Processos de vulnerabilização em comunidades camponesas afetadas pela transposição do rio São Francisco em Sertânia / Vulnerability processes in peasant communities affected by the transposition of the São Francisco river in Sertânia

Resumo O projeto da transposição do rio São Francisco é parte do conjunto de políticas de acesso à água no semiárido brasileiro e tem incidido sobre os processos de desterritorialização e vulnerabilização na região. O objetivo deste estudo foi analisar os processos de vulnerabilização em comunidades camponesas, decorrentes das obras da transposição do rio São Francisco. Trata-se de um estudo qualitativo, com aplicação de entrevistas semiestruturadas e realização de oficina com camponeses atingidos pela transposição no município de Sertânia (PE). O enfoque teórico-metodológico foi a matriz da reprodução social. Foram identificados diversos processos de vulnerabilização material e simbólica, além de agravos à saúde, como a destruição de reservatórios de água, poços artesianos, cacimbas e terras férteis, a desterritorialização, a incidência de doenças respiratórias agudas, decorrente das escavações para construção dos canais, e processos relativos à saúde mental, relacionando-se à reprodução social e ao modo de vida. A leitura sistêmica ancorada na autoconsciência e na conduta dos processos de vulnerabilização identificou uma ruptura do modo de vida tradicional e efeitos à saúde física e mental dos habitantes da região. Os efeitos negativos desse processo retroagem sobre as vulnerabilidades históricas nos territórios afetados, produzindo novas fragilidades nessas comunidades.

Abstract The project for the transposition of the São Francisco River is part of the set of policies for access to water in the Brazilian semi-arid region and has focused on the processes of deterritorialization and vulnerability in the region. The objective of this study was to analyze the processes of vulnerability in peasant communities, resulting from the transposition of the São Francisco River. This is a qualitative study, applying semi-structured interviews and carrying out a workshop with peasants affected by the transposition in the municipality of Sertânia (PE). The theoretical-methodological approach was the social reproduction matrix. Several processes of material and symbolic vulnerability, in addition to health problems, were identified, such as the destruction of water reservoirs, artesian wells, waterholes and fertile land, deterritorialization, the incidence of acute respiratory diseases, resulting from excavations for the construction of canals, and processes related to mental health, relating to social reproduction and to the way of life. The systemic reading anchored in self-awareness and in the conduct of vulnerability processes identified a break in the traditional way of life and effects on physical and mental health of the region inhabitants. The negative effects of this process retroact on historical vulnerabilities in the affected territories, producing new fragilities in these communities.

Saúde e reparação integral de comunidades camponesas em territórios da transposição do rio São Francisco / Health and comprehensive repair of peasant communities in territories of the São Francisco River transposition

Resumo A saúde é um complexo de situações de condições de vida alinhadas a contextos e lugares no tempo. O processo de reparação a partir do entendimento ampliado da saúde é um conjunto de direitos, ações e medidas protagonizadas por diferentes sujeitos nas diversas dimensões da vida. Este artigo tem como objetivo analisar as percepções e ações de reparação direcionadas a camponeses que sofreram perdas materiais e simbólicas no decurso das obras da transposição do Rio São Francisco, em Sertânia, Pernambuco. Trata-se de um estudo de caso com abordagem qualitativa. Os sujeitos desta pesquisa foram camponeses maiores de 18 anos, sem especificação de sexo, residentes em três comunidades nas proximidades do canal Eixo Leste da transposição. Foram realizadas entrevistas semiestruturadas nas comunidades e uma oficina participativa. Observou-se que há uma insuficiência no reconhecimento dos direitos de reparação pelos habitantes e, consequentemente, uma não efetivação das ações desenvolvidas nesse aspecto. As ações de reparação focaram compensações monetárias para a perda de bens materiais, porém sendo muitas vezes subdimensionadas ou até mesmo ausentes. É imprescindível que a reparação seja pensada na perspectiva da complexidade do caso, considerando todas as dimensões da saúde e da vida.

Abstract Health is a complex of situations of living conditions aligned to contexts and places at a given time. The redress process based on the expanded understanding of health is a set of rights, actions, and measures carried out by different subjects in the different dimensions of life. This article aims to analyze the perceptions and redress actions directed to peasants who suffered material and symbolic losses during the transposition of the São Francisco River, in Sertânia, Pernambuco. This is a case study with a qualitative approach. The subjects of this research were peasants over 18 years of age, of without specifying gender, living in three peasant communities near the Eixo Leste of the transposition. Semi-structured interviews and a participatory workshop were carried out in the communities. An insufficiency in the recognition of reparation rights by the inhabitants and, consequently, a non-effectiveness of the actions developed to that end were observed. Remedial actions focused on monetary compensation from the loss of material goods, but were often undersized or even absent. It is essential that the repair be thought of from the perspective of the complexity of the case, considering all dimensions of health and life.

Development and validation of liquid chromatography-tandem mass spectrometry method to quantify dasatinib in plasma and its application to a pharmacokinetic study

Abstract Dasatinib, a potent oral multi-targeted kinase inhibitor against Src and Bcr-Abl, can decrease inflammatory response in sepsis. A simple and cost-effective method for determination of an effective dose dasatinib was established. This method was validated in human plasma, with the aim of reducing the number of animals used, thus, avoiding ethical problems. Dasatinib and internal standard lopinavir were extracted from 180 uL of plasma using liquid-liquid extraction with methyl tert-butil ether, followed by liquid chromatography coupled to triple quadrupole mass spectrometry in multiple reaction monitoring mode. For the pharmacokinetic study, 1 mg/kg of dasatinib was administered to mice with and without sepsis. The method was linear over the concentration range of 1-98 ng/mL for DAS in mice and human plasma, with r2>0.99 and presented intra- and interday precision within the range of 2.3 - 6.2 and 4.3 - 7.0%, respectively. Further intra- and interday accuracy was within the range of 88.2 - 105.8 and 90.6 - 101.7%, respectively. The mice with sepsis showed AUC0-t = 2076.06 h*ng/mL and Cmax =102.73 ng/mL and mice without sepsis presented AUC0-t = 2128.46 h*ng/mL. Cmax = 164.5 ng/mL. The described analytical method was successfully employed in pharmacokinetic study of DAS in mice.

