Fiddler crabs from highly disturbed beaches are more sensitive to human presence.

The presence of humans frequently modifies the behavior of animals, particularly their foraging patterns, compromising energetic demands. The fiddler crab Leptuca leptodactyla inhabits mangroves with high degrees of anthropogenic influence. Thus, we tested if populations living in highly anthropized mangroves respond differently from those living in more protected areas. We predict that individuals from touristy areas will be more tolerant to humans and will resume their activities sooner after disturbance. To do so, we conducted an experiment that consisted in the approach of an observer to the burrows, recording the response of individuals to the stimuli. The experiment took place in July 2022, in Ubatuba, São Paulo, Brazil. We analysed the duration and latency of various behaviors of a total of 80 adult males from two populations (high and low anthropogenic influence). Contrary to our predictions, individuals from the anthropized population were less tolerant, spending more time inside their burrows and taking longer to resume their activities. Therefore, fiddler crabs were not habituated to human presence. These results help us understand the learning process in invertebrates and their ability to select stimuli, contributing to understanding the impacts of human-wildlife interactions.

Biocompatible metal-organic frameworks as promising platforms to eradicate HIV reservoirs ex vivo in people living with HIV.

The HIV attacks the immune system provoking an infection that is considered a global health challenge. Despite antiretroviral treatments being effective in reducing the plasma viral load in the blood to undetectable levels in people living with HIV (PLWH), the disease is not cured and has become chronic. This happens because of the existence of anatomical and cellular viral reservoirs, mainly located in the lymph nodes and gastrointestinal tract, which are composed of infected CD4+ T cells with a resting memory phenotype and inaccessible to antiretroviral therapy. Herein, a new therapeutic strategy based on nanotechnology is presented. Different combinations of antiretroviral drugs (bictegravir/tenofovir/emtricitabine and nevirapine/tenofovir/emtricitabine) and toll-like receptor agonists were encapsulated into metal-organic frameworks (MOFs) PCN-224 and ZIF-8. The encapsulation efficiencies of all the drugs, as well as their release rate from the carriers, were measured. In vitro studies about the cell viability, the hemocompatibility, and the platelet aggregation of the MOFs were carried out. Epifluorescence microscopy assays confirmed the ability of ZIF-8 to target a carboxyfluorescein probe inside HeLa cell lines and PBMCs. These results pave the way for the use of these structures to eliminate latent HIV reservoirs from anatomical compartments through the activation of innate immune cells, and a higher efficacy of the triplet combinations of antiretroviral drugs.

Magnetic Mesoporous Silica for Targeted Drug Delivery of Chloroquine: Synthesis, Characterization, and In Vitro Evaluation.

Malaria is a dangerous tropical disease, with high morbidity in developing countries. The responsible parasite has developed resistance to the existing drugs; therefore, new drug delivery systems are being studied to increase efficacy by targeting hemozoin, a parasite paramagnetic metabolite. Herein, magnetic mesoporous silica (magMCM) was synthesized using iron oxide particles dispersed in the silica structure for magnetically driven behavior. The X-ray diffractogram (XRD) and Mössbauer spectra show patterns corresponding to magnetite and maghemite. Furthermore, Mössbauer spectroscopy revealed superparamagnetic behavior, attributed to single magnetic domains in particles smaller than 10 nm. Even in the presence of iron oxide particles, the hexagonal structure of MCM is clearly identified in XRD (low-angle region) and the channels are visible in TEM images. The drug chloroquine (CQ) was encapsulated by incipient wetness impregnation (magMCM-CQ). The N2 adsorption-desorption isotherms show that CQ molecules were encapsulated in the pores, without completely filling the mesopores. BET surface area values were 630 m2 g-1 (magMCM) and 467 m2 g-1 (magMCM-CQ). Encapsulated CQ exhibited rapid delivery (99% in 3 h) in buffer medium and improved solubility compared to the non-encapsulated drug, attributed to CQ encapsulation in amorphous form. The biocompatibility assessment of magMCM, magMCM-CQ, and CQ against MRC5 non-tumoral lung fibroblasts using the MTT assay after 24 h revealed no toxicity associated with magMCM. On the other hand, the non-encapsulated CQ and magMCM-CQ exhibited comparable dose-response activity, indicating a similar cytotoxic effect.

Mushroom ß-glucans: application and innovation for food industry and immunotherapy.

