Boron toxicity in Lemna gibba

Total soluble phenols and total chlorophylls content, changes of biomass and concentration factor in Lemna gibba exposed to different concentrations of boron were measured. Day six soluble phenols showed significant differences in treatment with 10 mg/L of boron. At day ten, chlorophylls content in treatment 2 mg/L concentration increased respect to other experimental groups and control group, there were no significant differences. Biomass of Lemna gibba decreased significant in treatments with 1.5 and 2.5 mg/L treatments of boron. The highest Bioconcentration factor was found in 0.25 mg/L of boron, this accumulation is not relevant. Lemna gibba showed tolerance in the presence of boron in concentrations used here. Suggesting that this aquatic macrophyte could be used for tertiary treatment and the possible renewal wastewater contaminated with boron

Bicytopenia and leukoerythroblastosis: a rare initial presentation of signet ring cell gastric adenocarcinoma

Gastric adenocarcinoma is a common neoplasia and is responsible for up to 30% of the overall deaths due to cancer. Advanced disease is mostly characterized by peritoneum, liver, and lung involvement. The spread of the disease to the bone is rare, and bone marrow dissemination is even rarer. In this setting, leukoerythroblastosis may be the initial manifestation of the disease. The authors report the case of a 64-year-old Caucasian man who sought medical care complaining of back pain, weakness, and weight loss. The physical examination revealed pallor, and the laboratory work-up depicted severe anemia and thrombocytopenia; the peripheral blood smear was consistent with leukoerythroblastosis. The ongoing investigation through a bone marrow biopsy showed massive involvement of the bone marrow by a signet ring cell adenocarcinoma. During hospitalization, the patient presented melena, and an upper digestive endoscopy depicted an ulcerated and infiltrative lesion in the cardia, upon which the histological examination revealed a signet ring cell adenocarcinoma. This case highlights the bone marrow invasion represented by bicytopenia and leukoerythroblastosis as the initial manifestation of this histological type of gastric cancer. Although treatment attempts were made with chemotherapy and radiotherapy, the patient died early on, showing the aggressive behavior of this form of tumoral presentatio

Características epidemiológicas del SARS-Cov-2 y consideraciones en el manejo odontológico A epidemiological characteristics of SARS-Cov-2 and aspects of dental management

 Despite the measures implemented worldwide, the spread of the new SARS-CoV-2 coronavirus is on the rise, which is why it is important to know the characteristics of the disease, as well as different considerations to take into account in dental clinical management. This pandemic obliges all health professionals to know their epidemiological characteristics, in order to generate preventive measures and care protocols that are necessary and important in these cases, respecting the biosafety regulations in order to avoid contagions between patient-professionals and professionals-patients. In the dental area, most clinical procedures are related to the direct contact of aerosols,  which are a considerable source of contamination, which is why in this work a review of the epidemiological aspects of COVID-19 and the care to be taken in dental care.  A pesar de las medidas implementadas a nivel mundial, el contagio por el nuevo coronavirus SARS-CoV-2 va en aumento, de ahí que es trascendental conocer las características de la enfermedad, así como diferentes consideraciones a tener en el manejo clínico odontológico. Esta pandemia obliga a todos los profesionales de la salud a conocer sus particularidades epidemiológicas, para así generar medidas de prevención y protocolos de atención necesarios e importantes en estos casos, respetando las normas de bioseguridad con la finalidad de evitar contagios entre paciente-profesional y viceversa. En el área odontológica la mayoría de procedimientos clínicos están relacionados con el contacto directo de aerosoles, que son una fuente considerable de contaminación, de ahí que en el presente trabajo se realiza una revisión de los aspectos epidemiológicos del COVID-19 y los cuidados a tomar en la atención odontológica. 

