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BackgroundHIV incidence rates have increased in adolescent men who have sex with men (AMSM) and adolescent transgender women (ATGW). Thus, it is essential to promote access to HIV prevention, including pre-exposure prophylaxis (PrEP), among these groups. Moreover, using artificial intelligence and online social platforms to create demand and access to health care services are essential tools for adolescents and youth. ObjectiveThis study aims to describe the participative process of developing a chatbot using artificial intelligence to create demand for PrEP use among AMSM and ATGW in Brazil. Furthermore, it analyzes the chatbot’s acceptability, functionality, and usability and its results on the demand creation for PrEP. MethodsThe chatbot Amanda Selfie integrates the demand creation strategies based on social networks (DCSSNs) of the PrEP1519 study. She was conceived as a Black transgender woman and to function as a virtual peer educator. The development process occurred in 3 phases (conception, trial, and final version) and lasted 21 months. A mixed methodology was used for the evaluations. Qualitative approaches, such as in-depth adolescent interviews, were used to analyze acceptability and usability, while quantitative methods were used to analyze the functionality and result of the demand creation for PrEP based on interactions with Amanda and information from health care services about using PrEP. To evaluate Amanda’s result on the demand creation for PrEP, we analyzed sociodemographic profiles of adolescents who interacted at least once with her and developed a cascade model containing the number of people at various stages between the first interaction and initiation of PrEP (PrEP uptake). These indicators were compared with other DCSs developed in the PrEP1519 study using chi-square tests and residual analysis (P=.05). ResultsAmanda Selfie was well accepted as a peer educator, clearly and objectively communicating on topics such as gender identity, sexual experiences, HIV, and PrEP. The chatbot proved appropriate for answering questions in an agile and confidential manner, using the language used by AMSM and ATGW and with a greater sense of security and less judgment. The interactions with Amanda Selfie combined with a health professional were well evaluated and improved the appointment scheduling. The chatbot interacted with most people (757/1239, 61.1%) reached by the DCSSNs. However, when compared with the other DCSSNs, Amanda was not efficient in identifying AMSM/ATGW (359/482, 74.5% vs 130/757, 17.2% of total interactions, respectively) and in PrEP uptake (90/359, 25.1% vs 19/130, 14.6%). The following profiles were associated (P

O presente trabalho apresenta as diretrizes, o arcabouço técnico-conceitual, as etapas e os resultados de uma pesquisa voltada para a estruturação de um procedimento sistemático de elaboração de maquetes, em apoio ao aumento da percepção sobre desastres naturais. A modelagem da maquete levou em consideração estudos prévios sobre situações de riscos e desastres realizados pela equipe técnica do Instituto Geológico no município de Mauá (SP). A partir desses estudos foi possível elaborar um modelo virtual de maquete 3D, com ênfase nos processos de escorregamentos que ocorrem no município. O desenvolvimento da pesquisa foi balizado pelas recomendações nacionais e internacionais presentes em legislações e marcos de ação vinculados à Gestão de Riscos e Desastres (GRD). As etapas foram definidas e estruturadas de maneira a poderem ser reproduzidas e adaptadas para a obtenção de material didático para o ensino médio. A aplicação foi inicialmente vislumbrada para uso prioritário em unidades escolares de municípios que apresentem situações expressivas de riscos associados a fenômenos geodinâmicos perigosos, tais como escorregamentos. A maquete foi elaborada com uso do programa SketchUP, da empresa Trimble Navigation, que possui versão online gratuita, e permite tanto a representação dos fatores associados a ocorrência dos escorregamentos, como a visualização do modelo em 3D e com níveis de zoom variáveis. Este programa normalmente é utilizado para se elaborar esboços de ambientes tridimensionais e possui ferramentas de edição e de navegação simples, sendo, portanto, muito utilizado para a elaboração de maquetes 3D. O uso de maquetes virtuais se mostrou mais adequado e exequível do que as maquetes físicas, em função dos custos envolvidos e da possibilidade de navegação tridimensional pelo ambiente representado. Novas abordagens e a reprodução da pesquisa em outras áreas geográficas e para diferentes processos naturais permitirão aperfeiçoar a proposta e ampliar o alcance das maquetes para o aumento da percepção sobre desastres.

