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Palm oil, derived from Elaeis guineensis , is a critical component of the global edible oil and industrial fat market. This review provides a comprehensive overview of the sustainability of the palm oil chain, focusing on industrial applications, environmental implications, and economic sustainability. The processing of palm oil, from fruit pulp to refined oil, is detailed, highlighting the importance of refining in maintaining quality and extending application ranges. While palm oil offers health benefits because of its rich fatty acid composition and antioxidant properties, its production poses significant environmental challenges. This review underscores ongoing efforts to balance technological and culinary demands with environmental stewardship and sustainable economic growth. Emerging trends, including interspecific hybrids such as E . guineensis and E. oleifera , are discussed for their potential to increase sustainability and productivity.

Objective: to analyze the stigma characteristics perceived in the experience of men who had COVID-19., Method: this qualitative study involved men living in Brazil, diagnosed with COVID-19, who answered semi-structured questions in an online form. Data were subjected to thematic and lexical analysis, interpreted in the light of the stigma theory., Results: 92 men, adults, cisgender, heterosexual, of mixed race/color, belonging to middle class, living in the urban area, with higher education participated. The stigma characteristics evidenced were the occurrence of leave, perception of impolite treatment, use of labels and discrimination by co-workers, family members, neighbors and even healthcare professionals, with consequences for the psycho-emotional dimension., Final Considerations: discrimination and exclusion derived from stigma surprised men marked by class and gender privileges, little used to being downgraded in interactions when compared to other groups.

Background: Several recent studies reported bone mineral density (BMD) reduction in pediatric patients with idiopathic hypercalciuria (IH). This longitudinal study aimed to evaluate BMD evolution in IH patients through three bone densitometry studies conducted over 20 years on average. A second objective was to evaluate urine calcium and citrate excretion during this period., Methods: Case notes of 34 patients diagnosed with IH at age 7.9 ± 3, alongside results of two bone densitometry studies, performed at 10.5 ± 2.7 (BMD1) and 14.5 ± 2.7 (BMD2) years of age, were reviewed. Patients underwent a third densitometry study in adulthood (BMD3) aged 28.3 ± 2.9. Mean follow-up duration (time-lapse between BMD1 and BMD3) was 17.7 ± 1.4 years., Results: Statistically significant differences were found between z-BMD3 (- 0.85 ± 1.10) and z-BMD1 (- 1.47 ± 0.99) (P = 0.001) as well as between z-BMD3 and z-BMD2 (- 1.33 ± 1.20) (P = 0.016). At the end of follow-up, z-BMD3 was superior to z-BMD2 in 23 adult patients (67.6%) and lower in 11 patients (5M, 6F; 32.3%). Both men and women showed increased bone mass over time, although such increases were significant only for women. The gradual decrease observed in calcium/creatinine and citrate/creatinine ratios could be related to improvement in osteoblastic activity and especially reduction in osteoclastic activity., Conclusions: In patients with IH, BMD improves, which may be related especially to female sex, increment of body mass, and reduction in bone resorption. Upon reaching adulthood, urine calcium and citrate excretion tend to decrease so lithogenic risk still remains. The cause of the latter is unknown, although it likely relates to changes in bone activity.

Objective: Core outcome set (COS) is the minimum set of outcome domains that should be measured and reported in clinical trials. We analyzed outcome domains, prevalence of use of COS published by Outcome Measures in Rheumatology (OMERACT) initiative, outcome measures for outcome domains recommended by OMERACT COS, duration and size of randomized controlled trials (RCT) testing nonsurgical interventions for osteoarthritis (OA)., Methods: We searched PubMed and analyzed RCT about nonsurgical interventions for OA published from June 2012 to June 2017. We extracted data about trial type, use of OMERACT COS, efficacy outcome domains, safety outcome domains, outcome measures used for COS assessment, duration, and sample size., Results: Among 334 analyzed trials, complete OMERACT-recommended COS was used by 14% of trials. Higher median prevalence of using OMERACT COS was found in trials explicitly described as phase III, and trials of pharmacological interventions with followup ≥ 1 year, but both with wide range of COS usage. Trialists used numerous different outcome measures for analyzing core outcome domains: 50 different outcome measures for pain, 74 for physical function, 9 for patient's global assessment, and 5 for imaging., Conclusion: Suboptimal use of recommended COS and heterogeneity of outcome measures is reducing quality and comparability of OA trials and hinders conclusions about efficacy and comparative efficacy of nonsurgical interventions. Interventions for improving study design of trials in this field would be beneficial.

