Influence of Fractional Inspired Oxygen Tension on Lung Perfusion Distribution, Regional Ventilation, and Lung Volume during Mechanical Ventilation of Supine Healthy Swine.

BACKGROUND: Lower fractional inspired oxygen tension (Fio2) during general anesthesia can reduce lung atelectasis. The objectives are to evaluate the effect of two Fio2 (0.4 and 1) during low positive end-expiratory pressure (PEEP) ventilation over lung perfusion distribution, volume, and regional ventilation. These variables were evaluated at two PEEP levels and unilateral lung atelectasis. METHODS: In this exploratory study, 10 healthy female piglets (32.3 ± 3.4 kg) underwent mechanical ventilation in two atelectasis models: (1) bilateral gravitational atelectasis (n = 6), induced by changes in PEEP and Fio2 in three combinations: high PEEP with low Fio2 (Fio2 = 0.4), zero PEEP (PEEP0) with low Fio2 (Fio2 = 0.4), and PEEP0 with high Fio2 (Fio2 = 1); and (2) unilateral atelectasis (n = 6), induced by left bronchial occlusion, with the left lung aerated (Fio2 = 0.21) and low aerated (Fio2 = 1; n = 5 for this step). Measurements were conducted after 10 min in each step, encompassing assessment of respiratory mechanics, oxygenation, and hemodynamics; lung ventilation and perfusion by electrical impedance tomography; and lung aeration and perfusion by computed tomography. RESULTS: During bilateral gravitational atelectasis, PEEP reduction increased atelectasis in dorsal regions, decreased respiratory compliance, and distributed lung ventilation to ventral regions with a parallel shift of perfusion to the same areas. With PEEP0, there were no differences between low and high Fio2 in respiratory compliance (23.9 ± 6.5 ml/cm H2O vs. 21.9 ± 5.0; P = 0.441), regional ventilation, and regional perfusion, despite higher lung collapse (18.6 ± 7.6% vs. 32.7 ± 14.5%; P = 0.045) with high Fio2. During unilateral lung atelectasis, the deaerated lung had a lower shunt (19.3 ± 3.6% vs. 25.3 ± 5.5%; P = 0.045) and lower computed tomography perfusion to the left lung (8.8 ± 1.8% vs. 23.8 ± 7.1%; P = 0.007). CONCLUSIONS: PEEP0 with low Fio2, compared with high Fio2, did not produce significant changes in respiratory system compliance, regional lung ventilation, and perfusion despite significantly lower lung collapse. After left bronchial occlusion, the shrinkage of the parenchyma with Fio2 = 1 enhanced hypoxic pulmonary vasoconstriction, reducing intrapulmonary shunt and perfusion of the nonventilated areas.

Complex craniosynostosis in Pitt-Hopkins Syndrome: Case report in twins.

INTRODUCTION: Pitt-Hopkins syndrome (PTHS) is a rare genetic syndrome associated with neurodevelopmental disorders and craniofacial dysmorphisms caused by variations in the TCF4 transition factor. The aim of this article is to report the case of two twin infants diagnosed with PTHS, confirmed by the identification of a heterozygous pathogenic variant in the TCF4 gene through DNA extracted from a buccal swab. CASE PRESENTATION: Both infants presented with craniofacial asymmetry with a metopic crest and cranial deformity. During the diagnostic investigation, computed tomography with three-dimensional reconstruction of the skull showed premature fusion of the left coronal and metopic sutures in both twins. They underwent craniofacial reconstruction at the 9th month of age using a combination of techniques. The postoperative outcomes were satisfactory in both cases. CONCLUSION: To the best of our knowledge, this is the first case report to describe the occurrence of complex craniosynostosis (CCS) in children with PTHS. Further studies are needed to determine whether the co-occurrence of PTHS and CCS described here indicates an association or is explained by chance.

Compatibility of pesticides with the predatory mite Neoseiulus barkeri.