Estrés parental y sus dimensiones en Unidades de Cuidado Intensivo Neonatal – Pediátrica: Revisión Narrativa

The hospitalization of a minor is a stressful event for the entire family group, where parents are more affected due to the alteration of their role. Objective: To determine the level of stress and dimensions that most affect the parents of minors hospitalized in Units of Neonatal-Pediatric Intensive Care and the description of interventions for its reduction. Method: The bibliographic search was carried out in the Web of Science, Scopus, Virtual Health Library, EBSCO and SciELO databases. The descriptors used were "psychological stress", "intensive care units" and "parents". Initially, 250 articles were selected, of which 214 were discarded by exclusion criteria. After critical reading of 35 articles, 17 were finally selected. Main Results: The experience of hospitalization of a son or daughter in these units is stressful for the parents. where a moderate level of stress is mostly seen in the parents, where the difference between the sexes is not significant. The most stressful dimensions were the alteration of the parental role and appearance and behavior of the baby, finding successful interventions to reduce parental stress. General Conclusions: there is a shortage of research in Pediatric Intensive Care Unit, being interesting to study in depth the cultural characteristics of parental stress. The nursing professional must take care of the parents as part of their work, through interventions such as empathic communication and favoring their active participation, allowing parents to participate in some care of their son or daughter.La hospitalización de un menor es un evento estresante para todo el grupo familiar, donde los padres se ven más afectados debido a la alteración de su rol. Objetivo: Determinar el nivel de estrés y dimensiones que más afectan a los padres de menores hospitalizados en Unidades de Cuidados Intensivos neonatales-pediátricos y la descripción de intervenciones para su disminución. Método: La búsqueda bibliográfica se realizó en las bases de datos Web of Science, Scopus, Biblioteca Virtual en Salud, EBSCO y SciELO. Los descriptores utilizados fueron “estrés psicológico”, “unidades de cuidado intensivo” y “padres”. Inicialmente se seleccionaron 250 artículos, de los cuales fueron descartados por criterios de exclusión 214. Tras la lectura crítica de 35 artículos finalmente se seleccionaron 17. Resultados principales: La experiencia de la hospitalización de un hijo o hija en estas unidades es estresante para los padres, donde se visualiza mayoritariamente un moderado nivel de estrés en los padres, donde la diferencia entre sexos no es significativa. Las dimensiones más estresantes fueron la alteración del rol parental y apariencia y comportamiento del bebé, encontrando intervenciones exitosas para disminuir el estrés parental. Conclusiones generales: Existe escasez de investigaciones en Unidades de Cuidados Intensivos pediátricos, siendo interesante estudiar en profundidad las características culturales en el estrés parental. El profesional de enfermería debe asumir como parte de sus labores el cuidado de los padres, a través de intervenciones como la comunicación empática y favoreciendo su participación activa, permitiendo que los padres puedan participar en algunos cuidados de su hijo o hija

Bicytopenia and leukoerythroblastosis: a rare initial presentation of signet ring cell gastric adenocarcinoma

Gastric adenocarcinoma is a common neoplasia and is responsible for up to 30% of the overall deaths due to cancer. Advanced disease is mostly characterized by peritoneum, liver, and lung involvement. The spread of the disease to the bone is rare, and bone marrow dissemination is even rarer. In this setting, leukoerythroblastosis may be the initial manifestation of the disease. The authors report the case of a 64-year-old Caucasian man who sought medical care complaining of back pain, weakness, and weight loss. The physical examination revealed pallor, and the laboratory work-up depicted severe anemia and thrombocytopenia; the peripheral blood smear was consistent with leukoerythroblastosis. The ongoing investigation through a bone marrow biopsy showed massive involvement of the bone marrow by a signet ring cell adenocarcinoma. During hospitalization, the patient presented melena, and an upper digestive endoscopy depicted an ulcerated and infiltrative lesion in the cardia, upon which the histological examination revealed a signet ring cell adenocarcinoma. This case highlights the bone marrow invasion represented by bicytopenia and leukoerythroblastosis as the initial manifestation of this histological type of gastric cancer. Although treatment attempts were made with chemotherapy and radiotherapy, the patient died early on, showing the aggressive behavior of this form of tumoral presentatio

