Evaluating the circulation of Ehrlichia canis and Rickettsia spp. in domestic dogs from a semiarid region in Brazil.

Tick-borne diseases are important for animal and human health, because they can cause death if not diagnosed and treated early. Canine monocytic ehrlichiosis (CME) can cause high morbidity in dog populations. Rocky Mountain Spotted Fever (RMSF) is among the most virulent infectious in humans; dogs are also susceptible to infection. The aims of this study were to evaluate the presence of Ehrlichia canis and Rickettsia spp. infections in domestic dogs, and to identify tick species parasitizing dogs among urban areas of two municipalities (Sobral and Alcântaras) in the Ceará State, Northeastern Brazil. A total of 208 domiciled dogs was sampled. After clinical evaluation, blood samples and ticks were collected and submitted to Real-Time Polymerase Chain Reaction (RT-PCR) targeting E. canis DNA. Serum samples were screened by Indirect Immunofluorescence Assays (IFA) for antibodies against different strains of Rickettsia spp. previously recognized in Brazil. The results of this study indicate the molecular detection of E. canis in the state of Ceará, Brazil, where the proportion of canine infection in Sobral (9.9%) was higher than in Alcântaras (5.6%). Rhipicephalus sanguineus sensu lato was the prevalent tick species infesting the dogs in both municipalities (43.5 and 53.3%, respectively). Our serological results indicate that dogs of the study area were at low risk of exposure to these tick-borne Rickettsia spp. of the spotted fever group. Our study offers epidemiological data of these diseases to better understanding Rickettsiales epidemic and enzootic cycles in the Brazilian semiarid region, improving prevention and control measures.

Investigation of pectin deficiency in modulating the bioflavonoid profile of orange processing waste: A sustainable valorization of industrial waste.

Orange processing waste (OPW) generated by the processing of oranges, as well as other citrus fruits, is a major source of pectin in the market nowadays. The residues generated during the pectin extraction process may contain many phytochemicals, including flavonoids. We use state-of-the-art techniques such as liquid chromatography high-resolution mass spectrometry (LC-HRMS/MS) and feature-based molecular network (FBMN) to annotate the flavonoids in OPWs. In particular, four flavonoids, hesperidin, naringin, diosmin, and hesperetin were quantified in the samples by LC-TDQ-MS. In total, 32 flavonoids from different classes were annotated, of which 16 were polymethoxylated flavonoids, 13 were flavonoid glycosides and 3 were flavanone aglycones. The results showed that flavonoid glycosides remain in high concentrations in OPWs from pectin factories even after pectin extraction by harsh conditions. The results show an exciting opportunity to harness the untapped potential of pectin factory waste as a renewable source for the extraction of glycoside flavonoids.

Spatial Clusters of Cancer Mortality in Brazil: A Machine Learning Modeling Approach.

Objectives: Our aim was to test if machine learning algorithms can predict cancer mortality (CM) at an ecological level and use these results to identify statistically significant spatial clusters of excess cancer mortality (eCM). Methods: Age-standardized CM was extracted from the official databases of Brazil. Predictive features included sociodemographic and health coverage variables. Machine learning algorithms were selected and trained with 70% of the data, and the performance was tested with the remaining 30%. Clusters of eCM were identified using SatScan. Additionally, separate analyses were performed for the 10 most frequent cancer types. Results: The gradient boosting trees algorithm presented the highest coefficient of determination (R 2 = 0.66). For total cancer, all algorithms overlapped in the region of Bagé (27% eCM). For esophageal cancer, all algorithms overlapped in west Rio Grande do Sul (48%-96% eCM). The most significant cluster for stomach cancer was in Macapá (82% eCM). The most important variables were the percentage of the white population and residents with computers. Conclusion: We found consistent and well-defined geographic regions in Brazil with significantly higher than expected cancer mortality.

Elucidating the Mesocarp Drupe Transcriptome of Açai (Euterpe oleracea Mart.): An Amazonian Tree Palm Producer of Bioactive Compounds.

