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Despite those with hepatocellular carcinoma (HCC) being at increased risk of malnutrition, there is a notable absence of practical approaches for nutritional assessment in clinical practice. We investigated the usefulness of phase angle (PhA) and Total Psoas Area Index (TPAI) for indicating nutritional risk and HCC prognosis. Weight, height, body mass index (BMI), adductor pollicis muscle thickness (APMT), and handgrip strength (HGS) were assessed. The Nutritional Risk Index (NRI) was calculated. Body composition was assessed using bioimpedance spectroscopy and magnetic resonance imaging. The Child-Turcotte-Pugh (CTP) score and Barcelona-Clinic Liver Cancer (BCLC) classification determined the prognosis. Fifty-one males with HCC were enrolled (CTP C = 11.8%). PhA showed a moderate positive correlation with APMT (r = 0.450; p < 0.001) and HGS (r = 0.418; p = 0.002) and a weak positive correlation with TPAI (r = 0.332; p = 0.021). PhA had a strong positive correlation with NRI (r = 0.614; p < 0.001). Mean PhA values were significantly different according to disease severity (CTP C p = 0.001, and BCLC D p = 0.053). TPAI had no significant correlation with HGS, CTP, or BCLC. PhA was a superior approach for predicting nutritional risk and prognosis in HCC than TPAI. Lower PhA is associated with disease progression, lower muscle mass and function, greater severity of nutritional risk, and increased mortality in HCC. [ABSTRACT FROM AUTHOR]

Mycorrhizal fungus diversity is an ecosystem health indicator, and thus, the appreciation of the aboveground as well as the belowground biota, such as fungi associated with natural and managed ecosystems, is essential to provide sustainable products and suggestions to farmers. Less is known about the totally arbuscular mycorrhizal fungi (AMF) and fungal endophytes useful to agroecology, which are environment friendly microbial biofertilizers to mitigate the complications of conventional farming. Specific AMF are found in most covers; grassy ecosystems are increasingly investigated through their exclusive fungal species that improve sustainable cultivation. Different grazed pastures, forages, and their diversity are important objects of study either in economic or ecological scope. Based on recent reports, the occurrence of AMF in grasslands and pastures is significant, supporting more diverse AMF than native forests. Therefore, we show current information on these topics. We conducted a Web of Science search of published articles on AMF, pastures, and grasslands and analyzed them. The results confirmed the important role of pH as the driver of AMF diversity distribution between the grassy ecosystems from Argentina and Brazil. In grasslands, the main family represented was Glomeraceae, while pastures maintain predominantly Acaulosporaceae. Brazilian grasslands and pastures presented four times the AMF richness of those from Argentina. [ABSTRACT FROM AUTHOR]

Purpose: To determine whether teleophthalmology can help physicians in assessing and managing eye conditions and to ascertain which clinical conditions can be addressed by teleophthalmology in primary care setting. Methods: We evaluated the resolution capacity of TeleOftalmo, strategy implemented in the public health system of southern Brazil. Resolution capacity was defined as the ability to fully address patients' eye complaints in primary care with remote assistance from ophthalmologists. Data from tele-eye reports were collected over 14 months. Resolution capacity was compared across different age groups and different ocular conditions. Results: Overall, 8,142 patients had a tele-eye report issued in the study period. Resolution capacity was achieved in 5,748 (70.6%) patients. When stratified into age groups, the lowest capacity was 43.1% among subjects aged ≥65 years, while the highest was 89.7% among subjects aged 13–17 years (p<0.001). Refractive error (70.3%) and presbyopia (56.3%) were the most prevalent conditions followed by cataract (12.4%) and suspected glaucoma (7.6%). Resolution capacity was higher in cases of refractive error, presbyopia, spasm of accommodation and lid disorders than in patients diagnosed with other condition (p<0.001). Conclusions: With telemedicine support, primary care physicians solved over two-thirds of patients' eye or vision complaints. Refractive errors had high case resolution rates, thus having a great impact on reducing the number of referrals to specialty care. Teleophthalmology adoption in primary-care settings as part of the workup of patients with eye or vision complaints promotes a more effective use of specialty centers and will hopefully reduce waiting times for specialty referral. [ABSTRACT FROM AUTHOR]

