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ObjectivesThis study aimed to evaluate the use of two different types of music – cat-specific music and classical music – compared with no music, to reduce stress in cats during hospitalization.MethodsThirty-five hospitalized cats were randomly divided into three groups and each group received a different stimulus – cat-specific music, classical music or no music (control) – throughout their hospitalization. Respiratory rate, salivary cortisol and social interaction were documented. A blinded researcher performed the Cat Stress Score (CSS) during the video analysis of recordings at five specific times over 31 h of hospitalization.ResultsThere was no difference in the mean CSS between cats listening to cat-specific music, classical music and control throughout the five evaluations. Cat-specific music had a higher percentage of positive social interactions than the other groups on the first evaluation ( P Conclusions and relevanceBoth cat-specific music and classical music seem to have some benefit to hospitalized cats. The salivary cortisol analysis was not adequate nor useful to measure stress in hospitalized cats in our study.

The aim of this study was to compare the effects of constant rate infusions (CRI) of fentanyl alone or combined with lidocaine and ketamine (FLK), on physiological parameters, isoflurane requirements and the number of postoperative analgesic rescues in dogs undergoing unilateral mastectomy. Twenty-two dogs were premedicated with acepromazine 0.02 mg/kg and morphine 0.5 mg/kg and anesthetized with propofol and isoflurane. Dogs were randomly assigned to one of two groups: Fentanyl group [fentanyl 5 µg/kg loading dose (LD) and 9 µg/kg/h CRI; n = 11]; FLK group [fentanyl (same doses); lidocaine 2 mg/kg LD and 3 mg/kg/h CRI; ketamine 1.0 mg/kg LD and 0.6 mg/kg/h CRI; n = 11]. Intraoperative evaluations were performed before the start of surgery and administration of the treatments (T0); three minutes after the LD (T1); during incision and tissue divulsion (T2); during closure of the surgical wound (T3). Meloxicam (0.1 mg/kg) was administered at T3. Blood samples were collected for determination of plasma concentrations of fentanyl, lidocaine and ketamine. Pain scores and the number of postoperative analgesic rescues with morphine (0.5 mg/kg) were evaluated for 24 hours postoperatively using the short form of the Glasgow Composite Measure Pain Scale. Compared to T0, significant decreases in heart rate (from 84 ± 28 to 53 ± 16 bpm in the Fentanyl group and from 93 ± 16 to 63 ± 15 bpm in FLK) and mean arterial pressure (from 61 ± 5 to 49 ± 10 mmHg in Fentanyl and from 59 ± 3 to 38 ± 6 mmHg in FLK) were observed at T1. Arterial hypotension was transient, with normalization of values at T2 and T3. The expired fraction of isoflurane did not differ significantly between the groups. Plasma concentrations of fentanyl, lidocaine and ketamine remained within the therapeutic range. Postoperatively, the number of dogs requiring analgesic rescue was significantly lower in the FLK (0/11, 0%) than in the Fentanyl group (5/11, 45%). In dogs administered morphine and meloxicam as part of the anesthesia protocol, an intraoperative CRI of FLK abolished the requirement for postoperative analgesic rescue for 24 hours in dogs undergoing mastectomy.

Chronic cytomegalovirus (CMV) infection is a trigger factor for the development of immunosenescence and negatively impacts the immune response to influenza virus vaccination (IVV) in older adults. However, the role of physical exercise training in this context is unknown. Thus, the aim of this study was to investigate whether the regular practice of combined exercise training can improve the specific antibody response to IVV in CMV-seropositive older adults. Eighty older adults were distributed into two groups—non-practitioners (NP, n = 31, age = 74.06 ± 6.4 years) and practitioners of combined exercise training (CET, n = 49, age = 71.7 ± 5.8 years)—for at least 12 months. Both volunteer groups were submitted to IVV and blood samples were collected before (pre) and 30 days after (post) the vaccination. Concerning the specific antibody response to IVV, higher serum levels of specific immunoglobulin A (IgA) were found in the CET group post- than pre-vaccination (p < 0.01), whereas higher levels of specific immunoglobulin M (IgM) were observed both in the NP (p < 0.05) and CET (p < 0.001) groups post-vaccination as compared to the pre-vaccination values. Serum levels of specific immunoglobulin G (IgG) for IVV and CMV, as well as interleukin 6 (IL-6) and IL-10, were similar between the time points evaluated. However, the IL-10/IL-6 ratio post-vaccination was higher (p < 0.05) in the CET group than that before vaccination. Negative correlations were observed between the specific IgG levels for IVV and CMV only in the CET group, both pre- and post-vaccination. In addition, negative correlations were found between IL-10 and specific IgG for CMV in all volunteer groups pre- and post-vaccination, whereas a positive correlation between IL-10 and specific-IgG for IVV pre- and post-vaccination was observed in the CET group. In addition, with the hemagglutination inhibition (HAI) assay, it was found that 32.2% of the NP group and 32.6% of the CET group were responders to IVV and displayed reductions in the CMV serostatus (p < 0.05 and p < 0.001, respectively) and increases in naive and effector CD8+ T cells post-vaccination (p < 0.01). However, only the responders from the CET group showed significant reductions in the ratio of effector to naive CD8+ T cells (p < 0.05) and increased IL-10 levels post-vaccination (p < 0.001). In summary, this study demonstrates that the improvement in the response to IVV in CMV-seropositive older adults was related to an anti-inflammatory status and enhancement of naive CD8+ T cells, particularly associated with regular practice of CET.

