Effect of Casearia sylvestris on the obliteration of dentinal tubules and the control of dental sensitivity / Efecto de Casearia sylvestris sobre la obliteración de los túbulos dentinarios y el control de la sensibilidad dental

The present study evaluated the efficacy of the mineralizing action of Casearia sylvestris ethanolic extract on bovine dentin blocks in its pure form and in dental paste, through scanning electron microscopy. The dentin blocks were immersed in artificial saliva and incubat ed at 37°C for 7 days. Subsequently, six groups were treated with different test substances and analysed qualitatively and quantitatively at 30 and 60 days. The tests used were Kruskal - Wallis and Dunn's. Shapiro - Wilk and ANOVA. The qualitative analysis at 30 days showed a difference between the groups treated with ethanolic extract and toothpaste. Quantitatively, at 30 days, treatment with ethanolic extract of Casearia showed a greater number of open dentinal tubules. At 60 days, the difference persisted on ly for the blocks treated with toothpaste. The results obtained indicated that there is a positive relationship between the use of Casearia sylvestris and obliteration of dentinal tubules

El presente estudio evaluó la eficacia de la acción mineralizante del extracto etanólico de Casearia sylvestris sobre bloques de dentina bovina en su forma pura y en pasta dental, mediante microscopía electrónica de barrido. Los bloques de dentina se sumergieron en saliva artificial y se incubaron a 37°C durante 7 días. Posteriormente, se trataron seis grupos con diferentes sustancias de ensayo y se analizaron cualitativa y cuantitativamente a los 30 y 60 días. Las p ruebas utilizadas fueron Kruskal - Wallis y Dunn's. Shapiro - Wilk y ANOVA. El análisis cualitativo a los 30 días mostró una diferencia entre los grupos tratados con extracto etanólico y pasta dentífrica. Cuantitativamente, a los 30 días, el tratamiento con ex tracto etanólico de Casearia mostró un mayor número de túbulos dentinarios abiertos. A los 60 días, la diferencia persistió sólo para los bloques tratados con pasta dentífrica. Los resultados obtenidos indicaron que existe una relación positiva entre el us o de Casearia sylvestris y la obliteración de los túbulos dentinarios

An analysis of the transformative potential of Australia's national food policies and policy actions to promote healthy and sustainable food systems.

OBJECTIVE: Despite commitment by many countries to promote food system transformation, Australia has yet to adopt a national food policy. This study aimed to evaluate Australian Federal Government's (AFG) food policies and policy actions potential to promote healthy and sustainable food systems. DESIGN: This study is a desk-based policy mapping followed by a theoretically guided evaluation of policy actions. This involved three steps: (1) identification of government departments and agencies that could influence Australia's food system; (2) identification of food policies and policy actions within these departments and (3) use of a conceptual framework to evaluate policy actions' potential of changing the food system as adjust (first-order change), reform (second-order change) or transform (third-order change). SETTING: Australia. PARTICIPANTS: None. RESULTS: Twenty-four food policies and sixty-two policy actions were identified across eight AFG departments and the Food Regulation System and evaluated based on the order of change they represented. Most policies were led by individual departments, reflecting the absence of a joined-up approach to food policy in Australia. Most policy actions (n 25/ 56·5 %) were evaluated as having adjust potential, whereas no transformative policy action was identified. CONCLUSIONS: These findings suggest that Australia is likely to proceed incrementally towards achieving food system change through adjustments and reforms but lacking transformative impact. To promote transformative change, all three orders of change must be strategically implemented in a coherent and coordinated matter. A comprehensive national food policy and a national coordinating body are needed to ensure a cohesive approach to policy.

Characterization of microbial ecology, Listeria monocytogenes, and Salmonella sp. on equipment and utensil surfaces in Brazilian poultry, pork, and dairy industries.

This study aimed to evaluate the level of counting by indicator microorganisms, identify the microbial ecology, detect Listeria monocytogenes and Salmonella sp., and determine the presence of virulence genes and biofilm formation. A total of 480 samples were collected from the surfaces of the equipment and utensils using sterile swabs for the detection of L. monocytogenes and Salmonella sp. and counting mesophilic aerobes, Enterobacteriaceae, Escherichia coli, and Pseudomonas sp. The microbial ecology was evaluated by sequencing the 16S rRNA gene. Genes for virulence and biofilm formation were analyzed and adhesion capacity was evaluated for L. monocytogenes and Salmonella sp. The mesophilic aerobe count was the highest in the dairy processing facility, followed by the pork and poultry slaughterhouses. L. monocytogenes was detected in all facilities, with the highest detection in the pork slaughterhouse, followed by the poultry and dairy facilities. Salmonella sp. was only detected in the dairy. Isolates of L. monocytogenes and Salmonella sp. showed poor adhesion to polystyrene surfaces, virulence genes, and biofilm formation. The frequent contaminants in the slaughterhouses were Pseudomonas, Acinetobacter, and Aeromonas in poultry, Acinetobacter, Pseudomonas, and Brevundimonas in pork, and Pseudomonas, Kocuria, and Staphylococcus in dairy. Our results provide useful information to understand the microbiological risks associated with contamination.

