Abstract Sudden death occurs within 24 hours after the onset of symptoms and is characterized by being clinically inexplicable, sudden, and unexpected. Due to the nature of sudden death, it is not possible an accurate diagnosis without performing an autopsy. In this brief communication, we will evaluate the case of a 33-year-old cruise employee, with no prior medical/pharmacological history, who suddenly died while resting in his cabin. Due to initial suspicions of a possible cocaine overdose death, a comprehensive toxicology panel was performed, although yielding a negative result. A cranial computed tomography without contrast reversed the initial hypothesis and the neuropathological autopsy -surprisingly- confirmed that the true cause of death was the rupture of an unknown saccular aneurysm in the Circle of Willis.

Resumen La muerte súbita es aquella que ocurre dentro de las 24 horas posteriores al inicio de los síntomas y se caracteriza por ser clínicamente inexplicable, inesperada y repentina. Debido a la naturaleza de la muerte súbita, no es posible llegar a un diagnóstico preciso sin una autopsia. En esta comunicación breve, evaluaremos el caso de un empleado de crucero de 33 años, sin historial médico/farmacológico previo, el cual falleció súbitamente mientras reposaba en su camarote. Debido a las sospechas iniciales de una posible muerte causada por una sobredosis de cocaína, se le realizó un panel toxicológico abarcador el cual resultó negativo. Empero, una tomografía computarizada (TC) craneal sin contraste revirtió la hipótesis inicial y la autopsia neuropatológica -sorpresivamente- confirmó que la verdadera causa de muerte fue la ruptura de un aneurisma sacular desconocido en el polígono de Willis.

Background: The incorporation of novel drugs, such as proteasome inhibitors and immunomodulators, improved considerably the survival of patients with multiple myeloma. Aim: To evaluate the effect on survival of proteasome inhibitors and immunomodulators in patients with multiple myeloma in two national hospitals. Material and Methods: Review of clinical records from two hospitals of Santiago. Epidemiological, clinical, laboratory and therapeutic data was obtained from 144 patients with multiple myeloma diagnosed between 2002 and 2016. Results: Information was retrieved from 78 patients at one center and from 66 at the other center. The mean age at diagnosis was 58 and 62 years, the proportion of males was 53% and 52%, and presentation at stage III was 34% and 46%, respectively. The use of novel drugs, mainly bortezomib, was 90% in one of the centers and 3% in the other one. The use of autologous stem-cell transplantation was 47% and 3% respectively. The median overall survival of patients from the centers with and without access to novel drugs was 117 and 71 months respectively (p < 0.05). The five-year overall survival was 93 and 43% respectively (p < 0.05). Conclusions: The use of novel drugs, especially bortezomib, and autologous stem-cell transplantation significantly improved the survival of multiple myeloma patients treated in national hospitals. It is necessary to include them as a first line treatment.

Resumo O objetivo deste estudo foi determinar a ocorrência de patógenos transmitidos por carrapatos (Ehrlichia canis, Babesia vogeli, Hepatozoon spp. e Rickettsia spp.) em cães na Vila de Jericoacoara, região costeira do Ceará, Brasil. Amostras de sangue foram coletadas de 153 animais e analisadas por métodos moleculares e sorológicos. Sessenta animais foram encontrados infectados ou expostos a pelo menos a um dos patógenos estudados. Babesia vogeli foi o patógeno mais prevalente (15%), seguido por E. canis (13,7%) e Hepatozoon spp. (11,8%), que foi identificado como Hepatozoon canis por sequenciamento. Vinte cães (13%) foram sororreativos à Rickettsia spp. Rhipicephalus sanguineus sensu lato foi observado em 11,8% dos animais. Houve associações entre idade (<3 anos) e positividade para B. vogeli, e entre habitação (cães de rua) e positividade para H. canis. Também houve associações entre anemia e infecção por H. canis, e entre leucopenia e exposição a Rickettsia spp. Não foi detectada associação entre alterações clínicas e infecção ou exposição aos patógenos estudados. Os resultados confirmaram que patógenos de importância veterinária estão circulando no nordeste do Brasil e mostraram que cães estão expostos a espécies de Rickettsia com potencial zoonótico, indicando a necessidade de medidas de controle do vetor.