Supplementation of pharmacological levels of ZnO (3000 ppm) is widely used for prevention and treatment of diarrhea in weaning piglets and to improve their performance. However, this practice has raised concerns about environmental impact, antimicrobial resistance and nutritional interactions. In this study we compared graded amounts of regular ZnO to equivalent levels of potentiated ZnO (HiZox), added to the piglet’s diets. Our aim was to assess possible advantages of different Zn sources as well as a reduction potential regarding the supplemented dose. Therefore, 1440 piglets (initial BW 10.1 ± 1.55 kg) were randomly allotted to 12 dietary treatments: supplementation of 150, 300, 600, 900, 1500 and 3000 ppm of Zn from regular ZnO or equivalent from HiZox. From day 1 to day 14, piglets were fed dietary treatments accordingly; from day 15 to day 28 all groups received HiZox at 150 ppm. Performance was recorded on d 1, 14 and 28 on trial.The highest (P < 0.001) ADG was observed for piglets fed HiZox at 3000 ppm (247 g/d), while HiZox at 900 ppm and regular ZnO at 3000 ppm presented the same ADG values. The subsequent 14-day levelling to 150 ppm of HiZox led on average to similar body weight gains (ZnO: 7.05 kg; HiZox: 6.93 kg). ADFI increased (P < 0.001) in the first 14 d of trial with increasing Zn levels for both sources. Comparison of ZnO at 3000 ppm and HiZox at 900 ppm showed similar effects on improving fecal consistency during the first two weeks after weaning, which may be due to the more effective surface specific area of HiZox than regular ZnO. In conclusion, HiZox at 900 ppm can be used for improving growth performance and fecal consistency during the first two weeks after weaning as an alternative to the pharmacological level of regular ZnO.

This work proposes a planning strategy to evaluate bulk power systems (BPSs) voltage stability towards modernization and greenhouse effect reduction, in face of retiring conventional generation. The developed approach focuses on BPSs with conventional generation retirement compensated by high penetration of renewable energy resources (RESs). The performed analyses enable an effective determination and prediction of critical buses and load margin in this new BPS scenario, meaningfully assisting operation and planning of modern BPS. The proposed methodology is tested for the modified IEEE 118-bus system and validated for three different comparative scenarios. For this, analyses are performed using the continuation method to determine the load margin, BPS critical locations along the PV curve and enable control actions in order to mitigate these BPS challenges. The results indicate a methodology capable of identifying in advance the possible critical buses and aiding the determination of the best locations to perform reactive power compensation. Therefore, mitigating possible voltage violations and ensuring the system voltage stability.

Introduction: Q fever, a zoonosis caused by Coxiella burnetti, is relatively rare in the pediatric population. The disease is often asymptomatic or with mild clinical presentation in children. Case report: A four-year-old boy with persistent fever, severe anemia, and positive IgM for Coxiella burnetti was treated with trimethoprim-sulfamethoxazole and azithromycin, with no improvement. After polymerase chain reaction confirmation, he completed 14 days of doxycycline, with good response. After eleven months, the child remains asymptomatic. Discussion: Despite having a usually mild presentation, the severe clinical progression and lack of response to initial antibiotic therapy in this case prompt the use of doxycycline, a non-consensual drug in younger ages, with good results. New recommendations endorse the use of this drug for short periods at any age., Introdução: A febre Q, uma zoonose causada por Coxiella burnetti, é relativamente rara em idade pediátrica. Em crianças, a doença é frequentemente assintomática ou com apresentação clínica ligeira. Caso clínico: Uma criança do sexo masculino de quatro anos de idade com febre persistente, anemia grave e IgM positiva para Coxiella burnetti foi medicada com trimetoprim-sulfametoxazol e azitromicina, sem melhoria. Após confirmação da infeção por polymerase chain reaction, completou 14 dias de doxiciclina, com boa resposta. Onze meses depois, a criança permanece assintomática, sem sinais de doença. Discussão: Apesar de ser habitualmente uma doença ligeira, a evolução clínica grave e falta de resposta à antibioterapia inicialmente instituída neste caso levaram à utilização de doxiciclina, um fármaco não consensual em idades mais jovens, com bons resultados. Novas recomendações sustentam o uso de doxiciclina por curtos períodos em todas as faixas etárias.

Having a competitive advantage puts a company ahead of its competitors and information technology (IT) through analytics has increasingly shown itself to be a competitive advantage. However, achieving full use of this tool is not an easy task and there is no simple recipe that works for all companies, which leads us to seek the exchange of experiences. Knowledge transfer is the key to evolving as a company and promoting an innovation ecosystem. In this article, the authors present two scenarios of large companies, in one of them the company is starting to implement an analytics framework and the other one it has already implemented and has greater maturity in the process of implementation, and then knowledge transfer application is demonstrated.