From harmful nutrients to ultra-processed foods: exploring shifts in 'foods to limit' terminology used in national food-based dietary guidelines.

OBJECTIVE: The choice of terms used to describe 'foods to limit' (FTL) in food-based dietary guidelines (FBDG) can impact public understanding, policy translation and research applicability. The choice of terms in FBDG has been influenced by available science, values, beliefs and historical events. This study aimed to analyse the terms used and definitions given to FTL in FBDG around the world, including changes over time and regional differences. DESIGN: A review of terms used to describe FTL and their definitions in all current and past FBDG for adults was conducted, using a search strategy informed by the FAO FBDG website. Data from 148 guidelines (96 countries) were extracted into a pre-defined table and terms were organised by the categories 'nutrient-based', 'food examples' or 'processing-related'. SETTING: National FBDG from all world regions. PARTICIPANTS: None. RESULTS: Nutrient-based terms (e.g. high-fat foods) were the most frequently used type of term in both current and past dietary guidelines (91 %, 85 %, respectively). However, food examples (e.g. cakes) and processing-related terms (e.g. ultra-processed foods) have increased in use over the past 20 years and are now often used in conjunction with nutrient-based terms. Regional differences were only observed for processing-related terms. CONCLUSION: Diverse, and often poorly defined, terms are used to describe FTL in FBDG. Policymakers should ensure that FTL terms have clear definitions and can be integrated with other disciplines and understood by consumers. This may facilitate the inclusion of the most contemporary and potentially impactful terminology in nutrition research and policies.

Mecanismos de expressão de resistência aos antibióticos e saúde pública / Mechanisms of expression of resistance to antibiotics and public health / Mecanismos de expresión de la resistencia a los antibióticos y salud pública

Com o avanço da medicina e o aumento do uso de antimicrobianos, a resistência microbiana vem se tornando um problema sério na saúde pública. Para que uma bactéria se torne resistente, são necessários vários fatores, entre eles, o uso indiscriminado e prolongado de antimicrobianos e as resistências intrínsecas e adquiridas. Nesse contexto, o objetivo do trabalho foi explorar os mecanismos de ação dos antimicrobianos, de resistência e a sua importância na saúde pública. Foram utilizadas para a presente pesquisa, as bases de dados Pubmed, Google acadêmico e Scielo. Segundo a Organização Mundial da Saúde define-se resistência ao antibiótico quando o mesmo não produz mais efeito. A inserção cada vez mais frequente de antimicrobianos favorece a resistência, onde provocam uma pressão seletiva sobre os microrganismos, tornando-os resistentes a diversas drogas. O uso indiscriminado de antimicrobianos é o principal fator de resistência microbiana, assim como o uso de antimicrobianos sem exame de cultura e teste de sensibilidade. Neste sentido, conclui-se que é de suma importância a atualização de protocolos que contenham os mecanismos de resistência bacteriana a fim de minimizar o uso indiscriminado de antimicrobianos, assim como capacitar os profissionais da saúde para este problema na saúde pública.

With the advance of medicine and the increase in the use of antimicrobials, microbial resistance has become a serious problem in public health. For a bacterium to become resistant, several factors are necessary, among them, the indiscriminate and prolonged use of antimicrobials and the intrinsic and acquired resistance. In this context, the objective of the work was to explore the mechanisms of action of antimicrobials, resistance and their importance in public health. Pubmed, Google academic and Scielo databases were used for this research. According to the World Health Organization, resistance to antibiotics is defined when it no longer has an effect. The increasingly frequent insertion of antimicrobials favors resistance, where they put selective pressure on microorganisms, making them resistant to various drugs. The indiscriminate use of antimicrobials is the main factor of microbial resistance, as well as the use of antimicrobials without culture examination and sensitivity test. In this sense, it is concluded that it is extremely important to update protocols that contain the mechanisms of bacterial resistance in order to minimize the indiscriminate use of antimicrobials, as well as to train health professionals for this problem in public health.