Euterpe oleracea palm, endemic to the Amazon region, is well known for açai, a fruit violet beverage with nutritional and medicinal properties. During E. oleracea fruit ripening, anthocyanin accumulation is not related to sugar production, contrarily to grape and blueberry. Ripened fruits have a high content of anthocyanins, isoprenoids, fibers, and proteins, and are poor in sugars. E. oleracea is proposed as a new genetic model for metabolism partitioning in the fruit. Approximately 255 million single-end-oriented reads were generated on an Ion Proton NGS platform combining fruit cDNA libraries at four ripening stages. The de novo transcriptome assembly was tested using six assemblers and 46 different combinations of parameters, a pre-processing and a post-processing step. The multiple k-mer approach with TransABySS as an assembler and Evidential Gene as a post-processer have shown the best results, with an N50 of 959 bp, a read coverage mean of 70x, a BUSCO complete sequence recovery of 36% and an RBMT of 61%. The fruit transcriptome dataset included 22,486 transcripts representing 18 Mbp, of which a proportion of 87% had significant homology with other plant sequences. Approximately 904 new EST-SSRs were described, and were common and transferable to Phoenix dactylifera and Elaeis guineensis, two other palm trees. The global GO classification of transcripts showed similar categories to that in P. dactylifera and E. guineensis fruit transcriptomes. For an accurate annotation and functional description of metabolism genes, a bioinformatic pipeline was developed to precisely identify orthologs, such as one-to-one orthologs between species, and to infer multigenic family evolution. The phylogenetic inference confirmed an occurrence of duplication events in the Arecaceae lineage and the presence of orphan genes in E. oleracea. Anthocyanin and tocopherol pathways were annotated entirely. Interestingly, the anthocyanin pathway showed a high number of paralogs, similar to in grape, whereas the tocopherol pathway exhibited a low and conserved gene number and the prediction of several splicing forms. The release of this exhaustively annotated molecular dataset of E. oleracea constitutes a valuable tool for further studies in metabolism partitioning and opens new great perspectives to study fruit physiology with açai as a model.

Analysis of phenolic compounds in Parkinson's disease: a bibliometric assessment of the 100 most cited papers.

Objective: The aim of this study was to identify and characterize the 100 most cited articles on Parkinson's disease (PD) and phenolic compounds (PCs). Methods: Articles were selected in the Web of Science Core Collection up to June 2022 based on predetermined inclusion criteria, and the following bibliometric parameters were extracted: the number of citations, title, keywords, authors, year, study design, tested PC and therapeutic target. MapChart was used to create worldwide networks, and VOSviewer software was used to create bibliometric networks. Descriptive statistical analysis was used to identify the most researched PCs and therapeutic targets in PD. Results: The most cited article was also the oldest. The most recent article was published in 2020. Asia and China were the continent and the country with the most articles in the list (55 and 29%, respectively). In vitro studies were the most common experimental designs among the 100 most cited articles (46%). The most evaluated PC was epigallocatechin. Oxidative stress was the most studied therapeutic target. Conclusion: Despite the demonstrations in laboratorial studies, the results obtained point to the need for clinical studies to better elucidate this association.

Eccentric, but not concentric muscle contraction induce inflammation and impairs fibrinolysis in healthy young men.

