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Introduction: After the diagnosis of neoplasm of the middle and distal rectum, patients are often submitted to oncological treatment by neoadjuvant therapy. At the end of this treatment, those patients who show complete clinical response can choose, together with their physician, to adopt the watch-and-wait strategy; although it implies lower morbidity for the patient, this strategy is dependent on strict adherence to treatment follow-up for the early identification of any future local injury. Materials and Methods: Survey of data from medical records and description, and discussion of case reports with a literature review in books and databases. Results: We report the case of a 73-year-old patient diagnosed with moderately differentiated adenocarcinoma of the middle rectum, Stage II (cT3bN0M0), who presented complete clinical response after undergoing treatment with neoadjuvant therapy. Together with the assistant team, the watch-and-wait strategy was chosen. During the follow-up, an endoscopic examination showed a vegetating at the proximal limit of the tumor scar. We chose to perform submucosal endoscopic dissection. The report of the anatomopathological examination evidenced a serrated adenoma with narrow margins free of neoplasia. Conclusion: Patient adherence to cancer treatment using the watch-and-wait strategy is essential for the early identification of new local lesions. After resection of the lesion identified in the tumor scar site as a neoplasm-free lesion, it is consistent to think that this lesion would be the origin of the neoplasm, given the adenomatous origin. (AU)

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The selection of parents to originate promising base populations, as well as the knowledge of the gene effects controlling agronomic traits by means of diallel, are useful to drive genetic gains in Brazilian tropical wheat breeding programs. The goals of this study were to select tropical wheat parents with a high frequency of favorable alleles and segregating populations with high potential to originate superior progenies through partial diallel analysis. Thus, 14 parents were divided in two groups and crossed in a 7 × 7 partial diallel scheme to originate 49 F1 combinations. After obtaining F2 generation, the populations and the parents were evaluated in the field in the summer of 2021. Days for heading, plant height, rust and yellow spot resistance, and grain yield were evaluated. The data were subjected to partial diallel analysis. There were significant effects of general combining ability for all traits. The specific combining ability effect was significant for days for heading and plant height. The additive gene effects were predominant over the non-additive ones. The parents with the highest frequency of favorable alleles for the traits evaluated were selected in each group. Four populations with high genetic potential to originate superior progenies were selected.

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The World Health Organization (WHO) recognizes schistosomiasis as one of the Neglected Tropical Diseases targeted for global elimination in the 2030 Agenda of the Sustainable Development Goals. In Brazil, schistosomiasis mansoni is considered a public health problem, particularly prevalent among vulnerable populations living in areas with poor environmental and sanitary conditions. In 2022, the WHO published a Guideline encompassing recommendations to assist national programs in endemic countries in achieving morbidity control, eliminating schistosomiasis as a public health problem, and advancing towards interrupting transmission. The perspectives presented here, collectively prepared by members of the Oswaldo Cruz Foundation's (Fiocruz) Schistosomiasis Translational Program (FioSchisto), along with invited experts, examine the feasibility of the WHO recommendations for the Brazilian settings, providing appropriate recommendations for public health policies applicable to the epidemiological reality of Brazil, and suggests future research to address relevant issues. In Brazil, the provision of safe water and sanitation should be the key action to achieve schistosomiasis elimination goals. The agencies involved in measures implementation should act together with the Primary Care teams for planning, executing, monitoring, and evaluating actions in priority municipalities based on their epidemiological indicators. Host snails control should prioritize judicious ecological interventions at breeding sites. The Information, Education, and Communication (IEC) strategy should be associated with water and sanitation and other control actions, actively involving school community. To identify infected carriers, FioSchisto recommends a two-stage approach of immunological and molecular tests to verify transmission interruption during the intervention and beyond. Praziquantel administration should be done under medical supervision at the Primary Care level. MDA should be considered in exceptional settings, as a measure of initial attack strategy in locations presenting high endemicity, always integrated with water and sanitation, IEC, and snail control. To assist decision-making, as well as the monitoring and evaluation of strategic actions, there is a need for an Information System. FioSchisto considers this systematization essential to make investments in strategic research to support the improvement of schistosomiasis control actions. Efforts toward schistosomiasis elimination in Brazil will succeed with a paradigm shift from the vertical prescriptive framework to a community-centered approach involving intersectoral and interdisciplinary collaboration.

