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Artificial Intelligence (AI) simulates human intelligence in machines capable of rational response and actions. AI’s growth in healthcare, particularly in dentistry, has been remarkable in aiding clinical practices from appointment scheduling to treatment outcome predictions. In orthodontics, AI effectively handles tasks such as automated landmark detection, diagnosing orthodontic needs, assessing maxillary constriction, and selecting appliances. ChatGPT, an AI-based program by OpenAI, excels in generating human-like responses, making it useful across many applications, including those in dentistry. AI enhances personalised patient communication, supports diagnosis and decision-making, digitises patient data, and aids in disease prevention and treatment. In addition, ChatGPT offers support in personalised care, billing, and patient health monitoring. Patients benefit from its help in finding providers, scheduling initial appointments, accessing health information, improving healthcare access and service effectiveness. However, there are limitations. ChatGPT sometimes produces nonsensical responses and poses privacy risks associated with patient data. Generated medical advice might not therefore match professional expertise. Despite these issues, if trained properly, ChatGPT could significantly enhance medical knowledge dissemination. Future studies should weigh the benefits of AI against its risks, and users must verify AI-generated information with reliable sources to ensure effective patient care.

Trihalomethanes (THMs) are one of the main disinfection by-products generated in drinking water (DW). To control health risks caused by THMs several countries have established a maximum content of these chemicals in DW. THMs can be removed by granular activated carbon (GAC) and their adsorption processes have been studied by different authors. However, there are few studies on their desorption from GAC and no data are available on their desorption at a full scale. This paper summarises the results obtained in the monitoring of the adsorption and desorption processes of THMs at a full-scale DW plant considering different types and stages of GACs, as well as several types of influent waters. This research was carried out during 3 years in a full-scale advanced DW plant (6.25 m3·h−1) that can use four different pre-oxidants. An increase on THMs concentration in the outlet of the AC filters due to desorption processes were checked, although the obtained doses were always far below the established European limit (100 μg/L). HIGHLIGHTS Data on the real performance of activated carbon filters in a drinking water treatment plant under different conditions were provided.; Performance of different activated carbons and different ages of these carbons were compared.; Adsorption varies with the characteristics of water inlet, pretreatment applied and GAC type.; Desorption capacity depends on the type and previous usage of the GAC.; Desorption process was verified, for two different types of carbons, when the pre-oxidant was changed, and ozone was used instead of chlorine.;

The transport sector is responsible for 37% of the energy consumption in Portugal (70% of it due to road transportation), supplied almost completely by fossil fuels. Portugal must reduce these sector’s emissions by 98% to achieve carbon neutrality by 2050, thus making transportation a crucial sector for a successful decarbonisation of the economy. This scenario sparked action at ADENE – the Portuguese Energy Agency to create MOVE+, an auditing methodology that incentivises and guides a broad group of stakeholders to act on the decarbonisation of mobility, starting with light duty and freight fleets. It comprises a framework to rate fleets on energy efficiency which enables regular implementation and monitoring of decarbonisation measures in areas such as vehicle technology, telematics, driver training, tyre selection, and maintenance. This paper shows that the application of the MOVE+ methodology helped identify an electrification potential of 24% on average per fleet, according to the Best-in-Class (whereas the analysed sample shows 20% of electrification). A multiple linear regression model validates the correlation between MOVE+ obtained scores, in the evaluated dimensions, and the fleet’s specific CO2 emissions. The methodology also allows us to assess that Portugal is lagging to meet the carbon neutrality target for the transport sector by 2050. Such assessment allows us to estimate that, regarding light-duty fleets, at the current pace zero emissions will only be reached by 2080, thus highlighting the need for public policy adjustments that push towards faster decarbonisation.

Introduction. Diabetic neuropathy (DN) is one of the most devastating complications of diabetes mellitus; however, in contrast to other countries, there are no scientific studies in Portugal evaluating the impact of demographic and clinical characteristics of this pathological entity. The aim of this study was to evaluate the impact of gender, metabolic control, age of diabetic patients, as well as time of disease progression, the appearance of complaints related to neuropathic pain.

The effect of the alkaloid 1-(phenyl)-N’-(4-methoxybenzylidene)- 9H-pyrido[3,4-b]indole-3-carbohydrazide (PMC) on the poliovirus (PV) replication cycle in Vero cells was assayed by inhibition of the cytopathic effect (CPE) and inhibition of plaque forming units (PFU). Both methodologies suggested that the mode of action was avoidance of infection progression in the host cell. The compound was able to prevent CPE and PFU formation when the cells were pretreated with PMC for 24 h prior to PV infection. In addition, when the alkaloid was continuously maintained in the infected cultures, the spread of PV to adjacent cells was impaired. The pre-exposure and post-exposure prophylactic applications are possible situations in which an anti-PV drug might be used. Future studies are needed to elucidate the PMC mode of action and verify the feasibility of PMC use in vivo. No antipicornavirus agent is currently approved for clinical use

El efecto de metales pesados sobre los sistemas biológicos ha sido ampliamente abordado. En la presente investigación se evaluó el efecto en los cambios de color y crecimiento de Spilanthes urens estimulados por diferentes concentraciones de plomo (Pb) y cobre (Cu). Se utilizó un diseño experimental de estímulo creciente y selección simple al azar, distribuido en cinco tratamientos con diez repeticiones, en cuyas unidades experimentales se procesaron los análisis químicos siguiendo la metodología de Bunsen y Kirchhoff y la calificación de Likert. Los datos fueron sometidos al análisis de varianza y regresión lineal simple. Se encontró que existe diferencias entre las concentraciones de Pb y Cu aplicados en el diseño experimental; diferencias significativas entre tratamientos, metales, tiempo transcurrido y partes de la planta; asimismo, que no existe relación causa-efecto entre la influencia de los elementos químicos y el crecimiento de las partes de la planta, pero causa cambio de color en las raíces del vegetal. Se concluye que el Pb y el Cu causan cambios de color en las raíces y tallo durante el crecimiento de S. urens. Palabra clave: Plomo, Cobre, cambio de color, Spilanthes urens

Leaf area has significant effect on tree transpiration, and its measurement is important to many study areas. This work aimed at developing a non-destructive, practical, and empirical method to estimate the total leaf area of green dwarf coconut palms (Cocos nucifera L.) in plantations located at the northern region of Rio de Janeiro state, Brazil. A mathematical model was developed to estimate total leaf area values (TLA) as function of the average lengths of the last three leaf raquis (LR3), and of the number of leaves in the canopy (NL). The model has satisfactory degree of accuracy for agricultural engineering purposes.