The development of new photodynamic therapy (PDT) agents designed for bladder cancer (BC) treatments is of utmost importance to prevent its recurrence and progression towards more invasive forms. Here, three different porphyrinic photosensitizers (PS) (TMPyP, Zn-TMPyP, and P1-C5) were non-covalently loaded onto graphene oxide (GO) or graphene quantum dots (GQDs) in a one-step process. The cytotoxic effects of the free PS and of the corresponding hybrids were compared upon blue (BL) and red-light (RL) exposure on T24 human BC cells. In addition, intracellular reactive oxygen species (ROS) and singlet oxygen generation were measured. TMPyP and Zn-TMPyP showed higher efficiency under BL (IC50: 0.42 and 0.22 μm, respectively), while P1-C5 was more active under RL (IC50: 0.14 μm). In general, these PS could induce apoptotic cell death through lysosomes damage. The in vitro photosensitizing activity of the PS was not compromised after their immobilization onto graphene-based nanomaterials, with Zn-TMPyP@GQDs being the most promising hybrid system under RL (IC50: 0.37 μg/mL). Overall, our data confirm that GO and GQDs may represent valid platforms for PS delivery, without altering their performance for PDT on BC cells.

Digital, Background Guidelines recommend nonstatin lipid-lowering agents in patients at very high risk for major adverse cardiovascular events (MACE) if low-density lipoprotein cholesterol (LDL-C) remains ≥70 mg/dL on maximum tolerated statin treatment. It is uncertain if this approach benefits patients with LDL-C near 70 mg/dL. Lipoprotein(a) levels may influence residual risk. Objectives In a post hoc analysis of the ODYSSEY Outcomes (Evaluation of Cardiovascular Outcomes After an Acute Coronary Syndrome During Treatment With Alirocumab) trial, the authors evaluated the benefit of adding the proprotein subtilisin/kexin type 9 inhibitor alirocumab to optimized statin treatment in patients with LDL-C levels near 70 mg/dL. Effects were evaluated according to concurrent lipoprotein(a) levels. Methods ODYSSEY Outcomes compared alirocumab with placebo in 18,924 patients with recent acute coronary syndromes receiving optimized statin treatment. In 4,351 patients (23.0%), screening or randomization LDL-C was 13.7 mg/dL or ≤13.7 mg/dL; corresponding adjusted treatment hazard ratios were 0.82 (95% CI: 0.72-0.92) and 0.89 (95% CI: 0.75-1.06), with Pinteraction = 0.43. Conclusions In patients with recent acute coronary syndromes and LDL-C near 70 mg/dL on optimized statin therapy, proprotein subtilisin/kexin type 9 inhibition provides incremental clinical benefit only when lipoprotein(a) concentration is at least mildly elevated. (ODYSSEY Outcomes: Evaluation of Cardiovascular Outcomes After an Acute Coronary Syndrome During Treatment With Alirocumab; NCT01663402), Ciencias Médicas y de la Salud

Although regular combined aerobic-resistance exercises can ameliorate the inflammatory status and redox balance in elderly population, it is unclear whether protein or specific amino acid supplementation could improve such benefits. Therefore, we aimed to evaluate the inflammatory status and redox indexes through of the saliva of 34 elderly subject nonpractitioners (NP group, 73.3±6.6 years) and 49 elderly subject practitioners of a combined-exercise training in moderate intensity (CET group, 71.9±5.8 years) before (pre) and after (post) 30 days of supplementation with L-glutamine (Gln) or placebo (PL). Our results showed that, both in pre- and postsupplementation, the salivary levels of nitric oxide (NO⋅) and TNF-α were lower, whereas the levels of uric acid and IL-10 (as well as IL-10/TNF-α ratio) were higher in the CET groups than in the NP groups. In postsupplementation, both groups supplemented with Gln (NP-Gln and CET-Gln) showed higher salivary uric acid levels compared to baseline. In addition, lower NO⋅ levels were found in the CET-Gln group postsupplementation than presupplementation values. Whereas the CET-Gln group showed lower GSH levels postsupplementation, NP-Gln subjects showed lower GSSG levels at the same time point, both compared to baseline. Interestingly, salivary peroxidase activity was lower only in NP groups (NP-PL and NP-Gln) postsupplementation than baseline values. A positive significant correlation between salivary peroxidase activity and GSH levels, and also between salivary peroxidase activity and uric acid levels were observed in the CET-Gln group both pre- and postsupplementation. No differences were found in albumin, total antioxidant activity (TEAC), and reducing power analysis between groups, pre- or postsupplementation. In conclusion, the elderly subjects from the CET group showed a better inflammatory response and redox balance and, for the first time, it was shown that daily supplementation with Gln for 30 days can improve these benefits with putative association with a healthy aging.

We report on the development of an electrical characterization admittance spectroscopy equipment and method based on an off-the-shelf lock-in detector that is cheap and yet highly sensitive. It is concluded that a contacted constant-pressure electrode configuration is preferable. It was further determined that the temperature does not have great impact in the measured values, but relative humidity of air can be important, especially in the constant-gap electrode configuration. In-situ measurements are difficult since the coupling of the plant with the environment is of high importance. Another aspect is the cables; they are important in that they have to be terminated by their characteristic impedance (50 Ω in our case) to avoid reflections that introduce artificial attenuation and phase shifts in the signal. We introduce a fingerprint plot type to be able to distinguish between various plants and other specimens, and can actually detect the aqueous state of a plant.

