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Abstract We compute three-loop corrections to the process gg → HH originating from one-particle reducible diagrams. This requires the computation of two-loop corrections to the gluon-gluon-Higgs vertex with an off-shell gluon. We describe in detail our approach to obtain semi-analytic results for the vertex form factors and present results for the two form factors contributing to Higgs boson pair production.

Abstract We present the virtual corrections due to the top-quark loops for the process gg → ZZ at next-to-leading order in QCD. The associated two-loop box diagrams are computed using a small-transverse-momentum expansion. Our results are then merged with those available in the complementary energy region, obtained via a high-energy expansion, in order to provide an analytic result that is valid in the whole phase space. The results presented allow for an efficient modelling of the signal-background interference as well as the irreducible background in off-shell Higgs production.

Abstract Background Humic acid affects plant growth. Its source and structure may play a central role to its functionality. The relationship between humic acid and plant bioactivity is still unclear. This study investigated the biostimulation effects of two natural humic acids derived from soil (SHA) and lignite (LHA) on Lepidium sativum in comparison to a synthetic humic acid model (HALP) with known structure. Results All humic acids positively affected cress seed germination and root elongation. Greater root hairs density and dry matter, compared to control, were observed using concentration of 5 mg L−1 for HALP, 50 mg L−1 for LHA, and 100 mg L−1 for SHA. The germination index was the largest (698% more effective than control) with 50 mg L−1 of SHA, while it was 528% for LHA, and 493% for HALP at 5 mg L−1. SHA contained the lowest aromatic and phenolic C content, the largest pK2 value of 9.0 (7.7 for LHA and 7.6 for HALP), the least ratio between the aromaticity index and lignin ratio (ARM/LigR) of 0.15 (0.66 for LHA and 129.92 for HALP), and at pH 6.3 the lowest amount of free radicals with a value of 0.567 × 1017 spin g−1 (1.670 × 1017 and 1.780 × 1017 spin g−1 for LHA and HALP, respectively), with the greatest g value of 2.0039 (2.0035 for LHA and 2.0037 for HALP). Conclusions The overall chemical structure of humic acids exerted a biostimulation of cress plantlets. The level of the intrinsic stable free radicals identified by EPR in the humic acids resulted well correlated to the ARM/LigR ratio calculated by NMR. Our results suggested that HA biostimulation effect is related to its applied concentration, which is limited by its free radical content. The modulation of the humic supramolecular structure by ROS and organic acids in root exudates can determine the release of bioactive humic molecules. When the content of the intrinsic humic free radicals is high, possible molecular coupling of the bioactive humic molecules may hinder their biostimulation activity. In such cases, a low humic acid concentration appears to be required to achieve the optimum biostimulation effects. Graphical Abstract

Summary: Background: This study addresses the rising burden of type 2 diabetes mellitus, and explores the potential of teleconsultation, as an alternative for diabetes management. The primary objective was to test the hypothesis that teleconsultation is non-inferior to face-to-face consultation in terms of glycaemic control measured as glycated haemoglobin (HbA1c) (non-inferiority margin for the upper confidence interval for the difference between groups of 0,5% in HbA1c) for type 2 diabetes mellitus patients referred from Primary Healthcare to Specialized Care within the SUS. Methods: TELECONSULTA, is a randomized, pragmatic, phase 2, single-centre, open-label, non-inferiority trial conducted in Joinville, Brazil. A total of 278 participants diagnosed with type 2 diabetes were randomized through mandatory teleconsulting services from primary care health units. The randomization was 1:1 to teleconsultation or face to face consultation. The study was registered at the Brazilian Clinical Trial Register—REBEC, under the code RBR-8gpgyd. Study status is “Completed”. Findings: This study included 278 participants in the intention-to-treat (ITT) analysis. The median age was 61 (54–68) years, 167 (60%) were women. The between-groups comparative average reduction in HbA1c was −0.6% (90% CI −1.0; −0.1) at 3-months and −0.5% (90% CI −0.9; 0.0) at 6-months in Modified Intention-to-Treat (mITT) population with imputed data, showing the non-inferiority of teleconsultation. Results with no missing data imputation and in the per protocol population were similar. The frequency of hypoglycaemia and other adverse events was well balanced between groups. Interpretation: The results underscore the transformative potential of telemedicine in addressing the complexities of diabetes management within the framework of a universal healthcare system, contributing with valuable insights for healthcare policymakers and practitioners seeking innovative solutions to tackle the growing diabetes epidemic. Funding: This study was funded by the Brazilian Ministry of Health, through the Unified Health System–Institutional Development Support Program (PROADI-SUS).

