Organic farming take off in Portugal

Organic farming is booming in Portugal. CAP subsidies are the main reason beyond this boom. Converted farms are still a small proportion of the country’s total farms. They are mostly extensive (low input) Mediterranean farms located in the mainland interior and less developed regions. Large farms and highly educated farmers are the ones converting. Olive oil is the main organic production. The market for organic products in Portugal is segmented and distribution channels are narrow. In general, people are not aware of organic products and/or lack the money to pay the required price premium. However, a segment of highly educated consumers with above average income do exist. Two private bodies provide certification for organic products under the supervision of the Government. Several national and regional Associations provide technical support, training and education to farmers but they face many barriers. The lack of public environmental education and the lack of research on the sector constitute other important institutional barriers to the Portuguese organic sector development

Effectiveness of physical therapy interventions in women with dyspareunia: a systematic review and meta-analysis

[EN] Background Dyspareunia is defined as the occurrence of pain during or after sexual intercourse, which directly affects physical, sexual, and mental health. This condition can lead to depression, anxiety, and low self‑esteem in women who experience it. Objectives The aim of this research was to evaluate the effectiveness of physical therapy interventions for the treat‑ ment of female dyspareunia. Design A systematic review and meta‑analysis was conducted. Method Search of publications was conducted in Scopus, Medline, Pubmed, Cinahl and Web of Science. Treatment effects were defined as standardized mean difference and their 95% confidence intervals. Statistical heterogeneity was assessed using Crohan’s Q test and quantified using the I2 index. Results Of the 19 articles selected, six applied multimodal physiotherapy treatments; five, electrotherapy; three, Thiele’s massage; two, interdisciplinary interventions or pelvic floor muscle training; and one, extracorporeal shock‑ wave therapy. The meta‑analysis showed significant results for the variables pain and quality of life with the interven‑ tions based on electrotherapy and electrotherapy combined with pelvic floor muscle training. These interventions did not show significant results for the improvement of sexual function. Conclusions Physiotherapy techniques are effective and procedures have been identified with reliable results in improving pain and quality of life in patients with dyspareunia. One of the most important aspects is the strength‑ ening of the perineal musculature and the application of Transcutaneous Electrical Nerve Stimulation. Furthermore, manual trigger point release therapy and Thiele massage, optimize and guarantee the reduction of pain intensity.S

Unraveling Brazilian Indian population prostate good health: clinical, anthropometric and genetic features

To compare dietary, lifestyle, clinical, anthropometric, genetic and prostatic features of Brazilian Indians and non-Indians (Amazon). 315 men, 228 Indians and 89 non-Indians, ≥40 years old were submitted to digital rectal examination, serum prostate specific antigen (PSA), testosterone, TP53 and GSTP1 genotyping, anthropometric, lifestyle, dietary, personal and familial medical history. Prostatic symptoms were evaluated with the International Prostate Symptom Score (IPSS). Macuxis and Yanomamis represented 43.6% and 14.5% of Indians respectively who spontaneously referred no prostate symptoms. Mean IPSS was 7, range 3-19, with only 15% of moderate symptoms (score 8-19); Mean age was 54.7 years, waist circumference 86.6 cm, BMI 23.9 kg/m2. Yanomamis presented both lower BMI (21.4 versus 24.8 and 23.3, p=0,001) and prostate volume than Macuxis and “other ethnic groups” (15 versus 20, p=0.001). Testosterone (414 versus 502 and 512, p=0.207) and PSA (0.48 versus 0.6 and 0.41, p=0.349) were similar with progressive PSA increase with aging. Val/Val correlated with lower PSA (p=0.0361). Indians compared to control population presented: - TP53 super representation of Arg/Arg haplotype, 74.5% versus 42.5%, p<0.0001. -GSTP1 Ile/Ile 35.3% versus 60.9%; Ile/Val 45.9% versus 28.7%; Val/Val 18.8% versus 10.3%; p=0.0003. Observed specific dietary, lifestyle, anthropometric and genetic profile for TP53 and GSTP1 may contribute to Brazilian Indian population prostate good health.41234435

Recommendations of Neuroendocrinology Department from Brazilian Society of Endocrinology and Metabolism for diagnosis and treatment of acromegaly in Brazil