O presente artigo teórico parte da constatação já alicerçada na comunidade de pesquisadores em educação de que ensinar ciência é também ensinar sobre a natureza da ciência. Procurando contribuir para esta proposta de pesquisa e ensino, analisamos a construção da objetividade científica, sob a perspectiva de Bruno Latour, em três momentos distintos: a pesquisa em laboratório, o posicionamento argumentativo do artigo científico e a circulação mais ampla do conhecimento na comunidade científica e nos contextos socioculturais. Discutimos as implicações para a compreensão da natureza da ciência e, ao final, apontamos algumas questões de pesquisa e consequências para o ensino.

Background: Riverine communities face various health problems, which involve geographical and cultural barriers to accessing care, in addition to a lack of financial investments in services aimed at these communities, resulting in a process of invisibility for the population living in these regions. In this scenario, the significant burden of snakebite envenoming (SBE) highlights the need for participatory research to address ways to minimize this situation. Thus, this study aimed to describe the priority health problems identified by this population and the ranking of SBEs in that context, mapping solutions according to the local reality. Methodology/Principal findings: This study was conducted in Limeira, a riverine community located in Tabatinga, in the extreme Western Brazilian Amazonia, on the borders with Peru and Colombia. The research lasted approximately one year, from 2021 to 2022.It is a participatory study that followed three steps: baseline assessment of the community, community assembly, and final data analysis. The study included a total of 42 participants in the sociodemographic survey, which served as the basis for the subsequent stages of data collection. Of these 42 individuals, 32 participated in the qualitative interviews, and 20 took part in the community assembly. Participants emphasized snakebite envenoming as a significant health issue, though not the only one, and reported frequent encounters with snakes, underscoring its severity as a concern. The qualitative analysis identified three main themes: Snakebites in the Community, which focused on personal experiences with snakes; Common Health Problems, which addressed other health issues faced by community members; and Community Defining Solutions, which discussed strategies and solutions proposed by the community to address these challenges. Conclusions/Significance: Improvements in health care delivery to populations living in Amazonian communities are possible with the judicious use of tested integrated interventions, particularly when the community identifies various concurrent health problems. SBE control programs in remote areas of the Brazilian Amazon should be planned with a multidisciplinary and intercultural approach, preferably integrated with broader interventions that address the population's needs for a range of health issues. Author summary: Riverine communities in the Brazilian Amazon have been facing various health problems due to factors such as the region's geographic characteristics, lack of investment in public policies, and difficulty accessing healthcare services, among others, which result in the invisibility of this population in the country's public policies. This participatory study, conducted in Limeira, a riverine community in the interior of the Amazonas state, Brazil, reveals the various challenges faced by the community members, including tropical and infectious diseases, occupational diseases, work-related accidents, women's health issues, among others. Additionally, the study collectively mapped out strategies and solutions to address these problems, which threaten the quality of life and overall well-being of this population. [ABSTRACT FROM AUTHOR]

Juçara is an important element for biodiversity in the Atlantic Forest, not only providing a rich source of nutritional and bioactive compounds, but also holding promising potential for sustainability. However, despite its virtues, there remains a dearth of studies fully exploring its potential. In our pioneering study, conducted using a panel of eight trained specialists, we delved into a sensory analysis of dehydrated juçara pulp, employing both descriptive analysis and the temporal dominance of sensations (TDS) technique. The findings revealed striking differences between juçara and açaí, not only in terms of flavor and aroma, but also in their potential to drive more mindful eating habits. By promoting the consumption of juçara, we are supporting the sustainability of the Atlantic Forest, where it is cultivated in an environmentally responsible manner. Thus, we are contributing to the preservation of this unique ecosystem and the well-being of local communities. [ABSTRACT FROM AUTHOR]

