Poor evidence for poor R wave progression in coronary disease: A scoping review.

BACKGROUND: Poor R wave progression (PRWP) and reversed R wave progression (RRWP) have long been noted in electrocardiograms as potential indicators of anterior wall fibrosis or chronic coronary artery disease; however, the quantity and quality of evidence supporting these associations warrants closer examination. OBJECTIVE: The aim of this scoping review is to assess the breadth of evidence regarding the diagnostic significance of PRWP and RRWP, explore the extent of research, study populations and methodologies, and the presence of gaps in knowledge regarding these electrocardiographic phenomena and their association with coronary diseases. DESIGN: We conducted a comprehensive search across PubMed, Web of Science, and Scopus, covering literature on PRWP or RRWP in the context of myocardial infarction, ischemia, or fibrosis from any time period and in any language. RESULTS: A total of 20 studies were included in this review, highlighting the severe paucity of data. No high-quality accuracy studies have been identified, and existing research suffers from methodological issues, in particular selection bias. Prevalence and prognostic studies showed significant heterogeneity in terms of definitions and outcomes, which contributes to an alarming risk of bias. CONCLUSIONS: The lack of solid evidence for PRWP and RRWP as diagnostic markers for acute and chronic coronary artery disease necessitates caution in clinical interpretation. Future research should focus on well-designed case-control studies to clarify the diagnostic accuracy of these markers. Until robust evidence is available, the reliance on PRWP/RRWP for diagnosing anterior infarction should be discouraged, reflecting a gap between clinical practice and evidence-based medicine.

Distribution and Endemism Areas of Bonamia Thouars (Convolvulacea) in Brazil.

Brazil harbors the highest richness of Convolvulaceae with 424 species recognized mainly distributed in the Amazon, Atlantic Forest, Caatinga and Cerrado phytogeographic domains. Seventeen of these species are representatives of Bonamia, with ten endemic to the country. The aim of the study was to map the distribution of this group to understand its richness, its sampling and detecting areas of endemism, valuable information for conservation. We collected data gathered from herbaria and from the online database. The data were refined (1) excluding of records not at the species level; (2) records with no identification of collection site or with only the identification of the state of collection. There was calculated the richness, the number of records and an estimate of richness per cell. We conducted a parsimony analysis of endemism for distribution analysis. Finally, the knowledge of richness for the species was analyzed. There were gathered 420 occurrence records, in 87 grid cells. Most grid cells observed in the study presented one species. Two endemic areas were found for the genus. The results contribute to the understanding of the distribution of the group in Brazil, highlighting shortfalls in collections.

Investigating non-fungal eukaryotic diversity in snow in the Antarctic Peninsula region using DNA metabarcoding.

Snow is a unique microhabitat, despite being a harsh environment, multiple life forms have adapted to survive in it. While algae, bacteria and fungi are dominant microorganisms in Antarctic snow, little is known about other organisms that may be present in this habitat. We used metabarcoding to investigate DNA sequence diversity of non-fungal eukaryotes present in snow obtained from six different sites across the Maritime Antarctica. A total of 20 taxa were assigned to obtained sequences, representing five Kingdoms (Chromista, Protozoa, Viridiplantae and Metazoa) and four phyla (Ciliophora, Cercozoa, Chlorophyta and Cnidaria). The highest diversity indices were detected in Trinity Peninsula followed by Robert Island, Arctowski Peninsula, Deception Island, King George Island and Snow Island. The most abundant assignments were to Trebouxiophyceae, followed by Chlamydomonas nivalis and Chlamidomonadales. No taxa were detected at all sites. Three potentially new records for Antarctica were detected: two Ciliophora (Aspidisca magna and Stokesia sp.) and the green algae Trebouxia potteri. Our data suggested that similarities found between the sites may be more related with snow physicochemical properties rather than geographic proximity or latitude. This study provides new insights into the diversity and distribution of eukaryotic organisms in Antarctic snow.

Quantifying and mapping species threat abatement opportunities to support national target setting.

