42 research outputs found

    Trocas gasosas de Eucalyptus camaldulensis Dehnh sob influência de água salobra

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    In view of the increasing expansion of the use of wood and non-timber products from the Eucalyptus genus, the identification and impact caused by the salinity of Brazilian soils in the development and growth of the species are of fundamental importance for a better utilization of salinized areas in the country. In order to contribute to the understanding of this problem, the present work evaluated the effect of different levels of salinity (brackish water) on gas exchange in Eucalyptus camaldulensis Dehnh plants. The levels analyzed were: 0, 50, 100, 200, 400 µM NaCl. A completely randomized design with 10 replicates (plants) was used, in which the gaseous exchanges were evaluated with the aid of a portable photosynthesis meter (IRGA), determined the values of photosynthesis (A), stomatal conductance (gs), rate transpiration (E), the relation between the intercellular and atmospheric concentration of CO² (Ci / Ca) and water use efficiency (WUE). Initially the seedlings did not undergo physiological changes, showing a certain tolerance of the species to high levels of salinity. Reduction in gas exchanges was only more noticeable after reapplication of the salt (after 7 days). Due to the results obtained, high tolerance of the species to salinity is observed.Perante a crescente expansão do uso de produtos madeiráveis e não madeiráveis provindos do gênero Eucalyptus, a identificação e o impacto ocasionado pela salinidade dos solos brasileiros, no desenvolvimento e crescimento da espécie são de fundamental importância para o melhor aproveitamento das áreas salinizadas no país. Visando contribuir para o entendimento desta problemática, o presente trabalho avaliou o efeito de diferentes níveis de salinidade (água salobra) nas trocas gasosas em plantas de Eucalyptus camaldulensis Dehnh. Os níveis analisados foram: 0, 50, 100, 200, 400 µM de NaCl. Utilizou-se o delineamento inteiramente casualizado com 10 repetições (plantas), onde as trocas gasosas foram avaliadas com auxílio de medidor portátil de fotossíntese (IRGA), determinando-se os valores de fotossíntese (A), condutância estomática (gs), taxa transpiratória (E), relação entre a concentração intercelular e atmosférica de CO² (Ci/Ca) e eficiência no uso da água (WUE). Inicialmente as mudas não sofreram alterações fisiológicas, mostrando certa tolerância da espécie aos altos níveis de salinidade. Reduções nas trocas gasosas só foram mais perceptíveis após sete dias, com reaplicação do sal. Pelos resultados obtidos, percebe-se elevada tolerância da espécie à salinidade

    Two-year experience in laparoscopic colorectal surgery in a healthcare service in Salvador: a critical analysis

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    AbstractIntroductionlaparoscopic colorectal surgery has become a viable access route since the beginning of 1990, using Jacobs’ technique. Its outcomes are decrease in hospitalization length, early return to routine activities, better esthetic results and less postoperative pain.Objectiveto report a series of patients treated by a team using videolaparoscopic access route in colorectal surgery.Material and methodsretrospective, descriptive study carried out in Salvador, state of Bahia, Brazil, from April of 2010 to May 2012.Resultsa total of 81 procedures were analyzed; 59.3% of cases were females, mean age was 58.3 years. Benign illness was treated in 48.1% to the patients. Rectosigmoidectomy was carried out in 41.5% and right colectomy in 21%. Intraoperative complications were observed in 3.7% and postoperative in 21% of cases, with a conversion rate of 6.2%.Conclusionthe laparoscopic procedure showed to be safe and the surgeon's training results in better outcomes in this series

    VAAFT - Videoassisted anal fistula treatment: A new approach for anal fistula

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    AbstractIntroductionAnal fistula is an epithelised path between the rectum or anal canal and the perianal region. The use of laparoscopic surgery with a minimally invasive procedure has led to the development of video-assisted surgical treatment of anal fistula.ObjectiveTo describe the surgical technique VAAFT as a new approach to fistula.ConclusionThis is a safe and reproducible procedure. It enables the study of the entire fistula, obtaining the identification of accessory paths, cavitations and of the inner hole. More studies should be published for a better analysis of this technique, as well as to have a long-term outcome with new publications

    Hidrogel e frequências de irrigação na sobrevivência, crescimento e trocas gasosas em Eucalyptus urograndis

