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The present study aimed to investigate the rupture of B1 tailings dam of Córrego do Feijão mine, which drastically affected the region of Brumadinho (Minas Gerais, Brazil). The contamination of water resources reached 155.3 km from the dam site. In the river channel, high concentrations of Mn, Al, As and Fe were detected and correlated to the spillage of the tailings in the river. The presence of the tailings also affected the chlorophyll-a content in the water, as well as the reflectance of riparian forests. With the increase of metal(oid) concentrations above permitted levels, water management authorities suspended the use of Paraopeba River as resource in the impacted areas, namely the drinking water supply to the Metropolitan region of Belo Horizonte. This study aimed to evaluate possible links between tailings distribution, river water quality, and environmental degradation, which worked as latent variables in partial least squares regression models. The latent variables were represented by numerous physical and chemical parameters of water and sediment, measured four times in 22 locations during the rainy season of 2019, in addition to stream flow and to NDVI evaluated in satellite images processed daily. The modeling results suggested a relationship between river flow turbulence and increased arsenic release from sand fractions, as well as desorption of Mn from metal oxides, both representing causes of water quality reduction. They also revealed increasing iron concentrations affecting the forest NDVI (greening), which was interpreted as environmental degradation. The increase of chlorophyll-a concentrations (related with turbidity decreases), as well as the increase of river flows (responsible for dilution effects), seemed to work out as attenuators of degradation. Although applied to a specific site, our modeling approach can be transposed to equivalent dam failures and climate contexts, helping water resource management authorities to decide upon appropriate recovery solutions., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier B.V. All rights reserved.)

This study investigated the collapse of B1 mine-tailings dam that occurred in 25 January 2019 and severely affected the Brumadinho region (Minas Gerais state, Brazil) socially, economically and environmentally. As regards water resources, the event impacted the Paraopeba River in the first 155.3 km counted from the dam site, meaning nearly half the main water course downstream of B1. In the impacted sector, high concentrations of tailings-related Al, Fe, Mn, P in river sediment-tailings mixtures and water were detected, as well as changes to the reflectance of riparian forests. In the river water, the metal concentrations raised significantly above safe levels. For caution, the water management authorities declared immediate suspension of Paraopeba River as drinking water source to the Metropolitan Region of Belo Horizonte (6 million people), irrespective of representing nearly 30% of all supply. In this study, the main purpose was to assess potential links between tailings distribution, river water composition and reflectance of forest vegetation, which worked out as latent variables in regression models. The latent variables were represented by numerous physical and chemical parameters, measured 4 times in 22 sites during the dry period of 2019. The modeling results suggested the release of aluminum and phosphorus from sand fractions in the mine tailings as major cause of water contamination. The NDVI changes were interpreted as environmental deterioration. Changes in redox potential may have raised manganese concentrations in surface water further affecting the forest NDVI. Distance from the B1 dam and dissolved calcium appear to attenuate deterioration. Overall, the regressions allowed robust prognoses of environmental deterioration in the Paraopeba River under low flow conditions. More importantly, they can be transposed to similar dam ruptures helping environmental authorities to decide upon measures that can bring the affected rivers to pre-rupture conditions., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

The aim of this study was to analyze the association between waist-to-height ratio (WHtR) and C-reactive protein (CRP) in the elderly (considering their most prevalent morbidities and lifestyles), to investigate the relationship between this anthropometric index and the presence of the most prevalent morbidities (isolated or combined), and to identify which morbidities (analyzed individually) would have greater associations with WHtR. This cross-sectional population-based epidemiological study of a stratified sampling comprised 170 elderly individuals between 60 and 90 years of age (both genders). Home visits were used to administer questionnaires and to perform anthropometric measurements and blood collection. The mean patient age was younger than 70 years, with women comprising the majority (69.41%) and with 90% of the patients presenting with inadequate WHtR. Hypertension was the most prevalent morbidity in this cohort (58.52%), and when analyzed in combination, hypertension plus obesity were the most frequently diagnosed morbidities (17.65%). Obesity, which was among the most prevalent comorbidities, was the only comorbidity combined with WHtR (p = 0.0019). Individuals with no morbidities had lower mean WHtR values compared with individuals with at least one morbidity (p = 0.0075). In the multiple linear regression model, it was identified that when individuals had one or more of the most prevalent comorbidities, the mean WHtR increased by 0.0415 (p = 0.0065). A correlation between WHtR and CRP (p = 0.0379) was also verified. Based on the relationships observed between WHtR (isolated or in combination, data unpublished) and CRP among the elderly, WHtR may represent a screening tool because it is a simple and effective anthropometric index.

Objectives: To evaluate the efficacy of soy isoflavones extract (SIE) in the treatment of depressive symptoms in women with climacteric syndrome., Methods: Placebo-controlled double-blind randomized study with 84 climacteric outpatients attended in the Lauro Wanderley University Hospital in Joao Pessoa (PB), Brazil. In the assessment of the depressive symptoms, the Brazilian version of the Center of Epidemiologic Studies of Depression (CES-D) scale was used, on the pre-treatment visits (VT1), 8th (VT2) and 16th (VT3) weeks after treatment. The experimental group (EG) received the daily dose of 120mg SIE and the control group (CG), placebo. The primary efficacy measure was the comparison of the percent reductions in the CES-D scores from VT1 to VT3 between EG and CG (t-test, p<0.05). The security analysis consisted of laboratory and clinical evaluation of adverse events., Results: The CES-D scores in the EG reduced from 12.5 (+/-4.2) in VT1 to 9.9 (+/-3.6) in VT2 (VT20.05). In the outcome of the 16-week treatment (VT1-VT3), reduction of the CES-D scores did not reach statistical significance between groups. There were no clinically relevant adverse events attributable to the treatment., Conclusions: The treatment with soy isoflavones did not produce significant reduction on the depressive symptoms of a predominantly affective nature evaluated in this study. The symptomatic reduction initially observed was apparently a nonspecific response to treatment, corroborating evidences from the literature on the placebo phenomenon in treatment of the climacteric syndrome.