Con los avances de la medicina y el mayor uso de antimicrobianos, la resistencia microbiana se ha convertido en un grave problema de salud pública. Para que una bacteria se vuelva resistente son necesarios varios factores, entre ellos, el uso indiscriminado y prolongado de antimicrobianos y la resistencia intrínseca y adquirida. En este contexto, el objetivo de este trabajo fue explorar los mecanismos de acción de los antimicrobianos, la resistencia y su importancia en la salud pública. Para esta investigación se utilizaron las bases de datos Pubmed, Google Scholar y Scielo. Según la Organización Mundial de la Salud, la resistencia a un antibiótico se define cuando deja de producir efecto. El uso cada vez más frecuente de antimicrobianos favorece la resistencia, ya que provocan una presión selectiva sobre los microorganismos, haciéndolos resistentes a varios fármacos. El uso indiscriminado de antimicrobianos es el principal factor de resistencia microbiana, así como el uso de antimicrobianos sin pruebas de cultivo y sensibilidad. En este sentido, se concluye que es de suma importancia actualizar los protocolos que contienen los mecanismos de resistencia bacteriana para minimizar el uso indiscriminado de antimicrobianos, así como capacitar a los profesionales de la salud para este problema en la salud pública.

Cystatin C assay validation using the immunoturbidimetric method to evaluate the renal function of healthy dogs and dogs with acute renal injury.

Background and Aim: Acute kidney injury (AKI) is associated with a grave prognosis. A clinical assessment of kidney function can be performed based on the glomerular filtration rate (GFR). Cystatin C (CysC) can indicate the GFR or kidney function and its measurement is currently performed using immunological methods such as nephelometry, immunoturbidimetry, and enzyme-linked immunosorbent assays in human medicine. However, these techniques are not specific for use in veterinary medicine. This study aimed to validate an immunoturbidimetric assay for serum CysC (sCy) in dogs, determine the sCy reference intervals for healthy dogs, evaluate sCy stability in serum samples, and compare sCy with serum creatinine (sCr) in healthy dogs and dogs with AKI. Materials and Methods: Forty-three dogs were divided into a control group (n = 19) and an AKI group (n = 24). An immunoturbidimetric method including commercially available human CysC calibrated with canine CysC was used to evaluate canine serum samples. Results: An average recovery of 97% was observed for canine serum samples. The reference interval for CysC in healthy dogs was 0.57-1.29 mg/L. The sCy concentration in dogs with AKI was significantly higher (2.82 ± 1.46 mg/L) than in healthy dogs (0.93 ± 0.18 mg/L). Statistical analysis confirmed a strong correlation between sCy and sCr (r = 0.94; p < 0.05) in dogs with AKI. Conclusion: The immunoturbidimetric method of evaluating sCy yielded satisfactory results and can be used for canine samples when a species-specific calibrator is used. Furthermore, sCy is a reliable marker of renal dysfunction in dogs. It is best to store samples for sCy evaluation at temperatures between 4°C and 8°C.

Production of a murine mAb against Bothrops alternatus and B. neuwiedi snake venoms and its use to isolate a thrombin-like serine protease fraction.

Accidents with snakes from the genus Bothrops represent ~90 % of all snakebites in Brazil. Monoclonal antibodies (mAbs) targeting venom components can be important assets for treating envenoming syndromes, for developing diagnostic tests and for research purposes. Therefore, in this study, we aimed to generate murine mAbs against the antigenic mixture of Bothropic venoms traditionally used as immunogen to produce Bothropic antivenoms in Brazil. ELISA showed that one of the produced mAbs recognizes B. alternatus and B. neuwiedi venoms (mAb anti-Ba/Bn) specifically and Western Blot revealed that this mAb binds to a single protein band of molecular mass of ≈50 kDa. MAb anti-Ba/Bn inhibited the coagulant activity but was unable to neutralize hemorrhagic and phospholipase A2 activities caused by the B. neuwiedi venom. MAb anti-Ba/Bn was immobilized to Sepharose beads and used for immunoaffinity chromatography of B. neuwiedi venom. Proteolytic activity assays indicated that the immunoaffinity-purified fraction (BnF-Bothrops neuwiedi fraction) has a serine protease thrombin-like profile, which was supported by coagulability assays in mice. Bottom-up proteomic analysis confirmed the prevalence of serine proteases in BnF using label-free quantification. In conclusion, this work characterized a mAb with neutralizing properties against B. neuwiedi coagulant activity and demonstrates that immunoaffinity chromatography using mAbs can be a useful technique for purification of bioactive toxic proteins from Bothrops spp. snake venoms.

Cystatin C and Iris: Advances in the Evaluation of Kidney Function in Critically Ill Dog.