Abstract The aim of this study was to determine the occurrence of tick-borne pathogens (Ehrlichia canis, Babesia vogeli, Hepatozoon spp. and Rickettsia spp.) in dogs in Vila de Jericoacoara, coastal region of Ceará, Brazil. Blood samples were collected from 153 animals and analyzed using molecular and serological methods. Sixty animals were found to be infected or exposed to at least one of the pathogens studied. Babesia vogeli was the most prevalent pathogen (15%), followed by E. canis (13.7%) and Hepatozoon spp. (11.8%), which was identified as Hepatozoon canis through sequencing. Twenty dogs (13%) were seroreactive to Rickettsia spp. Rhipicephalus sanguineus sensu lato was observed on 11.8% of the animals. There were associations between age (< 3 years old) and positivity for B. vogeli, and between habitation (stray dogs) and positivity for H. canis. There were also associations between anemia and infection with H. canis, and between leukopenia and exposure to Rickettsia spp. No association was detected between clinical alterations and infection with or exposure to the pathogens studied. The results confirmed that pathogens of veterinary importance are circulating in northeastern Brazil and showed that dogs are exposed to Rickettsia species with zoonotic potential, thus indicating a need for vector control measures.

RESUMO. Zolpidem é um dos agentes hipnóticos (não benzodiazepínicos) mais prescritos para o manejo dos distúrbios do sono. Recentemente, observou-se um aumento na demanda por esse medicamento, principalmente pela população idosa. Objetivo: Este estudo visa analisar o efeito agudo do zolpidem em relação às alterações cognitivas e de equilíbrio na população idosa. Métodos: Uma busca em quatro bases de informação científica virtual foi feita por dois pesquisadores independentes e incluiu ensaios clínicos randomizados. Os estudos avaliaram o uso de zolpidem em pacientes idosos. Alterações cognitivas e de equilíbrio foram analisadas. Resultados: Seis artigos foram incluídos. A média de idade entre os estudos foi de 69 anos. As seguintes posologias foram analisadas: 5; 6,25; 10; e 12,5 mg. Em relação às alterações cognitivas, comparando-se zolpidem com placebo, não há diferença estatisticamente significativa entre os grupos. Entretanto, no desfecho alterações de equilíbrio, há diferença estatisticamente significativa entre intervenção e comparação, a favor do placebo. Conclusões: Zolpidem, mesmo em doses usuais (5 e 10 mg), mostrou aumentar o risco para alterações de equilíbrio, entretanto, isso não ocorre em relação às alterações cognitivas.

ABSTRACT. Zolpidem is one of the most widely prescribed hypnotic (non-benzodiazepine) agents for sleep disorder. Recently, an increase in the demand for this drug has been observed, mainly in the elderly population. Objective: This study aims to analyze the acute effect of zolpidem on cognitive and balance dysfunctions in the elderly population. Methods: A study was conducted by two independent researchers in four virtual scientific information bases and included randomized controlled trials. The studies evaluated elderly patients using zolpidem. Cognitive and balance dysfunctions were analyzed. Results: Six articles were included. The mean age of the participants in the studies was 69 years. The following zolpidem dosages were evaluated: 5, 6.25, 10, and 12.5 mg. Comparing zolpidem and placebo, relating to the cognitive dysfunctions, there is no statistically significant difference between the groups. However, in relation to balance dysfunctions, there is a statistically significant difference between the intervention and the comparison, favoring placebo. Conclusions: Zolpidem, even in usual doses (5 mg and 10 mg), has shown to increase the risk for balance dysfunctions. However, this does not occur in relation to cognitive changes.

Coronavirus disease 19 is characterized by an intense inflammatory response and a high incidence of thrombotic events. Autopsy studies show severe endothelial injury associated with thrombosis of the alveolar capillaries of the lungs and other organs. In the pathophysiology of this disease endothelial injury and dysfunction, inflammation and thrombosis are key factors for the development of severe phenotypes. Therefore, we should consider this entity as a systemic endothelial disease in which an obstructive microvascular syndrome secondary to an intense thrombo-inflammatory response leads to acute respiratory insufficiency and multiorgan failure. Heparin is an excellent drug to treat Covid-19 patients due to its anticoagulant, anti-inflammatory, antiviral and endothelial effects. Clinical guidelines agree that the use of heparin thromboprophylaxis is a component of Covid-19 coagulopathy treatment, even though the dose and duration of treatments are not well defined.

