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Objetivo: descrever a capacidade de cuidado familiar em paliação na atenção domiciliar. Métodos: estudo descritivo desenvolvido em São Luís, Maranhão, com 112 cuidadores familiares de pacientes em paliação. A coleta de dados foi realizada de fevereiro a maio de 2021 utilizando instrumento contendo variáveis sociodemográficas e Escala Capacidade paraCuidar em Paliativos com análise por Escala Likert. Resultados: maioria dos cuidadores são mulheres (91,07%), adultas (83,03%), pardas (62,5%), solteiras (50%) com ensino médio (51,79%). A análise da escala revelou 34,82% dos cuidadores precisam trabalhar as informações sobre a doença do familiar e aprender lidar com situações difícil,64,29 % indicam a carência em relação ao medo e impotência, e82,14% necessitam atenção quanto a capacidade física e psicológica para cuidar. Conclusão: a capacidade melhor avaliada é a de dimensão prática. As dimensões, emocional e autocuidado, necessitam de intervenção profissional para melhora do ato de cuidar.

Objective: to describe the capacity for family care in palliation in home care. Methods:descriptive study developed in São Luís, Maranhão, with 112 family caregivers of patients undergoing palliation. Data collection was carried out from February to May 2021 using an instrument containing sociodemographic variables and the Capacity for Palliative Care Scale with analysis using Likert Scale. Results: most caregivers are women (91.07%), adults (83.03%), mixed race (62.5%), single (50%) and with high school education (51.79%). Analysis of the scale revealed that 34.82% of caregivers need to work on the information about the family member's illness and learn to deal with difficult situations, 64.29% indicate a need for fear and impotence, and 82.14% need attention their physical and psychological capacity to care. Conclusion:the best evaluated ability is the practical dimension. The emotional and self-care dimensions require professional intervention to improve the act of caring.

Objetivo:describir la capacidad de cuidado familiar en paliativo domiciliarios. Métodos:estudio descriptivo desarrollado en São Luís, Maranhão, 112 cuidadores familiares de pacientes en paliación. La recolección de datos se realizó de febrero a mayo de 2021 mediante un instrumento que contiene variables sociodemográficas y la Escala de Capacidad en Cuidados Paliativos con análisis mediante Escala Likert. Resultados:la mayoría de los cuidadores son mujeres (91,07%), adultos (83,03%), mestizos (62,5%), solteros (50%) y estudios secundarios (51,79%). El análisis de la escala reveló que el 34,82% de los cuidadores necesita trabajar la información sobre la enfermedad del familiar y aprender a lidiar con situaciones difíciles, el 64,29% indica necesidad de miedo e impotencia y el 82,14% necesita atención al físico y capacidad psicológica para cuidar. Conclusión:la habilidad mejor evaluada es la dimensión práctica. La dimensión emocional y de autocuidado requieren intervención profesional para mejorar el acto decuidar.

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Since 1999, Vaccinia virus (VACV) has been described as a causative agent of bovine vaccinia (BV), a zoonotic disease that occurs mainly in rural areas of Brazil. However, the circulation of VACV in urban environments and its associated burden has been poorly explored. Moreover, the current monkeypox (mpox) outbreak has raised questions regarding the immune status of the worldwide population previous vaccinated against smallpox. Hence, we conducted a cross-sectional study to better understand the prevalence of anti-OPV neutralizing antibodies (NA) and related exposure factors in a susceptible urban population of Brazil. A total of 372 individuals were sampled, yielding an overall seroprevalence of 16.9% (CI95% = 13.4-21.1), and antibodies titers ranging from 100 to 800 neutralizing units/mL. The prevalence of NA among individuals potentially vaccinated against smallpox (≥36 years old [yo]) was 24.9% (IC 95% = 19.5-31.2), and among those unvaccinated (<36yo) was 6.7% (IC 95% = 3.7-11.8). Interestingly, contact with horses was pointed out as an exposure factor for the presence of NA, however, the multivariate logistic regression analysis indicated that age ≥36yo and the presence of vaccine take were independently associated with the presence of anti-OPV NA. Our findings suggest that vulnerable populations could be subclinically exposed to VACV in urban areas, drawing attention to alternative routes of zoonotic VACV exposure. Our data is also important for better strategies to mitigate zoonotic OPV infections mainly among vulnerable populations.