Acinetobacter baumannii is considered an important pathogen of clinical significance that is responsible for a wide range of nosocomial infections. Carbapenem resistance among A. baumannii isolates has increased dramatically in the Past years because of the emergence and dissemination of specific epidemic clones. We aimed to characterize the population structure of A. baumannii isolates from Porto Alegre city, Southern Brazil, in two distinct periods: during the first carbapenem-resistant A. baumannii (CRAB) outbreak (2007–2008) and 5 years later when the CRAB reached endemic levels (2013–2014). The study included 49 CRAB isolates collected in two periods: 2007–2008 (31 isolates) and 2013–2014 (18 isolates). Multilocus sequence typing (MLST) was performed according to Institute Pasteur, followed by eBURST analysis. PCR was used to detect integrase gene, blaNDM, and oxacillinase genes, and also to detect the ISAba1 element upstream blaOXA-23. The eBURST analysis identified the clonal complexes (CCs) CC15, CC32, CC79, CC216, CC221, and CC464 in the first period (2007–2008) and CC1, CC2, CC15, CC79, and CC162 during the endemic period (2013–2014). Molecular analysis by MLST identified 13 new sequence types. As we found A. baumannii with the blaOXA-23 gene of several CCs, it can be concluded that the increase of CRAB infections are not related to a specific clone. Furthermore, the high-risk CC15 and CC79 were related to the first CRAB outbreak and these CCs persisted up to 2014 in Porto Alegre city. The international clones CC1 and CC2 were observed for the first time in only the second period (2013–2014), alerting to the emergence of these clones in Southern Brazil. [ABSTRACT FROM AUTHOR]

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Copyright of Ciencia, Cuidado e Saude is the property of Universidade Estadual de Maringa and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

EUBrazilOpenBio is a collaborative initiative addressing strategic barriers in biodiversity research by integrating open access data and user-friendly tools widely available in Brazil and Europe. The project deploys the EU-Brazil Hybrid Data Infrastructure that allows the sharing of hardware, software and data on-demand. This infrastructure provides access to several integrated services and resources to seamlessly aggregate taxonomic, biodiversity and climate data, used by processing services implementing checklist cross-mapping and ecological niche modelling. A Virtual Research Environment was created to provide users with a single entry point to processing and data resources. This article describes the architecture, demonstration use cases and some experimental results and validation. Copyright © 2014 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

In 2006, Brazil approved a groundbreaking policy aimed at reducing significant racial health inequalities among its citizens. Like health disparities programs in the United States, Brazil's policy is based on the assumptions that racial identity and racism are important health determinants and that citizens who identify as 'black' suffer disproportionately from a number of health problems. How do these assumptions compare to Brazilian citizens' conceptions of racial identity and health inequalities? To address this question, I present ethnographic data from two years of fieldwork in Brazilian public clinics and low-income neighborhoods. I show that a majority of research participants made no connection between race and better or worse health. Of those who perceived health inequalities by race, most believed that white Brazilians had more health problems than black or brown Brazilians. Finally, I consider the implications of these ethnographic findings for Brazil's health disparities campaign. [ABSTRACT FROM AUTHOR]

This article examines whether the Central Bank of Brazil's (BCB) reaction function has nonlinear properties and characterizes the type of preference of the BCB from July 2000 to August 2008. The tests reject the hypothesis of linearity in the BCB's reaction function. Furthermore, using a smooth-transition regression model, the results indicate that the BCB reacted more strongly in reducing interest rates when expected inflation was below target, than when it was above, which is consistent with the presence of recession avoidance preferences. Despite this, the results indicate that most of the time, the BCB respected the Taylor principle, strongly responding to changes in the expected inflation. [ABSTRACT FROM PUBLISHER]

Abstract: Semiarid lands are the object of a limited number of studies, very few among them aimed at characterizing root-associated fungal communities. The diverse vegetation occurring in the tropical dry forest from the Ceará State, Brazil, core area of the Brazilian tropical semiarid, has been attributed to its soil, topography and climatic variation. However, the arbuscular mycorrhizal (AM) symbiosis may have an important role in the function of these ecosystems. We examined AM association in 29 semiarid Brazilian species from three different locations: thorny dry woody savanna vegetation, known as caatinga; non-thorny dry forest and closed, non thorny dry tall-shrubby vegetation, known as carrasco. AM fungal diversity was also compared among the different sites. Twenty of the 22 trees and two of the seven herbs examined had AM association. Arum-type AM morphology was the dominant association occurring in 19 trees and in 3 hemicryptophyte plants. AM morphology is reported for the first time in 21 trees and two herbaceous species. Over the different sites, spore densities in the soil ranged from 5 to 32 per 100g air-dried soil. Spores of 32 AM fungal taxa were isolated from the soil samples of trees of which twelve belonged to Acaulospora, two to Scutellospora, three to Gigaspora, four to Racocetra, three to Glomus, one to Clareoideoglomus, one to Ambispora, one to Pacispora, one to Sclerocystis, one to Dentiscutata, one to Orbispora, one to Quatunica and one to Entrophospora. Species richness was high in woody caatinga and Glomus macrocarpum, Gigaspora gigantea and Cetraspora pellucida were the most frequent species at different sites. Species diversity (Shannon–Weaver index) did not differ significantly among sites. Water content and phosphorus availability was found to influence the AMF species composition at the plant community level, providing information about the caatinga dominium biodiversity, mainly for its conservation. [Copyright &y& Elsevier]