Açaí, Euterpe oleracea Mart. is rich in several phytochemical substances with antioxidant, anti-inflammatory and antitumor activities. The açaí seed is a waste product, being little used in the economy, being relevant to study the antitumor properties of this by-product. This study aims to analyze the effects of hydroalcoholic açaí seed extract in Ehrlich mice model in preventive and treatment schemes. The animals were treated with different concentrations of the extract (100, 300 and 1000 mg/kg) by gavage in preventive (30 days before tumor induction) and intervention (15 days after tumor induction) regimens. In in vivo experiments, the use of the extract at a dose of 1000 mg/kg in preventive regimens reduced tumor volume, decreased tumor weight, maintained the weight of treated animals and induced an immunomodulatory response, with an increase in TNF-α. The treatment also increased the area of tumor necrosis when compared to the control. Our results suggest the antitumor potential of açaí seed extract in in vivo models of breast cancer, contributing to obtain an active drug from a known natural product. In addition, the use of açaí seed residue will contribute to the local economy and sustainability.

Syphilis has reemerged as a serious public health problem in Brazil and worldwide, disproportionately affecting men who have sex with men (MSM) and travestis and transgender women (TrTGW). Studies on sexually transmitted infections (STI) in adolescents from these key populations are relatively scarce. This is a Brazilian multi-center, cross study with prevalence analysis, using as baseline the PrEP1519 cohort of sexually active MSM and TrTGW adolescents, recruited from April 2019 to December 2020. Analyses were made using the dimensions of vulnerability to STI/HIV and logistic regression models were conducted to estimate the odds ratios of the association between the predictor variables and positive treponemal test for syphilis at the moment of entry in the study. In total, 677 participants were analyzed; participants’ median age was 18.9 years (IQR: 18.1-19.5); 70.5% (477) self-declared as black; 70.5% (474), as homosexuals/gays; and 48 (7.1%), as trans women or travestis. The baseline prevalence of syphilis was 21.3%. In the final logistic regression model, higher chance of syphilis was associated with: self-reported episode of STI in the last 12 months (OR = 5.92; 95%CI: 3.74-9.37), sex worker (OR = 3.39; 95%CI: 1.32-8.78), and < 11 years of schooling (OR = 1.76; 95%CI: 1.13-2.74). The prevalence of syphilis among MSM/TrTGW adolescents aged from 15 to 19 years was alarming, much higher than the described for the general population within this age range and associated with vulnerability factors. This reinforces the urgent need to strengthen public health programs to debate about race, gender, sexuality, and prevention.

Based on the incorporation of pre-exposure prophylaxis (PrEP) as an HIV prevention strategy and considering the need to comprehend the use of medication among young people, this article analyzes narratives of gay men and transgender women from Belo Horizonte, Minas Gerais State, Brazil, participating in the PrEP1519 study. This is a qualitative research, based on the interpretative anthropology, developed by 10 in-depth interviews with PrEP users followed-up for at least three months between October and November 2019. The results showed that the drug was seen as the main motivation for participating in the study and as a strategy combined with the use of condoms, whether as additional prevention, or assuming the leading role. The medication revealed signs built by the gender performances and their relation to other medications, especially the experience of trans girls in hormonal therapy. Regarding the socialization of the use of PrEP, the narratives showed that there was no secret between the couples, which did not meant that stigmas on the association with HIV did not exist, mainly in the virtual context. In the family environment, they reported questions about the preventive function of the medication and the voluntary nature of the participation in the study. The youth’s narratives revealed plural meanings of the medication and its social use, composing both the boys’ and girls’ performances. The signs attributed to the medication indicated that in addition to maintenance of health, the medication improves life and sexual freedom.

Tubulointerstitial nephritis and uveitis syndrome (TINU) combines tubulointerstitial nephritis and uveitis and is a known cause of kidney failure in children and adults. This is a challenging diagnosis since renal and ocular manifestations may not occur simultaneously and may be present in several alternative diagnosis. The authors report the case of a 28-year-old patient with acute kidney injury (AKI) and biopsy-proven acute tubulointerstitial nephritis. Bilateral symptomatic uveitis presented six months after the initial presentation. Physicians in charge of patients with kidney disease attributed to acute tubulointerstitial nephritis must bear in mind the need for ophthalmologic surveillance for at least one year post-diagnosis. Although a diagnosis of exclusion, its incidence may be higher than described. Kidney disease is believed to be self-limited and prognosis still, most patients will require systemic therapy and relapses are common.

