ABSTRACT The hidden hunger for Se in the world population is well known. As a strategy to address this issue, this study aimed to biofortify onion (Allium cepa L.), since it is a condiment vegetable consumed by different economic classes and is widely used in the food industry. To this end, Se doses (0, 10, 25, 50, 100 and 200 g ha-1) and application forms (soil and foliar) were evaluated on the biofortification of the bulb and crop yield. The Se source was sodium selenate. Via soil, Se was applied together with NPK fertilizer in the pre-transplantation of the seedlings. Via foliar application, Se was sprayed 77 d after seedlings were transplanted. The Se increased yield up to 99 g ha-1, which was 14.7% higher than the yield obtained in the crop not fertilized with Se. Foliar application of Se was more efficient than soil application in the biofortification of onion, although both were effective. With the dose that promoted the highest yield, the Se concentrations reached 0.487 and 0.317 mg Se kg-1 in onion dry mass, when the supply was made via foliar and soil applications, respectively. The increase in Se supply did not influence bulb quality, as demonstrated by the macro- and micronutrients content and pungency.

ABSTRACT The effect of silicon (Si) on fitness and leaf consumption of the fall armyworm (FAW), Spodoptera frugiperda (Smith), has been observed in the laboratory, but the effects of Si on damage or defoliation reduction have not yet been determined under field conditions. Here, we evaluated the effects of amendment of soil with Si on defoliation by FAW and crop yield in maize. Two field experiments were carried out, with four doses of Si and a control (no Si amendment). Experiment #1 evaluated 150, 300, 450, and 600 kg of total Si·ha-1, with natural or manual infestation with FAW eggs, while Experiment #2 tested 600, 800, 1,000 and 1,200 kg of total Si·ha-1, with natural or manual infestation with FAW larvae. Defoliation reduction was observed with Si increasing in both Experiments #1 and #2. However, reduction was not observed in all evaluations, and it was dependent of infestation (natural and manual) and the time since manual infestation. Reduction in defoliation began at 600 kg Si·ha-1. In contrast, plant Si content increased linearly with increasing soil Si application. No effect of Si application was observed on maize kernel yield. The increase in leaf Si content reduced FAW defoliation, but it did not affect maize yield from 600 to 1,200 kg·ha-1 of Si. Amendment of soil with Si can be used as a strategy to optimize integrated pest management of FAW in maize.

ABSTRACT OBJECTIVE To evaluate the effectiveness of mobile ophthalmic unit screenings and to investigate barriers between community care and resolution of the problem at a tertiary center. METHODS This prospective study evaluated a convenience sample from 10 municipalities in São Paulo State, Brazil. Patients were assessed in the municipality by a mobile ophthalmic unit and underwent a complete ophthalmic consultation. Patients were referred as warranted to a tertiary hospital. RESULTS The mobile ophthalmic unit screened 1,928 individuals and 714 (37%) were referred. The mean age of the referred patients was 57.12 (SD = 19.5) years with best corrected visual acuity of 0.37 (SD = 0.36) logMAR. Forty-seven (6.6%) patients were blind and 185 (26.5%) were visually impaired. Cataracts (44.7%) and pterygium (14.7%) accounted for most referrals. Of those referred, 67.1% presented to the tertiary center. The diagnosis by the mobile ophthalmic unit corresponded to the one by the tertiary center in 88.5% of the cases. There were a significantly higher number of blind and visually impaired persons among those who presented to the hospital. There was a significantly greater attendance among patients living in more distant municipalities from the reference center with a higher number of inhabitants and a greater number of ophthalmologists in the cities of origin (p < 0.05, all comparisons). Complete treatment was performed in 65.6% of patients, and loss to follow-up was the main cause of incomplete treatment in 50.7% of patients. A total of 313 cataract surgeries were performed, which reduced the number of blind patients from 20 to 2 and of visually impaired individuals from 87 to 2 (p < 0.001). CONCLUSIONS Only 37% of the patients assessed by a mobile ophthalmic unit required referral to a tertiary hospital. Among the referred patients, 67.1% presented to the hospital, and complete resolution after treatment was approximately 65.5%. There was a significant improvement in visual acuity and a reduction in the prevalence of blindness and visual impairment postoperatively.

ABSTRACT OBJECTIVE To evaluate the effectiveness of mobile ophthalmic unit screenings and to investigate barriers between community care and resolution of the problem at a tertiary center. METHODS This prospective study evaluated a convenience sample from 10 municipalities in São Paulo State, Brazil. Patients were assessed in the municipality by a mobile ophthalmic unit and underwent a complete ophthalmic consultation. Patients were referred as warranted to a tertiary hospital. RESULTS The mobile ophthalmic unit screened 1,928 individuals and 714 (37%) were referred. The mean age of the referred patients was 57.12 (SD = 19.5) years with best corrected visual acuity of 0.37 (SD = 0.36) logMAR. Forty-seven (6.6%) patients were blind and 185 (26.5%) were visually impaired. Cataracts (44.7%) and pterygium (14.7%) accounted for most referrals. Of those referred, 67.1% presented to the tertiary center. The diagnosis by the mobile ophthalmic unit corresponded to the one by the tertiary center in 88.5% of the cases. There were a significantly higher number of blind and visually impaired persons among those who presented to the hospital. There was a significantly greater attendance among patients living in more distant municipalities from the reference center with a higher number of inhabitants and a greater number of ophthalmologists in the cities of origin (p < 0.05, all comparisons). Complete treatment was performed in 65.6% of patients, and loss to follow-up was the main cause of incomplete treatment in 50.7% of patients. A total of 313 cataract surgeries were performed, which reduced the number of blind patients from 20 to 2 and of visually impaired individuals from 87 to 2 (p < 0.001). CONCLUSIONS Only 37% of the patients assessed by a mobile ophthalmic unit required referral to a tertiary hospital. Among the referred patients, 67.1% presented to the hospital, and complete resolution after treatment was approximately 65.5%. There was a significant improvement in visual acuity and a reduction in the prevalence of blindness and visual impairment postoperatively.