Two new arbuscular mycorrhizal fungal species, (Glomeromycota) Septoglomus fuscum and 5. furcatum, are described and illustrated. Spores of S. fuscum usually occur in loose hypogeous clusters, rarely singly in soil or inside roots, and S. furcatum forms only single spores in soil. Spores of S. fuscum are brownish orange to dark brown, globose to subglobose, (20-)47(-90) μm diam, rarely ovoid, 21-50 X 23-60 |im. Their spore wall consists of a semi-persistent, semi-flexible, orange white to golden yellow, rarely hyaline, outer layer, easily separating from a laminate, smooth, brownish orange to dark brown inner layer. Spores of 5. furcatum, are reddish brown to dark brown, globose to subglobose, (106-) 138(-167) μm diam, rarely ovoid, 108-127 X 135-160 (xm, usually with one subtending hypha that is frequently branched below the spore base, or occasionally with two subtending hyphae located close together. Spore walls consists of a semi-permanent, hyaline to light orange outermost layer, a semipermanent, hyaline to golden yellow middle layer, and a laminate, smooth, reddish brown to dark brown innermost layer. None of the spore-wall layers of 5. fuscum and S. furcatum stain in Melzer's reagent. In the field, 5. fuscum was associated with roots of Arctotheca populifolia colonizing maritime dunes located near Strand in South Africa and S. furcatum was associated with Cordia oncocalyx growing in a dry forest in the Ceara State, Brazil. In single-species cultures with Plantago lanceolata as host plant, S. fuscum and S. furcatum formed arbuscular mycorrhizae. Phylogenetic analyses of the SSU, ITS and LSU nrDNA sequences placed the two new species in genus Septoglomus and both new taxa were separated from described Septoglomus species. [ABSTRACT FROM AUTHOR]

The aim of this study was to investigate the use of phenotypic and genotypic values in the path analysis involving agronomic characteristics in sugarcane at the stages of plant cane and ratoon cane. Under these two approaches it was calculated the direct and indirect effects of yield components - number of stalks per plot, diameter of stalk and average height of stalk - on sugarcane yield per hectare. To ensure a better consistency of results, data were obtained in two experiments in randomized blocks with five replications. The experiments were carried out at the Center of Sugarcane Experimentation of the UFV, Oratórios, MG, Brazil. Each experiment consisted of 22 full-sib families of sugarcane. The coefficients of determination were high in all path analysis, indicating that the evaluated components explain most of the variation in straw yield. Practically there was no difference in interpretations and conclusions from the analysis based on arrays of genotypic or phenotypic correlations. From the analysis of the direct phenotypic and genotypic effects, number of stalks was the variable that best correlated with sugarcane yield per hectare in both experiments and harvest stages, demonstrating the possibility of obtaining significant gains by means of indirect selection of sugarcane yield per hectare using number of stalks. There was variation in the estimates of correlation in the comparison between experiments, probably due to different origin of the families surveyed in each experiment. [ABSTRACT FROM AUTHOR]

Abstract: A large remaining of dry deciduous forest (woody Caatinga) in semi-arid Brazil has been reached by successive fires and exploratory actions what leads to the invasion of low load trees and shrub mesh, called “Carrasco vegetation”. As it restrains the sprouting of woody species, land recuperation was performed using a mixed plantation of native and Eucalyptus species to both preservation and to supply the demand for wood. In order to evaluate the recuperation, a study of microbial communities was proposed. In addition to the highest soil phosphorus content found in the Carrasco area, the greatest spore density of arbuscular mycorrhizal fungi (AMF) communities occurred in the rhizosphere of the both pioneer species: Carrasco and Eucalyptus. In contrast to the DGGE bacteria profile, it was possible to group AMF species of the preserved and experimental sites which were not clustered with Carrasco species through the DGGE of Glomales DNA and also by the principal component analysis (PCA) based on diversity index. Glomus and Acaulospora were the dominant genera at both the preserved site and Carrasco. Nevertheless, Gigaspora species were preferentially found in Dry Forest, while Scutellospora were absent. In contrast, Carrasco favoured the genus Scutellospora and the species Acaulospora scrobiculata. Our results allow one to conclude that vegetation type modifies the AMF communities, which may be used as good indicator of soil quality. Based on AMF communities as soil quality indicator, the mixed forest plantation appears to be underway towards the preserved site two years after transplantation. [ABSTRACT FROM AUTHOR]