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    The objective of this study was to evaluate the effect of the hydrogel on the planting of clonal Eucalyptus urograndis seedlings in pots, related to different water management, to provide information about the hydrogel use efficiency. The experiment was carried out in a forest nursery in a factorial scheme, as factor "A" referred to the absence and presence of hydrogel and factor "B" to water management (0 - irrigation only at planting, 1 - daily, 4 - every 4 days, and 8 - every 8 days). Evaluations of the water stress symptomatology, morphological characteristics, chlorophyll content, soil water content, gas exchange, increase in diameter and height, and dry biomass were performed. The hydrogel provided an increase in water content in the soil and a delay in the symptoms of water stress, increasing the survival rate. Water stress was a limiting factor for stomatal opening, contributing to the decrease in carbon assimilation by photosynthesis.O objetivo do trabalho foi avaliar o efeito do hidrogel no plantio de mudas clonais de Eucalyptus urograndis em vasos, relacionados com diferentes manejos hídricos, buscando fornecer informações sobre a eficiência do uso do hidrogel. O experimento foi conduzido em viveiro florestal, esquema fatorial, em que o fator “A” se referiu à ausência e à presença de hidrogel e o fator “B” ao manejo hídrico (irrigação somente no plantio, 8 dias, 4 dias e diariamente). Foram realizadas avaliações da sintomatologia do estresse hídrico, características morfológicas, teores de clorofila, teor de água no solo, trocas gasosas, incremento em diâmetro e altura e biomassa seca. O hidrogel proporcionou um aumento no teor de água no solo e um atraso nos sintomas de estresse hídrico, aumentando a taxa de sobrevivência. O estresse hídrico foi um fator limitante para a abertura estomática, contribuindo para a queda na assimilação de carbono pela fotossíntese

    Light-emitting diodes (LEDs) in development and response to water stress in Eucalyptus benthamii seedlings (Myrtaceae)

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    ABSTRACT: Plants use light as a source of energy in the process of photosynthesis. Different levels of luminosity cause physiological and morphological changes in the plant, and its success depends on its adaptation to these different levels. Light emitting diodes (LED) have been proposed as a light source in controlled environments. The present research evaluated physiological and morphological aspects in Eucalyptus benthamii (Myrtaceae) seedlings kept under different colors of LED lamps and submitted to water stress. The experiment was carried out in a completely randomized design, in which the treatments were defined as: T1 (control, with white light); T2 (blue light); T3 (red light) and T4 (mixed blue and red light). Red light resulted in the best response to most morphological variables in plant growth. In response to water stress, blue light LEDs resulted in a better seedling response, with slower reduction of photosynthetic rate and other variables. This may indicate the possibility of reducing water deficit damage in seedlings acclimated to blue light prior to field planting

    Rooting of Sequoia sempervirens in function of the pattern of minicuttings, substrates and use of growth regulator