This work compared the mechanisms of adsorption of carotenes from hybrid palm oil onto two kinds of bleaching earths widely used by industrial refiners (acid-activated and neutral). First, it was performed a deep characterization of adsorbent surfaces: acid activated adsorbent showed micropore volumes twice larger than the neutral. FTIR analysis of adsorbent after adsorption demonstrated that active site was Si-O-Si for both adsorbents. However, comparison of peak shapes suggested distinctive interactions between adsorbent/adsorbate for each adsorbent. Latterly, an extensive kinetic and equilibrium study was performed. Kinetic data were in accordance with pseudo-first and pseudo-second-order models. Adjusting to the intra-particle diffusion model evidenced more than one mechanism controlling the adsorption process. Equilibrium data demonstrated adsorption is only favorable at low carotene concentration at liquid phase for acid adsorbent (lower than 1 mg/mL). For neutral adsorbent, it was not clearly observed a favorable region with the studied conditions. The acid adsorbent could adsorb more carotenes per adsorbent weight than neutral. Finally, neutral adsorbent showed higher heterogeneity of interaction between adsorbate and adsorbent than the acid, especially at low adsorbent coverages., (Copyright © 2019 Elsevier Ltd. All rights reserved.)

The artificially acquired humoral immunity against hepatitis B virus (HBV) apparently may decline over the years. This study aimed to investigate the prevalence of naturally occurring serological markers of infection and active immunity to HBV in severely ill children and adolescents treated at the Martagão Gesteira Pediatric Hospital who received blood transfusions. The serum samples of 353 children who received poly-transfusions between August 2016 and March 2017 were tested for HBV surface antigen (HBsAg) markers, anti-HBc antibodies (IgG and IgM isotypes), and IgG anti-HBs. None of the children presented an outcome compatible with HBV infection. Three patients were seroreactive to markers of past infection, tested positive for anti-HBc IgG and negative for anti-HBc IgM, and were seropositive for anti-HBs, with antibody titers of >150.00 mIU/mL. Only 52.4% of the patients in the study were protected against HBV, with anti-HBs antibody titers of >10 mIU/mL. Children aged 5 years had lower titers of anti-HBs. The results indicated that the older children were more likely to be unprotected from HBV; this suggests the need to evaluate the vaccine response in children, especially those who received blood transfusions.

We describe the use of the Uro Dyna-CT, an imaging system used in the operating room that produces real-time three-dimensional (3D) imaging and cross-sectional image reconstructions similar to an intraoperative computerized tomography, during a percutaneous nephrolithotomy and a contralateral flexible ureteroscopy in a complete supine position. A 65 year-old female patient had an incomplete calyceal staghorn stone in the right kidney and a 10mm in the left one. The procedure was uneventful and the intraoperative use of the Uro Dyna-CT identified 2 residual stones that were not found by digital fluoroscopy and flexible nephroscopy at the end of surgery, helping us to render the patient stone-free in one procedure, which was confirmed by a postoperative CT scan. Prospective studies will define the real role of the Uro Dyna-CT for endourological procedures, but its use seems to be a very promising tool for improving stone free rates and decreasing auxiliary procedures, especially for complex cases., Competing Interests: Conflict of interest: None declared., (Copyright® by the International Brazilian Journal of Urology.)

This work presents the potential application of organic-resistant screen-printed graphitic electrodes (SPGEs) for fuel analysis. The required analysis of the antioxidant 2,6-di-tert-butylphenol (2,6-DTBP) in biodiesel and jet fuel is demonstrated as a proof-of-concept. The screen-printing of graphite, Ag/AgCl and insulator inks on a polyester substrate (250 μm thickness) resulted in SPGEs highly compatible with liquid fuels. SPGEs were placed on a batch-injection analysis (BIA) cell, which was filled with a hydroethanolic solution containing 99% v/v ethanol and 0.1 mol L(-1) HClO4 (electrolyte). An electronic micropipette was connected to the cell to perform injections (100 μL) of sample or standard solutions. Over 200 injections can be injected continuously without replacing electrolyte and SPGE strip. Amperometric detection (+1.1 V vs. Ag/AgCl) of 2,6-DTBP provided fast (around 8 s) and precise (RSD = 0.7%, n = 12) determinations using an external calibration curve. The method was applied for the analysis of biodiesel and aviation jet fuel samples and comparable results with liquid and gas chromatographic analyses, typically required for biodiesel and jet fuel samples, were obtained. Hence, these SPGE strips are completely compatible with organic samples and their combination with the BIA cell shows great promise for routine and portable analysis of fuels and other organic liquid samples without requiring sophisticated sample treatments., (Copyright © 2016 Elsevier B.V. All rights reserved.)