Growth and functional leaf traits of coppice regrowth of Bertholletia excelsa during an El Niño event in the central Amazon / Crescimento e características funcionais foliares de rebrotas de Bertholletia excelsa durante um evento de El Niño na Amazônia Central

The most severe drought of this century in the Amazon rainforest, which was caused by El Niño, occurred from 2015 to 2016. With a focus on the ecophysiology of the regrowth of the Brazil nut tree, Bertholletia excelsa, it was investigated how the progression of the drought of 2015-2016 affected the physiological traits of the coppice regrowth of B. excelsa. The experiment was carried out in a ten-year-old plantation of Brazil nut trees, which had been subjected to thinning and coppice regrowth two years earlier. In the sprouts grown on the stumps of cut trees, the following treatments were applied: (T1) thinning to one sprout per stump; (T2) thinning to two sprouts per stump, and (T3) maintenance of three sprouts per stump. Thinning treatments did not alter the growth and ecophysiological traits of the Brazil nut tree sprouts, though the phosphorus content of the leaves was higher in T1. However, the progression of the drought in 2015-2016 negatively affected the growth (height) and gas exchange of sprouts of all treatments. In addition, an increase of around 37% was observed in the intrinsic wateruse efficiency. Concerning photochemical performance, no alterations were observed. Therefore, drought stress promoted a negative effect on sprout growth and affected traits related to the photosynthesis of the B. excelsa sprouts independently of the number of sprouts per stump.(AU)

A seca mais severa deste século na floresta amazônica, causada por El Niño, ocorreu de 2015 a 2016. Com foco na ecofisiologia da rebrota da castanheira da Amazônia, foi investigado como a progressão da seca de 2015-2016 afetou as características fisiológicas das rebrotas de uma talhadia de B. excelsa. O experimento foi realizado em uma plantação de castanheiras com dez anos, a qual havia sido submetida a um desbaste e rebrota de talhadia dois anos antes. Nas rebrotas crescidas sobre os tocos das árvores cortadas foram aplicados os seguintes tratamentos: (T1) desbrota para manter um broto por cepa; (T2) desbrota para manter dois brotos por cepa; e (T3) manutenção de três brotos por cepa. Os tratamentos de desbrota não alteraram o crescimento e as características ecofisiológicas dos brotos da castanheira, exceto para o teor foliar de fósforo, que foi maior em T1. Porém, a progressão da seca em 2015-2016 afetou negativamente o crescimento em altura e as trocas gasosas dos brotos de todos os tratamentos. Além disso, foi observado um aumento de cerca de 37% na eficiência intrínseca do uso da água. Quanto ao desempenho fotoquímico, não foram observadas alterações. Portanto, o estresse hídrico promoveu efeito negativo no crescimento da brotação e afetou características relacionadas à fotossíntese das brotações de B. excelsa, independentemente do número de brotações por cepa.(AU)

Potential of Tetradenia riparia leaf essential oil and its fractions in controlling Aedes aegypti and Rhipicephalus microplus larvae

Tetradenia riparia (Hochst.) Codd (Lamiaceae) is a shrub, commonly known as ginger bush or false myrrh, and several studies have shown that T. riparia exhibits a variety of biological properties. This study aimed to determine the chemical composition of T. riparia essential oil and its fractions, investigate their anticholinesterase activity, and assess their larvicidal activity against the cattle tick Rhipicephalus microplus and the mosquito Aedes aegypti. Eleven essential oil fractions were obtained by fractionation and analyzed by gas chromatography/mass spectrometry. Larvicidal activity against R. microplus and third-instar A. aegypti was assessed using a larval packet test and a larval immersion test, respectively. Anticholinesterase activity was determined by a bioautographic method. Forty-nine compounds were identified in the essential oil, of which the major classes were oxygenated sesquiterpenes (45.95%) and sesquiterpene hydrocarbons (35.20%) and the major components were isospathulenol (17.40%), ß-caryophyllene (15.61%), 14-hydroxy-9-epi-caryophyllene (10.07%), 14-hydroxy-α-muurolene (8.32%), and 9ß,13ß-epoxy-7-abietene (5.53%). Bioassays showed that T. riparia essential oil (LC50 = 1.56 µg/mL) and FR3 (LC50 = 0.30 µg/mL) were the most active against R. microplus and A. aegypti larvae, respectively. The essential oil and FR1, FR2, and FR3 exhibited acetylcholinesterase inhibitory activity. These results indicate that T. riparia essential oil and its fractions hold promise in the development of novel, environmentally safe agents for the control of R. microplus and A. aegypti larvae.

Experiências pedagógicas para a construção da interdisciplinaridade em saúde coletiva / Pedagogical experiences for the construction of interdisciplinary in public health

RESUMO Este artigo narra a experiência de uma prática interdisciplinar de pesquisa, ensino e cooperação para a interseção entre saúde, ambiente, produção e trabalho, a partir da constituição do Laboratório de Saúde, Ambiente e Trabalho (Lasat) e sua contribuição para o Programa de Pós-Graduação em Saúde Pública do Instituto Aggeu Magalhães/Fundação Oswaldo Cruz (PPGSP/IAM/Fiocruz). O Lasat foi instituído em 1997, um ano após a criação do PPGSP. Seu grupo de pesquisadores reconheceu a complexidade dos objetos de pesquisa e buscou novos marcos epistêmicos e métodos adequados seguindo a perspectiva sistêmica e interdisciplinar. O objetivo deste artigo é apresentar os principais conceitos operativos adotados e os produtos acadêmicos obtidos. O método foi a análise dos relatos das experiências dos pesquisadores do Lasat quanto ao percurso de formação da equipe; projetos de pesquisa realizados; disciplinas obrigatórias e opcionais regulares; e atividades de cooperação significantes. Em todas as atividades, buscou-se ilustrar como a interdisciplinaridade foi aplicada. Apresentam-se como resultados o conjunto de conceitos adotados e alguns produtos acadêmicos efetivados, concluindo com os desafios de consolidar a nova área de concentração, ampliar a rede de cooperação técnico-científica e constituir uma rede interdisciplinar de suporte para a PPGSP.

ABSTRACT This article narrates the experience of an interdisciplinary practice of research, teaching and cooperation for the intersection between health, environment, production and work from the constitution of the Laboratory of Health, Environment and Work (LASAT) and contribution to the Postgraduate Program in Public Health at the Aggeu Magalhães Institute/Oswaldo Cruz Fundation (PPGSP/IAM/ FIOCRUZ). LASAT was instituted in 1997, one year after the creation of the PPGSP. Its group of researchers recognized the complexity of its research object and sought new epistemic frameworks and adequate methods following a systemic and interdisciplinary perspective. The objective of this article is to present the main operational concepts adopted and academic products obtained. The method was the analysis of the reports of the experiences of the LASAT researchers regarding the course of formation of the own team; research projects carried out; compulsory and optional subjects offered; and significant cooperation activities. In all activities, it was sought to illustrate how interdisciplinarity was implemented. It presents as results the set of concepts adopted and some effective academic products, concluding with the challenges of consolidating the new area of concentration, expand the technical-scientific cooperation network and constitute an interdisciplinary support network for the PPGSP.