Reforestation provides restoration of forest ecosystem services including improved soil fertility, which leads to increased productivity and/or sustainability of the system. Trees also increase the average carbon stocks providing wood supply for local communities; however, C sequestration strategies highlight tree plantations without considering their full environmental consequences, such as losses in stream flow. The productivity of a site is a consequence of their physical, chemical, and biological properties, resulting in natural fertile soils or adequate managed soils for improved quality. Thus, it is required to know the variations in the properties of land-use systems for adoptability of agroforestry innovations. The choice of agroforestry tree species (highly mycorrhizal dependent plants should be selected) would have great implications for the manipulation of arbuscular mycorrhizas's species. In dry forest, the inevitable consequence of cutting has been the loss of vegetation cover and insufficient scientific information on the capacity to optimize forest recuperation affects agroforestry adoption. To study the biological properties of soils is now of interest; therefore, this paper reviews the literature that has hitherto been published on mycorrhizal interactions for reforestation and points out the use ofmycorrhizal technology as one of the alternatives to improve forest products and environmental quality. [ABSTRACT FROM AUTHOR]

Background: Fibromyalgia is a painful syndrome characterized by widespread chronic pain and associated symptoms with a negative impact on quality of life. Objectives: Considering the subjectivity of quality of life measurements, the aim of this study was to verify the discriminating power of two quality of life questionnaires in patients with fibromyalgia: the generic Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) and the specific Fibromyalgia Impact Questionnaire (FIQ). Methods: A cross-sectional study was conducted on 150 participants divided into Fibromyalgia Group (FG) and Control Group (CG) (n=75 in each group). The participants were evaluated using the SF-36 and the FIQ. The data were analyzed by the Student t-test (α=0.05) and inferential analysis using the Receiver Operating Characteristics (ROC) Curve - sensitivity, specificity and area under the curve (AUC). The significance level was 0.05. Results: The sample was similar for age (CG: 47.8±8.1; FG: 47.0±7.7 years). A significant difference was observed in quality of life assessment in all aspects of both questionnaires (p<0.05). Higher sensibility, specificity and AUC were obtained by the FIQ (96%, 96%, 0.985, respectively), followed by the SF-36 (88%, 89% and 0.948 AUC). Conclusion: The FIQ presented the highest sensibility, specificity and AUC showing the most discriminating power. However the SF-36 is also a good instrument to assess quality of life in fibromyalgia patients, and we suggest that both should be used in parallel because they evaluate relevant and complementary aspects of quality of life. [ABSTRACT FROM AUTHOR]

This paper investigates the distribution of arbuscular mycorrhizal fungi (AMF) spores and AMF colonization in a field study in southeastern Brazil. Response to AMF and rhizobial inoculation was studied in monocultures of Plathymenia reticulata and mixed plantations with both Tabebuia heptaphylla and Eucalyptus camaldulensis in a sandy soil during two consecutive years. P. reticulata height and diameter and mycorrhizal colonization and AMF diversity were measured in dry and rainy periods. The inoculated treatment of E. camaldulensis, T. heptaphylla and P. reticulata mixed plants showed higher height and diameter growth of P. reticulata used as well as increased root colonization and AMF spore numbers. Spore populations were found to belong to five genera: Acaulospora, Entrophospora, Glomus, Gigaspora and Scutellospora, with Glomus dominating. Agroforestry practices including use of leguminous tree P. reticulata effectively maintained AMF spore numbers in soils and high AMF colonization levels compared with monocultures, proving an efficient system for productivity and sustainability. [ABSTRACT FROM AUTHOR]

Our goal was to evaluate the mycorrhizal colonization, as well as the density of arbuscular mycorrhizal (AM) fungal spores, in Eucalyptus camaldulensis and E. grandis monocultures at 2 years in a semiarid part of Brazil. Soil and root samples were collected in 2 consecutive years. Eucalyptus camaldulensis showed varied AM colonization level according to season of sampling, and Glomus was dominant in spore numbers. Eucalyptus grandis showed dominant ectomycorrhizal (ECM) colonization and lower AM fungal spore density. Overall results suggest that E. camaldulensis has both AM and ECM dependencies, whereas E. grandis is solely ECM dependent in the monocultures. [ABSTRACT FROM AUTHOR]

