Peritonitis and catheter exit-site infection in patients on peritoneal dialysis at home

Objective: to analyze the complications related to peritonitis and catheter exit-site infections, in patients on peritoneal dialysis at home.Method: quantitative and cross-sectional study, carried out with 90 patients on peritoneal dialysis at home, in a municipality in the Northeast region of Brazil. For data collection, it was used two structured scripts and consultation on medical records. Descriptive analysis and comparison tests among independent groups were used, considering p<0.05 as level of statistical significance.Results: by comparing the frequency of peritonitis and the length of treatment, it was found that patients over two years of peritoneal dialysis were more likely to develop peritonitis (X²=6.39; p=0.01). The number of episodes of peritoneal catheter exit-site infection showed association with the length of treatment (U=224,000; p=0.015).Conclusion: peritonitis and catheter exit-site infection are associated with the length of treatment

MicroRNA expression as risk biomarker of breast cancer metastasis : a pilot retrospective case-cohort study

Background: MicroRNAs (miRNAs) are small, non-coding RNA molecules involved in post-transcriptional gene regulation and have recently been shown to play a role in cancer metastasis. In solid tumors, especially breast cancer, alterations in miRNA expression contribute to cancer pathogenesis, including metastasis. Considering the emerging role of miRNAs in metastasis, the identification of predictive markers is necessary to further the understanding of stage-specific breast cancer development. This is a retrospective analysis that aimed to identify molecular biomarkers related to distant breast cancer metastasis development. Methods: A retrospective case cohort study was performed in 64 breast cancer patients treated during the period from 1998-2001. The case group (n = 29) consisted of patients with a poor prognosis who presented with breast cancer recurrence or metastasis during follow up. The control group (n = 35) consisted of patients with a good prognosis who did not develop breast cancer recurrence or metastasis. These patient groups were stratified according to TNM clinical stage (CS) I, II and III, and the main clinical features of the patients were homogeneous. MicroRNA profiling was performed and biomarkers related to metastatic were identified independent of clinical stage. Finally, a hazard risk analysis of these biomarkers was performed to evaluate their relation to metastatic potential. Results: MiRNA expression profiling identified several miRNAs that were both specific and shared across all clinical stages (p <= 0.05). Among these, we identified miRNAs previously associated with cell motility (let-7 family) and distant metastasis (hsa-miR-21). In addition, hsa-miR-494 and hsa-miR-21 were deregulated in metastatic cases of CSI and CSII. Furthermore, metastatic miRNAs shared across all clinical stages did not present high sensitivity and specificity when compared to specific-CS miRNAs. Between them, hsa-miR-183 was the most significative of CSII, which miRNAs combination for CSII (hsa-miR-494, hsa-miR-183 and hsa-miR-21) was significant and were a more effective risk marker compared to the single miRNAs. Conclusions: Women with metastatic breast cancer, especially CSII, presented up-regulated levels of miR-183, miR-494 and miR-21, which were associated with a poor prognosis. These miRNAs therefore represent new risk biomarkers of breast cancer metastasis and may be useful for future targeted therapies.We thank the Researcher Support Center of Barretos Cancer Hospital, especially the statistician Zanardo C. for assisting in the statistical analysis.This study received financial support from Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (Fapesp, Proc: 10/ 16796-0, Sao Paulo, Brazil)

How effective is direct seeding to restore the functional composition of neotropical savannas?

This is the author accepted manuscript. The final version is available from Wiley / Society for Ecological Restoration International via the DOI in this record.Species loss leads to changes in ecosystem function and services, impacting human well-being. Although biodiversity restoration is pivotal to circumvent this situation, the techniques for restoring old-growth savannas are still limited and the restoration outcomes remain unpredictable. Here, we use a trait-based approach to understand the functional outcomes of ecological restoration via direct seeding in a Brazilian savanna (cerrado, hereafter neotropical savanna). We compared the functional composition from woody and non-woody component, total biomass and biomass allocation of a restored relative to a degraded savanna (abandoned pasture) dominated by exotic grasses and a well-preserved old-growth native savanna. We found that the functional composition of restored communities was very similar to those dominated by exotic grasses, both characterized by a greater dominance of species with acquisitive traits, higher above-ground biomass, and lower investment in root biomass. In contrast, the native vegetation exhibited a dominance of conservative traits and higher investment in belowground rather than aboveground biomass. Even though the acquisitive traits in the restored savanna allow a fast aboveground biomass accumulation and soil cover, the lower belowground biomass investment in the restored savanna may limit its resistance and resilience to droughts and fires. Our findings suggest that restoration efforts in neotropical savanna should focus on fostering the establishment of slow-growing species to recover the ecosystem properties provided by the high biodiversity in neotropical savannas.Natural Environment Research Council (NERC)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior-Brasi