Control hunting due to improper proportional–integral–derivative (PID) parameters in the building automation system (BAS) is one of the most common faults identified in commercial buildings. It can cause suboptimal performance and early failure of heating, ventilation, and air conditioning (HVAC) equipment. Commercial fault detection and diagnostics (FDD) software represents one of the fastest growing market segments in smart building technologies in the United States. Implementation of PID retuning procedures as an auto-correction algorithm and integration into FDD software has the potential to mitigate control hunting across a heterogeneous portfolio of buildings with different BAS in a scalable way. This paper presents the development, implementation, and field testing of an automated control hunting fault correction algorithm based on lambda tuning open-loop rules. The algorithm was developed in a commercial FDD software and successfully tested among nine variable air volume boxes in an office building in the United States. The paper shows the feasibility of using FDD tools to automatically correct control hunting faults, discusses scalability considerations, and proposes a path forward for the HVAC industry and academia to further improve this technology.

Abstract Purpose Bariatric surgery (BS), an effective treatment for severe obesity and its comorbidities, may result in micronutrient and vitamin deficiencies. This monocentric prospective observational study aimed at evaluating the efficacy of a specifically designed vitamin/mineral formula (Bariatrifast, BIOITALIA S.r.l., Italy) for preventing and treating micronutrient deficiencies in patients submitted to BS. Methods Twenty patients with severe obesity (mean weight and BMI: 123.5 kg (range 88–174) and 43.3 kg/m2 (range 37–54) respectively) underwent BS (10 vertical sleeve gastrectomy VSG, 10 Roux-en-Y gastric bypass, RYGB). The mean age was 49.9 years (range 27–68). After a presurgical visit (V0), follow-up visits were performed at 1, 3, 6 and 12 months after surgery (V1–V4). Recorded data included weight, height and BMI. A complete blood count, measurement of ferritin, folic acid, vitamin B12, ionized calcium, 25 OH vitamin D, parathyroid hormone (PTH) were obtained. Following BS, patients started the daily oral multivitamin and mineral supplement. Results All patients achieved a significant weight loss (mean − 34.7 ± 11.8 kg). No deficiencies of various vitamins/micronutrients were detected during the entire study period. The serum concentrations of vitamin B12, 25-OH Vitamin D and folic acid increased over the follow-up period compared with V0 (mean increase 243 ng/L, 23 µg /L, 8 µg/L, respectively). Compared to RYGB, patients who underwent sleeve gastrectomy showed higher levels of 25-OH vitamin D at V2, V3 and V4 (all p

There is an urgent need for increased understanding of COVID-19 and strategies for its prevention, treatment, and mitigation. All participants in the research enterprise, including institutional review boards, have an ethical duty to protect participants and ensure that the benefits gained from such research do not conflict with the core principles that guided researchers prior to the pandemic. In this review, we discuss the ethical issues surrounding initiation and conduct of clinical trials, focusing on novel COVID-19 therapeutic, vaccine, or biospecimen research, using the principles of autonomy, beneficence, and justice. We discuss strategies to manage the practical challenges associated with the conduct of clinical trials, with an emphasis on maintaining the rights and welfare of research participants.

Stress has proved to be an important research topic in recent decades, given its influence on physical and mental health. As a way of evaluating this construct, the 10-Item Perceived Stress Scale (PSS-10) has been the most used measure. The present study was conducted considering the questions that are still present concerning the facto-rial structure of the instrument and the scarcity of studies focused on item analysis with the Brazilian population. Based on the results of 4.970 Brazilians of both sexes, with an average age of 31.3 years (SD = 11.89), from the five regions of Brazil, the confirmatory factor analysis indicated good fit of the one-dimensional model. Subsequently, the item response theory indicated adequate residuals (infit and outfit) for all items and satisfactory item-theta correlation values. The scale precision was α = .89. Four items showed differential functioning for the gender variable, three in favor of men. The analysis made it possible to identify the thoughts and feelings that most dif-ferentiate individuals with a high level of perceived stress, adding evidence of validity to the instrument for use in the Brazilian population