A falta da comparabilidade dos efeitos nos ensaios de competição de genótipos de milho (Zea mays) pode resultar em recomendações equivocadas. O objetivo deste trabalho foi verificar se o enquadramento dos genótipos de milho quanto ao ciclo é correto e se este altera a comparação das médias. Foram conduzidos seis experimentos de competição de genótipos de milho de ciclo superprecoce, precoce e normal, em dois níveis tecnológicos, na área experimental da UFSM, durante o ano agrícola de 2000/2001. O experimento bifatorial (genótipos nas parcelas principais e densidades nas subparcelas) foi conduzido no delineamento blocos ao acaso com três repetições. A proporção de experimentos de pressuposições adequadas foi alta, indicando análise de boa qualidade. Os genótipos de milho encontram-se mal agrupados quanto ao ciclo e, por conseqüência, quanto à estatura de plantas, aumentando a heterogeneidade nos experimentos e prejudicando a comparação das médias. Genótipos de milho com ciclo e/ou estatura de plantas diferentes não devem ser comparados na mesma densidade e experimento.

OBJETIVO: Descrever a evolução da mortalidade por homicídio no Brasil, na década de 1990, buscando analisar a contribuição das armas de fogo. MÉTODOS: Estudo ecológico descritivo de série temporal para o período 1991 a 2000. Dados sobre óbitos por causas externas, segundo local de residência, foram obtidos para a população total e grupos de sexo. A fonte de dados utilizada foi o Sistema de Informação sobre Mortalidade do Ministério da Saúde (SIM/Datasus). Os homicídios foram classificados em homicídios por armas de fogo, por outros instrumentos e por meios não especificados. Foram calculados a mortalidade proporcional e os coeficientes de mortalidade (/100.000) habitantes. RESULTADOS: Os homicídios foram responsáveis por 33% dos óbitos por causas externas na década de 1990. As armas de fogo contribuíram com mais de 50% dos casos já em 1991, e com cerca de 70% no ano 2000. Esse crescimento ocorreu em ambos os grupos de sexo e em todas as capitais. O coeficiente de mortalidade por homicídio cresceu 27,5%, sendo que o incremento nos homicídios cometidos com armas de fogo foi de 72,5%. No período houve uma queda nos casos decorrentes de instrumentos não especificados, o que pode explicar parte do incremento observado para os homicídios com armas de fogo. CONCLUSÕES: Os dados indicam significativa contribuição das armas de fogo para o crescimento dos homicídios na década de 1990. Problemas na qualidade das informações, tanto no que se refere às mortes com intencionalidade indeterminada como ao tipo de instrumento utilizado, prejudicaram a análise dos dados.

Os anestésicos inalatórios sensibilizam o miocárdio ou seu sistema de condução à ação das catecolaminas endógenas e/ou exógenas, predispondo o animal às arritmias cardíacas. Dentre os anestésicos voláteis, o sevoflurano e o desflurano são fármacos relativamente recentes e, embora sejam dotados de características relacionadas a não sensibilização do miocárdio às catecolaminas, desconhecem-se estudos que comparem suas eventuais propriedades antiarritmogênicas. Com o objetivo de estudar, comparativamente, o comportamento do ritmo cardíaco e observar eventuais bloqueios atrioventriculares em cães anestesiados pelo sevoflurano e desflurano e submetidos à infusão contínua de adrenalina, foram utilizados 20 animais adultos, os quais foram separados em dois grupos de igual número (G1 e G2). Aos cães do G1, foi administrado propofol, na dose média de 10mmg.kg-1; em seguida os animais receberam sevoflurano, a 1,5CAM. Decorridos 30 minutos do início da administração do anestésico volátil, iniciou-se a infusão de adrenalina na dose de 1mmg.kg-1.min-1. A cada 10 minutos, a dose da catecolamina foi acrescida em uma unidade, cessando-se a administração em 6mmg.kg-1.min-1. Para o G2, empregou-se a mesma metodologia, substituindo-se o sevoflurano pelo desflurano, administrado a 1,5CAM. A cada dose de adrenalina, foi feita contagem de batimentos ventriculares ectópicos, bem como a observação de bloqueios atrioventriculares. Os achados foram tratados pelos métodos estatísticos de Análise de Perfil e Kruskall-Wallis. Os resultados permitiram concluir que o desflurano minimiza de maneira mais eficiente a arritmia induzida pela adrenalina, além de reduzir a incidência de bloqueios atrioventriculares.

