Vitamina B12: análise da relação entre sinais e sintomas de vegetarianos e não vegetarianos / Vitamin B12: analysis of the relationship between signs and symptoms in vegetarians and non-vegetarians

A vitamina B12 é vital para o bom funcionamento do organismo e sua deficiência pode levar a uma grande variedade de sintomas físicos e mentais, podendo acometer vegetarianos pelo fato de a principal fonte dessa vitamina ser de alimentos de origem animal. Mas a deficiência de B12 em onívoros é mais comum do que se é divulgado, porque ainda não há um consenso da sua importância entre os profissionais de saúde pois constantemente encontram dificuldades em determinar o tratamento adequado. O objetivo deste trabalho foi refletir sobre os sinais e sintomas da deficiência da vitamina B12 em indivíduos vegetarianos e os que seguem a dieta onívora. Participaram da pesquisa pessoas de ambos os sexos com idade entre 18 e 85 anos residentes em várias regiões brasileiras, sendo 53 voluntários, 26 vegetarianos e 27 não vegetarianos. A coleta de dados foi realizada por meio de redes sociais, onde encontram-se comunidades relacionadas ao tema e por meio de aplicativos de mensagens. O estudo é uma pesquisa de campo do tipo descritivo transversal. Os participantes responderam um questionário e as respostas foram relacionadas com os exames laboratoriais solicitados. A faixa etária que apresentou menor média da vitamina foi entre 31 a 40 anos e a maior foi de 56 a 70 anos. Entre os participantes, 90,7 % apresentaram algum sintoma neurológico ou físico como fadiga, lapso de memória, sonolência frequente, dificuldade de concentração. A maior média de vitamina b12 encontrada foi no grupo de vegetarianos com 483,3 pg/mL, o que foi associado a grande parte da amostra desse grupo fazer uso de suplementação (n=20), a média dos onívoros foi de 369,1pg/mL. Apenas 3 participantes (n=3) apresentaram algum tipo de anemia. Em relação ao conhecimento dos participantes sobre a cobalamina, 7,5% responderam corretamente às opções apresentadas. Entre participantes do presente estudo, 73,6% relataram nunca terem sido orientados por nenhum médico ou nutricionista sobre os riscos da deficiência da vitamina B12.A falta de conhecimento e orientações, assim como diagnósticos incorretos, podem levar o indivíduo a sofrer com sinais e sintomas. Dessa forma, a pesquisa reforça a fundamental importância de um acompanhamento profissional e assim evitar futuras doenças e deficiências nutricionais, principalmente aquelas relacionadas à vitamina B12. 

Sugarcane: Organo-Mineral Fertilizers and Biostimulants

The combined application of organic fertilizer with mineral fertilizer increases the yield of sugarcane. It promotes greater residual beneficial effect in relation to the use of each fertilizer in isolation. The organo-mineral fertilizer presents gradual solubilization during the period of development of the crop. Thus, when compared to soluble mineral sources, its agronomic efficiency may be higher. Various types of organic material can be used, such as pig manure, poultry litter, filter cake and sewage sludge, among others. Organic matter is responsible for maintaining and increasing soil porosity to improve water retention and to ensure soil microbial balance. The efficiency in nourishing the sugarcane crops or availing the available nutrients is maximized. The use of biostimulants in world agriculture has achieved significant growth rates in the last decades. Hormone compounds ensure the sustainability of crops. It can be an alternative to improve plant nutrition, support of abiotic and biotic stresses. They act in the activation and potentiation of the metabolism of the cells, give more vigor to the immune system and help to enable the physiological processes in the different stages of development. The emergence and use of new technologies is the way to achieve greater productivity, sustainability and profitability

Genetic variability of Leishmania (Leishmania) infantum causing human visceral leishmaniasis in the Southeastern Brazil

