Brief research report pesticide occupational exposure leads to significant inflammatory changes in normal mammary breast tissue.

Studies have documented the high occurrence of several tumors, including female breast cancer, in populations occupationally exposed to pesticides worldwide. It is believed that in addition to direct DNA damage, other molecular alterations that indicate genomic instability are associated, such as epigenetic modifications and the production of inflammation mediators. The present study characterized the profile of inflammatory changes in the breast tissue of women without cancer occupationally exposed to pesticides. In samples of normal breast tissue collected during biopsy and evaluated as negative for cancer by a pathologist, oxidative stress levels were assessed as inflammatory markers through measurements of lipoperoxides and total antioxidant capacity of the sample (TRAP) by high-sensitivity chemiluminescence, as well as levels of nitric oxide (NOx) metabolites. The levels of inflammation-modulating transcription factors PPAR-γ (peroxisome proliferator-activated receptor gamma) and NF-κB (nuclear factor kappa B) were also quantified, in addition to the pro-inflammatory cytokines tumor necrosis factor-alpha (TNF-α) and interleukin 12 (IL-12). The levels of lipoperoxides, TRAP, and NOx were significantly lower in the exposed group. On the other hand, PPAR-γ levels were increased in the breast tissue of exposed women, with no variation in NF-κB. There was also a rise of TNF-α in exposed women samples without significant variations in IL-12 levels. These findings suggest an inflammatory signature of the breast tissue associated with pesticide exposure, which may trigger mechanisms related to mutations and breast carcinogenesis.

Protocolo de assistência de enfermagem ao paciente em cuidado terminal: Construção através de revisão integrativa / Protocolo de asistencia de enfermería para pacientes en cuidados terminales: Construcción mediante revisión integrativa / Nursing assistance protocol for patients in terminal care: Construction through integrative review

Objetivo: Construir protocolo de enfermagem para o manejo de pacientes em terminalidade. Metodologia: Revisão integrativa da literatura, utilizando as bases de dados da BVS, CINAHL, SCOPUS, Web of Science, Embase e PUBMED, sem limites cronológicos, nos idiomas português, inglês e espanhol. Resultados: Os diagnósticos de enfermagem da classificação NANDA 2021-2023 mais prevalentes pertenciam ao domínio atividade/repouso, seguidos pelo domínio enfrentamento/tolerância ao estresse e segurança/proteção. Para cada diagnóstico prevalente estabeleceu-se intervenções de enfermagem, plausíveis no contexto de terminalidade. Conclusão: O protocolo de assistência de enfermagem ao paciente em cuidado terminal é um importante ponto de partida para se estabelecer condutas de enfermagem e fomentar a prática assistencial aos pacientes em terminalidade.(AU)

Objective: To build a nursing protocol for the management of terminally ill patients. Methodology: Integrative literature review, using the VHL, CINAHL, SCOPUS, Web of Science, Embase and PUBMED databases, without chronological limits, in Portuguese, English and Spanish. Results: The most prevalent NANDA 2021-2023 classification nursing diagnoses belonged to the activity/rest domain, followed by the coping/stress tolerance and safety/protection domains. For each prevalent diagnosis, plausible nursing interventions were established in the context of terminality. Conclusion: The nursing care protocol for terminally ill patients is an important starting point for establishing nursing behaviors and fostering care practice for terminally ill patients(AU)

Objetivo: Construir un protocolo de enfermería para el manejo de pacientes terminales. Metodología: Revisión integrativa de la literatura, utilizando las bases de datos BVS, CINAHL, SCOPUS, Web of Science, Embase y PUBMED, sin límites cronológicos, en portugués, inglés y español. Resultados: Los diagnósticos de enfermería de la clasificación NANDA 2021-2023 más prevalentes pertenecieron al dominio actividad/descanso, seguido por los dominios afrontamiento/tolerancia al estrés y seguridad/protección. Para cada diagnóstico prevalente, se establecieron intervenciones de enfermería plausibles en el contexto de la terminalidad. Conclusión: El protocolo de atención de enfermería al paciente terminal es un importante punto de partida para establecer comportamientos de enfermería y fomentar la práctica del cuidado al paciente terminal.(AU)

Low pretreatment serum concentration of vitamin D at breast cancer diagnosis in postmenopausal women.