Among the most important sources of ß-glucans are edible and medicinal mushrooms. These molecules are components of the cellular wall of basidiomycete fungi (mushrooms) and can be extracted even from the basidiocarp as the mycelium and its cultivation extracts or biomasses. Mushroom ß-glucans are recognized by their potential effects as immunostimulants and immunosuppressants. They are highlighted as anticholesterolemic, anti-inflammatory, adjuvant in diabetes mellitus, mycotherapy for cancer treatment, as well as adjuvants for COVID-19 vaccines. Due to their relevance, several techniques of ß-glucans extraction, purification, and analysis have already been described. Despite the previous knowledge of ß-glucans' benefits for human nutrition and health, the main information about this topic refers to the molecular identification, properties, and benefits, as well as their synthesis and action on cells. Studies on biotechnology industry applications (product development) and the registered products of ß-glucans from mushrooms are still limited and more common for feed and healthcare. In this context, this paper reviews the biotechnological production of food products containing ß-glucans from basidiomycete fungi, focusing on food enrichment, and presents a new perspective on fungi ß-glucans' use as potential immunotherapy agents. KEY POINTS: • Mushrooms' ß-glucans for product development in the biotechnology industry • Biotechnological production of food products containing mushrooms' ß-glucans • Basidiomycete fungi ß-glucans are used as potential immunotherapy agents.

Sharing is living: The role of habitat heterogeneity in the coexistence of closely related species.

In biologically diverse ecosystems, an essential process to support competing species to coexist is ecological differentiation. Habitat heterogeneity is, hence, important in establishing species abundance and richness, favoring the coexistence of species due to habitat partition. In this context, shading and species thermal tolerance can be good factors to elucidate the role of habitat heterogeneity in the habitat partition among closely related species. Herein, we study shading effects in microhabitat selection, behavior, and physiological limitation on two species of fiddler crabs (Leptuca leptodactyla and Leptuca uruguayensis). Indeed, shading conditions influenced fiddler crabs species proportion over time, with L. leptodactyla more associated with nonshaded/warmer areas while the L. uruguayensis to shaded/cooler ones. They also adjusted their behavior differently from each other to deal with thermal stress. Finally, we have demonstrated that these effects are related to species' physiological limitations. We conclude that biologically diverse ecosystems, such as intertidal regions from estuaries (e.g., mudflats and mangroves), support the coexistence between closely related species by reducing competition due to habitat partition.

Selective Determination of Glutathione Using a Highly Emissive Fluorescent Probe Based on a Pyrrolidine-Fused Chlorin.

We report the use of a carboxylated pyrrolidine-fused chlorin (TCPC) as a fluorescent probe for the determination of glutathione (GSH) in 7.4 pH phosphate buffer. TCPC is a very stable, highly emissive molecule that has been easily obtained from meso-tetrakis(4-methoxycarbonylphenyl) porphyrin (TCPP) through a 1,3-dipolar cycloaddition approach. First, we describe the coordination of TCPC with Hg(II) ions and the corresponding spectral changes, mainly characterized by a strong quenching of the chlorin emission band. Then, the TCPC-Hg2+ complex exhibits a significant fluorescence turn-on in the presence of low concentrations of the target analyte GSH. The efficacy of the sensing molecule was tested by using different TCPC:Hg2+ concentration ratios (1:2, 1:5 and 1:10) that gave rise to sigmoidal response curves in all cases with modulating detection limits, being the lowest 40 nM. The experiments were carried out under physiological conditions and the selectivity of the system was demonstrated against a number of potential interferents, including cysteine. Furthermore, the TCPC macrocycle did not showed a significant fluorescent quenching in the presence of other metal ions.

Phylogeographic Structure within the Fiddler Crabs Leptuca thayeri and Uca maracoani (Brachyura, Ocypodidae) along the Tropical West Atlantic.

Most fiddler crabs have an extended planktonic larval phase, potentially maintaining gene flow among widely separated populations, in the absence of marine barriers. Such marine barriers could be long coastal stretches without suitable habitat, freshwater plumes caused by large river mouths, or strong currents. Typically, fiddler crabs inhabit mangrove habitats, and as mangroves tend to have a patchy distribution, it is important to gather information on the connectivity between neighboring mangroves and recognize local endemisms. To detect potential genetic differentiation among mangrove-dwelling populations of Leptuca thayeri and Uca maracoani along several thousand kilometers of a tropical coastline, mtDNA sequences of different populations from Brazil and two Caribbean islands were analyzed and compared. As shown in previous studies with fiddler crabs, Brazilian populations are genetically indiscernible, and our data suggest the absence of long-standing gene flow barriers in the two studied species along the Brazilian coast. This includes both sides of the postulated biogeographic barriers corresponding to the split of the Central South Equatorial Current and to the Amazon River freshwater plume. In contrast, conspecific individuals from the Greater Antilles carried different haplotypes, suggesting a biogeographical barrier between Brazil and the Caribbean, apparently having limited gene flow between both regions for extended time periods.