Influence of different preparation techniques on the composition and antioxidant action of curcumin and curcuminoids / Influencia de diferentes técnicas de preparación en la composición y acción antioxidante de la curcumina y los curcuminoides

Epidemiological evidence indicates that plant antioxidants activity can treat or help to prevent the development of various diseases. One species with great potential as an antioxidant is Curcuma longa. However, different extraction techniquescan influence isolated chemical compounds. This study investigated chemical composition and antioxidant activity of two rhizome extracts of C. longa: hydroethanolic, obtained by exhaustion (HECLex); and dried by a spray dryer (HECLsd). The phytochemical composition was evaluated by GC/MS. Antioxidant activity was evaluated using DPPH and FRAP assays. Total phenolic compounds and soil analyses were performed. The main components of HECLex were ar-turmerone, γ-curcumene, α-turmerone, and ß-sesquiphellandrene. The main components of HECLsd were 9,12,15-octadecatrienoic acid, 2, 3-bis([trimethylsilyl]oxy) propyl ester, verrucarol, and 1-monolinoleoylglycerol trimethylsilyl ether. HECLsd had significantly higher levels of phenolic compounds and higher antioxidant capacity compared with HECLex. In conclusion, processes of the preparation of C. longarhizomes alter the chemical components and consequently their biological activity.

La evidencia epidemiológica indica que la actividad de los antioxidantes de las plantas pueden tratar o ayudar a prevenir el desarrollo de diversas enfermedades. Una especie con gran potencial como antioxidante es Curcuma longa. Sin embargo, diferentes técnicas de extracción pueden influir en los compuestos químicos aislados. Este estudio investigó la composición química y la actividad antioxidante de dos extractos de rizoma de C. longa: hidroetanólico, obtenido por agotamiento (HECLex); y se seca con un secador por pulverización (HECLsd). La composición fitoquímica se evaluó mediante GC/MS. La actividad antioxidante se evaluó mediante ensayos DPPH y FRAP. Se realizaron análisis de suelos y compuestos fenólicos totales. Los componentes principales de HECLex fueron ar-turmerona, γ-curcumene, α-turmerone y ß-sesquiphellandrene. Los componentes principales de HECLsd fueron ácido 9,12,15-octadecatrienoico, éster 2,3-bis ([trimetilsilil] oxi) propílico, verrucarol y éter 1-monolinoleoilglicerol trimetilsilil. HECLsd tenía niveles significativamente más altos de compuestos fenólicos y mayor capacidad antioxidante en comparación con HECLex. En conclusión, los procesos de preparación de los rizomas de C. longa alteran los componentes químicos y consecuentemente su actividad biológica.

Tetradenia riparia leaves, flower buds, and stem essential oils to control of Aedes aegypti larvae

Abstract Tetradenia riparia (Hochst.) Codd (Lamiaceae) is a species native to the African continent and used as an insect repellent. The objective of the study was to evaluate the larvicidal potential of essential oils (EOs) from the leaves, flower buds, and stem of T. riparia, collected in winter against Aedes aegypti larvae. The EOs were extracted by hydrodistillation (3 h) and identified by GC/MS. The EOs were tested against larvae of A. aegypti at concentrations ranging from 12500 to 1.5 µg/mL for 24 h. The insecticide activity was evaluated by probit analysis, and the anticholinesterase activity was determined by bioautographic method. The results of the class projection indicated sesquiterpenes as the majority class, corresponding to 60.66% (leaves), 64.70% (flower buds) and 83.99% (stem), and the bioassays on A. aegypti larvae indicated LC50 of 1590, 675 and 665 µg/mL, respectively. The anticholinesterase activity indicated that the EO of the leaves inhibited the enzyme at a concentration of 780 µg/mL, and those from the flower buds and stem inhibited up to 1560 µg/mL. The results indicated weak activity of essential oils against A. aegypti larvae.

Vertebroplasty in bone fragility fractures and tumor fractures: risks and benefits / Vertebroplastia em fraturas por fragilidade óssea e tumorais: riscos e benefícios / Vertebroplastia en fracturas por fragilidad ósea y tumorales: riesgos y beneficios

ABSTRACT Objective: To evaluate the results of percutaneous vertebroplasty (PV) in spinal fragility fractures (osteoporosis/tumor), analyzing possible complications. Method: We evaluated 33 patients with spinal fractures (FXV) due to osteoporosis or tumor who underwent PV between January and November 2021. A physical examination was performed, obtaining the history and risk factors for bone fragility/tumor and a radiological evaluation of the spine to verify FXV. Genant's semiquantitative method was used for postoperative classification, the VAS score, and a disability questionnaire (ODI). A radiologist evaluated tomographic control to quantify vertebral filling and extravasation, determining where they occurred. Results: 46 vertebrae of 33 patients were operated on, with a mean age of 71 years, and 11 patients with more than one level of surgery. Of the total, 13 patients had tumor fractures, and 20 had fractures due to insufficiency. PMMA extravasation was observed in 31 vertebrae, most frequently in the External Vertebral Venous Plexus (23), Discal Body (9), Anterior Epidural Recess (4), Pulmonary Vessels (4), Internal Vertebral Venous Plexus (3), Inferior Cava (2), Adipose Plane (2) and Azygos Vein (1). No patient had clinical complications. Furthermore, the mean preoperative VAS was eight, the postoperative one was 3, the mean preoperative ODI was 56, and the postoperative one was 30. Conclusion: PMMA extravasation was frequent in several locations and levels without any clinical complications. VP proved to be effective in improving pain and function. Level III; Longitudinal Retrospective Cohort Study.