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We tested coatis (Nasua nasua) living in an urban park near a densely populated area of Brazil and found natural SARS-CoV-2 Zeta variant infections by using quantitative reverse transcription PCR, genomic sequencing, and serologic surveillance. We recommend a One Health strategy to improve surveillance of and response to COVID-19.

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This study aims to investigate the effectiveness of the use of different feedback modalities in improving the knowledge, attitudes, and skills of medical students compared to students receiving no feedback or unstructured feedback. A systematic review and meta-analysis of randomized controlled trials was conducted based on a search of the Cochrane, ERIC, PubMed, Scopus, and Web of Science databases. A total of 26 studies were included for the systematic review and 13 for the meta-analysis. The meta-analysis revealed that the use of feedback was associated with better results compared to control groups (SMD = 0.80 [0.56-1.04], p < 0.001), and also when only high-quality studies were included (SMD = 0.86 [0.56-1.16], p < 0.001). Our findings revealed high heterogeneity in the use of feedback in medical education. However, the results of most of the studies and of the meta-analysis were positive, showing that feedback had a positive influence on the education-learning process of the students. PROSPERO registration: CRD42018112688.

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Objetivo:comparar a efetividade de dois programas de educação permanente para aquisição de habilidades psicomotoras relacionadas à ressuscitação cardiopulmonar em lactentes, a partir da utilização do método tradicional de ensino de suporte básico de vida, comparado ao método com utilização de vídeo com treino autodidata em manequim. Métodos: ensaio controlado com membros da equipe de enfermagem, randomizados em grupo controle (treino tradicional) e intervenção (treino autodidata). Para averiguar as habilidades no atendimento de ressuscitação cardiopulmonar em lactentes, aplicou-se um checklist. Foi aplicado pré-teste, seguido de treinamento imediato, follow-upde 15 dias, com reaplicação da avaliação de habilidades (pós-teste). Resultados:participaram 41 técnicos de enfermagem e 11 enfermeiros. No pós-teste, houve diferença significativa do grupo intervenção (12,61 +2,09) em relação ao grupo controle (14,65 +2,01) (p=0,001). Em ambos osgruposhouve aumento nas pontuações após 15 dias. Conclusão: os profissionais que participaram do treino tradicional (grupo controle) e que receberam feedbacksobre seu desempenho obtiveram melhores resultados para habilidades relacionadas à ressuscitação cardiopulmonar em lactentes.

Objective:To compare the effectiveness of two programs of permanent education for the acquisition of psychomotor skills related to infant cardiopulmonary resuscitation, comparing the traditional basic life support teaching method with the use of a video for self-education with a manikin. Methods:Controlled trial with members from the nursing team, randomized in a control group (traditional training) and an intervention group (self-taught). A checklist was used to evaluate infant cardiopulmonary resuscitation skills. A pre-test was applied, immediately followed by training and a 15-day follow up, when the skills were reevaluated (post-test). Results:41 nursing technicians and 11 nurses participated. In the post test, there was a significant difference between the intervention (12.61 +2.09) and control groups (14.65 +2.01) (p=0.001). The score of both groups improved after 15 days. Conclusion:Professionals who participated in the traditional training (control group) and received feedback about their performance had better results in regard to their skills in infant cardiopulmonary resuscitation