Different types of muscle contraction can cause different damage to the musculature and differences in inflammatory responses. Acute increases in circulatory inflammation markers can influence the crosstalk between coagulation and fibrinolysis processes, increasing the risk of thrombus formation and detrimental cardiovascular events. The aim of this study was to analyze the effects of concentric and eccentric exercise on hemostasis markers, C-reactive protein (CRP), and the relationship between these variables. Eleven healthy subjects with a mean age of 25.4 ± 2.8, non-smokers, with no history of cardiovascular disease and blood type O, randomly performed an isokinetic exercise protocol consisting of 75 concentric (CP) or eccentric (EP) contractions of knee extension, divided into five sets of 15 repetitions combined with 30-s rest. Blood samples for analysis of FVIII, von Willebrand factor, tissue plasminogen activator (t-PA), plasminogen activator inhibitor type-1 (PAI-1), and CRP were collected pre, post, 24 h, and 48 h after each protocol. Increased levels of CRP at 48 h in EP versus CP (p = 0.002), increased PAI-1 activity 48 h in EP versus CP (p = 0.044), and a reduction in t-PA at 48 h when compared with post-protocol in both protocols (p = 0.001). A correlation was found between CRP and PAI-1 at 48 h of PE (r2 = 0.69; p = 0.02). This study showed that both EP and CP increase the clotting process, albeit only the exercise performed eccentrically induces inhibition of fibrinolysis. This is possibly due to the increase in PAI-1 48 h after the protocol, which correlates with the increase in inflammation as demonstrated by the CRP levels.

Análise do perfil de resiliência psicológica de atletas amadores de beach tennis / Analysis of the psychological resilience profile of amateur beach tennis athletes / Análisis del perfil de resiliencia psicológica de deportistas aficionados al tenis playa

O objetivo deste estudo foi identificar o perfil da Resiliência Psicológica (RP) em praticantes amadores de Beach Tennis (BT) em eventos competitivos e estabelecer parâmetros iniciais de RP por categorias do BT. Participaram 50 atletas com idade de 37,4 ± 7,92 anos. As coletas foram feitas via Google Forms® entre os meses de março a maio de 2022 durante as competições realizadas no Estado de Minas Gerais e Rio de Janeiro, sendo aplicada a Escala de Resiliência no Esporte (RS-Sp). O escore total da RS-Sp foi de 10,75 ± 1,57 pontos, sendo classificado como baixa, segundo o parâmetro para atletas brasileiros. Conclui-se o perfil de RPE em praticantes amadores de BT está abaixo do esperado para a medida podendo influenciar em menor capacidade de lidar com processos estressores advindos das situações esportivas.

The aim of this study was to identify the profile of Psychological Resilience in amateur Beach Tennis practitioners in competitive events. Fifty athletes with age of 37.4 ± 7.92 years participated. The Scale of Resilience in Sport (RS-Sp) was applied. The collections were made via Google Forms® between the months of March to May 2022 during the competitions held in the state of Minas Gerais and Rio de Janeiro. The total score of the SR-Sp was 10.75, ±1.57 points (low SR-Sp) according to the parameter for Brazilian athletes. It is concluded that Beach tennis practitioners presented lower PR indexes than expected for athletes, which can influence in a lower capacity to deal with stressful processes arising from sportive situations.

El objetivo de este estudio fue identificar el perfil de la Resiliencia Psicológica (RP) en practicantes amateurs de Tenis Playa (BT) en eventos competitivos y establecer parámetros iniciales de RP para categorías de BT. Participaron 50 atletas con edad de 37,4 ± 7,92 años. Las colectas fueron realizadas vía Google Forms® entre los meses de marzo a mayo de 2022 durante competiciones realizadas en el Estado de Minas Gerais y Rio de Janeiro, siendo aplicada la Escala de Resiliencia en el Deporte (RS-Sp). La puntuación total de RS-Sp fue de 10,75 ± 1,57 puntos, siendo clasificada como baja, de acuerdo con el parámetro para los atletas brasileños. Se concluyó que los atletas de BT presentaron índices de RP inferiores a los esperados, lo que puede influir en una menor capacidad de lidiar con procesos estresantes derivados de situaciones deportivas.