RESUMO Objetivo: Avaliar os resultados da vertebroplastia percutânea (VP) em fraturas por fragilidade da coluna (osteoporose/tumoral), analisando possíveis complicações. Método: Foram avaliados 33 pacientes com fratura da coluna vertebral (FXV) por osteoporose ou tumor, entre janeiro e novembro de 2021, submetidos à VP. Foi realizado exame físico junto à obtenção da história e fatores de risco para fragilidade óssea / tumor, além de avaliação radiológica da coluna para constatação de FXV. O método semiquantitativo de Genant foi empregado para a classificação no pós-operatório, além do score EVA e do questionário de incapacidade (ODI). O controle tomográfico foi avaliado por médico radiologista para quantificação do preenchimento vertebral e extravasamento, determinando para onde ocorreram. Resultados: Foram operadas 46 vértebras de 33 pacientes, como média de idade de 71 anos, sendo 11 pacientes com mais de um nível operado. Do total, 13 pacientes apresentavam fraturas tumorais e 20 possuíam fraturas por insuficiência. Observou-se extravasamento do PMMA em 31 vértebras, mais frequentemente para Plexo Venoso Vertebral Externo (23), Corpo Discal (9), Recesso Epidural Anterior (4) Vasos Pulmonares (4), Plexo Venoso Vertebral Interno (3), Cava Inferior (2), Plano Adiposo (2) e Veia Ázigos (1). Nenhum paciente apresentou complicações clínicas. Ainda, o EVA pré-operatório médio foi 8 e o pós-operatório de 3, enquanto o ODI pré-operatório médio foi de 56 e o pós-operatório de 30. Conclusão: O extravasamento de PMMA foi frequente em diversos locais e níveis, sem nenhuma complicação clínica. A VP mostrou-se eficaz na melhora de dor e função. Nível III; Estudo Longitudinal Coorte Retrospectivo.

RESUMEN Objetivo: Evaluar los resultados de la vertebroplastia percutánea (PV) en fracturas por fragilidad de columna (osteoporosis/tumor), analizando posibles complicaciones. Método: Se evaluaron 33 pacientes con fractura de columna (FXV) por osteoporosis o tumor, entre enero y noviembre de 2021, que fueron sometidos a PV. Se realizó examen físico junto con obtención de antecedentes y factores de riesgo de fragilidad ósea/tumor, además de evaluación radiológica de columna para verificar FXV. Para la clasificación postoperatoria se utilizó el método semicuantitativo de Genant, además de utilizar la escala EVA y un cuestionario de discapacidad (ODI). El control tomográfico fue evaluado por un radiólogo para cuantificar el llenado vertebral y la extravasación, determinando dónde se producían. Resultados: Se operaron 46 vértebras de 33 pacientes, con una edad promedio de 71 años, 11 pacientes con más de un nivel de cirugía. Del total, 13 pacientes presentaron fracturas tumorales y 20 fracturas por insuficiencia. Se observó extravasación de PMMA en 31 vértebras, con mayor frecuencia en el Plexo Venoso Vertebral Externo (23), Cuerpo Discal (9), Receso Epidural Anterior (4), Vasos Pulmonares (4), Plexo Venoso Vertebral Interno (3), Cava Inferior (2), Plano Adiposo (2) y Vena Azygos (1). Ningún paciente presentó complicaciones clínicas. Además, la EVA preoperatoria media fue de 8 y la postoperatoria de 3, mientras que la ODI preoperatoria media fue de 56 y la postoperatoria de 30. Conclusión: La extravasación de PMMA fue frecuente en varias localizaciones y niveles, sin complicaciones clínicas. VP demostró ser eficaz para mejorar el dolor y la función. Nivel III; Estudio de cohorte retrospectivo longitudinal.

Extended stability study of an extemporaneously analgesic solution of clonidine, ropivacaine and fentanyl

Abstract The aim of this work was to perform an extended stability study for the analgesic containing fentanyl, clonidine and ropivacaine in physiological saline solution 0.9% at different infusion sites, such as infusion bags, epidural infusion sets and syringes. The extended stability was assessed by an HPLC system equipped with a photodiode array detector set at 210 nm. The separation was conducted on a C18 column maintained at 40˚C and using an isocratic mobile phase consisted of buffer solution-methanol-acetonitrile (45:45:10, v/v/v). The presence of particulate matter and the pH of each solution were also investigated. Twenty-four hours after the preparation, the formation of one suspected product was observed and for all drugs, in 24 hours it was observed the concentration decrease in different sets (PVC infusion bags, syringes and epidural infusion administration sets). The pH values of each solution varied no more than 5% during the study and no particle was observed. Conclusion: The extended stability study was applied to the analgesic solution and promoted the detection of an unexpected peak in 24 hours. Based on it, further stability studies are necessary to determine the extended stability data.

Chemical composition and insecticidal activity of Garcinia gardneriana (Planchon & Triana) Zappi (Clusiaceae) essential oil / Composición química y actividad insecticida del aceite esencial de Garcinia gardneriana (Planchon & Triana) Zappi (Clusiaceae)

The present study aimed to analyze the chemical composition of the essential oil from Garcinia gardneriana (Planchon & Triana) Zappi leaves and fruits, and to determine its acaricidal activity on Rhipicephalus microplusy larval packet test and larvicidal action on Aedes aegyptiby larval immersion test. The chemical analysis of the essential oil by gas chromatography-mass spectrometry identified sesquiterpene hydrocarbons and oxygenated sesquiterpenes in bacupari leaves and fruits, and α-cedrene, α-chamigrene, α-trans-bergamotene, and ß-curcumene as major compounds. Essential oil from leaves of G. gardneriana presented acaricidal activity on R. microplus (LC50= 4.8 mg/mL; LC99= 10.8 mg/mL) and larvicidal effect on A. aegypti (LC50= 5.4 mg/mL; LC99 = 11.6 mg/mL), where as essential oil from the fruits of G. gardneriana showed LC50= 4.6 mg/mL and LC99= 8.9 mg/mL against R. microplus and LC50= 6.4 mg/mL and LC99= 13.9 mg/mL against A. aegypti. These results thus demonstrate the potential acaricidal and larvicidal activity of essential oil of G. gardneriana, offering new perspectives for the realization of bioassays from this essential oil.