The application of trinexapac-ethyl in white oats, in addition to controlling lodging, can modify the architecture of the plant, which can favor good growth and development and the production of well-formed, large and heavy grains, characteristics that are valued by the food industry oat processing. However, the responses of the white oat genotypes regarding the effect of doses and times of application of the growth reducer can be variable. The objective of this work was to evaluate the effect of different doses and application times of the growth regulator trinexapac-ethyl on the industrial quality of white oat grains. The experiment was carried out with the cultivar IPR Artemis, under a randomized block design with four replications, in a 4 x 3 factorial scheme, corresponding to four doses of trinexapac-ethyl (0, 50, 100 and 150 g ha-1) and three application times (E1: plants with the 1st noticeable node; E2: between the 1st visible node and the 2nd noticeable node and E3: plants with the 2nd visible node and 3rd noticeable node). The weight of one thousand grains, hectoliter weight, percentage of grains with thickness greater than two millimeters, husking index and industrial grain yield were evaluated. The application of trinexapac-ethyl regardless of the stages at doses of 0 and 50 g ha-1 does not interfere with the industrial quality of grains, but at doses of 100 and 150 g ha-1, at times E2 and E3, there is a reduction in industrial quality of grains (weight of a thousand grains, hectoliter weight, percentage of grains thicker than two millimeters, hulling and industrial grain yield) of the cultivar IPR Artemis.

Background Cocoa is an important tropical tree crop that is mainly cultivated in agroforestry systems (AFS). This system, known as cabruca in northeastern Brazil, holds promise to reconcile biodiversity conservation and economic development. However, since cocoa AFS alters forest structure composition, it can affect litter dynamics in riparian zones and streams. Thus, our objective was to determine litter inputs and standing stocks in riparian zones and streams under three types of forest: managed cocoa AFS, abandoned cocoa AFS, and secondary forest. Methods We determined terrestrial litter fall (TI), vertical (VI) and lateral (LI) litter inputs to streams, and litter standing stocks on streambeds (BS) in the Atlantic Forest of northeastern Brazil. Litter was collected every 30 days from August 2018 to July 2019 using custom-made traps. The litter was dried, separated into four fractions (leaves, branches, reproductive organs, and miscellaneous material) and weighed. Results Terrestrial litter fall was similar in all forests, ranging from 89 g m−2 month−1 in secondary forest (SF) to 96 g m−2 month−1 in abandoned cocoa AFS (AC). Vertical input were higher in AC (82 g m−2 month−1) and MC (69 g m−2 month−1) than in SF (40 g m−2 month−1), whereas lateral input were higher in MC (43 g m−2 month−1) than in AC (15 g m−2 month−1) and SF (24 g m−2 month−1). Standing stocks followed the order SF > AC > MC, corresponding to 425, 299 and 152 g m−2. Leaves contributed most to all litter fractions in all forests. Reproductive plant parts accounted for a larger proportion in managed AFS. Branches and miscellaneous litter were also similar in all forests, except for higher benthic standing stocks of miscellaneous litter in the SF. Despite differences in the amounts of litter inputs and standing stocks among the forests, seasonal patterns in the abandoned AFS (AC) were more similar to those of the secondary forest (SF) than the managed AFS, suggesting potential of abandoned AFS to restore litter dynamics resembling those of secondary forests.