Análise do perfil de resiliência psicológica de atletas amadores de beach tennis / Analysis of the psychological resilience profile of amateur beach tennis athletes / Análisis del perfil de resiliencia psicológica de deportistas aficionados al tenis playa

O objetivo deste estudo foi identificar o perfil da Resiliência Psicológica (RP) em praticantes amadores de Beach Tennis (BT) em eventos competitivos e estabelecer parâmetros iniciais de RP por categorias do BT. Participaram 50 atletas com idade de 37,4 ± 7,92 anos. As coletas foram feitas via Google Forms® entre os meses de março a maio de 2022 durante as competições realizadas no Estado de Minas Gerais e Rio de Janeiro, sendo aplicada a Escala de Resiliência no Esporte (RS-Sp). O escore total da RS-Sp foi de 10,75 ± 1,57 pontos, sendo classificado como baixa, segundo o parâmetro para atletas brasileiros. Conclui-se o perfil de RPE em praticantes amadores de BT está abaixo do esperado para a medida podendo influenciar em menor capacidade de lidar com processos estressores advindos das situações esportivas (AU).

The aim of this study was to identify the profile of Psychological Resilience in amateur Beach Tennis practitioners in competitive events. Fifty athletes with age of 37.4 ±7.92 years participated. The Scale of Resilience in Sport (RS-Sp) was applied. The collections were made via Google Forms® between the months of March to May 2022 during the competitions held in the state of Minas Gerais and Rio de Janeiro. The total score of the SR-Sp was 10.75, ±1.57 points (low SR-Sp) according to the parameter for Brazilian athletes. It is concluded that Beach tennis practitioners presented lower PR indexes than expected for athletes, which can influence in a lower capacity to deal with stressful processes arising from sportive situations (AU).

El objetivo de este estudio fue identificar el perfil de la Resiliencia Psicológica (RP) en practicantes amateurs de Tenis Playa (BT) en eventos competitivos y establecer parámetros iniciales de RP para categorías de BT. Participaron 50 atletas con edad de 37,4 ± 7,92 años. Las colectas fueron realizadas vía Google Forms® entre los meses de marzo a mayo de 2022 durante competiciones realizadas en el Estado de Minas Gerais y Rio de Janeiro, siendo aplicada la Escala de Resiliencia en el Deporte (RS-Sp). La puntuación total de RS-Sp fue de 10,75 ± 1,57 puntos, siendo clasificada como baja, de acuerdo con el parámetro para los atletas brasileños. Se concluyó que los atletas de BT presentaron índices de RP inferiores a los esperados, lo que puede influir en una menor capacidad de lidiar con procesos estresantes derivados de situaciones deportivas (AU).

A critical analysis on the concentrations of phenolic compounds tested using in vitro and in vivo Parkinson's disease models.

Phenolic compounds (PCs) have neuroprotective effects with potential to prevent or slower the progression of Parkinson's disease (PD). However, whether the PCs neuroprotective effects can be observed under their dietary concentrations remains unclear. Therefore, we searched for the most cited articles in density on PCs and PD in the Web of Science Core Collection and All-Database (WoS-CC/AD) and selected the articles based on our eligibility criteria. From these 81 articles selected, we extracted information on experimental design, compounds tested, concentration and/or dose administered, route of administration, and main results obtained. We compared the concentrations of PCs evaluated in vitro with the concentrations bioavailable in the human bloodstream. Further, after extrapolation to humans, we compared the doses administered to animals in vivo with the daily consumed amounts of PCs. Concentrations evaluated in 21 in vitro laboratory studies were higher than those bioavailable in the bloodstream. In the case of in vivo laboratory studies, only one study administered doses of PCs in normal daily amount. The results of the comparisons demonstrate that the neuroprotective effects of the selected articles are mainly associated with concentrations, amounts and routes of administration that do not correspond to the consumption of phenolic compounds through the diet.

Therapeutic effects and the impact of statins in the prevention of ulcerative colitis in preclinical models: A systematic review.