RESUMO Este trabalho teve como objetivo ajustar a metodologia do teste de comprimento de plântula para sementes de soja e milho, em função do nível de vigor e tamanho da semente. Para isso foram utilizadas sementes de soja da cultivar ‘5855 RSF IPRO’ (BMX ELITE) e de milho híbrido ‘Fórmula Viptera’, classificadas em dois tamanhos de peneira e dois níveis de vigor para soja e três níveis para milho. Foi adotado o delineamento inteiramente casualizado, com quatro repetições. Foram avaliados germinação, primeira contagem de germinação, emergência em canteiro, índice de velocidade de emergência, velocidade de emergência, comprimento de parte aérea, raiz e total (avaliados de 12 em 12 horas), massa seca de parte aérea, raiz e total. A classificação das sementes de soja por tamanho, exerce influência direta sobre a taxa de germinação e vigor das sementes, e consequentemente no comprimento de plântulas, onde sementes de alto vigor da peneira 6,50 mm, apresentaram maiores taxas de comprimento. O comprimento de raiz e o total de plântulas de milho sofrem interferência apenas dos fatores níveis de vigor e tamanho de sementes atuando isoladamente. O melhor tempo para ser realizada a avaliação do comprimento de plântulas em sementes de soja é 120 horas, e em milho em 96 horas.

ABSTRACT This work had as objective to adjust the methodology of the seedling length test for soybean and maize seeds, depending on the level of vigor and size of the seed. Therefore, it was used soybean seeds of cultivar ‘5855 RSF IPRO’ (BMX ELITE) and hybrid maize seeds of the cultivar ‘Fórmula Viptera’, classified in two sizes of sieve and two levels of vigor for soybean and three levels for maize. A completely randomized design with four replications was adopted. Germination, first germination counting, emergence in seedbed, emergence velocity index, emergence velocity, shoot, root and total length (evaluated every 12 hours), shoot, root and total dry mass were evaluated. The classification of soybean seeds by size exerts a direct influence on seed germination and vigor, and consequently on seedling length, where seeds with high vigor and of the 6.5 mm sieve presented higher rates of length. Root and total length of maize seedlings are only affected by factors of vigor and seed size acting alone. The best time to be carried out the evaluation of seedlings length in soybean seeds was 120 hours, and in maize was 96 hours.

Este estudo teve o objetivo de avaliar a qualidade física, identificar os contaminantes de sementes de espécies forrageiras e graníferas no estado de Santa Catarina, Brasil. A coleta de dados foi realizada a partir dos resultados obtidos a partir de amostras de lotes de sementes coletadas pelo Programa Estadual de Inspeção, da Divisão de Inspeção de Insumo da Secretaria Estadual de Defesa Vegetal, Santa Catarina, Brasil. Lotes de sementes de azevém (Lolium multiflorum) (nacional), aveia preta (Avena strigosa), aveia (Avena sativa) e capim-sudão (Sorghum sudanense) comercializadas em Santa Catarina entre os anos de 2013 a 2015 apresentam não conformidades quanto à presença de outras sementes por número em relação a regulamentação brasileira. Dentro dos lotes de sementes forrageiras comercializadas em Santa Catarina, apenas lotes de sementes de milheto (Setaria italica) e azevém (importadas) apresentaram número de outras sementes abaixo do limite legal, mantendo-se dentro dos padrões de comercialização, independente do ano analisado.

This study aimed to evaluate the physical quality, identify and quantify the contaminants of seeds of forage species in the state of Santa Catarina, Brazil. It was created a data collection with the results obtained from samples of seeds lots collected by the State Inspection Program, from the Input Inspection Division of the State Department of Vegetal Defense, Santa Catarina, Brazil. Batches of ryegrass (Lolium multiflorum) seeds (national), black oat (Avena strigosa), oat (Avena sativa) and Sudan grass (Sorghum sudanense) Pers.) commercialized in Santa Catarina among the years 2013 to 2015 presented nonconformities to the presence of other seeds in relation to the Brazilian regulation. Within the lots of forage seeds commercialized in Santa Catarina, only lots of pearl millet (Setaria italica) and ryegrass seeds (imported) presented number of other seeds below the legal limit, staying within the commercialization standards, independent of the analyzed year.