Multiple arthropod pests can affect the same crop in agricultural systems, requiring the integration of control methods. In the present study, the effects of residual exposure to four broad-spectrum insecticides/acaricides (azadiractin, abamectin, chlorfenapyr, and fenpyroximate) on immature (development and survival time) and adult females (longevity, fecundity, and fertility life table parameters) of the predatory mite Neoseiulus barkeri were evaluated. Additionally, the insecticides/acaricides were categorized according to their selectivity based on the classification proposed by the International Organization for Biological Control (IOBC) for assessing the susceptibility of arthropods in laboratory experiments. Method 004, proposed by the Insecticide Resistance Action Committee (IRAC), was adopted for the bioassays with predators exposed to insecticide-acaricide residues. Among the insecticides/acaricides studied, azadirachtin had minimal effects on immature and adult N. barkeri (all non-significant) and was considered harmless based on the classification of toxicity according to the standards/categories proposed by the IOBC. All other insecticides/acaricides affected immature and adult N. barkeri and were considered slightly harmful in terms of toxicity, according to the IOBC.

Flowering time and harvest on floral morphology and production of hermaphrodite flowers in the cashew tree Anacardium occidentale (Anacardiaceae)

Introduction: Morphological parameters of flowering are fundamental in the reproductive process of plants, but this subject is poorly explored in the cashew tree Anacardium occidentale. Objective: To determine the influence of the flowering and harvest period on floral parameters, and to identify association with hermaphrodite flowers in the dwarf cashew. Methods: For the 2018 and 2019 harvests in 120 samples we measured number of male/hermaphrodite/abnormal flowers; panicle biomass, length, maximum width, and ramifications at 30, 45 and 60 days for 360 samples in total. Results: The harvest effect was not significant. Panicle length and width (at 30 days), had the greatest contributions to the production of hermaphrodite flowers. The presence of male flowers (at 45 days), and the panicle length and number of primary branches (at 60 days) were the main factors at their respective periods. Conclusions: The emission of hermaphrodite flowers responds negatively to male flowers. Variations in flowering compromise the production of hermaphrodite flowers and the flowering structure.

Introducción: Parámetros morfológicos de la floración son fundamentales en el proceso reproductivo de las plantas, sin embargo, el tema es poco explorado en el árbol de marañón Anacardium occidentale. Objetivo: Determinar la influencia de la floración y periodos de cosecha sobre parámetros florales, e identificar asociaciones con flores hermafroditas en el marañón enano. Métodos: Para las cosechas de 2018 y 2019 en 120 muestras, medimos el número de flores masculinas/hermafroditas/anormales; biomasa de panícula, largo, ancho máximo, y ramificaciones a los 30, 45 y 60 días, un total de 360 muestras. Resultados: El efecto de la cosecha fue insignificante. Longitud y ancho de la panícula (a los 30 días), tuvo la mayor contribución a la producción de flores hermafroditas. La presencia de flores masculinas (a los 45 días), y el largo de panícula y número de ramas primarias (a los 60 días) fueron los principales factores en sus periodos respectivos. Conclusiones: La emisión de flores hermafroditas responde negativamente a flores masculinas. Variaciones en la floración afecta la producción de flores hermafroditas y estructura de floración.

Assessment of methionine plus cystine requirement of tambaqui (Colossoma macropomum) based on zootechnical performance, body composition, erythrogram, and plasmatic and hepatic metabolites.

Tambaqui (Colossoma macropomum) is a species of great cultural and economic importance in aquaculture in the Amazon region. Methionine is considered the first limiting sulfur amino acid in practical fish diets, which encourages investigating its use in diets for tambaqui. This study aimed to verify the digestible methionine plus cystine (Met + Cys) requirement in diets for tambaqui (89.52 ± 0.53 g) for 60 days. The treatments investigated were: 6.50, 7.80, 9.10, 10.40, 11.70, and 13.00 g Met + Cys kg diet-1. The estimated requirement based on final weight, weight gain, feed conversion ratio, and specific growth rate was 9.04, 8.92, 8.91, and 8.58 g Met + Cys kg diet-1, respectively, while on body protein deposition, body fat deposition, body ash deposition, and nitrogen retention efficiency was 9.29, 9.20, 9.19, and 8.72 g Met + Cys kg diet-1, respectively. Linear regression demonstrated that increased digestible Met + Cys in the diet decreased plasma total protein, globulin, and liver total protein levels. Quadratic regression showed that the highest value for liver glycogen was found with a 10.40 g Met + Cys kg diet-1. Another quadratic regression demonstrated a lower hepatic aspartate aminotransferase (AST) enzymatic activity in fish fed between 7.80 and 11.70 g Met + Cys kg diet-1. The different treatments did not influence the erythrogram. In conclusion, when considering an integrative view of the results for growth performance, whole-body deposition, and liver parameters without harming the physiological and metabolic status, we recommended choosing a diet with digestible Met + Cys between 8.58 and 9.29 g kg- 1 for tambaqui.

