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Introdução: A prática de corrida é uma importante estratégia para o indivíduo tornar-se fisicamente ativo, entretanto muitos praticam de forma recreacional e sem supervisão profissional, neste sentido a literatura carece de estudos sobre os efeitos sobre esta prática de exercícios para a saúde cardiovascular. Objetivo: Avaliar a influência da corrida recreativa na capacidade cardiorrespiratória em mulheres adultas. Materiais e Métodos: Neste estudo descritivo, comparativo e quase-experimental, a amostra foi composta por 60 mulheres adultas distribuídas em dois grupos: Grupo Não Praticantes (n=29), com idade de (33,17 ± 11,58 anos) e Grupo Praticantes (n=31), com idade de (40,1 ± 10,5 anos). Após avaliação da massa corporal e estatura, foi calculado o índice de massa corporal das participantes. Em seguida, ambos os grupos foram submetidos ao teste de esteira para avaliar a capacidade cardiorrespiratória. A frequência cardíaca e a percepção subjetiva de esforço (0 a 10) foram monitoradas durante todo o teste. Resultados: Em relação ao índice de massa corporal não foram encontradas diferenças significativas entre os grupos. Quanto ao teste de capacidade cardiorrespiratória os resultados foram estatisticamente maiores no grupo praticantes em relação ao grupo não praticantes. Conclusão: A corrida recreativa melhora capacidade cardiorrespiratória contribuindo para prevenção de doenças e proteção a saúde de mulheres de meia idade.

This paper presents a case study of participatory "demolition planning" for blighted, vacant properties in the legacy city of Flint, Michigan. It outlines how the Genesee County Land Bank Authority (GCLBA) used residents' responses to a survey about demolition priorities to create an algorithm that assigns demolition scores to blighted properties in Flint. The survey results showed that residents' top priority was demolishing blighted properties located directly next door to occupied properties. Fire-damaged properties, blighted properties in proximity to schools, and blighted properties located in highly occupied neighborhoods were the next highest priorities. There were few spatial differences in survey responses at the neighborhood (i.e., city ward) level. We discuss the implications of these findings and how other communities can adapt and improve upon the GCLBA's surveying and algorithm creation efforts. [ABSTRACT FROM AUTHOR]

Non–small cell lung cancer (NSCLC) has been found to have recurrent genetic abnormalities, and novel therapies targeting these aberrations have improved patient survival. In this study, specimens from benign tissue, primary tumors, and brain metastases were obtained at autopsy from a 55-year-old White female patient diagnosed with NSCLC and were examined using next-generation sequencing (NGS) and chromosomal microarray assay (CMA). No genetic aberrations were noted in the benign tissue; however, NGS identified a mutation in the KRAS proto-oncogene, GTPase (KRAS): KRAS exon 2 p.G12D in primary and metastatic tumor specimens. We observed 7 DNA copy number aberrations (CNAs) in primary and metastatic tumor specimens; an additional 7 CNAs were exclusively detected in the metastatic tumor specimens. These DNA alterations may be genetic drivers in the pathogenesis of the tumor specimen from our patient and may serve as biomarkers for the classification and prognosis of NSCLC. [ABSTRACT FROM AUTHOR]

Eliminating facial electromyographic (EMG) signal from the electroencephalogram (EEG) is crucial for the accuracy of applications such as brain computer interfaces (BCIs) and brain functionality measurement. Facial electromyography typically corrupts the electroencephalogram. Although it is possible to find in the literature a number of multi-channel approaches for filtering corrupted EEG, studies employing single-channel approaches are scarce. In this context, this study proposed a single-channel method for attenuating facial EMG noise from contaminated EEG. The architecture of the method allows for the evaluation and incorporation of multiple decomposition and adaptive filtering techniques. The decomposition method was responsible for generating EEG or EMG reference signals for the adaptive filtering stage. In this study, the decomposition techniques CiSSA, EMD, EEMD, EMD-PCA, SSA, and Wavelet were evaluated. The adaptive filtering methods RLS, Wiener, LMS, and NLMS were investigated. A time and frequency domain set of features were estimated from experimental signals to evaluate the performance of the single channel method. This set of characteristics permitted the characterization of the contamination of distinct facial muscles, namely Masseter, Frontalis, Zygomatic, Orbicularis Oris, and Orbicularis Oculi. Data were collected from ten healthy subjects executing an experimental protocol that introduced the necessary variability to evaluate the filtering performance. The largest level of contamination was produced by the Masseter muscle, as determined by statistical analysis of the set of features and visualization of topological maps. Regarding the decomposition method, the SSA method allowed for the generation of more suitable reference signals, whereas the RLS and NLMS methods were more suitable when the reference signal was derived from the EEG. In addition, the LMS and RLS methods were more appropriate when the reference signal was the EMG. This study has a number of practical implications, including the use of filtering techniques to reduce EEG contamination caused by the activation of facial muscles required by distinct types of studies. All the developed code, including examples, is available to facilitate a more accurate reproduction and improvement of the results of this study.