Este estudo teve objetivo de avaliar a influencia de três níveis de vigor de sementes em caracteres do rendimento de grãos da soja cultivada no estado do Rio Grande do Sul, Brasil. O experimento foi conduzido na safra agrícola de 2017/2018 no município de Condor, localizado no estado do Rio Grande do Sul, Brasil. O experimento foi conduzido em delineamento de blocos casualizados, organizado em esquema fatorial com dois genótipos de soja (NA 5909 RG e BMX Ativa RR) e três níveis de vigor (alto, médio e baixo), dispostos em quatro repetições. Os dados foram submetidos aos testes homocedasticidades dos resíduos e homogeneidade das variâncias, análise de variância e interação entre genótipos de soja x níveis de vigor, correlação linear, algoritmo de Mahalanobis e análise biplot dos componentes principais. O uso de sementes com alto vigor determinou o estande de plantas por unidade de área e o rendimento de grãos da soja. Um incremento de 20% foi obtido para o rendimento de grãos devido o uso de sementes com elevado potencial fisiológico independente do genótipo de soja utilizado. A estabilidade inicial quando comprometida, influencia negativamente os componentes de rendimento, bem como, modificações abruptas na estrutura das plantas não resultaram em efeitos que compensassem a produção.

This study aimed to evaluate the influence of three levels of seeds vigor in the attributes of soybean yield when cultivated in the state of Rio Grande do Sul. The experiment was conducted in the crop season of 2017/2018, in the city of Condor, located in the state of Rio Grande do Sul, Brazil. The experimental design was random blocks organized in factorial scheme, being two soybean genotypes (NA 5909 RG and BMX Ativa RR) x three vigor levels (high, medium and low), and disposed in four replicates. The data was submitted to normality and homoscedasticity analysis of errors, variance analysis and interaction between soybean genotypes x seeds vigor level, linear correlation, Mahalanobis algorithm and Biplot analysis of the main compounds. The use of high vigor seeds determines the plant stand per unit of area and the grain yield of soybean. An increment of 20 % is obtained for grain yield due to the use of seeds with elevated physiologic potential independent of the soybean genotype. The soybean initial establishment, when compromised, negatively influences the yield components, also, abrupt modifications in the plants structure does not results in effects that will compensate production.

Abstract Background: Carbapenem-resistant Acinetobacter baumannii infection is a concern in developing countries due to high incidence, few therapeutic options, and increasing costs. Objective: Characterize and analyze the antibiotic susceptibility patterns of carbapenem-resistant A. baumannii isolates and evaluate clinical data of meningitis and bacteremia caused by this microorganism. Methods: Twenty-six A. baumannii isolates from 23 patients were identified by MALDI-TOF and automated methods and genotyped using pulsed field genotyping electrophoresis. Clinical data and outcomes were evaluated. Susceptibility of isolates to colistin, tigecycline, meropenem, imipenem, and doxycycline was determined. Results: Mortality due to A. baumannii infections was 73.91%; all patients with meningitis and 7/8 patients with ventilator-associated pneumonia died. All isolates were susceptibility to polymyxin (100%; MIC50, MIC90: 1 µg/mL, 1 µg/mL) and colistin (100%; MIC50, MIC90: 2 µg/mL, 2 µg/mL), and 92% were susceptible to tigecycline (MIC50, MIC90: 1 µg/mL, 1 µg/mL) and doxycycline (MIC50, MIC90: 2 µg/mL, 2 µg/mL). bla OXA-23 was identified in 24 isolates. Molecular typing showed 8 different patterns: 13 isolates belonged to pattern A (50%). Conclusion: Carbapenem-resistant A. baumannii infections mortality is high. Alternative antimicrobial therapy (doxycycline) for selected patients with carbapenem-resistant A. baumannii infection should be considered.