New opportunities enabled by renewable mobile power stations (RMPSs), in association with microgrids (MGs) ability to operate islanded to the main grid, present a likely solution to ensure power system novel reliability requirements in face of the increasing number of severe disruptive events. In this perspective, this paper proposes a novel intelligent RMPS allocation method to support MGs during scheduled islanded operation. In this mode, the isolated operation of a MG is beforehand planned to mitigate the effects caused by possible predictable contingencies, e.g. weather-related events, as well as programmed maintenance. For this, first a novel energy management strategy (EMS) based on dynamic programming specifically designed for MG scheduled islanded operation is proposed. Next, a particle swarm optimization (PSO) method modified to ensure a continuous search space in the face of discrete load shedding policies is developed to determine the adequate allocation of RMPS. The proposed method is simulated considering different scenarios for a MG system considering local distributed generation capacity, electric vehicles penetration, load shedding based on priority groups, as well as technical and operational limits. The obtained results showcase the proposed approach ability to meaningfully improve MG service capacity during scheduled islanded operation.

PURPOSE Gastric cancer (GC) is the fourth most common cancer and the second leading cause of cancer death worldwide. Platinum agents and fluoropyrimidines are the main compounds used in the first-line setting for advanced GC. Given the activity of fluorouracil (FU) bolus, the PFL protocol, a chemotherapy regimen combining cisplatin, FU bolus, and leucovorin, was incorporated at the Brazilian National Cancer Institute, because this schedule does not require hospitalization or infusion pumps. This study aims to evaluate the outcomes of PFL in the first-line setting for patients with advanced GC. MATERIALS AND METHODS This was a retrospective cohort study evaluating patients with advanced GC treated in the first-line setting with cisplatin 80 mg/m2 on day 1 and FU bolus 400 mg/m2 plus leucovorin 20 mg/m2 on days 1, 8, 15, and 22 every 4 weeks, from January 2008 to December 2014. RESULTS A total of 109 patients were enrolled. The median number of cycles received per patient was four (one to 11). Complete responses were achieved in 6.4% and partial responses in 14.7%. Median progression-free survival was 6.3 months (95% CI, 5.08 to 7.58 months) and median overall survival was 8.3 months (95% CI, 6.79 to 9.87 months). Thirty-four (31.2%) patients were alive in 1 year. Grade 3 and 4 adverse events were experienced by 26.6% and 3.7% of patients, respectively, with dose reduction necessary in 9.1%. CONCLUSION PFL is active in advanced GC and could be an alternative for FU continuous infusion protocols in institutions with limited resources and/or low budget, which is the reality in many nations all over the world.

AIMS: To compare the circumpapillary and macular vessel density (cpVD/mVD) of eyes with temporal visual field (VF) defect and band atrophy (BA) of the optic nerve and normal controls using OCTA and to verify the association of VD parameters with circumpapillary retinal nerve fibre layer (cpRNFL) thickness, macular ganglion cell complex (mGCC) thickness and VF loss. METHODS: Thirty-three eyes of 26 patients with BA and 42 eyes of 22 age-matched normal controls underwent OCT + OCTA scanning. cpVD and cpRNFL were expressed as average and sector measurements. mVD and mGCC were calculated as averages and in quadrants and hemiretinas. VF loss was estimated using the 24-2 and the 10-2 protocols. Generalized estimated equation models were used for comparisons and area under the receiver operating characteristics (AROC) were calculated. RESULTS: Compared with controls, BA eyes displayed smaller average cpVD and mVD values (p

In this study we define a new sample of distant powerful radio galaxies in order to study their host-galaxy properties and provide targets for future observations of HI absorption with new radio telescopes and to understand the fuelling and feedback from such sources. We have cross-matched the Sydney University Molonglo Sky Survey (SUMSS) radio catalogue at 843 MHz with the VISTA Hemisphere Survey (VHS) near-infrared catalogue using the Likelihood Ratio technique. Photometric redshifts from the Dark Energy Survey are then used to assign redshifts to the radio source counterparts. We found a total of 249 radio sources with photometric redshifts over a 148 deg^2 region. By fitting the optical and near-infrared photometry with spectral synthesis models we determine the stellar mass and star-formation rates of the radio sources, finding typical stellar masses of 10^{11} - 10^{12}M$_{\odot}$ for the powerful high-redshift radio galaxies. We also find a population of low-mass blue galaxies. However, by comparing the derived star-formation rates to the radio luminosity, we suggest that these sources are false positives in our likelihood ratio analysis. Follow up, higher-resolution (, 11 pages, 9 figures. Accepted for publication in MNRAS

The presented work investigates the chemoresistivity of Au ultrathin films, whose surface is modified by deposition of few monolayers of Au, Pd, or AuPd alloy. The model adsorbate in this study was the HS