Objetivou-se avaliar comparativamente os efeitos da buprenorfina, administrada pelas vias intramuscular(IM) ou intravenosa (IV), sobre variáveis cardiovasculares, em cães anestesiados com desfluorano. Para tanto, foram utilizados dezesseis cães adultos, clinicamente saudáveis, distribuídos em dois grupos (n=8) denominados de GI e GII. Em ambos os grupos, a anestesia foi induzida com propofol (8 mg/kg, IV) e em seguida os animais foram intubados com sonda orotraqueal de Magill, a qual foi conectada ao aparelho de anestesia volátil para administração de desfluorano (1,5 CAM). Após 30 minutos do início da anestesia inalatória, foi aplicado no GI buprenorfina na dose de 0,02 mg/kg pela via IV, enquanto no GII administrou-se o opióide na mesma dose porém pela via IM. Avaliaram-se: freqüência cardíaca (FC); pressões arteriais sistólica, diastólica e média (PAS, PAD e PAM); débito cardíaco (DC); pressão venosa central (PVC) e pressão da artéria pulmonar (PAP). As colheitas foram feitas nos seguintes momentos: M1 - 30 minutos após o início da anestesia inalatória antes da aplicação do opióide; M2 - 15 minutos após a administração da buprenorfina; M3, M4 e M5 - de 15 em 15 minutos após M2. A avaliação estatística dos dados foi efetuada por meio de Análise de Perfil (p

O objetivo deste trabalho foi avaliar a estabilidade e a adaptabilidade de cultivares de milho utilizando a metodologia de CRUZ et al. (1989). Foram avaliadas cultivares de ciclo precoce e normal, em dois ensaios conduzidos por três anos agrícolas em Capinopólis-MG, em quatro épocas de semeadura. O delineamento experimental foi em blocos casualizados com três repetições, cada parcela foi constituída de quatro linhas de cinco metros, espaçadas de 90 cm. Foram obtidos dados de produtividade de grãos e empregada a metodologia de Cruz para estimar os parâmetros de adaptabilidade e estabilidade das cultivares de milho. A cultivar ideal preconizada por Cruz, média alta, e variância dos desvios de regressão próximo ou igual a zero, não foi encontrada entre os materiais avaliados. Também não foi identificado nenhum material menos exigente nos ambientes desfavoravéis. De maneira geral, o material que mais se destacou foi o híbrido G 551, com média alta, boa resposta à melhoria do ambiente e de comportamento estável. A variedade BR 106 apresentou desempenho igual e até mesmo superior aos de alguns híbridos comerciais.

The production of mineral fertilizers is a expensive process, since it requires high energy consumption, and cannot be produced by small farmers. Laboratory assays were conducted to produce P-biofertilizers from natural phosphate (B5, B10, B15, B20), applying sulphur at different rates (5; 10; 15 and 20%) inoculated with Acidithiobacillus (S*) and testing increasing periods of incubation. A greenhouse experiment was carried out to evaluate the effect of the biofertilizers in a soil with low available P (Typic Fragiudult) from the "Zona da Mata" of Pernambuco State, grown with yam bean (Pachyrhizus erosus) in two consecutive harvests. The treatments were: Natural Phosphate (NP); biofertilizers produced in laboratory (B5, B10, B15, B20) with sulphur and Acidithiobacillus (NP+S*); natural phosphate with sulphur (20%) without Acidithiobacillus (NP+S); triple super phosphate (TSP) and a control without phosphorus. Plants were inoculated with a mixture of rhizobia strains (NFB 747 and NFB 748) or did not receive rhizobia inoculation. In bioassays pH and available P in the biofertilizers were analyzed. In the greenhouse experiment shoot dry matter, total N and total P in shoots, soil pH and available P were determined. Higher rates of available P were obtained in biofertilizers with sulphur and Acidithiobacillus (NP+S*) and in triple super phosphate (TSP), and biofertilizers with sulphur and Acidithiobacillus (FN+S*) and triple super phosphate (TSP) increased plant parameters. Native rhizobia were as effective as the strains applied in inoculation. After the two harvests soil presented lower pH values and higher rates of available P when the biofertilizers B15 and B20 with sulphur and Acidithiobacillus were applied.

Amostras simulando o pastejo de capim-Tanzânia (Panicum maximum Jacq.) irrigado sob três resíduos pós-pastejo (baixo, médio e alto) foram coletadas ao longo de um ano e analisadas para a determinação da composição protéica e dos carboidratos, e das frações protéicas e de carboidratos (CNCPS). O teor de NDT foi calculado. Não foi encontrada diferença entre os tratamentos ao longo do ano. Os maiores teores de fibra em detergente neutro - FDN (68,3 a 64,5%) e fibra em detergente ácido - FDA (34,89 a 33,18%) ocorreram no período de primavera/verão. A lignina apresentou maiores proporções no inverno (4,68 a 4,10%), o que provocou variação na fração C dos carboidratos (14,14 a 23,21% dos carboidratos totais). O NDT variou entre 55,26 e 59,31%. O teor de PB apresentou tendência de aumento ao longo do ano, variando de 11,29 a 14,61%. Os teores de nitrogênio não-protéico (NnP) variaram entre 18,23 e 28,77%PB, sendo menor para os pastejos de primavera/verão. O Nsol variou de 24,97 a 35,97 %PB. A fração de nitrogênio aderido à FDN (nFDN) foi, em média, de 49,11%PB. Para o nitrogênio aderido à FDA (nFDA), a variação foi de 6,48 e 11,94 %PB. A menor qualidade da planta foi entre julho a setembro, podendo estar relacionada à menor renovação de tecidos durante o período de inverno e ao acúmulo de perfilhos florescidos. A maior proporção do N encontra-se na parede celular (fração B3) e foi, em média, de 40%PB, indicando que essa fração deve ter prioridade de estudo no tocante à cinética de degradação ruminal.

From the ethanolic extract of the wood of Annona dioica were isolated the known 1-aza-4-methylanthraquinone, lasiodiplodin, liriodenine, a mixture of 1-aza-5,9,10-trimethoxy-4-methyl-2-oxo-1,2-dihydroanthracene and 1-aza-8,9,10-trimethoxy-4-methyl-2-oxo-1,2-dihydroanthracene (geovanine) and the new alkaloid 1,2-methylenedioxy-6alpha,7-dehydroaporphine-4(S )-(4-hydroxy-3,5-dimethoxyphenyl)-3,4-dihydro-2(1H)-pyridinone. The structures of these natural products were elucidated on the basis of their spectral data, including NOE experiments and homonuclear ¹H-¹H-COSY e heteronuclear ¹H-13C-COSY-nJ CH (HMQC, n=1 and HMBC, n=2 and 3) 2D-shift-correlated NMR spectra.