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Blue natural pigments are rare, especially among plants. However, flowering species that evolved to attract Hymenoptera pollinators are colored by blue anthocyanin-metal complexes. Plants lacking anthocyanins are pigmented by betalains but are unable to produce blue hues. By extending the π-system of betalains, we designed a photostable and metal-free blue dye named BeetBlue that did not show toxicity to human hepatic and retinal pigment epithelial cells and does not affect zebrafish embryonal development. This chiral dye can be conveniently synthesized from betalamic acid obtained from hydrolyzed red beetroot juice or by enzymatic oxidation of l-dopa. BeetBlue is blue in the solid form and in solution of acidified polar molecular solvents, including water. Its capacity to dye natural matrices makes BeetBlue the prototype of a new class of low-cost bioinspired chromophores suitable for a myriad of applications requiring a blue hue.

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Blue natural pigments are rare, especially among plants. However, flowering species that evolved to attract Hymenoptera pollinators are colored by blue anthocyanin-metal complexes. Plants lacking anthocyanins are pigmented by betalains but are unable to produce blue hues. By extending the p-system of betalains, we designed a photostable and metal-free blue dye named BeetBlue that did not show toxicity to human hepatic and retinal pigment epithelial cells and does not affect zebrafish embryonal development. This chiral dye can be conveniently synthesized from betalamic acid obtained from hydrolyzed red beetroot juice or by enzymatic oxidation of L-dopa. BeetBlue is blue in the solid form and in solution of acidified polar molecular solvents, including water. Its capacity to dye natural matrices makes BeetBlue the prototype of a new class of low-cost bioinspired chromophores suitable for a myriad of applications requiring a blue hue.

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The objective of this study was to estimate the adaptability and stability of grain sorghum hybrids grown under post-flowering water stress and non-stress conditions. The trials were carried out in Nova Porteirinha-MG during the season of 2014 and 2015, and in Teresina-PI in the 2014 season. Twenty-nine-grain sorghum hybrids were evaluated, in a randomized complete block design, with three replications. Plots consisted of four lines with 3 m long. The grain yield data were submitted to the individual variance analysis, having considered the effects of the hybrids as fixed and the other effects as random. The joint analysis was carried out, and when the interaction genotypes x environments was significant, the grain yield data were submitted to the adaptability and stability analysis by the GGE biplot method. A substantial reduction in the grain yield in environments with water stress was found. The highest yielding hybrids under water stress conditions in Nova Porteirinha-MG were 50A50, AG1080, AG1090, DKB550, DKB590, Jade, and BM737, and the highest yielding hybrids under the water stress in Teresina-PI were 1G282, 1G244, and A9721R. Considering all environments, the highest yielding hybrids were 1G282, DKB540, A9721R, 1G100, and AG1090.

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Objetivos: analisar os elementos do cuidado de enfermagem em Oncologia ao paciente portador de doença que ameaça a vida na perspectiva do enfermeiro; discutir a interface existente entre o cuidado significado pelo enfermeiro e a Teoria do Cuidado Transpessoal. Método: Estudo qualitativo, com análise de conteúdo em Bardin. Teve como cenário uma instituição hospitalar de Minas Gerais e participaram 12 enfermeiros entrevistados entre setembro/outubro/2014. Resultados: Emergiram duas categorias: Significados do cuidado de enfermagem ao paciente fora de possibilidade de tratamento modificador da doença; Cuidando com o que se tem de melhor: Técnica, sentimentos e interação multiprofissional. Conclusão: Os elementos do cuidado de enfermagem apontados podem ser subsidiados pela Teoria do Cuidado Transpessoal e vão ao encontro das perspectivas apontadas como necessárias pela Política Nacional de Atenção Oncológica e pelo Manual de Cuidados Paliativos.

