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Introduction Triple-negative breast cancer (TNBC) is a molecular subtype in which estrogen (ER)/progesterone receptor (PR) and human epidermal growth receptor 2 (HER2) expression does not occur. The objective of this study was to analyze the impact of pathologic complete response (pCR) after neoadjuvant chemotherapy on the prognosis of triple-negative breast cancer (TNBC) patients. Methods This cohort study was conducted in a private-sector oncology clinic located in the city of Teresina, Brazil. Medical charts of 532 breast cancer patients treated from 2007 to 2020 were analyzed. Of these patients, 83 women with TNBC were selected (10 patients were excluded from the study). Univariate and multivariate analyses (Cox regression) were performed to evaluate the impact on patient survival, comparing patients with or without pCR. A significance level of 5% was set. Overall survival (OS) and disease-free survival (DFS) curves were constructed according to the Kaplan-Meier model. Results Angiolymphatic invasion and positive sentinel lymph node were associated with a lower OS and/or DFS in TNBC (p<0.05). The 10-year OS was 78% and 49%, and the 10-year DFS was 97% and 32% in patients with or without pCR, respectively. Conclusion pCR after neoadjuvant chemotherapy was associated with improvement in OS and DFS in TNBC patients., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Assunção Ribeiro da Costa et al.)

Phosphorus is a non-renewable natural resource that will run out of reserves in the upcoming decades, making it essential to understanding the inheritance of nutrient use efficiency for selecting superior genotypes. This study investigated the additive and non-additive effects of commercially relevant traits for the popcorn crop (grain yield-GY, popping expansion-PE, and expanded popcorn volume per hectare-PV) in different conditions of phosphorus (P) availability in two locations in Rio de Janeiro State, Brazil. Six S 7 lines previously selected for P use-L59, L70, and P7, efficient and responsive; and L54, L75, and L80, inefficient and non-responsive-were used as testers in crosses with 15 progenies from the fifth cycle of intrapopulation recurrent selection of UENF-14, with adaptation to the North and Northwest regions of Rio de Janeiro State. Using the Griffing diallel analysis, P use efficiency was predominantly additive in the expression of PE, and non-additive effects were prominent for GY and PV. For obtaining genotypes that are efficient for phosphorus use, it is recommended that heterosis with parents that provide additive gene accumulation for PE be explored.

Obesity remains a global problem. In search of phytochemicals that have antiobesity potential, this study evaluated α,β -amyrin, a triterpenoid mixture from Protium heptaphyllum , on high-fat diet-induced obesity in mice. Groups of mice (n = 8) were fed a normal diet or a high-fat diet, and were orally treated or not treated with either α,β -amyrin (10 or 20 mg/kg) or sibutramine (10 mg/kg) for 15 weeks. Variables measured at termination were body weight, visceral fat accumulation, adipocyte surface area, peroxisome proliferator-activated receptor gamma, and lipoprotein lipase expressions in adipose tissue, the levels of plasma glucose and insulin, the satiety hormones ghrelin and leptin, the digestive enzymes amylase and lipase, and the inflammatory mediators TNF- α , interleukin-6, and MCP-1. Results showed that α,β -amyrin treatment resulted in lower high-fat diet-induced increases in body weight, visceral fat content, adipocyte surface area, peroxisome proliferator-activated receptor gamma, and lipoprotein lipase expressions, and blood glucose and insulin levels. Additionally, the markedly elevated leptin and decreased ghrelin levels seen in the high-fat diet-fed control mice were significantly modulated by α,β -amyrin treatment. Furthermore, α,β -amyrin decreased serum TNF- α and MCP-1. These results suggest that α,β -amyrin could be beneficial in reducing high-fat diet-induced obesity and associated disorders via modulation of enzymatic, hormonal, and inflammatory responses., (Georg Thieme Verlag KG Stuttgart · New York.)

Sorghum biomass is an interesting raw material for bioenergy production due to its versatility, potential of being a renewable energy source, and low-cost of production. The objective of this study was to evaluate the genetic variability of biomass sorghum genotypes and to estimate genotypic, phenotypic, and environmental correlations, and direct and indirect effects of seven agronomic traits through path analysis. Thirty-four biomass sorghum genotypes and two forage sorghum genotypes were cultivated in a randomized block design with three replicates. The following morpho-agronomic traits were evaluated: flowering date, stem diameter, number of stems, plant height, number of leaves, green mass production, and dry matter production. There were significant differences at the 1% level for all traits. The highest genotypic correlation was found between the traits green mass production and dry matter production. The path analysis demonstrated that green mass production and number of leaves can assist in the selection of dry matter production.