O objetivo deste trabalho foi avaliar o desempenho de 23 híbridos de milho e sua reação à incidência de Phaeosphaeria maydis. O experimento foi realizado no Município de Uberlândia, MG. O delineamento experimental usado foi o de blocos casualizados, com três repetições. Os caracteres avaliados foram: altura da inserção da primeira espiga, altura das plantas, florescimento masculino e feminino e produtividade de grãos. O número de grãos ardidos e a sanidade do colmo foram avaliados por meio de uma escala de notas. Para avaliar o comportamento dos híbridos em relação à severidade de P. maydis, utilizou-se uma escala de notas, e, posteriormente, calculou-se a área abaixo da curva do progresso da doença, visando a identificar os materiais mais resistentes à evolução da doença. Houve diferenças entre o desempenho dos híbridos em relação à maioria dos caracteres avaliados. Quanto às correlações, os resultados mais expressivos, foram entre produtividade e altura das plantas e entre produtividade e inserção das espigas, em que as correlações foram positivas e significativas; entre produtividade e área abaixo do progresso da doença, a correlação foi negativa, o que indica que a ocorrência da mancha de P. maydis afeta a produtividade de grãos. Variabilidade foi observada quanto à reação dos genótipos em relação à P. maydis, sugerindo, assim, que existe fonte de resistência para o controle genético desta doença.

OBJETIVO: Estabelecer a circulação extracorpórea através de canulação da artéria subclávia direita por meio de incisão supraclavicular. MÉTODO: Foram estudados, no período de outubro de 2001 a março de 2002, quatro pacientes com diagnóstico de dissecção aguda de aorta tipo A de Stanford, sendo realizada em todos os casos canulação da artéria subclávia direita por via supraclavicular e realização de perfusão cerebral anterógrada durante o período de parada circulatória total. RESULTADOS: A artéria subclávia direita foi canulada diretamente e não houve nenhuma complicação neurovascular relacionada ao procedimento. A circulação extracorpórea foi mantida com fluxo adequado durante toda a operação. Houve 1 óbito hospitalar, não relacionado ao procedimento. DISCUSSÃO: Um dos passos mais importantes na melhora dos resultados operatórios é a perfusão sistêmica anterógrada, realizada através do sistema arterial e a subclávia para isso permite a perfusão da luz verdadeira. A abordagem supraclavicular nos proporciona um campo operatório adequado e facilidade para a realização da perfusão cerebral anterógrada que também é importante neste arsenal para uma redução da mortalidade operatória. CONCLUSÃO: A incisão supraclavicular nos proporciona um acesso factível com boa exposição da artéria subclávia direita em uma região em que ela apresenta um bom calibre e com poucas estruturas adjacentes que poderiam ser lesadas. Além disso, possibilita a canulação de forma direta e com boa posição da cânula arterial.

O objetivo deste trabalho foi avaliar o método de Jinks & Pooni na predição do potencial genético de populações segregantes de arroz e estudar o efeito da interação populações segregantes x ambiente na seleção destas populações. Utilizaram-se 23 populações segregantes de arroz de terras altas e duas testemunhas, avaliadas em um látice 5x5, com três repetições, no ano agrícola de 1996/97. O estudo foi conduzido em dois locais em Minas Gerais, Lavras e Patos de Minas, em três épocas distintas de semeadura. Os resultados encontrados em relação à probabilidade de extrair linhagens superiores a um determinado padrão indicaram como mais promissoras as populações CNAx 5496 e CNAx 6001, e menos promissoras, CNAx 6063 e CNAx 6102. A previsão do potencial genético das populações segregantes a partir do método de Jinks & Pooni mostrou-se uma alternativa viável na escolha das populações mais promissoras, permitindo ao melhorista concentrar maiores esforços na avaliação das famílias superiores. A ocorrência das interações populações segregantes x épocas e locais x épocas mostraram a importância de se avaliar as populações em mais de um ambiente. A escolha das populações que apresentam um comportamento estável frente às oscilações ambientais é importante dentro de um programa de melhoramento.

Base de dados que objetiva disponibilizar, em único local de fácil e rápido acesso, informações básicas essenciais aos interessados na biblioteca do futuro, seja ela eletrônica, virtual, digital, sem paredes ou biônica. Desenvolvida com o software MicroIsis, encontra-se disponível na Internet a todo e qualquer interessado por intermédio do servidor de bases de dados ISIS para o WWW (software intitulado WWWIsis, desenvolvido pela Bireme). A recuperação da informação é possível por índice de termos indexados ou formulário de pesquisa utilizando-se lógica booleana em campos de autoria, título, assunto, data e língua. Delimitações de pesquisa por tipo de documento e conteúdo de informação também são oferecidas. URL: http://www.eca.usp.br/eca/nucleos/biblial/futura/index.htm

Abstract Background Several aspects linked to social are involved in the onset of depressive feelings. We aimed to find out if social adaptability and substance abuse predict depression among end-stage renal disease (ESRD) patients undergoing hemodialysis (HD). Methods We included 145 ESRD patients undergoing HD. Social adaptability was estimated by the Social Adaptability Index (SAI). Substance abuse was defined according to SAI. We screened for depression by applying the 20-item version of the Center for Epidemiologic Studies Depression Scale. A score ≥ 24 classified the patients as depressed. Comparisons between depressed and non-depressed patients were carried out and logistic regression was performed to test gender, age, total SAI, SAI without the substance abuse item, only the substance abuse score and substance abuse as a categorical variable (yes/no) as predictors of depression. Results There were 36 (24.8%) depressed patients. There were no differences regarding demographic and laboratory data between the depressed and non-depressed patients. Mean SAI among depressed and non-depressed patients was, respectively, 6.1 ± 1.6 vs. 6.2 ± 1.9 (p=0.901). The percentage of patients with or without substance abuse among depressed patients was, respectively, 13.8% vs. 13.9% (p=1.000). Gender, age, total SAI, SAI without the substance abuse item, only the substance abuse score and substance abuse as a categorical variable did not predict depression. Conclusions Social adaptability and substance abuse did not predict depression in HD patients. We propose that aspects related to socioeconomic status not comprised in SAI items should be ruled out as predictors of depression.

