referem análise outros

ABSTRACT The main objective of this research was to analyze school management from the point of view of the professional identity of school managers, based on the idea that the success of their practices depends, to a large extent, on how their professional identity is configured. From a biographical-narrative approach, the voices of 12 principals of public educational centers selected through intentional rationalization tell how they live and forge their identity in the development of their functions. Three interviews were conducted with each participant, in which information was collected on the configuration of professional identity, taking into account their previous career and professional identity and the exercise of school leadership and professional identity. The results refer to these dimensions of analysis: the internal perspective of professional identity and double identity; identity for others and the construction of identity in the daily exercise of leadership. managers depends extent configured biographicalnarrative biographical narrative approach 1 functions participant analysis

RESUMEN El principal objetivo de la investigación es analizar la dirección escolar desde la mirada de la identidad profesional de los directivos escolares partiendo de la idea que, el éxito de sus prácticas depende, en gran medida, de cómo se configura su identidad profesional. Desde un enfoque biográfico-narrativo las voces de 12 directores de centros educativos de carácter público seleccionados a través de muestreo intencionado, cuentan cómo viven y constituyen su identidad en el desarrollo de sus funciones. Se realizaron tres entrevistas a cada participante en las que se recogió información sobre la configuración de la identidad profesional, atendiendo a su trayectoria previa e identidad profesional y al ejercicio de la dirección escolar e identidad profesional. Los resultados aluden a estas dimensiones de análisis: perspectiva interna de la identidad profesional y doble identidad; la identidad para los otros y la construcción de la identidad en el ejercicio cotidiano de la dirección. depende medida biográficonarrativo biográfico narrativo 1 intencionado funciones análisis

ABSTRACT Objective We aimed to share our experience in implementing a structured system for COVID-19 lung findings, elucidating key aspects of the lung ultrasound score to facilitate its standardized clinical use beyond the pandemic scenario. Methods Using a scoring system to classify the extent of lung involvement, we retrospectively analyzed the ultrasound reports performed in our institution according to COVID-RADS standardization. Results The study included 69 thoracic ultrasound exams, with 27 following the protocol. The majority of patients were female (52%), with ages ranging from 1 to 96 years and an average of 56 years. Classification according to COVID-RADS was as follows: 11.1% in category 0, 37% in category 1, 44.4% in category 2, and 7.4% in category 3. Ground-glass opacities on tomography correlated with higher COVID-RADS scores (categories 2 and 3) in 82% of cases. Ventilatory assessment revealed that 50% of cases in higher COVID-RADS categories (2 and 3) required second-line oxygen supplementation, while none of the cases in lower categories (0 and 1) utilized this support. Conclusion Lung ultrasound has been widely utilized as a diagnostic tool owing to its availability and simplicity of application. In the context of the pandemic emergency, a pressing need for a focused and easily applicable assessment arose. The structured reporting system, incorporating ultrasound findings for stratification, demonstrated ease of replicability. This system stands as a crucial tool for screening, predicting severity, and aiding in medical decisions, even in a non-pandemic context. COVID19 COVID 19 COVID-1 scenario involvement COVIDRADS RADS standardization 6 exams protocol 52%, 52 52% , (52%) 9 5 follows 111 11 11.1 0 37 444 44 4 44.4 74 7 7.4 3 Groundglass Ground glass 82 50 ( secondline second line supplementation support application emergency arose stratification replicability screening severity decisions nonpandemic non COVID1 COVID- (52% 11. 44. 7. 8 (52 (5