Ulcerative Colitis (UC) is a chronic inflammatory condition of the large intestines. Although great advances have been made in the management of the disease with the introduction of immunomodulators and biological agents, the treatment of UC is still a challenge. So far, there are no definitive therapies for this condition. Statins are potent inhibitors of cholesterol biosynthesis, possess beneficial effects on primary and secondary prevention of coronary heart disease, and have high tolerability and safety. Furthermore, they may have potential roles in UC management due to their possible anti-inflammatory, immunomodulatory, and antioxidant activities. This systematic review aimed to gather information about the potential benefits of statins for managing UC, reducing inflammation and disease remission in animal models. A systematic search was performed in PubMed/MEDLINE, Scopus, Web of Science, and Virtual Health Library. The data were summarized in tables and critically analyzed. After the database search, 21 relevant studies were identified as eligible for this review. Preclinical studies using several colitis-induction protocols and various statins have shown numerous beneficial effects of these drugs on reducing disease activity, inflammatory profile, oxidative stress, and general clinical parameters of animals with UC. These studies revealed the potential of statins against the pathogenesis of UC. However, there are still important gaps regarding the molecular mechanisms of action of statins, leading to some contradictory results. Thus, more research on the molecular level to determine the roles of statins in colitis should be carried out to elucidate their mechanisms of action.

Influence of fasting during the night shift on next day eating behavior, hunger, and glucose and insulin levels: a randomized, three-condition, crossover trial.

AIMS: To investigate the influence of fasting during the night shift on eating behavior, hunger, glucose and insulin levels the following day. METHODS: Study with 10 male police officers who have been working at night. Participants were tested under three different conditions separated by at least 6 days of washout in a randomized, crossover design: "Night Shift Fasting" (NSF)-two nights of fasting during the night shift; "Night Shift Eating" (NSE)-two nights with the consumption of a standardized meal during the night shift (678 ± 42 kcal consumed at ~ 0200 h); and "Nighttime Sleep" (NS)-two nights of sleep. The morning after, blood glucose and insulin and hunger ratings were assessed, and food intake was assessed with an ad libitum test meal. Food intake was also assessed throughout the remainder of the day using a food record. Generalized Estimating Equations were used to analyze the effect of experimental condition. RESULTS: Food intake during the test meal, especially of proteins and fats, was higher after fasting during the night shift compared to the other conditions (p < 0.05), whereas desire to eat scores were lower after the NSF compared to NSE condition (p = 0.043). Hunger levels were lower after the NSF compared to the NS condition (p = 0.012). Insulin and HOMA-IR were also lower in the morning after NSF (p < 0.001). CONCLUSION: Fasting during the night shift leads to not only a higher intake of energy and macronutrients both in the early morning after work and throughout the next day, but also lower insulin levels and HOMA-IR in the morning. REGISTRATION NUMBER OF CLINICAL TRIAL: NCT03800732. Initial release: 01/09/2019. Last release: 02/23/2022.

Novel Borrelia Genotypes from Brazil Indicate a New Group of Borrelia spp. Associated with South American Bats.

The bacterial genus Borrelia comprises vector-borne spirochetes that have been classified into three major groups: the relapsing fever group (RFG), the Borrelia burgdorferi Johnson, Schmid, Hyde, Steigerwalt & Brenner sensu lato group (Bbsl), and the reptile-monotreme group (RMG). All three groups have been associated mainly with ticks and wild animals, especially rodents, birds, and reptiles. Here, we searched for Borrelia infection among 99 vampire bats [Desmodus rotundus (É. Geoffroy)] (Chiroptera: Phyllostomidae) from the Brazilian semiarid region. Through molecular investigation of bat internal organs, haplotypes of a potentially novel Borrelia organism were detected in 5% (5/99) of the bats. Borrelia DNA was detected in the liver, blood, spleen, kidney and brain, suggesting a systemic infection. Phylogenetic analyses inferred from partial sequences of the borrelial rrs and flaB genes indicated that the vampire bat-associated Borrelia sp. of this study form a monophyletic group with a newly reported Borrelia associated with a Colombia bat, distinct from the three main currently recognized groups of Borrelia spp., Bbsl, RFG, and RMG. These novel bat-associated Borrelia spp. from South America might have arisen through an independent event along the borrelial evolutionary history, since previous molecular reports of Borrelia organisms in bats or bat-associated ticks from Africa, Europe, and North America were all classified in the RFG.

Açaí (Euterpe oleracea Mart.) Attenuates Oxidative Stress and Alveolar Bone Damage in Experimental Periodontitis in Rats.

Açaí (Euterpe oleracea Mart.) juice is rich in phenolic compounds with high antioxidant capacity. It has been observed that the use of antioxidants may be an additional strategy to nonsurgical periodontal therapy as well as to prevent alveolar bone loss. Thus, the objective of this study was to investigate the effects of açaí supplementation on experimental periodontitis in rats. Twenty male Rattus norvegicus (Wistar) rats were assigned into control, açaí, experimental periodontitis, and experimental periodontitis with açaí supplementation groups. Periodontitis was induced by placing ligatures around the lower first molars. Animals in the açaí groups received 0.01 mL/g of clarified açaí juice for 14 days by intragastric gavage. At the end of the experimental period, blood was collected to assess the reduced glutathione (GSH), Trolox equivalent antioxidant capacity (TEAC), and lipid peroxidation (TBARS) levels. Moreover, hemimandibles were analyzed by micro-computed tomography (micro-CT) for alveolar bone loss and bone quality. Açaí supplementation increased blood total antioxidant capacity and decreased lipid peroxidation. It also reduced alveolar bone loss when compared to the experimental periodontitis group. Moreover, clarified açaí per se modulated the oxidative biochemistry and bone microstructure. Thus, açaí may be considered a viable alternative for managing periodontal oxidative stress and preventing alveolar bone loss.

The Impact of Hip Fractures in the Public Health System in Brazil (SUS) 2008 - 2017: The Orthopedist Task.

Objective The present study intends to describe the profile of hospitalization and ambulatory rehabilitation of patients ≥ 50 years old due to hip fracture in the Brazilian Public Health System (SUS, in the Portuguese acronym). Methods This is a cross-sectional study of patients hospitalized due to hip fracture in the SUS between 2008 and 2017. Data included 441,787 hip fracture-related hospitalizations from the hospitalization database of the department of informatics of the Brazilian Unified Health System (SIH/DATASUS, in the Portuguese acronym), and data of patients who underwent rehabilitation from the ambulatory database of the department of informatics of the Brazilian Unified Health System (SIA/DATASUS, in the Portuguese acronym.). Results Most of hip fracture-related hospitalizations (83.5%) happen to people ≥ 50 years old, with an average annual growth of 5.6% in hip fracture-related hospitalizations. The costs for the government have been growing in the same proportion and reached almost BRL 130 million in 2017, although with a 13.6% decrease in average cost per hospitalization. Besides the financial impact, hip fractures result in an in-hospital mortality rate around 5.0% in patients aged ≥ 50 years old. In addition, the percentage of patients that have undergone hip fracture-related rehabilitation increased from 2008 (14.0%) to 2012 (40.0%), and remained stable after that. Conclusions The progressive increase in the incidence of hip fractures shows the financial and social impact, and the need for immediate actions to prevent this rising trend. Hip fractures are a risk for secondary fractures, the prevention is crucial, and the orthopedist plays a central role in this process.

The Impact of Hip Fractures in the Public Health System in Brazil (SUS) 2008 - 2017: The Orthopedist Task / O impacto das fraturas do quadril no SUS 2008 - 2017: O papel do ortopedista