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Canonical correlation analysis based on genotypic correlations allows determining the associations between groups of traits and carrying out the direct or indirect selection of superior genotypes. This study investigated the existence of linear and multivariate relationships between high and low heritability traits via canonical correlation analysis based on genotypic correlations. The experiment was conducted at the Professor Diogo Alves de Melo Experimental Field at the Universidade Federal de Viçosa, in Viçosa, MG. 90 wheat cultivars were evaluated under a 9 × 10 alpha-lattice design, with three replications and plots consisting of four rows of three meters spaced at 0.20 meters. Canonical groups were established between spike height and plant height, days for heading, number of spikelets per spike, and number of grains per spike (Group I) and, spike weight, spike grain mass, 100-grain mass, hectoliter weight, and grain yield (Group II). There was dependence between the established groups, which allowed the investigation of the relationships between traits based on their genotypic values. The traits cycle and plant height can be used for indirect selection of genotypes superior in hectoliter weight and grain yield, which are important factors for industries and farmers.

As análises de correlações canônicas baseadas nas correlações genotípicas, permitem determinar associações entre grupos de caracteres e realizar a seleção direta ou indireta de genótipos superiores. Objetivou-se com este trabalho investigar a existência de relações lineares e multivariadas entre caracteres de alta e baixa herdabilidade via análise de correlações canônicas com base nas correlações genotípicas. O experimento foi conduzido no Campo Experimental Professor Diogo Alves de Melo da Universidade Federal de Viçosa, em Viçosa, Minas Gerais. 90 cultivares de trigo foram avaliadas sob o delineamento alpha-lattice 9 × 10, com três repetições e parcelas constituídas por quatro linhas de três metros espaçadas a 0.20 metros. Os grupos canônicos foram estabelecidos entre altura de espiga e planta, dias para o espigamento, número de espiguetas por espiga e número de grãos por espiga (Grupo I) e, peso de espiga, massa de grãos da espiga, massa de 100 grãos, peso hectolitro e produtividade de grãos (Grupo II). Houve dependência entre os grupos estabelecidos, o que permitiu a investigação das relações entre os caracteres com base em seus valores genotípicos. Os caracteres ciclo e altura de plantas podem ser utilizados para a seleção indireta de genótipos superiores em peso hectolitro e produtividade, fatores estes importantes para indústrias e produtores.

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ABSTRACT: Canonical correlation analysis based on genotypic correlations allows determining the associations between groups of traits and carrying out the direct or indirect selection of superior genotypes. This study investigated the existence of linear and multivariate relationships between high and low heritability traits via canonical correlation analysis based on genotypic correlations. The experiment was conducted at the Professor Diogo Alves de Melo Experimental Field at the Universidade Federal de Viçosa, in Viçosa, MG. 90 wheat cultivars were evaluated under a 9 × 10 alpha-lattice design, with three replications and plots consisting of four rows of three meters spaced at 0.20 meters. Canonical groups were established between spike height and plant height, days for heading, number of spikelets per spike, and number of grains per spike (Group I) and, spike weight, spike grain mass, 100-grain mass, hectoliter weight, and grain yield (Group II). There was dependence between the established groups, which allowed the investigation of the relationships between traits based on their genotypic values. The traits cycle and plant height can be used for indirect selection of genotypes superior in hectoliter weight and grain yield, which are important factors for industries and farmers.