Objective Cognitive impairment (CI) in systemic lupus erythematosus (SLE) negatively impacts health‐related quality of life leading to activity limitations. This qualitative study aimed to (1) explore the effect of SLE‐related CI on activities of daily living and life role participation and (2) describe factors influencing activity restriction and life role participation. Methods Semistructured, in‐depth interviews of lived experience of CI in SLE were conducted with 24 participants with SLE. Sociodemographic and clinical data, and objective and subjective cognitive function, were collected to characterize participants. A qualitative thematic content analysis was undertaken guided by a framework analytical approach. Results Participants reported problems in multiple cognitive domains, with multiple perceived causes. CI was felt to impact work, social, domestic, and family life, health, and independence. Five overarching themes were represented in the data: (1) characterization of SLE‐reported CI, (2) perceived cause of CI, (3) perceived impact of CI on activities of daily living and life role participation, (4) adaptations for managing CI, and (5) influence of CI adaptations on activities of daily living and life role participation. Conclusion This study provides a better understanding of the patient experience of CI in SLE, how it impacts their lives, and what coping strategies they employ. It highlights the long‐term challenges those with CI in SLE undergo and provides evidence for the urgent need to implement multidisciplinary treatment options. When managing CI, it may be beneficial to evaluate and understand available psychosocial support resources to help identify and reinforce relevant adaptations to improve health‐related quality of life.

Abstract: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is associated with a hyperinflammatory state and lymphocytopenia, a hallmark that appears as both signature and prognosis of disease severity outcome. Although cytokine storm and a sustained inflammatory state are commonly associated with immune cell depletion, it is still unclear whether direct SARS-CoV-2 infection of immune cells could also play a role in this scenario by harboring viral replication. We found that monocytes, as well as both B and T lymphocytes, were susceptible to SARS-CoV-2 infection in vitro, accumulating double-stranded RNA consistent with viral RNA replication and ultimately leading to expressive T cell apoptosis. In addition, flow cytometry and immunofluorescence analysis revealed that SARS-CoV-2 was frequently detected in monocytes and B lymphocytes from coronavirus disease 2019 (COVID-19) patients. The rates of SARS-CoV-2-infected monocytes in peripheral blood mononuclear cells from COVID-19 patients increased over time from symptom onset, with SARS-CoV-2-positive monocytes, B cells, and CD4+ T lymphocytes also detected in postmortem lung tissue. These results indicated that SARS-CoV-2 infection of blood-circulating leukocytes in COVID-19 patients might have important implications for disease pathogenesis and progression, immune dysfunction, and virus spread within the host.

This article presents, describes, and evaluates, from the perspective of Design for Sustainability (DfS), the social, economic, and technological aspects of the process of developing and manufacturing anatomical biomodels to support surgery using 3D printing in a Brazilian public hospital. This process had an interdisciplinary character, involving professionals of Design, Odontology, and Physiotherapy. The assessment was carried out using DfS (Design for Sustainability) social and environmental heuristics (guidelines), and enabled the identification of relevant aspects, as well as opportunities for improvement in processes. Among the results, the importance of having a specific space dedicated to digital manufacturing in public hospitals stands out, which speeds up the development of biomodels, as well as the quantity, diversity, and quality of 3D printing equipment, which allows the exploration of multiple possibilities for processes and materials, speeding up innovation in the hospital environment.

ABSTRACT OBJECTIVE To present the results of a cost analysis of remote consultations (teleconsultations) compared to in-person consultations for patients with type 2 diabetes, in the Brazilian public healthcare system (SUS) in the city of Joinville, Santa Catarina (SC). In addition to the costs from the local manager’s perspective, the article also presents estimates from the patient’s perspective, based on the transportation costs associated with each type of consultation. METHOD Data were collected from 246 consultations, both remote and in-person, between 2021 and 2023, in the context of a randomized clinical trial on the impact of teleconsultation carried out in the city of Joinville, SC. Teleconsultations were carried out at Primary Health Units (PHU) and in-person consultations at the Specialized Health Center. The consultation costs were calculate by the method time and activity-based costing (TDABC), and for the estimate of transportation costs data was collected directly from the research participants . The mean costs and time required to carry out each type of consultation in different scenarios and perspectives were analyzed and compared descriptively. RESULTS Considering only the local SUS manager’s perspective, the costs for carrying out a teleconsultation were 4.5% higher than for an in-person consultation. However, when considering the transportation costs associated with each patient, the estimated value of the in-person consultation becomes 7.7% higher and, in the case of consultations in other municipalities, 15% higher than the teleconsultation. CONCLUSION The results demonstrate that the incorporation of teleconsultation within the SUS can bring economic advantages depending on the perspective and scenario considered, in addition to being a strategy with the potential to increase access to specialized care in the public network.