Abstract Background We investigated whether 9p21 polymorphisms are associated with cardiovascular events in a group of 611 patients enrolled in the Medical, Angioplasty or Surgery Study II (MASS II), a randomized trial comparing treatments for patients with coronary artery disease (CAD) and preserved left ventricular function. Methods The participants of the MASS II were genotyped for 9p21 polymorphisms (rs10757274, rs2383206, rs10757278 and rs1333049). Survival curves were calculated with the Kaplan–Meier method and compared with the log-rank statistic. We assessed the relationship between baseline variables and the composite end-point of death, death from cardiac causes and myocardial infarction using a Cox proportional hazards survival model. Results We observed significant differences between patients within each polymorphism genotype group for baseline characteristics. The frequency of diabetes was lower in patients carrying GG genotype for rs10757274, rs2383206 and rs10757278 (29.4%, 32.8%, 32.0%) compared to patients carrying AA or AG genotypes (49.1% and 39.2%, p = 0.01; 52.4% and 40.1%, p = 0.01; 47.8% and 37.9%, p = 0.04; respectively). Significant differences in genotype frequencies between double and triple vessel disease patients were observed for the rs10757274, rs10757278 and rs1333049. Finally, there was a higher incidence of overall mortality in patients with the GG genotype for rs2383206 compared to patients with AA and AG genotypes (19.5%, 11.9%, 11.0%, respectively; p = 0.04). Moreover, the rs2383206 was still significantly associated with a 1.75-fold increased risk of overall mortality (p = 0.02) even after adjustment of a Cox multivariate model for age, previous myocardial infarction, diabetes, smoking and type of coronary anatomy. Conclusions Our data are in accordance to previous evidence that chromosome 9p21 genetic variation may constitute a genetic modulator in the cardiovascular system in different scenarios. In patients with established CAD, we observed an association between the rs2383206 and higher incidence of overall mortality and death from cardiac causes in patients with multi-vessel CAD.

Abstract Background Sexual function among women undergoing hemodialysis (HD) is under-studied and there is no consensus about the effect of sexual dysfunction (SD) on their quality of life (QoL). We aimed to determine the prevalence of SD and to compare QoL between women undergoing maintenance HD with and without SD. Methods We included female end-stage renal disease (ESRD) patients undergoing HD during June 2011 in the only renal unit in the north of Ceará state, northeastern Brazil. The criteria for inclusion were age between 18 and 55, at least three months on dialysis and being sexually active. Women using antidepressant medication were excluded. We used the Female Sexual Function Index (FSFI), which evaluates six domains of sexual function, including desire, arousal, lubrication, orgasm, satisfaction and pain. The patients were classified as presenting SD if the total FSFI score was less than 26. For QoL evaluation, we used the validated Brazilian version of SF-36. This is a widely used 36-item questionnaire covering eight dimensions of QoL. Demographic data, time on dialysis, underlying etiology of ESRD, and laboratory measures were assessed in unit records. Results Of a total of 58 women, 46 (79.3%) presented SD. There were lower scores related to physical functioning (48.2 vs. 71.2; p = 0.007), bodily pain (45 vs. 67.5; p = 0.010), vitality (52.1 vs. 69.1; p = 0.026) and social functioning (57.2 vs. 76.1; p = 0.034) among women with SD compared to women without SD. Physical functioning and role-physical presented positive linear correlation with FSFI scores, respectively, r = 0.322 (p = 0.013) and r = 0.345 (p = 0.007). Conclusion The prevalence of SD among women on HD is very high, reaching nearly 80%. Women on HD with SD had worse QoL, especially physical aspects of QoL, when compared to women without SD. Therefore, approaches aiming to improve QoL among women undergoing HD should be considered.

Abstract Background Patients have to travel long distances to undergo hemodialysis (HD) in some regions. We aimed to search for an association of the distance between patients’ residence and the dialysis unit with quality of life, depression and coping among end-stage renal disease (ESRD) patients undergoing maintenance HD. Methods We studied 161 ESRD patients undergoing HD during April 2009. Quality of life, depression and coping were assessed by the SF-36, the 10-item CES-D and the Jalowiec Coping Scale, respectively. The sample was stratified in three groups: I-patients residing in Sobral (where the dialysis unit is located); II-patients residing in towns up to 100 km from Sobral; and III-patients residing in towns distant greater than 100 km from Sobral. Analysis of variance was used to detect differences in quality of life and coping scores between the groups. Logistic regression was used to test distance as a predictor of depression. Results There were 47 (29.2%) patients residing in Sobral, 46 (28.6%) up to 100 km away and 68 (42.2%) greater than 100 km from Sobral. There were no differences related to quality of life and coping scores between the groups. Distance was not a predictor of depression. Conclusions Social and cultural factors may explain the lack of differences. Studies from other regions are needed to clarify the distance effects on self-perceived outcomes among HD patients.