Development of a Control Strategy in an Isokinetic Device for Physical Rehabilitation.

Robotic-assisted rehabilitation is currently being applied to improve the effectiveness of human gait rehabilitation and recover the mobility and strength after a stroke or spinal cord injury; a robotic assistant can allow the active participation of the patient and the supervision of the collected data and decrease the labor required from therapists during the patient's training exercises. The goal of gait rehabilitation with robotic-based assistance is to restore motor function by using diverse control strategies, taking account of the physical interaction with the lower limbs of the patient. Over the last few years, researchers have extracted useful information from the patient's biological signals that can effectively reflect movement intention and muscle activation. One way to evaluate progress in rehabilitation is through isokinetic prototype tests that describe the dynamic characteristics of an isokinetic leg extension device for rehabilitation and control action. These tests use an isokinetic system to assess muscle strength and performance in a patient during isometric or isokinetic contraction. An experimental prototype shown in the following work allows the device's performance to be evaluated in a controlled environment before the patient's use. New features provide a control system that can be teleoperated for distributed structures, enabling the remote operation and management of the device. In order to achieve physical recovery from musculoskeletal injuries in the lower limbs and the reintegration of the affected subject into society as an independent and autonomous individual in their daily activities, a control model that introduces a medical isokinetic rehabilitation protocol is presented, in which the element that carries out such protocol consists of a magnetic particle brake whose control action is strongly influenced by the dynamics of the system when in contact with the end user-specifically, the patient's legs in the stretch from the knee to the ankle. The results of these tests are valuable for health professionals seeking to measure their patient's progress during the rehabilitation process and determine when it is safe and appropriate to advance in their treatment.

Experimental Analysis of Passenger Comfort with Variable Preloaded Rear Springs on a Low-Cylinder Motorcycle.

The present study contains an experimental analysis of the vibratory response in a low-cylinder engine motorcycle at varying suspension preloads. Three different speed bumps of varying heights were used to subject the motorcycle to different vibrations. The analysis was carried out in three domains: time, frequency, and time-frequency. A triaxial accelerometer was used to measure the vibrations at the seat of the vehicle. The results indicated that the suspension system became more differentiated as the height of the bumps increased. However, for lower bumps, the action of the three spring preloads studied was quite similar. Quantitatively, only the higher bump showed a significant difference between the set preloads. The spectral distribution revealed that the frequency of interest was below 20 Hz for all the studied cases, which is in the same range of human body natural frequencies. The findings of this research can be utilized to enhance the design of low-cost motorcycles, thereby improving the safety and comfort of their drivers and passengers. This study constitutes a significant step towards developing an affordable system capable of gathering sufficient data to support the creation of evidence-based public health policies and propose new transport industry standards based on field measurements.

Acaricide exposure impairs predatory behavior of the phytoseiid mite Neoseiulus idaeus (Acari: Phytoseiidae).

Predation is an important interaction that can change the structure of arthropod communities across both temporal and spatial scales. In agricultural systems predation can reduce the population levels of several arthropod pest species of a community. This predator-prey interaction involves the predator searching and handling behaviors. Several factors can affect this interaction, such as pesticide exposure, which is a frequent feature in agroecosystems. Thus, the hypothesis of our study is that the predatory behavior of the phytoseiid mite Neoseiulus idaeus Denmark & Muma, an important natural enemy of spider mites, is affected by acaricide exposure. To test that hypothesis, the predatory mite was exposed to the acaricides abamectin, fenpyroximate, and azadirachtin in 4 exposure scenarios. The predatory behavior of N. idaeus was negatively affected by acaricide exposure when the leaf surface containing both prey and predator was sprayed leading to a reduction in the frequency of transitions between predator walking and meeting preys. Prey handling and consumption were also compromised by acaricide exposure through contaminated leaf surface and prey, and contaminated leaf surface, prey, and predator. Abamectin compromised predation regardless of the exposure scenario. Acaricide-exposure reduced the number of prey found, number of attacks, and number prey killed by N. idaeus. Moreover, partial prey consumption was observed with acaricide-exposed mites. Thus, caution is necessary while attempting to integrate acaricide applications and mass release of N. idaeus for spider mite management.