Las necesidades educativas (no cubiertas) en pacientes cubanos con artrosis de rodilla mediante el cuestionario SpENAT / Educational Needs in Patients With Knee Osteoarthritis Using the SpENAT Questionnaire

Introducción: La osteoartritis de rodilla (OA) es un problema importante de salud pública porque causa dolor y limitación funcional en los pacientes. Sin embargo, el compromiso con la autogestión puede minimizar el impacto de la OA en la salud de los pacientes que padecen esta enfermedad. Para estar completamente comprometido con las actividades de autogestión, el conocimiento sobre OA es un requisito previo. Hay datos acerca de la comprensión de las personas sobre OA y sus necesidades de información sobre OA. La Educational Needs Assessment Tool-versión en español (SpENAT, por sus siglas en inglés) es un cuestionario autoinformado que evalúa las necesidades educativas (Ned) con el fin de brindar información adaptada y enfocada a pacientes con OA de rodilla. Consta de 39 preguntas agrupadas en 7 dominios: dolor, movimiento, sentimientos, osteoartritis, tratamiento médico, tratamiento no médico y ayuda. Objetivos: Estimar las Ned en pacientes con OA de rodilla utilizando el SpENAT. Material y método: Se realizó un estudio observacional, descriptivo y transversal en 215 pacientes con diagnóstico de OA de rodilla según criterio del American College of Rheumatology que acudieron a la consulta protocolizada de patología de rodilla del servicio de Reumatología del Hospital Clínico Quirúrgico Hermanos Ameijeiras durante el período de estudio comprendido entre enero de 2017 y agosto de 2020. Se registraron datos demográficos, nivel educativo y características de la enfermedad. Todos los pacientes completaron el SpENAT y se les preguntó sobre las fuentes a las que recurrieron para obtener información sobre su enfermedad. Resultados: Predominaron las mujeres mayores de 50 años y con sobrepeso con diagnóstico de OA. Se observaron mayores Ned en los dominios movimiento, ayuda, dolor, sentimiento, OA.(AU)

Introduction: Knee osteoarthritis (KOA) is a major public health issue because it causes pain and functional limitation in patients. Engagement with self-management may, however, minimize the impact of KOA on the health of patients suffering this illness. To be fully engaged with self-management activities, knowledge about KOA is a prerequisite. There is data on people's understanding of KOA and their needs for information about KOA. The Educational Needs Assessment Tool- Spanish version (SpENAT) is a self-reported questionnaire that assesses educational needs (Ned) in order to provide information adapted and focused on patients with knee KOA. It comprises 39 questions grouped into seven domains: Pain, Movement, Feelings, Osteoarthritis, Medical treatment, Non-medical treatment, Help. Objectives: To estimate the Ned in patients with knee KOA using the SpENAT. Material and method: An observational, descriptive, and cross-sectional study was carried out in 215 patients with a diagnosis of knee KOA according to the criteria of the American College of Rheumatology who attended the service's protocolized consultation of knee conditions of rheumatology at the “Hermanos Ameijeiras” Surgical Clinical Hospital during the study period between January 2017 and August 2020. Demographic data, educational level and characteristics of the disease were recorded. All patients completed the SpENAT and were questioned about the sources they turn to obtain information on their disease. Results: Women over 50 years of age and overweight with a diagnosis of OA predominated. Major Ned were observed in the domains of movement, help, pain, feeling, KOA. Patients over 50 years of age, female, normal weight, and active workers showed greater interest in the movement domain. The most used source of information was the rheumatologist (91.60%).(AU)

Antiprotozoal Activity of Mycelial Extracts of Several Medicinal Agaricomycetes Mushrooms against Giardia duodenalis.

Despite knowledge on the therapeutic properties of fungal bio-compounds, few studies have been reported on their anti-parasitic activities. The anti-parasitic activity (APA) of mycelial extracts from seven medicinal agaricomycetous mushrooms (Polyporus lipsiensis, Ganoderma applanatum, Pleurotus ostreatus, P. flabellatus, Oudemansiella canarii, Lentinula edodes, and Pycnoporus sanguineus) against Giardia duodenalis, and identification of chemical compounds produced by mycelium P. lipsiensis mycelium, have been reported. The extracts of mycelia and fermented culture broths of tested mushroom species were evaluated against G. duodenalis by biological assays. P. lipsiensis showed the highest APA. The chemical analysis of mycelial extract of P. lipsiensis by gas chromatography-mass spectrometry (GC-MS) identified 73 molecules, including steroids, terpenes, and lipids. According to literature data, among these molecules, 11 possess APA. The present study revealed the diversity of compounds with anti-protozoal potential produced by mycelia of Agaricomycetes mushrooms, particularly P. lipsiensis against G. duodenalis.

Analyzing the Organoleptic Quality of Commercial Extra Virgin Olive Oils: IOC Recognized Panel Tests vs. Electronic Nose.

Virgin olive oil (VOO) classification into quality categories determines its labeling and market price. This procedure involves performing a series of chemical-physical analyses and, ultimately, a sensory analysis through the panel test. This work explores the analysis of VOOs quality with an electronic olfactory system (EOS) and examines its abilities using the panel test as a reference. To do this, six commercial olive oils labelled as extra virgin were analyzed with an EOS and classified by three panels recognized by the International Olive Council. The organoleptic analysis of the oils by the panels indicated that most of the oils in the study were in fact not extra virgin. Besides this, the classifications showed inconsistencies between panels, needing statistical treatment to be used as a reference for the EOS training. The analysis of the same oils by the EOS and their subsequent statistical analysis by PCA revealed a good correlation between the first principal component and the olive oil quality from the panels using average scores. It also showed a more consistent classification than the panels. Overall, the EOS proved to be a cheaper, faster, and highly reliable method as a complement to the panel test for the olive oil classification.

