Impact of High Cardiovascular Risk on Hospital Mortality in Intensive Care Patients Hospitalized for COVID-19. / Impacto do Alto Risco Cardiovascular na Mortalidade Hospitalar em Pacientes Internados em Terapia Intensiva por COVID-19.

BACKGROUND: Some studies have shown a higher prevalence of deaths in patients with cardiovascular risk factors (CRF) during hospitalization for COVID-19. OBJECTIVES: To assess the impact of high cardiovascular risk in patients hospitalized in intensive care for COVID-19. METHODS: Retrospective study with patients admitted to an intensive care unit, with a diagnosis of COVID-19 confirmed by RT-PCR, and with at least one troponin measurement during hospitalization. The criteria for defining high cardiovascular risk (HCR) patients were: history of established cardiovascular disease (myocardial infarction, stroke, or peripheral arterial disease), diabetes, chronic kidney disease with clearance < 60ml/min, or presence of 3 CRFs (hypertension, smoking, dyslipidemia, or age > 65 years). The primary outcome of this study is all-cause in-hospital mortality. P<0.05 was considered significant. RESULTS: This study included 236 patients, mean age = 61.14±16.2 years, with 63.1% men, 55.5% hypertensive, and 33.1% diabetic; 47.4% of the patients also presented HCR. A significant increase in mortality was observed as the number of risk factors increased (0 FRC: 5.9%; 1 FRC: 17.5%; 2 FRC: 32.2% and ≥3 FRC: 41.2%; p=0.001). In the logistic regression adjusted for severity (SAPS3 score), the HCR and myocardial injury group had a higher occurrence of in-hospital mortality (OR 40.38; 95% CI 11.78-138.39). Patients without HCR but with myocardial injury also exhibited a significant association with the primary outcome (OR 16.7; 95% CI 4.45-62.74). CONCLUSION: In patients hospitalized in intensive care for COVID-19, HCR impacts in-hospital mortality only in patients with myocardial injury.

FUNDAMENTO: Alguns estudos demonstraram uma maior prevalência de óbitos em portadores de fatores de risco cardiovascular (FRC) durante internação por COVID-19. OBJETIVOS: Avaliar o impacto do alto risco cardiovascular em pacientes internados em terapia intensiva por COVID-19. MÉTODOS: Estudo retrospectivo com pacientes admitidos em terapia intensiva, com diagnóstico confirmado de COVID-19 por RT-PCR e com pelo menos uma dosagem de troponina durante a internação. Os critérios para definição de paciente de alto risco cardiovascular (ARC) foram: histórico de doença cardiovascular estabelecida (infarto, AVC ou doença arterial periférica), diabetes, doença renal crônica com clearance < 60ml/min ou presença de 3 FRC (hipertensão, tabagismo, dislipidemia ou idade > 65 anos). O desfecho primário deste estudo é mortalidade hospitalar por todas as causas. P<0,05 foi considerado significativo. RESULTADOS: Foram incluídos 236 pacientes, média de idade= 61,14±16,2 anos, com 63,1% homens, 55,5% hipertensos e 33,1% diabéticos. Um total de 47,4% dos pacientes apresentavam ARC. Observou-se um aumento significativo da mortalidade conforme aumento do número de fatores de risco (0 FRC: 5,9%; 1 FRC: 17,5%; 2 FRC: 32,2% e ≥3 FRC: 41,2%; p=0,001). Na regressão logística ajustada para gravidade (escore SAPS3), o grupo de alto risco cardiovascular e troponina elevada apresentou maior ocorrência de mortalidade hospitalar (OR 40,38; IC95% 11,78-138,39). Pacientes sem alto risco cardiovascular, mas com troponina elevada, também exibiram associação significativa com o desfecho primário (OR 16,7; IC95% 4,45-62,74). CONCLUSÃO: Em pacientes internados em terapia intensiva por COVID-19, a presença de alto risco cardiovascular afeta a mortalidade hospitalar somente em pacientes que apresentaram elevação de troponina.

Impacto do Alto Risco Cardiovascular na Mortalidade Hospitalar em Pacientes Internados em Terapia Intensiva por COVID-19 / Impact of High Cardiovascular Risk on Hospital Mortality in Intensive Care Patients Hospitalized for COVID-19

Resumo Fundamento Alguns estudos demonstraram uma maior prevalência de óbitos em portadores de fatores de risco cardiovascular (FRC) durante internação por COVID-19. Objetivos Avaliar o impacto do alto risco cardiovascular em pacientes internados em terapia intensiva por COVID-19 Métodos Estudo retrospectivo com pacientes admitidos em terapia intensiva, com diagnóstico confirmado de COVID-19 por RT-PCR e com pelo menos uma dosagem de troponina durante a internação. Os critérios para definição de paciente de alto risco cardiovascular (ARC) foram: histórico de doença cardiovascular estabelecida (infarto, AVC ou doença arterial periférica), diabetes, doença renal crônica com clearance < 60ml/min ou presença de 3 FRC (hipertensão, tabagismo, dislipidemia ou idade > 65 anos). O desfecho primário deste estudo é mortalidade hospitalar por todas as causas. P<0,05 foi considerado significativo. Resultados Foram incluídos 236 pacientes, média de idade= 61,14±16,2 anos, com 63,1% homens, 55,5% hipertensos e 33,1% diabéticos. Um total de 47,4% dos pacientes apresentavam ARC. Observou-se um aumento significativo da mortalidade conforme aumento do número de fatores de risco (0 FRC: 5,9%; 1 FRC: 17,5%; 2 FRC: 32,2% e ≥3 FRC: 41,2%; p=0,001). Na regressão logística ajustada para gravidade (escore SAPS3), o grupo de alto risco cardiovascular e troponina elevada apresentou maior ocorrência de mortalidade hospitalar (OR 40,38; IC95% 11,78-138,39). Pacientes sem alto risco cardiovascular, mas com troponina elevada, também exibiram associação significativa com o desfecho primário (OR 16,7; IC95% 4,45-62,74). Conclusão Em pacientes internados em terapia intensiva por COVID-19, a presença de alto risco cardiovascular afeta a mortalidade hospitalar somente em pacientes que apresentaram elevação de troponina.