El presente estudio tuvo como objetivo analizar la composición química del aceite esencial de las hojas y frutos de Garcinia gardneriana (Planchon & Triana) Zappi, y determinar su actividad acaricida en Rhipicephalus microplus y larvicida en Aedes aegypti empleando la prueba de inmersión de larvas. El análisis químico del aceite esencial por cromatografía de gases-espectrometría de masas identificó hidrocarburos sesquiterpénicos y sesquiterpenos oxigenados en hojas y frutos de bacupari, y α-cedreno, α-chamigreno, α-trans-bergamoteno y ß-curcumeno como compuestos principales. El aceite esencial obtenido de las hojas de G. gardneriana presentó actividad acaricida en la garrapata del ganado (LC50= 4,8 mg/mL; LC99= 10,8 mg/mL) y actividad larvicida en A. aegypti (LC50= 5,4 mg/mL; LC99= 11,6 mg/mL), así como, el aceite esencial obtenido de los frutos de G. gardneriana mostró LC50= 4,6 mg/mL y LC99= 8,9 mg/mL contra las larvas de garrapatas de ganado y LC50= 6,4 mg/mL y LC99= 13,9 mg/mL en las larvas de A. aegypti. Por lo tanto, estos resultados demuestran la actividad acaricida y larvicida del aceite essencial de G. gardneriana, ofreciendo nuevas perspectivas para la realización de bioensayos a partir de este aceite esencial.

Avaliação da qualidade dos vídeos sobre câncer de mama mais visualizados no YouTube: relevância para promoção da saúde da mulher / Quality assessment of the most watched breast cancer videos on YouTube: relevance to improve women's health / Evaluación de la calidad de los videos sobre el cáncer de mama más vizualizados en YouTube: relevancia para promover la salud de la mujer

O câncer de mama é uma das principais enfermidades que acomete a saúde das mulheres no mundo e as estratégias destinadas à melhoria do acesso das mulheres às informações sobre prevenção são fundamentais. O objetivo do estudo apresentado neste artigo foi avaliar a qualidade de vídeos relacionados ao tema do câncer de mama. A busca dos vídeos ocorreu a partir da palavra-chave 'câncer de mama' na plataforma YouTube. Os dados referentes às informações de cunho técnico foram obtidos por meio da análise das informações contidas na descrição dos vídeos e, posteriormente, foi realizada sua análise de conteúdo. Para serem analisados, foram extraídos os 200 primeiros vídeos mais vistos. A maioria (72%) e aqueles com intuito de divulgar conteúdo informativo ao leigo (73%) e com foco na prevenção secundária (71,5%) são considerados ruins ou péssimos (53%). Conclui-se, que o YouTube se apresenta como uma ferramenta limitada a ser utilizada no processo de educação de mulheres visando ao controle do câncer de mama.

Breast cancer is one of the main diseases that affect the health of women in the world and strategies aimed at improving women's access to information on prevention are fundamental. The objective of the study presented in this article was to assess the quality of some videos related to breast cancer. The videos were searched using the keyword 'breast cancer' on the YouTube platform. The data referring to the technical information was obtained through the analysis of the information contained in the description of the videos and subsequently their content analysis was carried out. The first 200 most viewed videos were extracted for analysis. The majority (72%) and those aiming to disseminate informative content to laypeople (73%) and focusing on secondary prevention (71.5%) are considered bad or very bad (53%). It was concluded that YouTube is a limited tool to be used in the process of educating women about the control of breast cancer.

El cáncer de mama es una de las principales enfermedades que afectan la salud de las mujeres en el mundo y las estrategias destinadas a mejorar el acceso de las mujeres a la información sobre prevención son fundamentales. El objetivo del estudio presentado en este artículo fue evaluar la calidad de videos relacionados con el tema del cáncer de mama. Los videos fueran buscados utilizando la palabra clave 'cáncer de mama' en la plataforma de YouTube. Los datos referentes a la información técnica se obtuvieron mediante el análisis de la información contenida en la descripción de los videos y posteriormente se realizó su análisis de contenido. Fueron extraídos los primeros 200 videos más vistos para hacer su análisis. La mayoría (72%) y aquellos que tienen la finalidad de difundir contenidos informativos al lego en la materia (73%) y enfocon la prevención secundaria (71,5%) son considerados de poca calidade o pésimos (53%). Se concluye que YouTube se revela una herramienta limitada para ser utilizada en el proceso de educación de las mujeres destinada al control del cáncer de mama.

Insecticidal activity of Gallesia integrifolia (Phytolaccaceae) essential oil / Actividad insecticida del aceite esencial de Gallesia integrifolia (Phytolaccaceae)

This study evaluated the insecticidal activity of Gallesia integrifolia essential oil from fruits, leaves, and flowers against Aedes aegyptilarvae and pupae. The essential oil was obtained by hydrodistillation and characterized by gas chromatography-mass spectrometry. Sulfur compounds represented 95 to 99% of the essential oil from fruits, leaves, and flowers. Essential oil major compounds were 2,8-dithianonane (52.6%) in fruits, 3,5-dithiahexanol-5,5-dioxide (38.9%) in leaves, and methionine ethyl ester (45.3%) in flowers. The essential oils showed high activity against larvae, and low for pupae withLC99.9of 5.87 and 1476.67µg/mL from fruits; 0.0096 and 348.33 µg/mL from leaves and 0.021and 342.84 µg/mL from flowers, respectively. The main compound with insecticide activity is probably n-ethyl-1,3-dithioisoindole, from isoindole organothiophosphate class, found in greater amount in flower and leaf essential oil. The great insecticide activity of G. integrifolia essential oil suggests that this product is a natural insecticide.

Este estudio evaluó la actividad insecticida del aceite esencial de frutos, hojas y flores de Gallesia integrifolia contra larvas y pupas de Aedes aegypti. El aceite esencial se obtuvo por hidrodestilación y se caracterizó por cromatografía de gases acoplada a espectrometría de masas. Los compuestos de azufre representaron del 95 al 99% del aceite esencial de frutas, hojas y flores. Los compuestos principales del aceite esencial fueron 2,8-ditianonano (52,6%) en frutas, 3,5-ditiahexanol-5,5-dióxido (38,9%) en hojas y éster etílico de metionina (45,3%) en flores. Los aceites esenciales mostraron alta actividad contra larvas y baja para pupas con LC99.9de 5.87 y 1476.67µg/mL de frutos; 0,0096 y 348,33 µg/mL de hojas y 0,021 y342,84 µg/mL de flores, respectivamente. El principal compuesto con actividad insecticida es probablemente el n-etil-1,3-ditioisoindol, de la clase de los organotiofosfatos de isoindol, que se encuentra en mayor cantidad en el aceite esencial de flores y hojas. La gran actividad insecticida del aceite esencial de G. integrifolia sugiere que este producto es un insecticida natural.