RESUMO: As análises de correlações canônicas baseadas nas correlações genotípicas, permitem determinar associações entre grupos de caracteres e realizar a seleção direta ou indireta de genótipos superiores. Objetivou-se com este trabalho investigar a existência de relações lineares e multivariadas entre caracteres de alta e baixa herdabilidade via análise de correlações canônicas com base nas correlações genotípicas. O experimento foi conduzido no Campo Experimental Professor Diogo Alves de Melo da Universidade Federal de Viçosa, em Viçosa, Minas Gerais. 90 cultivares de trigo foram avaliadas sob o delineamento alpha-lattice 9 × 10, com três repetições e parcelas constituídas por quatro linhas de três metros espaçadas a 0.20 metros. Os grupos canônicos foram estabelecidos entre altura de espiga e planta, dias para o espigamento, número de espiguetas por espiga e número de grãos por espiga (Grupo I) e, peso de espiga, massa de grãos da espiga, massa de 100 grãos, peso hectolitro e produtividade de grãos (Grupo II). Houve dependência entre os grupos estabelecidos, o que permitiu a investigação das relações entre os caracteres com base em seus valores genotípicos. Os caracteres ciclo e altura de plantas podem ser utilizados para a seleção indireta de genótipos superiores em peso hectolitro e produtividade, fatores estes importantes para indústrias e produtores.

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Com grande impacto social por alta mortalidade e morbidade no Brasil e no Mundo, o AVC continua em destaque dentre as Doenças Crônicas Não transmissíveis. Visando oferecer subsídios técnico-científicos sobre o perfil epidemiológico desta patologia no Nordeste, este artigo consiste em um estudo de corte transversal, quantitativo, epidemiológico, de série temporal, entre os anos de 2015 a 2019, tendo por base os dados disponibilizados na plataforma DATASUS. Evidenciou-se que o ano de 2019 foi o ano com maior número de internações por esta patologia, predominando em homens. No entanto, as mulheres tiveram mais óbitos. A raça mais acometida foi a parda, com mais de 82% das internações e mais de 83% dos óbitos. Os óbitos ocorreram em todas as faixas etárias, predominando nos mais idosos. O Estado com maior quantitativo de óbitos foi a Bahia, também o mais populoso do estudo. O perfil epidemiológico geral, do paciente acometido por AVC na região Nordeste do Brasil no período avaliado, foi, homem, com idade mais avançada (a partir de 60 anos), pardo, permanecendo cerca de 7,8 dias internados. O custo total desse período, com internações por AVC, foi de R$278.874.426.3, certamente, um custo bastante oneroso ao nosso sistema de saúde. As unidades federativas com maior acometimento são também as mais populosas. Percebendo-se que, por se tratar de uma doença prevenível, com graves sequelas e que causam grandes prejuízos pessoais, sociais e econômicos, torna-se relevante que o sistema público de saúde adote rigorosas medidas para sua prevenção.

With a great social impact due to high mortality and morbidity in Brazil and the world, stroke continues to be highlighted among Chronic Non-communicable Diseases. Aiming to offer technical-scientific support on the epidemiological profile of this pathology in the Northeast, this article consists of a cross-sectional, quantitative, epidemiological, time series study, between the years 2015 and 2019, based on data available on the DATASUS platform . It was evident that 2019 was the year with the highest number of hospitalizations for this pathology, predominantly in men. However, women had more deaths. The most affected race was the mixed race, with more than 82% of hospitalizations and more than 83% of deaths. Deaths occurred in all age groups, predominantly among the elderly. The State with the highest number of deaths was Bahia, also the most populous in the study. The general epidemiological profile of the patient affected by stroke in the Northeast region of Brazil during the period evaluated was male, older (60 years and older), mixed race, and remained hospitalized for approximately 7.8 days. The total cost of this period, with hospitalizations for stroke, was R$278,874,426.3, certainly a very costly cost to our health system. The federative units most affected are also the most populous. Realizing that, as it is a preventable disease, with serious consequences and causing great personal, social and economic losses, it is important that the public health system adopts strict measures for its prevention.