Abstract Background Some studies have shown a higher prevalence of deaths in patients with cardiovascular risk factors (CRF) during hospitalization for COVID-19. Objectives To assess the impact of high cardiovascular risk in patients hospitalized in intensive care for COVID-19 Methods Retrospective study with patients admitted to an intensive care unit, with a diagnosis of COVID-19 confirmed by RT-PCR, and with at least one troponin measurement during hospitalization. The criteria for defining high cardiovascular risk (HCR) patients were: history of established cardiovascular disease (myocardial infarction, stroke, or peripheral arterial disease), diabetes, chronic kidney disease with clearance < 60ml/min, or presence of 3 CRFs (hypertension, smoking, dyslipidemia, or age > 65 years). The primary outcome of this study is all-cause in-hospital mortality. P<0.05 was considered significant. Results This study included 236 patients, mean age = 61.14±16.2 years, with 63.1% men, 55.5% hypertensive, and 33.1% diabetic; 47.4% of the patients also presented HCR. A significant increase in mortality was observed as the number of risk factors increased (0 FRC: 5.9%; 1 FRC: 17.5%; 2 FRC: 32.2% and ≥3 FRC: 41.2%; p=0.001). In the logistic regression adjusted for severity (SAPS3 score), the HCR and myocardial injury group had a higher occurrence of in-hospital mortality (OR 40.38; 95% CI 11.78-138.39). Patients without HCR but with myocardial injury also exhibited a significant association with the primary outcome (OR 16.7; 95% CI 4.45-62.74). Conclusion In patients hospitalized in intensive care for COVID-19, HCR impacts in-hospital mortality only in patients with myocardial injury.

Effect of homeopathy on soybean germination through soil and seed treatment

Homeopathy is a technique approved by the MAPA for organic production systems. Experiments demonstrating the effectiveness of homeopathy in agriculture are essential. Aims: To evaluate the effects of homeopathic treatment on soybean seed germination. Methodology: The experiment was performed in MS-Brazil. An area of 70 m² was used, divided into two comparison plots of 30 m² each. The soil of plot 1 (treated group) was treated with 5.25 kg of powdered Lithothamniummixed with 250 ml of 30% hydroalcoholic solution (HS) containing homeopathic ingredients. The soil of plot 2 (control group) was treated with thesame preparationbutwithout homeopathic ingredients. Additionally, the 400 seeds assigned toplot 1 were treated with 0,3 ml of a solution made up of 10 ml of 30% HS with homeopathic ingredients dilutedin 300 ml of water. The 400 seeds assigned toplot 2 were treated with 0.3 ml of a solutionmade up of 10 ml of HS without homeopathic ingredients diluted in 300 ml of water. The homeopathic ingredients Sulph 9C, Mag-c12C, and Calc-p 9C were used on soil and seed treatment. The selection and prescription of those ingredients followed Materia Medica instructions. The experiment was conducted using randomized design and 400 seeds per group were sown. Results and discussion: In plot 1, anaverage of 11 seeds per m² germinated, adding up to 330 germinated seeds at a percentage of 82.5%. In plot 2, an average of 7 seeds per m² germinated, adding up to 210 germinated seeds at a percentage of 52.5%. The frequency of seed germinationin both groups was assessed by the Chi-square test to check for significant differences(p<0.05). There was a statistical difference (p<0.05) in the seed germination in the treated group (n=330) compared to the control group (n=210). Conclusion:Homeopathic compounds can be used as a viable treatment for soybean germination.

Effect of homeopathy on quality of corncobs naturally exposed to sugarcane virus

The use of pesticides is damaging to the health of farmers and consumers as their use is associated with numerous diseases. Homeopathy is one of the techniques for organic agriculture currentlyauthorized by the MAPA. Aims: To assess the effect of homeopathic compounds on corncob quality in pesticide-free cultures. Methodology:The experiment was performed in, MS-Brazil. Two culture fields were used, each 30m2in size. The homeopathic group treatment consisted of 1ml of30% hydroalcoholic solution with homeopathic ingredients. This solutionwas diluted into 30ml of water and then sprayed onto 100 seeds. The control group was submitted to the same protocol excluding the homeopathic ingredients. The homeopathic ingredients used were Sulph9C, Mag-c12C, and Calc-p9C, prescribed according to Materia Medica instructions. The evaluationwas performed at harvest by comparing theaverage weight of 1000 kernels pergroup, obtained from a weighingof 3000 kernels per group. In addition, a number of corncobs from both groups werequalitatively evaluated as "good" or "bad." Statistics analysis used the T-test to compare the kernel weight averages and Fisher's exact test to analyze the corncob quality frequency. Both groups were naturally infected by a virus from a neighboring sugarcane field, causing qualitative and quantitative losses on both groups. Results and discussion: The average weight of 1000 kernels from the treated group (329 g) was not significantly greater (p=0.06) than the average weight of 1000 kernels from the non-treated group (308 g). It was observed that 71out of 158 (44.9%) corncobs from the homeopathic treatment group were classified as "good" while zero outof 50 (0%) corncobs from the non-treated group were classified as "good", resulting in a significant difference (p<0.01). Conclusion: Homeopathic compounds can be used as a feasible treatment for health and productivity in the corn crop.

Microbial activity and carbon rates the soil in response to the application of potassium sources

The continuous use of KCl may not be sustainable in the long term in agricultural systems. High doses used in crops accumulate in the soil and plants, hindering the metabolic processes of soil organisms. This study assessed the soil microbial activity in response to the application of K sources in banana crop and effects on microbial C. The experimental design was completely randomized with four K sources: potassium nitrate (KNO3), potassium chloride (KCl), potassium sulfate (K2SO4), and monopotassium phosphate (KH2PO4) at 200 mg kg-1of K2O, besides the control (without K) and combinations KCl:K2SO4. KCl application increased microbial activity 7 days after incubation, with gradual reduction over time. The isolated application of K2SO4and the combination KCl: K2SO4at the ratio 60: 40% increased total CO2released by the microbiota. K2SO4source had the highest microbial biomass C (MBC), as well as the 60: 40 combinations. Isolated application of K sources, especially with high chloride concentration, reduces the soil microbial activity and MBC.(AU)

Use of Heating Methods and Xylose to Increase Rumen Undegradable Protein of Alternative Protein Sources: 1) Peanut Meal.