The potential application of commercial screen-printed gold electrodes (SPGEs) for the trace determination of lead, copper, and mercury in fuel bioethanol is demonstrated. Samples were simply diluted in 0.067 mol L(-1) HCl solution prior to square-wave anodic stripping voltammetry (SWASV) measurements recorded with a portable potentiostat. The proposed method presented a low detection limit (<2 μg L(-1)) for a 240 s deposition time, linear range between 5 and 300 μg L(-1), and adequate recovery values (96-104%) for spiked samples. This analytical method shows great promise for on-site trace metal determination in fuel bioethanol once there is no requirement for sample treatment or electrode modification., (Copyright © 2014 Elsevier B.V. All rights reserved.)

The objective of this work was to report the first seasonal occurrence of the acanthocephalan Quadrigyrus nickoli Schmidt & Hugghins, 1973 (Quadrigyridae), in the "Mato Grosso" Hyphessobrycon eques (Characidae) (Steindachner, 1882), collected from the Chumucuí River, state of Pará, Brazil. The fish were collected between July 2006 (rainy season) and June 2007 (dry season) and were examined for parasites using pattern techniques. A total of 75 parasites were found in the stomach and intestine. Among 83 fish examined (50 in the dry season and 33 in the rainy season), 22 were parasitized by cystacanths of Q. nickoli. The importance of H. eques as a paratenic host for Q. nickoli is discussed. This is the first study on the biology of and infection by Q. nickoli occurring in the eastern Amazon region.

Relevance: Simaba ferruginea A. St-Hil. (Simaroubaceae) is a subshrub typical of the Brazilian Cerrado, whose rhizomes are popularly used as infusion or decoction for the treatment of gastric ulcers, diarrhea and fever., Aim of the Study: To evaluate the pharmacological mechanism(s) of action of the antiulcer effects of the methanol extract of Simaba ferruginea and its alkaloid canthin-6-one., Materials and Methods: Rhizome of Simaba ferruginea was macerated with methanol to obtain the methanol extract (MESf) from which was obtained, the chloroform fraction. Canthin-6-one alkaloid (Cant) was purified and then isolated from the chloroform fraction (CFSf). The isolated Cant was identified by HPLC. Anti-ulcer assays were determined using ethanol and indomethacin-induced ulcer models in mice and rats respectively. In order to determine the probable mechanisms of actions of MESf and Cant animals were pretreated with l-NAME prior to anti-ulcer agent treatments and ulcer induction and nitric oxide (NO) level determined in order to assess NO involvement in the gastroprotective effects. Assays of malondialdehyde (MDA), myeloperoxidase (MPO), pro-inflammatory cytokines: interleukin 8 (IL-8) and tumor necrosis factor-alpha (TNF-α) and prostaglandin E(2) (PGE(2)) were also carried out according to previously described methods., Results: The results indicate that the antiulcerogenic effects of MESf and Cant in ethanol-induced ulcer is mediated in part through increase in the production of protective endogenous NO as the antiulcerogenic activity of MESf and Cant was reduced in animals pre-treated with l-NAME. In indomethacin-induced ulcer pre-treatment with MESf and Cant showed reduction in the levels of MPO and MDA in the gastric tissue, thus indicating the participation of the antioxidant mechanisms on the gastroprotective effects. The plasma levels of IL-8 in ulcerated rats with indomethacin were also reduced by Cant, but not by MESf, indicating that inhibition of this cytokine contributes to the gastroprotective effect of Cant. However MESf and Cant had no effect on the mucosal membrane levels of PGE(2), indicating that the gastroprotective effects of these agents is independent of PGE(2) modulation., Conclusion: The results obtained in this study with MESf and Cant added insights into the pharmacological mechanisms involved in their mode of antiulcer action. The results indicate that Cant is one of the compounds responsible for these effects. Such findings are of extreme importance in the strive for future development of potent, safer and effective antiulcer agent. The efficacy of MESf and Cant in gastroprotection shows that Simaba ferruginea might be a promising antiulcer herbal medicine, in addition to confirming the popular use of this plant against gastric ulcer models utilised in this study., (Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.)