Simple Summary Notwithstanding extensive research into fertility problems in mares, pregnancy rates have remained low mainly because of endometrial inflammation (endometritis). In the field of equine research, endometrial explants have been used to carry out in vitro studies of the mare’s endometrium. However, there has been no wide-ranging assessment of relative stability of this model over time. The aim of this study was to perform an in-depth transcriptomic assessment of endometrial explants over a culture period of 72 h and assess if they are representative of the whole mare. Explants at 24 h demonstrated significant changes when compared to biopsies at 0 h as expected. Even though gene expression changes were seen between 24 and 48 h of culture, prior to this window changes were dominated by the effects of explanting and culture and subsequently, transcription was generally compromised. Our results, therefore have defined the optimal period when explants can be used to study equine endometritis and how the endometrium is modulated during inflammation. It highlights the use of abattoir derived samples to understand the physiology and pathophysiology of the equine endometrium, negating the need to collect repeated uterine biopsies from living mares. Abstract Persistent mating-induced endometritis is a major cause of poor fertility rates in the mare. Endometritis can be investigated using an ex vivo equine endometrial explant system which measures uterine inflammation using prostaglandin F2α as a biomarker. However, this model has yet to undergo a wide-ranging assessment through transcriptomics. In this study, we assessed the transcriptomes of cultured endometrial explants and the optimal temporal window for their use. Endometrium harvested immediately post-mortem from native pony mares (n = 8) were sampled (0 h) and tissue explants were cultured for 24, 48 and 72 h. Tissues were stored in RNALater, total RNA was extracted and sequenced. Differentially expressed genes (DEGs) were defined using DESeq2 (R/Bioconductor). Principal component analysis indicated that the greatest changes in expression occurred in the first 24 h of culture when compared to autologous biopsies at 0 h. Fewer DEGs were seen between 24 and 48 h of culture suggesting the system was more stable than during the first 24 h. No genes were differentially expressed between 48 and 72 h but the low number of background gene expression suggested that explant viability was compromised after 48 h. ESR1, MMP9, PTGS2, PMAIP1, TNF, GADD45B and SELE genes were used as biomarkers of endometrial function, cell death and inflammation across tissue culture timepoints. STRING assessments of gene ontology suggested that DEGs between 24 and 48 h were linked to inflammation, immune system, cellular processes, environmental information processing and signal transduction, with an upregulation of most biomarker genes at 24 h. Taken together our observations indicated that 24–48 h is the optimal temporal window when the explant model can be used, as explants restore microcirculation, perform wound healing and tackle inflammation during this period. This key observation will facilitate the appropriate use of this as a model for further research into the equine endometrium and potentially the progression of mating-induced endometritis to persistent inflammation between 24 and 48 h.

This article addresses the impacts of the new Digital Government paradigm in terms of Human Resources policies in the public sector and the challenges that, from this point of view, remain. In particular, the case of electronic provision of services in a District Center of the Portuguese Social Security was studied. In addition to resorting to theoretical foundations, the methodology used for the case study included the analysis of data from the application of two information collection instruments: the questionnaire and the interview. It was concluded that there were significant impacts in terms of work organization, change management and employee valuation. Important challenges remain related to the continuous improvement of applications and the development of human resources capacities and skills, namely in cross-cutting areas such as communication, information management and teamwork.

Funding Acknowledgements Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Fundação para a Ciência (FCT) Coordenação de Aperfeiçoamento de Pessoal de Nível (CAPES) Background Limited data is available on physical activity (PA) levels in chronic thromboembolic pulmonary hypertension (CTEPH) patients, as well as on the impact of using different tools to assess PA such as questionnaires and accelerometers. Purpose We aimed to quantify PA levels of CTEPH patients and study its clinical correlates, as well as to compare PA levels measured by the International Physical Activity Questionnaire (IPAQ) with measures from accelerometers. Methods This is a cross-sectional study (n = 50). Physical activity levels were measured using accelerometers and questionnaire (IPAQ). Clinical parameters evaluated were walked distance on the 6-minute-walking test (6MWT), pulmonary vascular resistance, N-terminal brain natriuretic peptide and quality of life (HRQoL) using the Cambridge Pulmonary Hypertension Outcome Review questionnaire. Results Accelerometer-derived data showed that CTEPH patients spent 60% of the recorded time in sedentary behaviours and only 2% in moderate-to-vigorous PA (MVPA). MVPA was mildly correlated with 6MWT (r = 0.359; p= 0.023) and symptom domain of HRQoL (r=-0.371; p = 0.044) but not with NT-proBNP, pulmonary vascular resistance or functional domain of HRQoL. Time spent in sedentary behaviour was lower in self-reported measurement (279 ± 165min/day) compared to accelerometry (446 ± 117min/day, p Conclusions Our results showed that CTEPH patients spend most of their days in sedentary behaviors and only a small amount of time in MVPA. MVPA was associated with symptoms domain of HRQoL and submaximal functional capacity. In addition, we showed a poor agreement between self-reported and accelerometer-derived PA in CTEPH patients, with the former overestimating the overall PA activity.

To quantify the pollutant load received by a water body is one necessary step to keep its original standards, irrespective to the releasing source. Thus, to monitor and control the amount of pollutants released in a water body assures the water will remain free from excessive pollution. Also, that no harm to human health and the environment will occur. Hence, this paper aims to estimate the pollutant load of sanitary wastewater released by the Nuclear and Energy Research Institute (IPEN / CNEN-SP) in 2015 and 2016. The analysis of Cd, Pb, Cu, Cr, Zn, Ba, Ni, Mn, Fe, B and Sn was performed by Inductively Coupled Plasma Optical Emission Spectrometry (ICP-OES). These metals and the total fixed solids were used to estimate the pollutant load. Wastewater flow measurement was carried out using bromide (Br -) as tracer and with the values from IPEN`s annual water consumption. Since 2006, this is performed as part of the Environmental Monitoring Program (PMA-Q). In compliance with the current Brazilian Environmental Legislation and with the Term of Conduct Adjustment requirements, agreed with the Brazilian Institute of Environment and Renewable Natural Resources (IBAMA). Even the pollutants load has increased in 2015 and 2016, the monitoring frequency and water consumption has diminished in the last years. These facts increase the uncertainties in the monitoring and could lead to non-compliances with the monitoring laws.