Unlabelled: Dissection of cervical arteries constitutes a medical emergency. Although relatively rarely, activities classified as sports and recreation may be a cause of arterial dissection independently of neck or head trauma. The purpose of the present paper was to present a series of cases of cerebrum-cervical arterial dissection in individuals during or soon after the practice of these sports activities., Methods: Retrospective data on patients with arterial dissection related to sports and recreation., Results: Forty-one cases were identified. The most frequently affected vessel was the vertebral artery. A large variety of activities had a temporal relationship to arterial dissection, and jogging was the most frequent of these. This is the largest case series in the literature., Conclusion: Arterial dissection may be a complication from practicing sports.

Growth hormone (GH)-releasing hormone (GHRH) is the most important stimulus for GH secretion by the pituitary gland. Subjects homozygous for GHRH receptor (GHRHR) gene (GHRHR) inactivating mutations have severe GH deficiency, resulting in severe short stature if not treated. We previously reported that young adults heterozygous for the c.57+1G>A null GHRHR mutation (MUT/N) have reduced weight and body mass index (BMI) but normal stature. Here we have studied whether older MUT/N have an additional phenotype. In a cross-sectional study, we measured height, weight and blood pressure, and calculated BMI in two groups (young, 20-40 years of age) and old (60-80 years) of individuals heterozygous for the same GHRHR mutation, and compared with a large number of individuals of normal genotype residing in the same geographical area. Standard deviation score (SDS) of weight was lower, and BMI had a trend toward reduction in young heterozygous compared with young normals, without significant difference in stature. Conversely, SDS of height was lower in older heterozygous individuals than in controls, corresponding to a reduction of 4.2 cm. These data show a reduced stature in older subjects heterozygous for the c.57+1G>A GHRHR mutation, indicating different effects of heterozygosis through lifespan.

Objective: To identify the scientific publications about adverse events in nursing care in adult hospitalized patients and discuss the main adverse events in nursing care., Method: Integrative revision with a qualitative approach. The data were collected at LILACS, MEDLINE, BDENF and the library SCIELO and were submitted to thematic analysis., Results: Three categories were developed: Adverse events in nursing care; The main causes of the adverse events in nursing care; Attitude of nursing professionals in face of errors. The main events were identified in nursing care with emphasis on the medication error, the failure to perform dressings and falls of patients. The importance of instruments was emphasized for notification of adverse events in the institutions. However the fear of punishment on professionals stimulates the underreporting of events., Conclusion: It is important to discuss effective prevention strategies that ensure patient safety in healthcare institutions.

Age and sex estimation is crucial in forensic investigations, whether in legal situations that involve living people or to identify mortal remains. The aim of this study was to establish reference values in a Brazilian population to estimate age and sex by measuring the length of the mandibular ramus on lateral cephalometric radiographs, and to determine the probability that an individual being is 18 years or older, based on the results that were obtained. Two hundred and eighteen scanned lateral cephalograms of individuals between 6 and 20 years of age (101 males and 117 females) were measured with reference to mandibular ramus length (the distance between Condylion superior (Cs) and Gonion (Go)) using ImageJ 1.41 software (NIH, Bethesda, MA, USA). The results showed that sexual dimorphism was not observed until 16 years and, based on the ramus length measurements in this sample, it is possible to predict sex with an accuracy of only 54 %. There was a positive correlation between age and ramus length (r = 0.90; p < 0.001). From the linear regression analysis, one formula was derived; therefore, it was possible to calculate the individual's age, given his or her ramus length. The results showed that if an individual's ramus length is 7.0 cm or more, then there is an 81.25 % chance that the individual is 18 years old or older. In conclusion, the mandibular ramus length was not effective in discriminating sex. Mandibular length is strongly related to chronological age and can be used to predict whether an individual is 18 years or older with high degree of expected accuracy.

Background: The acute coronary syndrome (ACS) has a high morbi-mortality rate, including physical deficiencies and functional limitations with impact on quality of life. Cardiovascular rehabilitation 1 (CVR1) should begin as early as possible, to enable improvement in functional capacity and quality of life. Previous studies have shown association of cardiovascular diseases with quality of life, in which depression and anxiety are the domains most altered. The aim of the study is to verify the impact of an acute coronary event on quality of life at the moment of hospital discharge., Methodology: This was a cross-sectional study, with ACS patients hospitalized in ICU of a private hospital in the city of Salvador, Brazil, submitted to CVR1. The quality of life questionnaire Euroqol-5D was applied on discharge from hospital. Patients included in the study were those with ACV, who had medical permission to walk, had not been submitted to acute surgical treatment, were time and space oriented, and over the age of 18 years. Patients excluded from the study were those with cognitive, orthopedic and neurological problems, who used orthesis on a lower limb, and were in any condition of risk at the time of beginning with CVR1. Data were collected by a previously trained ICU team., Results: Data were collected of 63 patients who revealed compromise in the domains of pain/feeling ill (20.63%) and anxiety/depression (38.09%). Statistical significance was observed in the association between sex and pain/feeling ill (P < 0.01), sex and anxiety/depression (P < 0.01), diabetes and mobility (P < 0.01), hereditary factors and anxiety/depression (p < 0.01), BMI and pain/feeling ill (P < 0.01)., Conclusion: In this sample of patients, on discharge from hospital after ACS, the pain/feeling ill and anxiety/depression domains were shown to be compromised.