Leishmania infantum is a protozoan that causes visceral leishmaniasis (VL) in the Americas and some regions of Europe. The disease is mainly characterized by hepatosplenomegaly and fever, and can be fatal. Factors related to the host and parasite can contribute to the transmission of Leishmania and the clinical outcome. The intraspecific genetic variability of L. infantum strains may be one of these factors. In this study, we evaluated the genetic variability of L. infantum obtained from bone marrow smear slides from patients in the Sao Paulo State, Brazil. For this, the minicircle of the kDNA hypervariable region was used as target by Sanger sequencing. By analyzing the similarity of the nucleotides and the maximum likelihood tree (Fasttree), we observed a high similarity (98%) among samples. Moreover, we identified four different profiles of L. infantum. In conclusion, L. infantum strains from Sao Paulo State, Brazil, showed low diversity measured by minicircle of the kDNA hypervariable region

Extramedullary Plasmacytoma Diagnosed in an HIV-Positive Patient by an Unusual Clinical Presentation

The aim of this paper is to describe a case report of EMP in an HIV-positive patient. A 44-year-old, dark-skinned HIV-infected woman was referred to the Oral Diseases Treatment Center with a swelling at palate and left gingival fornix in the maxilla. Biopsy was taken and the oral lesion was diagnosed as EMP with well-differentiated plasma cells and restriction of the lambda light-chain. Skeletal survey was performed and no radiograph alterations were observed, thus supporting the diagnosis of EMP. Patient was referred to treatment and after two months of chemo and radiotherapy, an expanding lesion was observed in L5/S1 patient’s vertebrae. Biopsy of the spinal lesion was consistent with lymphoma with plasmocitary differentiation, supporting the diagnosis of multiple myeloma (MM). Regarding the medical history, the final diagnostic was an oral extramedullary plasmacytoma with rapid progression into multiple myeloma. It is crucial to emphasize the relevance of HIV infection as a risk factor for both aggressive clinical behavior and unusual clinical presentation of extramedullary plasmacytoma cases

Rarity of monodominance in hyperdiverse Amazonian forests.

Tropical forests are known for their high diversity. Yet, forest patches do occur in the tropics where a single tree species is dominant. Such "monodominant" forests are known from all of the main tropical regions. For Amazonia, we sampled the occurrence of monodominance in a massive, basin-wide database of forest-inventory plots from the Amazon Tree Diversity Network (ATDN). Utilizing a simple defining metric of at least half of the trees ≥ 10 cm diameter belonging to one species, we found only a few occurrences of monodominance in Amazonia, and the phenomenon was not significantly linked to previously hypothesized life history traits such wood density, seed mass, ectomycorrhizal associations, or Rhizobium nodulation. In our analysis, coppicing (the formation of sprouts at the base of the tree or on roots) was the only trait significantly linked to monodominance. While at specific locales coppicing or ectomycorrhizal associations may confer a considerable advantage to a tree species and lead to its monodominance, very few species have these traits. Mining of the ATDN dataset suggests that monodominance is quite rare in Amazonia, and may be linked primarily to edaphic factors

Geographic patterns of tree dispersal modes in Amazonia and their ecological correlates

Unidad de excelencia María de Maeztu CEX2019-000940-MAim: To investigate the geographic patterns and ecological correlates in the geographic distribution of the most common tree dispersal modes in Amazonia (endozoochory, synzoochory, anemochory and hydrochory). We examined if the proportional abundance of these dispersal modes could be explained by the availability of dispersal agents (disperser-availability hypothesis) and/or the availability of resources for constructing zoochorous fruits (resource-availability hypothesis). Time period: Tree-inventory plots established between 1934 and 2019. Major taxa studied: Trees with a diameter at breast height (DBH) ≥ 9.55 cm. Location: Amazonia, here defined as the lowland rain forests of the Amazon River basin and the Guiana Shield. Methods: We assigned dispersal modes to a total of 5433 species and morphospecies within 1877 tree-inventory plots across terra-firme, seasonally flooded, and permanently flooded forests. We investigated geographic patterns in the proportional abundance of dispersal modes. We performed an abundance-weighted mean pairwise distance (MPD) test and fit generalized linear models (GLMs) to explain the geographic distribution of dispersal modes. Results: Anemochory was significantly, positively associated with mean annual wind speed, and hydrochory was significantly higher in flooded forests. Dispersal modes did not consistently show significant associations with the availability of resources for constructing zoochorous fruits. A lower dissimilarity in dispersal modes, resulting from a higher dominance of endozoochory, occurred in terra-firme forests (excluding podzols) compared to flooded forests. Main conclusions: The disperser-availability hypothesis was well supported for abiotic dispersal modes (anemochory and hydrochory). The availability of resources for constructing zoochorous fruits seems an unlikely explanation for the distribution of dispersal modes in Amazonia. The association between frugivores and the proportional abundance of zoochory requires further research, as tree recruitment not only depends on dispersal vectors but also on conditions that favour or limit seedling recruitment across forest types