Critically ill hospitalized dogs are subject to certain complications, being acute kidney injury (AKI) a common one. Early diagnosis is crucial, and Cystatin C (CysC) is a reliable and early biomarker. The International Society of Renal Interest (IRIS) states that AKI severity can be assessed by mild changes in creatinine serum levels or reduction of urine output that cannot be considered biomarkers of renal injury but failure or insufficiency. Twenty-eight dogs admitted to the Intensive Care Unit under risk factors for the development of AKI were evaluated. Blood samples were collected for determination of sCr and CysC at admission and after 24, 48, and 72 h. Urine output was measured by daily monitoring, measured by collection in a closed system. The results showed the incidence of AKI was 67.9% based on the IRIS criteria and 78.6% based on cystatin C in critically ill patients' dogs. The measurement of serum cystatin C immediately on admission to the ICU was superior in the early identification of patients with AKI when compared to the IRIS classification and serum creatinine in critically ill dogs.

EDTA-dependent pseudothrombocytopenia in patients with hepatosplenic schistosomiasis mansoni: a clinical management alert.

BACKGROUND: Hepatosplenic schistosomiasis mansoni (HS) is associated with thrombocytopenia. Accurate platelet counts are required for identification and management of HS patients. EDTA-dependent pseudothrombocytopenia (EDTA-PTCP) is an in vitro phenomenon of anticoagulant-activated platelet agglutination resulting in low platelet counts by automated methods. The prevalence of EDTA-PCTP in schistosomiasis is unknown and only one case has been described. Our aims were to determine the prevalence of EDTA-PTCP in HS and evaluate alternative methods to overcome this analytical error. METHODS: Blood samples from 56 HS patients and 56 healthy volunteers were collected, and platelet counts were obtained using standard microscopy and automated (electric impedance) methods. Automated platelet counts and the presence of platelet clumps in blood smears were evaluated in samples collected in EDTA or sodium citrate tubes 20 and 180 min after blood collection. RESULTS: EDTA-PTCP was more frequent in HS patients than healthy volunteers (8.92% vs 0.00%, p<0.0285). Platelet clumps and PTCP were also observed in samples collected in sodium citrate tubes, refuting its use as an alternative method. CONCLUSIONS: Automated platelet counts in blood samples from HS patients should be performed right after blood collection in EDTA tubes and verified by manual counts in blood smears.

Phenotyping Root Systems in a Set of Japonica Rice Accessions: Can Structural Traits Predict the Response to Drought?

BACKGROUND: The root system plays a major role in plant growth and development and root system architecture is reported to be the main trait related to plant adaptation to drought. However, phenotyping root systems in situ is not suited to high-throughput methods, leading to the development of non-destructive methods for evaluations in more or less controlled root environments. This study used a root phenotyping platform with a panel of 20 japonica rice accessions in order to: (i) assess their genetic diversity for a set of structural and morphological root traits and classify the different types; (ii) analyze the plastic response of their root system to a water deficit at reproductive phase and (iii) explore the ability of the platform for high-throughput phenotyping of root structure and morphology. RESULTS: High variability for the studied root traits was found in the reduced set of accessions. Using eight selected traits under irrigated conditions, five root clusters were found that differed in root thickness, branching index and the pattern of fine and thick root distribution along the profile. When water deficit occurred at reproductive phase, some accessions significantly reduced root growth compared to the irrigated treatment, while others stimulated it. It was found that root cluster, as defined under irrigated conditions, could not predict the plastic response of roots under drought. CONCLUSIONS: This study revealed the possibility of reconstructing the structure of root systems from scanned images. It was thus possible to significantly class root systems according to simple structural traits, opening up the way for using such a platform for medium to high-throughput phenotyping. The study also highlighted the uncoupling between root structures under non-limiting water conditions and their response to drought.

Immunoprotection against lethal effects of Crotalus durissus snake venom elicited by synthetic epitopes trapped in liposomes.

Snakebites caused by Crotalus genus are the second most frequent in Brazil. Crotoxin is a beta-neurotoxin responsible for the main envenomation effects of Crotalus biting, while crotamine immobilizes the animal hind limbs, contributing to prey immobilization and to envenoming symptoms. As crotoxin and crotamine represent about 90% of Crotalus venom dry weight, these toxins are of great importance for antivenom therapy. In this sense, knowledge regarding the antigenicity/immunogenicity at the molecular level of these toxins can provide valuable information for the improvement of specific antivenoms. Therefore, the aims of this study are the identification of the B-cell epitopes from crotoxin and crotamine; and the characterization of the neutralizing potency of antibodies directed against the corresponding synthetic epitopes defined in the current study. Linear B-cell epitopes were identified using the Spot Synthesis technique probed with specific anti-C. d. terrificus venom horse IgG. One epitope of crotamine (F12PKEKICLPPSSDFGKMDCRW32) and three of crotoxin (L10LVGVEGHLLQFNKMIKFETR30; Y43CGWGGRGRPKDATDRCCFVH63 and T118YKYGYMFYPDSRCRGPSETC138) were identified. After synthesis in their soluble form, the peptides mixture correspondent to the mapped epitopes was entrapped in liposomes and used as immunogens for antibody production in rabbits. Anti-synthetic peptide antibodies were able to protect mice from the lethal activity of C. d. terrificus venom.