A acromegalia é uma doença associada à elevada morbidade e à redução da expectativa de vida. Em virtude do seu caráter insidioso e do seu não reconhecimento, o diagnóstico é frequentemente realizado com atraso, o que, associado às complicações relacionadas ao excesso do GH/IGF-I, determina elevada morbimortalidade. No entanto, um diagnóstico precoce e um tratamento efetivo minimizam a morbidade e normalizam a taxa de mortalidade. Nesta publicação, o objetivo do Departamento de Neuroendocrinologia da Sociedade Brasileira de Endocrinologia e Metabologia é divulgar quando suspeitar clinicamente da acromegalia e como diagnosticá-la. Além disso, discute-se a maneira mais eficaz e segura de realizar o tratamento da acromegalia, enfatizando que este deve ser realizado em centros de referência. Assim, com base em dados publicados em periódicos de nível científico reconhecido e na experiência dos autores, são apresentadas as recomendações para o diagnóstico e tratamento da doença.Acromegaly is a disease associated with increased morbidity and reduced life expectancy. Because of its insidious character and its non-recognition, the diagnosis is often made with delay, which, along with the complications related to GH/IGF-I excess, determines high morbidity and mortality. However, an early diagnosis and an effective treatment reduce the morbidity and normalize the mortality rate. In this publication, the goal of Neuroendocrinology Department from Brazilian Society of Endocrinology and Metabolism is to disclose which clinical set should arouse the suspicious of acromegaly and how to diagnose it. Furthermore, we discuss the most effective and safe approach to perform the treatment of acromegaly, emphasizing that it must be carried out in reference centers. Therefore, based on data published in journals with recognized scientific level and authors' experience, recommendations are presented for diagnosis and treatment of the disease

Evidencias en el ADN mitocondrial reflejan una incipiente estructuración poblacional en el mero guasa del Atlántico (Epinephelus itajara, Epinephelidae) en Brasil

The Atlantic goliath grouper is a critically endangered species that inhabits estuarine and reef environments and is threatened primarily by fishing activities and habitat destruction. Despite the urgent need for protection, its genetic conservation status remains unknown. The aim of the present study was to evaluate the gene flow among the populations of the species along the coast of Brazil based on the control region of the mitochondrial DNA. The results indicate low haplotype diversity (0.40-0.86) and very low nucleotide diversity (0.1-0.5%). They also show that the genetic diversity of the species varies considerably along the coast and that this finding may be especially important for the identification of priority areas for its conservation. The population analyses indicate a low but significant degree of genetic structuring (ΦST =0.111), probably due to the occurrence of rare haplotypes at some locations, although the genetic differentiation between sites was not correlated with geographic distance (r=0.0501; p=0.7719), and the shared haplotypes indicate that gene flow occurs among all locations along the Brazilian coast. The results of the pairwise FST indicate a high degree of genetic differentiation between locations. The incipient population structuring detected in the present study is not related systematically to the geological or physical features of the Brazilian coast. The complex interaction of fluctuations in sea level, marine currents, and the reproductive characteristics of the species hampers the identification of the specific role of each of these processes in the gene flow dynamics of the population units of the Atlantic goliath grouper. The low overall levels of genetic diversity, the pairwise FST values and the significant population structuring among groups (ΦCT) identified in the present study all reinforce the critically endangered status of the species and are inconsistent with the presence of a single, panmictic population of groupers on the Brazilian coast. The results of this study suggest that, though it may be incipient, the observed genetic structuring must be taken into account in order to prevent potential problems, such as outbreeding depression, in the management of wild stocks.El mero guasa del Atlántico está críticamente en peligro, habita en ambientes estuarinos y arrecifes, los cuáles están amenazados principalmente por las actividades de pesca y la destrucción de su hábitat. A pesar de la necesidad urgente de protección, su estado de conservación genética aún es desconocido. El objetivo del presente estudio fue evaluar el flujo génico entre las poblaciones de esta especie a lo largo de la costa de Brasil analizando la variabilidad genética de la región control del ADN mitocondrial. Los resultados indican baja diversidad haplotípica (0.40-0.86), y una muy baja diversidad nucleotídica (0.1-0.5%). Además se observa que la diversidad genética de la especie varía considerablemente a lo largo de la costa y este resultado puede ser especialmente relevante para la identificación de áreas prioritarias de conservación. Los análisis poblacionales indican un bajo, pero significativo grado de estructuración genética (ΦST =0.111), lo cual es probablemente debido a la ocurrencia de haplótipos raros en algunas localidades, aunque la diferenciación genética entre sitios no está correlacionada con la distancia geográfica (r=0.0501; p=0.7719), y los haplotipos compartidos indican que el flujo génico ocurre entre todas las localidades a lo largo de la costa brasileña. Los resultados de la distancia dos a dos indican un FST de alto grado de diferenciación genética entre las localidades. La incipiente estructuración poblacional detectada en este estudio no está relacionada sistemáticamente con las características biogeográficas de la costa brasileña. La compleja interacción de las fluctuaciones en el nivel del mar, las corrientes marinas, y las características reproductivas de la especie dificultan la identificación del rol específico de cada uno de estos procesos en la dinámica del flujo genético de las diferentes unidades poblacionales del mero guasa del Atlántico. Los bajos niveles generales de la diversidad genética, los valores de FST dos a dos, y la significante estructuración poblacional entre los grupos (ΦCT) identificada en el presente estudio, todo refuerza el estado de peligro crítico de la especie y son inconsistentes con la existencia de una simple, población panmíctica de meros guasa de la costa brasileña. Los resultados de este estudio sugieren que, a pesar de que puede ser incipiente, la estructuración genética observada debe ser tenida en cuenta con el fin de evitar problemas potenciales, tales como la depresión exogámica, cuando se maneja poblaciones silvestres