Con gran impacto social debido a la alta mortalidad y morbilidad en Brasil y el mundo, el accidente cerebrovascular sigue destacándose entre las Enfermedades Crónicas No Transmisibles. Con el objetivo de ofrecer soporte técnico-científico sobre el perfil epidemiológico de esta patología en el Nordeste, este artículo consiste en un estudio transversal, cuantitativo, epidemiológico, de series temporales, entre los años 2015 y 2019, con base en datos disponibles en la plataforma DATASUS. . Se evidenció que 2019 fue el año con mayor número de hospitalizaciones por esta patología, predominantemente en hombres. Sin embargo, las mujeres tuvieron más muertes. La raza más afectada fue la mestiza, con más del 82% de las hospitalizaciones y más del 83% de las muertes. Las muertes se produjeron en todos los grupos de edad, predominantemente entre los ancianos. El estado con mayor número de muertes fue Bahía, también el más poblado del estudio. El perfil epidemiológico general del paciente afectado por accidente cerebrovascular en la región Nordeste de Brasil durante el período evaluado fue masculino, mayor (60 años y más), mestizo y permaneció hospitalizado durante aproximadamente 7,8 días. El costo total de este período, con las hospitalizaciones por accidente cerebrovascular, fue de R$ 278.874.426,3, ciertamente un costo muy costoso para nuestro sistema de salud. Las unidades federativas más afectadas son también las más pobladas. Al ser conscientes de que, al tratarse de una enfermedad prevenible, de graves consecuencias y que provoca grandes pérdidas personales, sociales y económicas, es importante que el sistema público de salud adopte medidas estrictas para su prevención. PALABRAS CLAVE: Accidente Cerebrovascular; Epidemiología; Salud Pública.

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Hemophilia B is a recessive hereditary disease, and manifestations result from coagulation factor IX deficiency. Although improbable, as factor IX is produced exclusively in the liver, the possibility of developing the disease after transplantation represents an infrequent but potentially morbid complication. Standard laboratory tests may be insufficient to determine the probability of transmission of this pathology. This report describes the case of a patient who developed hemophilia B after liver transplantation whose donor had no prior knowledge of the disease.

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Wastewater treatment plants (WWTPs) have been widely investigated in Europe, Asia and North America regarding the occurrence and fate of antibiotic resistance (AR) elements, such as antibiotic resistance genes (ARGs), mobile genetic elements (MGEs) and antibiotic resistant bacteria and pathogens. However, monitoring data about AR elements in municipal WWTPs in Brazil are scarce. This study investigated the abundance of intI1, five ARGs (sul1, tetA, blaTEM, ermB and qnrB) and 16S rRNA in raw and treated wastewater of three WWTPs, using different sewage treatments named CAS (Conventional activated sludge), UASB/BTF (UASB followed by biological trickling filter) and MAS/UV (modified activated sludge with UV disinfection stage). Bacterial diversity and the presence of potentially pathogenic groups were also evaluated, and associations between genetic markers and the bacterial populations were presented. All WWTPs decreased the loads of genetic markers finally discharged to receiving water bodies and showed no evidence of being hotspots for antimicrobial resistance amplification in wastewater, since the abundances of intI1 and ARGs within the bacterial population were not increased in the treated effluents. UASB/BTF showed a similar performance to that of the CAS and MAS/UV, reinforcing the sanitary and environmental advantages of this biological treatment, widely applied for wastewater treatment in warm climate regions. Bacterial diversity and richness increased after treatments, and bacterial communities in wastewater samples differed due to catchment areas and treatment typologies. Potential pathogenic population underwent considerable decrease after the treatments; however, strong significant correlations with intI1 and ARGs revealed potential multidrug-resistant pathogenic bacteria (Aeromonas, Arcobacter, Enterobacter, Escherichia-Shigella, Stenotrophomonas and Streptococcus) in the treated effluents, although in reduced relative abundances. These are contributive results for understanding the fate of ARGs, MGEs and potential pathogenic bacteria after wastewater treatments, which might support actions to mitigate their release into Brazilian aquatic environments in the near future.