Plot size and number of replications for ryegrass experiments / Tamanho de parcela e número de repetições para experimentos na cultura do azevém

ABSTRACT: The objective of this research was to determine the optimal plot size and the number of replications to evaluate the fresh matter of ryegrass sown to haul. Twenty uniformity trials were conducted, each trial with 16 basic experimental units (BEU) of 0.5 m2. At 117, 118 and 119 days after sowing, the fresh matter of ryegrass in the BEUs of 5, 10 and 5 uniformity trials, respectively, were determined. The optimal plot size was determined by the maximum curvature method of the variation coefficient model. Next, the replications number was determined in scenarios formed by combinations of i treatments (i = 3, 4, ... 50) and d minimum differences between means of treatments to be detected as significant at 5% of probability by the Tukey test, expressed in experimental mean percentage (d = 10, 11, ... 20%). The optimal plot size to determine the fresh matter of ryegrass seeded at the haul is 2.19 m2, with a variation coefficient of 9.79%. To identify as significant at 5% probability, by the Tukey test, differences between treatment means of 20%, are required five, six, seven and eight replications, respectively, in ryegrass experiments with up to 5, 10, 20 and 50 treatments.

RESUMO: Os objetivos deste trabalho foram determinar o tamanho ótimo de parcela e o número de repetições para avaliar a massa verde de azevém semeado a lanço. Foram conduzidos 20 ensaios de uniformidade, sendo cada ensaio composto por 16 unidades experimentais básicas (UEB) de 0,5 m2. Aos 117, 118 e 119 dias após semeadura foi determinada a massa verde de azevém nas UEB de 5, 10 e 5 ensaios de uniformidade, respectivamente. Foi determinado o tamanho ótimo de parcela pelo método da curvatura máxima do modelo do coeficiente de variação. A seguir, foi determinado o número de repetições em cenários formados pelas combinações de i tratamentos (i = 3, 4, ..., 50) e d diferença mínima significativa do teste de Tukey a 5% de probabilidade, expressa em percentagem da média do experimento (d = 10%, 11%, ..., 20%). Conclui-se que o tamanho ótimo de parcela para determinar a massa verde de azevém semeado a lanço é de 2,19m2, com coeficiente de variação de 9,79%. Para identificar como significativas a 5% de probabilidade pelo teste de Tukey, diferenças entre médias de tratamentos de 20%, o número de repetições necessárias é de cinco, seis, sete e oito repetições, respectivamente, para experimentos com até 5, 10, 20 e 50 tratamentos na cultura do azevém.

Parâmetros maternos e perinatais após intervenções não farmacológicas: um ensaio clínico randomizado controlado / Parámetros maternos y perinatales luego de intervenciones no farmacológicas: un ensayo clínico aleatorizado controlado / Maternal and perinatal parameters after non-pharmacological interventions: a randomised, controlled clinical trial