Population dynamics of Steneotarsonemus concavuscutum, a neglected mite pest in coconut fruits (Cocos nucifera).

The meristematic region of Cocos nucifera fruits can be colonized by various species of mites, including Steneotarsonemus concavuscutum, Steneotarsonemus furcatus, and Aceria guerreronis. The consequence of this colonization is the development of necrotic lesions on the fruit, and sometimes its abortion. Losses are commonly attributed to A. guerreronis alone, owing to the similarities in the injuries caused and its predominance in coconut plantations. However, S. concavuscutum may be the predominant pest species in some crops. Despite the possible impact of S. concavuscutum, little is known about its bioecological aspects, such as the influence of biotic and abiotic factors on its population dynamics. Our objective was to document macroclimatic abiotic factors (temperature, relative humidity, and precipitation) and biotic factors (interspecific competition and predation) interfere in the population dynamics of S. concavuscutum. We evaluated the diversity and abundance of mites in the perianth of coconut fruit naturally infested by S. concavuscutum for 1 year. The species found in the fruits of bunch 6 of the plant, which is the fruit age at which the mites commonly reach the highest abundance, were counted every 2 weeks. We found mites from nine families and S. concavuscutum was the predominant species, representing about 92% of the individuals collected. Predators represented approximately 2% of the total collection, with Neoseiulus baraki as the predominant species. Steneotarsonemus concavuscutum population density ranged from 60 to 397 mites/fruit. The highest population densities of S. concavuscutum were observed in the hottest and driest periods of the year. The population densities of S. concavuscutum were negatively associated with the presence of N. baraki, suggesting that this predator may have a role in the biological control of this pest.

Pressure Analysis in Rigid and Flexible Real Arteriovenous Fistula with Thickness Variation In Vitro.

An arteriovenous fistula (AVF) is the access most recommended by several authors. However, its manufacture and use can cause several problems in the short, medium and long term. The study of fluid dynamics related to the structure of the AVF can provide information necessary for the reduction of these problems and a better quality of life for patients. The present study analyzed pressure variation in a rigid and flexible (thickness variation) model of AVFs manufactured based on patient data. A computed tomography was performed from which the geometry of the AVF was removed. This was treated and adapted to the pulsatile flow bench. Bench tests with simulation of systolic-diastolic pulse showed higher pressure peaks in the rigid AVF followed by the flexible model with 1 mm thickness. The inflection of the pressure values of the flexible AVF in relation to the rigid one was observed, being more expressive in the flexible AVF of 1 mm. The 1 mm flexible AVF presented an average pressure close to the physiological one and a smaller pressure drop, showing that this AVF model presents the best condition among the three to serve as a basis for the development of an AVF substitute.

Life-threatening variceal bleeding after liver transplantation and extensive portal vein thrombosis: Desperate times call for desperate measures.

