Physiology and nutritional contents of lettuce (Lactuca sativa L.) plants induced by Pseudomonas fluorescens / Fisiologia e conteúdo nutricional de plantas de alface (Lactuca sativa L.) induzidas por Pseudomonas fluorescensv

Sustainable agriculture and the larger scales of production needed to meet the higher demand for food each year have become models for several studies; beneficial microorganisms are one model that has been used as an alternative for greater production of and reductions in the use of chemical fertilizers. Thus, the objective of this work was to study the physiological changes in and nutrient contents of lettuce after inoculation with Pseudomonas fluorescens in combination with chemical fertilization. P. fluorescens had a positive influence on gas exchange, with increases of 41% in A, 44% in Gs, 29% in E, and 100% in A / Ci; increased Concentration of chlorophyll a and b, of 220% more chl a and 106% chl b; increased chlorophyll a fluorescence, higher relative water content; and nutrient content increases of 19% for nitrogen, 24% for phosphorus, and 105% for potassium. Plants inoculated with BRM-32111 presented increases for MFT, MFC and FF, in 37%, 34% and 26% respectively. However, when combined with fertilization, antagonism occurred, and the evaluated parameters were negatively affected

Combined effect of bumetanide, bromide, and GABAergic agonists: An alternative treatment for intractable seizures

Univ Fed Sao Joao del Rei, Lab Neurociencia Expt & Computac, Programa Inst Bioengn, Sao Joao Del Rei, BrazilUniversidade Federal de São Paulo, Escola Paulista Med, Dept Expt Neurol, São Paulo, BrazilUniversidade Federal de São Paulo, Escola Paulista Med, Dept Fisiol, São Paulo, BrazilPontificia Univ Catolica Rio Grande do Su, Inst Cerebro, Porto Alegre, RS, BrazilUniversidade Federal de São Paulo, Escola Paulista Med, Dept Expt Neurol, São Paulo, BrazilUniversidade Federal de São Paulo, Escola Paulista Med, Dept Fisiol, São Paulo, BrazilWeb of Scienc

Caso Marcos

Caso Clínico fictício que aborda o atendimento das equipes de saúde da família ao paciente vítima de trauma, com ênfase ao atendimento inicial e a atuação conjunta da equipe

Alcohol Abuse Promotes Changes in Non-Synaptic Epileptiform Activity with Concomitant Expression Changes in Cotransporters and Glial Cells

Non-synaptic mechanisms are being considered the common factor of brain damage in status epilepticus and alcohol intoxication. the present work reports the influence of the chronic use of ethanol on epileptic processes sustained by non-synaptic mechanisms. Adult male Wistar rats administered with ethanol (1, 2 e 3 g/kg/d) during 28 days were compared with Control. Non-synaptic epileptiform activities (NEAs) were induced by means of the zero-calcium and high-potassium model using hippocampal slices. the observed involvement of the dentate gyrus (DG) on the neurodegeneration promoted by ethanol motivated the monitoring of the electrophysiological activity in this region. the DG regions were analyzed for the presence of NKCC1, KCC2, GFAP and CD11b immunoreactivity and cell density. the treated groups showed extracellular potential measured at the granular layer with increased DC shift and population spikes (PS), which was remarkable for the group E1. the latencies to the NEAs onset were more prominent also for the treated groups, being correlated with the neuronal loss. in line with these findings were the predispositions of the treated slices for neuronal edema after NEAs induction, suggesting that restrict inter-cell space counteracts the neuronal loss and subsists the hyper-synchronism. the significant increase of the expressions of NKCC1 and CD11b for the treated groups confirms the existence of conditions favorable to the observed edematous necrosis. the data suggest that the ethanol consumption promotes changes on the non-synaptic mechanisms modulating the NEAs. for the lower ethanol dosage the neurophysiological changes were more effective suggesting to be due to the less intense neurodegenertation.Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Univ Fed Sao Joao del Rei, Dept Engn Biossistemas, Lab Neurociencia Expt & Computac, Sao Joao Del Rei, MG, BrazilUniversidade Federal de São Paulo, Escola Paulista Med, Disciplina Neurol Expt, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Ciencia & Tecnol, Sao Jose Dos Campos, SP, BrazilUniversidade Federal de São Paulo, Escola Paulista Med, Disciplina Fisiol, São Paulo, BrazilUniversidade Federal de São Paulo, Escola Paulista Med, Disciplina Neurol Expt, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Ciencia & Tecnol, Sao Jose Dos Campos, SP, BrazilUniversidade Federal de São Paulo, Escola Paulista Med, Disciplina Fisiol, São Paulo, BrazilWeb of Scienc

Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial

Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure <= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt

Caso Marcos

Marcos saiu de casa para visitar sua mãe de motocicleta, mas como era próximo não colocou capacete, no caminho sofreu um acidente numa colisão com um carro. Aparentemente Marcos teve escoriações no joelho e um corte na boca, o acidente ocorreu próximo à uma Unidade de Saúde e dela vieram uma equipe com enfermeiro, médica e dentista que prestaram os primeiros atendimentos até a chegada da ambulância que realizou o transporte até o Hospital

Caso Marcos: Atividade avaliativa de múltipla escolha [medicina]

Atividade de múltipla escolha sobre atenção às urgências

Caso Marcos: Fórum sobre o papel da APS no atendimento ao trauma

Atividade de fórum de discussão que aborda o papel da APS no atendimento ao trauma e a atuação da rede de atenção às urgências nos municípios