Peanut meal has an excellent total protein content but also has low rumen undegradable protein (RUP). High-performance ruminants have high RUP requirements. We aimed to evaluate the effects of processing peanut meal with an autoclave and conventional and microwave ovens, with and without using xylose on its ruminal kinetics degradation parameters and intestinal digestibility (ID). In situ studies were conducted to determine dry matter (DM) and crude protein (CP) rumen degradation kinetics. In vitro studies were conducted to evaluate intestinal digestibility (ID). The control treatment had a greater fraction A for DM and CP than peanut meals processed with an autoclave or conventional oven. The control had greater kd for CP compared with the microwave. The addition of xylose decreased fraction A, the degradation rate of fraction B (kd) and RUP, and increased the protein B fraction of autoclaved peanut meal. We observed a decrease in effective degradability (ED) and increased RUP for processed treatments in all experiments compared with the control. Processing methods did not affect the protein ID of autoclaved peanut meal compared to the control. An interaction between xylose and heating time was observed, where increasing heating time linearly reduced the ID of xylose-untreated treatments. Overall, these results suggest that the tested methods effectively increased the RUP content of peanut meal.

Use of Heating Methods and Xylose to Increase Rumen Undegradable Protein of Alternative Protein Sources: 2) Cottonseed Meal.

The ruminal kinetics of protein sources may be changed by heat and sugar treatments. Thus, these processing methods may be used as alternatives to increase beef-cattle diets' rumen undegradable protein (RUP). We aimed to evaluate the effects of processing cottonseed meals with autoclave, conventional, and microwave ovens, with and without using xylose, on the ruminal kinetics degradation parameters and intestinal digestibility (ID). In situ studies were conducted, and each sample was incubated in the rumen to determine dry matter (DM) and crude protein (CP) rumen degradation kinetics. In vitro studies were also conducted to evaluate ID. The control treatment had a greater soluble fraction for DM and CP than processed cottonseed meals (p < 0.05). The addition of xylose decreased both DM and CP water-soluble fractions (fraction A) of cottonseed meal heated in a conventional oven (p < 0.05). Compared to the control, we observed a decrease in effective degradability and increased RUP for all processed methods (p < 0.05). Furthermore, conventional and microwave ovens showed greater ID than the control. Moreover, xylose-treated groups heated in the autoclave and conventional ovens had greater ID than xylose-untreated cottonseed meal. Under these experimental conditions, cottonseed RUP was increased by the evaluated processing methods.

Comparison of macroscopy, histopathology and PCR for diagnosing Eimeria spp. in broiler chickens / Comparação da macroscopia, histopatologia e PCR para o diagnóstico de Eimeria spp. em frangos de corte

Coccidiosis is a disease of great importance in industrial poultry. The correct diagnosis directs the poultry industry to its best treatment and control. Thus, a survey of Eimeria spp. was carried out in intestines of 64 broiler flocks, with an average age of 29 days. Eight broilers from each flock were randomly removed from the slaughter line, in a total of 512 samples. Macroscopic and histopathological lesions in the intestine were classified into Scores 0 to 4. Polymerase chain reaction (PCR) was used to research the oocysts from the seven species of Eimeria spp. in the intestinal content. The macroscopic evaluations showed that 59.4% (38/64) of the flocks were positive for E. acervulina, 32.8% (21/64) for E. maxima, 29.7% (19/64) for E. tenella, and 34.4% (22/64) for E. brunetti. The histopathological evaluation showed that 87.5% (56/64) of the flocks had at least one broiler with parasitic structures compatible with Eimeria spp. in the duodenum, 70.3% (45/64) in the jejunum, 18.8% (12/64) in the ileum, 46.9% (30/64) in the cecum, and 4.7% (3/64) in the colon. In PCR, 21.9% (14/64) of the flocks were positive for E. acervulina, 12.5% (8/64) for E. maxima, 3.1% (2/64) for E. mitis, and 32.8% (21/64) for E. tenella. The Kappa Cohen test between macroscopy, histopathology, and PCR demonstrated concordance ranging from weak to moderate with the exception of histopathology and PCR of the cecum, which was strong. In the comparison between macroscopy and histopathology, there were significative differences between Scores 0 and 1 (apart from the cecum). For Score 3, there were significative differences in duodenum, jejunum and cecum (p<0.05). In conclusion, the macroscopic diagnosis and PCR can generate false-negative results, and the histopathological exam proved to be effective, making it essential to associate different techniques for the correct diagnosis of Eimeria spp. in broiler chickens.(AU)

A coccidiose é uma doença de grande importância na avicultura industrial. O diagnóstico correto direciona a indústria avícola ao seu melhor tratamento e controle. Desta forma, realizou-se a pesquisa de Eimeria spp. em intestinos de 64 lotes de frangos de corte, com idade média de 29 dias. Em cada lote foram retirados aleatoriamente oito frangos da linha de abate, totalizando 512. Os intestinos foram classificados na macroscopia e na histopatologia em Grau de 0 a 4. No conteúdo intestinal pesquisou-se por reação em cadeia da polimerase (PCR) oocistos das sete espécies de Eimeria. As avaliações macroscópicas demonstraram que 59,4% (38/64) dos lotes foram positivos para E. acervulina, 32,8% (21/64) para E. maxima, 29,7% (19/64) para E. tenella e 34,4% (22/64) para E. brunetti. Na avaliação histopatológica, 87,5% (56/64) dos lotes apresentaram pelo menos um frango com estruturas parasitárias compatíveis com Eimeria spp. no duodeno, 70,3% (45/64) no jejuno, 18,8% (12/64) no íleo, 46,9% (30/64) no ceco e 4,7% (3/64) no cólon. Na PCR 21,9% (14/64) dos lotes foram positivos para E. acervulina, 12,5% (8/64) para E. maxima, 3,1% (2/64) para E. mitis e 32,8% (21/64) para E. tenella. O teste de concordância de Kappa Cohen entre macroscopia, histopatologia e PCR demonstrou concordância variando de fraca a moderada com exceção da histopatologia e PCR do ceco que foi forte. Na comparação dos graus de macroscopia e histopatologia, foram encontradas diferenças significativas entre o Grau 0 e 1 (exceto no ceco) e no Grau 3 houve diferença para duodeno, jejuno e cecos (p<0,05). Conclui-se que o diagnóstico macroscópico e a PCR podem gerar resultados falsos negativos e que o exame histopatológico se demostrou eficaz, tornando fundamental a associação de diferentes técnicas para o correto diagnóstico de Eimeria spp. em frangos de corte.(AU)