Resumo Objetivo Analisar os efeitos do banho quente, de exercícios perineais com bola suíça ou de ambos durante o trabalho de parto em parâmetros maternos e perinatais. Métodos Ensaio clínico randomizado controlado incluindo 101 gestantes de baixo risco admitidas em dois centros obstétricos entre junho de 2013 e fevereiro de 2014 com idade mínima de 18 anos, gestação a termo, feto único em apresentação cefálica, dilatação cervical entre 3 e 8 cm, escala de dor ≥5, sem patologias clínicas ou obstétricas ou doença mental, não usuárias de drogas psicoativas ou de corticosteroides naturais ou sintéticos, e que não fizeram uso de produtos de tabaco, cafeína e analgésicos duas, quatro e seis horas antes de serem incluídas no estudo. Os arâmetros maternos e perinatais foram avaliados antes e 30 minutos após as intervenções, incluindo: pressão arterial materna, frequência cardíaca e respiratória, contratilidade uterina, dilatação cervical, frequência cardíaca fetal, linha de base, variabilidade, acelerações e desacelerações usando cardiotocografia e escala de Apgar (no 1º e 5º minutos após o nascimento). Os participantes foram alocados aleatoriamente em três grupos: A) banho quente (33); B) bola suíça (35); e C) intervenções combinadas (33). Resultados Em relação aos parâmetros maternos, a pressão arterial sistólica foi mantida abaixo de 100 mmHg, com um pequeno aumento no grupo B. A pressão arterial diastólica diminuiu em todos os grupos, mantendo-se, contudo, acima de 70 mmHg. A frequência cardíaca apresentou diminuição nos grupos B e C e esteva acima de 80 bpm. A frequência respiratória ficou acima de 20 rpm em todos os grupos após as intervenções, enquanto a dilatação cervical foi de 5,0 cm em média antes das intervenções com aumento de 1,3 cm após as intervenções em todos os grupos. Em relação aos parâmetros fetais, 90% dos fetos em todos os grupos apresentaram frequência cardíaca normal nos dois períodos avaliados, acelerações transitórias estiveram presentes em mais de 80% dos fetos em todos os grupos em ambos os períodos analisados. Não foi constatada desaceleração antes da intervenção em aproximadamente 58,4% dos casos. Observou-se desacelerações em 52,5% dos casos, principalmente nos grupos A e B. A variabilidade foi normal em mais de 80% dos casos, e um valor <7 na escala de Apgar no primeiro minuto após o nascimento só foi observado em 14 casos. Não foram encontradas diferenças significativas na pressão arterial e frequência cardíaca materna e fetal, incluindo a ocorrência de acelerações transitórias, variabilidade ou desacelerações e valores na escala de Apgar tanto na análise inter e intragrupo quanto nos períodos avaliados. Ao comparar os parâmetros maternos antes e 30 minutos após as intervenções, observou-se aumento na frequência respiratória (p=0,037) e na dilatação cervical (p<0,001) em todos os grupos de intervenção. Na análise intergrupo, a progressão do trabalho de parto estimulada dos grupos A (p=0,041) e C (p=0,021) em relação às contrações uterinas aumentou em comparação com o grupo B. Conclusão As intervenções isoladas ou combinadas são uma forma segura de assistência ao parto uma vez que elas não afetam negativamente os parâmetros maternos e perinatais.

resumen está disponible en el texto completo

Abstract Objective To analyse the effects of warm shower, perineal exercises with a Swiss ball or both during the labour in maternal and perinatal parameters. Methods Randomised controlled trial with 101 low-risk birthing women admitted in two public midwife-led birth centres, between June, 2013 and February, 2014, with minimal age 18 years, full-term gestation, single live foetus in cephalic presentation, cervical dilation 3-8 cm, pain score ≥5, without clinical or obstetric pathologies or mental illness, non-users of psychoactive drugs or synthetic or natural corticosteroids and who had not used tobacco, caffeine and analgesics in the previous two, four and six hours before inclusion in the study, respectively. The non-pharmacological interventions were for 30 minutes performed. Maternal and perinatal parameters were assessed before and 30 minutes after the interventions, including: maternal blood pressure, heart rate, respiratory rate, uterine contractions, cervical dilation, foetal heart rate, baseline, variability, accelerations and decelerations using cardiotocography and Apgar score (at the 1stand 5thminutes after birth); The participants were randomly assigned in group A warm shower (33), B Swiss ball (35) and C combined interventions (33). Results Concerning maternal parameters, systolic blood pressure was kept above 100 mmHg, with a little increase in the group B. Diastolic blood pressure decreased in all the groups, however was maintained above 70 mmHg. The heart rate decreased in the group B and C and was above 80 bpm. The respiratory rate was above 20 rpm in all groups after the interventions, while the cervical dilation before the interventions were in average 5.0 cm and increased 1.3 cm after the interventions in all groups. Concerning the foetal parameters, foetal heart rate was normal in more than 90% in all groups at both evaluation times, transient acceleration was present in more than 80% in all groups at both evaluation times and no decelerations were found before the intervention in approximately 58.4% of the cases. Decelerations were observed in 52.5% of the cases, mainly in the groups A and B. Variability was normal in more than 80% of the cases, and the Apgar score ˂7 at the first minute after birth was observed in 14 cases only. No significant differences were found in maternal blood pressure, pulse rate, foetal heart rate including the occurrence of transient accelerations, variability or decelerations and Apgar at the inter and intragroup analysis or by evaluation time. By comparing maternal parameters before and 30 minutes after the interventions, increased maternal respiratory rate (p=0.037) and cervical dilation (p<0.001) were found for the all intervention groups. At the intergroup analysis, group A (p=0.041) and group C (p=0.021) stimulated labour progression regarding the uterine contractions increased in comparison to the group B. Conclusion The interventions alone or in combination are a safe way for childbirth assistance as they do not result in negative effects on maternal and perinatal parameters.