ABSTRACT Background: Bariatric surgery promotes changes in body composition, that can include the loss of bone mineral density (BMD). There is a lack of studies on the evolution of bone health of elderly people who underwent bariatric surgery, in general, and when comparing the gastric bypass (GB) and sleeve gastrectomy (SG) techniques. Objective: To evaluate the bone health of elderly patients with obesity undergoing bariatric surgery. Methods: This is a prospective randomized clinical study, that was carried out with individuals of both sexes, ≥65 years, undergoing GB or SG and who met the inclusion criteria. Age, gender and comorbidities (type 2 diabetes mellitus, arterial hypertension, dyslipidemia and osteoarthrosis) were collected and analyzed at baseline. Anthropometric data (weight, body mass index, percentage of weight loss, percentage of excess weight loss), laboratory tests related to bone health and bone mineral density were analyzed before and 24 months after surgery. Results: A total of 36 patients (GB, n=18; SG, n=18) were evaluated. At baseline, except for sex and preoperative body mass index, which was higher in GB, groups were similar. After 24 months, GB was superior for weight loss (%WL) and excess weight loss (%EWL). Regarding bone health, a significant decrease of BMD was observed in the spine, total proximal femur and femoral neck in all groups, with an average decrease of 5.1%, 10.5% and 15.1%, respectively. In addition, the observed decrease in BMD was up to 25% in the total femur after 24 months, six patients went from normal BMD to osteopenia and one from osteopenia to osteoporosis. There was no difference in parathormone values. However, there was an association between the increase in parathormone and the decrease in BMD in the spine, mainly in the GB group. There was no association between %WL and %EWL with the reduction in BMD. Conclusion: Bariatric surgery was related to the reduction of BMD in elderly patients, but there was no statistical difference between the two surgical techniques.

Este estudo é parte das ações desenvolvidas no Estágio Profissionalizante Psicossocial Escolar, cujo principal objetivo foi oferecer um curso de formação temática acerca da inclusão escolar aos profissionais de uma rede estadual de ensino. Foram realizados seis encontros online na plataforma Microsoft Teams com professores de apoio e coordenador pedagógico, entre julho de 2021 e março de 2022. Utilizamos como escopo para a elaboração dos encontros o livro “Index for Inclusion”, bem como materiais oriundos de políticas de educação especial e inclusiva. Os resultados demonstraram a importância do trabalho proveniente da Cultura de Colaboração, tendo em vista a inclusão no diálogo com a escola a fim de romper qualquer estereótipo ao aluno da educação especial. Concluímos que, embora o estudo tenha sido desenvolvido durante a pandemia da COVID-19, foi perceptível momentos de muito aprendizado e trocas de experiências, o que possibilitou refletir e disseminar conhecimento sobre a Cultura de Colaboração.

Resumo Este estudo teve por objetivo testar um modelo no qual o bem-estar no trabalho (BET) é explicado pela percepção de suporte organizacional e capital psicológico. Trata-se de estudo quantitativo, corte transversal e correlacional, no qual a amostra foi composta por 227 trabalhadores, sendo a maioria do sexo feminino (57,7%), na faixa etária de 29 anos e com prevalência de curso superior incompleto e completo representando 65,2% dos participantes. A maioria atua na iniciativa privada (68,3%) e não ocupa cargo de chefia. Foram utilizados instrumentos fidedignos e com índicio de validade relativos aos construtos investigados. Para análise de dados, utilizaram-se estatística descritiva, testes de comparação de médias (Teste t e ANOVA) e análise de regressão múltipla (método padrão). Entre os resultados, identificou-se que otimismo, autoeficácia/esperança (capital psicológico) e a percepção de suporte organizacional são variáveis explicativas das vivências de BET. Portanto o modelo não foi confirmado na íntegra, pois resiliência não apresentou relações significativas com bem-estar. Além disso, somente otimismo revelou poder explicativo sobre afetos positivos, afetos negativos e realização (dimensões de BET). Destaca-se que capital psicológico demonstrou maior peso na predição de BET que percepção de suporte organizacional, exceto no caso de afeto negativo. Os resultados indicam que tanto variáveis individuais quanto variáveis contextuais são importantes para explicar a prevalência de BET.

Introdução: A leucemia e o tipo de neoplasia mais comumente diagnosticada em crianças no mundo, afetando-as em um período crítico do desenvolvimento neuropsicomotor. Estando diagnosticadas com uma doença ameaçadora da vida, essas crianças necessitam, concomitantemente aos cuidados curativos, de cuidados paliativos. Objetivo: Avaliar a funcionalidade de crianças com leucemia durante o tratamento quimioterápico e compara-la no início e depois de um ano de tratamento em curso. Método: Estudo de corte transversal, do tipo observacional analítico, com 37 crianças avaliadas por meio de entrevista com os pais, utilizando um formulário de pesquisa e o Inventario de Avaliação Pediátrica de Incapacidade (PEDI). A análise estatística foi realizada pelos testes t de Student e de Mann-Whitney. Resultados: Não foram encontradas diferenças estatisticamente significantes entre a funcionalidade de crianças no início e depois de um ano de tratamento, estando todas com a funcionalidade abaixo do esperado para a faixa etária. Conclusão: Como forma de evitar possíveis atrasos e/ou déficits irreversíveis no desenvolvimento dessas crianças, sugere-se a criação de um programa de reabilitação em cuidados paliativos nos serviços especializados para cuidar desse público desde o diagnóstico.