The successful implementation of the Convention on Biological Diversity's post-2020 Global Biodiversity Framework will rely on effective translation of targets from global to national level and increased engagement across diverse sectors of society. Species conservation targets require policy support measures that can be applied to a diversity of taxonomic groups, that link action targets to outcome goals, and that can be applied to both global and national data sets to account for national context, which the species threat abatement and restoration (STAR) metric does. To test the flexibility of STAR, we applied the metric to vascular plants listed on national red lists of Brazil, Norway, and South Africa. The STAR metric uses data on species' extinction risk, distributions, and threats, which we obtained from national red lists to quantify the contribution that threat abatement and habitat restoration activities could make to reducing species' extinction risk. Across all 3 countries, the greatest opportunity for reducing plant species' extinction risk was from abating threats from agricultural activities, which could reduce species' extinction risk by 54% in Norway, 36% in South Africa, and 29% in Brazil. Species extinction risk could be reduced by a further 21% in South Africa by abating threats from invasive species and by 21% in Brazil by abating threats from urban expansion. Even with different approaches to red-listing among countries, the STAR metric yielded informative results that identified where the greatest conservation gains could be made for species through threat-abatement and restoration activities. Quantifiably linking local taxonomic coverage and data collection to global processes with STAR would allow national target setting to align with global targets and enable state and nonstate actors to measure and report on their potential contributions to species conservation.

Structural Equation Modeling (SEM) and Temporal Dominance of Sensations (TDS) in the Evaluation of DOC Douro Red Wine's Sensory Profile.

In the Portuguese Douro region, several DOC (Denomination of Controlled Origin) Douro red wines are produced and, due to the peculiar characteristics of the three Douro sub-regions, present particular imprinted terroirs, that can be perceived when tasted. Considering the DOC Douro wine's sensory profile and terroir, this study aimed to analyze the sensory characteristics of red wines produced in the three Douro sub-regions (Baixo Corgo, Cima Corgo, and Douro Superior) by a single point sensory technique, a Quantitative Descriptive Analysis-QDA® and also applying a temporal method-TDS (Temporal Dominance of Sensations). The use of QDA and TDS methods proved to be efficient in the wine's sensory profile characterizing. The QDA® method allowed a detailed classification of attributes; however, the TDS method proved to be much more efficient. Moreover, the wines of the three sub-regions presented profiles with characteristics very similar in olfactory and taste/flavor aspects, pointing out a huge relation between the characteristics of the three sub-regions and the grape varieties present in the wines. Globally, the olfactory profile of wines is characterized by Fruity, Floral, and Balsamic aromatic notes, while the taste/flavor profile stands out, highlighting Astringency and Acidity and, again, Fruity as the main in-mouth aroma. It was also possible to conclude that TDS is a fast method that is easy to apply and has excellent results in the evaluation of the olfactory and taste/flavor profile of wines and, with a larger set of samples, it would be possible to obtain characteristic TDS curves for each Douro sub-region, providing a wine's fingerprint that could be used for authentication and traceability purposes.

Green algae (Viridiplantae) in sediments from three lakes on Vega Island, Antarctica, assessed using DNA metabarcoding.

BACKGROUND: Vega Island is located off the eastern tip of the Antarctic Peninsula (Maritime Antarctica), in the Weddell Sea. In this study, we used metabarcoding to investigate green algal DNA sequence diversity present in sediments from three lakes on Vega Island (Esmeralda, Copépodo, and Pan Negro Lakes). METHODS AND RESULTS: Total DNA was extracted and the internal transcribed spacer 2 region of the nuclear ribosomal DNA was used as a DNA barcode for molecular identification. Green algae were represented by sequences representing 78 taxa belonging to Phylum Chlorophyta, of which 32% have not previously been recorded from Antarctica. Sediment from Pan Negro Lake generated the highest number of DNA reads (11,205), followed by Esmeralda (9085) and Copépodo (1595) Lakes. Esmeralda Lake was the richest in terms of number of taxa (59), with Copépodo and Pan Negro Lakes having 30 taxa each. Bray-Curtis dissimilarity among lakes was high (~ 0.80). The Order Chlamydomonadales (Chlorophyceae) gave the highest contribution in terms of numbers of taxa and DNA reads in all lakes. The most abundant taxon was Chlorococcum microstigmatum. CONCLUSIONS: The study confirms the utility of DNA metabarcoding in assessing potential green algal diversity in Antarctic lakes, generating new Antarctic records.

Fairy ring disease affects epiphytic algal assemblages associated with the moss Sanionia uncinata (Hedw.) Loeske (Bryophyta) on King George Island, Antarctica.