The aim of this study was to evaluate the inclusion of different levels of soybean meal in pirarucu’s diet. 200 pirarucu juveniles (152.15 ± 0.8 g) were distributed in 20 polyethylene tanks with a continuous water flow system. A completely randomized experimental design was used, with five treatments (n = 4) containing 0, 10, 20, 30 and 40% of soybean meal inclusion levels. Growth performance was measured as specific growth rate, feed conversion, weight gain and survival. Body composition, protein retention rate and histopathological changes in the intestine were analyzed. The different treatments did not affect weight gain, specific growth rate and survival. The body composition of the fish was affected by treatments for ash and ether extract and the IHS was also affected. The diet with 40% soybean meal compromised feed conversion rate. Additionally, the distal intestine of fish fed with the same diet showed a reduction in the height of mucosal folds and a loss of supranuclear vacuolation in enterocytes. Based on these results, the inclusion of up to 30% of soybean meal in the diet of juvenile pirarucu is possible without negative effects on performance and enteric morphology.

A fault detection and diagnostics (FDD) tool, as addressed by this study, is a tool that continuously identifies the presence of faults and efficiency improvement opportunities through a one-way interface to the building automation system and the application of automated analytics. Although FDD tools can inform operators of building operational faults, currently an action is always required to correct the faults to generate energy savings. Fault auto-correction integrating with commercial FDD technology offerings can close the loop between the passive diagnostics and active control, increase the savings generated by FDD tools, and reduce the reliance on human intervention. This paper presents the field study of seven fault auto-correction algorithms implemented in commercial FDD platforms. Implementation includes software changes in the FDD tools and additional controls hardware or software changes in the BAS that were required to enable the execution of different types of auto-correction algorithms in real buildings. The routines successfully and automatically correct faults and improve the operation of large built-up Heating, Ventilation, and Air Conditioning (HVAC) systems, common in most commercial buildings. The auto-correction algorithms are tested across four buildings and three different building automation systems, following a rigorous procedure to make sure they work properly and do not negatively impact the system and building occupants. Technology benefits, market drivers, and scalability changes are drawn from the implementation effort and test results, to drive future research and industry engagement.

Abstract Tidal marshes store large amounts of organic carbon in their soils. Field data quantifying soil organic carbon (SOC) stocks provide an important resource for researchers, natural resource managers, and policy-makers working towards the protection, restoration, and valuation of these ecosystems. We collated a global dataset of tidal marsh soil organic carbon (MarSOC) from 99 studies that includes location, soil depth, site name, dry bulk density, SOC, and/or soil organic matter (SOM). The MarSOC dataset includes 17,454 data points from 2,329 unique locations, and 29 countries. We generated a general transfer function for the conversion of SOM to SOC. Using this data we estimated a median (± median absolute deviation) value of 79.2 ± 38.1 Mg SOC ha−1 in the top 30 cm and 231 ± 134 Mg SOC ha−1 in the top 1 m of tidal marsh soils globally. This data can serve as a basis for future work, and may contribute to incorporation of tidal marsh ecosystems into climate change mitigation and adaptation strategies and policies.

Abstract Yukawa couplings of the first quark generation are notoriously difficult to constrain due to their small values within the Standard Model. Here we propose Higgs off-shell production, with the Higgs boson decaying to four leptons, as a probe of the up- and down-quark Yukawa couplings. Using kinematic discriminants similar to the ones employed in the Higgs width measurements we find that the down (up) Yukawa coupling can be constrained to a factor of 156 (260) times its Standard Model value at the high-luminosity LHC assuming only experimental systematic uncertainties. Off-shell Higgs production hence provides better sensitivity to the first-generation quark Yukawa couplings with respect to other probes such as Higgs+jet or Higgs pair production.