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Subsistence hunting is the main source of protein for forest reserve dwellers, contributing to the development of spurious infections by Calodium hepaticum, frequently associated with the consumption of the liver from wild mammals. The prevalence of infections by soil-transmitted helminths (STHs) and intestinal protozoa is considered an indicator of the social vulnerability of a country, besides providing information on habits, customs and quality of life of a given population. Intestinal parasites mostly affect poor rural communities with limited access to clean water and adequate sanitation. This study reports the results of a parasitological survey carried out in 2017 and 2019, in two municipalities (Xapuri and Sena Madureira) in Acre State. Stool samples were collected from 276 inhabitants. Upon receipt, each sample was divided into two aliquots. Fresh samples without preservative were processed and examined by the Kato-Katz technique. Samples fixed in 10% formalin were processed by the spontaneous sedimentation and the centrifugal sedimentation techniques. Calodium hepaticum eggs were found in three stool samples. The overall STH prevalence was 44.9%. The hookworm prevalence (19.2%) was higher than that of Ascaris lumbricoides (2.5%) and Trichuris trichiura (0.7%), an unexpected finding for municipalities belonging to the Western Brazilian Amazon. When considering parasites transmitted via the fecal-oral route, Endolimax nana and Entamoeba coli showed the highest positivity rates, of 13% and 10.9%, respectively. This study is the first report of spurious infection by C. hepaticum among forest reserve dwellers that consume undercooked liver of lowland pacas. Additionally, this is the first report of Blastocystis sp. in Acre State.

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ABSTRACT Subsistence hunting is the main source of protein for forest reserve dwellers, contributing to the development of spurious infections by Calodium hepaticum, frequently associated with the consumption of the liver from wild mammals. The prevalence of infections by soil-transmitted helminths (STHs) and intestinal protozoa is considered an indicator of the social vulnerability of a country, besides providing information on habits, customs and quality of life of a given population. Intestinal parasites mostly affect poor rural communities with limited access to clean water and adequate sanitation. This study reports the results of a parasitological survey carried out in 2017 and 2019, in two municipalities (Xapuri and Sena Madureira) in Acre State. Stool samples were collected from 276 inhabitants. Upon receipt, each sample was divided into two aliquots. Fresh samples without preservative were processed and examined by the Kato-Katz technique. Samples fixed in 10% formalin were processed by the spontaneous sedimentation and the centrifugal sedimentation techniques. Calodium hepaticum eggs were found in three stool samples. The overall STH prevalence was 44.9%. The hookworm prevalence (19.2%) was higher than that of Ascaris lumbricoides (2.5%) and Trichuris trichiura (0.7%), an unexpected finding for municipalities belonging to the Western Brazilian Amazon. When considering parasites transmitted via the fecal-oral route, Endolimax nana and Entamoeba coli showed the highest positivity rates, of 13% and 10.9%, respectively. This study is the first report of spurious infection by C. hepaticum among forest reserve dwellers that consume undercooked liver of lowland pacas. Additionally, this is the first report of Blastocystis sp. in Acre State.

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O íleo biliar representa de 1 a 4% das causas de obstrução mecânica do trato gastrointestinal, causado por um cálculo de origem biliar quando atinge a luz intestinal através de uma fístula bilioentérica. O seu tratamento normalmente é cirúrgico através da enterolitotomia, com ou sem realização de colecistectomia e correção da fístula bilioentérica no mesmo tempo cirúrgico. Relata-se o caso de um paciente de 78 anos com obstrução intestinal ao nível do íleo terminal. Devido ao risco cirúrgico elevado optou-se pela realização de colonoscopia de urgência, que extraiu um cálculo de 2,1cm, impactado na válvula ileocecal. O paciente evoluiu bem após o procedimento, sendo optado pelo tratamento conservador da vesícula biliar e fístula durante o internamento. Conclui-se que pacientes de alto risco se beneficiam com procedimentos menos invasivos, como os endoscópicos, que além de diagnósticos podem ser terapêuticos

The gallstone ileus represents 1 to 4% of the causes of mechanical obstruction from gastrointestinal tract, caused by a gallstone when it reaches the intestinal lumen through a bilioenteric fistula. The treatment is usually the enterolithotomy, with or without cholecystectomy and correction of the bilioenteric fistula at the same surgical time. We report a case of a patient, 78 years old, with intestinal obstruction at the level of the ileocecal valve. The examination showed abdominal distension and pain, with no signs of peritonitis. Due to the surgical risk, a emergency colonoscopy was performed, which removed a 2.1 cm gallstone impacted into the ileocecal valve. The patient evolved well after the procedure and it was chosen the conservative approach to the gallbladder and fistula during the same hospital stay. We conclude that the high-risk patients could benefit from less invasive treatments, such as endoscopy, which can be diagnoses and therapeutic