Since the nineteenth century, a ring-forming disease attacking Antarctic mosses has been reported. However, to date, only the effects on the mosses themselves are known. In this study, we used DNA metabarcoding to investigate the effects on the moss epiphytic algal community at different stages of disease progression. As the disease progressed, algal species richness decreased, although overall abundance was not significantly affected. Prasiolales appeared unaffected, whereas Ulotrichales were more sensitive. Trebouxiales dominated the advanced disease stage, suggesting a possible benefit from the disease, either through the elimination of competition or creation of new niches. Infection is responsible for moss death, leading to habitat loss for other organisms, but pathogenic effects on algae cannot be ruled out. Our data indicate that the disease not only impacts mosses but also other groups, potentially resulting in loss of Antarctic biodiversity. This study provides the first report of the disease effects on epiphytic algal communities of Antarctic bryophytes.

Diversity and Ecology of Chlorophyta (Viridiplantae) Assemblages in Protected and Non-protected Sites in Deception Island (Antarctica, South Shetland Islands) Assessed Using an NGS Approach.

Assessment of the diversity of algal assemblages in Antarctica has until now largely relied on traditional microbiological culture approaches. Here we used DNA metabarcoding through high-throughput sequencing (HTS) to assess the uncultured algal diversity at two sites on Deception Island, Antarctica. The first was a relatively undisturbed site within an Antarctic Specially Protected Area (ASPA 140), and the second was a site heavily impacted by human visitation, the Whalers Bay historic site. We detected 65 distinct algal taxa, 50 from within ASPA 140 and 61 from Whalers Bay. Of these taxa, 46 were common to both sites, and 19 only occurred at one site. Algal richness was about six times greater than reported in previous studies using culture methods. A high proportion of DNA reads obtained was assigned to the highly invasive species Caulerpa webbiana at Whalers Bay, and the potentially pathogenic genus Desmodesmus was found at both sites. Our data demonstrate that important differences exist between these two protected and human-impacted sites on Deception Island in terms of algal diversity, richness, and abundance. The South Shetland Islands have experienced considerable effects of climate change in recent decades, while warming through geothermal activity on Deception Island itself makes this island one of the most vulnerable to colonization by non-native species. The detection of DNA of non-native taxa highlights concerns about how human impacts, which take place primarily through tourism and national research operations, may influence future biological colonization processes in Antarctica.

Biohydrogen production in an AFBR using sugarcane molasses.

This study evaluated an anaerobic fluidized bed reactor to produce hydrogen from sugarcane molasses of 25 g-COD L-1. The reactor of 1.2 L working volume contained shredded tires as support material. The inoculum was sludge obtained in a UASB reactor of a sewage treatment plant. The AFBR was operated at hydraulic retention times of 12, 6, 4 and 3 h. The maximum hydrogen production rate (1.44 L-H2 h-1 L-1) and the highest hydrogen yield (3.07 mol-H2 mol-1-glucose) occurred at HRT of 4 and 6 h, respectively. The highest COD removal (23.3 ± 8.5%) was achieved at HRT of 12 h, while the HRT of 6 h presented the maximum carbohydrate conversion of 70.1 ± 2.2%. Ethanol (44-67%) and acetic acid (18-38%) were the main metabolites produced, emphasizing a predominance of ethanol-type fermentation pathway in the process. The PCR-DGGE analysis revealed that the bacterial community presented a maximum similarity of 88% between HRT of 4 and 3 h, indicating that the microbial dynamic altered as the organic load has increased. The highest Shannon-Winner index of 2.77 was obtained at HRT of 6 h, inferring that higher microbial diversity favored hydrogen production.

Establishing simultaneous nitrification and denitrification under continuous aeration for the treatment of multi-electrolytes saline wastewater.

Simultaneous nitrification and denitrification (SND) was established under continuous aeration (6 mgO2 L-1) aiming at achieving a feasible and simple operational strategy for treating multi-electrolyte saline wastewaters. Two Structured Fixed-Bed Reactors (SFBR) were used to assess SND performance with (Saline Reactor, SR) and without (Control Reactor, CR) salinity interference. Salinity was gradually increased (from 1.7 to 9 atm) based on the composition of water supplied in arid regions of Brazil. At 1.7 atm, N-NH4+ oxidation and Total Nitrogen (TN) removal efficiencies of 95.9 ±â€¯2.8 and 65.76 ±â€¯7.5%, respectively, were obtained. At osmotic pressure (OP) of 9 atm, the system was severely affected by specific salt toxicity and OP. High chemical oxygen demand (COD) removal efficiency was achieved at all operational conditions (97.2 ±â€¯1.6 to 78.5 ±â€¯4.6%). Salinity did not affect microbial diversity, although it modified microbial structure. Halotolerant genera were identified (Prosthecobacter, Chlamydia, Microbacterium, and Paenibacillus).