Abstract Background The usefulness of endometrium strain elastosonography (SE) for the evaluation of endometrial receptivity in women undergoing in vitro fertilization (IVF) remains controversial. The objective of this prospective, observational study was to evaluate the correlation between endometrial thickness (EMT) and its related strain (ESR) on the day of ovulation triggering (hCG-d) and in vitro fertilization outcomes. Additionally, 3D Power Doppler vascular indices (3DPDVI) were also analysed. Methods We included all the patients undergoing fresh IVF-single blastocyst transfer cycle from January 2021 to August 2021 at our center. On hCG-d, after B-mode scanning was completed to measure the EMT, the mode was changed to elastosonography to evaluate the ESR (ratio between endometrial tissue and the myometrium below). At the end of examination, the Endometrial Volume (EV) and 3DPDVI (vascularization index [VI], flow index [FI] and vascularization flow index [VFI]), were assessed. Statistical analysis was completed using STATA MP16 software. Results A total number of 57 women were included. Based on the EMT on hCG-d, women were divided into two groups, Group 1:

The carbon source/sink nature and the water balance of a drip-irrigated and mulched watermelon cultivated under a semi-arid climate were investigated. Biodegradable films, plants and some fruits were left on the soil as green manure. The study spanned from watermelon planting to the subsequent crop (June–November 2023). The eddy covariance technique was employed to monitor water vapor (H2O) and carbon dioxide (CO2) fluxes, which were partitioned into transpiration, evaporation, photosynthesis and respiration, respectively, using the flux variance similarity method.This method utilizesthe Monin–Obukhov similarity theory to separate stomatal (photosynthesis and transpiration) from non-stomatal (respiration and evaporation) processes. The results indicate that mulching films contribute to carbon sequestration in the soil (+19.3 g C m−2). However, the mulched watermelon crop presented in this study functions as a net carbon source, with a net biome exchange, representing the net rate of C accumulation in or loss from ecosystems, equal to +230 g C m−2. This is primarily due to the substantial amount of carbon exported through marketable fruits. Fixed water scheduling led to water waste through deep percolation (approximately 1/6 of the water supplied), which also contributed to the loss of organic carbon via leaching (−4.3 g C m−2). These findings recommend further research to enhance the sustainability of this crop in terms of both water and carbon balances.

The increasing conversion of natural areas for anthropic land use has been a major cause of habitat loss, destabilizing ecosystems and leading to a biodiversity crisis. Passive acoustic sensors open the possibility of remotely sensing fauna on large spatial and temporal scales, improving our understanding of the current state of biodiversity and the effects of human influences. Acoustic indices have been widely used and tested in recent years, with an aim towards understanding the relationship between indices and the acoustic activity of several taxa in different types of environments. However, studies have shown divergent relationships between acoustic indices and the vocal activity of most soniferous taxa. A combination of indices has, in turn, been reported as a promising tool for representing biodiversity in different contexts. We used uni- and bivariate models to test different combinations of 8 common indices in relation to bird assemblage metrics. We recorded twenty-two study sites in Brazil’s Atlantic Forest and three different types of environments in each site (forest, pasture, and swamp). Our results showed that 1) the best acoustic indices for explaining bird richness, abundance, and diversity were Bioacoustic and Acoustic Complexity; 2) the type of environment (forest, pasture, and swamp) influenced the performance of acoustic indices in explaining bird biodiversity, with the highest score model (biggest R2 value) being a combination between Acoustic Diversity and Bioacoustic indices. Our results do support the use of acoustic indices in monitoring the acoustic activity of birds, but combining indices is encouraged since it provided the best results. However, given the divergence we found across environments, we recommend that sets of indices are tested to determine which of them best describe the biodiversity pattern models for a specific habitat. Based on our results, we propose that biodiversity patterns can be predicted through acoustic patterns. However, the level of confidence will depend on the acoustic index used and on focal taxa of interest (i.e., birds, amphibians, insects, and mammals).

Summary: The ability of chitosan produced from pupal exuviae of Hermetia illucens to retard the decay of the local strawberry (Fragaria x ananassa) cultivar Melissa was investigated for the first time in this paper. The results demonstrated the effectiveness of insect chitosan compared to the commercial polymer in preserving and enhancing, at the same time, some physicochemical parameters (weight loss, pH and soluble solids content) and nutraceutical properties (total polyphenol content, total flavonoid content and total antioxidant activity) of strawberries stored at RT, 4°C and at mixed storage conditions (4°C + RT). Moreover, chitosan from H. illucens was also effective in reducing fungal decay and improving fruit shelf life. The obtained results confirm that insect chitosan, particularly deriving from H. illucens pupal exuviae, can be a viable alternative to crustacean one in safeguarding postharvest fruits.