Simple Summary: In fish farming, protein is the most expensive macronutrient in the diet. Research on the physiology of fish nutrition has focused on the relationships between nutrient intake and animal development and metabolism. The dynamics of protein metabolism are influenced by the body's nutrient needs and dietary protein and energy intake. The Amazonian Pintado, a crossbred hybrid of Pseudoplatystoma reticulatum × Leiarius marmoratus, is farmed due to its growth rate, feed conversion efficiency, carcass yield, and absence of intramuscular bones. This study aimed to evaluate the effects of dietary digestible protein levels on muscle growth dynamics and oxidative stress in the white muscle of Amazonian Pintado. The results revealed that high dietary levels of digestible protein, despite increasing protein and free amino acid concentrations in the muscle, restrict muscle hypertrophy and increase tissue exposure to oxidative damage in Amazonian Pintado farming. This study aimed to evaluate the effects of dietary digestible protein levels on the growth dynamics and oxidative stress status of white muscle fibers in Amazonian Pintado (Pseudoplatystoma reticulatum × Leiarius marmoratus). Four hundred and fifty-five juveniles of Amazonian Pintado were fed diets containing varying digestible protein levels (225, 250, 275, 300, 325, 350, or 375 g kg−1) for 75 days. At the end of the experiment, the fish were fasted for 24 h, anesthetized, and euthanized to obtain muscle samples. The linear and quadratic effects of dietary digestible protein levels on white muscle fiber diameter, metabolite concentrations, and oxidative stress were assessed. The results revealed that increasing dietary digestible protein levels linearly raised the concentrations of free amino acids and total proteins in muscle tissue but also led to elevated levels of TBARS, indicating increased oxidative stress. Notably, the average area of muscle fibers with a cell area greater than 1133 µm2 decreased, reflecting restricted muscle hypertrophy, whereas glycogen and glucose levels also declined. These findings suggest that although high dietary digestible protein enhances protein and free amino acid concentrations in muscle tissue, it may compromise muscle hypertrophy and increase oxidative damage in Amazonian Pintado, underscoring the complexity of optimizing diet formulation. [ABSTRACT FROM AUTHOR]

Malignant lymphoma is an unusual form of gallbladder neoplasm. Almost all these tumors are diffuse large B-cell lymphomas or mucosa-associated lymphoid tissue-type lymphomas. Herein, we present a literature review of gallbladder Burkitt's lymphoma (BL) cases that includes also an unpublished case in an HIV-infected child, observed by our center. The patient (a five-year-old black female child) attended the Federal Hospital of Lagoa, Rio de Janeiro, Brazil, underwent cholecystectomy, and the postoperative pathological analysis of the gallbladder revealed a diagnosis of BL (EBV-positive). Also, HIV serology was performed and returned positive. She was transferred to the Martagão Gesteira Institute of Pediatrics and Childcare for oncological treatment, dying from sepsis and disease progression about 18 months later. The patient did not undergo ART/cART. Previous cases of gallbladder BL were herein described and analyzed to characterize the clinicopathological features and possible similarities. BL can occur in the gallbladder both in the context of HIV infection and in the pediatric population. A biopsy is mandatory in cases with suggestive findings of lymphoma, and an early diagnosis can change the course of the disease. Furthermore, the case highlights the importance of an early initiation of ART/cART in people living with HIV (PLWH), especially in children. [ABSTRACT FROM AUTHOR]