OBJECTIVE: The aim of the study was to evaluate the rate of and risk factors for low pretreatment vitamin D (VitD) levels in postmenopausal breast cancer (BC) women, compared with postmenopausal women without BC. METHODS: A cross-sectional clinical study was conducted to compare 209 women with BC (case group) to 418 women without BC (control group), age range: 45 to 75 years. The case group consisted of women diagnosed with BC, amenorrhea ≥12 months, aged ≥45 years, without use of medication or clinical conditions that might interfere with VitD levels. The control group consisted of women with amenorrhea ≥12 months, aged ≥45 years, without BC. The groups were matched for age and time since menopause, at a case: control ratio of 1:2. Serum 25-hydroxyvitamin-D [25(OH)D] concentration was measured in all women 10 to 20 days after BC diagnosis and before the proposed treatment. Serum levels ≥30 ng/mL were defined as sufficient. The Student's t test or gamma distribution, χ test, and logistic regression (odds ratio, OR) were used for statistical analysis. RESULTS: The BC group had a higher body mass index (BMI) and higher percentage of obesity than the control group (57.4% vs 40.2%, P < 0.0001). In addition, rates of insufficient (20-29 ng/mL) and deficient (<20 ng/mL) 25(OH)D levels were higher in BC patients than in controls (55.6% vs 49.3%, P = 0.039 and 26.2% vs 20.3%, P = 0.018), respectively. In risk analysis (adjusted for age, time since menopause, and BMI), BC patients had a 1.5-fold higher risk of developing low VitD levels (OR = 1.52, 95% CI, 1.04-2.22, P = 0.029) than women without BC. CONCLUSIONS: Postmenopausal women had an increased risk of VitD deficiency at the time of BC diagnosis, associated with a higher rate of obesity, than women of the same age group without cancer.

Silvicultural performance of five forest species in the central Brazilian Amazon / Desempenho silvicultural de cinco espécies florestais na Amazônia central brasileira

ABSTRACT Planting of forest species of timber interest helps to reduce the deforestation pressure on the Amazon forest, promotes sustainable development of the producing region and generates ecological benefits. The objective of this work was to evaluate the survival rate and growth of four native (Swietenia macrophylla, Parkia decussata, Dipteryx odorata and Jacaranda copaia) and one exotic (Acacia mangium) species in monospecific plantations (spacing of 2 x 2 m) established on areas previously used for grazing, in Itacoatiara, State of Amazonas, Brazil. When the trees were four years old, we collected biometric data [height at 1.30 m (DBH, cm), crown projection area (CPA, m2), total height (Ht, m), commercial cylinder volume (Vcyl, m3 ha-1)], and qualitative data from visual diagnosis [survival rate (S, %), nutritional status (NS, G = good, D = deficient, %), and phytosanitary status (PS, S = satisfactory, N = non-satisfactory, %)]. Three plots of 128 m2, with 32 plants each, were evaluated for each species. Jacaranda copaia, followed by Dipteryx odorata and Parkia decussata, were the recommended species for planting in areas with edaphoclimatic conditions similar to those of the present work, due to their better performance according to most of the variables.

RESUMO Plantios de espécies florestais de interesse madeireiro contribuem para diminuir a pressão sobre a floresta amazônica, proporcionam o desenvolvimento sustentável na região e geram benefícios ecológicos. Este estudo objetivou avaliar a sobrevivência e o crescimento de quatro espécies nativas (Swietenia macrophylla, Parkia decussata, Dipteryx odorata e Jacaranda copaia) e uma exótica (Acacia mangium), em plantios monoespecíficos (espaçamento de 2 x 2 m) estabelecidos em áreas anteriormente ocupadas por pastagem, em Itacoatiara, Amazonas. Aos quatro anos de idade, foram obtidos dados biométricos [diâmetro à altura de 1,30 m do solo (DBH, cm), área de projeção de copa (CPA, m2), altura total (Ht, m), volume comercial do cilindro (Vcyl, m3 ha-1)], e dados qualitativos obtidos por diagnose visual [taxa de sobrevivência (S; %), estado nutricional (NS, G: bom; D: deficiente; %) e estado fitossanitário (PS, S: satisfatório; NS: não-satisfatório; %). Para cada espécie considerou-se três parcelas de 128 m2, cada uma com 32 plantas. Jacaranda copaia, seguida de Dipteryx odorata e Parkia decussata, foram as espécies mais recomendadas para o plantio em áreas com condições edafoclimáticas semelhantes às do presente trabalho, devido ao seu melhor desempenho para a maioria das variáveis.

Vitamin D deficiency is associated with poor breast cancer prognostic features in postmenopausal women.