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The purpose of this study was to identify parents and obtain segregating populations of cowpea (Vigna unguiculata L. Walp.) with the potential for tolerance to water deficit. A full diallel was performed with six cowpea genotypes, and two experiments were conducted in Teresina, PI, Brazil in 2011 to evaluate 30 F2 populations and their parents, one under water deficit and the other under full irrigation. A triple-lattice experimental design was used, with six 2-m-long rows in each plot. Sixteen plants were sampled per plot. The data were subjected to analysis of variance, and general and specific combining ability estimates were obtained based on the means. Additive effects were more important than non-additive effects, and maternal inheritance had occurred. The genotypes BRS Xiquexique, Pingo de Ouro-1-2, and MNC99-510F-16-1 were the most promising for use in selection programs aimed at water deficit tolerance. The hybrid combinations Pingo de Ouro-1-2 x BRS Xiquexique, BRS Xiquexique x Santo Inácio, CNCx 698-128G x MNC99-510F-16-1, Santo Inácio x CNCx 698-128G, MNC99-510F-16-1 x BRS Paraguaçu, MNC99- 510F-16-1 x Pingo de Ouro-1-2, and MNC99-510F-16-1 x BRS Xiquexique have the potential to increase grain production and tolerate water deficit.

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UNLABELLED: Breast cancer (BC) in young adult patients (YA) has a more aggressive biological behavior and is associated with a worse prognosis than BC arising in middle aged patients (MA). We proposed that differentially expressed miRNAs could regulate genes and proteins underlying aggressive phenotypes of breast tumors in YA patients when compared to those arising in MA patients. OBJECTIVE: Using integrated expression analyses of miRs, their mRNA and protein targets and stromal gene expression, we aimed to identify differentially expressed profiles between tumors from YA-BC and MA-BC. METHODOLOGY AND RESULTS: Samples of ER+ invasive ductal breast carcinomas, divided into two groups: YA-BC (35 years or less) or MA-BC (50-65 years) were evaluated. Screening for BRCA1/2 status according to the BOADICEA program indicated low risk of patients being carriers of these mutations. Aggressive characteristics were more evident in YA-BC versus MA-BC. Performing qPCR, we identified eight miRs differentially expressed (miR-9, 18b, 33b, 106a, 106b, 210, 518a-3p and miR-372) between YA-BC and MA-BC tumors with high confidence statement, which were associated with aggressive clinicopathological characteristics. The expression profiles by microarray identified 602 predicted target genes associated to proliferation, cell cycle and development biological functions. Performing RPPA, 24 target proteins differed between both groups and 21 were interconnected within a network protein-protein interactions associated with proliferation, development and metabolism pathways over represented in YA-BC. Combination of eight mRNA targets or the combination of eight target proteins defined indicators able to classify individual samples into YA-BC or MA-BC groups. Fibroblast-enriched stroma expression profile analysis resulted in 308 stromal genes differentially expressed between YA-BC and MA-BC. CONCLUSION: We defined a set of differentially expressed miRNAs, their mRNAs and protein targets and stromal genes that distinguish early onset from late onset ER positive breast cancers which may be involved with tumor aggressiveness of YA-BC.

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Eucalyptus plantations are frequently used for the establishment of bee yards. This study was carried on at Fazenda Brejão, northwestern region of the State of Minas Gerais, Brazil. This farm is covered both with native Cerrado vegetation (Brazilian savanna) and eucalyptus plantations. This paper reports on the botanic origin of pollen pellets and honey collected from honeybee (Apis mellifera) hives along a thirteen-month period (January 2004 to January 2005). The most frequent pollen types found in the pollen pellets during the rainy season were Trema micrantha (Ulmaceae), Copaifera langsdorffii (Fabaceae), an unidentified Poaceae, unidentified Asteraceae-2, Cecropia sp. 1 (Cecropiaceae) and Eucalyptus spp. (Myrtaceae); during the dry season the most frequent pollen types were Acosmium dasycarpum (Fabaceae), Cecropia sp. 1 (Cecropiaceae) and Eucalyptus spp. (Myrtaceae). Pollen grains of Baccharis sp. (Asteraceae), Cecropia sp. 1 (Cecropiaceae), Copaifera langsdorffii (Fabaceae), Mimosa nuda (Fabaceae), Eucalyptus spp. (Myrtaceae) and Trema micrantha (Ulmaceae) were present in the honey samples throughout the study period.