Comparison of macroscopy, histopathology and PCR for diagnosing Eimeria spp. in broiler chickens / Comparação da macroscopia, histopatologia e PCR para o diagnóstico de Eimeria spp. em frangos de corte

Coccidiosis is a disease of great importance in industrial poultry. The correct diagnosis directs the poultry industry to its best treatment and control. Thus, a survey of Eimeria spp. was carried out in intestines of 64 broiler flocks, with an average age of 29 days. Eight broilers from each flock were randomly removed from the slaughter line, in a total of 512 samples. Macroscopic and histopathological lesions in the intestine were classified into Scores 0 to 4. Polymerase chain reaction (PCR) was used to research the oocysts from the seven species of Eimeria spp. in the intestinal content. The macroscopic evaluations showed that 59.4% (38/64) of the flocks were positive for E. acervulina, 32.8% (21/64) for E. maxima, 29.7% (19/64) for E. tenella, and 34.4% (22/64) for E. brunetti. The histopathological evaluation showed that 87.5% (56/64) of the flocks had at least one broiler with parasitic structures compatible with Eimeria spp. in the duodenum, 70.3% (45/64) in the jejunum, 18.8% (12/64) in the ileum, 46.9% (30/64) in the cecum, and 4.7% (3/64) in the colon. In PCR, 21.9% (14/64) of the flocks were positive for E. acervulina, 12.5% (8/64) for E. maxima, 3.1% (2/64) for E. mitis, and 32.8% (21/64) for E. tenella. The Kappa Cohen test between macroscopy, histopathology, and PCR demonstrated concordance ranging from weak to moderate with the exception of histopathology and PCR of the cecum, which was strong. In the comparison between macroscopy and histopathology, there were significative differences between Scores 0 and 1 (apart from the cecum). For Score 3, there were significative differences in duodenum, jejunum and cecum (p<0.05). In conclusion, the macroscopic diagnosis and PCR can generate false-negative results, and the histopathological exam proved to be effective, making it essential to associate different techniques for the correct diagnosis of Eimeria spp. in broiler chickens.

A coccidiose é uma doença de grande importância na avicultura industrial. O diagnóstico correto direciona a indústria avícola ao seu melhor tratamento e controle. Desta forma, realizou-se a pesquisa de Eimeria spp. em intestinos de 64 lotes de frangos de corte, com idade média de 29 dias. Em cada lote foram retirados aleatoriamente oito frangos da linha de abate, totalizando 512. Os intestinos foram classificados na macroscopia e na histopatologia em Grau de 0 a 4. No conteúdo intestinal pesquisou-se por reação em cadeia da polimerase (PCR) oocistos das sete espécies de Eimeria. As avaliações macroscópicas demonstraram que 59,4% (38/64) dos lotes foram positivos para E. acervulina, 32,8% (21/64) para E. maxima, 29,7% (19/64) para E. tenella e 34,4% (22/64) para E. brunetti. Na avaliação histopatológica, 87,5% (56/64) dos lotes apresentaram pelo menos um frango com estruturas parasitárias compatíveis com Eimeria spp. no duodeno, 70,3% (45/64) no jejuno, 18,8% (12/64) no íleo, 46,9% (30/64) no ceco e 4,7% (3/64) no cólon. Na PCR 21,9% (14/64) dos lotes foram positivos para E. acervulina, 12,5% (8/64) para E. maxima, 3,1% (2/64) para E. mitis e 32,8% (21/64) para E. tenella. O teste de concordância de Kappa Cohen entre macroscopia, histopatologia e PCR demonstrou concordância variando de fraca a moderada com exceção da histopatologia e PCR do ceco que foi forte. Na comparação dos graus de macroscopia e histopatologia, foram encontradas diferenças significativas entre o Grau 0 e 1 (exceto no ceco) e no Grau 3 houve diferença para duodeno, jejuno e cecos (p<0,05). Conclui-se que o diagnóstico macroscópico e a PCR podem gerar resultados falsos negativos e que o exame histopatológico se demostrou eficaz, tornando fundamental a associação de diferentes técnicas para o correto diagnóstico de Eimeria spp. em frangos de corte.

Comparison of macroscopy, histopathology and PCR for diagnosing Eimeria spp. in broiler chickens

ABSTRACT: Coccidiosis is a disease of great importance in industrial poultry. The correct diagnosis directs the poultry industry to its best treatment and control. Thus, a survey of Eimeria spp. was carried out in intestines of 64 broiler flocks, with an average age of 29 days. Eight broilers from each flock were randomly removed from the slaughter line, in a total of 512 samples. Macroscopic and histopathological lesions in the intestine were classified into Scores 0 to 4. Polymerase chain reaction (PCR) was used to research the oocysts from the seven species of Eimeria spp. in the intestinal content. The macroscopic evaluations showed that 59.4% (38/64) of the flocks were positive for E. acervulina, 32.8% (21/64) for E. maxima, 29.7% (19/64) for E. tenella, and 34.4% (22/64) for E. brunetti. The histopathological evaluation showed that 87.5% (56/64) of the flocks had at least one broiler with parasitic structures compatible with Eimeria spp. in the duodenum, 70.3% (45/64) in the jejunum, 18.8% (12/64) in the ileum, 46.9% (30/64) in the cecum, and 4.7% (3/64) in the colon. In PCR, 21.9% (14/64) of the flocks were positive for E. acervulina, 12.5% (8/64) for E. maxima, 3.1% (2/64) for E. mitis, and 32.8% (21/64) for E. tenella. The Kappa Cohen test between macroscopy, histopathology, and PCR demonstrated concordance ranging from weak to moderate with the exception of histopathology and PCR of the cecum, which was strong. In the comparison between macroscopy and histopathology, there were significative differences between Scores 0 and 1 (apart from the cecum). For Score 3, there were significative differences in duodenum, jejunum and cecum (p 0.05). In conclusion, the macroscopic diagnosis and PCR can generate false-negative results, and the histopathological exam proved to be effective, making it essential to associate different techniques for the correct diagnosis of Eimeria spp. in broiler chickens.