An experiment was conducted to test the hypothesis that inclusion of Cu oxide (Cu2O) in diets for growing–finishing pigs improves body weight (BW) and bone mineralization, and reduces accumulation of Cu in the liver compared with pigs fed diets containing Cu sulfate (CuSO4). Two hundred growing pigs (initial BW: 11.5 ± 0.98 kg) were allotted to a randomized complete block design with 2 blocks of 100 pigs, 5 dietary treatments, 5 pigs per pen, and a total of 8 pens per treatment. Treatments included the negative control (NC) diet that contained 20 mg Cu/kg, and 4 diets in which 125 or 250 mg Cu/kg from CuSO4 or Cu2O were added to the NC diet. The experiment was divided into 4 phases and concluded when pigs reached market weight. Pig weights were recorded on day 1 and at the end of each phase and feed provisions were recorded throughout the experiment. On the last day of phases 1 and 4, 1 pig per pen was sacrificed to obtain samples of liver and spleen tissue, and the right metacarpal was collected. Results indicated that pigs fed diets containing 250 mg Cu/kg from CuSO4 had greater BW at the end of phases 1 and 2 than pigs fed NC diets. Pigs fed diets containing 250 mg Cu/kg from Cu2O had greater (P < 0.05) BW at the end of phases 1, 2, 3, and 4 compared with pigs fed NC diets, and these pigs also had greater BW at the end of phases 3 and 4 than pigs fed all other diets. Pigs fed the diets with 250 mg Cu/kg tended to have greater (P < 0.10) feed intake than pigs fed the NC diet at the end of phase 2, and for the overall experimental period, pigs fed diets containing 250 mg Cu/kg from Cu2O had greater (P < 0.05) feed intake than pigs on all other treatments. However, no differences in gain:feed ratio were observed among treatments. Copper accumulation in liver and spleen increased with Cu dose, but at the end of phase 1, pigs fed 250 mg Cu/kg from CuSO4 had greater (P < 0.05) Cu concentration in liver and spleen than pigs fed 250 mg Cu/kg from Cu2O. Pigs fed diets containing 250 mg Cu/kg from Cu2O had greater (P < 0.05) quantities of bone ash and greater (P < 0.05) concentrations of Ca, P, and Cu in bone ash than pigs fed NC diets or the 2 diets containing CuSO4, but Zn concentration in bone ash was less (P < 0.05) in pigs fed diets containing 250 mg Cu/kg from Cu2O. To conclude, supplementing diets for growing pigs with Cu2O improves growth performance and bone mineralization with less Cu accumulation in liver compared with pigs fed diets containing CuSO4.

Simple Summary Pigs and poultry, similar to humans, need regular consumption of zinc, copper, and manganese for normal functioning. To ensure adequate dietary intake, and prevent deficiency, their diets are supplemented with sufficient, often excessive, levels of these minerals or even at higher levels, which have been associated with improvements in their health and/or growth. However, if provided in excess, mineral quantities beyond those required are simply excreted from the animal, which is associated with negative consequences for the environment and even the development of antimicrobial resistance. Therefore, it is of great interest to better understand the dynamics of zinc, copper, and manganese in the intestine of pigs and poultry following consumption of supplemented diets, and how the requirements and benefits related to these minerals can be optimized and negative impacts minimized. The intestine of pigs and poultry contains vast numbers of microorganisms, notably bacteria, that continually interact with, and influence, their host. This review explores the influence of zinc, copper, and manganese on these interactions and how novel forms of these minerals have the potential to maximize their delivery and benefits, while limiting any negative consequences. Abstract Zinc, copper, and manganese are prominent essential trace (or micro) minerals, being required in small, but adequate, amounts by pigs and poultry for normal biological functioning. Feed is a source of trace minerals for pigs and poultry but variable bioavailability in typical feed ingredients means that supplementation with low-cost oxides and sulphates has become common practice. Such trace mineral supplementation often provides significant ‘safety margins’, while copper and zinc have been supplemented at supra-nutritional (or pharmacological) levels to improve health and/or growth performance. Regulatory mechanisms ensure that much of this oversupply is excreted by the host into the environment, which can be toxic to plants and microorganisms or promote antimicrobial resistance in microbes, and thus supplying trace minerals more precisely to pigs and poultry is necessary. The gastrointestinal tract is thus central to the maintenance of trace mineral homeostasis and the provision of supra-nutritional or pharmacological levels is associated with modification of the gut environment, such as the microbiome. This review, therefore, considers recent advances in understanding the influence of zinc, copper, and manganese on the gastrointestinal environment of pigs and poultry, including more novel, alternative sources seeking to maintain supra-nutritional benefits with minimal environmental impact.

To evaluate the type and the amount of fluoridated dentifrice applied on children's toothbrushes by parents/guardians according to descriptions typically recommended by scientific societies, as well as to assess the influence of demographic and socioeconomic variables on dentifrice use.Parents/guardians of children (0-7 years old; n = 306; convenience sample) attending vaccination centres from Araçatuba (Brazil), answered to a structured questionnaire comprising items related to interviewees' education, child's age, gender, brushing habits and use of fluoridated dentifrice. The amount of toothpaste used by children during toothbrushing was estimated using a portable scale. Similarly, the interviewees were requested to apply dentifrices on toothbrushes according to eight descriptions, ranging from "smear" to "all bristles", following a random sequence. Data were submitted to Mann-Whitney's, Kruskal-Wallis' and Friedman's tests, and Spearman's correlation coefficient (p 0.05).The type of toothpaste and the amount of product used at home were not affected by the respondents' educational level or family income. However, child's age was significantly correlated with the amount of toothpaste placed on the toothbrush (r = 0.324, p 0.001). Also, the amount of toothpaste placed on the toothbrush increased according to what would be expected from the descriptions, although wide variations were observed within each description, with large interquartile and overall ranges.The amount and the type of dentifrice used by children were influenced by their age, while parents/caregivers' interpretation on verbal instructions regarding appropriate dentifrice quantities varied widely. This reinforces the need for educative measures on the appropriate use by dentifrices by children.