BACKGROUND: The management of complex, intra- and extrahepatic portal vein thrombosis (PVT) after liver transplantation (LT) is challenging. Although most of the patients remain asymptomatic or oligosymptomatic in the chronic setting, some of them may develop severe portal hypertension and related complications, notably gastrointestinal (GI) bleeding. In the emergency scenario, clinical and endoscopic treatments as well as intensive support constitute the bases of conservative management, while more definitive treatment options such as surgical shunting and retransplantation are related to high morbidity rates. Transjugular intrahepatic portosystemic shunt (TIPS) was largely considered of limited role due to technical difficulties arising from extensive PVT. Recently, however, new minimally invasive image-guided techniques emerged, allowing portal vein recanalization and TIPS creation simultaneously (TIPS-PVR), even in complex PVT pretransplant patients. METHODS: Herein, we describe a novel indication for TIPS-PVR in a post-LT adolescent presenting with life-threatening, refractory GI bleeding. RESULTS: The patient presented with complete resolution of the hemorrhagic condition after the procedure, with no deterioration of hepatic function or hepatic encephalopathy. Follow-up Doppler ultrasound after TIPS-PVR showed normal hepatopetal venous flow within the stents, and no evidence of complications, including intraperitoneal or peri splenic bleeding. CONCLUSIONS: This report describes the feasibility of TIPS-PVR in the post-LT scenario complicated by extensive PVT. In this case, a complete resolution of the life-threatening GI bleeding was achieved, with no major complications. Other patients with complex chronic PVT might benefit from the use of the described technique, but further studies are required to determine the correct timing and indications of the procedure, eventually before the occurrence of life-threatening complications.

Deforestation impacts on dengue incidence in the Brazilian Amazon.

The objective of the study is to perform the spatial analysis of the conditioning factors for the increase in the incidence rate of dengue cases in municipalities located in the Amazon biome, in the period from 2016 to 2021. Three statistical approaches were applied: Moran's index, ordinary least squares regression, and geographically weighted regression. The results revealed that the incidence rates of dengue cases cluster in two areas, both located in the south of the Amazon biome, which is associated with the Arc of Deforestation. The variable deforestation influences the increase in dengue incidence rates revealed by the OLS and GWR model. The adjusted R2 of the GWR model was 0.70, that is, the model explains about 70% of the total case variation of dengue incidence rates in the Amazon biome. The results of the study evidence the need for public policies aimed at the prevention and combat of deforestation in the Amazon region.

Sensitive Zika biomarker detection assisted by quantum dot-modified electrochemical immunosensing platform.

We report the development of a new nanostructured electrochemical immunosensing platform for the detection of the Zika virus envelope protein (EP-ZIKV). For this, quantum dots (QDs) were explored in combination with screen-printed carbon electrodes (SPCEs) functionalized with a conductor polymeric film, formed from 2-(1H-pyrrol-1-yl)ethanamine (Pyam), and anti-EP DIII ZIKV antibodies. Carboxylated CdTe QDs were synthesized, characterized by optical and structural techniques, and covalently immobilized onto the SPCE/PPyam surface. Then, anti-EP ZIKV antibodies were also covalently conjugated to QDs. All stages of platform assembly were evaluated by cyclic voltammetry (CV) and electrochemical impedance spectroscopy (EIS). The detection of EP-ZIKV was performed by differential pulse voltammetry (DPV). Results indicated that QDs were efficiently immobilized, and did not show oxidation, under the conditions evaluated, for at least 7 months. Anti-EP ZIKV antibodies were effectively immobilized on the PPyam/QDs surface, even after 2 months of electrode storage. The platform enabled the detection of EP-ZIKV with high sensitivity using minimal sample volumes (LOD = 0.1 ng mL-1 and LOQ = 0.4 ng mL-1). The platform was also able to detect EP-ZIKV in spiked serum samples. Moreover, the platform showed specificity, not detecting the EP-DENV 3 nor a mixture of four DENV serotypes antigens. Thus, the proposed combination favored the development of a sensitive immunosensing platform, promising for the detection of Zika in the viremic phase, which also holds potential for transposition to other arboviruses.

Epidemiologia espacial e a detecção de aglomerados espaciais do dengue na Paraíba: uma comparação entre os métodos Scan flexível e Scan circular / Spatial epidemiology and the detection of spatial clusters of dengue in Paraíba: a comparison between the flexible Scan and circular Scan methods