Abstract Background A recent study investigated the MYLIP region in the Mexican population in order to fine-map the actual susceptibility variants of this locus. The p.N342S polymorphism was identified as the underlying functional variant accounting for one of the previous signals of genome-wide association studies and the N342 allele was associated with higher cholesterol concentrations in Mexican dyslipidemic individuals. To date, there is no further evaluation on this genotype-phenotype association in the literature. In this scenario, and because of a possible pharmacotherapeutic target of dyslipidemia, the main aim of this study was to assess the influence of the MYLIP p.N342S polymorphism on lipid profile in Brazilian individuals. Methods 1295 subjects of the general population and 1425 consecutive patients submitted to coronary angiography were selected. General characteristics, biochemical tests, blood pressures, pulse wave velocity, and coronary artery disease scores were analyzed. Genotypes for the MYLIP rs9370867 (p.N342S, c.G1025A) polymorphism were detected by high resolution melting analysis. Results No association of the MYLIP rs9370867 genotypes with lipid profile, hemodynamic data, and coronary angiographic data was found. Analysis stratified by hyperlipidemia, gender, and ethnicity was also performed and the sub-groups presented similar results. In both general population and patient samples, the MYLIP rs9370867 polymorphism was differently distributed according to ethnicity. In the general population, subjects carrying GG genotypes had higher systolic blood pressure (BP), diastolic BP, and mean BP values (129.0 ± 23.3; 84.9 ± 14.6; 99.5 ± 16.8 mmHg) compared with subjects carrying AA genotypes (123.7 ± 19.5; 81.6 ± 11.8; 95.6 ± 13.6 mmHg) (p = 0.01; p = 0.02; p = 0.01, respectively), even after adjustment for covariates. However, in analysis stratified by ethnicity, this finding was not found and there is no evidence that the polymorphism influences BP. Conclusion Our findings indicate that association studies involving this MYLIP variant can present distinct results according to the studied population. In this moment, further studies are needed to reaffirm if the MYLIP p.N342S polymorphism is functional or not, and to identify other functional markers within this gene.

Abstract Background To identify objective and subjective indicators of death in prevalent hemodialysis (HD) patients in a follow-up study of 12 months. Methods The study included end-stage renal disease patients undergoing HD and analyzed demographic and laboratory data from the dialysis unit's records. Baseline data concerning socioeconomic status, comorbidity, quality of life level, coping style and depression were also assessed. For variables that differed in the comparison between survivors and non-survivors, Cox proportional hazards for death were calculated. Results The mortality rate was 13.0%. Non-survivors differed in age, comorbidity, inclusion on the transplant waiting list and physical functioning score. The hazard ratios of death were 8.958 (2.843-28.223; p < 0.001) for comorbidity, 3.992 (1.462-10.902; p = 0.007) for not being on the transplant waiting list, 1.038 (1.012-1.066; p = 0.005) for age, and 0.980 (0.964-0.996; p = 0.014) for physical functioning. Conclusions Comorbidity, not being on the transplant waiting list, age and physical functioning, which reflects physical status, must be seen as risk indicators of death among patients undergoing HD.

Abstract Background Recent studies reported the association between SLCO1B1 polymorphisms and the development of statin-induced myopathy. In the scenario of the Brazilian population, being one of the most heterogeneous in the world, the main aim here was to evaluate SLCO1B1 polymorphisms according to ethnic groups as an initial step for future pharmacogenetic studies. Methods One hundred and eighty-two Amerindians plus 1,032 subjects from the general urban population were included. Genotypes for the SLCO1B1 rs4149056 (c.T521C, p.V174A, exon 5) and SLCO1B1 rs4363657 (g.T89595C, intron 11) polymorphisms were detected by polymerase chain reaction followed by high resolution melting analysis with the Rotor Gene 6000® instrument. Results The frequencies of the SLCO1B1 rs4149056 and rs4363657 C variant allele were higher in Amerindians (28.3% and 26.1%) and were lower in African descent subjects (5.7% and 10.8%) compared with Mulatto (14.9% and 18.2%) and Caucasian descent (14.8% and 15.4%) ethnic groups (p < 0.001 and p < 0.001, respectively). Linkage disequilibrium analysis show that these variant alleles are in different linkage disequilibrium patterns depending on the ethnic origin. Conclusion Our findings indicate interethnic differences for the SLCO1B1 rs4149056 C risk allele frequency among Brazilians. These data will be useful in the development of effective programs for stratifying individuals regarding adherence, efficacy and choice of statin-type.

Abstract Background The prevalence of metabolic syndrome has increased over the last few decades in adolescents and has become an important health challenge worldwide. This study analyzed the relationships between metabolic risk factors (MRF) and physical activity (PA) and physical fitness (PF) in a sample of Azorean adolescents. Methods A cross-sectional school-based study was conducted on 417 adolescents (243 girls) aged 15-18 from the Azorean Islands, Portugal. Height, weight, waist circumference, fasting glucose, HDL-cholesterol, triglycerides, and blood pressure were measured. A sum of MRF was computed, and adolescents were classified into three groups: no MRF, one MRF and two or more MRF. PA was assessed by a sealed pedometer. PF was assessed using five tests from the Fitnessgram Test Battery. Dietary intake was obtained using a semi-quantitative food frequency questionnaire. Results Mean daily steps for girls and boys were 7427 ± 2725 and 7916 ± 3936, respectively. Fifty-nine percent of the adolescents showed at least one MRF and 57.6% were under the healthy zone in the 20 m Shuttle Run Test. Ordinal logistic regression analysis showed that after adjusting for sex, body mass index, socio-economic status and adherence to a Mediterranean diet, adolescents who were in the highest quartile of the pedometer step/counts (≥9423 steps/day) and those who achieved the healthy zone in five tests were less likely to have one or more MRF (OR = 0.56;95%CI:0.33-0.95; OR = 0.55;95%CI:0.31-0.98, respectively). Conclusions Daily step counts and PF levels were negatively associated with having one or more MRF among Azorean adolescents. Our findings emphasize the importance of promoting and increasing regular PA and PF to reduce the public health burden of chronic diseases associated with a sedentary lifestyle.