Background The negative inotropic effect of Class IC antiarrhythmic drugs limits their use for acute cardioversion of atrial fibrillation (AF). Objective The purpose of this study was to examine, in an intact porcine model, the effects of pulmonary and intravenous (IV) administration of flecainide on left ventricular (LV) contractility and QRS complex width at doses that are effective in converting new-onset AF to sinus rhythm. Methods Flecainide (1.5 mg/kg bolus) was delivered by intratracheal administration and compared to 2.0 mg/kg 10-minute IV administration (European Society of Cardiology guideline) and to 0.5 and 1.0 mg/kg 2-minute IV doses in 40 closed-chest, anesthetized Yorkshire pigs. Catheters were fluoroscopically positioned in the LV to monitor QRS complex width and contractility and at the bifurcation of the main bronchi to deliver intratracheal flecainide. Results Peak flecainide plasma concentrations (Cmax) were similar, but the 30-minute area under the curve (AUC) of plasma levels was 1.4- to 2.8-fold greater for 2.0 mg/kg 10-minute IV infusion than for the lower, more rapidly delivered intratracheal and IV doses. AUC for LV contractility (ie, negative inotropic burden) was 2.2- to 3.6-fold greater for 2.0 mg/kg 10-minute IV dose than for the lower, more rapidly delivered doses. QRS complex widening by flecainide was highly correlated with the decrease in LV contractility (r2 = 0.890, P Conclusion QRS complex widening in response to flecainide is strongly correlated with decrease in LV contractility. Rapid pulmonary or IV flecainide delivery reduces the negative inotropic burden while quickly achieving Cmax levels associated with conversion of AF.

Background We investigated whether T‐wave heterogeneity (TWH) can identify patients who are at risk for near‐term cardiac mortality. Methods A nested case–control analysis was performed in the 888 patients admitted to the Emergency Department (ED) of our medical center in July through September 2018 who had ≥2 serial troponin measurement tests within 6 hr for acute coronary syndrome evaluation to rule‐in or rule‐out the presence of acute myocardial infarction. Patients who died from cardiac causes during 90 days after ED admission were considered cases (n = 20; 10 women) and were matched 1:4 on sex and age with patients who survived during this period (n = 80, 40 women). TWH, that is, interlead splay of T waves, was automatically assessed from precordial leads by second central moment analysis. Results TWHV4‐6 was significantly elevated at ED admission in 12‐lead resting ECGs of female patients who died of cardiac causes during the following 90 days compared to female survivors (100 ± 14.9 vs. 40 ± 3.6 µV, p

The micromouse competition has been gaining prominence in the robotic atmosphere, due to the challenging and multidisciplinary characteristics provided by the teams’ duels, being a gateway for those who intend to deepen their studies in autonomous robotics. In this context, this paper presents a realistic micromouse simulator developed with Unity software, a widely game engine with dynamics and 3D development platform used. The developed simulator has hardware-in-the-loop capabilities, aims to be simple to use, it can be customizable, and designed to be as similar as possible to the real robot configurations. In this way, the proposed simulator requires few modifications to port the microcontroller code to a real robot. Therefore, the framework presented in this work allows the user to simulate the development of new algorithm strategies dedicated to competition and also hardware updates. The simulation supports several mazes, from previous competitions and has the possibility to add different mazes elaborated by the user. Thus, the features and functionality of the simulator can serve to accelerate the project’s development of the beginning and advanced competitors, using real models to reduce the gap between the mouse robot behavior in the simulation and the reality. The developed simulation environment is available to the community. © 2021, The Author(s). This work has been supported by FCT - Fundação para a Ciência e Tecnologia within the Projects UIDB/05757/2020 and UIDB/50014/2020. info:eu-repo/semantics/publishedVersion