Reabilitação em dentes anteriores com pinos de fibra de vidro e coroas metal free: relato de caso / Rehabilitation on previous teeth with glass fiber pins and metal free crowns: case report

Objetivo: descrever uma reabilitação em incisivos superiores por meio da associação de coroas totais de cerâmica e retentor intrarradicular de fibra de vidro. Caso clínico: paciente P. C. G., gênero masculino, de 49 anos de idade, leucoderma, insatisfeito com a estética dos dentes anteriores devido a traumatismo dentário e fraturas recorrentes das restaurações. Após a realização de anamnese, exames clínico e radiográfico, contataram-se restaurações de resina composta insatisfatórias nos dentes anteriores, grandes diastemas entre os dentes e leve inflamação gengival. Para o plano de tratamento, optou-se por realização do tratamento endodôntico dos elementos 12 e 22, pino de fibra de vidro no dente 21, e coroas totais de dissilicato de lítio em todos os incisivos superiores. Considerações finais: com a finalização do tratamento e o retorno do paciente à clínica após seis meses, pode-se observar um tecido gengival sadio e o paciente muito satisfeito com os resultados obtidos. (AU)

Objective: to describe a rehabilitation in upper incisors through the association of total ceramic crowns and intra-radicular fiberglass retainer. Clinical case: patient P. C. G. male sex, 49 years old, leucoderma, dissatisfied with the aesthetics of the anterior teeth due to dental traumatism and recurrent fractures of the restorations. After anamnesis, clinical and radiographic examination, unsatisfactory composite resin restorations on anterior teeth, large diastema between teeth and mild gingival inflammation were contacted. For the treatment plan, we chose to perform endodontic treatment of elements 12 and 22, glass fiber pin on tooth 21, and total crowns of lithium disilicate on all upper incisors. Final considerations: with the completion of the treatment and return of the patient to the clinic after six months, a healthy gingival tissue can be observed and the patient very satisfied with the results obtained. (AU)

The effect of methanogenesis inhibition, inoculum and substrate concentration on hydrogen and carboxylic acids production from cassava wastewater.

Manipueira is a carbohydrate-rich agro-industrial waste from cassava processing. It is considered well suitable for biotechnological processes, such as hydrogen and carboxylic acids production, due to the high content of easily degradable organic matter. However, the proper methanogenesis inhibition method, inoculum type, and organic loads are factors still limiting the processes. The objective in this work was to evaluate the effects of such factors on byproducts production in anaerobic reactors. Batch experiments were conducted with 2.3-L flasks during two operational phases. In the first phase (P1), inhibition of methanogens in the sludge was evaluated using acetylene (1% v/v of headspace) and heat treatment (120 °C, 1 atm for 30 min). In the second phase (P2), three inoculum types obtained from common anaerobic sludges (bovine rumen and sludges from municipal and textile industrial wastewater treatment plants) were individually assayed. P2 aimed to identify the best inoculum, based on hydrogen production ability, which was tested for three initial concentrations of manipueira in terms of chemical oxygen demand (COD) (10, 20 and 40 g O2/L). Results of P1 indicated that either acetylene or heat treatment efficiently inhibited methanogenesis, with no methane production. However, the maximum H2 production potential by applying heat treatment (~ 563 mL) was more than twice compared with that by acetylene treatment (~ 257 mL); and butyrate was the main carboxylic acid by-product (~ 3 g/L). In P2 experiments after sludge heat treatment, the highest hydrogen yield (1.66 ± 0.07 mol H2/mol glucose) and caproic acid production (~ 2 g/L) were observed at 20 g O2/L of manipueira COD, when bovine rumen was the inoculum. The primary metabolic degradation products in all P2 experiments were ethanol, acetic, butyric, propionic and caproic acids. The finding of caproic acid detection indicated that the applied conditions in manipueira anaerobic degradation favored carbon chain elongation over methanogenesis.

