Avaliação do modelo CANEGRO/DSSAT para quatro cultivares de cana-de-açúcar.

A parametrização do modelo DSSAT/CANEGRO para a realidade brasileira é de grande importância para a obtenção de uma ferramenta para o monitoramento de safras agrícolas e para a elaboração de cenários agrícolas futuros. O presente trabalho enfocou as cultivares R570, NCo376, RB72-454 e SP83-2847 nas condições de Piracicaba/SP. Os dados biométricos foram coletados no Centro de Tecnologia Canavieira, comparando-se os valores observados com as simulações para as seguintes variáveis: perfilhamento, altura de colmo, IAF, número de folhas verdes; e a fitomassa da parte aérea. O modelo apresentou resultados satisfatórios para todas as cultivares testadas, com exceção da NCo376, para a qual houve subestimativa da massa seca da parte aérea (-32%) e índice de área foliar (-13%).CBA 2009

Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): study protocol for a randomized controlled trial

BACKGROUND: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). METHODS/DESIGN: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH2O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure 6430 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. DISCUSSION: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration metho

Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial

Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure <= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt

Crescimento e produtividade agrícola de cana-de-açúcar em diferentes fontes de fósforo Growth and yield of sugarcane under different phosphorus sources

Com o objetivo de avaliar o crescimento e a produtividade agrícola da cana-planta em diferentes fontes de fósforo, conduziu-se um experimento de campo em Coruripe, AL, com 10 tratamentos: 1. Testemunha; 2. NK + micro; 3. Superfosfato simples (SS); 4. Superfosfato triplo (ST); 5. Fosmag; 6. Gafsa; 7. MAP; 8. Fórmula 06-26-24 (460 kg ha-1); 9. Composto e 10. SSP - parcelado. O delineamento estatístico foi em blocos ao acaso com 4 repetições. Avaliaram-se: população de perfilhos, altura de plantas, Índice de Área Foliar (IAF), taxa de crescimento do colmo, taxa de produção de matéria fresca do colmo, taxa de crescimento relativo, rendimento agrícola e as concentrações foliares de P e os níveis disponíveis no solo. As fontes de fósforo não influenciaram o crescimento da cana-planta em função do efeito residual, proveniente de adubações anteriores, mas proporcionaram produtividades médias superiores a 80 t ha-1. O ST proporcionou o melhor rendimento agrícola na cana-planta a qual, por sua vez, apresentou três fases de crescimento: 1ª fase: intenso perfilhamento até 120 DAP; 2ª fase: grande crescimento de 120 a 240 DAP e 3ª fase: maturação dos 240 aos 360 DAP. As maiores taxas de crescimento e produção de matéria fresca do colmo ocorreram logo após a fase de intenso perfilhamento entre 120 e 240 DAP.<br>This work had as its objective in the evaluation of the growth and production of the sugarcare plant under different phosphorus sources. The experiment was carried out in Coruripe, AL, Brazil with 10 fertilizer treatments: 1) Control; 2) NK + micronutrient; 3) Super Phosphate Simple; 4) Triple Super Phosphate; 5) Fosmag; 6) Gafsa; 7) MAP; 8) NPK 06-26-24 (460 kg ha-1); 9) Compost and 10) Simple Super Phosphate - splitdose. The experiment was in random blocks, with four replicates. Parameters evaluated were: number of tillers, height of plants, IAF, rate of stalk growth, rate of biomass production of the stalk, relative growth rate, production and P in leaf and available in soil. P sources did not show any significant influence upon the growth of cane-plant due to the residual effect of previous manuring, with average yield of 80 t ha-1. The triple super phosphate produced the best production in the cane-plant, which presented three growth phases: 1st phase: intense tillering until 120 days after planting (DAP); 2nd phase:intense growth between 120 and 240 DAP; and 3rd phase: maturation, between 240 and 360 DAP. The major growth rate and fresh matter stalk production occurred after intense tillering phase between 120 and 240 DAP

Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial

Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure <= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.13Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt