RESUMEN
The identification of promising commercial varieties for irrigated crops in semiarid conditions based on characters of interest to sugarcane agro-industries is important, considering the search for high sugarcane yields to obtain sustainable crops. Thus, the objective of this work was to evaluate production components of agroindustrial interest of different sugarcane varieties grown under subsurface drip irrigation in the Semiarid region of Brazil, during two crop cycles. A randomized block experimental design was used, in an 8×2 factorial arrangement (varieties and cycles) with three replications. The sugarcane juice quality, sugar yield, and culm yield were evaluated in each cycle. Gross sugar percentage, sugarcane culm yield, juice apparent sucrose content, and juice purity were affected by the crop cycles. Soluble solids content presented strong significant correlation with most variables of agroindustrial interest. The path coefficient analysis showed that juice apparent sucrose content was the explanatory character with higher direct effect on soluble solids and that this variable presented high indirect effects on most explanatory variables. The sugarcane varieties RB72454 and Q124 are recommended for production managements with drip irrigation under semiarid conditions. Soluble solids content can be used as an alternative for direct selection of varieties with higher sugar yields in different cycles.(AU)
Asunto(s)
Evaluación de la Tecnología Biomédica/métodos , Saccharum/fisiología , Riego por Goteo , Zona Semiárida , AgroindustriaRESUMEN
Abstract Introduction: The management of Hinchey III diverticulitis has been subject to investigation over the years. Hartmann's procedure is widely referred as the standard treatment. However, this option is associated with relevant morbidity and mortality which motivated the arise of alternative interventions such as the laparoscopic peritoneal lavage. Aim: The aim of this review is to synthesize the evidence on the safety and effectiveness of laparoscopic peritoneal lavage in the management of diverticulitis with generalized purulent peritonitis in comparison to resection procedures. Materials and methods: The bibliographic research was conducted using the electronic database Medline from Pubmed. Of the 358 articles identified, our criterious selection resulted in a total of 27 articles for review. Results: Overall, laparoscopic lavage revealed low mortality rates with no remarkable differences between procedures. The non-randomized studies tended to show lower recurrence and morbidity rates comparatively to the latest RCTs, in the lavage groups, however, no significant differences have been found. Discussion and conclusion: In this review, laparoscopic peritoneal lavage proved to be safe and comparatively effective, although not superior to resection, reaching mixed results. We believe it can be applied as a damage control operation to treat or as a bridge to elective resection. Still, more studies are needed to determine indications and factors for the success of laparoscopic lavage.
Resumo Introdução: O tratamento da diverticulite por Hinchey III tem sido objeto de investigação ao longo dos anos. A operação tipo Hartmann é amplamente referida como o tratamento padrão. No entanto, esta opção está associada à morbilidade e mortalidade relevante, o que motivou o surgimento de intervenções alternativas, como a lavagem peritoneal laparoscópica. Objetivo: O objetivo desta revisão é sintetizar a evidência sobre a segurança e a eficácia da lavagem peritoneal laparoscópica no tratamento da diverticulite com peritonite generalizada purulenta em comparação com os procedimentos de ressecção. Materiais e métodos: A pesquisa bibliográfica foi realizada na base de dados eletrónica Medline da Pubmed. Dos 358 artigos identificados, a nossa seleção criteriosa resultou num total de 27 artigos para revisão. Resultados: No geral, a lavagem laparoscópica revelou baixas taxas de mortalidade sem diferenças significativas entre os procedimentos. Os estudos não randomizados tenderam a mostrar menores taxas de recorrência e morbilidade comparativamente aos últimos ensaios clínicos randomizados, nos grupos submetidos à lavagem, no entanto, nenhuma diferença significativa foi encontrada. Discussão e conclusão: Nesta revisão, a lavagem peritoneal laparoscópica mostrou-se segura e comparativamente eficaz, embora não superior à ressecção, não alcançando resultados constantes. Nós acreditamos que pode ser aplicada como um procedimento de controlo de danos para tratamento ou como ponte para cirurgia eletiva. Ainda assim, são necessários mais estudos para determinar indicações e fatores para o sucesso da lavagem laparoscópica.
Asunto(s)
Humanos , Lavado Peritoneal , Laparoscopía/métodos , Diverticulitis/terapia , Peritonitis , Resultado del TratamientoRESUMEN
The objective of this study was to assess the efficacy of exercise training by means of a rehabilitative walking protocol. Twenty patients with COPD staged as III/IV according to the Global Initiative for Chronic Obstructive Lung Disease were included. Patients were evaluated at baseline and at the end of the exercise program regarding oxygen desaturation, sensation of dyspnea/fatigue, quality of life and six-minute walk distance. The comparison between the six-minute walk distance prior to and after training proved the efficacy of the protocol, which also resulted in a decrease in oxygen desaturation and in the sensation of dyspnea. This protocol can be easily put into practice.
Asunto(s)
Terapia por Ejercicio/métodos , Enfermedad Pulmonar Obstructiva Crónica/rehabilitación , Caminata/fisiología , Actividades Cotidianas , Anciano , Anciano de 80 o más Años , Prueba de Esfuerzo , Terapia por Ejercicio/normas , Humanos , Masculino , Persona de Mediana Edad , Enfermedad Pulmonar Obstructiva Crónica/fisiopatología , Calidad de Vida , Resultado del TratamientoRESUMEN
O objetivo deste estudo foi avaliar a eficácia do treinamento de exercício com protocolo de marcha. Foram incluídos 20 doentes com DPOC em estádios III/IV segundo Global Initiative for Chronic Obstructive Lung Disease. Os pacientes foram avaliados no início e ao final do programa de exercício quanto à dessaturação de oxigênio, sensação de dispneia/fadiga, qualidade de vida e distância percorrida no teste da caminhada de seis minutos. O efeito de treinamento evidenciou-se na comparação das distâncias percorridas antes e após o treinamento, com diminuição da dessaturação para maiores distâncias e na sensação de dispneia. Esse programa de treinamento é facilmente exequível.
The objective of this study was to assess the efficacy of exercise training by means of a rehabilitative walking protocol. Twenty patients with COPD staged as III/IV according to the Global Initiative for Chronic Obstructive Lung Disease were included. Patients were evaluated at baseline and at the end of the exercise program regarding oxygen desaturation, sensation of dyspnea/fatigue, quality of life and six-minute walk distance. The comparison between the six-minute walk distance prior to and after training proved the efficacy of the protocol, which also resulted in a decrease in oxygen desaturation and in the sensation of dyspnea. This protocol can be easily put into practice.