Mapping density, diversity and species-richness of the Amazon tree flora

Using 2.046 botanically-inventoried tree plots across the largest tropical forest on Earth, we mapped tree species-diversity and tree species-richness at 0.1-degree resolution, and investigated drivers for diversity and richness. Using only location, stratified by forest type, as predictor, our spatial model, to the best of our knowledge, provides the most accurate map of tree diversity in Amazonia to date, explaining approximately 70% of the tree diversity and species-richness. Large soil-forest combinations determine a significant percentage of the variation in tree species-richness and tree alpha-diversity in Amazonian forest-plots. We suggest that the size and fragmentation of these systems drive their large-scale diversity patterns and hence local diversity. A model not using location but cumulative water deficit, tree density, and temperature seasonality explains 47% of the tree species-richness in the terra-firme forest in Amazonia. Over large areas across Amazonia, residuals of this relationship are small and poorly spatially structured, suggesting that much of the residual variation may be local. The Guyana Shield area has consistently negative residuals, showing that this area has lower tree species-richness than expected by our models. We provide extensive plot meta-data, including tree density, tree alpha-diversity and tree species-richness results and gridded maps at 0.1-degree resolution

Geography and ecology shape the phylogenetic composition of Amazonian tree communities

Aim: Amazonia hosts more tree species from numerous evolutionary lineages, both young and ancient, than any other biogeographic region. Previous studies have shown that tree lineages colonized multiple edaphic environments and dispersed widely across Amazonia, leading to a hypothesis, which we test, that lineages should not be strongly associated with either geographic regions or edaphic forest types. Location: Amazonia. Taxon: Angiosperms (Magnoliids; Monocots; Eudicots). Methods: Data for the abundance of 5082 tree species in 1989 plots were combined with a mega-phylogeny. We applied evolutionary ordination to assess how phylogenetic composition varies across Amazonia. We used variation partitioning and Moran\u27s eigenvector maps (MEM) to test and quantify the separate and joint contributions of spatial and environmental variables to explain the phylogenetic composition of plots. We tested the indicator value of lineages for geographic regions and edaphic forest types and mapped associations onto the phylogeny. Results: In the terra firme and várzea forest types, the phylogenetic composition varies by geographic region, but the igapó and white-sand forest types retain a unique evolutionary signature regardless of region. Overall, we find that soil chemistry, climate and topography explain 24% of the variation in phylogenetic composition, with 79% of that variation being spatially structured (R$^{2}$ = 19% overall for combined spatial/environmental effects). The phylogenetic composition also shows substantial spatial patterns not related to the environmental variables we quantified (R$^{2}$ = 28%). A greater number of lineages were significant indicators of geographic regions than forest types. Main Conclusion: Numerous tree lineages, including some ancient ones (>66 Ma), show strong associations with geographic regions and edaphic forest types of Amazonia. This shows that specialization in specific edaphic environments has played a long-standing role in the evolutionary assembly of Amazonian forests. Furthermore, many lineages, even those that have dispersed across Amazonia, dominate within a specific region, likely because of phylogenetically conserved niches for environmental conditions that are prevalent within regions