RESUMO Objetivo. Avaliar o impacto dos esforços para reduzir a baixa visão ao detectar e tratar erros de refração em escolares em duas áreas urbanas do Chile. Métodos. Foi realizado um estudo transversal multicêntrico com amostragem em múltiplos estágios, com a aplicação da metodologia do Estudo de erros de refração em crianças (RESC), nas comunidades de Concepción e La Florida em 2013. A melhor acuidade visual corrigida foi avaliada com fenda estenopeica, com e sem óculos. Foi estimada a cobertura para corrigir a visão por erros de refração. Resultados. Foram examinados 5.412 escolares nas comunidades de Concepción (n = 3.049) e La Florida (n = 2.363). Acuidade visual (AV) não corrigida >0,63 em pelo menos um olho foi observada em 4.721 crianças (87,23%; intervalo de confiança de 95% [IC]: 86,58%–88,30%). Do restante, 1.017 crianças (18,79%; IC de 95%: 17,78%–19,80%) apresentaram AV <0,5 em pelo menos um olho. Das 691 crianças com baixa visão não corrigida medida com ambos os olhos abertos (12,77%; IC de 95%: 11,9%–13,64%), 476 (8,76%; IC de 95%: 8,03%–9,49%) atingiram visão normal com a melhor correção visual possível e, destas, 271 (56,93%) tiveram AV normal no melhor olho. Conclusões. Foi observado um aumento da cobertura dos serviços para baixa visão associada a erros de refração e um aumento na porcentagem de crianças usando óculos quando comparado aos dados informados na comunidade La Florida em artigo publicado em 2000. A comissão nacional chilena de auxílio escolar e bolsas de estudos (JUNAEB) está conseguindo obter resultados melhores com o programa de atenção à saúde ocular de escolares.

ABSTRACT Objective. To assess the impact of efforts to reduce visual impairment by detecting and treating refractive errors (REs) among schoolchildren in two urban areas of Chile. Methods. In 2013, in the communities of Concepción and La Florida, we conducted a multicenter, multistage-sampling, cross-sectional study employing methods used by the Refractive Error Study in Children (RESC) survey. Best-corrected visual acuity was assessed using pinhole, with and without glasses. The coverage for correcting visual impairment due to refractive error was estimated. Results. We examined 5 412 schoolchildren, in the communities of Concepción (n = 3 049) and La Florida (n = 2 363). Uncorrected visual acuity (VA) of > 0.63 in at least one eye was found in 4 721 children (87.23%; 95% confidence interval (CI): 86.58%–88.30%). Of the remaining children, 1 017 of them (18.79%; 95% CI: 17.78%–19.80%) had a VA of < 0.5 in at least one eye. Of the 691 children with uncorrected visual impairment with both eyes open (12.77%; 95% CI: 11.9%–13.64%), 476 of them (8.76%; 95% CI: 8.03%–9.49%) achieved normal vision using best possible correction, and with 271 of the 476 (56.93%) having a normal presenting VA in the better eye. Conclusions. We found an increased coverage of services for RE-associated visual impairment and an increased percentage of children wearing glasses as compared to values reported for La Florida in an article published in 2000. The National Board of School Aid and Scholarships (JUNAEB) in Chile is achieving better results in its schoolchildren eye care program.

RESUMEN Objetivo. Evaluar la repercusión de las medidas para reducir la deficiencia visual mediante la detección y el tratamiento de los errores refractivos en escolares de dos zonas urbanas de Chile. Métodos. En el 2013, en las comunas de Concepción y La Florida, realizamos un estudio transversal multicéntrico, con muestreo en varias etapas, con los métodos del estudio de error refractivo en niños conocido como RESC por su sigla en inglés. La agudeza visual mejor corregida se evaluó con un agujero estenopeico, con y sin lentes. Se calculó la cobertura de la corrección de las deficiencias visuales secundarias a errores de refracción. Resultados. Examinamos a 5 412 escolares en las comunidades de Concepción (n = 3 049) y La Florida (n = 2 363). Se encontró una agudeza visual sin corrección >0,63 cuando menos en un ojo en 4 721 niños (87,23%; intervalo de confianza de 95% [IC]: 86,58%–88,30%). De los niños restantes, 1 017 (18,79%; IC de 95%: 17,78%–19,80%) tenían una agudeza visual <0,5 cuando menos en un ojo. De los 691 niños con deficiencia visual sin corrección con ambos ojos abiertos (12,77%; IC de 95%: 11,9%–13,64%), 476 niños lograron la visión normal con la mejor corrección posible (8,76%; IC de 95%: 8,03%–9,49%); 271 de estos 476 (56,93%) tenían agudeza visual normal en el ojo mejor al inicio. Conclusiones. Encontramos una mayor cobertura de los servicios para la deficiencia visual secundaria a errores refractivos y un mayor porcentaje de niños que usaban lentes en comparación con los valores notificados para La Florida en un artículo publicado en el 2000. La Junta Nacional de Auxilio Escolar y Becas (JUNAEB) de Chile está logrando mejores resultados en su programa de atención oftalmológica para los escolares.