RESUMO Este estudo teve como objetivo a busca de registros com diferenças significativas a respeito da saúde física de pacientes com câncer ao praticarem exergames. Utilizou-se como método a Revisão Integrativa de Literatura com as palavras chaves “Fisioterapia”, “Realidade Virtual”, “Wii”, “Exergames” e “Câncer”, em português e inglês, nas bases de dados PubMed, Science Direct, Medline, Scopus, Lilacs, SciELO, PEDro, Cochrane e Periódicos Capes. Os critérios de inclusão foram: estudos que utilizassem exergames em tratamentos clínicos e que apresentassem diferenças sobre a saúde física de pacientes com diagnóstico de câncer, de ambos os sexos, de todas as idades e tipos de câncer, publicados nos últimos 10 anos, em qualquer idioma. Dos 3172 artigos encontrados, apenas nove foram incluídos, sendo que esses avaliaram: desempenho físico, sedentarismo, funcionalidade de membros superiores, força muscular de membros inferiores e fadiga. Concluiu-se que os exergames demostraram ser ferramenta promissora para a saúde física de pacientes com diagnóstico de câncer.

Chickpea is a legume with nutrient-rich grains important for human feeding. Tobacco budworm, Chloridea virescens (Lepidoptera: Noctuidae), is one of the most major pests of chickpea (Cicer arietinum) in Brazil. This pest damages leaves, flowers, pods, and grains. Plant resistance to insects is an important tactic of pest management, which usually facilitates and reduce costs of implementing an Integrated Pest Management for farmers. Thus, this study aimed to evaluate the resistance in chickpea cultivars to C. virescens. Six chickpea cultivars were evaluated for antixenosis, initial antibiotic parameters, and behavior under field conditions. The cultivars BRS Kalifa and BRS Cícero were less attractive in a free-choice test, while Jamu 96 and BRS Kalifa were less attractive in a no-choice test. BRS Kalifa and BRS Toro leaves had a higher trichome density. Jamu 96 and BRS Toro had higher contents of oxalic and malic acids. C. virescens larvae in BRS Cícero, BRS Toro, and BRS Kalifa showed the lowest weights. Jamu 96 pods were the least damaged, and BRS Aleppo and Jamu 96 had the highest yields. The chickpea cultivars Jamu 96 and BRS Aleppo, which had resistance levels and mechanisms, can be used in integrated pest management programs to control C. virescens.

Peritoneal protein loss (PPL) has been correlated with mortality, malnutrition and inflammation. More recently overhydration was brought to the equation. This study aims to review classic and recent factors associated with PPL. Prevalent and incident peritoneal dialysis (PD) patients were included. Dialysate and serum IL-6 was obtained during PET. Hydration and nutritional status were assessed by bio-impedance. Linear regression and Cox regression were performed. The 78 included patients presented median values of PPL 4.8 g/24 h, serum IL-6: 5.1 pg/mL, and IL-6 appearance rate 153.5 pg/min. Mean extracellular water excess (EWexc) was 0.88 ± 0.94 L, and lean body mass index (LBMI) 17.3 ± 2.4 kg/m2. After mean follow-up of 33.9 ± 29.3 months, 12 patients died. Linear univariable analysis showed positive associations between PPL and small solute transport, body composition (LBMI and EWexc), comorbidities and performing CAPD (vs. cycler). PPL correlated positively with dialysate appearance rate of IL-6, but not with serum IL-6. Linear multivariable analysis confirmed positive association between PPL and EWexc (p = 0.012; 95%CI: 4.162–31.854), LBMI (p = 0.008; 95%CI: 1.720–11.219) and performing CAPD (p = 0.023; 95%CI: 4.375–54.190). In survival analysis, no relationship was found between mortality and PPL. Multivariable Cox regression showed Charlson Comorbidity Index (HR: 1.896, 95%CI: 1.235–2.913), overhydration (HR: 10.034, 95%CI: 1.426–70.587) and lower PPL (HR: 0.576, 95%CI: 0.339–0.978) were predictors for mortality. Overhydration, was a strong predictor of PPL, overpowering variables previously reported as determinants of PPL, namely clinical correlates of endothelial dysfunction or local inflammation. PPL were not associated with malnutrition or higher mortality, emphasizing the importance of volume overload control in PD patients.

