Produção agroecológica de mudas e desenvolvimento a campo de couve-chinesa.

O trabalho foi desenvolvido em duas etapas: a produção de mudas de couve-chinesa em bandejas e posterior transplante para o campo, objetivando avaliar o desempenho de diferentes substratos sobre o desenvolvimento da cultura. Para isso determinou-se, tanto na fase de formação das mudas, quanto nas plantas adultas, o comprimento da parte aérea, número de folhas, comprimento da raiz, massa seca da parte aérea, massa seca da raiz e diâmetro do coleto. A etapa de produção de mudas foi conduzida em ambiente protegido, com os seguintes tratamentos: T0 substrato comercial Plantmax® (HA); T1: 100% composto; T2: 95% composto + 2,5% areia + 2,5% pó de rocha; T3: 90% composto + 3% areia + 7% de pó de rocha e T4: 85% composto + 6% areia + 9% pó de rocha. Na produção de mudas, os substratos orgânicos, formulados com 100% e 85% composto, apresentaram melhores resultados, aos 15 e 28 DAS, respectivamente. Os resultados de campo demonstraram que adição de pó de rocha é um fator determinante no desempenho das mudas, sendo os melhores resultados obtidos nas parcelas cultivadas com mudas obtidas nos substratos formulados com 7 e 9% de pó de basalto

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Produção agroecológica de mudas e desenvolvimento a campo de couve-chinesa Agroecological production of seedlings and field development of Chinese cabbage

O trabalho foi desenvolvido em duas etapas: a produção de mudas de couve-chinesa em bandejas e posterior transplante para o campo, objetivando avaliar o desempenho de diferentes substratos sobre o desenvolvimento da cultura. Para isso determinou-se, tanto na fase de formação das mudas, quanto nas plantas adultas, o comprimento da parte aérea, número de folhas, comprimento da raiz, massa seca da parte aérea, massa seca da raiz e diâmetro do coleto. A etapa de produção de mudas foi conduzida em ambiente protegido, com os seguintes tratamentos: T0 substrato comercial Plantmax® (HA); T1: 100% composto; T2: 95% composto + 2,5% areia + 2,5% pó de rocha; T3: 90% composto + 3% areia + 7% de pó de rocha e T4: 85% composto + 6% areia + 9% pó de rocha. Na produção de mudas, os substratos orgânicos, formulados com 100% e 85% composto, apresentaram melhores resultados, aos 15 e 28 DAS, respectivamente. Os resultados de campo demonstraram que adição de pó de rocha é um fator determinante no desempenho das mudas, sendo os melhores resultados obtidos nas parcelas cultivadas com mudas obtidas nos substratos formulados com 7 e 9% de pó de basalto.The research was carried out in two stages: the production of seedlings of chinese cabbage in trays with subsequent transplantation for the field, aiming to evaluate the performance of different substrates on the culture development. For this reason it was determined, both at the stage of formation of the seedlings, as in adult plants the length of the aerial part, number of leaves, root length, dry mass of the aerial part, root dry mass and diameter of the root collar. The experiment was conducted in a protected environment with the following treatments: T0 Plantmax substrate® (HA); T1: 100% compound; T2: 95% compost + 2.5% sand + 2.5% rock powder; T3: 90% compost + 3% sand + 7% powdered rock and T4: 85% compost + 6% sand + 9% rock powder. In the production of seedlings, the organic substrates formulated with 100% and 85% compound, had better results, the 15 and 28, respectively. The results of field have shown that the addition of rock powder is a determinant factor in the performance of seedlings, with the best results in the plots cultivated with seedlings obtained in the substrates formulated with 7 and 9% of basalt powder

Neotropical freshwater fisheries : A dataset of occurrence and abundance of freshwater fishes in the Neotropics

The Neotropical region hosts 4225 freshwater fish species, ranking first among the world's most diverse regions for freshwater fishes. Our NEOTROPICAL FRESHWATER FISHES data set is the first to produce a large-scale Neotropical freshwater fish inventory, covering the entire Neotropical region from Mexico and the Caribbean in the north to the southern limits in Argentina, Paraguay, Chile, and Uruguay. We compiled 185,787 distribution records, with unique georeferenced coordinates, for the 4225 species, represented by occurrence and abundance data. The number of species for the most numerous orders are as follows: Characiformes (1289), Siluriformes (1384), Cichliformes (354), Cyprinodontiformes (245), and Gymnotiformes (135). The most recorded species was the characid Astyanax fasciatus (4696 records). We registered 116,802 distribution records for native species, compared to 1802 distribution records for nonnative species. The main aim of the NEOTROPICAL FRESHWATER FISHES data set was to make these occurrence and abundance data accessible for international researchers to develop ecological and macroecological studies, from local to regional scales, with focal fish species, families, or orders. We anticipate that the NEOTROPICAL FRESHWATER FISHES data set will be valuable for studies on a wide range of ecological processes, such as trophic cascades, fishery pressure, the effects of habitat loss and fragmentation, and the impacts of species invasion and climate change. There are no copyright restrictions on the data, and please cite this data paper when using the data in publications

Grand Challenges in global eye health: a global prioritisation process using Delphi method

Background: We undertook a Grand Challenges in Global Eye Health prioritisation exercise to identify the key issues that must be addressed to improve eye health in the context of an ageing population, to eliminate persistent inequities in health-care access, and to mitigate widespread resource limitations. Methods: Drawing on methods used in previous Grand Challenges studies, we used a multi-step recruitment strategy to assemble a diverse panel of individuals from a range of disciplines relevant to global eye health from all regions globally to participate in a three-round, online, Delphi-like, prioritisation process to nominate and rank challenges in global eye health. Through this process, we developed both global and regional priority lists. Findings: Between Sept 1 and Dec 12, 2019, 470 individuals complete round 1 of the process, of whom 336 completed all three rounds (round 2 between Feb 26 and March 18, 2020, and round 3 between April 2 and April 25, 2020) 156 (46%) of 336 were women, 180 (54%) were men. The proportion of participants who worked in each region ranged from 104 (31%) in sub-Saharan Africa to 21 (6%) in central Europe, eastern Europe, and in central Asia. Of 85 unique challenges identified after round 1, 16 challenges were prioritised at the global level; six focused on detection and treatment of conditions (cataract, refractive error, glaucoma, diabetic retinopathy, services for children and screening for early detection), two focused on addressing shortages in human resource capacity, five on other health service and policy factors (including strengthening policies, integration, health information systems, and budget allocation), and three on improving access to care and promoting equity. Interpretation: This list of Grand Challenges serves as a starting point for immediate action by funders to guide investment in research and innovation in eye health. It challenges researchers, clinicians, and policy makers to build collaborations to address specific challenges. Funding: The Queen Elizabeth Diamond Jubilee Trust, Moorfields Eye Charity, National Institute for Health Research Moorfields Biomedical Research Centre, Wellcome Trust, Sightsavers, The Fred Hollows Foundation, The Seva Foundation, British Council for the Prevention of Blindness, and Christian Blind Mission. Translations: For the French, Spanish, Chinese, Portuguese, Arabic and Persian translations of the abstract see Supplementary Materials section.</p