Abstract Background Recent studies have reported the clinical importance of CYP2C19 and ABCB1 polymorphisms in an individualized approach to clopidogrel treatment. The aims of this study were to evaluate the frequencies of CYP2C19 and ABCB1 polymorphisms and to identify the clopidogrel-predicted metabolic phenotypes according to ethnic groups in a sample of individuals representative of a highly admixtured population. Methods One hundred and eighty-three Amerindians and 1,029 subjects of the general population of 4 regions of the country were included. Genotypes for the ABCB1c.C3435T (rs1045642), CYP2C19*2 (rs4244285), CYP2C19*3 (rs4986893), CYP2C19*4 (rs28399504), CYP2C19*5 (rs56337013), and CYP2C19*17 (rs12248560) polymorphisms were detected by polymerase chain reaction followed by high resolution melting analysis. The CYP2C19*3, CYP2C19*4 and CYP2C19*5 variants were genotyped in a subsample of subjects (300 samples randomly selected). Results The CYP2C19*3 and CYP2C19*5 variant alleles were not detected and the CYP2C19*4 variant allele presented a frequency of 0.3%. The allelic frequencies for the ABCB1c.C3435T, CYP2C19*2 and CYP2C19*17 polymorphisms were differently distributed according to ethnicity: Amerindian (51.4%, 10.4%, 15.8%); Caucasian descent (43.2%, 16.9%, 18.0%); Mulatto (35.9%, 16.5%, 21.3%); and African descent (32.8%, 20.2%, 26.3%) individuals, respectively. As a result, self-referred ethnicity was able to predict significantly different clopidogrel-predicted metabolic phenotypes prevalence even for a highly admixtured population. Conclusion Our findings indicate the existence of inter-ethnic differences in the ABCB1 and CYP2C19 variant allele frequencies in the Brazilian general population plus Amerindians. This information could help in stratifying individuals from this population regarding clopidogrel-predicted metabolic phenotypes and design more cost-effective programs towards individualization of clopidogrel therapy.

Abstract Background Cardiovascular diseases (CVD) are the main cause of death and disability in developed countries. In most cases, the progress of CVD is influenced by environmental factors and multifactorial inheritance. The purpose of this study was to investigate the association between APOE genotypes, cardiovascular risk factors, and a non-invasive measure of arterial stiffness in the Brazilian population. Methods A total of 1493 urban Brazilian individuals were randomly selected from the general population of the Vitoria City Metropolitan area. Genetic analysis of the APOE polymorphism was conducted by PCR-RFLP and pulse wave velocity analyzed with a noninvasive automatic device. Results Age, gender, body mass index, triglycerides, creatinine, uric acid, blood glucose, blood pressure phenotypes were no different between ε2, ε3 and ε4 alleles. The ε4 allele was associated with higher total-cholesterol (p < 0.001), LDL-C (p < 0.001), total-cholesterol/HDL-C ratio (p < 0.001), LDL/HDL-C ratio (p < 0.001), lower HDL-C values (p < 0.001) and higher risk to obesity (OR = 1.358, 95% CI = 1.019-1.811) and hyperuricemia (OR = 1.748, 95% CI = 1.170-2.611). Nevertheless, pulse wave velocity (p = 0.66) measures were no different between genotypes. The significant association between APOE genotypes and lipid levels persisted after a 5-year follow-up interval, but no interaction between time and genotype was observed for lipids longitudinal behavior. Conclusion The ε4 allele of the APOE gene is associated with a worse lipid profile in the Brazilian urban population. In our relatively young sample, the observed effect of APOE genotype on lipid levels was not translated into significant effects in arterial wall stiffness.

Abstract Background Paracoccidioides brasiliensis (Eukaryota, Fungi, Ascomycota) is a thermodimorphic fungus, the etiological agent of paracoccidioidomycosis, the most important systemic mycoses in Latin America. Three isolates corresponding to distinct phylogenetic lineages of the Paracoccidioides species complex had their genomes sequenced. In this study the identification and characterization of class II transposable elements in the genomes of these fungi was carried out. Results A genomic survey for DNA transposons in the sequence assemblies of Paracoccidioides, a genus recently proposed to encompass species P. brasiliensis (harboring phylogenetic lineages S1, PS2, PS3) and P. lutzii (Pb01-like isolates), has been completed. Eight new Tc1/mariner families, referred to as Trem (Transposable element mariner), labeled A through H were identified. Elements from each family have 65-80% sequence similarity with other Tc1/mariner elements. They are flanked by 2-bp TA target site duplications and different termini. Encoded DDD-transposases, some of which have complete ORFs, indicated that they could be functionally active. The distribution of Trem elements varied between the genomic sequences characterized as belonging to P. brasiliensis (S1 and PS2) and P. lutzii. TremC and H elements would have been present in a hypothetical ancestor common to P. brasiliensis and P. lutzii, while TremA, B and F elements were either acquired by P. brasiliensis or lost by P. lutzii after speciation. Although TremD and TremE share about 70% similarity, they are specific to P. brasiliensis and P. lutzii, respectively. This suggests that these elements could either have been present in a hypothetical common ancestor and have evolved divergently after the split between P. brasiliensis and P. Lutzii, or have been independently acquired by horizontal transfer. Conclusions New families of Tc1/mariner DNA transposons in the genomic assemblies of the Paracoccidioides species complex are described. Families were distinguished based on significant BLAST identities between transposases and/or TIRs. The expansion of Trem in a putative ancestor common to the species P. brasiliensis and P. lutzii would have given origin to TremC and TremH, while other elements could have been acquired or lost after speciation had occurred. The results may contribute to our understanding of the organization and architecture of genomes in the genus Paracoccidioides.