Educational needs in patients with knee osteoarthritis using the SpENAT questionnaire.

INTRODUCTION: Knee osteoarthritis (KOA) is a major public health issue because it causes pain and functional limitation in patients. Engagement with self-management may, however, minimize the impact of KOA on the health of patients suffering this illness. To be fully engaged with self-management activities, knowledge about KOA is a prerequisite. There is data on people's understanding of KOA and their needs for information about KOA. The Educational Needs Assessment Tool-Spanish version (SpENAT) is a self-reported questionnaire that assesses educational needs (Ned) in order to provide information adapted and focused on patients with knee KOA. It comprises 39 questions grouped into seven domains: Pain, Movement, Feelings, Osteoarthritis, Medical treatment, Non-medical treatment, Help. OBJECTIVES: To estimate the Ned in patients with knee KOA using the SpENAT. MATERIAL AND METHOD: An observational, descriptive, and cross-sectional study was carried out in 215 patients with a diagnosis of knee KOA according to the criteria of the American College of Rheumatology who attended the service's protocolized consultation of knee conditions of rheumatology at the "Hermanos Ameijeiras" Surgical Clinical Hospital during the study period between January 2017 and August 2020. Demographic data, educational level and characteristics of the disease were recorded. All patients completed the SpENAT and were questioned about the sources they turn to obtain information on their disease. RESULTS: Women over 50 years of age and overweight with a diagnosis of OA predominated. Major Ned were observed in the domains of movement, help, pain, feeling, KOA. Patients over 50 years of age, female, normal weight, and active workers showed greater interest in the movement domain. The most used source of information was the rheumatologist (91.60%). CONCLUSION: The Ned in patients with knee KOA are high, and are higher in the domains of movement, pain, help and feeling. The rheumatologist is the main source of information for patients with KOA, it seems wise to design a targeted strategy to educate people about KOA to provide, support and prepare them for self-management.

Bioadhesive 3D-Printed Skin Drug Delivery Polymeric Films: From the Drug Loading in Mesoporous Silica to the Manufacturing Process.

The alliance between 3D printing and nanomaterials brings versatile properties to pharmaceuticals, but few studies have explored this approach in the development of skin delivery formulations. In this study, clobetasol propionate (CP) was loaded (about 25% w/w) in mesoporous silica nanomaterial (MSN) to formulate novel bioadhesive and hydrophilic skin delivery films composed of pectin (5% w/v) and carboxymethylcellulose (5% w/v) by 3D printing. As a hydrophobic model drug, CP was encapsulated in MSN at a 3:1 (w/w) ratio, resulting in a decrease of CP crystallinity and an increase of its dissolution efficiency after 72 h (65.70 ± 6.52%) as compared to CP dispersion (40.79 ± 4.75%), explained by its partial change to an amorphous form. The CP-loaded MSN was incorporated in an innovative hydrophilic 3D-printable ink composed of carboxymethylcellulose and pectin (1:1, w/w), which showed high tensile strength (3.613 ± 0.38 N, a homogenous drug dose (0.48 ± 0.032 mg/g per film) and complete CP release after 10 h. Moreover, the presence of pectin in the ink increased the skin adhesion of the films (work of adhesion of 782 ± 105 mN·mm). Therefore, the alliance between MSN and the novel printable ink composed of carboxymethylcellulose and pectin represents a new platform for the production of 3D-printed bioadhesive films, opening a new era in the development of skin delivery systems.

História do Zebrafish na pesquisa científica: uma breve revisão

O zebrafish (Danio rerio) foi descrito pela primeira vez pelo escocês e zoólogo Francis Hamilton, sendo uma das mais de 20 espécies do gênero Danio e uma das mais de 4.000 espécies dentro da ordem Cypriniformes. Na década de 80, o biólogo George Streisinger, professor do Instituto de Biologia Molecular da Universidade de Oregon - Estados Unidos é reconhecido como o fundador do modelo animal zebrafish, ele utilizou-o para explorar a base genética do desenvolvimento neural dos vertebrados, estudo esse publicado no periódico Nature. O zebrafish tem uma série de atributos que o torna um excelente modelo de pesquisa, cerca de 70% de seus genes são ortólogos aos genes humanos, sendo que destes, 82% possuem relevância a doenças humanas. Trabalhar com o zebrafish possibilita mais praticidade por ser eficiente e com baixo custo, vem substituindo cada vez mais as pesquisas realizadas com roedores. Inicialmente tornou-se popular como modelo de desenvolvimento de vertebrados, pelos embriões serem transparentes e por desenvolverem rapidamente. Na atualidade, a pesquisa está se expandindo para áreas, como farmacologia, pesquisa clínica como modelo de diversas doenças, descoberta de medicamentos e estudos toxicológicos, sendo esse último um dos campos onde se concentra uma parte significativa da produção científica brasileira. As pesquisas crescem para o aperfeiçoamento dos dados já existentes, reiterar as semelhanças com a biologia humana e para a descoberta de novos conhecimentos, que expandirão de forma positiva nosso desenvolvimento na saúde animal e humana.