Resumo Introdução Estatísticas espaciais são usadas para auxiliar gestores de saúde na tomada de decisão, informando a taxa de ocorrência de agravos na população e destacando quando estas alcançam valores além do esperado. Objetivo Compreender o funcionamento e aplicabilidade das Estatísticas Espaciais Scan flexível e Scan circular, comparando seus resultados na detecção de aglomerados espaciais usando dados epidemiológicos reais do dengue no estado da Paraíba - Brasil. Método Descreveu-se o processo detalhado da aplicação das estatísticas Scan flexível e Scan circular para a detecção de áreas significativas de risco (aglomerados) do dengue na Paraíba, nos anos de 2009 a 20013, por meio dos software FLeXScan e SaTScan. Resultados Ambos os métodos revelaram o oeste do estado como a região com maior frequência de aglomerados detectados com alto risco, em todos os anos analisados, levando-se em consideração os mapas de risco de incidência do dengue na Paraíba, nos anos de 2009 a 2013. Conclusão As estatísticas Scan flexível e Scan circular são praticamente similares quanto à eficiência na detecção de aglomerados do dengue. Entretanto, verificaram-se problemas de superestimação no método Scan circular e subestimação no método Scan flexível na detecção dos aglomerados. Destacou-se ainda o auxílio destas estatísticas espaciais aos gestores de saúde quanto à localização das regiões de agravo da doença, tornando mais efetivo o direcionamento das ações de combate de forma politicamente correta.

Abstract Background Spatial statistics are used to help health managers make decisions, informing the rate of occurrence of diseases in the population and highlighting when they reach values beyond expectations. Objective To understand the functioning and applicability of Spatial Statistics Flexible Scan and Circular Scan by comparing their results in the detection of spatial clusters using real epidemiological data of dengue in the state of Paraíba - Brazil. Method The detailed process for applying the flexible scan and circular scan statistics for detecting significant dengue risk areas (clusters) in Paraíba, between 2009 and 20013, was described using the software FLeXScan and SaTScan. Results Both methods showed the highest frequency of clusters detected at high risk in the western region of the state, in all the years analyzed, considering the risk maps of dengue incidence in Paraíba, between 2009 and 2013. Conclusion The flexible scan and circular scan statistics are practically similar in terms of efficiency in detecting clusters of dengue. However, there were problems of overestimation in the circular Scan method and underestimation in the flexible Scan method in the detection of clusters. It is also worth highlighting that these spatial statistics help health managers locate the regions of disease aggravation, making it more effective to direct combat actions in a politically correct manner.

Fiber Bragg Grating Sensors for Reinforcing Bar Slippage Detection and Bond-Slip Gradient Characterization.

The detection of bond-slip between the reinforcing bar (RB) and concrete is of great importance to ensure the safety of reinforced concrete (RC) structures. The techniques to monitor the connection between the RB and concrete are in constant development, with special focus on the ones with straightforward operation and simple non-intrusive implementation. In this work, a simple configuration is developed using 10 optical fiber sensors, allowing different sections of the same RC structure to be monitored. Since the RB may suffer different strains along its length, the location of the sensors is critical to provide an early warning about any displacement. Bragg gratings were inscribed in both silica and polymer optical fibers and these devices worked as displacement sensors by monitoring the strain variations on the fibers. The results showed that these sensors can be easily implemented in a civil construction environment, and due to the small dimensions, they can be a non-intrusive technique when multiple sensors are implemented in the same RC structure.

New Pregnane Glycosides from Mandevilla dardanoi and Their Anti-Inflammatory Activity.

Mandevilla Lindl. is an important genus of the Apocynaceae family, not only as ornamental plants but also for its medicinal uses. In Brazil, Mandevilla species are indicated to treat asthma and skin infections, their anti-inflammatory potential and wound healing properties are also reported in the literature. Concerning their chemical composition, this group of plants is a conspicuous producer of pregnane glycosides. Mandevilla dardanoi is an endemic species from the Brazilian semiarid region not studied by any phytochemical methods. In view of the medicinal potential of Mandevilla species, this study aimed to isolate new pregnane glycosides from M. dardanoi. To achieve this main goal, modern chromatography techniques were employed. Five new pregnane glycosides, dardanols A-E, were isolated from the roots of M. dardanoi by HPLC. Their structures were determined using extensive 1D and 2D-NMR and mass spectrometry (MSn and HRESIMS) data. The cytotoxicity and the anti-inflammatory potential of these compounds were evaluated. The first was evaluated by measuring proinflammatory cytokines and nitric oxide production by stimulated macrophages. Dardanols were able to inhibit the production of nitric oxide and reduce IL-1ß and TNF-α. The current work demonstrates the chemodiversity of Brazilian semiarid species and contributes to amplifying knowledge about the biological potential of the Mandevilla genus.