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Abstract Considering that area and edge effects are the most important factors that lead to landscape changes from the fragmentation of terrestrial communities, the present study aimed to analyze changes in the structure of vegetation classes of a fragmented landscape. The methodology employed was based on a model of patch dynamics for the years between 1979 and 2015. The analysis was performed with quantitative (area, shape and edge effect) and qualitative (low declivity of the terrain, fire resistance and tolerance to variation in light) variables of the classes of vegetation. Processes of retraction and expansion of the vegetation classes were identified, as well as the alteration of the structure of the fragments, which resulted in the intensification of the edge effect.

Resumo Considerando que os efeitos de área e os efeitos de borda são os mais importantes fatores que levam às alterações na paisagem através da fragmentação de comunidades terrestre, o presente estudo teve por objetivo analisar as mudanças em área e estrutura das classes de vegetação de uma paisagem fragmentada. Para tanto, a metodologia foi baseada no modelo de dinâmica de manchas entre os anos de 1979 e 2015 e a análise por meio de variáveis quantitativas (área, formato e efeito de borda) e qualitativas (baixa declividade do terreno, resistência ao fogo e tolerância à variação de luz) das classes de vegetação. O presente estudo identificou processos de retração e expansão das classes de vegetação e a alteração na estrutura dos fragmentos resultando na intensificação do efeito de borda.

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Considering that area and edge effects are the most important factors that lead to landscape changes from the fragmentation of terrestrial communities, the present study aimed to analyze changes in the structure of vegetation classes of a fragmented landscape. The methodology employed was based on a model of patch dynamics for the years between 1979 and 2015. The analysis was performed with quantitative (area, shape and edge effect) and qualitative (low declivity of the terrain, fire resistance and tolerance to variation in light) variables of the classes of vegetation. Processes of retraction and expansion of the vegetation classes were identified, as well as the alteration of the structure of the fragments, which resulted in the intensification of the edge effect.

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Considering that area and edge effects are the most important factors that lead to landscape changes from the fragmentation of terrestrial communities, the present study aimed to analyze changes in the structure of vegetation classes of a fragmented landscape. The methodology employed was based on a model of patch dynamics for the years between 1979 and 2015. The analysis was performed with quantitative (area, shape and edge effect) and qualitative (low declivity of the terrain, fire resistance and tolerance to variation in light) variables of the classes of vegetation. Processes of retraction and expansion of the vegetation classes were identified, as well as the alteration of the structure of the fragments, which resulted in the intensification of the edge effect.(AU)

Considerando que os efeitos de área e os efeitos de borda são os mais importantes fatores que levam às alterações na paisagem através da fragmentação de comunidades terrestre, o presente estudo teve por objetivo analisar as mudanças em área e estrutura das classes de vegetação de uma paisagem fragmentada. Para tanto, a metodologia foi baseada no modelo de dinâmica de manchas entre os anos de 1979 e 2015 e a análise por meio de variáveis quantitativas (área, formato e efeito de borda) e qualitativas (baixa declividade do terreno, resistência ao fogo e tolerância à variação de luz) das classes de vegetação. O presente estudo identificou processos de retração e expansão das classes de vegetação e a alteração na estrutura dos fragmentos resultando na intensificação do efeito de borda.(AU)

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Atualmente, a maior parte dos pacientes ortodônticos gostaria de ser tratado com alinhadores transparentes, preferindo esses aos brackets metálicos ou estéticos. Assim se torna fundamental o ortodontista dominar a técnica desde as fases iniciais (fluxo de trabalho) até a condução dos casos. O tratamento ortodôntico com alinhadores possui uma série de vantagens em relação ao convencional, pois é mais discreto, estético, confortável, permite uma higienização mais fácil e não há restrição de alimentação. Entretanto algumas desvantagens aparecem, tais como a necessidade de cooperação por parte do paciente e algumas limitações biomecânicas. Alguns sistemas têm se destacado no mercado por oferecerem aos dentistas serviços de planejamento digital e produção de alinhadores ortodônticos, tornando esses aptos a conduzirem de forma mais direta e com maior autonomia os seus tratamentos com alinhadores. Dessa forma o propósito desse artigo é apresentar de forma simplificada o sistema de alinhadores Cleartek e alguns casos clínicos e assim fornecer subsídios para o ortodontista que pretende utilizá-lo, desde o planejamento até o acompanhamento clínico e finalização dos casos tratados.(AU)