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Vigna unguiculata (L.) Walp (cowpea) is a food crop with high nutritional value that is cultivated throughout tropical and subtropical regions of the world. The main constraint on high productivity of cowpea is water deficit, caused by the long periods of drought that occur in these regions. The aim of the present study was to select elite cowpea genotypes with enhanced drought tolerance, by applying principal component analysis to 219 first-cycle progenies obtained in a recurrent selection program. The experimental design comprised a simple 15 x 15 lattice with 450 plots, each of two rows of 10 plants. Plants were grown under water-deficit conditions by applying a water depth of 205 mm representing one-half of that required by cowpea. Variables assessed were flowering, maturation, pod length, number and mass of beans/pod, mass of 100 beans, and productivity/plot. Ten elite cowpea genotypes were selected, in which principal components 1 and 2 encompassed variables related to yield (pod length, beans/pod, and productivity/plot) and life precocity (flowering and maturation), respectively.

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Abstract Eucalyptus plantations are frequently used for the establishment of bee yards. This study was carried on at Fazenda Brejão, northwestern region of the State of Minas Gerais, Brazil. This farm is covered both with native Cerrado vegetation (Brazilian savanna) and eucalyptus plantations. This paper reports on the botanic origin of pollen pellets and honey collected from honeybee (Apis mellifera) hives along a thirteen-month period (January 2004 to January 2005). The most frequent pollen types found in the pollen pellets during the rainy season were Trema micrantha (Ulmaceae), Copaifera langsdorffii (Fabaceae), an unidentified Poaceae, unidentified Asteraceae-2, Cecropia sp. 1 (Cecropiaceae) and Eucalyptus spp. (Myrtaceae); during the dry season the most frequent pollen types were Acosmium dasycarpum (Fabaceae), Cecropia sp. 1 (Cecropiaceae) and Eucalyptus spp. (Myrtaceae). Pollen grains of Baccharis sp. (Asteraceae), Cecropia sp. 1 (Cecropiaceae), Copaifera langsdorffii (Fabaceae), Mimosa nuda (Fabaceae), Eucalyptus spp. (Myrtaceae) and Trema micrantha (Ulmaceae) were present in the honey samples throughout the study period.

Resumo Plantações de Eucalyptus são, frequentemente, utilizadas como locais de instalação para colmeias. Este estudo foi realizado na Fazenda Brejão, localizada no noroeste de Minas Gerais, Brasil. Esta fazenda é coberta por Cerrado nativo (savana brasileira) e por plantações de eucaliptos. Este trabalho indica a origem botânica de bolotas e mel coletados em colmeias de Apis mellifera por um período de 13 meses (Janeiro/2004 a janeiro/2005). Os tipos polínicos mais frequentes nas amostras de pólen durante a estação chuvosa foram Trema micrantha (Ulmaceae), Copaifera langsdorffii (Fabaceae), Poaceae, Asteraceae não identificada 2, Cecropia sp. 1 (Cecropiaceae) e Eucalyptus spp. (Myrtaceae); na estação seca, os tipos polínicos mais frequentes foram Acosmium dasycarpum (Fabaceae), Cecropia sp. 1 (Cecropiaceae) e Eucalyptus spp. (Myrtaceae). As espécies Baccharis sp. (Asteraceae), Cecropia sp. 1 (Cecropiaceae), Copaifera langsdorffii (Fabaceae), Mimosa nuda (Fabaceae), Eucalyptus spp. (Myrtaceae) e Trema micrantha (Ulmaceae) estiveram presentes durante todo o período amostrado.