Forensic age estimation is an important element of anthropological research, as it produces one of the primary sources of data that researchers use to establish the identity of a person living or the identity of unknown bodily remains. The aim of this study was to determine if the chronology of third molar mineralization could be an accurate indicator of estimated age in a sample Brazilian population. If so, mineralization could determine the probability of an individual being 18 years or older. The study evaluated 407 panoramic radiographs of males and females from the past 5 years in order to assess the mineralization status of the mandibular third molars. The evaluation was carried out using an adaptation of Demirjian's system. The results indicated a strong correlation between chronological age and the mineralization of the mandibular third molars. The results indicated that modern Brazilian generation tends to demonstrate an earlier mandibular third molar mineralization than older Brazilian generation and people of other nationalities. Males reached developmental stages slightly earlier than females, but statistically significant differences between the sex were not found. The probability that an individual with third molar mineralization stage H had reached an age of 18 years or older was 96.8-98.6% for males and females, respectively., (Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.)

Recently, the synthesis, crystallographic structure, and Mossbauer characterization of the first example of an [(Fe(IV)TAML)2O](2-) (TAML = tetra-amido microcyclic ligand) complex were reported. Here, we elucidate the prominent structural, electronic, and magnetic properties of this complex on the basis of density functional theory (DFT) calculations. While the torsion between the molecular halves is caused by hydrogen bonding between the TAML moieties, the bending of the Fe-O-Fe unit is an intrinsic property of the bridge. The values for the (57)Fe isomer shift and quadrupole splitting obtained with DFT are in good agreement with experimental results and indicate that the irons have intermediate spin states (S1 = S2 = 1). The iron spins are coupled by strong antiferromagnetic exchange to yield a ground state with system spin S = 0. The Fe-O distances in the excited S > 0 states are significantly longer than in the ground state. Since the wave function of the ground state, in which the iron spins are antiferromagnetically coupled to give system spin S = 0, is a linear combination of Slater determinants that cannot be treated with existing DFT codes, the Fe-O distance for the S = 0 state has been estimated by extrapolation from the optimized geometries for the ferromagnetic state (S = 2) and the broken symmetry state to be 1.748 A, in good agreement with the crystallographic distance 1.728 A. To accommodate the spin-dependent reorganization energies, the conventional bilinear spin Hamiltonian has been extended with a biquadratic coupling term: H(ex) = c' + j0S1 x S2 + j1(S1 x S2)(2). A computational scheme is presented for estimating the exchange parameters, yielding the values j0 = 199 cm(-1) and j1 = -61 cm(-1) for [(Fe(IV)B*)2O](2-). Two mechanisms for biquadratic exchange are discussed.

The established importance of Forensic Dentistry for human identification, mainly when there is little remaining material to perform such identification (e.g., in fires, explosions, decomposing bodies or skeletonized bodies), has led dentists working with forensic investigation to become more familiar with the new molecular biology techniques. The currently available DNA tests have high reliability and are accepted as legal proofs in courts. This article presents a literature review referring to the main studies on Forensic Dentistry that involve the use of DNA for human identification, and makes an overview of the evolution of this technology in the last years, highlighting the importance of molecular biology in forensic sciences.

This article is a bibliography review about the use of saline solution in peripheral venous catheters. The study aimed at analyzing scientific articles about the use of saline solution for the maintenance of peripheral venous catheters patency in adults, indexed at the MedLine and LILACS databases in the periods between 1995 and 2005. The sample consisted of 5 articles analyzed in publication frequency, saline solution effects, study delineation, and nursing periodic publications. The review concluded that this thematic has a modest production and not conclusive about the efficacy of the saline solution in the maintenance patency of peripheral venous catheters in adults, new studies are needed.

A new geometry of orthodontic retraction spring was experimentally studied through an electronic device (platform for measuring forces), using strain gauges that were adapted to cantilever beams. The sample consisted of 36 titanium-molybdenum springs, divided into three groups of 12 springs each. The springs were produced with different cross sections of 0.016 x 0.022 inch and 0.017 x 0.025 inch and with different angles between the extremities (120 degrees and 130 degrees). The springs were adapted to the platform in three different positions so that the force system developed by them could be known (horizontal forces, vertical forces, alpha-beta moments, and moment-to-force ratio M:F). The analysis of factorial variance and the Tukey honestly significant difference test were applied to verify the differences between the averages caused by three possible variation sources and the interactions between them. Regression analysis was also performed to obtain the spring rate. The results show the interactions between the three geometric variables, force magnitudes, and also the spring rates, which are compatible with the ones mentioned in the literature related to the subject. The spring rate was within the levels that are appropriate for clinical use (varying from beta = 33.1 gf/mm to beta = 43.9 gf/mm).