Marine and coastal biodiversity studies, 60 years of research funding from FAPESP, what we have learned and future challenges / Estudos de biodiversidade marinha e costeira, 60 anos de financiamento à pesquisa da FAPESP, o que aprendemos e desafios futuros

Abstract In this study we survey and analyze 300 projects related to marine biodiversity funded by FAPESP from 1972 to 2021, of which 46 were nested in the BIOTA Program. From a unique project in the 1970's, the number gradually increased until 2009, when BIOTA promoted a call on marine biodiversity, which led to a boost in the number of funded projects in the subsequent years. The geographical range of the projects expanded over the years and, from studies based on the coast of São Paulo State, the focus gradually shifted to broader areas of the Brazilian coast, then to other areas of the Atlantic, and eventually became global. The majority of projects focused on coastal benthic organisms living on hard-bottom. In terms of taxa, six groups accounted for about 60% of the projects (viz. Crustacea, Actinopterygii, Mollusca, Chondrichthyes, Cnidaria, and Rhodophyta), but it is observed an increase in the number of groups studied over the decades. The 300 projects refer to a set of 82 different topics, of which the top five are taxonomy, phylogeny, community, "omics", and pollution. The analyses show a long-standing effort in marine biodiversity surveys, with ongoing updated approaches regarding scope and methods. Research on strategic areas is discussed, including deep-sea and marine microbiota. Climate change and the increasing pressure of human activity on the ocean, including pollution, acidification and invasive species, are among the main challenges for the future. Projects producing and using basic research data in an integrative and transdisciplinary way offer multiple perspectives in understanding changes in ecosystem functioning and, consequently, are essential to support public policies for the conservation and sustainable use of marine biodiversity at different scales. UNESCO's Decade of Ocean (starting 2021) is a window of opportunity to strengthen marine research, to promote national and international collaboration, to build up networks involving the public and private sector, but particularly to draw society's attention to the importance of knowing marine environments and using ocean resources in a sustainable way. The advancement of ocean literacy is one of the main legacies for future generations promoted by integrated research programs such as BIOTA-FAPESP.

Resumo Neste estudo levantamos e analisamos 300 projetos relacionados à biodiversidade marinha financiados pela FAPESP entre 1972 a 2021, dos quais 46 foram realizados no Programa BIOTA. De um projeto único na década de 1970, o número foi aumentando gradativamente até 2009, quando o BIOTA promoveu uma chamada sobre biodiversidade marinha, o que impulsionou o número de projetos financiados nos anos seguintes. A abrangência geográfica dos projetos se expandiu ao longo dos anos e, a partir de estudos baseados no litoral do Estado de São Paulo, o foco gradualmente se deslocou para áreas mais amplas da costa brasileira, depois para outras áreas do Atlântico, e acabou se tornando global. A maioria dos projetos se concentrou em organismos costeiros, bentônicos, em substrato consolidado. Em termos de táxons, seis grupos responderam por cerca de 60% dos projetos (Crustacea, Actinopterygii, Mollusca, Chondrichthyes, Cnidaria e Rhodophyta), mas observa-se um aumento no número de grupos estudados ao longo das décadas. Os 300 projetos referem-se a um conjunto de 82 temas diferentes, dos quais os cinco principais são taxonomia, filogenia, comunidade, "ômicas" e poluição. As análises mostram um esforço de longa data em pesquisas de biodiversidade marinha, com abordagens atualizadas em relação ao escopo e métodos. A pesquisa em áreas estratégicas é discutida, incluindo os estudos sobre a microbiota marinha e em águas profundas. As mudanças climáticas e a crescente pressão da atividade humana sobre o oceano, incluindo poluição, acidificação e espécies invasoras, estão entre os principais desafios para o futuro. Projetos de produção e uso de dados de pesquisa básica de forma integrada e transdisciplinar oferecem múltiplas perspectivas de compreensão das mudanças no funcionamento dos ecossistemas e, consequentemente, são essenciais para subsidiar políticas públicas de conservação e uso sustentável da biodiversidade marinha em diferentes escalas. A Década do Oceano da UNESCO (a partir de 2021) é uma janela de oportunidade para fortalecer a pesquisa marinha, promover a colaboração nacional e internacional, construir redes envolvendo os setores público e privado, mas principalmente para chamar a atenção da sociedade para a importância de conhecer os ambientes marinhos e utilizar os recursos oceânicos de forma sustentável. O avanço da "alfabetização" oceânica é um dos principais legados para as gerações futuras promovidos por programas integrados de pesquisa como o BIOTA-FAPESP.

