Estrutura e distribuição de tricomas glandulares em três espécies da família Bignoniaceae

Glandular trichomes play a major role in the morphological characterization of the Bignoniaceae. Due to their great diversity of forms and functions, this study aimed to inventory the glandular trichomes present in the aerial vegetative axis of Amphilophium magnoliifolium, Martinella obovata and Stizophyllum riparium, analyze their structure and register the participation of ants in these plants. Fresh samples from the nodal region, petiole and from medium to apical regions of the leaflet blade were fixed and processed according to usual methods in light and scanning electron microscopies. The glandular trichomes found were: peltate, capitate, stipitate, and patelliform/cupular. Peltate trichomes are the most abundant ones and present the most uniform distribution. Patelliform/cupular trichomes occur at specific regions, such as prophylls, leaflet blade and nodal regions. Martinella obovata is the only species that presents capitate and stipitate trichomes, which are widely distributed along the entire aerial vegetative axis. Ants were found in all species, mainly at nodal regions. The occurrence of the capitate-type trichome is reported for the first time to the genus.Tricomas glandulares desempenham papel importante na caracterização morfológica de Bignoniaceae e, devido à grande diversidade de formas e funções que esses tricomas apresentam, o objetivo desse estudo foi inventariar os tricomas glandulares presentes no eixo vegetativo aéreo de Amphilophium magnoliifolium, Martinella obovata. e Stizophyllum riparium, bem como analisar sua estrutura e registrar a participação de formigas nessas espécies. Amostras frescas da região mediana à apical das lâmina foliolar, pecíolo e nó foram fixadas e processadas de acordo com os métodos usuais para microscopia de luz e eletrônica de varredura. Os tricomas glandulares encontrados nas espécies foram: peltados, capitados, estipitados e pateliformes/cupuliformes. Dentre esses tipos o mais abundante foi o tricoma peltado, apresentando também uma distribuição mais uniforme que os demais. Os tricomas pateliformes/cupuliformes estavam em regiões mais específicas, como profilos, lâmina foliolar e na região nodal. Martinella obovata foi a única espécie que apresentou os tricomas capitados e estipitados, amplamente distribuídos ao longo de todo eixo vegetativo aéreo. Em todas as espécies foram encontradas formigas, principalmente nas regiões nodais. A ocorrência do tricoma capitado é relatada pela primeira vez para o gênero.DIAS, A. C.A. A. Universidade Federal do Par

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)