ABSTRACTThe objective of this experiment was to quantify the effects of feeding polymer-coated slow-release urea on nutrient intake and total tract digestion, milk yield and composition, nutrient balances, ruminal fermentation, microbial protein synthesis, and blood parameters in dairy cows. Sixteen Holstein cows (580±20 kg of live weight (mean ± standard deviation); 90 to 180 days in milk (DIM); and 28 kg/d of average milk yield) were used in a replicated 4 × 4 Latin square experimental design. The animals were assigned to each square according to milk yield and DIM. The animals were randomly allocated to receive one of the following experimental diets: 1) control (without urea addition); urea (addition of 1% on the diet DM basis); polymer-coated slow release urea 1 (addition of 1% on the diet DM basis); and polymer-coated slow release urea 2 (addition of 1% on the diet DM basis). All diets contained corn silage as forage source and a 50:50 forage:concentrate ratio. Milk and protein yield, production of volatile fatty acids, and propionate decreased when cows were fed diets containing urea. Addition of urea decreased nitrogen efficiency and nitrogen excreted in the feces. However, the diets did not change the cows' microbial protein synthesis, ruminal pH, or ammonia concentration. The inclusion of urea in cow diets decreases milk and protein yield due to lower production of volatile fatty acids. No advantages are observed with supplementation of polymer-coated slow-release urea when compared with feed-grade urea.

The objective of this study was to evaluate the utilization of different sources of unsaturated long-chain fatty acids in diets for dairy cows during the transition period and early lactation on the milk fatty acid profile and composition of the protein fraction. Thirty-six Holstein cows were divided into three groups, fed the following diets: control (C); soybean oil (SO); and calcium salts of long-chain unsaturated fatty acids (CS). The milk samples utilized for analysis were obtained weekly from parturition to twelve weeks of lactation; each one of the samples originated from two daily milkings. Milk composition and total nitrogen, non-protein nitrogen and non-casein nitrogen levels were analyzed. The cows receiving the diet with calcium salts had lower concentrations of non-protein nitrogen (%CP) in milk compared with the animals fed the diet with soybean oil. There was a decrease in concentration of medium-chain fatty acids C12-C16, and a concomitant increase in concentrations of long-chain fatty acids >C18 in milk fat for the animals fed the diets CS and SO when compared with diet C. Soybean oil and CS diets increased milk-fat concentrations of the acids C18: 1 trans-11, C18: 2 cis-9, trans-11 and C18: 2 trans-10 cis-12 in relation to diet C. The utilization of sources of long-chain fatty acids in the diet of dairy cows increases the biological value of milk in early lactation due to higher concentrations of specific fatty acids such as CLA C18: 2cis-9, trans-11.

This research was conducted with objective to evaluate the effect of different zinc (Zn) sources and doses in the diet for Santa Ines sheep. Forty lambs at weaning, with 18.4 kg of body weight were supplemented with three different sources of zinc (zinc oxide (ZnO), zinc amino acid and zinc proteinate) and three doses of zinc (200, 400 and 600 mg/kg DM) added to the basal diet. At every 28 days, animals were weighted and blood samples were collected for analyses of zinc (Zn), alkaline phosphatase and immunoglobulin G (IgG) and M (IgM). At the end of experiment, liver samples were collected for determination of the hepatic zinc levels. Zinc was analyzed with atomic absorption spectrophotometer, while phosphatase alkaline and immunoglobulins G and M were analyzed using Laborlab and Bioclin kits, respectively. There was no effect of diets on phosphatase alkaline levels and hepatic zinc, but there was difference in the plasmatic zinc levels and IgG and IgM levels. Based on the accumulation of hepatic zinc, the estimate of the zinc bioavailability, through the regression equation, showed that supplementation with organic and inorganic sources of zinc did not differ in the diet of Santa Ines sheep.