Two phases fermentative process for hydrogen and methane production from cassava wastewater / Processo fermentativo em duas fases para a produção de hidrogênio e metano a partir da manipueira

Introduction: Hydrogen and methane production was investigated in two phases of fermentative process. Objective: At the acidogenic phase, an anaerobic fluidized bed reactor was fed with cassava wastewater producing hydrogen. Methods: Expanded clay was used as a support material for biomass immobilization. The reactor was operated with HRT ranging from 8-1 h. Results: The best hydrogen yield production was 1.91 mol H2/mol glucose at HRT of 2 h. At the methanogenic phase, the acidogenic process effluent fed a fixed-bed reactor producing methane. Conclusion: Sururu (Mytella falcata) shells was used as support acted as pH neutralizer in the fixed-bed reactor, yielding best (0.430±0.150 Lmethane/gCOD) with 12h HRT phase. (AU)

Introdução: A produção de hidrogênio e metano foi avaliada em um processo fermentativo de duas fases. Objetivo: Na fase acidogênica, um reator anaeróbio de leito fluidificado foi alimentado com manipueira para a produção de hidrogênio. Métodos: Argila expandida foi utilizada com material suporte para a adesão microbiana. O reator foi operado com TDH, variando entre 8-1h. Resultados: O melhor rendimento de produção de hidrogênio foi 1.91 mol, H2/mol glicose em TDH de 2 h. Na fase metanogênica, o efluente do processo acidogênico alimentou um reator de leito fixo para a produção de metano. Conclusão: Conchas de Sururo (Mytella falcata) foram utilizadas como suporte, atuando como neutralizador do pH no reator de leito fixo, melhor rendimento (0.430±0.150 Lmethane/gDQO) na fase com TDH de 12h. (AU)

Inclusão da Odontologia no Programa Saúde da Família (PSF) / Inclusion of Dentistry in the Family Health Program (PSF)

O Programa Saúde Família (PSF) foi criado em 1994 através do Ministério da Saúde, tendo como objetivoprincipal priorizar as ações de promoção, proteção e recuperação da saúde e alcançar a integridade e auniversalidade da atenção. Para que estes objetivos fossem alcançados e houvesse uma melhora no acesso enas condições de saúde bucal da população brasileira, a Odontologia foi aderida nesse programa em 2000.Passando a ser um novo modelo de atuação sobre os problemas de saúde bucal da população brasileira,proporcionando o acesso, o planejamento e a viabilidade de uma odontologia de qualidade no SUS. O objetivodeste trabalho é relatar sobre a Odontologia no Brasil e a importância da sua inclusão no PSF

The Family Health Program (PSF) was created in 1994 through the Ministry of Health, with the main objectiveto prioritize the promotion, protection and recovery of health and achieve integrity and universality ofattention. For these objectives to be achieved and there was an improvement in access and the oral healthstatus of the population, dentistry has been joined this program in 2000 Going to be a new model ofperformance on the oral health problems of the population, providing access, planning and the feasibility of aquality dentistry in the NHS. The objective of this paper is to report on dentistry in Brazil and the importance oftheir inclusion in the PSF

Effect of substrate concentration on dark fermentation hydrogen production using an anaerobic fluidized bed reactor.

The effect of substrate (glucose) concentration on the stability and yield of a continuous fermentative process that produces hydrogen was studied. Four anaerobic fluidized bed reactors (AFBRs) were operated with a hydraulic retention time (HRT) from 1 to 8 h and an influent glucose concentration from 2 to 25 g L(-1). The reactors were inoculated with thermally pre-treated anaerobic sludge and operated at a temperature of 30 °C with an influent pH around 5.5 and an effluent pH of about 3.5. The AFBRs with a HRT of 2 h and a feed strength of 2, 4, and 10 g L(-1) showed satisfactory H(2) production performance, but the reactor fed with 25 g L(-1) of glucose did not. The highest hydrogen yield value was obtained in the reactor with a glucose concentration of 2 g L(-1) when it was operated at a HRT of 2 h. The maximum hydrogen production rate value was achieved in the reactor with a HRT of 1 h and a feed strength of 10 g L(-1). The AFBRs operated with glucose concentrations of 2 and 4 g L(-1) produced greater amounts of acetic and butyric acids, while AFBRs with higher glucose concentrations produced a greater amount of solvents.

Persistência da artéria trigeminal primitiva: revisäo crítica do significado clínico / Persistent primitive trigeminal artery: critical review of the clinical significance

Os autores registram três casos de persistência da artéria trigeminal primitiva em que näo foram encontradas evidências de relaçäo entre a presença dessa anomalia vascular e dada síndrome clínica específica. Comentam aspectos embriológicos e discutem a possibilidade de relacionar a persistência dessa artéria primitiva com o tic doloroso e com alteraçöes morfológicas do polígono de Wills. Fazem análise crítica da correlaçäo feita por vários autores entre a persistência dessa artéria primitiva e outras patologias intracranianas