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Eucalyptus plantations are frequently used for the establishment of bee yards. This study was carried on at Fazenda Brejão, northwestern region of the State of Minas Gerais, Brazil. This farm is covered both with native Cerrado vegetation (Brazilian savanna) and eucalyptus plantations. This paper reports on the botanic origin of pollen pellets and honey collected from honeybee (Apis mellifera) hives along a thirteen-month period (January 2004 to January 2005). The most frequent pollen types found in the pollen pellets during the rainy season were Trema micrantha (Ulmaceae), Copaifera langsdorffii (Fabaceae), an unidentified Poaceae, unidentified Asteraceae-2, Cecropia sp. 1 (Cecropiaceae) and Eucalyptus spp. (Myrtaceae); during the dry season the most frequent pollen types were Acosmium dasycarpum (Fabaceae), Cecropia sp. 1 (Cecropiaceae) and Eucalyptus spp. (Myrtaceae). Pollen grains of Baccharis sp. (Asteraceae), Cecropia sp. 1 (Cecropiaceae), Copaifera langsdorffii (Fabaceae), Mimosa nuda (Fabaceae), Eucalyptus spp. (Myrtaceae) and Trema micrantha (Ulmaceae) were present in the honey samples throughout the study period.(AU)

Plantações de Eucalyptus são, frequentemente, utilizadas como locais de instalação para colmeias. Este estudo foi realizado na Fazenda Brejão, localizada no noroeste de Minas Gerais, Brasil. Esta fazenda é coberta por Cerrado nativo (savana brasileira) e por plantações de eucaliptos. Este trabalho indica a origem botânica de bolotas e mel coletados em colmeias de Apis mellifera por um período de 13 meses (Janeiro/2004 a janeiro/2005). Os tipos polínicos mais frequentes nas amostras de pólen durante a estação chuvosa foram Trema micrantha (Ulmaceae), Copaifera langsdorffii (Fabaceae), Poaceae, Asteraceae não identificada 2, Cecropia sp. 1 (Cecropiaceae) e Eucalyptus spp. (Myrtaceae); na estação seca, os tipos polínicos mais frequentes foram Acosmium dasycarpum (Fabaceae), Cecropia sp. 1 (Cecropiaceae) e Eucalyptus spp. (Myrtaceae). As espécies Baccharis sp. (Asteraceae), Cecropia sp. 1 (Cecropiaceae), Copaifera langsdorffii (Fabaceae), Mimosa nuda (Fabaceae), Eucalyptus spp. (Myrtaceae) e Trema micrantha (Ulmaceae) estiveram presentes durante todo o período amostrado.(AU)

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Twenty-five cultivars of grain sorghum [Sorghum bicolor (L.) Moench] were examined under both drought stress and normal conditions in 4 experiments. In each condition, genotypes were evaluated in a factorial experiment using a randomized complete block design with 3 replications. Eight drought tolerance indices including stability tolerance index, mean productivity (MP), geometric MP, harmonic mean, stress susceptibility index, tolerance index, yield index, and yield stability index were estimated for each genotype based on grain yield under drought (Ys) and irrigated conditions (Yp). The results indicated that there were positive and significant correlations among Yp and Ys with geometric MP, MP, harmonic mean, and stability tolerance index, indicating that these factors are better predictors of Yp and Ys than tolerance index, stress susceptibility index, yield stability index, and yield index. Based on adjusted means at Yp and Ys, indices geometric MP, MP, harmonic mean, and stability tolerance index, unweighted pair group method with arithmetic mean cluster and biplot analysis, the most tolerant cultivars were '9929020', '9929034', and 'N 95B'.