SLAM technology is more and more integrated with other sensors for indoor and outdoor seamless navigation. This research topic is very active in particular on image matching with deep learning local features, keyframe selection approaches, or tests on new IMU and GNSS solutions. Integrating and testing new methodologies on other widely used SLAM implementations, such as ORB-SLAM, can be not a trivial task. Therefore, we propose an extension of COLMAP to be used in real-time as a feature-based Visual-SLAM that can be also coupled with other sensors. COLMAP has been chosen due to its modularity and the large community that assures the continuity of the repository. The paper presents a pipeline mainly thought for real-time evaluation of learning-based tie points and new SLAM features, that works with both monocular, stereo and multi-camera systems. It is also shown an example of keyframe selection algorithm based on deep learning local features, and a simple example of IMU integration. The code is available on the GitHub repository https://github.com/3DOM-FBK/COLMAP_SLAM.

Abstract Background Obesity is a chronic low inflammatory state. In the obesity condition the white adipose tissue (WAT) is massively infiltrated with monocytes/macrophages, and the nature of the signals recruiting these inflammatory cells has yet to be fully elucidated. Haptoglobin (Hp) is an inflammatory marker and its expression is induced in the WAT of obese subjects. In an effort to elucidate the biological significance of Hp presence in the WAT and of its upregulation in obesity we formulated the hypothesis that Hp may serve as a macrophage chemoattractant. Results We demonstrated by chemotaxis assay that Hp is able to attract chemokine (C-C motif) receptor 2 (CCR2)-transfected pre-B lymphocytes and monocytes in a dose-dependent manner. Moreover, Hp-mediated migration of monocytes is impaired by CCR2-specific inhibition or previous cell exposure to monocyte chemoattractant protein 1 (MCP1) (also known as CCR2 ligand or chemokine (C-C motif) ligand 2 (CCL2)). Downstream effects of Hp/CCR2 interaction were also investigated: flow cytometry proved that monocytes treated with Hp show reduced CCR2 expression on their surface; Hp interaction induces calcium release that is reduced upon pretreatment with CCR2 antagonist; extracellular signal-regulated kinase (ERK)1/2, a signal transducer activated by CCR2, is phosphorylated following Hp treatment and this phosphorylation is reduced when cells are pretreated with a specific CCR2 inhibitor. Consistently, blocking the ERK1/2 pathway with U0126, the selective inhibitor of the ERK upstream mitogen-activated protein (MAP)-ERK kinase (MEK), results in a dramatic reduction (by almost 100%) of the capability of Hp to induce monocyte migration. Conclusions Our data show that Hp is a novel monocyte chemoattractant and that its chemotactic potential is mediated, at least in part. by its interaction with CCR2.

The residual effect of compost and biochar amendment on soil properties and durum wheat response was evaluated under field conditions in a Mediterranean environment. The treatments compared in a randomized complete block experimental design with three replications were: mineral fertilizer (100 kg N ha−1), compost applied at the rate of 25 Mg ha−1, biochar applied at the rates of 10 and 30 Mg ha−1, unfertilized control. Wheat was the second crop included in a sorghum–wheat cropping system and did not receive fertilizer supply. A hierarchical statistical analysis was carried out to investigate how different treatments could impact the cropping system performance. The findings highlight the significant influence of soil properties, particularly total N, WEOC, and TOC, on wheat and protein yield. One year after the amendment and fertilizer application, compost and biochar significantly increased soil total organic carbon content. The highest soil water extractable organic carbon was found with the compost application (76.9 mg kg−1), whereas the lowest value (50 mg kg−1) was with the highest rate of biochar. Soil respiration rates and hydraulic properties were not affected by the investigated treatments. This behavior is probably related to the short experimental duration and to the silty clayey soil texture. Significant correlations were observed between bulk density and water content at pressure heads in the −20 and −100 cm range; this range accounts for the effect of soil macro and mesopores. Multiple linear regression analysis revealed strong predictive power for grain (R2_adj = 0.78; p < 0.001) and protein yield (R2_adj = 0.77; p < 0.001). The highest grain yield (3.36 Mg ha−1) was observed with compost, and the lowest (2.18 Mg ha−1) with biochar at a rate of 30 Mg ha−1. These findings lay the basis for understanding how different soil amendment management may impact soil quality and wheat performance, even in consideration of climate change.