Improved Recovery Protocols in Cardiac Surgery: A Systematic Review and Meta-Analysis of Observational and Quasi-Experimental Studies.

INTRODUCTION: Improved recovery protocols were implemented in surgical specialties over the last decade, which decreased anesthetic and surgical stress and the incidence of perioperative complications. However, these recovery protocols were introduced more slowly for cardiac surgeries. The most frequent complications in cardiac surgery are related to patient clinical status and the characteristics of the surgical procedures involved, which are becoming more varied and complex every day. The first version of the enhanced recovery program for cardiac surgery was published in 2019, but its recommendations were based on only a few studies, and scant research has evaluated its implementation. Randomized and controlled clinical trials for these protocols are scarce, so research that summarizes the results of studies with other methodological designs are useful in demonstrating their benefits in cardiovascular surgery services in Cuba and in other limited-resource settings. OBJECTIVE: Estimate the effectiveness of improved recovery protocols in the perioperative evolution of patients undergoing cardiac surgery. METHODS: We performed a systematic review and meta-analysis according to the guidelines of manual 5.1.0 for reviews of the Cochrane library. We included observational and quasi-experimental studies published from January 2015 through May 2020 that compared enhanced recovery protocols with conventional treatments in patients older than 18 years, and used a quality score to evaluate them. We used the following sources: the Cochrane Library, PubMed, LILACS, SciELO, EBSCO, Google Scholar, Web of Science, Clinical Key, ResearchGate and HINARI. The following keywords were used for the database searches in English: ERAS, protocols and cardiac surgery, enhanced recovery after cardiac surgery, ERACS, clinical pathway recovery and cardiac surgery, perioperative care and cardiac surgery. We used the following search terms for databases in Spanish: protocolos de recuperación precoz and cirugía cardiaca, protocolos de recuperación mejorada and cirugía cardiaca, cuidados perioperatorios and cirugía cardiaca, programas de recuperación precoz and cirugía cardiovascular. Methodological quality of included investigations was evaluated using the surgical research methodology scale. Meta-analyses were performed for perioperative complications, intensive care unit and hospital stays, and hospital readmission within 30 days of surgery. We calculated effect sizes of the interventions and the corresponding 95% confidence intervals. We used mean differences and confidence intervals for continuous variables, and for qualitative variables we calculated relative risk (RR). Random effects analysis was used. Heterogeneity of the studies was assessed using the Q statistic and the I2 statistic. RESULTS: We selected 15 studies (a total of 5059 patients: study group, n = 1706; control group, n = 3353). The average quality score for the 15 articles included was 18.9 (out of a maximum of 36 according to the scale) and 66.6% had a score =18. With improved recovery protocols in cardiac surgery, the incidence of perioperative complications decreased (RR = 0.73; 95% CI 0.52-0.98) as did hospital readmission within 30 days after surgery (RR = 0.51; 95% CI 95% CI: 0.31-0.86). Differences in extubation time, hospital stay and length of stay in intensive care units were less marked, but always favored the group in which the enhanced protocols were implemented. CONCLUSIONS: Improved recovery protocols in cardiac surgery increase quality of care evidenced by reductions in perioperative complications and decreased incidence of hospital readmission in the month following surgery.

Losers can win: Thermoregulatory advantages of regenerated claws of fiddler crab males for establishment in warmer microhabitats.

Fiddler crab males present a hypertrophied claw, which is used for sexual and aggressive displays, fights with competitors, and has been proposed as an important thermoregulatory organ for heat control. Two claw morphologies can be observed within fiddler crab populations: brachychelous claws (unregenerated) and leptochelous claws (regenerated). The leptochelous morphotype presents less muscle mass and longer fingers, resulting in a less advantageous weapon in fights. Considering their slender shape, we hypothesized that the leptochelous morphotype would present lower thermal inertia and be more efficient at body heat dissipation. We evaluated the role of the fiddler crabs' claw shape as a heat sink and how this influences their distribution between unshaded and shaded microhabitats. We tested in the field whether the proportion of adult male Leptuca uruguayensis with leptochelous claws was higher in unshaded microhabitats than shaded ones. In the laboratory, we tested if heat transfer between the body and claw is higher in leptochelous males than in brachychelous males. Spontaneous waving behaviour and active time above the surface were compared between both morphotypes in the field during the hottest period of the day. Leptuca uruguayensis with regenerated claws comprised more than 60% of the sampled male population of unshaded microhabitats compared to 18% in shaded microhabitats. Leptochelous males showed a mean heat transfer between body to claw 35% higher than that observed for brachychelous males. During the hottest period of the day, brachychelous males waved approximately 28% more than leptochelous males. Moreover, brachychelous males spent less time under the sediment surface since the surface temperature increased, while activity of leptochelous males was not associated with a temperature increase. Therefore, regenerated claws may be advantageous for the establishment of L. uruguayensis males in warmer and unshaded microhabitats because they are more efficient for heat loss and allow crabs to cool down, spending less time waving. Our study shows the relevant context of winners and losers in the face of climate change and highlights the importance of morphological variations in thermoregulatory structures for the occupation of thermal niches.