Costs of pediatric hydrocephalus treatment for the Brazilian public health system in the Northeast of Brazil.

PURPOSE: To estimate the costs of the surgical treatment of pediatric hydrocephalus, specifically ventriculoperitoneal shunt (VPS) and endoscopic third ventriculostomy (ETV), for the Brazilian public health system (SUS). METHODS: Retrospective cohort study of health records of patients < 14 years of age with a diagnosis of hydrocephalus who underwent VPS or ETV between September 2009 and June 2016, regularly followed up for 24 months. RESULTS: Seventy-six medical records were included. The groups of children who underwent VPS and ETV consisted of 60 and 16 patients, respectively. Complications during 2 years of follow-up were identified in 56% of the children undergoing VPS and in 18% of those undergoing ETV (p = 0.0103). The initial cost of VPS was lower than that of ETV up to approximately 1 year of post-surgical follow-up. After that, VPS generated higher expenses for the SUS due to higher rates of late post-surgical complications and repeated readmissions. CONCLUSION: Higher public expenditures were observed in the group of children undergoing VPS due to higher rates of infectious and mechanical complications requiring repeated hospitalizations and prosthesis replacements. Public policies must be tailored to offer the best treatment to children with hydrocephalus and to make judicious use of public resources without compromising the quality of treatment.

Targeted Isolation of Anti-inflammatory Lignans from Justicia aequilabris by Molecular Networking Approach.

Herein, the isolation of secondary metabolites from the aerial parts of Justicia aequilabris guided by HPLC-MSn and molecular networking analyses is reported. Twenty-two known compounds were dereplicated. Three new lignans (aequilabrines A-C (1-3)) and three known compounds (lariciresinol-4'-O-ß-glucose (4), roseoside (5), and allantoin (6)) were obtained. The anti-inflammatory activity of compounds 1-3 was evaluated in vitro by inhibiting the nitric oxide production (NO) and pro-inflammatory activity on the cytokine IL-1ß. Compounds 2 and 3 showed significant inhibitory activity against NO production, with IC50 values of 9.1 and 7.3 µM, respectively. The maximum inhibition of IL-1ß production was 23.5% (1), 27.3% (2), and 32.5% (3).

Flora of Paraíba State, Brazil: Capparaceae / Flora da Paraíba, Brasil: Capparaceae

This work encompasses the taxonomic study of Capparaceae Juss. for Paraíba State, Brazilian Northeastern. Field works collections were carried out monthly between January and December/2018 to cover the main mesorregions of the State. Exsiccate of the other Herbaria of Paraíba and the Virtual Herbarium of Flora and Fungi (Reflora), the platform of SpeciesLink, and North American herbaria (MO and NY) also were analyzed. The identifications were based on specialized literature to the family. In the study area, four genera and five species were recorded: Capparidastrum frondosum, Crateva tapia, Cynophalla flexuosa, C. hastata and Neocalyptrocalyx longifolium. The treatment includes a key to the species identification, taxonomic descriptions, comments on taxonomic affinities based on morphological characteristics, distribution data, flowering, and fruiting, as well as images and figures in Chinese ink containing the main diagnostic characters of the species found.

Este trabalho compreende o estudo taxonômico de Capparaceae para o Estado da Paraíba, Nordeste brasileiro. Foram realizados trabalhos de campo mensamente entre janeiro e dezembro/2018 abrangendo as principais mesorregiões do Estado. Também foram analisadas exsicatas dos demais herbários paraibanos, Herbário Virtual da Flora e dos Fungos (Reflora) e da plataforma SpeciesLink, além de herbários norte-americanos (MO e NY). Foram registrados quatro gêneros e cinco espécies: Capparidastrum frondosum, Crateva tapia, Cynophalla flexuosa, C. hastata e Neocalyptrocalyx longifolium. O tratamento inclui uma chave para a identificação das espécies, descrições taxonômicas, comentários sobre afinidades taxonômicas fundamentadas em características morfológicas, dados de distribuição, floração e ou frutificação, além de imagens e estampas contendo os principais caracteres diagnósticos das espécies encontradas.