Production of biquinho pepper in different growing seasons characterized by the logistic model and its critical points / Produção de pimenta biquinho em diferentes épocas de cultivo caracterizadas pelo modelo logístico e seus pontos críticos

ABSTRACT: The objective of this study was to characterize the production of biquinho pepper through the interpretation of parameter estimates from the logistic model and its critical points obtained by the partial derivatives of the function, and to indicate the best cultivar and growing season for subtropical climate sites. For this, a 2x3 factorial experiment was conducted with two cultivars of biquinho pepper (BRS Moema and Airetama biquinho) in three growing seasons (E1: October 2015, E2: November 2015, E3: January 2016). The logistic non-linear model for fruit mass was specified as a function of the accumulated thermal sum, and the critical points were calculated through the partial derivatives of the model, in order to characterize the productive performance of the crop by the biological interpretation of the estimates of the three set parameters. In E3, temperatures close to 0 ºC during the experiment were lethal to the plants, and a linear regression model was used in this case. The production of the cultivars in E1 and E2 were well characterized by the estimated logistic models, and the most productive cultivar was Airetama biquinho in all evaluated seasons. This cultivar also presented higher concentration of production. The two cultivars did not differ significantly with regards to productive precocity. For E3, it was not possible to interpret the parameters in the same way as for E1 and E2, since the use of the linear model did not allow the same interpretations performed for the nonlinear model, reaffirming its applicability horticultural crops of multiple harvests.

RESUMO: O objetivo deste estudo foi caracterizar a produção de pimenta biquinho através da interpretação dos parâmetros do modelo Logístico e seus pontos críticos obtidos pelas derivadas parciais da função, bem como indicar qual a melhor cultivar e a melhor época de cultivo para locais de clima subtropical. Conduziu-se um experimento em esquema fatorial 2x3 sendo duas cultivares de pimenta biquinho (BRS Moema e Airetama biquinho), em três épocas de cultivo (E1: outubro de 2015, E2: 01 de novembro 2015 e E3: janeiro de 2016). Ajustou-se o modelo logístico para massa de frutos em função da soma térmica acumulada, e calculou-se os pontos críticos através das derivadas parciais do modelo com a finalidade de caracterizar o desempenho produtivo da cultura através da interpretação biológica destes parâmetros. Temperaturas próximas a 0 ºC durante o experimento foram letais às plantas, e por isso, para a época 3, ajustou-se um modelo de regressão linear. A interpretação dos parâmetros do modelo Logístico e seus pontos críticos permitiram que a produção das cultivares nas épocas 1 e 2 fossem caracterizadas, sendo que a cultivar mais produtiva é Airetama biquinho em todas as épocas de transplante. Essa cultivar também apresenta maior concentração de produção no período. Quanto a precocidade produtiva as duas cultivares não diferiram significativamente. Sobre a época 3, não foi possível interpretar da mesma forma, pois o ajuste do modelo linear não permite as mesmas interpretações realizadas para o modelo não linear, reafirmando a sua aplicabilidade em cultura olerícolas de múltiplas colheitas.

Early detection of acute kidney injury in the perioperative period of liver transplant with neutrophil gelatinase-associated lipocalin.

BACKGROUND: Acute kidney injury (AKI) is a common complication in patients undergoing liver transplant (LT) and is associated with high morbidity and mortality. We aim to evaluate the pattern of urine and plasma neutrophil gelatinase-associated lipocalin (NGAL) elevation during the perioperative period of LT and to assess it as a prognostic marker for AKI progression, need for dialysis and mortality. METHODS: We assessed NGAL levels before induction of anesthesia, after portal reperfusion and at 6, 18, 24, and 48 h after surgery. Patients were monitored daily during the first week after LT. RESULTS: Of 100 enrolled patients undergoing liver transplant, 59 developed severe AKI based on the KDIGO serum creatinine (sCr) criterion; 34 were dialysed, and 21 died within 60 days after LT. Applying a cut-off value of 136 ng/ml, UNGAL values 6 h after surgery was a good predictor of AKI development within 7 days after surgery, having a positive predictive value (PPV) of 80% with an AUC of 0.76 (95% CI 0.67-0.86). PNGAL at 18 h after LT was also a good predictor of AKI in the first week, having a PPV of 81% and AUC of 0.74 (95% CI 0.60-0.88). Based on PNGAL and UNGAL cut-off criteria levels, time to AKI diagnosis was 28 and 23 h earlier than by sCr, respectively. The best times to assess the need for dialysis were 18 h after LT by PNGAL and 06 h after LT by UNGAL. CONCLUSION: In conclusion, the plasma and urine NGAL elevation pattern in the perioperative period of the liver transplant can predict AKI diagnosis earlier. UNGAL was an early independent predictor of AKI development and need for dialysis. Further studies are needed to assess whether the clinical use of biomarkers can improve patient outcomes. TRIAL REGISTRATION: Registered at Clinical Trials ( clinicaltrials.gov ) in March 24th, 2014 by title "Acute Kidney Injury Biomarkers: Diagnosis and Application in Pre-operative Period of Liver Transplantation (AKIB)" and identifier NCT02095431, retrospectively registered.