Why is PAK4 overexpressed in cancer?

Understanding why proteins are overexpressed in cancer is of great interest, as it holds the potential for improved cancer diagnosis and treatment. A noteworthy candidate, p21-activated kinase 4 (PAK4), is frequently overexpressed in cancer and a key player in multiple hallmarks of cancer. Here we review findings backing PAK4 overexpression in cancer and motivate PAK4 as a suitable target for the development of cancer therapy.

Um percurso formativo na intervenção de enfermagem extra-hospitalar: documentação de cuidados em suporte imediato de vida / A formative journey in out-of-hospital nursing intervention: documentation of care in immediate life support

A enfermagem enquanto profissão resulta de uma evolução profissional e pessoal contínua, baseada na experiência e prática fundamentada no processo de cuidar a pessoa e família, ao longo do ciclo vital, incidindo na prevenção da doença ou no seu tratamento agudo ou crónico. O presente relatório insere-se no âmbito da realização de um Estágio de Natureza Profissional do Curso de Mestrado em Enfermagem Médico-Cirúrgica em que o objetivo passou pelo desenvolvimento e aquisição de competências especificas do enfermeiro especialista em enfermagem médico-cirúrgica no contexto extra-hospitalar. Este relatório reflete as oportunidades de aprendizagem e atividades construídas ao longo deste percurso, percebendo a importância da intervenção do enfermeiro especialista em enfermagem médico-cirúrgica, na área do cuidado à pessoa em situação crítica em contexto extra-hospitalar, pela capacidade de prestar cuidados altamente qualificados ao doente e família. Por outro lado, também permitiu compreender melhor nesta realidade como se documentam os cuidados realizados e a importância que os enfermeiros lhe atribuem. Durante o estágio foi detetado, por conversa informal com enfermeiros com que trabalhamos, orientador de estágio e por constatação própria, que os registos de enfermagem pareciam ser uma problemática a investigar. Verificada a lacuna e validado o descontentamento manifestado pelos enfermeiros, no que respeita a sistematização da documentação dos cuidados de enfermagem. No contexto extra-hospitalar, como em qualquer outro contexto de cuidados, a utilidade e finalidade da sua documentação desempenham um papel importante para a continuidade de cuidados, para a valorização das intervenções de enfermagem e para a visibilidade da profissão. Desta forma, optamos pela realização de um estudo qualitativo de natureza exploratório descritivo, com recurso à técnica Focus Group, com um painel de peritos, com o objetivo de perceber como os enfermeiros do meio SIV documentam os cuidados que desenvolvem na sua intervenção extra-hospitalar Dos dados obtidos, emergiram três áreas temáticas: Registos de enfermagem na plataforma SIV, constituída pela avaliação inicial, intervenções de enfermagem e avaliação dos resultados; as Limitações da plataforma, refletidas essencialmente a nível de software e documentação e foram apontadas como Sugestões de melhoria, tanto em relação ao sistema informático, como formação no seu manuseio e exploração por parte dos profissionais. Cremos que os resultados deste estudo possam servir de base futuras investigações, não apenas, podendo ser alargado a maior espaço nacional, como utilizando outros desenhos. O importante é que ajudasse a mobilização destes profissionais a impor mudanças quer na qualidade do sistema informático, quer na parametrização dos registos. A realização deste estágio proporcionou o desenvolvimento de competências especificas do enfermeiro especialista em enfermagem médico-cirúrgica, através das oportunidades de aprendizagem, da observação das práticas dos profissionais destes contextos e da integração nas equipas, como elemento ativo na intervenção perante a pessoa em estado crítico e família.

