45 research outputs found

    Efeito de herbicidas aplicados na pré-colheita na qualidade fisiológica das sementes de feijão

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    One of the strategies to improve the mechanic harvest performance is using desiccants in pre-harvest application. Thus, an experiment was carried at “Fundação ABC” experimental area during 2001/2002 season, in Arapoti, Parana State, Brazil. The aim of the study was to evaluate the pre-harvest desiccants effect on common bean seeds quality (germination and vigor) after harvest and after a period of 8 month of storage. The variety Carioca under no tillage system was used. The treatments were applied using a pressured and manual pulverization when the crop shows 55% dry pods. The experimental design was random blocks with 10 treatments and 4 replications (g a.i. ha-1): glufosinate-ammonium + ethephon (120 + 100) + Hoefix (0.2%), glufosinate-ammonium + ethephon (120 + 100) + Agral (0.1%); glufosinate-ammonium + ethephon (240 + 200, and 480 + 400); diquat (300 and 600); glufosinate-ammonium (300); paraquat (240); glyphosate (720), and the control, without application. The averages were compared with the DMS test with 5% of probability. The treatments glufosinate-ammonium + etephon (440 and 880 g a.i. ha-1), diquat (33 and 600 g a.i. ha-1), and glufosinate-ammonium (300 g a.i. ha-1) were adequate desiccants and not affected the germination and vigor of the seeds. Paraquat (240 g a.i. ha-1) and glyphosate (720 g a.i. ha-1) shown less efficiency and affected the germination, since that gliphosate affect the seeds vigor.       Uma das estratĂ©gias para melhorar o desempenho da colheita mecanizada Ă© a utilização de dessecantes na prĂ©-colheita. O presente trabalho teve o objetivo de avaliar o efeito de herbicidas aplicados na prĂ©-colheita da cultura de feijĂŁo na qualidade das sementes (germinação e vigor), apĂłs a colheita e apĂłs um perĂ­odo de oito meses de armazenamento. O experimento foi conduzido a campo na Estação Experimental da Fundação ABC (Arapoti, PR), na safra 2001/02. A cultura de feijĂŁo, cultivar carioca, foi instalada em sistema de plantio direto. A aplicação dos herbicidas foi realizada quando a cultura apresentava 55% de vagens secas. O delineamento experimental foi de blocos ao acaso com 10 tratamentos e 4 repetiçÔes os quais foram (g i.a. ha-1): glufosinato de amĂŽnio + ethefon (120 + 100) + Hoefix (0,2%), glufosinato de amĂŽnio + ethefon (120 + 100) + Agral (0,1%); glufosinato de amĂŽnio + ethefon (240 + 200 e 480 + 400); diquat (300 e 600); glufosinato de amĂŽnio (300); paraquat (240); glyphosate (720) e a testemunha sem aplicação. As mĂ©dias foram comparadas pelo teste da DMS a 5% de probabilidade. Os tratamentos com glufosinato de amĂŽnio + etephon (240 + 200 e 480 + 400 g i.a.ha-1), diquat (300 e 600 g i.a.ha-1) e glufosinato de amĂŽnio (300 g i.a.ha-1) foram eficientes na dessecação da cultura e nĂŁo afetaram a germinação e vigor das sementes. O paraquat (240 g i.a.ha-1) e o glyphosate (720 g e.a.ha-1) apresentaram eficĂĄcia inferior aos demais tratamentos e afetaram negativamente a germinação. O glyphosate tambĂ©m reduziu o vigor das sementes

    Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

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    PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

    Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

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    PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

    Effect of the COVID-19 pandemic on surgery for indeterminate thyroid nodules (THYCOVID): a retrospective, international, multicentre, cross-sectional study

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    Background Since its outbreak in early 2020, the COVID-19 pandemic has diverted resources from non-urgent and elective procedures, leading to diagnosis and treatment delays, with an increased number of neoplasms at advanced stages worldwide. The aims of this study were to quantify the reduction in surgical activity for indeterminate thyroid nodules during the COVID-19 pandemic; and to evaluate whether delays in surgery led to an increased occurrence of aggressive tumours.Methods In this retrospective, international, cross-sectional study, centres were invited to participate in June 22, 2022; each centre joining the study was asked to provide data from medical records on all surgical thyroidectomies consecutively performed from Jan 1, 2019, to Dec 31, 2021. Patients with indeterminate thyroid nodules were divided into three groups according to when they underwent surgery: from Jan 1, 2019, to Feb 29, 2020 (global prepandemic phase), from March 1, 2020, to May 31, 2021 (pandemic escalation phase), and from June 1 to Dec 31, 2021 (pandemic decrease phase). The main outcomes were, for each phase, the number of surgeries for indeterminate thyroid nodules, and in patients with a postoperative diagnosis of thyroid cancers, the occurrence of tumours larger than 10 mm, extrathyroidal extension, lymph node metastases, vascular invasion, distant metastases, and tumours at high risk of structural disease recurrence. Univariate analysis was used to compare the probability of aggressive thyroid features between the first and third study phases. The study was registered on ClinicalTrials.gov, NCT05178186.Findings Data from 157 centres (n=49 countries) on 87 467 patients who underwent surgery for benign and malignant thyroid disease were collected, of whom 22 974 patients (18 052 [78 center dot 6%] female patients and 4922 [21 center dot 4%] male patients) received surgery for indeterminate thyroid nodules. We observed a significant reduction in surgery for indeterminate thyroid nodules during the pandemic escalation phase (median monthly surgeries per centre, 1 center dot 4 [IQR 0 center dot 6-3 center dot 4]) compared with the prepandemic phase (2 center dot 0 [0 center dot 9-3 center dot 7]; p<0 center dot 0001) and pandemic decrease phase (2 center dot 3 [1 center dot 0-5 center dot 0]; p<0 center dot 0001). Compared with the prepandemic phase, in the pandemic decrease phase we observed an increased occurrence of thyroid tumours larger than 10 mm (2554 [69 center dot 0%] of 3704 vs 1515 [71 center dot 5%] of 2119; OR 1 center dot 1 [95% CI 1 center dot 0-1 center dot 3]; p=0 center dot 042), lymph node metastases (343 [9 center dot 3%] vs 264 [12 center dot 5%]; OR 1 center dot 4 [1 center dot 2-1 center dot 7]; p=0 center dot 0001), and tumours at high risk of structural disease recurrence (203 [5 center dot 7%] of 3584 vs 155 [7 center dot 7%] of 2006; OR 1 center dot 4 [1 center dot 1-1 center dot 7]; p=0 center dot 0039).Interpretation Our study suggests that the reduction in surgical activity for indeterminate thyroid nodules during the COVID-19 pandemic period could have led to an increased occurrence of aggressive thyroid tumours. However, other compelling hypotheses, including increased selection of patients with aggressive malignancies during this period, should be considered. We suggest that surgery for indeterminate thyroid nodules should no longer be postponed even in future instances of pandemic escalation.Funding None.Copyright (c) 2023 Published by Elsevier Ltd. All rights reserved

    Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

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    This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

    Aspergillus fumigatus antigens

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