RESUMO: A coccidiose é uma doença de grande importância na avicultura industrial. O diagnóstico correto direciona a indústria avícola ao seu melhor tratamento e controle. Desta forma, realizou-se a pesquisa de Eimeria spp. em intestinos de 64 lotes de frangos de corte, com idade média de 29 dias. Em cada lote foram retirados aleatoriamente oito frangos da linha de abate, totalizando 512. Os intestinos foram classificados na macroscopia e na histopatologia em Grau de 0 a 4. No conteúdo intestinal pesquisou-se por reação em cadeia da polimerase (PCR) oocistos das sete espécies de Eimeria. As avaliações macroscópicas demonstraram que 59,4% (38/64) dos lotes foram positivos para E. acervulina, 32,8% (21/64) para E. maxima, 29,7% (19/64) para E. tenella e 34,4% (22/64) para E. brunetti. Na avaliação histopatológica, 87,5% (56/64) dos lotes apresentaram pelo menos um frango com estruturas parasitárias compatíveis com Eimeria spp. no duodeno, 70,3% (45/64) no jejuno, 18,8% (12/64) no íleo, 46,9% (30/64) no ceco e 4,7% (3/64) no cólon. Na PCR 21,9% (14/64) dos lotes foram positivos para E. acervulina, 12,5% (8/64) para E. maxima, 3,1% (2/64) para E. mitis e 32,8% (21/64) para E. tenella. O teste de concordância de Kappa Cohen entre macroscopia, histopatologia e PCR demonstrou concordância variando de fraca a moderada com exceção da histopatologia e PCR do ceco que foi forte. Na comparação dos graus de macroscopia e histopatologia, foram encontradas diferenças significativas entre o Grau 0 e 1 (exceto no ceco) e no Grau 3 houve diferença para duodeno, jejuno e cecos (p 0,05). Conclui-se que o diagnóstico macroscópico e a PCR podem gerar resultados falsos negativos e que o exame histopatológico se demostrou eficaz, tornando fundamental a associação de diferentes técnicas para o correto diagnóstico de Eimeria spp. em frangos de corte.

ASPIRATION BRONCHOPNEUMONIA BY ACINETOBACTER BAUMANNII IN A WILDLIFE EUROPEAN HARE (LEPUS EUROPAEUS) IN BRAZIL.

Acinetobacter baumannii is a major cause of illness in hospitalized patients and the most important and common pathogen in nosocomial outbreaks worldwide. In animals, A. baumannii has been associated with respiratory infections in a group of minks, leading to pneumonia and acute mortality. This report documents a case of aspiration bronchopneumonia in a wild European hare caused by A. baumannii. A free-ranging, adult male European hare was submitted to necropsy after acute trauma due to being hit by a car. Its lungs showed consolidation with abscess in the middle and cranial lobes. Histopathologic evaluation revealed liquefactive necrosis associated with neutrophilic infiltration, cellular debris, plant material, and bacterial myriads surrounded by moderate neutrophils, macrophages, multinucleated giant cells, lymphocytes, and plasma cell inflammation. Acinetobacter baumannii was isolated from lung tissue.

Instruments for the detection of frailty syndrome in older adults: A systematic review.

Frailty is a dynamic process in which there is a reduction in the physical, psychological and/or social function associated with aging. The aim of this study was to identify instruments for the detection of frailty in older adults, characterizing their components, application scenarios, ability to identify pre-frailty and clinimetric properties evaluated. The study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), under registration number CRD42017039318. A total of 14 electronic sources were searched to identify studies that investigated instruments for the detection of frailty or that presented the construction and/or clinimetric evaluation of the instrument, according to criteria established by the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN). 96 studies were included in the qualitative synthesis: 51 instruments for the detection of frailty were identified, with predominantly physical domains; 40 were constructed and/or validated for use in the older adult community population, 28 only highlighted the distinction between frail and non-frail individuals and 23 presented three or more levels of frailty. The FRAGIRE, FRAIL Scale, Edmonton Frail Scale and IVCF-20 instruments were the most frequently analyzed in relation to clinimetric properties. It was concluded that: (I) there is a large number of instruments for measuring the same construct, which makes it difficult for researchers and clinicians to choose the most appropriate; (II) the FRAGIRE and CFAI stand out due to their multidimensional aspects, including an environmental assessment; however, (III) the need for standardization of the scales was identified, since the use of different instruments in clinical trials may prevent the comparability of the results in systematic reviews and; (IV) considering the different instruments identified in this review, the choice of researchers/clinicians should be guided by the issues related to the translation and validation for their location and the suitability for their context.

Potassium chloride: impacts on soil microbial activity and nitrogen mineralization / Uso de cloreto de potássio: impacto na atividade microbiana do solo e mineralização do nitrogênio

Potassium chloride is the most widely used potassium source worldwide, and due to its continuous use, the accumulation of its salts in the soil and in plants is becoming more common. Excess available ions can cause a series of physiological disturbances in organisms and can become a biocide in the soil. The objective of this study was to evaluate the effects of the application of KCl and banana crop residues on soil chloride content, microbial activity, and soil ammonification. The experiment utilized a completely randomized 2 × 4 factorial design with four replicates. Treatments were as follows: two doses of vegetal residue (200 and 400 mg dm-3) × four doses of KCl (0, 167, 334, and 668 mg dm-3 of KCl) and a control (untreated soil). The CO2 emission, ammonium (N-NH4 +) and soil chloride (Cl-) content, and mineralization/immobilization rates of the soils in each treatment were measured 4, 45, and 130 days after incubation (dai). Higher KCl dosages reduced soil microbial activity at 4 dai, regardless of the residue dosage. Microbial activity was reduced at 130 dai in all treatments when compared to the initial period. Higher dosages of banana crop residues increased the Cl- content of the soil and promoted the immobilization of N-NH4 +. We concluded that dosages of KCl (above 400 mg dm-3), when applied to soils that already contain crop residues, reduce microbial activity and mineralization of N in the soil.(AU)