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    Sequoia sempervirens (sequoia) é uma espécie conhecida pela qualidade superior de sua madeira, sendo a produção de mudas por miniestaquia uma alternativa viável. O objetivo do trabalho foi avaliar a posição de coleta, presença ou ausência de folhas aciculares em miniestacas e a produção de mudas cultivadas em diferentes substratos e utilização de AIB. Foram utilizadas miniestacas de diferentes clones, oriundas de minijardim clonal. Para o padrão de miniestacas utilizou-se a porção lignificada, com média lignificação e pouca lignificação, na presença ou ausência de folhas aciculares, avaliando-se um clone. Em relação aos substratos, observou-se o comportamento de três clones e quatro substratos de marcas comerciais. Para o emprego de regulador de crescimento utilizou-se um clone e diferentes concentrações de AIB (0,0 a 5000 mg L-1). As miniestacas foram colocadas para enraizar em estufim e avaliadas aos 90 dias. Todos os experimentos foram instalados em delineamento inteiramente casualizado, com posterior avaliação da porcentagem de sobrevivência; porcentagem de miniestacas com calos; porcentagem de miniestacas enraizadas e número de raízes emitidas por miniestaca enraizada. Miniestacas pouco lignificadas (ápice) com folhas aciculares apresentaram os melhores resultados para sobrevivência (96%) e enraizamento (94%); miniestacas muito lignificadas sem folhas aciculares obtiveram baixo enraizamento (10%). Houve considerável variação de enraizamento entre os substratos (66 a 100%) e o número de raízes foi mais influenciado pelo clone utilizado. Os melhores resultados foram observados naqueles com componentes mais orgânicos. O emprego de AIB na miniestaquia não foi significativo para nenhuma das variáveis analisadas. Miniestacas coletadas em porções apicais e com presença de folhas aciculares mostraram- se mais indicadas para trabalhos com a espécie. Para a seleção do melhor substrato deve-se observar o efeito clonal, priorizando-se substratos com composição mais orgânica. A utilização de AIB não influenciou positivamente o enraizamento de miniestacas, não sendo recomendado o seu uso.Sequoia sempervirens (sequoia) is a species known for the superior quality of its wood, making plants production by minicuttings a viable alternative. The objective of the work was to evaluate the position of collection, presence or absence of acicular leaves in minicuttings and production of plants grown on different substrates and use of IBA. Minicuttings from different clones, from a clonal minigarden, were used. For the minicuttings pattern, use a lignified portion, with medium lignification and little lignification, in the presence or absence of acicular leaves, available if a clone. Regarding substrates, the behavior of three clones and four substrates of commercial brands. For the growth regulator, was used a clone and different concentrations of IBA (0.0 to 5000 mg L-1). Minicuttings were placed to root in mini-tunnel and evaluated at 90 days. All experiments were installed in completely randomized design, with subsequent assessment of the percentage of survival; percentage of minicuttings with calluses; percentage of rooted minicuttings and number of roots emitted by rooted minicuttings. Little lignified minicuttings (apex) with acicular leaves, showed the best results for survival (96%) and rooting (94%); very lignified minicuttings without acicular leaves obtained low rooting (10%). There was considerable variation in rooting between substrates (66 to 100%) and the number of roots was more influenced by the clone used. The best results were observed in those with more organic components. The use of IBA in the minicutting was not significant for any of the variables analyzed. Minicuttings collected in apical portions and with the presence of acicular leaves are more suitable for work with a species. To select the best substrate, must be observe the clonal effect, prioritizing substrates with a more organic composition. The use of IBA in the minicutting was not significant for any of the variables analyzed. Minicuttings collected in apical portions and with the presence of acicular leaves are more suitable for work with a species. To select the best substrate, must be observe the clonal effect, prioritizing substrates with a more organic composition. The use of IBA did not positively influence or reduce minicuttings, it was not recommended or its use