Abstract Objective The present study intends to describe the profile of hospitalization and ambulatory rehabilitation of patients ≥ 50 years old due to hip fracture in the Brazilian Public Health System (SUS, in the Portuguese acronym). Methods This is a cross-sectional study of patients hospitalized due to hip fracture in the SUS between 2008 and 2017. Data included 441,787 hip fracture-related hospitalizations from the hospitalization database of the department of informatics of the Brazilian Unified Health System (SIH/DATASUS, in the Portuguese acronym), and data of patients who underwent rehabilitation from the ambulatory database of the department of informatics of the Brazilian Unified Health System (SIA/DATASUS, in the Portuguese acronym.). Results Most of hip fracture-related hospitalizations (83.5%) happen to people ≥ 50 years old, with an average annual growth of 5.6% in hip fracture-related hospitalizations. The costs for the government have been growing in the same proportion and reached almost BRL 130 million in 2017, although with a 13.6% decrease in average cost per hospitalization. Besides the financial impact, hip fractures result in an in-hospital mortality rate around 5.0% in patients aged ≥ 50 years old. In addition, the percentage of patients that have undergone hip fracture-related rehabilitation increased from 2008 (14.0%) to 2012 (40.0%), and remained stable after that. Conclusions The progressive increase in the incidence of hip fractures shows the financial and social impact, and the need for immediate actions to prevent this rising trend. Hip fractures are a risk for secondary fractures, the prevention is crucial, and the orthopedist plays a central role in this process.

Resumo Objetivo O presente estudo tem como objetivo descrever o perfil de hospitalização e reabilitação ambulatorial de pacientes com idade ≥ 50 anos por fratura de quadril no Sistema Público de Saúde no Brasil (SUS). Métodos Trata-se de um estudo transversal de pacientes internados por fratura de quadril no SUS entre 2008 e 2017. Os dados incluíram 441.787 internações relacionadas à fratura de quadril do banco de dados de internação (SIH/DATASUS) e dados de pacientes submetidos à reabilitação do banco de dados ambulatorial (SIA/DATASUS). Resultados A maioria das hospitalizações relacionadas à fratura de quadril (83,5%) ocorre em pessoas ≥ 50 anos, com um crescimento médio anual de 5,6% nas hospitalizações relacionadas à fratura de quadril (HRFQ). Os custos para o governo cresceram na mesma proporção e atingiram quase 130 milhões de reais em 2017, embora com uma redução de 13,6% no custo médio por hospitalização. Além do impacto financeiro, as fraturas de quadril resultam em uma taxa de mortalidade hospitalar em torno de 5,0% em pacientes ≥ 50 anos. Além disso, o percentual de pacientes submetidos à reabilitação relacionada à fratura de quadril aumentou de 2008 (14,0%) para 2012 (40,0%) e permaneceu estável após esse período. Conclusões O aumento progressivo da incidência de fraturas de quadril mostra o impacto financeiro e social e a necessidade de ações imediatas para evitar essa tendência crescente. As fraturas de quadril são um risco para fraturas secundárias, a prevenção é crucial e o ortopedista desempenha um papel central nesse processo.

The potential of natural shade provided by Brazilian savanna trees for thermal comfort and carbon sink.

This study looked at the potential of thermal comfort provided to animals by four different Brazilian savanna (Cerrado) native trees, as well as their potential for carbon sink. The evaluations were carried out during the summer of 2020, which consisted of the collection of microclimate variables. The Mean Radiant Temperature (TMR, °C) was derived from the shaded and unshaded areas under the trees, and from that, the Radiant Heat Load (RHL, W m-2) was calculated as an index of thermal comfort. Solar radiation was estimated considering the sum of the direct, diffuse, and reflected components (W m-2), and carbon stock from trees biomass for CO2 sequestration was estimated from an allometric model applied to the native Cerrado tree species. The shade of the native trees reduced the meteorological variables such as dry bulb and black globe temperatures, to values considered adequate for the thermal comfort of animals, with an average reduction respectively equal to 1.3 °C and 6.4 °C. This represents a significant difference compared to the unshaded area as well as among tree species (P < 0.05), reflecting in lower values of TMR and RHL in the shaded area provided by each species. Carbon sequestration individually estimated by each native tree species was on average 8.85 Mg per tree. These results demonstrate the great potential for native tree species in the Cerrado biome to be used in agroforestry systems to provide higher levels of thermal comfort to animals and to combat climate change through their aptitude of CO2 sink.

Time-Related Eating Patterns Are Associated with the Total Daily Intake of Calories and Macronutrients in Day and Night Shift Workers.