This study aimed to evaluate the association between pretreatment vitamin D (VD) deficiency with breast cancer prognostic features in Brazilian postmenopausal women. An analytical cross sectional study was conducted with 192 women, aged 45-75 years, attended at University Hospital. Women with recent diagnosis of breast cancer, in amenorrhea >12months and age ≥45 years, without medication use or clinical conditions that interfere with VD values were included. Clinical and anthropometric data were collected. Serum level of 25 hydroxyvitamin D [25(OH)D] was measured in all patients until 20days after breast cancer diagnosis, and was classified as normal (≥30ng/mL), insufficiency (20-29ng/mL) and deficiency (<20ng/mL). Data on breast cancer (histopathological type, grade, tumor stage, lymph node status), hormone status (estrogen receptor, ER, progesterone receptor, PR), human epidermal growth factor receptor type 2 (HER2) and epithelial proliferative activity (Ki-67) were collected. For statistical analysis, the t-student test, the Gamma Distribution (asymmetric variables), the chi-square test and the logistic regression (OR-odds ratio) were used. The median 25(OH)D level was 25.8ng/mL (range 12.0-59.2ng/mL). Sufficient vitamin D levels were detected in 65 patients (33.9%), whereas insufficient levels in 92 patients (47.9%), and deficient levels in 35 patients (18.2%). Participants with insufficient and deficient 25(OH)D levels had a higher proportion of tumors with a high grade and locally advanced and metastatic disease, more positive lymph node, a lower proportion of ER, PR positives tumors and higher Ki-67(p<0.05). Patients with normal vitamin D had a higher frequency of luminal A (47.7%) and luminal B (32.2%) tumors when compared to patients with vitamin D insufficiency or deficiency. Furthermore, all cases of triple negative were detected in women with low VD levels. Multivariate analysis, after adjusting for age, time since menopause and BMI, showed that insufficient and deficient level of vitamin D were significantly associated with negative estrogen receptor (OR 3.77 CI 95% 1.76-8.09 and OR 3.99 CI 95% 1.83-8.68), high Ki-67 (OR 2.50, CI 95% 1.35-4.63, and OR 2.62, CI 95% 1.40-4.98), and positive axillary lymph node status (OR 1.59, CI 95% 1.03-2.33, and OR 1.58, CI 95% 1.02-2.92) respectively. In Brazilian postmenopausal women with breast cancer, there was an association between vitamin D insufficiency or deficiency and tumors with worse prognostic features. Low vitamin D levels were shown to be a risk factor for ER negative tumors, with positive axilla and a higher rate of cell proliferation.

Gregory Bateson e o construtivismo / Gregory Bateson and the constructivism

Esse artigo tem como propósito expor algumas contribuições teóricas de Gregory Bateson (1904-1980), em particular sobre o “Sistema de Codificação-avaliação” e a “Teoria dos Tipos Lógicos”, no sentido de propiciar ao leitor uma reflexão sobre a importância de tais contribuições para a mudança paradigmática que ocorre na ciência. Esta é uma mudança do paradigma característico da chamada era moderna da ciência para um novo paradigma, o da era pós-moderna. O processo de mudança paradigmática foi impulsionado pela contribuição de vários autores que, ao longo do tempo, foram incutindo outro modo de pensar o conhecimento científico. Este artigo aponta para Gregory Bateson.(AU)

This article aims at exposing some theoretical contributions of Gregory Bateson (1904-1980), in particular the “Codification and Evaluation System” and the “Theory of Logical Types”, in order to provide the reader with a reflection on the importance of such contributions to the paradigm shift that occurs in science. This is a shift from the characteristic paradigm of the so-called modern era of science to the new paradigm of the postmodern era. The process of paradigm shift was improved by the contribution of various authors who, over time, were instilling another way of thinking scientific knowledge. This article points at Gregory Bateson.(AU)

Entre o controle e o ativismo hacker: a ação política dos Anonymous Brasil / Between control and hacker activism: the political actions of Anonymous Brasil

Resumo Este trabalho trata da ação política dos Anonymous, principal expressão do ativismo hacker atual, argumentando que o hacktivismo se configura como uma forma de resistência política nas sociedades de controle. Para isso, centra-se no estudo da faceta brasileira e hacktivista do coletivo. A fim de ressaltar seu caráter político, recorre às principais expressões dohacking na literatura. Descreve motivações, métodos e a ética de sua ação política, tendo como base uma análise comparativa de duas operações deflagradas por Anonymous brasileiros em 2012: #OpWeeksPayment e #OpGlobo. Por fim, identifica quatro de suas principais formas de engajamento político: promoção do anonimato; “evangelização”; formação de redes distribuídas; e o fato de o coletivo exibir e possibilitar várias formas de ações políticas.

Abstract This paper addresses the political actions of Anonymous, the principal expression of current hacker activism, arguing that hacktivism is a form of political resistance in control societies. To this end, it focuses on studying the Brazilian, hacktivist facet of the collective. In order to stress its political character, it scrutinizes the principal expressions of hacking in the literature. It describes motivations, methods and the ethics of its political actions, based on a comparative analysis of two operations carried out by Brazilian Anonymous adherents in 2012: #OpWeeksPayment and #OpGlobo. And it finishes by identifying four of its main forms of political engagement: promotion of anonymity; “evangelization;” the formation of distributed networks; and the fact that the collective carries out and facilitates several types of political actions.

Between control and hacker activism: the political actions of Anonymous Brasil.

This paper addresses the political actions of Anonymous, the principal expression of current hacker activism, arguing that hacktivism is a form of political resistance in control societies. To this end, it focuses on studying the Brazilian, hacktivist facet of the collective. In order to stress its political character, it scrutinizes the principal expressions of hacking in the literature. It describes motivations, methods and the ethics of its political actions, based on a comparative analysis of two operations carried out by Brazilian Anonymous adherents in 2012: #OpWeeksPayment and #OpGlobo. And it finishes by identifying four of its main forms of political engagement: promotion of anonymity; "evangelization;" the formation of distributed networks; and the fact that the collective carries out and facilitates several types of political actions.