    Enraizamento de Sequoia sempervirens (Cupressaceae) em função do padrão de miniestacas, substratos e regulador de crescimento

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    Sequoia sempervirens (sequoia) is a species known for the superior quality of its wood, making plants production by minicuttings a viable alternative. The objective of the work was to evaluate the position of collection, presence or absence of acicular leaves in minicuttings and production of plants grown on different substrates and use of IBA. Minicuttings from different clones, from a clonal minigarden, were used. For the minicuttings pattern, use a lignified portion, with medium lignification and little lignification, in the presence or absence of acicular leaves, available if a clone. Regarding substrates, the behavior of three clones and four substrates of commercial brands. For the growth regulator, was used a clone and different concentrations of IBA (0.0 to 5000 mg L-1). Minicuttings were placed to root in mini-tunnel and evaluated at 90 days. All experiments were installed in completely randomized design, with subsequent assessment of the percentage of survival; percentage of minicuttings with calluses; percentage of rooted minicuttings and number of roots emitted by rooted minicuttings. Little lignified minicuttings (apex) with acicular leaves, showed the best results for survival (96%) and rooting (94%); very lignified minicuttings without acicular leaves obtained low rooting (10%). There was considerable variation in rooting between substrates (66 to 100%) and the number of roots was more influenced by the clone used. The best results were observed in those with more organic components. The use of IBA in the minicutting was not significant for any of the variables analyzed. Minicuttings collected in apical portions and with the presence of acicular leaves are more suitable for work with a species. To select the best substrate, must be observe the clonal effect, prioritizing substrates with a more organic composition. The use of IBA did not positively influence or reduce minicuttings, it was not recommended or its use.Sequoia sempervirens (sequoia) é uma espécie conhecida pela qualidade superior de sua madeira, sendo a produção de mudas por miniestaquia uma alternativa viável. O objetivo do trabalho foi avaliar a posição de coleta, presença ou ausência de folhas aciculares em miniestacas e a produção de mudas cultivadas em diferentes substratos e utilização de AIB. Foram utilizadas miniestacas de diferentes clones, oriundas de minijardim clonal. Para o padrão de miniestacas utilizou-se a porção lignificada, com média lignificação e pouca lignificação, na presença ou ausência de folhas aciculares, avaliando-se um clone. Em relação aos substratos, observou-se o comportamento de três clones e quatro substratos de marcas comerciais. Para o emprego de regulador de crescimento utilizou-se um clone e diferentes concentrações de AIB (0,0 a 5000 mg L-1). As miniestacas foram colocadas para enraizar em estufim e avaliadas aos 90 dias. Todos os experimentos foram instalados em delineamento inteiramente casualizado, com posterior avaliação da porcentagem de sobrevivência; porcentagem de miniestacas com calos; porcentagem de miniestacas enraizadas e número de raízes emitidas por miniestaca enraizada. Miniestacas pouco lignificadas (ápice) com folhas aciculares apresentaram os melhores resultados para sobrevivência (96%) e enraizamento (94%); miniestacas muito lignificadas sem folhas aciculares obtiveram baixo enraizamento (10%). Houve considerável variação de enraizamento entre os substratos (66 a 100%) e o número de raízes foi mais influenciado pelo clone utilizado. Os melhores resultados foram observados naqueles com componentes mais orgânicos. O emprego de AIB na miniestaquia não foi significativo para nenhuma das variáveis analisadas. Miniestacas coletadas em porções apicais e com presença de folhas aciculares mostraram-se mais indicadas para trabalhos com a espécie. Para a seleção do melhor substrato deve-se observar o efeito clonal, priorizando-se substratos com composição mais orgânica. A utilização de AIB não influenciou positivamente o enraizamento de miniestacas, não sendo recomendado o seu uso