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The sweet potato ( Ipomoea batatas (L.) Lam ) is a vegetable native to tropical America, now a prominent crop in all parts of the world. The main purpose of cultivating this plant is to produce roots for human and domestic animal consumption and ethanol production. The preferred part of I. batatas is the roots, so that the shoot is generally discarded or used as animal feed. The aim of this study was to determine the total phenolic content, the chromatographic profile and the antioxidant potential of the leaves of 10 cultivars of I. batatas developed by conventional breeding for the industrial production of ethanol. Ethanol extracts of the leaves of mature plants were assayed for phenolic contents by The Folin-Ciocalteu method, which ranged between 54.72 ± 4.35 and 112.29 ± 3.65 mg TAE/g, for flavonoids by complexation with aluminum chloride (29.15 ± 372 to 97.36 ± 2.13 mg RE/g), for in vitro antioxidant activity by the DPPH FRAP methods and for chelating activity. Additionally, the phenolic compounds were investigated by thin layer chromatography (TLC) and high performance liquid chromatography (HPLC), revealing a complex matrix of compounds comprising various flavonoids and ellagic acid. A high antioxidant potential was found, which was satisfactorily correlated by Pearson correlation with total phenolic and flavonoid contents. The results showed a great potential for adding value to the crop of I. batatas, by combining the current agro-energy practice based on its roots with the exploitation of other organic commodities present in its leaves...

A batata-doce (Ipomoea batatas (L.) Lam.) é um vegetal nativo da América Tropical, com destaque no cenário da agricultura mundial. A principal finalidade do cultivo desta planta concentra-se na obtenção de raízes para alimentação humana, de animais domésticos e produção de etanol. A preferência de consumo de I. batatas concentra-se nas raízes, consequentemente a parte aérea, na maioria das vezes, é descartada ou fornecida como alimento para animais. Este trabalho teve como objetivo determinar o conteúdo fenólico total, o perfil cromatográfico e o potencial antioxidante das folhas de 10 cultivares de I. batatas provenientes de melhoramento genético convencional direcionado para a produção industrial de etanol. Extratos etanólicos das folhas de plantas adultas foram avaliados quanto ao conteúdo fenólico pelo método Folin-Ciocalteu, que variou entre 54,72 ± 4,35 e 112,29 ± 3,65 mg EAT/g, flavonoides por complexação com cloreto de alumínio (29,15 ± 3,72 a 97,36 ± 2,13 mg ER/g), atividade antioxidante in vitro pelos métodos DPPH, FRAP e atividade quelante. Adicionalmente, foram investigados os componentes fenólicos por cromatografia em camada delgada (CCD) e cromatografia líquida de alta eficiência (CLAE), que revelaram matrizes complexas de compostos, constituídas por ácido elágico e vários flavonoides. Constatou-se um elevado potencial antioxidante correlacionado satisfatoriamente pelo coeficiente de Pearson com teor de fenóis e flavonoides totais. Os resultados demonstraram grande potencial de agregação de valor ao cultivo de I. batatas, pela integração das práticas agroenergéticas que utilizam suas raízes, com a obtenção de outros produtos de base orgânica presentes nas folhas desta planta...

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Changes in plasma von Willebrand factor concentration (VWF:Ag) and ADAMTS-13 activity (the metalloprotease that cleaves VWF physiologically) have been reported in several cardiovascular disorders with prognostic implications. We therefore determined the level of these proteins in the plasma of children with cyanotic congenital heart disease (CCHD) undergoing surgical treatment. Forty-eight children were enrolled (age 0.83 to 7.58 years). Measurements were performed at baseline and 48 h after surgery. ELISA, collagen-binding assays and Western blotting were used to estimate antigenic and biological activities, and proteolysis of VWF multimers. Preoperatively, VWF:Ag and ADAMTS-13 activity were decreased (65 and 71% of normal levels considered as 113 (105-129) U/dL and 91 ± 24% respectively, P < 0.003) and correlated (r = 0.39, P = 0.0064). High molecular weight VWF multimers were not related, suggesting an interaction of VWF with cell membranes, followed by proteolytic cleavage. A low preoperative ADAMTS-13 activity, a longer activated partial thromboplastin time and the need for cardiopulmonary bypass correlated with postoperative bleeding (P < 0.05). Postoperatively, ADAMTS-13 activity increased but less extensively than VWF:Ag (respectively, 2.23 and 2.83 times baseline, P < 0.0001), resulting in an increased VWF:Ag/ADAMTS-13 activity ratio (1.20 to 1.54, respectively, pre- and postoperative median values, P = 0.0029). ADAMTS-13 consumption was further confirmed by decreased ADAMTS-13 antigenic concentration (0.91 ± 0.30 to 0.70 ± 0.25 µg/mL, P < 0.0001) and persistent proteolysis of VWF multimers. We conclude that, in pediatric CCHD, changes in circulating ADAMTS-13 suggest enzyme consumption, associated with abnormal structure and function of VWF.