Objective: To assess the association between socioeconomic indicators of provision of public dental services and allocation of financial resources in health and to identify whether this association reinforced the promotion of vertical equity., Methods: A cross-sectional ecological study was conducted based on data obtained from the Brazilian Ministry of Health data system for 399 cities in the State of Paraná (Southern Brazil) between 1998 and 2005. Socioeconomic condition was measured by the Human Development Index in the cities studied, as well as by some indicators of income, education and sanitation, which were obtained from the Brazilian Institute of Geography and Statistics database. Data were analyzed using nonparametric statistical tests: Spearman's rank correlation coefficient, Friedman and Mann-Whitney tests., Results: A redistribution trend of federal resources for primary health care in municipalities was seen. The provision of dental health services increased after the government launched the Family Health Strategy. An expanded provision of dental procedures was reported during the study period with a pro-equity trend of the utilization of dental services in primary health care., Conclusions: There was seen a redistribution or pro-equity trend in the provision of dental services in the state of Paraná with higher per capita provision of resources or services in cities with the lowest socioeconomic indicators. This trend is consistent with the recent programmatic guidelines of the Brazilian Ministry of Health.

Objective: To describe factors associated to inequalities in access to health care services and utilization for the elderly., Methods: Study part of the Health, Well-being and Aging in Latin America and the Caribbean ("SABE") Survey that included 2,143 elderly individuals aged 60 or older in the city of São Paulo, southeastern Brazil, in 2000. A two-step sampling procedure with probability proportional to size was carried out using census tracts with replacement. To achieve the desired number of respondents aged 75 or older, additional households close to the selected census tracts were sampled. Access to health services and utilization were measured for outpatient and hospital services during a 4-month period prior to the interview, and correlated to factors related to ability, need and predisposition (total income, schooling, health insurance, reported medical condition, self-perception, gender and age).Multivariate logistic regression was performed in the analysis., Results: Of all respondents, 4.7% reported being hospitalized and 64.4% seeking outpatient care in the four months prior to the study. As for public outpatient care provided, 24.7% were in hospital clinics and 24.1% in other public outpatient services. As for private care, 14.5% received care in hospitals and 33.7% in health clinics. The multivariate analysis showed an association between health service utilization and sex, medical condition, self-perceived health, income, schooling, and health insurance. However, an inverse effect was found for the variable "schooling"., Conclusions: The study results show inequalities in access to health services and utilization as well as a deficient health care system. Public policies should take into account the specific needs of the elderly population to facilitate access to health care services and reduce inequalities.

To evaluate the epidemiological situation of Chagas disease infection in the State of Piauí, Brazil, and its relationships with age, gender, blood transfusion and spontaneous abortion, a serological survey was performed. A random sample of 36,399 inhabitants of rural zones was examined between August and December 2002. Chagas disease infection was defined by the indirect immunofluorescence test, with identification of anti-Trypanosoma cruzi antibodies in blood samples collected on filter paper. The total seroprevalence was 1.9%, ranging from 0.1% in children less than five years old to 6.6% in adults over 79 years old. The seroprevalence was significantly higher in women (2.1%), illiterates (4.1%), individuals receiving blood (3.3%) and women with a history of spontaneous abortion (5.4%). Comparison with the national serological survey (1975-1980) showed that there had been a significant reduction in the seroprevalence of Chagas disease infection in the State of Piauí (4.0% to 1.9%), which was indicative of the efficacy of the vector control measures implemented between 1975 and 2002.

A large variety of organic and inorganic compounds can be found in wastewater from industrial processes. In this work, Advanced Oxidative Processes (AOPs) have been applied for the control of water pollution and the ozonation of different effluents was investigated. Wastewater from textile, kraft E1 and cheese manufacturing processes were chosen as examples of industrial effluents. The efficiency of substrate mineralization has been comparatively analyzed by the decrease in total organic carbon (TOC), color, and toxicity. The results revealed that the ozonation process can be a method for decolorization of effluent, but it is not effective for TOC reduction. The whey effluent was the most recalcitrant wastewater for ozone treatment which produced no TOC removal.

The Brazilian scientific literature on social and preventive dentistry from 1986 to 1993 was identified and analyzed to verify whether themes of papers referred to health policy and the national health system. Published scientific articles were used as the unit of analysis for the study. An analytical survey was conducted considering the following variables, amongst others: author's institutional affiliation; author's title; author's areas of interest; type of research; type of article; and research funding sources. Articles reviewed were published between the First and Second National Oral Health Conferences. There were 386 articles published in 19 journals, by at least 866 authors. More than 75% of the studies came from public universities. RGO was the largest publisher in this field, followed by Revista da APCD. Original articles accounted for 56.7% of the studies, while 30.3% were reviews and essays. The majority of the authors were from the State of São Paulo. Male writers predominated. A 'quantitative deficiency' was identified, since scientific production remained below 50% of its potential. Health policy was considered a specific issue in only 3 articles (0.8%) while 7 (1.8%) discussed the national health system.