BackgroundAnti-Ro/SSA antibodies are directed against different proteins of intracellular small ribonucleic acid (RNA)-protein complexes, Ro60 (60 kDa) and Ro52 (52 kDa) and are the most frequently detected autoantibodies in patients´ sera. The clinical associations with antibodies to the Ro60 protein is well documented and includes systemic lupus erythematosus (SLE) and Sjögren syndrome (SS). [1]The presence of anti-Ro52 antibodies has been reported in a large variety of diseases, such as neoplastic diseases or viral infections [1, 2].ObjectivesThe aim of this study was to analyze the clinical relevance and the disease phenotype of patients with anti-Ro52 and/or anti-Ro60 autoantibodies in a single portuguese tertehospital.MethodsRetrospective and descriptive study included all patients screened for anti-nuclear antibodies (ANA) in the database of the immunology laboratory of our Hospital between 2017 and 2021. Only adult patients (≥ 18-years-old) with positive anti-Ro52 and/or Ro60 were included in the study and divided into three groups: group 1 – Ro52+/Ro60-, group 2 – Ro52+/Ro60+ and group 3 – Ro52-/Ro60+. The presence of ANA was tested by indirect immunofluorescence (threshold of positivity established at titer 1/160) and further screened for anti-extractable nuclear antigen (ENA) antibodies. Socio-demographic and clinical data were collected. Descriptive analysis was performed, p-value≤0.05 was statistically significant.ResultsAmong 1210 patients, 277 were positive for the antibody anti-Ro52 and/or Ro60. Most of the patients included were women (79.8%) with a mean age of 58.87±16.12. Immune-mediated rheumatologic diseases were diagnosed in 173 (62.5%) patients, while 104 (37.5%) had non-rheumatologic disease. About 38.6% were exclusively anti-Ro52 positive, 30.3% of patients were anti-Ro60 positive alone and 31% tested positive for both. The clinical data of the patients in these three groups is represented in Table 1. In each of the three groups, the most frequent pattern was nuclear fine spleckled (AC-4). In group 2, SS was the most frequent diagnosis (46.5%), followed by SLE (19.6%). Regarding ANA titers, a higher amount was observed in this group (pTable 1.Group 1 Ro52+/Ro60- (n=107)Group 2 Ro52+/Ro60+ (n=86)Group 3 Ro52-/Ro60+ (n=84)pImmune-mediated rheumatologic diseases (n)5169530.004 Systemic lupus erythematosus101670.396 Sjögren syndrome2140200.050 Systemic sclerosis2120.618 Inflammatory myositis4010.024 Rheumatoid arthritis9270.020 Undifferentiated connective tissue disease49140.025 Other diseases1120.824Non-rheumatologic disease (n)5617310.369 Infections3120.978 Neoplasms7210.319 Liver cirrhosis6280.178 Interstitial lung disease2020.637 Chronic kidney disease2010.736 Unclassified3612170.444ConclusionIn line with published studies, our work demonstrated that, among the sera tested, autoreactivity to anti-Ro52 alone was the most often observed and in most patients the presence of this antibody alone was not associated with immune-mediated rheumatologic disease, but mainly with malignancies. We also identified the clinical phenotype of patients with positive anti-Ro52 and/or anti-Ro60. Thus, we reinforce the importance of specific detection such as Ro-52 or Ro60 as they present individual diagnostic utility.References[1]Wu S et al. Int J Clin Pract. 2021 Mar;75(3):e13679.[2]Robbins A et al. Front Immunol. 2019 Mar 12;10:444.Disclosure of InterestsNone declared

There are several Cu sources in the market that have different effects on pigs. We hypothesized that supplementing therapeutic doses of Cu(I)oxide (Cu2O) in diets for growing pigs improves body weight (BW), bone mineralization, and reduces Cu accumulation in liver than supplementing pigs with Cu sulfate (CuSO4). Two-hundred growing pigs (initial BW: 11.5 ± 0.98 kg) were randomly allotted to 5 dietary treatments. Dietary treatments included the negative control (NC) diet without Cu supplementation, and 4 diets in which 125 or 250 mg/kg of Cu from CuSO4 or Cu2O were added to the NC diet. The experiment was divided into 4 phases. Pig weights were recorded on d 1 and at the end of each phase. Eight pigs per treatment were sacrificed last d of phases 1 and 4 to obtain samples of liver, spleen, and the right metacarpal. Pigs fed diets containing 250 mg/kg of Cu2O had greater (P < 0.05) BW at the end of phases 1 and 2 than pigs fed the NC diet, and tended (P < 0.10) to have greater BW at the end of phases 3 and 4 than pigs fed the other diets. Copper accumulation in liver and spleen increased with Cu dose, but at the end of phase 1, pigs fed 250 mg/kg CuSO4 had greater (P < 0.05) Cu concentration in liver and spleen than pigs fed 250 mg/kg Cu2O. Pigs fed diets containing 250 mg/kg Cu2O had greater (P < 0.05) quantities of bone ash and greater (P < 0.05) concentrations of Ca, P, and Cu in bone ash than pigs fed the NC diets or diets containing CuSO4. Therefore, supplementing diets for growing pigs with therapeutic doses of Cu2O improves BW and bone mineralization with less Cu accumulation in liver compared with pigs fed diets containing CuSO4.

Remediation of nitrate pollution of Earth’s rivers and aquifers is hampered by cumulative biogeochemical processes and nitrogen sources. Isotopes (δ15N, δ18O) help unravel spatiotemporal nitrogen(N)-cycling of aquatic nitrate (NO3−). We synthesized nitrate isotope data (n = ~5200) for global rivers and shallow aquifers for common patterns and processes. Rivers had lower median NO3− (0.3 ± 0.2 mg L−1, n = 2902) compared to aquifers (5.5 ± 5.1 mg L−1, n = 2291) and slightly lower δ15N values (+7.1 ± 3.8‰, n = 2902 vs +7.7 ± 4.5‰, n = 2291), but were indistinguishable in δ18O (+2.3 ± 6.2‰, n = 2790 vs +2.3 ± 5.4‰, n = 2235). The isotope composition of NO3− was correlated with water temperature revealing enhanced N-cascading in warmer climates. Seasonal analyses revealed higher δ15N and δ18O values in wintertime, suggesting waste-related N-source signals are better preserved in the cold seasons. Isotopic assays of nitrate biogeochemical transformations are key to understanding nitrate pollution and to inform beneficial agricultural and land management strategies.