Medical education is undergoing significant transformation. Many medical schools are moving away from the concept of seat time to competency-based education and introducing flexibility in the curriculum that allows individualization. In response to rising student debt and the anticipated physician shortage, 35% of US medical schools are considering the development of accelerated pathways. The roadmap described in this paper is grounded in the experiences of the Consortium of Accelerated Medical Pathway Programs (CAMPP) members in the development, implementation, and evaluation of one type of accelerated pathway: the three-year MD program. Strategies include developing a mission that guides curricular development - meeting regulatory requirements, attaining institutional buy-in and resources necessary to support the programs, including student assessment and mentoring - and program evaluation. Accelerated programs offer opportunities to innovate and integrate a mission benefitting students and the public.AbbreviationsCAMPP: Consortium of accelerated medical pathway programs; GME: Graduate medical education; LCME: Liaison committee on medical education; NRMP: National residency matching program; UME: Undergraduate medical education.

In this study, we investigated the acid (HCl) and alkali (KOH) chemical activation of açaí seeds (Euterpe Oleraceae, Mart.) pre-treatment before pyrolysis at temperatures of 350–450 °C in order to assess how reactions proceed when affected by temperature. Chemical composition of bio-oil and aqueous phase were determined by GC-MS and FT-IR. The bio-char is characterized by XRD. For the activation with KOH, the XRD analysis identified the presence of Kalicinite (KHCO3), the dominant crystalline phase in bio-char, while an amorphous phase was identified in bio-chars for the activation with HCl. The experiments have shown that bio-oil yield increases with temperature for the KOH activated biomass and decreases for the acid activated one. The KOH bio-oil is primarily composed of alcohols and ketones, showing the lowest acid values when compared with the HCl one, which is composed mainly of carboxylic acids and phenols. An increase in alcohol content and a decrease in ketones in the KOH bio-oil with temperature suggests conversion reactions between these two functions. For HCl bio-oil, carboxylic acid concentration increases with temperature while phenols decrease. For production of hydrocarbons, KOH activated biomass pyrolysis is better than acid-activated one, since no hydrocarbons were produced for HCl bio-oil.

ABSTRACT Malaria is a disease of global tropical distribution, being endemic in more than 90 countries and responsible for about 212 million cases worldwide in 2016. To date, the strategies used to eradicate this disease have been ineffective, without specific preventive measures such as vaccines. Currently, the existing therapeutic arsenal is limited and has become ineffective against the expansion of artemisinin-resistant Plasmodium, demonstrating the need for studies that would allow the development of new compounds against this disease. In this context, we studied the volatile oil obtained from rhizomes of Cyperus articulatus (VOCA), a plant species commonly found in the Amazon region and popularly used as a therapeutic alternative for the treatment of malaria, in order to confirm its potential as an antimalarial agent by in vitro and in vivo assays. We cultured Plasmodium falciparum W2 (chloroquine-resistant) and 3D7 (chloroquine-sensitive) strains in erythrocytes and exposed them to VOCA at different concentrations in 96-well microplates. In vivo antimalarial activity was tested in BALB/c mice inoculated with approximately 106 erythrocytes infected with Plasmodium berghei. VOCA showed a high antimalarial potential against the two P. falciparum strains, with IC50 = 1.21 μg mL-1 for W2 and 2.30 μg mL-1 for 3D7. VOCA also significantly reduced the parasitemia and anemia induced by P. berghei in mice. Our results confirmed the antimalarial potential of the volatile oil of Cyperus articulatus.

In this work, a techno-economic assessment of the production of bio-oil, coke and gas, via thermo-catalytic pyrolysis followed by distillation, is accomplished. The raw materials were two solid wastes: lipid-based material (residual fat/scum from a fat retention box from the University Restaurant at the Federal University of Pará—UFPA) and a lignin-cellulosic material of açaí seed (Euterpe oleracea Mart.). From the literature, a review is made of the physicochemical analysis of the raw materials, of the bio-oil, and of the chemical composition of the biofuels produced (kerosene, light diesel, and heavy diesel). The bio-oil yields for each experiment of pyrolysis and distillation are also presented and compared with the literature. The economic indicators for the evaluation of the most viable cracking (pyrolysis) and distillation process of bio-oils were: (a) the simple payback criterion, (b) discounted payback, (c) net present value (NPV), (d) internal rate of return (IRR), and (e) index of profitability (IP). The analysis of the indicators showed the economic viability of the lipid-based material and unfeasibility for the açai seed (Euterpe oleracea Mart.). The breakeven point obtained was 1.28 USD/L and the minimum fuel selling price (MFSP) obtained in this work for the biofuels was 1.34 USD/L). The sensibility analysis demonstrated that the pyrolysis and distillation yields are the most important variables to affect the minimum fuel selling price (MFSP).

This work aims to investigate the effect of process temperature and catalyst content by pyrolysis and thermal catalytic cracking of (organic matter + paper) fraction from municipal household solid waste (MHSW) on the yields of reaction products (bio-oil, bio-char, H2O, and gas), acid value, chemical composition of bio-oils, and characterization of bio-chars in laboratory scale. The collecting sectors of MHSW in the municipality of Belém-Pará-Brazil were chosen based on geographic and socio-economic database. The MHSW collected and transported to the segregation area. The gravimetric analysis of MHSW was carried out and the fractions (Paper, Cardboard, Tetra Pack, Hard Plastic, Soft Plastic, Metal, Glass, Organic Matter, and Inert) were separated. The selected organic matter and paper were submitted to pre-treatment of crushing, drying, and sieving. The experiments carried out at 400, 450, and 475 °C and 1.0 atmosphere, and at 475 °C and 1.0 atmosphere, using 5.0, 10.0, and 15.0% (wt.) Ca(OH)2, in batch mode. The bio-oil was characterized for acid value. The chemical functions present in bio-oil were identified by FT-IR and the composition was identified by GC-MS. The bio-char was characterized by SEM, FT-IR, and XRD. The variance in mass (wt.%) for organic fractions of municipal household solid waste (OFMHSW), between 56.21 and 67.45% (wt.), lies with the interval of 56% (wt.) and 64% (wt.) of OFMHSW for middle- and low-income countries. The pyrolysis of MHSW fraction (organic matter + paper) shows bio-oil yields between 2.63 and 9.41% (wt.), aqueous phase yields between 28.58 and 35.08% (wt.), solid phase yields between 35.29 and 45.75% (wt.), and gas yields between 16.54 and 26.72% (wt.). The bio-oil yield increases with pyrolysis temperature. For the catalytic cracking, the bio-oil and gas yields increase slightly with CaO content, while that of bio-char decreases, and the H2O phase remains constant. The GC-MS of liquid reaction products identified the presence of hydrocarbons (alkanes, alkenes, alkynes, cycloalkanes, and aromatics) and oxygenates (carboxylic acids, ketones, esters, alcohols, phenols, and aldehydes), as well as compounds containing nitrogen, including amides and amines. The acidity of bio-oil decreases with increasing process temperature and with aid Ca(OH)2 as a catalyst. The concentration of hydrocarbons in bio-oil increases with increasing Ca(OH)2-to-OFMHSW fraction ratio due to the catalytic deoxygenation of fatty acid molecules, by means of decarboxylation/decarbonylation, producing aliphatic and aromatic hydrocarbons.

We comparatively evaluate two distinct formulations containing 5% of Jucá (Libidibia ferrea) for wound healing in dogs. An excision model study was performed in 11 dogs with three dermal wounds in each animal, which were treated with: (1) topical phytopharmaceutical based on Carbopol (PyC) containing 5% Jucá ethanolic extract; (2) topical phytopharmaceutical based on Astrocaryum murumuru butter (PyM) containing 5% Jucá ethanolic extract; and (3) commercial ointment (control). Wound treatment was carried out on alternated days starting at day (D) one until D21. Macroscopic (all time-points) and histological (D0 and D21) analyses were performed. The antimicrobial activity of Jucá was evaluated through Minimal Inhibitory Concentration (MIC). Phytochemical analysis of Jucá revealed 3.1% phenolic compound content expressed in rutin and the presence of hydrolyzable tannins and flavonoids. The mean wound retraction was 33.7 ± 5.5, 34.0 ± 4.7, and 28.4 ± 4.9 % for PyC, PyM, and control groups, respectively, with higher wound retraction for both herbal-treated groups compared to the control (P < 0.05). Alcoholic extract of Jucá had antimicrobial activity against the microorganisms Staphylococcus aureus, Escherichia coli, Pseudomonas aeruginosa, and Candida krusei at different degrees, with MIC ranging from 250 to 16.625 μg/ml. Microscopic evaluation showed that the phytotherapic formulations contributed to better dermal wound healing through wound fibroplasia. The alcoholic extract of Jucá pods has great potential for wound healing in dogs and can be used in the development of commercially viable phytotherapic formulations.

Cyperus articulatus L. (Priprioca) is a plant of the Cyperaceae family traditionally used in traditional medicine in the Amazon region. Studies of the essential oil of this species have identified many terpene compounds. However, little is known about the possible uses of solid waste generated by the extraction of essential oils. This study aimed to investigate the chemical composition of volatile compounds and to evaluate the antiproliferative activity of the ethanolic extract of solid residues generated by the extraction of the essential oil of C. articulatus L. rizhomes in experimental models in vitro using peritoneal macrophages of mice and human tumor cell lines. The analysis of the chemical composition of volatile compounds indicated the presence of sesquiterpenes and particularly sequiterpenic ketones as main constituents. The results showed that the treatment with ethanolic extract of C. articulatus L. reduced the activity of the enzyme arginase and proliferation of cancer cells (p < 0.0001). The extract also showed no cytotoxicity in macrophages in concentrations between 12.5; 25 and 50 mg/mL (p < 0.0001). The results indicated that the extract of C. articulatus L. exerts antiproliferative activity (p < 0.0001) with low toxicity on healthy cells in experimental models in vitro.

La fiebre es un síntoma frecuente en la edad pediátrica; la mayoría de las veces es causada por infecciones de etiología viral que se autolimitan. En raras ocasiones los pacientes pueden cursar con episodios de fiebre de días a semanas de duración asociados a síntomas específicos, que se encuentran separados por intervalos asintomáticos, con una periodicidad predecible (fiebre periódica). En estos pacientes es importante realizar una historia clínica completa, con un interrogatorio y examen físico detallados, excluir las causas infecciosas más frecuentes y posteriormente realizar exámenes de laboratorio que permitan establecer un diagnóstico sindromático. El objetivo del presente artículo es describir el abordaje diagnóstico de los pacientes pediátricos con síndromes de fiebre periódica desde el ámbito ambulatorio.

ABSTRACT Objectives We aimed to measure the quality of life (QoL) of patients with Turner syndrome (PTS) and determine the extent to which their clinical or laboratory alterations influence QoL compared to reference women (RW) of the same age range. Subjects and methods From Dec-2013 to Dec-2014, 90 participants were recruited. They were 18 years and older: 48 with Turner syndrome (TS) (PTS) and 42 without (RW). Recruited subjects completed the Portuguese version of Short Form 36 (SF-36) questionnaire, and blood was drawn to measure LH, FSH, oestradiol (E2), progesterone (P4), SHBG, and SDHEA (by ECLIA) and testosterone (by LC MS/MS). Results Age and schooling were similar between groups. The most common occupations for PTS were health worker, administration and education, and health worker or cashier for RW. Most participants were Catholic or Evangelical. Eighty-one percent (39/48) of cases used Hormonal Replacement Therapy (HRT), mostly transdermal (23/39). RW and PTS scored similarly on the SF-36 questionnaire. RW had higher oestradiol (p = 0,01), lower FSH (p = 0,01) and higher testosterone (p = 0,01) than PTS. Concentrations of P4, LH, SHBG or SDHEA were similar. Significant associations were found among QoL and hormones (E2 with Vitality and LH with Physical Role) only in the PTS group. Conclusions PTS do not consider that TS affects their QoL as measured by domains on the SF-36. Oestradiol was related with QoL, emphasising the importance of HRT.

Background: The pediatric population is at increased risk of disseminated and extrapulmonary tuberculosis (TB). There is little information on children affected by this entity. The demographic, clinical, and outcome characteristics of the treatment of children with extrapulmonary TB, treated at a national reference institution between January 1, 2008, and December 31, 2016, are described and analyzed in this work. Materials and Methods: This was a retrospective observational study. Cases of extrapulmonary TB were identified, and variables were collected based on each criterion used for diagnosis and treatment outcomes. A descriptive analysis of the variables collected was performed. Results: Ninety-three cases were identified, of which 32 (34.4%) met the criteria for extrapulmonary TB. The mean age was 10.2 years (range 0.8–17 years), and the most frequent site of extrapulmonary TB was lymph node 40.6%, meningeal 21.9%, and ocular 18.8%. Bacteriological confirmation was obtained in 8 cases (25%) while the remaining 24 cases (75%) were classified as cases of clinically diagnosed TB. Two patients (6.2%) died during treatment although their decease was not attributable to TB. Conclusion: The clinical criterion was fundamental to establish the diagnosis. The microbiological isolation rate was low. Molecular biology tools increase bacteriological performance although their extended use is limited by cost. Regional multicenter studies are required to identify the target population and the tools necessary for timely management and treatment.

Background: In Colombia, epidemiological and clinical information related to pediatric tuberculosis (TB) is scarce. Data are needed to define the impact of the disease and to strengthen measures for detection and treatment. It is proposed to analyze the pediatric population diagnosed with pulmonary TB in a national reference institution. Methods: Retrospective observational study including pediatric patients with pulmonary and miliary TB, and pulmonary and extrapulmonary involvement, treated between January 1, 2008 and December 31, 2016. A descriptive analysis of the selected variables was done. Results: A total of 93 cases of diagnosed TB were identified, of which 61 cases were classified as pulmonary (65.6%). The location of TB occurred only in lungs in 51 patients (83.6%), was miliar in 3 (4.9%), pulmonary and extrapulmonary involvement in 7 patients (11.5%). The mean age was 7.5 years (0.5–18 years). Clinical criteria used for diagnosis was related to 98.3% of the cases, whereas radiological criteria in 90.2%. Bacteriological criterion was met in 42.6% of the cases. The most frequent symptoms were coughing (83.6%), fever (63.9%), and weight loss (26.2%); human immunodeficiency virus co-infection occurred in 3 cases (4.9%). During treatment, 5 mortality cases were recorded, although they were not attributable to TB. Conclusions: The epidemiological characterization of pediatric patients with pulmonary TB helps to achieve a better diagnostic approach in this population. Improving monitoring and follow-up activities in children with pulmonary TB, as well as promoting actions for adequate prevention and treatment is highly necessary.

In this study we explore how absence from sociology classes is understood by undergraduate students at University College Dublin. The authors use Scott and Lyman's (1968) concept of accounts to explore absence sociologically. Drawing on data generated via focus groups, an open-ended questionnaire, and an online survey with students, we outline the different excuses and justifications for missing classes used by students and present their understanding of attendance at classes as an optional feature of student life. Individual students' attendance differed across courses, throwing doubt on the usefulness of individual-level frameworks for understanding attendance. We argue that decisions to attend are influenced by a variety of contextual issues, including knowledge of legitimate accounts for the setting, pedagogic approaches in use, and students' perceptions of the usefulness of classes. We conclude that to counter the trend of declining attendance and enhance student learning, it is important to better understand how both local norms, values, curriculum design, and assessment practices combine to facilitate students' absences. Focusing on accounts allows us to better understand student absence rather than accepting this as an inevitable feature of contemporary student behavior about which nothing much can be done.

The article discusses the importance of diversity, equity, inclusion, and accessibility (DEIA) efforts in family medicine education, particularly in response to the COVID-19 pandemic and the murder of George Floyd. It highlights successful strategies such as holistic admissions, advocacy for admissions processes, language and job description changes, and working within the parameters of the law to address DEIA challenges. The article emphasizes the need for national organizations to integrate DEIA into core activities, adjust tactics, leverage leadership and testimonies, engage with legislatures and communities, and advocate internally to promote DEIA in family medicine. [Extracted from the article]