O cloreto de potássio (KCl) é a fonte de potássio mais utilizada mundialmente e, devido ao uso contínuo desse fertilizante, pode ocorrer acúmulo de sais no solo e nas plantas. O excesso de íons desencadeia uma série de distúrbios fisiológicos, tornando-se um potencial biocida no solo. Objetivou-se avaliar o efeito da aplicação de doses de KCl e de resíduos culturais da bananeira no teor de cloreto do solo, na atividade microbiana e na amonificação. O delineamento experimental foi inteiramente casualizado com quatro repetições. Os tratamentos foram arranjados em um fatorial 2 x 4: 2 doses de resíduo vegetal (200 e 400 mg dm-3) x 4 doses de KCl (0, 167, 334 e 668 mg dm-3), além de um controle (sem aplicação de KCl e resíduo). Foram quantificados o CO2, o teor de amônio (N-NH4 +) e de cloreto (Cl-) do solo e as taxas de mineralização/imobilização, aos 4, 45 e 130 dias após a incubação (dai). O aumento da dose de KCl reduziu a atividade microbiana, aos 4 dai, independentemente da dose de resíduo adicionada. A atividade microbiana diminuiu, aos 130 dai: em todos os tratamentos, quando comparados ao período inicial. O acréscimo das quantidades de resíduos culturais da bananeira aumentou o teor de Cl- do solo e promoveu a imobilização do N-NH4 +. Conclui-se que doses de KCl maiores que 400 mg dm-3, associadas a presença desse resíduo, reduzem a atividade microbiana e a mineralização do N do solo.(AU)

Host-defense peptides AC12, DK16 and RC11 with immunomodulatory activity isolated from Hypsiboas raniceps skin secretion.

Inflammation is a natural defense mechanism of the immune system; however, when unregulated, it can lead to chronic illness. Glucocorticoids are the most commonly used agents to effectively treat inflammatory conditions, including autoimmune diseases, however these substances can trigger a number of side effects. Thus, viable alternatives to the use of these drugs would be advantageous. In this study, we have analyzed the anti-inflammatory profile of three synthetic peptides first identified in skin secretion of the tree frog Hypsiboas raniceps. Structural characterization was performed using NMR spectroscopy and Mass Spectrometry, and the peptides were tested in vitro in RAW 264.7 cells and in vivo in Balb/c mice for their functional properties. The samples did not show a significant antimicrobial profile. NMR spectroscopy indicated that AC12 (ACFLTRLGTYVC) has a disulfide bond between C2 and C11 and a ß-sheet-turn-ß-sheet conformation in aqueous solution. This peptide showed no cytotoxic effect in mammalian cells and it was the most effective in reducing anti-inflammatory markers, such as NO, TNF-α and IL-12. Peptide DK16 (DKERPICSNTFRGRKC) demonstrated anti-inflammatory properties in vitro, while RC11 (RCFRRRGKLTC) significantly altered the cell viability in RAW 264.7 but was shown to be safe in Balb/c erythrocytes. Our results indicate that, of the three peptides studied, AC12 is the most efficient in reducing anti-inflammatory markers, and it could be a potential agent for the treatment of inflammatory diseases.

Potassium chloride: impacts on soil microbial activity and nitrogen mineralization / Uso de cloreto de potássio: impacto na atividade microbiana do solo e mineralização do nitrogênio

ABSTRACT: Potassium chloride is the most widely used potassium source worldwide, and due to its continuous use, the accumulation of its salts in the soil and in plants is becoming more common. Excess available ions can cause a series of physiological disturbances in organisms and can become a biocide in the soil. The objective of this study was to evaluate the effects of the application of KCl and banana crop residues on soil chloride content, microbial activity, and soil ammonification. The experiment utilized a completely randomized 2 × 4 factorial design with four replicates. Treatments were as follows: two doses of vegetal residue (200 and 400 mg dm-3) × four doses of KCl (0, 167, 334, and 668 mg dm-3 of KCl) and a control (untreated soil). The CO2 emission, ammonium (N-NH4 +) and soil chloride (Cl-) content, and mineralization/immobilization rates of the soils in each treatment were measured 4, 45, and 130 days after incubation (dai). Higher KCl dosages reduced soil microbial activity at 4 dai, regardless of the residue dosage. Microbial activity was reduced at 130 dai in all treatments when compared to the initial period. Higher dosages of banana crop residues increased the Cl- content of the soil and promoted the immobilization of N-NH4 +. We concluded that dosages of KCl (above 400 mg dm-3), when applied to soils that already contain crop residues, reduce microbial activity and mineralization of N in the soil.

RESUMO: O cloreto de potássio (KCl) é a fonte de potássio mais utilizada mundialmente e, devido ao uso contínuo desse fertilizante, pode ocorrer acúmulo de sais no solo e nas plantas. O excesso de íons desencadeia uma série de distúrbios fisiológicos, tornando-se um potencial biocida no solo. Objetivou-se avaliar o efeito da aplicação de doses de KCl e de resíduos culturais da bananeira no teor de cloreto do solo, na atividade microbiana e na amonificação. O delineamento experimental foi inteiramente casualizado com quatro repetições. Os tratamentos foram arranjados em um fatorial 2 x 4: 2 doses de resíduo vegetal (200 e 400 mg dm-3) x 4 doses de KCl (0, 167, 334 e 668 mg dm-3), além de um controle (sem aplicação de KCl e resíduo). Foram quantificados o CO2, o teor de amônio (N-NH4 +) e de cloreto (Cl-) do solo e as taxas de mineralização/imobilização, aos 4, 45 e 130 dias após a incubação (dai). O aumento da dose de KCl reduziu a atividade microbiana, aos 4 dai, independentemente da dose de resíduo adicionada. A atividade microbiana diminuiu, aos 130 dai: em todos os tratamentos, quando comparados ao período inicial. O acréscimo das quantidades de resíduos culturais da bananeira aumentou o teor de Cl- do solo e promoveu a imobilização do N-NH4 +. Conclui-se que doses de KCl maiores que 400 mg dm-3, associadas a presença desse resíduo, reduzem a atividade microbiana e a mineralização do N do solo.