Sugarcane (Saccharum spp.) is an important crop for sugar and bioethanol production worldwide. To maintain and increase sugarcane yields in marginal areas, the use of nitrogen (N) fertilizers is essential, but N overuse may result in the leaching of reactive N to the natural environment. Despite the importance of N in sugarcane production, little is known about the molecular mechanisms involved in N homeostasis in this crop, particularly regarding ammonium (NH4+), the sugarcane’s preferred source of N. Here, using a sugarcane bacterial artificial chromosome (BAC) library and a series of in silico analyses, we identified an AMMONIUM TRANSPORTER (AMT) from the AMT2 subfamily, sugarcane AMMONIUM TRANSPORTER 3;3 (ScAMT3;3), which is constitutively and highly expressed in young and mature leaves. To characterize its biochemical function, we ectopically expressed ScAMT3;3 in heterologous systems (Saccharomyces cerevisiae and Arabidopsis thaliana). The complementation of triple mep mutant yeast demonstrated that ScAMT3;3 is functional for NH3/H+ cotransport at high availability of NH4+ and under physiological pH conditions. The ectopic expression of ScAMT3;3 in the Arabidopsis quadruple AMT knockout mutant restored the transport capacity of 15N–NH4+ in roots and plant growth under specific N availability conditions, confirming the role of ScAMT3;3 in NH4+ transport in planta. Our results indicate that ScAMT3;3 belongs to the low-affinity transport system (Km 270.9 µM; Vmax 209.3 µmol g−1 root DW h−1). We were able to infer that ScAMT3;3 plays a presumed role in NH4+ source–sink remobilization in the shoots via phloem loading. These findings help to shed light on the functionality of a novel AMT2-type protein and provide bases for future research focusing on the improvement of sugarcane yield and N use efficiency.

Introdução/Objetivo: A pneumonia associada à ventilação, também conhecida como PAV, é uma complicação grave que afeta pacientes hospitalizados que necessitam de suporte ventilatório. É uma infecção pulmonar adquirida durante a assistência médica, e está entre as principais causas de morbidade e mortalidade em Unidades de Terapia Intensiva (UTIs) ao redor do mundo. Diante da maior prevalência desta infecção na Unidade de terapia intensiva adulta do Hospital Unimed Piracicaba, o objetivo deste estudo foi diminuir as taxas de pneumonia associada a ventilação mecânica, através de um ciclo de melhorias. Métodos: Estudo Retrospectivo observacional com uso da base de dados da Epimed, com a inalidade de analisar o impacto das ações de prevenção de PAV. Neste sentido, se fez necessário um levantamento das principais causas de sua ocorrência, o perfil de pacientes que desenvolve esta infecção, os principais germes presentes no resultado das culturas, verificação das práticas aplicadas no manuseio e cuidado com estes pacientes e estudo aprofundado. Foi utilizado como base de cuidado e medida de prevenção a aplicação dos itens do Bundle para prevenção de infecção. Resultados: Foi observado durante o ano de 2022 um aumento significativo de PAV mesmo após a contenção da pandemia de COVID-19, onde foi medido a densidade de incidência de PAV com início no mês de março/2022 com 45,8 abril 25 maio 47,5 junho 37,73 julho 12,19 agosto 4,06 setembro 0 outubro 47,05 novembro 31,25 dezembro 24,39 Após o início dos treinamentos e ações com a equipe percebemos uma redução significativa sendo em janeiro/2023 17 fevereiro 11.11 março 0 abril 0 maio 0 junho 0. Foram realizados treinamentos e capacitações para a equipe de saúde, abordando as melhores práticas para prevenção da PAV e enfatizando a importância da adesão aos protocolos estabelecidos. Sendo eles: Manter cabeceira do leito elevada maior que 30° continuamente; em casos estritamente necessários, antes de baixar a cabeceira, realizar higiene brônquica com aspiração e oral com clorexidina e após solicitar fisioterapeuta para avaliação e calibração de pressão de cuff. Previamente a procedimentos, onde existia a necessidade de que a cabeceira do leito do permaneça reta por um tempo prolongado, como por exemplo banho no leito, punção de cateter central, realização de traqueostomia, entre outros o colaborador passou a realizar maior cuidado com a aspiração antes do procedimento. Conclusão: Instituir prevenção e treinamento contínuo.