Apresentamos aqui um modelo generalizado para o diagnóstico e predição de acidentes na classe de trabalhadores da Espanha. Baseados em dados sobre a frequência de acidentes em todas as companhias da Espanha em 11 anos (7.519.732 acidentes), nós os classificamos em uma nova tabela de contingência risco-injúria (19×19). Através de uma análise por correspondência obtivemos uma estrutura composta por 3 eixos cuja combinação identifica 3 grupos separados de risco e injúria, que nós usamos como um perfil geral na Espanha. As mais prováveis ou frequentes relações entre risco e injúrias identificadas nesse perfil facilitaram o processo de decisão nas companhias em um estágio inicial de apreciação do risco. Cada grupo de risco-injúria tem suas próprias características que são compreensíveis dentro do conteúdo fenomenológico do acidente. As principais vantagens desse modelo são a sua aplicação potencial em qualquer outro País e a possibilidade de comparar resultados de diferentes países. Um fator limitante, contudo, é a necessidade de se usar um padrão comum de classificação para riscos e injúrias afim de facilitar a comparação, um padrão que não existe hoje. O modelo tem como alvo administrar acidentes ligados ao trabalho automaticamente em qualquer nível.

We present a new generalized model for the diagnosis and prediction of accidents among the Spanish workforce. Based on observational data of the accident rate in all Spanish companies over eleven years (7,519,732 accidents), we classified them in a new risk-injury contingency table (19×19). Through correspondence analysis, we obtained a structure composed of three axes whose combination identifies three separate risk and injury groups, which we used as a general Spanish pattern. The most likely or frequent relationships between the risk and injuries identified in the pattern facilitated the decision-making process in companies at an early stage of risk assessment. Each risk-injury group has its own characteristics, which are understandable within the phenomenological framework of the accident. The main advantages of this model are its potential application to any other country and the feasibility of contrasting different country results. One limiting factor, however, is the need to set a common classification framework for risks and injuries to enhance comparison, a framework that does not exist today. The model aims to manage work-related accidents automatically at any level.

O objetivo deste trabalho foi avaliar a utilização de diferentes fontes de gordura nas rações de vacas em lactação e seus efeitos sobre o consumo de matéria seca e as concentrações dos parâmetros sangüíneos. Foram utilizadas 12 vacas da raça Holandês, agrupadas em três quadrados latinos balanceados 4x4 e alimentadas com as seguintes rações: 1) controle; 2) óleo de soja refinado; 3) grão de soja in natura; e 4) sais de cálcio de ácidos graxos (Megalac-E). As concentrações de colesterol total, colesterol, lipoproteína de baixa densidade (LDL) e colesterol de alta densidade (HDL) foram maiores (P<0,05) para as vacas alimentadas com as rações contendo fontes de gordura em relação à ração controle. As concentrações de uréia e nitrogênio ureico no soro foram semelhantes entre as rações utilizadas, com exceção da ração contendo sais de cálcio de ácidos graxos, que apresentou concentrações menores (P<0,05). O consumo de matéria seca foi menor (P<0,05) nas vacas que receberam sais de cálcio nas rações. Os animais que receberam a ração contendo grão de soja como fonte de gordura apresentaram menor (P<0,05) produção de leite quando comparada às demais rações utilizadas. A utilização de fontes de gordura em rações de vacas em lactação alterou os parâmetros sanguíneos, dependendo da fonte de gordura utilizada.

This study was carried out to evaluate the use of different fat sources in dairy cows rations and its effects on dry matter intake, milk yield and composition, and blood parameter. Twelve Holstein cows were allocated in three balanced latin square 4x4, and fed with the following rations: 1) Control, with 2.5%; 2) Refined soybean oil; 3) Whole soybean; and 4), Calcium salts of fatty acids (Megalac-E). The concentrations of total cholesterol and lipoprotein low density (LDL) were higher (P<0.05) for cows that received rations with fat sources, which also causes increased (P<0.05) e concentration of high density lipoprotein (HDL). The concentrations of urea and blood urea nitrogen were similar among the rations, except for the diet containing calcium salts of fatty acids, which showed lower (P<0.05). The dry matter intake was lower (P<0.05) in cows that received calcium salts in the rations. The animals that received a diet containing whole soybeans as a source of fat had lower (P<0.05) yield milk when compared to other rations used. The use of fat sources in dairy cows rations influenced the blood parameters, especially for parameters related to lipidogram.