Sposàrsi a Franca: tendências da nupcialidade entre imigrantes italianos no interior paulista, 1885-1930 / Sposàrsi a Franca: nuptial trends among Italian immigrants in the interior of São Paulo, 1885-1930 / Sposàrsi a Franca: tendencias de la nupcialidad entre inmigrantes italianos en el interior de São Paulo, 1885-1930

Em consonância com os estudos em Demografia Histórica e História da Família, este artigo visa a resgatar aspectos relativos à nupcialidade vivenciada pelos italianos e seus descendentes no município de Franca, interior do estado de São Paulo. A reflexão é corroborada pela historiografia recente que aponta a expansão da economia cafeeira no interior paulista como responsável por alterações no panorama demográfico por meio da atração de uma imigração internacional em massa, cujos impactos foram sentidos em diferentes espaços de ação, na família, nas relações matrimoniais, na etnicidade e integração desses grupos na sociedade brasileira entre o final do século XIX e as primeiras décadas do século XX. Combinando metodologias seriais e de microanálise para explorar os dados disponíveis nos registros de matrícula da Hospedaria de Imigrantes de São Paulo e assentos de casamento do Registro Paroquial do Arquivo da Cúria Diocesana de Franca (1885-1930), abre-se caminho para enriquecer o universo de interpretações sobre a nupcialidade nos municípios atingidos pela imigração internacional de italianos. Esse artigo examina os impactos das variáveis imigratórias nos padrões de casamento dos italianos no município e resgata aspectos da endogamia desse grupo, favorecida pelos respectivos contextos e bagagens culturais que conduziram o processo imigratório por eles vivenciado.

In line with studies in Demographic History and Family History, this article aims to rescue aspects related to nuptiality experienced by Italians and their descendants in the municipality of Franca, in the interior of the state of São Paulo. The reflection is corroborated by recent historiography research pointing to the expansion of the coffee-based economy in the interior of São Paulo as responsible for demographic changes through the attraction of mass international immigration. This affected different areas, including family, matrimonial relations, ethnicity and integration of these groups in Brazilian society at the turn of the 20th century. A combination of serial and microanalysis methodologies to explore the data available in the registration records of the São Paulo Immigrant Inn and wedding seats in the Parish Records of the Diocesan Archive of Franca (1885-1930), paves the way to expand the universe of interpretations on nuptiality in municipalities affected by Italian immigration. This article examines the impacts of immigration variables on Italians' marriage patterns in the municipality and retrieves aspects of this groups' inbreeding, favored by the respective cultural contexts and backgrounds that led to the immigration process they experienced.

En línea con los estudios en Demografía histórica e Historia familiar, este artículo tiene como objetivo rescatar aspectos relacionados con la nupcialidad vivida por los italianos y sus descendientes en el municipio de Franca, en el interior del estado de San Pablo. La reflexión es corroborada por la historiografía reciente, que apunta a la expansión de la economía cafetera en el interior del estado como responsable de cambios en el panorama demográfico mediante la atracción de la inmigración internacional masiva, cuyos impactos se sintieron en diferentes espacios de acción, en la familia, en las relaciones matrimoniales, en la etnicidad y en la integración de estos grupos en la sociedad brasileña entre fines del siglo XIX y las primeras décadas del XX. Al combinar metodologías seriadas y de microanálisis para explorar los datos disponibles en los registros de la Posada de Inmigrantes de San Pablo y en los asientos de boda del Registro Parroquial del Archivo de la Curia Diocesana de Franca (1885-1930) se abre el camino para enriquecer el universo de interpretaciones sobre nupcialidad en los municipios afectados por la inmigración internacional de italianos. Este artículo examina los impactos de las variables de inmigración en los patrones matrimoniales de los italianos en el municipio y recupera aspectos de la endogamia de este grupo, favorecida por los respectivos contextos culturales y antecedentes que llevaron al proceso de inmigración que vivieron.

Actividad antioxidante y antibacteriana del aceite esencial de hoja de Myrcianthes pungens / Antioxidant and antibacterial activity of Myrcianthes pungens leaf essential oil

Myrcianthes pungens (Myrtaceae) es un árbol nativo de Brasil conocido como guabijú. En nuestro estudio, describimos la composición química del aceite esencial de las hojas secas de M. pungens, la actividad antioxidante por diferentes métodos y la actividad antibacteriana contra Staphylococcus aureus, Bacillus cereus y Pseudomonas aeruginosa. La identificación química se realizó mediante un cromatógrafo de gases acoplado a un espectrómetro de masas y la actividad antibacteriana se evaluó mediante un método de microdilución en caldo. El aceite esencial de la hoja presentó sesquiterpenos de hidrocarburos (42,6%) como su principal clase química cuyos compuestos principales fueron ß-cariofileno (11,7%) y 1,8-cineol (10,1%). La mayor protección antioxidante fue de 57.5 a 63.3% de ß-caroteno. La mayor actividad antibacteriana fue contra S. aureus (MIC de 78.12 µg/mL). Este valor fue 2,56 veces menor que el control positivo de estreptomicina. M. pungens es una fuente prometedora de moléculas naturales con potencial estudio para el desarrollo de productos farmacológicos, cosméticos y alimenticios.

Myrcianthes pungens (Myrtaceae) is a native tree to Brazil known as guabijú. In our study, we described the chemical composition of the essential oil from M. pungens dried leaves, the antioxidant activity by different methods and antibacterial activity against Staphylococcus aureus, Bacillus cereus and Pseudomonas aeruginosa. The chemical identification was done by gas chromatograph coupled to mass spectrometer and antibacterial activity was evaluated by broth microdilution method. The leaf essential oil presented hydrocarbon sesquiterpenes (42.6%) as its main chemical class whose major compounds were ß-caryophyllene (11.7%) and 1,8-cineole (10.1%). The best antioxidant protection was from 57.5 to 63.3% of ß-carotene. The highest antibacterial activity was against S. aureus (MIC of 78.12 µg/mL). This value was 2.56-fold lower than the positive streptomycin control. M. pungens is a promising source of natural molecules with potential study for the development of pharmacological, cosmetic and food products.