Leaf area estimation of squash 'Brasileirinha' by leaf dimensions / Estimação da área foliar de abobrinha 'Brasileirinha' por dimensões foliares

ABSTRACT: The objectives of this work were estimate the leaf area of squash 'Brasileirinha' by linear dimensions of the leaves and check models available in the literature. An experiment was conducted in the 2015/16 sowing season. Were collected 500 leaves and in each one, were measured the length (L), width (W) and length×width product (LW) and determined the real leaf area (LA). Then, 400 leaves were separated to generate models of the leaf area (LA) as a function of linear dimension (L, W or LW) of squash. The remaining 100 leaves were used for the validation of models. A second experiment was conducted in the 2016/17 sowing season. Were collected 250 leaves, used only for the validation of the models of the first experiment. There is collinearity between L and W and, therefore, models using the LW product are not recommended. The model LA=0.5482W2 + 0.0680W (R²=0.9867) is adequate for leaf area estimation of squash 'Brasileirinha'.

RESUMO: Os objetivos deste trabalho foram estimar a área foliar de abobrinha 'Brasileirinha' por dimensões lineares das folhas e testar modelos disponíveis na literatura. Foi conduzido um experimento na safra 2015/16 sendo coletas 500 folhas. Em cada folha foram mensurados comprimento (L), largura (W), calculado produto comprimento×largura (LW) e determinada a área foliar real (LA). Depois, 400 folhas foram separadas para a geração de modelos da área foliar real (LA) em função da dimensão linear (L, W ou LW) de abobrinha. As demais 100 folhas foram utilizadas na validação dos modelos. Um segundo experimento foi conduzido na safra 2016/17, no qual foram coletadas 250 folhas utilizadas na validação dos modelos gerados no primeiro experimento. Existe colinearidade entre L e W e, por isso, os modelos que utilizam o produto LW não são recomendados. O modelo LA=0,5482W2+0,0680W (R²=0,9867) é adequado para a estimação de área foliar de abobrinha 'Brasileirinha'.

Percepção dos profissionais de saúde mental sobre maconha / The perception of mental health professionals about marijuana

RESUMO Objetivo A percepção sobre a maconha entre profissionais de saúde mental é desconhecida no Brasil. Este estudo teve como objetivo comparar padrões de percepções e de conhecimento sobre maconha entre profissionais da área da saúde mental em três instituições de diferentes perfis. Métodos Setenta profissionais (psiquiatras, psicólogos, assistentes sociais, terapeutas ocupacionais e enfermeiros) de três serviços da área de saúde mental - Hospital Nossa Senhora de Fátima (hospital filantrópico), CAPS-AD (Serviço público especializado no atendimento de álcool e drogas) e Instituto de Psiquiatria do Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo (Serviço acadêmico e assistencial) - foram avaliados por meio de um questionário elaborado pelos pesquisadores, composto de 31 afirmativas. Resultados Psiquiatras tendem a discordar mais que os outros profissionais quanto à necessidade de tratamento para o uso de maconha e que a maconha traz prejuízos cognitivos. Os profissionais do Hospital Nossa Senhora de Fátima apresentaram percepção mais favorável à proibição de maconha e valorizaram mais os possíveis prejuízos associados ao uso quando comparados aos profissionais das outras duas instituições. Conclusões A percepção sobre a maconha entre servidores da saúde mental varia de acordo com a profissão e o local de trabalho.

ABSTRACT Objective The perception of marijuana among mental health professionals is unknown in Brazil. The aim of this study was to compare mental health professionals' perception and knowledge standards about marijuana in three institutions with different profiles. Methods Seventy professionals (psychiatrists, psychologists, social workers, occupational therapists and nurses) from three mental health services - Nossa Senhora de Fátima Hospital (philanthropic hospital), CAPS-AD (public specialized service on treating drugs and alcohol dependents), and the Institute of Psychiatry at the Clinics Hospital, Medical School, University of São Paulo (academic and assistance service) were evaluated through a 31 affirmatives questionnaire created by researchers. Results Psychiatrists disagree more often than other health professionals on the need to treat marijuana users and on the idea that it causes cognitive damages. The professionals from Nossa Senhora de Fátima Hospital are more in favor of the prohibition of marijuana use and consider more the possible damages associated with its use, when compared to professionals from the other two institutions. Conclusions The perception of marijuana among mental health providers may vary according to their profession and work place.