The aim of the study was to investigate whether time-related eating patterns are associated with the daily intake of calories and macronutrients in Brazilian male military police officers (n = 81; 29-day and 52-night workers; mean age: 36.4 ± 0.9 and 38.5 ± 0.7 years, respectively). Energy and macronutrient intake were determined by a non-consecutive 3-day food recall. Time-related eating patterns, such as the time of the first and the last meals, eating duration, and caloric midpoint, were evaluated. Individuals were classified as "early" or "late" eaters according to the median caloric midpoint. Night shift workers showed a later eating time for the last meal (p < 0.001), longer eating duration (p < 0.001), and later caloric midpoint (p = 0.037) than day workers. Late eaters from both workgroups consumed more 24 h energy (p = 0.028), fat in calories (p = 0.006) and protein (calories: p < 0.001; percentage of total calories: p = 0.042), and less carbohydrates in calories (p = 0.010) intake than early eaters. The time of the first meal was negatively correlated with 24 h energy (p = 0.024) and carbohydrate (p = 0.031) intake only in day workers. The time of the last meal was positively correlated with 24 h energy (day workers: ß = 0.352; p = 0.044; night workers: ß = 0.424; p = 0.002) and protein (day workers: ß = 0.451; p = 0.013; night workers: ß = 0.536; p < 0.001) intake for both shift workers, and with carbohydrate (ß = 0.346; p = 0.016) and fat (ß = 0.286; p = 0.042) intake only in night workers. Eating duration was positively correlated with energy (day workers: ß = 0.473; p = 0.004; night workers: ß = 0.320; p = 0.023) and carbohydrate (day workers: ß = 0.418; p = 0.011; night workers: ß = 0.364; p = 0.010) intake in both groups. Thus, time-related eating patterns indicative of intake later at night are associated with increased daily energy and macronutrient intake.

Machine Learning for Hypertension Prediction: a Systematic Review.

PURPOSE OF REVIEW: To provide an overview of the literature regarding the use of machine learning algorithms to predict hypertension. A systematic review was performed to select recent articles on the subject. RECENT FINDINGS: The screening of the articles was conducted using a machine learning algorithm (ASReview). A total of 21 articles published between January 2018 and May 2021 were identified and compared according to variable selection, train-test split, data balancing, outcome definition, final algorithm, and performance metrics. Overall, the articles achieved an area under the ROC curve (AUROC) between 0.766 and 1.00. The algorithms most frequently identified as having the best performance were support vector machines (SVM), extreme gradient boosting (XGBoost), and random forest. Machine learning algorithms are a promising tool to improve preventive clinical decisions and targeted public health policies for hypertension. However, technical factors such as outcome definition, availability of the final code, predictive performance, explainability, and data leakage need to be consistently and critically evaluated.

Solar radiation limits the use of paddocks by laying hens raised in the free-range system.

Laying hens on the free-range systems are susceptible to challenging situations in relation to the rearing environment. Therefore, this work evaluated how solar radiation influences the behavior of laying hens raised in a free-range system, in the Brazilian Savanna. The activities included data collection of meteorological variables and behavioral analysis of 300 commercial laying hens in relation to the frequency of use of indoor and outdoor areas of rearing housing. The solar radiation is the main factor that directly affects the heat gain of production animals, in this experiment had a high amplitude during all day, going from 33.42 to 756.98 W m-2. It was observed that the highest frequency of 79% and 91% use of the barn areas by the hens was at 8 am and 4 pm, respectively. The internal area of the housing was more used by hens 87% and 68% at 12 h and 14 h, respectively. Hens were not observed in the paddocks at noon and 2 pm. Hens spend more than 6 h of the day inside the housing to provide shelter from solar radiation. Which the conclusion the solar radiation influences the behavior of laying hens, at times of the day of the higher incidence of radiation, and high air and global temperatures, it was not observed the presence of hens in the external areas of the housing, especially with the use of the paddocks; at these times the hens seek shelter inside the housing to get away from the incidence of direct solar radiation.