Crude extract of the tropical tree Gallesia integrifolia (Phytolaccaceae) for the control of Aedes aegypti (Diptera: Culicidae) larvae / Extracto crudo del árbol tropical Gallesia integrifolia (Phytolaccaceae) para el control de larvas de Aedes aegypti (Diptera: Culicidae)

Introduction: Phytoinsecticides are alternatives to control insects in different stages, Gallesia integrifolia (Spreng.) Harms, Phytolacaceae family, popularly known as pau d'alho, garlic tree, and guararema in Brazil, is known due to its strong alliaceous odor because of the presence of sulfur molecules in the plant. This species presents biological activity and potential insecticide effect that is still unexploited. Objective: This study aimed to evaluate the biological activity of the ethanolic crude extract from G. integrifolia leaves, flowers, and fruits on the control of Aedes aegypti third-stage larvae and pupae. Methods: The botanical material was collected in city Umuarama, Paraná, Brazil at the coordinates (23º46'16" S & 53º19'38" WO), and altitude of 442 m, the fruits of G. integrifolia were collected in May and the leaves and flowers in December 2017. The crude extracts of G. integrifolia leaves, flowers, and fruits were prepared by dynamic maceration technique. The chemical composition of the extracts was determined by gas chromatography coupled to a mass spectrometry. The insecticidal activity of the crude extracts of G. integrifolia were carried out on larvae and pupae of A. aegypti in concentrations between 0.001 to 25 000 mg/mL, and afterwards the lethal concentrations that kill 50 % (LC50) and 99.9 % (LC99.9) were determined by probit analysis. Anticholinesterase activity was determined by bioautographic method at concentrations from 0.000095 to 50 mg/mL. Results: The yield of G. integrifolia crude extracts were 8.2, 9.1, and 17.3 % for flowers, fruits, and leaves, respectively. The chemical composition of G. integrifolia extracts was characterized by presence of fatty acid esters, phytosterols, vitamins, oxygenated diterpenes and organosulfur compounds. The flower extract presented the high amount of sulfur compounds (20.2 %) such as disulfide, bis (2-sulfhydryl ethyl) (11.9 %), 2,3,5-trithiahexane (6.2 %), 1,2,4-trithiolane (1.1 %), and 2,4-dithiapentane (1.1 %). Regarding the insecticidal activity, flower extract showed highly active with LC99.9 of 0.032 mg/mL and LC99.9 of 0.969 mg/mL on A. aegypti larvae and pupae, respectively, and the highest inhibition of acetylcholinesterase enzyme (0.00019 mg/mL) ex situ. The flower extract presented anticholinesterase and larvicide activity, respectively, 12.8 % and 35.6 % greater than the control temephos. Conclusions: This study opens new perspectives on the use of extracts from G. integrifolia as a bioinsecticide alternative for the control of A. aegypti larvae and pupae.

Introducción: Los fitoinsecticidas son alternativas para el control de insectos en diferentes etapas, Gallesia integrifolia (Spreng.) Harms, familia Phytolacaceae, conocida popularmente como pau d'alho, árbol de ajo y guararema en Brasil, es conocida por su fuerte olor aliáceo debido a la presencia de moléculas de azufre en la planta. Esta especie presenta actividad biológica y potencial efecto insecticida que aún no está explotado. Objetivo: El objetivo de este estudio fue evaluar la actividad biológica del extracto crudo etanólico de las hojas, flores y frutos de G. integrifolia en el control de las larvas y pupas de la tercera etapa de Aedes aegypti. Métodos: El material botánico fue recolectado en la ciudad de Umuarama, Paraná, Brasil (23º46'16" S & 53º19'38" W), a una altitud de 442 m y los frutos de G. integrifolia fueron recolectados en mayo de 2017 y las hojas y flores en diciembre del mismo año. Los extractos crudos de hojas, flores y frutos de G. integrifolia se prepararon por técnica de maceración dinámica. La composición química de los extractos se determinó por cromatografía de gases acoplada a espectrometría de masas. La actividad insecticida de los extractos crudos de G. integrifolia fue evaluada en larvas y pupas de A. aegypti en concentraciones entre 0.001 a 25 000 mg/mL, y las concentraciones letales que matan 50 % (CL50) y 99.9 % (CL99.9) de larvas fueron determinados por análisis de probit. La actividad anticolinesterasa fue evaluada por método bioautográfico en concentraciones de 0.000095 a 50 mg/mL. Resultados: El rendimiento de los extractos crudos de G. integrifolia fue de 8.2, 9.1 y 17.3 % para flores, frutos y hojas, respectivamente. La composición química de los extractos de G. integrifolia se caracterizó por la presencia de ésteres de ácidos grasos, fitosteroles, vitaminas, diterpenos oxigenados y compuestos organosulfurados. El extracto de las flores presentó alta cantidad de compuestos de azufre (20.2 %) como disulfuro, bis(2-sulfhidril etilo) (11.9 %), 2,3,5-tritiahexano (6.2 %), 1,2,4-tritiolano (1.1 %) y 2,4-ditiapentano (1.1 %). En relación con la actividad insecticida, el extracto de las flores mostró una gran actividad con CL99.9 de 0.032 mg/mL y CL99.9 de 0.969 mg/mL en larvas y pupas de A. aegypti, respectivamente, y la inhibición más alta de la enzima acetilcolinesterasa (0.00019 mg/mL) ex situ. El extracto de las flores presentó actividad anticolinesterasa y larvicida, 12.8 y 35.6 %, respectivamente, mayor que el control temephos. Conclusiones: Este estudio abre nuevas perspectivas sobre el uso de extractos de G. integrifolia como alternativa bioinsecticida para el control de larvas y pupas de A. aegypti.

Limonoid detection and profile in callus culture of sweet orange

Plant tissue culture has emerged as an important tool to produce bioactive compounds from various plant species, including the sustainable production of limonoids that are receiving considerable attention due to the benefits associated with human health such as anticancer activities. The purpose of the present study was to evaluate the capacity of limonoids aglycone production from callus culture from sweet orange cv. Pera (Citrus sinensis) seeds and identify the compounds produced in this cell line. Callus induction occurred in Murashige and Skoog medium supplemented with 2,4-dichlorophenoxyacetic (2,4-D), malt extract, agar and coconut water. For the analysis and identification of the limonoids, CG-MS-EI ion-positive mode and UPLC-QTOF-ESI were used operating in positive and negative mode. An intense peak corresponding to limonin appeared in the callus extracts at a retention time of 58.1 min. in CG-MS-EI and four major limonoids aglycone by positive ion mode UPLC-QTOF-ESI: limonin, nomilin, deacetylnomilin, and nomilinic acid. The culture medium was efficient at the bioproduction of limonoids aglycone in callus cultures of C. sinensis seeds. Therefore, data obtained from UPLC-QTOF-ESI proved its importance at identifying new compounds that benefit human health, and may assist future work in the identification of known or new limonoids in Citrus species and related genera.