    Erratum: Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017

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    Interpretation: By quantifying levels and trends in exposures to risk factors and the resulting disease burden, this assessment offers insight into where past policy and programme efforts might have been successful and highlights current priorities for public health action. Decreases in behavioural, environmental, and occupational risks have largely offset the effects of population growth and ageing, in relation to trends in absolute burden. Conversely, the combination of increasing metabolic risks and population ageing will probably continue to drive the increasing trends in non-communicable diseases at the global level, which presents both a public health challenge and opportunity. We see considerable spatiotemporal heterogeneity in levels of risk exposure and risk-attributable burden. Although levels of development underlie some of this heterogeneity, O/E ratios show risks for which countries are overperforming or underperforming relative to their level of development. As such, these ratios provide a benchmarking tool to help to focus local decision making. Our findings reinforce the importance of both risk exposure monitoring and epidemiological research to assess causal connections between risks and health outcomes, and they highlight the usefulness of the GBD study in synthesising data to draw comprehensive and robust conclusions that help to inform good policy and strategic health planning

    Burden of disease scenarios for 204 countries and territories, 2022–2050: a forecasting analysis for the Global Burden of Disease Study 2021

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    Background: Future trends in disease burden and drivers of health are of great interest to policy makers and the public at large. This information can be used for policy and long-term health investment, planning, and prioritisation. We have expanded and improved upon previous forecasts produced as part of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) and provide a reference forecast (the most likely future), and alternative scenarios assessing disease burden trajectories if selected sets of risk factors were eliminated from current levels by 2050. Methods: Using forecasts of major drivers of health such as the Socio-demographic Index (SDI; a composite measure of lag-distributed income per capita, mean years of education, and total fertility under 25 years of age) and the full set of risk factor exposures captured by GBD, we provide cause-specific forecasts of mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) by age and sex from 2022 to 2050 for 204 countries and territories, 21 GBD regions, seven super-regions, and the world. All analyses were done at the cause-specific level so that only risk factors deemed causal by the GBD comparative risk assessment influenced future trajectories of mortality for each disease. Cause-specific mortality was modelled using mixed-effects models with SDI and time as the main covariates, and the combined impact of causal risk factors as an offset in the model. At the all-cause mortality level, we captured unexplained variation by modelling residuals with an autoregressive integrated moving average model with drift attenuation. These all-cause forecasts constrained the cause-specific forecasts at successively deeper levels of the GBD cause hierarchy using cascading mortality models, thus ensuring a robust estimate of cause-specific mortality. For non-fatal measures (eg, low back pain), incidence and prevalence were forecasted from mixed-effects models with SDI as the main covariate, and YLDs were computed from the resulting prevalence forecasts and average disability weights from GBD. Alternative future scenarios were constructed by replacing appropriate reference trajectories for risk factors with hypothetical trajectories of gradual elimination of risk factor exposure from current levels to 2050. The scenarios were constructed from various sets of risk factors: environmental risks (Safer Environment scenario), risks associated with communicable, maternal, neonatal, and nutritional diseases (CMNNs; Improved Childhood Nutrition and Vaccination scenario), risks associated with major non-communicable diseases (NCDs; Improved Behavioural and Metabolic Risks scenario), and the combined effects of these three scenarios. Using the Shared Socioeconomic Pathways climate scenarios SSP2-4.5 as reference and SSP1-1.9 as an optimistic alternative in the Safer Environment scenario, we accounted for climate change impact on health by using the most recent Intergovernmental Panel on Climate Change temperature forecasts and published trajectories of ambient air pollution for the same two scenarios. Life expectancy and healthy life expectancy were computed using standard methods. The forecasting framework includes computing the age-sex-specific future population for each location and separately for each scenario. 95% uncertainty intervals (UIs) for each individual future estimate were derived from the 2·5th and 97·5th percentiles of distributions generated from propagating 500 draws through the multistage computational pipeline. Findings: In the reference scenario forecast, global and super-regional life expectancy increased from 2022 to 2050, but improvement was at a slower pace than in the three decades preceding the COVID-19 pandemic (beginning in 2020). Gains in future life expectancy were forecasted to be greatest in super-regions with comparatively low life expectancies (such as sub-Saharan Africa) compared with super-regions with higher life expectancies (such as the high-income super-region), leading to a trend towards convergence in life expectancy across locations between now and 2050. At the super-region level, forecasted healthy life expectancy patterns were similar to those of life expectancies. Forecasts for the reference scenario found that health will improve in the coming decades, with all-cause age-standardised DALY rates decreasing in every GBD super-region. The total DALY burden measured in counts, however, will increase in every super-region, largely a function of population ageing and growth. We also forecasted that both DALY counts and age-standardised DALY rates will continue to shift from CMNNs to NCDs, with the most pronounced shifts occurring in sub-Saharan Africa (60·1% [95% UI 56·8–63·1] of DALYs were from CMNNs in 2022 compared with 35·8% [31·0–45·0] in 2050) and south Asia (31·7% [29·2–34·1] to 15·5% [13·7–17·5]). This shift is reflected in the leading global causes of DALYs, with the top four causes in 2050 being ischaemic heart disease, stroke, diabetes, and chronic obstructive pulmonary disease, compared with 2022, with ischaemic heart disease, neonatal disorders, stroke, and lower respiratory infections at the top. The global proportion of DALYs due to YLDs likewise increased from 33·8% (27·4–40·3) to 41·1% (33·9–48·1) from 2022 to 2050, demonstrating an important shift in overall disease burden towards morbidity and away from premature death. The largest shift of this kind was forecasted for sub-Saharan Africa, from 20·1% (15·6–25·3) of DALYs due to YLDs in 2022 to 35·6% (26·5–43·0) in 2050. In the assessment of alternative future scenarios, the combined effects of the scenarios (Safer Environment, Improved Childhood Nutrition and Vaccination, and Improved Behavioural and Metabolic Risks scenarios) demonstrated an important decrease in the global burden of DALYs in 2050 of 15·4% (13·5–17·5) compared with the reference scenario, with decreases across super-regions ranging from 10·4% (9·7–11·3) in the high-income super-region to 23·9% (20·7–27·3) in north Africa and the Middle East. The Safer Environment scenario had its largest decrease in sub-Saharan Africa (5·2% [3·5–6·8]), the Improved Behavioural and Metabolic Risks scenario in north Africa and the Middle East (23·2% [20·2–26·5]), and the Improved Nutrition and Vaccination scenario in sub-Saharan Africa (2·0% [–0·6 to 3·6]). Interpretation: Globally, life expectancy and age-standardised disease burden were forecasted to improve between 2022 and 2050, with the majority of the burden continuing to shift from CMNNs to NCDs. That said, continued progress on reducing the CMNN disease burden will be dependent on maintaining investment in and policy emphasis on CMNN disease prevention and treatment. Mostly due to growth and ageing of populations, the number of deaths and DALYs due to all causes combined will generally increase. By constructing alternative future scenarios wherein certain risk exposures are eliminated by 2050, we have shown that opportunities exist to substantially improve health outcomes in the future through concerted efforts to prevent exposure to well established risk factors and to expand access to key health interventions
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