Nursing as a profession result of a continuous evolution on both professional and personal levels, based on practice and experience from caring the patient and the family, throughout the vital cycle, focusing on illness prevention or its chronic or acute treatment. This report falls within the Processional Internship scope that is embedded in the Nursing Medical-Surgical Master's degree in which the goal was the acquisition of skills, competences, and techniques unique to Medical-Surgical specialist nurse in the extra-hospital context. The content of this report reflects the learning opportunities and activities developed during the internship course, by understanding the importance of the Medical-Surgical specialist nurse, in the area of critical condition patient care, in the extra hospital context, for its ability to provide highly qualified treatments for the patient and its family. Furthermore, it also allowed to better understand how to document executed treatments and the importance given to it by nursing professionals. During the internship it was possible to verify, through informal conversations with nursing professionals, internship counselor and by own experience, that nursing treatment documentation seemed problematic and should be investigated. A gap in the process was verified and the nursing staff discontent validated about the systemization of all nursing treatment documentation. The usability and purpose of the documentation records in the extra-hospital context, as in any other care context, performs a key role in the continuity of treatment, in the valorization of the nursing interventions and visibility of its professionals. As such we have opted for the realization of an exploratory and descriptive study leveraging the Focus Group technique, assisted by an expert panel, and with the objective to understand how nursing professionals are able to document the treatments performed under extra-hospital interventions. Three different themes surfaced from the collected data: the nursing records on the SIV platform organized into initial evaluation, nursing interventions, and results evaluation; platform limitations, visible in the software layer and documentation and suggestions for improvement were suggested in areas such as the software application or training in its functionality and usage by the nursing professionals. We believe that the presented study can serve as a basis for future investigations, not only by expanding it to country level, but also by utilizing alternative designs. The important aspect is that it helps mobilizing nursing professionals to demand improvements in the computer software quality and the documentation standards. This internship has allowed the author the development of Medical-Surgical dedicated skills, by creating learning opportunities, by observing in person the professionals in the area and by blending in with the different teams as active element in the nursing interventions for the critical condition patient and its family.

Synthesis of magnetic nanoparticles functionalized with histidine and nickel to immobilize His-tagged enzymes using ß-galactosidase as a model.

The aim of this study was to synthesize iron magnetic nanoparticles functionalized with histidine and nickel (Fe3O4-His-Ni) to be used as support materials for oriented immobilization of His-tagged recombinant enzymes of high molecular weight, using ß-galactosidase as a model. The texture, morphology, magnetism, thermal stability, pH and temperature reaction conditions, and the kinetic parameters of the biocatalyst obtained were assessed. In addition, the operational stability of the biocatalyst in the lactose hydrolysis of cheese whey and skim milk by batch processes was also assessed. The load of 600 Uenzyme/gsupport showed the highest recovered activity value (~50%). After the immobilization process, the recombinant ß-galactosidase (HisGal) showed increased substrate affinity and greater thermal stability (~50×) compared to the free enzyme. The immobilized ß-galactosidase was employed in batch processes for lactose hydrolysis of skim milk and cheese whey, resulting in hydrolysis rates higher than 50% after 15 cycles of reuse. The support used was obtained in the present study without modifying chemical agents. The support easily recovered from the reaction medium due to its magnetic characteristics. The iron nanoparticles functionalized with histidine and nickel were efficient in the oriented immobilization of the recombinant ß-galactosidase, showing its potential application in other high-molecular-weight enzymes.

AhR Ligands Modulate the Differentiation of Innate Lymphoid Cells and T Helper Cell Subsets That Control the Severity of a Pulmonary Fungal Infection.

In agreement with other fungal infections, immunoprotection in pulmonary paracoccidioidomycosis (PCM) is mediated by Th1/Th17 cells whereas disease progression by prevalent Th2/Th9 immunity. Treg cells play a dual role, suppressing immunity but also controlling excessive tissue inflammation. Our recent studies have demonstrated that the enzyme indoleamine 2,3 dioxygenase (IDO) and the transcription factor aryl hydrocarbon receptor (AhR) play an important role in the immunoregulation of PCM. To further evaluate the immunomodulatory activity of AhR in this fungal infection, Paracoccidioides brasiliensis infected mice were treated with two different AhR agonists, L-Kynurenin (L-Kyn) or 6-formylindole [3,2-b] carbazole (FICZ), and one AhR specific antagonist (CH223191). The disease severity and immune response of treated and untreated mice were assessed 96 hours and 2 weeks after infection. Some similar effects on host response were shared by FICZ and L-Kyn, such as the reduced fungal loads, decreased numbers of CD11c+ lung myeloid cells expressing activation markers (IA, CD40, CD80, CD86), and early increased expression of IDO and AhR. In contrast, the AhR antagonist CH223191 induced increased fungal loads, increased number of pulmonary CD11c+ leukocytes expressing activation markers, and a reduction in AhR and IDO production. While FICZ treatment promoted large increases in ILC3, L-Kyn and CH223191 significantly reduced this cell population. Each of these AhR ligands induced a characteristic adaptive immunity. The large expansion of FICZ-induced myeloid, lymphoid, and plasmacytoid dendritic cells (DCs) led to the increased expansion of all CD4+ T cell subpopulations (Th1, Th2, Th17, Th22, and Treg), but with a clear predominance of Th17 and Th22 subsets. On the other hand, L-Kyn, that preferentially activated plasmacytoid DCs, reduced Th1/Th22 development but caused a robust expansion of Treg cells. The AhR antagonist CH223191 induced a preferential expansion of myeloid DCs, reduced the number of Th1, Th22, and Treg cells, but increased Th17 differentiation. In conclusion, the present study showed that the pathogen loads and the immune response in pulmonary PCM can be modulated by AhR ligands. However, further studies are needed to define the possible use of these compounds as adjuvant therapy for this fungal infection.