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Changes in plasma von Willebrand factor concentration (VWF:Ag) and ADAMTS-13 activity (the metalloprotease that cleaves VWF physiologically) have been reported in several cardiovascular disorders with prognostic implications. We therefore determined the level of these proteins in the plasma of children with cyanotic congenital heart disease (CCHD) undergoing surgical treatment. Forty-eight children were enrolled (age 0.83 to 7.58 years). Measurements were performed at baseline and 48 h after surgery. ELISA, collagen-binding assays and Western blotting were used to estimate antigenic and biological activities, and proteolysis of VWF multimers. Preoperatively, VWF:Ag and ADAMTS-13 activity were decreased (65 and 71% of normal levels considered as 113 (105-129) U/dL and 91 ± 24% respectively, P < 0.003) and correlated (r = 0.39, P = 0.0064). High molecular weight VWF multimers were not related, suggesting an interaction of VWF with cell membranes, followed by proteolytic cleavage. A low preoperative ADAMTS-13 activity, a longer activated partial thromboplastin time and the need for cardiopulmonary bypass correlated with postoperative bleeding (P < 0.05). Postoperatively, ADAMTS-13 activity increased but less extensively than VWF:Ag (respectively, 2.23 and 2.83 times baseline, P < 0.0001), resulting in an increased VWF:Ag/ADAMTS-13 activity ratio (1.20 to 1.54, respectively, pre- and postoperative median values, P = 0.0029). ADAMTS-13 consumption was further confirmed by decreased ADAMTS-13 antigenic concentration (0.91 ± 0.30 to 0.70 ± 0.25 µg/mL, P < 0.0001) and persistent proteolysis of VWF multimers. We conclude that, in pediatric CCHD, changes in circulating ADAMTS-13 suggest enzyme consumption, associated with abnormal structure and function of VWF.

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RESUMO

Este estudio pretende determinar la prevalencia de la patología bucal y maxilofacial en niños y adolescentes de 0 a 16 años, diagnosticados en un centro de referencia para el cáncer en São Luís - MA en un período de 20 años. Los datos fueron recogidos de los casos diagnosticados en el Departamento de Patología, Instituto de Oncología Maranhense Aldenora Bello - IMOAB 1985 y 2005. Los datos recogidos fueron sexo, edad del paciente al momento del diagnóstico, región anatómica afectada y el diagnóstico histopatológico. Se encontró que la patología de los tejidos blandos benignos fueron los más frecuentes, representando el 41,52% de toda la patología maxilofacial en niños y adolescentes, y las lesiones más comunes fueron: granuloma piógénico (14,44%), proceso inflamatorio crónico (12,9%) y Hemangioma (11,55%), y la prevalencia anatómica de los labios. Entre los casos de tumores malignos (10,83%), los más prevalentes fueron Linfoma de Hodgkin (2,16%), Linfoma no Hodgkin (2,16%), tumores malignos no identificados (2,16%) y sarcoma (1,44%). En cuanto al sexo, hubo una mayor frecuencia de trastornos en los pacientes de sexo masculino (55,76%), excepto para el grupo de enfermedades de la piel, que eran más comunes en las mujeres. Basado en la metodología de los autores concluyeron que los casos benignos más frecuentes en niños y adolescentes de 0 a 16 años, convertirse en tumores malignos en el cuarto lugar

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