Does decubitus affect neural elements positioning? a mri study comparing dorsal and lateral position / O decúbito afeta a posição dos elementos neurais? estudo de ressonância magnética comparando a posição dorsal e lateral / ¿la posición afecta el posicionamiento de los elementos neurales? un estudio de rm que compara la posición dorsal y lateral

ABSTRACT Objective To evaluate the displacement of nerve structures according to the decubitus position of the patient in a magnetic resonance imaging (MRI) study. Methods MRI was performed at a radiology clinic in 20 patients in dorsal and right lateral decubitus. The measurement considered was the shortest distance between the dura mater and the medial wall of the pedicle. Results The largest measurement was 11.6 mm in left lateral decubitus, 12.2 mm in right lateral decubitus, 10.5 mm in right dorsal decubitus, and 9.2 mm in left dorsal decubitus. In some patients the space between the medial wall of the pedicle and the dura mater was larger when in lateral decubitus, while in others when in dorsal decubitus. The mean displacement of the measurements on the left was 1.14 mm and on the right 1.355 mm. Conclusions The structures moved on average little more than 1 mm in the positions studied. The positioning of the patient for surgery does not change the space to be approached, being the surgeon's choice according to his learning curve. Level of evidence II; Prospective study of lower quality.

RESUMO Objetivo Avaliar o deslocamento das estruturas nervosas conforme o decúbito do paciente em um estudo de Ressonância Nuclear Magnética (RNM). Métodos Foram realizadas RNM em 20 pacientes em uma clínica de radiologia em decúbito dorsal e lateral direito. A medida considerada será a menor distância entre a dura-máter e a parede medial do pedículo. Resultados A maior medida em decúbito lateral esquerdo foi 11,6 mm, em decúbito lateral direito foi 12,2 mm, em decúbito dorsal direito foi 10,5 mm e no esquerdo, 9,2 mm. O espaço entre a parede medial do pedículo é maior em decúbito lateral em alguns pacientes e, em outros, em decúbito dorsal. O deslocamento médio das medidas à esquerda foi 1,14 mm e à direita 1,355 mm. Conclusões As estruturas se deslocaram, em média, pouco mais de 1 mm nas posições estudadas. O posicionamento do paciente na cirurgia não muda o espaço a ser abordado, sendo de escolha do cirurgião, conforme a sua curva de aprendizado. Nível de evidência II; Estudo prospectivo de menor qualidade .

RESUMEN Objetivo Evaluar el desplazamiento de las estructuras nerviosas conforme al decúbito del paciente en un estudio de Resonancia Nuclear Magnética (RNM). Métodos Fueron realizadas RNM en 20 pacientes en una clínica de radiología en decúbito dorsal y lateral derecho. La medida considerada será la menor distancia entre la duramadre y la pared medial del pedículo. Resultados La mayor medida en decúbito lateral izquierdo fue 11,6 mm, en decúbito lateral derecho fue 12,2 mm, en decúbito dorsal derecho fue 10,5 mm y en el izquierdo, 9,2 mm. El espacio entre la pared medial del pedículo es mayor en decúbito lateral en algunos pacientes y, en otros, en decúbito dorsal. El desplazamiento promedio de las medidas a la izquierda fue 1,14 mm y a la derecha de 1,355 mm. Conclusiones Las estructuras se desplazaron, en promedio, poco más de 1 mm en las posiciones estudiadas. El posicionamiento del paciente en la cirugía no cambia el espacio a ser abordado, siendo la elección del cirujano conforme a su curva de aprendizaje. Nivel de evidencia II; Estudio prospectivo de menor calidad.

Remoção histeroscópica de sistema intrauterino em gestação inicial: revisão de literatura / Hysteroscopic removal of the intrauterine system in early pregnancy: a literature review

Os dispositivos intrauterinos (DIUs) são os métodos contraceptivos reversíveis de longa duração mais utilizados no mundo, apresentando altas taxas de eficácia e segurança. Na presença de gestação, o DIU pode ser retirado com uma leve tração dos fios, quando visíveis. Na impossibilidade de visualização dos fios, há a opção de retirada por histeroscopia, que tem se mostrado segura e eficaz para a retirada de DIU retido na cavidade. Foram pesquisados os termos: "intrauterine device", "pregnancy" e "hysteroscopy". Dos 378 artigos encontrados, foram selecionados 18 artigos que cumpriam os objetivos desta revisão. A presença de DIU durante a gestação se mostra um fator de risco independente para desfechos desfavoráveis como abortamento, corioamnionite, parto prematuro e maior taxa de admissão em unidade de terapia intensiva neonatal. A histeroscopia ambulatorial se mostra uma alternativa segura e eficaz na retirada do DIU no primeiro trimestre.(AU)

Intrauterine devices (IUDs) are the most widely used reversible contraceptive methods in the world, with high rates of efficacy and safety. In the presence of pregnancy, the IUD can be removed by gently traction of the threads, when visible. If the wires cannot be visualized, we have the option of hysteroscopy removal, which has been shown to be safe and effective for the removal of an IUD retained in the cavity. The terms "intrauterine device", "pregnancy" and "hysteroscopy" were searched. Of the 378 articles found, 18 articles were selected that met the objectives of this review. The presence of IUDs during pregnancy is an independent risk factor for unfavorable outcomes such as abortion, chorioamnionitis, premature birth and a higher rate of admission to a neonatal intensive care unit. Ambulatory hysteroscopy is a safe and effective alternative for IUD removal in the first trimester.(AU)

Safety and effectiveness of laparoscopic Y-en-Roux gastric bypass surgery in obese elderly patients

Abstract Purpose To analyze, in aged obese patients, the weight loss, comorbidity control, and safety postoperative complications of bariatric surgery by Roux-en-Y gastric bypass technique. Methods Twenty-seven patients who underwent laparoscopic weight-reducing gastroplasty with Roux-en-Y gastric bypass to treat obesity were included. All patients were ≥ 60 years old at the time of surgery. The Wilcoxon test was used for statistical analysis, and a p-value ≤0.05it was considered significant. Results Ten (90.9%) patients with dyslipidemia were cured (p < 0.001). Nine (81.8%) patients with type 2 diabetes mellitus had total improvement and 2 (18.2%) had partial improvement (p = 0.003). In 23 patients with systemic arterial hypertension, 9 (39.1%) achieved total improvement and 14 (60.9%) partial improvement (p = 0.140). Five (71.4%) patients with obstructive sleep apnea syndrome were cured (p = <0.001). For other comorbidities, no partial improvement or cure was shown. Conclusions Roux-en-Y gastric bypass surgery in obese elderly patients can be performed safely and with low morbidity and mortality rates. The benefits of weight loss and reduced comorbidities are promising and like those of the younger population.