Currently, most orthodontic patients would like to be treated with transparent aligners, preferring these to metal or aesthetic brackets. So it becomes essential to the orthodontist to master the technique from the initial phases to the conduction of the cases. Orthodontic treatment with aligners has a number of advantages compared to conventional ones, because it is more discreet, aesthetic, comfortable, allow easier hygiene and there is no food restriction. However, some disadvantages appear, such as the need of patient cooperation and some biomechanical limitations. Some systems have excel out in the market for offering dentists services of digital planning and production of orthodontic aligners, allowing them to be able to lead in a more direct form and with more autonomy their treatments with aligners. So the purpose of this article is to present in a simplified way Cleartek aligners system and some clinical cases and thus to provide subsidies for the orthodontist that intends to use them, from the planning to the clinical follow-up and completion of the treated cases. (AU)

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Trace elements in organisms are normally higher in well-developed coastal areas than on oceanic islands. Few studies have used seaweeds as their sentinels on islands. This study established background levels of trace elements (As, Cd, Pb, Zn, Cu and Hg) for four seaweed species (Dictyopteris delicatula and Canistrocarpus cervicornis, brown algae; Ceratodictyon variabile and Palisada perforata, red algae) from Trindade, an oceanic Brazilian island, and verified potential differences associated to distinct environmental conditions. Spatial differences were not detected for As, Hg and Cd in samples, although the highest concentrations of these elements were observed in brown seaweeds. The highest Zn, Pb and Cu concentrations in seaweeds from the only inhabited beach may be a signal of the onset of human footprints on this still pristine, remote island. By comparison with background described in the literature, concentrations of trace elements in seaweeds were low, thus, allowing them to be considered reference levels.

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Temporomandibular myofascial pain presents a major challenge in the diagnosis of temporomandibular disorders (TMD). Due to the characteristics of this condition, intramuscular injection procedures are often needed for adequate control of symptoms and treatment. Thus, the aim of this systematic review was to evaluate the effectiveness of dry needling and injection with different substances in temporomandibular myofascial pain. Electronic databases PubMed, EMBASE, CENTRAL/Cochrane, Lilacs, Scopus, Web of Science and CAPES Catalog of Dissertations and Theses were searched for randomized clinical trials until January 2018. Manual search was performed in relevant journals and in the references/citations of the included studies. The selection of studies was carried out by two independent reviewers according to eligibility criteria. From 7128 eligible studies, 137 were selected for full-text analysis and 18 were included. Due to the heterogeneity of the primary studies it was not possible to perform a meta-analysis. The narrative analysis of the results showed that most of the studies had methodological limitations and biases that compromised the quality of the findings. Dry needling and local anaesthesic injections seem promising, but there is a need to conduct further randomized clinical trials, with larger samples and longer follow-up times, to evaluate the real effectiveness of the technique and evaluated substances.

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Extracellular traps (ETs), web-like structures composed of DNA and histones, are released by innate immune cells in a wide range of organisms. ETs capture microorganisms, thereby avoiding their spread, and also concentrate antimicrobial molecules, which helps to kill microbes. Although vertebrate innate immune systems share homology with the insect immune system, ETosis have yet to be characterized in insects. Here, we report that the hemocytes of the hemimetabolous insect Periplaneta americana release ETs upon in vitro stimulation. We further discuss the relationship between ETs and nodulation and in controlling bacterial spread in vivo.