Abstract Background The generalized T-cell activation characterizing HIV-1 and SIVmac infections in humans and macaques (MACs) is not found in the non-pathogenic SIVagm infection in African green monkeys (AGMs). We have previously shown that TGF-β1, Foxp3 and IL-10 are induced very early after SIVagm infection. In SIVmac-infected MACs, plasma TGF-β1 induction persists during primary infection 1. We raised the hypothesis that MACs are unable to respond to TGF-β1 and thus cannot resorb virus-driven inflammation. We therefore compared the very early expression dynamics of pro- and anti-inflammatory markers as well as of factors involved in the TGF-β1 signaling pathway in SIV-infected AGMs and MACs. Methods Levels of transcripts encoding for pro- and anti-inflammatory markers (tnf-α, ifn-γ, il-10, t-bet, gata-3) as well as for TGF-β1 signaling mediators (smad3, smad4, smad7) were followed by real time PCR in a prospective study enrolling 6 AGMs and 6 MACs. Results During primary SIVmac infection, up-regulations of tnf-α, ifn-γ and t-bet responses (days 1–16 p.i.) were stronger whereas il-10 response was delayed (4th week p.i.) compared to SIVagm infection. Up-regulation of smad7 (days 3–8 p.i.), a cellular mediator inhibiting the TGF-β1 signaling cascade, characterized SIV-infected MACs. In AGMs, we found increases of gata-3 but not t-bet, a longer lasting up-regulation of smad4 (days 1–21 p.i), a mediator enhancing TGF-β1 signaling, and no smad7 up-regulations. Conclusion Our data suggest that the inability to resorb virus-driven inflammation and activation during the pathogenic HIV-1/SIVmac infections is associated with an unresponsiveness to TGF-β1.

Gamma-decanolactone (GD) is a monoterpene compound with anticonvulsant, antiparkinsonian, and neuroprotective effects in preclinical trials. This study aimed to evaluate the toxicity and antioxidant profile of GD in silico and in the Caenorhabditis elegans (C. elegans) experimental model. The C. elegans was used to determine the median lethal concentration (LC 50 ) of GD, as well as its effect on survival, development, reproduction, pharyngeal pumping, and stress resistance assays. The in silico study did not indicate hepatotoxic, cardiotoxic, or mutagenic potential to GD. It reduced the worms' survival, both at the L1 and L4 stages, in a concentration-dependent manner with an LC 50 value of 212.16 ± 5.56 μmol/mL. GD did not alter the development, reproduction, and pharyngeal pumping under normal experimental conditions in the three concentrations tested (25, 50, and 100 μmol/mL). In the thermal stress assay, GD did not change the survival pattern of the worms. Hydrogen peroxide (H 2 O 2 ) reduced the survival of C. elegans and decreased the number of pharyngeal pumping, with these effects being reversed by GD. Also, GD presents an antioxidant activity by modulation the expression of the stress response genes such as sod-3, ctl-1,2,3, and gst-4. In conclusion, GD showed low toxicity in the C. elegans model and antioxidant profile both in the in silico study and in vivo assays., (© 2024 John Wiley & Sons Ltd.)

Purpose: Lung transplantation (LTx) is a potential intervention for end-stage COVID-19 lung disease. Current literature is sparse regarding the outcomes of LTx for COVID-19 related acute respiratory distress syndrome (ARDS) and pulmonary fibrosis (PF). This study aims to characterize outcomes and patterns of LTx for COVID-19 related lung disease throughout the pandemic., Methods: Patients who underwent LTx during the pandemic for COVID-19 related lung disease were retrospectively identified using the UNOS registry. Demographics, as well as outcomes measures and nationwide patterns of care were collected and analyzed., Results: A total of 510 adult cases of LTx for COVID-19 (259 ARDS, 251 PF) were compared to 4,031 without COVID-19 (3,994 PF, 37 ARDS). Patients who received LTx for COVID-19 ARDS did not differ in 2-year survival when compared to those with COVID-19 PF (81.9% vs 77.2%, p = 0.4428). Compared to non-COVID-19 etiologies, COVID-19 ARDS patients had higher rates of stroke (2.3% vs 0%, p = 0.0005), lower rates of graft failure (12.8% vs 36.1%, p = 0.0003) and post-transplant ECMO (29.6% vs 41.7%, p = 0.0002), and improved 2-year survival following LTx (81.9% vs 61.7%, p = 0.0064). No difference in 2-year survival following LTx was observed between patients with COVID-19 and non-COVID-19 PF (77.2% vs 71.8%, p = 0.34). Rates of LTx spiked with variant emergence and declined with rounds of vaccination., Conclusion: Our results are consistent with early reports of survival outcomes following LTx for COVID-19 ARDS and PF while providing an increased layer of granularity. LTx may be considered as a safe and effective intervention for COVID-19 lung disease., (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

Nanotechnology, which involves manipulating matter at the atomic and molecular scales to produce structures and devices ranging from 1 to 100 nm, is increasingly being applied in agriculture. Nanoscale materials possess distinct optical, electrochemical, and mechanical properties that enable the smart, targeted delivery of pesticides, fertilizers, and genetic materials to plants, as well as rapid sensing and on-site monitoring of plant health, soil fertility, and water quality in a digital format. This review explores the application of nanotechnology in agriculture, examining the challenges and benefits related to all aspects of crop production, with a particular focus on regulatory issues. Key findings indicate that nanotechnology can improve crop production and reduce the environmental footprint of agriculture through precise input management. However, several critical issues need to be addressed, including the limited knowledge of the long-term environmental impacts associated with agricultural nanotechnology and the ambiguity of current regulations. This underscores the need for further research to elucidate its impact on soil, water, and environmental and human health, to inform evidence-based regulations. © 2024 The Author(s). Journal of the Science of Food and Agriculture published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry., (© 2024 The Author(s). Journal of the Science of Food and Agriculture published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry.)