A completeness indicator of gestational and congenital syphilis information in Brazil

OBJECTIVE: To evaluate the quality of information on gestational syphilis (GS) and congenital syphilis (CS) on the Sistema de Informação de Agravos de Notificação (SINAN-Syphilis Brazil – Notifiable Diseases Information System) by compiling and validating completeness indicators between 2007 and 2018. METHODS: Overall, care, and socioeconomic completeness scores were compiled based on selected variables, by using ad hoc weights assigned by experts. The completeness scores were analysed, considering the region and area of residence, the pregnant woman’s race/colour, and the year of case notification. Pearson’s correlation coefficients were used to validate the scores obtained by the weighted average method, compared with the values obtained by principal component analysis (PCA). RESULTS: Most selected variables presented a good or excellent degree of completeness for GS and CS, except for clinical classification, pregnant woman’s level of education, partner’s treatment, and child’s race/colour, which were classified as poor or very poor. The overall (89.93% versus 89.69%) and socioeconomic (88.71% versus 88.24%) completeness scores for GS and CS, respectively, were classified as regular, whereas the care score (GS-90.88%, and CS-90.72%) was good, despite improvements over time. Differences in the overall, care and socioeconomic completeness scores according to region, area of residence, and ethnic-racial groups were reported for syphilis notifications. The completeness scores estimated by the weighted average method and PCA showed a strong linear correlation (&gt; 0.90). CONCLUSION: The completeness of GS and CS notifications has been improving in recent years, highlighting the variables that form the care score, compared with the socioeconomic scores, despite differences between regions, area of residence, and ethnic-racial groups. The weighted average was a viable methodological alternative easily operationalised to estimate data completeness scores, allowing routine monitoring of the completeness of gestational and congenital syphilis records

Primera aproximación al uso de la ocupación del tapir (Tapirella bairdii Gill, 1865) como indicador de la integridad ecológica en la Reserva de la Biosfera Maya, Guatemala

La Reserva de la Biosfera Maya (RBM) es un área protegida de relevancia nacional, regional y mundial por la diversidad biológica  asociada  y  los  beneficios  que  se  obtienen  de  esta.  En  su  plan  maestro  se  plantea  el  conjunto  de  elementos  de conservación a partir de los cuales se orientan estrategias y se evalúa la efectividad de manejo de dicha reserva, entre los cuales se incluye a Tapirella  bairdii  (tapir), por lo que es importante contar con un monitoreo de esta especie como una  herramienta para la administración de esta reserva. En el 2015 se inició el desarrollo de un protocolo de monitoreo basado en la estimación de  la  probabilidad de  ocupación  y el  presente  estudio constituye  la  continuación de  esta  iniciativa  a  través de la implementación de las  temporadas  de muestreo en 2017 y 2018. Se registró la presencia del tapir en cinco zonas núcleo de la RBM empleando trampas cámara y se estimó la probabilidad de ocupación. Los valores estimados sugieren una relación  de la ocupación con la integridad ecológica, en la cual hay una mayor ocupación en áreas con menor perturbación. Se generaron modelos con cinco covariables relacionadas con amenazas potenciales, sin embargo fue el modelo nulo el que se  seleccionó  de  acuerdo  al  criterio  definido.  Los  resultados  sugieren  que  la  integridad  ecológica  en  las  áreas  de  estudio  está siendo afectada  como consecuencia  de  las presiones antrópicas por lo que  es necesario el  fortalecimiento de  aquellas con menores valores de ocupación.

A pleiotropic missense variant in SLC39A8 is associated with Crohn's disease and human gut microbiome composition

Genome-wide association studies have identified 200 inflammatory bowel disease (IBD) loci, but the genetic architecture of Crohn's disease (CD) and ulcerative colitis remain incompletely defined. Here, we aimed to identify novel associations between IBD and functional genetic variants using the Illumina ExomeChip (San Diego, CA)