The integration of N fixing trees into stable agroforestry systems in the tropics is being tested due to their ability to produce high biomass N and P yields, when symbiotically associated with rhizobia and mycorrhizal fungi. The growth of Centrolobium tomentosum Guill. ex Benth, a native leguminous tree from the Brazilian Atlantic Forest, was assessed with dual inoculation of Rhizobium spp and mycorrhizal fungi under field conditions. Complete fertilization was compared to treatments of inoculation with selected rhizobia strains BHICB-Ab1 or BHICB-Ab3, associated or not to arbuscular mycorrhizal (AM) fungi. The dual inoculation increased the height and growth in relation to the plants treated with rhizobia alone. Plants inoculated with strain BHICB-Ab1 and arbuscular mycorrhizal fungi (AMF) exhibited an increase of 56% dry matter over uninoculated control and nitrogen accumulation was greater than with BHICB-Ab3 inoculated plants. Strain BHICB-Ab1 presented a synergetic relationship with mycorrhizal fungi since the combined inoculation with BHICB-Ab1 enhanced plant height and dry weight more than single inoculation while the growth of BHICB-Ab3 plants was not modified by AMF inoculation. Arbuscular mycorrhizal fungi enhanced plants survival and seemed to favour the nodule occupation by rhizobia strains as compared to the non-mycorrhizal plants. Inoculation with selected rhizobia and AMF improved the growth of C. tomentosum under field conditions. [ABSTRACT FROM AUTHOR]

OBJECTIVES: Mortality due to acute respiratory distress syndrome (ARDS) is a major global health problem. Knowledge of epidemiological data on ARDS is crucial to design management, treatment strategies, and optimize resources. There is ample data regarding mortality of ARDS from high-income countries; in this review, we evaluated mortality due to ARDS in Latin America. DATA SOURCES: We searched in PubMed, Cochrane Central Register of Controlled Trials, Web of Science, and Latin American and Caribbean Health Science Literature databases from 1967 to March 2023. STUDY SELECTION: We searched prospective or retrospective observational studies and randomized controlled trials conducted in Latin American countries reporting ARDS mortality. DATA EXTRACTION: Three pairs of independent reviewers checked all studies for eligibility based on their titles and abstracts. We performed meta-analysis of proportions using a random-effects model. We performed sensitivity analyses including studies with low risk of bias and with diagnosis using the Berlin definition. Subgroup analysis comparing different study designs, time of publication (up to 2000 and from 2001 to present), and studies in which the diagnosis of ARDS was made using Pao2/Fio2 less than or equal to 200 and regional variations. Subsequently, we performed meta-regression analyses. Finally, we graded the certainty of the evidence (Grading of Recommendations Assessment, Development, and Evaluation). DATA SYNTHESIS: Of 3315 articles identified, 32 were included (3627 patients). Mortality was 52% in the pooled group (low certainty of evidence). In the sensitivity analysis (according to the Berlin definition), mortality was 46% (moderate certainty of evidence). In the subgroup analysis mortality was 53% (randomized controlled trials), 51% (observational studies), 66% (studies published up to 2000), 50% (studies after 2000), 44% (studies with Pao2/Fio2 ≤ 200), 56% (studies from Argentina/Brazil), and 40% (others countries). No variables were associated with mortality in the meta-regression. CONCLUSIONS: ARDS mortality in Latin America remains high, as in other regions. These results should constitute the basis for action planning to improve the prognosis of patients with ARDS (PROSPERO [CRD42022354035]). [ABSTRACT FROM AUTHOR]

Objective: to translate, adapt and validate the contents of the Diabetes Medical Management Plan for the Brazilian context. This protocol was developed by the American Diabetes Association and guides the procedure of educators for the care of children and adolescents with diabetes in schools. Method: this methodological study was conducted in four stages: initial translation, synthesis of initial translation, back translation and content validation by an expert committee, composed of 94 specialists (29 applied linguists and 65 health professionals), for evaluation of the translated version through an online questionnaire. The concordance level of the judges was calculated based on the Content Validity Index. Data were exported into the R program for statistical analysis: Results: the evaluation of the instrument showed good concordance between the judges of the Health and Applied Linguistics areas, with a mean content validity index of 0.9 and 0.89, respectively, and slight variability of the index between groups (difference of less than 0.01). The items in the translated version, evaluated as unsatisfactory by the judges, were reformulated based on the considerations of the professionals of each group. Conclusion: a Brazilian version of Diabetes Medical Management Plan was constructed, called the Plano de Manejo do Diabetes na Escola. [ABSTRACT FROM AUTHOR]