Endocardite por Staphylococcus sp. em bovino e ovino causando osteoartrite e sepse como desfechos incomuns / Endocarditis by Staphylococcus sp. in cow and sheep leading to osteoarthritis and sepsis as unusual outcomes

Background: Endocarditis is one of the most important heart diseases in cattle and a rare disease in sheep. This illness could be caused by any bacteria when related to bacteremia, being Staphylococcus aureus one uncommon cause for this disorder in ruminants. The clinical sings at the early stages are unspecific and many cases are only diagnosed just at the final stages of the disease, resulting in heart insufficiency with bad prognosis. The aim of this study is to report two cases of endocarditis caused by Staphylococcus spp. leading to sepsis in a sheep and osteoarthritis in a cow, showing the importance of this bacteria in the pathogenesis of this disease.Cases: Case 1. A 8-month-old sheep, female, Texel showed lameness in the left thoracic limb, and even treated with nonsteroidal anti-inflammatory drug had anorexia, locomotion difficulty and on the day before of death showed neurological sings, with less than one week of total clinical course. At necropsy, in the heart was observed thrombus in the tricuspid, mitral and aortic valves and pale areas in the myocardium. Multiples abscesses were observed in the lungs, liver and kidneys and infarcts in kidneys, spleen and brain. At the histopathology exam was observed in the tricuspid, mitral and aortic valves subacute endocarditis with intralesional coccoids bacteria Gram positives. There were multifocal fibrinonecrotic myocarditis, abscess in lung, liver and kidney with intralesional bacterial myriads. In kidneys, spleen and brain was observed thrombosis associated to multiple infarct areas. Samples of cardiac thrombus, heart, spleen, kidney and meningeal swabs were submitted for bacterial cultivation and was isolated Staphylococcus aureus in all samples, in pure culture. Case 2. A 2-year-old cow, female, mixed breed Angus and Charolais showed a wound in the distal part of the thoracic limb that was done topical treatment.[...](AU)

Endocardite por Staphylococcus sp. em bovino e ovino causando osteoartrite e sepse como desfechos incomuns / Endocarditis by Staphylococcus sp. in cow and sheep leading to osteoarthritis and sepsis as unusual outcomes

Background: Endocarditis is one of the most important heart diseases in cattle and a rare disease in sheep. This illness could be caused by any bacteria when related to bacteremia, being Staphylococcus aureus one uncommon cause for this disorder in ruminants. The clinical sings at the early stages are unspecific and many cases are only diagnosed just at the final stages of the disease, resulting in heart insufficiency with bad prognosis. The aim of this study is to report two cases of endocarditis caused by Staphylococcus spp. leading to sepsis in a sheep and osteoarthritis in a cow, showing the importance of this bacteria in the pathogenesis of this disease.Cases: Case 1. A 8-month-old sheep, female, Texel showed lameness in the left thoracic limb, and even treated with nonsteroidal anti-inflammatory drug had anorexia, locomotion difficulty and on the day before of death showed neurological sings, with less than one week of total clinical course. At necropsy, in the heart was observed thrombus in the tricuspid, mitral and aortic valves and pale areas in the myocardium. Multiples abscesses were observed in the lungs, liver and kidneys and infarcts in kidneys, spleen and brain. At the histopathology exam was observed in the tricuspid, mitral and aortic valves subacute endocarditis with intralesional coccoids bacteria Gram positives. There were multifocal fibrinonecrotic myocarditis, abscess in lung, liver and kidney with intralesional bacterial myriads. In kidneys, spleen and brain was observed thrombosis associated to multiple infarct areas. Samples of cardiac thrombus, heart, spleen, kidney and meningeal swabs were submitted for bacterial cultivation and was isolated Staphylococcus aureus in all samples, in pure culture. Case 2. A 2-year-old cow, female, mixed breed Angus and Charolais showed a wound in the distal part of the thoracic limb that was done topical treatment.[...]

Rehabilitación vocal en un paciente con cáncer de laringe tratado con radioterapia / Vocal rehabilitation in a patient with laryngal cancer treated with radiotherapy / Reabilitação vocal em paciente com câncer de laringe tratado com radioterapia

INTRODUCCIÓN: La mayoría de la población con cáncer de laringe experimenta alteraciones persistentes en la voz por causa de los efectos fisiopatológicos de la radioterapia, provocando un gran impacto a nivel funcional y psicosocial. Los objetivos son: Determinar los momentos de la intervención fonoaudiológica en pacientes con cáncer de laringe tratados con radioterapia, describir la metodología de evaluación clínica y objetiva de la función fonatoria, identificar los factores que colaboran en la mejoría de la calidad vocal, comunicación y calidad de vida del paciente. MATERIAL Y MÉTODO: Diseño: Caso clínico. Paciente femenino, de 78 años con diagnóstico de carcinoma escamoso moderadamente diferenciado, infiltrante de laringe EI (T1bN0M0). Realizó radioterapia de intensidad modulada. Entrevista pre e intratratamiento, postratamiento de radioterapia y rehabilitación vocal propiamente dicha. Estudio objetivo de la voz (PRAAT). Valoración perceptual de la voz (GRBAS). Encuesta de calidad de vida (VHI).

INTRODUCTION: The majority of the population with laryngeal cancer experiences persistent alterations in the voice because of the pathophysiological effects of radiotherapy, provoking a great impact at functional and psychosocial level. The objectives are to determine the moments of the speech-language intervention in patients with laryngeal cancer treated with radiotherapy, describe the methodology of clinical and objective evaluation of phonatory function, identify the factors that contribute to the improvement of vocal quality, communication and quality of life of the patient. MATERIAL AND METHOD: Design: Clinical case. Female patient, 78 years old with diagnosis of moderately differentiated squamous carcinoma, infiltrating larynx EI (T1bN0M0). She performed modulated intensity radiotherapy. Pre and intra-treatment interview, post-treatment of radiotherapy and vocal rehabilitation proper. Objective study of voice (PRAAT). Perceptual perception of voice (GRBAS). Quality of Life Survey (VHI).