Abstract In the present study, novel, 1,3-diaryltriazene-derived triazene compounds were synthesized and tested. Triazenes are versatile and belong to a group of alkylating agents with interesting physicochemical properties and proven biological activities. This study describes the synthesis, molecular and crystalline structure, biological activity evaluation, and antifungal and antimicrobial potentials of 1,3-bis(X-methoxy-Y-nitrophenyl)triazenes [X = 2 and 5; Y = 4 and 5]. The antimicrobial and antifungal activities of the compounds were tested by evaluating the sensitivity of bacteria (American Type Culture Collection, ATCC) and clinical isolates to their solutions using standardized microbiological assays, cytotoxicity evaluation, and ecotoxicity tests. The antimicrobial potentials of triazenes were determined according to their minimum inhibitory concentrations (MICs); these compounds were active against gram-positive and gram-negative bacteria, with low MIC values. The most surprising result was obtained for T3 having the effective MIC of 9.937 µg/mL and antifungal activity against Candida albicans ATCC 90028, C. parapsilosis ATCC 22019, and C. tropicallis IC. To the best of our knowledge, this study is the first to report promising activities of triazene compounds against yeast and filamentous fungi. The results showed the potential utility of triazenes as agents affecting selected resistant bacterial and fungal strains.

ABSTRACT Introduction: Dementia is a globally relevant health problem, which places a great burden on patients and their families. This study aimed to estimate the burden associated with Alzheimer's disease (AD) and other dementias in Brazil. Methods: In this descriptive study, we investigated the estimates obtained by the Global Burden of Disease study. We described the prevalence of AD and other dementias, years lived with disability (YLDs), age-standardized mortality, years of life lost (YLLs), and disability-adjusted life years (DALYs) among individuals aged 60 years or older between 2000 and 2016, with their respective 95% uncertainty intervals (95%UI). Results: During this period, the age-standardized prevalence of AD and other dementias per 100,000 people increased by 7.8%, from 961.7 (95%UI 828.3–1,117.5) to 1,036.9 (95%UI 882.0–1,219.5), with approximately 1.5 million people living with dementia in Brazil. The incidence increased by 4.5%. Similarly, all age-standardized rates had an upward trend (mortality: 3.1%; YLLs: 5.8%; YLDs: 7.9%; and DALYs: 6.3%). Mortality profiles increased with age in both years. Dementias were ranked fourth among the leading causes of death in people aged ≥70 years in 2000, rising to second place in 2016. In 2016, it also represented the second and third leading causes of disability among older women and men, respectively. Conclusion: Population growth and aging have resulted in an increased burden of AD and other dementias in Brazil. Preventive and early diagnostic measures are essential to mitigate the burden associated with these diseases.

Quem são os estudantes que optam pela Educação Superior a Distância ? Quais as suas expetativas e grau de satisfação com os cursos nesta modalidade ? Qual o impacto do curso na vida profissional e pessoal do estudante da UAb ? O presente artigo centra-se nestas questões, seguindo um enquadramento teórico que mobiliza estudos sobre a procura de respostas para novos públicos e novas necessidades nas sociedades atuais. O desenho metodológico seguiu a aplicação de um questionário, desenhado no âmbito do Observatório dos Percursos Profissionais e de Vida dos Diplomados da Universidade Aberta, aos estudantes que terminaram a licenciatura em 2014 e 2015. Os resultados remetem para uma satisfação global com a realização da licenciatura online, na medida em que revelam conforto no uso da plataforma e reconhecem vantagens no regime de aprendizagem. Destaca-se a valorização do prestígio social associado ao diploma de ensino superior. Concluímos que a pesquisa sobre o fenómeno da empregabilidade no ensino superior precisa de mais desenvolvimento. Os estudantes adultos apresentam um conjunto de necessidades diferenciadas, sobretudo relacionadas com a aquisição de competências para melhorar as suas condições profissionais, de empregabilidade e o desenvolvimento das suas carreiras. Os dados deste estudo reforçam a ideia de educação ao longo da vida associada ao ensino a distância como importante forma de desenvolvimento e aquisição não só de conhecimentos, como também, de competências transversais fundamentais a todos os contextos da vida e para a mobilidade profissional.