This two-part paper addresses finite element-based computational models for the three-dimensional (3-D) nonlinear analysis of soft hydrated tissues, such as articular cartilage in diarthrodial joints, under physiologically relevant loading conditions. A biphasic continuum description is used to represent the soft tissue as a two-phase mixture of incompressible inviscid fluid and a hyperelastic, transversely isotropic solid. Alternate mixed-penalty and velocity-pressure finite element formulations are used to solve the nonlinear biphasic governing equations, including the effects of strain-dependent permeability and a hyperelastic solid phase under finite deformation. The resulting first-order, nonlinear system of equations is discretized in time using an implicit finite difference scheme, and solved using the Newton-Raphson method. Details of the formulations were presented in Part I [1]. In Part II, the two formulations are used to develop two-dimensional (2-D) quadrilateral and triangular elements and three-dimensional (3-D) hexahedral and tetrahedral elements. Numerical examples, including those representative of soft tissue material testing and simple human joints, are used to validate the formulations and to illustrate their applications. A focus of this work is the comparison of the alternate formulations for nonlinear problems. While it is demonstrated that both formulations produce a range of converging elements, the velocity-pressure formulation is found to be more efficient computationally.

This paper addresses finite element-based computational models for the three-dimensional, (3-D) nonlinear analysis of soft hydrated tissues, such as the articular cartilage in diarthrodial joints, under physiologically relevant loading conditions. A biphasic continuum description is used to represent the soft tissue as a two-phase mixture of incompressible, inviscid fluid and a hyperelastic solid. Alternate mixed-penalty and velocity-pressure finite element formulations are used to solve the nonlinear biphasic governing equations, including the effects of a strain-dependent permeability and a hyperelastic solid phase under finite deformation. The resulting first-order nonlinear system of equations is discretized in time using an implicit finite difference scheme, and solved using the Newton-Raphson method. Using a discrete divergence operator, an equivalence is shown between the mixed-penalty method and a penalty method previously derived by Suh et al. [1]. In Part II [2], the mixed-penalty and velocity-pressure formulations are used to develop two-dimensional (2-D) quadrilateral and triangular elements and 3-D hexahedral and tetrahedral elements. Numerical examples, including those representative of soft tissue material testing and simple human joints, are used to validate the formulations and to illustrate their applications. A focus of this work is the comparison of alternate formulations for nonlinear problems. While it is demonstrated that both formulations produce a range of converging elements, the velocity-pressure formulation is found to be more efficient computationally.

This chapter addresses computationally demanding numerical formulations in the biomechanics of soft tissues. The theory of mixtures can be used to represent soft hydrated tissues in the human musculoskeletal system as a two-phase continuum consisting of an incompressible solid phase (collagen and proteoglycan) and an incompressible fluid phase (interstitial water). We first consider the finite deformation of soft hydrated tissues in which the solid phase is represented as hyperelastic. A finite element formulation of the governing nonlinear biphasic equations is presented based on a mixed-penalty approach and derived using the weighted residual method. Fluid and solid phase deformation, velocity, and pressure are interpolated within each element, and the pressure variables within each element are eliminated at the element level. A system of nonlinear, first-order differential equations in the fluid and solid phase deformation and velocity is obtained. In order to solve these equations, the contributions of the hyperelastic solid phase are incrementally linearized, a finite difference rule is introduced for temporal discretization, and an iterative scheme is adopted to achieve equilibrium at the end of each time increment. We demonstrate the accuracy and adequacy of the procedure using a six-node, isoparametric axisymmetric element, and we present an example problem for which independent numerical solution is available. Next, we present an automated, adaptive environment for the simulation of soft tissue continua in which the finite element analysis is coupled with automatic mesh generation, error indicators, and projection methods. Mesh generation and updating, including both refinement and coarsening, for the two-dimensional examples examined in this study are performed using the finite quadtree approach. The adaptive analysis is based on an error indicator which is the L2 norm of the difference between the finite element solution and a projected finite element solution. Total stress, calculated as the sum of the solid and fluid phase stresses, is used in the error indicator. To allow the finite difference algorithm to proceed in time using an updated mesh, solution values must be transferred to the new nodal locations. This rezoning is accomplished using a projected field for the primary variables. The accuracy and effectiveness of this adaptive finite element analysis is demonstrated using a linear, two-dimensional, axisymmetric problem corresponding to the indentation of a thin sheet of soft tissue. The method is shown to effectively capture the steep gradients and to produce solutions in good agreement with independent, converged, numerical solutions.