INTRODUÇÃO: A maioria da população com câncer de laringe sofre alterações persistentes na voz devido aos efeitos fisiopatológicos da radioterapia, causando um grande impacto no nível funcional e psicosocial. Os objetivos são determinar os momentos da intervenção fonoaudiológica em pacientes com câncer de laringe tratados com radioterapia, descreva a metodologia de avaliação clínica e objetiva da função fonatória, identificar os fatores que contribuem para a melhoria da qualidade vocal, comunicação e qualidade de vida do paciente. MATERIAL E MÉTODO: Design: Caso clínico. Paciente do sexo feminino, 78 anos com diagnóstico de carcinoma escamoso moderadamente diferenciado, infarto da laringe EI (T1bN0M0). Eu executo radioterapia de intensidade modulada. Entrevista pré e intra-tratamento, pós-tratamento de radioterapia e reabilitação vocal própria. Estudo objetivo da voz (PRAAT). Percepção perceptiva da voz (GRBAS). Inquérito à qualidade de vida (VHI)

Anthelmintic activity of Cratyliamollis leaves against gastrointestinal nematodes in goats

SUMMARY The present study assessed the in vivo anthelmintic activity of the C. mollis leaf decoction extract when administered orally to naturally infected goats with gastrointestinal nematodes. To this, animals were randomized into three groups:non-treated, control (treated with doramectin 1mL/50 kg b.w.) and C. mollis extract treated groups (2.5mg/kg b.w.). Blood and faecal samples were collected from each animal at day 0, and 30th day posttreatment to monitor immunological and parasitological parameters. A significant faecal egg reduction (61.1%) and an increase in IgA and eosinophils levels were observed in the C. mollis extract treated group, in comparison to the untreated and doramectin groups. Considering that gastrointestinal nematode infections in small ruminants are serious problems in the world, causing economic losses worldwide, associated to high anthelmintic cost, resistance to available anthelmintics and residue problems in meat and milk for human consumption, the plant extract use is an area of interest to search new anthelmintic agents. Thus, Cratyliamollis Mart. Ex Benth, an important medicinal plant from Brazilian Northeast semiarid region, is used to treat different types of diseases, and as forage supplementation. Therefore, the data indicated the potential anthelmintic activity of C. mollis extract; further research is thereby warranted to assess its value for therapeutic purposes.

RESUMO Este estudo avaliou a capacidade anti-helmíntica in vivo do extrato aquoso de folhas de C. mollis, administrado por via oral em caprinos naturalmente infectados com nematódeos gastrintestinais. Para isto, os animais foram aleatoriamente distribuídos em três grupos (grupo não tratado, grupo controle tratado com doramectina (1mL/50 kg de peso corpóreo) e grupo tratado com o extrato aquoso de C. mollis (2,5mg/ kg de peso corpóreo). Amostras de sangue e fezes foram colhidas de cada animal nos dias 0 e 30 após o tratamento para verificar parâmetros imunológicos e parasitológicos. Uma redução significativa na oviposição (61,1%) e um aumento dos níveis de IgA e eosinófilos foram observados no grupo tratado com o extrato aquoso, em comparação aos grupos controle (não tratado e tratado com doramectina). Considerando que nematódeos gastrintestinais de pequenos ruminantes causam perdas econômicas ao nível mundial, devido ao custo e à resistência aos anti-helmínticos disponíveis, além do efeito residual nos derivados animais para consumo humano, os extratos vegetais apresentam-se como uma fonte alternativa de anti-helmínticos. Assim, Cratyliamollis Mart. ExBenth é uma planta usada no semi-áridodo Nordeste brasileiro para tratardoenças e como forragem. Portanto, os resultados indicaram o potencial anti-helmíntico do extrato, embora mais estudos sejam necessários para validar seu uso para fins terapêuticos.

Anthelmintic activity of Cratyliamollis leaves against gastrointestinal nematodes in goats

SUMMARY The present study assessed the in vivo anthelmintic activity of the C. mollis leaf decoction extract when administered orally to naturally infected goats with gastrointestinal nematodes. To this, animals were randomized into three groups:non-treated, control (treated with doramectin 1mL/50 kg b.w.) and C. mollis extract treated groups (2.5mg/kg b.w.). Blood and faecal samples were collected from each animal at day 0, and 30th day posttreatment to monitor immunological and parasitological parameters. A significant faecal egg reduction (61.1%) and an increase in IgA and eosinophils levels were observed in the C. mollis extract treated group, in comparison to the untreated and doramectin groups. Considering that gastrointestinal nematode infections in small ruminants are serious problems in the world, causing economic losses worldwide, associated to high anthelmintic cost, resistance to available anthelmintics and residue problems in meat and milk for human consumption, the plant extract use is an area of interest to search new anthelmintic agents. Thus, Cratyliamollis Mart. Ex Benth, an important medicinal plant from Brazilian Northeast semiarid region, is used to treat different types of diseases, and as forage supplementation. Therefore, the data indicated the potential anthelmintic activity of C. mollis extract; further research is thereby warranted to assess its value for therapeutic purposes.

RESUMO Este estudo avaliou a capacidade anti-helmíntica in vivo do extrato aquoso de folhas de C. mollis, administrado por via oral em caprinos naturalmente infectados com nematódeos gastrintestinais. Para isto, os animais foram aleatoriamente distribuídos em três grupos (grupo não tratado, grupo controle tratado com doramectina (1mL/50 kg de peso corpóreo) e grupo tratado com o extrato aquoso de C. mollis (2,5mg/ kg de peso corpóreo). Amostras de sangue e fezes foram colhidas de cada animal nos dias 0 e 30 após o tratamento para verificar parâmetros imunológicos e parasitológicos. Uma redução significativa na oviposição (61,1%) e um aumento dos níveis de IgA e eosinófilos foram observados no grupo tratado com o extrato aquoso, em comparação aos grupos controle (não tratado e tratado com doramectina). Considerando que nematódeos gastrintestinais de pequenos ruminantes causam perdas econômicas ao nível mundial, devido ao custo e à resistência aos anti-helmínticos disponíveis, além do efeito residual nos derivados animais para consumo humano, os extratos vegetais apresentam-se como uma fonte alternativa de anti-helmínticos. Assim, Cratyliamollis Mart. ExBenth é uma planta usada no semi-áridodo Nordeste brasileiro para tratardoenças e como forragem. Portanto, os resultados indicaram o potencial anti-helmíntico do extrato, embora mais estudos sejam necessários para validar seu uso para fins terapêuticos.