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Abstract Considering that area and edge effects are the most important factors that lead to landscape changes from the fragmentation of terrestrial communities, the present study aimed to analyze changes in the structure of vegetation classes of a fragmented landscape. The methodology employed was based on a model of patch dynamics for the years between 1979 and 2015. The analysis was performed with quantitative (area, shape and edge effect) and qualitative (low declivity of the terrain, fire resistance and tolerance to variation in light) variables of the classes of vegetation. Processes of retraction and expansion of the vegetation classes were identified, as well as the alteration of the structure of the fragments, which resulted in the intensification of the edge effect.

Resumo Considerando que os efeitos de área e os efeitos de borda são os mais importantes fatores que levam às alterações na paisagem através da fragmentação de comunidades terrestre, o presente estudo teve por objetivo analisar as mudanças em área e estrutura das classes de vegetação de uma paisagem fragmentada. Para tanto, a metodologia foi baseada no modelo de dinâmica de manchas entre os anos de 1979 e 2015 e a análise por meio de variáveis quantitativas (área, formato e efeito de borda) e qualitativas (baixa declividade do terreno, resistência ao fogo e tolerância à variação de luz) das classes de vegetação. O presente estudo identificou processos de retração e expansão das classes de vegetação e a alteração na estrutura dos fragmentos resultando na intensificação do efeito de borda.

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Abstract: Habitat loss and fragmentation are the main threats to the conservation of Cerrado biodiversity. The objective of this study was to evaluate the implications of habitat loss on the persistence of medium and large mammal species, considering the spatial and temporal changes (years 1985, 2000 and 2014) to the evaluated fragments. The study was carried out in 14 fragments (10.5 - 618 ha), located in Southeastern Goiás, Brazil. Records for 24 mammal species were obtained and revealed the two sites with the largest habitat amount in the landscape contained higher species richness than the remaining sites. The three mammal groups based on body mass (weight < 5 kg; weight between 5 and 20 kg; and weight > 20 kg) analyzed in this study showed different responses regarding landscape changes. For larger mammals (between 5 - 20 kg and > 20 kg), there was significant association between current species richness and the amount of habitat in 2014, while the species richness of smaller mammals did not significantly correlate with any of the variables assessed for any of the years. Therefore, the amount of habitat present within the current landscape was the most important variable regarding mammal species richness, especially for the larger species. The time lag was not evident at the time scale evaluated, and this delay in response may have occurred in a relatively short time (< 15 years). For the remaining fragments in the studied landscapes, most are too small to support populations of some larger mammal species and may also leave individuals more vulnerable to anthropogenic actions (e.g. hunting), whose effects may accelerate local extinctions.

Resumo: A perda e a fragmentação de habitats são as principais ameaças à conservação da biodiversidade no bioma Cerrado. O presente estudo objetivou avaliar as implicações da perda de habitat na persistência de espécies de mamíferos de médio e grande porte, levando em consideração as alterações espaciais e temporais dos fragmentos avaliados. O estudo foi realizado em 14 fragmentos (10,5 - 618 ha), localizados na região sudeste de Goiás, Brasil. Foram obtidos registros de 24 espécies de mamíferos, sendo que os dois locais com as maiores quantidades de habitat na paisagem apresentaram maior riqueza de espécies que as demais áreas. Os três grupos de mamíferos baseados na massa corporal criados neste estudo (peso < 5 kg; peso entre 5 e 20 kg; e peso > 20 kg) apresentaram respostas diferentes em relação às mudanças na paisagem. Para os mamíferos de maior porte, houve significativa associação entre a riqueza atual de espécies e a quantidade de habitat na paisagem de 2014, mas a riqueza de espécies de mamíferos de menor porte não apresentou relação significativa com nenhuma das variáveis das paisagens analisadas. Portanto, a quantidade de habitat presente na paisagem atual foi a variável mais importante para a riqueza de espécies de mamíferos, principalmente para as espécies de maior porte. O tempo de latência não ficou evidente na escala temporal avaliada, sendo que esse atraso na resposta pode ter ocorrido em tempo relativamente curto (< 15 anos), pois os fragmentos remanescentes nas paisagens estudadas em sua maioria são pequenos para suportar populações de mamíferos de maior porte e também podem deixar os indivíduos mais vulneráveis às ações antrópicas (e.g. caça), cujos efeitos podem acelerar as extinções locais.