O pet-educação no contexto da formação acadêmica: as licenciaturas em evidência

The extracurricular training during graduation is a factor of extreme importance for the amplification of the experiences of the student during his academic life. Some existing programs in the university, such as the Education Program Tutorial -PET, for example, allow the student experiences with this training that goes beyond what is covered in the courses of the courses. Following the prerogative of the Tutorial Education Program (PET) at the national level, the PET-EDUCAÇÃO of the Federal University of Viçosa (UFV), campus Florestal, works to cover undergraduate courses of the campus to which it belongs, but focusing on teacher education. In this sense, this study aimed to obtain information about the perceptions of contribution of PET-Educação to the academic education of campus Florestal/UFV undergraduate students. Through the application of a semi-structured questionnaire, it was evident that PET-EDUCATION is known by the undergraduates of the campus in question, but not all of them participate in their activities, mainly due to lack of time. The program makes a notable contribution to the training of undergraduates, especially teacher degree students.La formación extracurricular durante la graduación es un factor de extrema importancia para la ampliación de las vivencias del estudiante durante su vida académica. Algunos programas existentes en la universidad, como el Programa de Educación Tutorial - PET, por ejemplo, posibilitan al alumno experiencias con esa formación que va más allá de lo que se aborda en las disciplinas de los cursos. El PET-EDUCACIÓN de la Universidad Federal de Viçosa (UFV), campus Forestal, trabaja para abarcar los cursos de graduación del campus al que pertenece, pero teniendo como foco principal las licenciaturas, siguiendo la prerrogativa PET a nivel nacional. En este sentido, este estudio objetivó la obtención de informaciones sobre cuál la contribución del grupo PET-EDUCACIÓN para la formación académica de los alumnos del campus Forestal / UFV, en sus percepciones. Por medio de la aplicación de cuestionarios semiestructurados, quedó evidente que el PET-EDUCACIÓN es conocido por los graduandos del campus en cuestión, pero que no todos éstos participan de sus actividades, principalmente debido a la falta de tiempo. El programa ejerce una notable contribución a la formación de los graduados, en particular de los estudiantes de las licenciaturas.A formação extracurricular durante a graduação é um fator de extrema importância para a ampliação das vivências do estudante durante a sua vida acadêmica. Alguns programas existentes na universidade, como o Programa de Educação Tutorial –PET, por exemplo, possibiltam ao aluno experiências com essa formação, que vai além do que é abordado nas disciplinas dos cursos. Seguindo a prerrogativa PET em nível nacional, o PET-EDUCAÇÃO da Universidade Federal de Viçosa (UFV), campus Florestal, trabalha visando abranger os cursos de graduação do campus a que pertence, mas tendo como foco principal as licenciaturas. Nesse sentido, esse estudo objetivou a obtenção de informações sobre qual a contribuição do grupo PET-EDUCAÇÃO para a formação acadêmica dos alunos do campus Florestal/UFV, em suas percepções. Por meio da aplicação de questionário semiestruturados, ficou evidente que o PET-EDUCAÇÃO é conhecido pelos graduandos do campus em questão, mas que nem todos estes participam de suas atividades, principalmente devido à falta de tempo. O programa exerce uma notável contribuição para a formação dos graduandos, em especial dos estudantes das licenciaturas

EPIDEMIOLOGICAL PROFILE OF LEPROSY IN THE MUNICIPALITY OF ANAPOLIS-GOIAS-BRAZIL IN THE YEARS OF 2015 TO 2019

Objetivo: Delinear o perfil epidemiológico da hanseníase em Anápolis- Goiás, no período entre 2015 a 2019. Métodos: Trata-se de estudo quantitativo, descritivo, observacional e transversal cujos registros correspondem ao período de 2015 a 2019, a depender da disponibilidade para cada variável nas plataformas pesquisadas. A coleta de dados compreende os casos de hanseníase sendo realizada através do Departamento de Informática do SUS (DATASUS, Tabnet), do banco de dados da Estratégia de Informatização da Atenção Básica (e-SUS AB) e do Departamento de Doenças de Condições Crônicas e Infecções Sexualmente Transmissíveis (DCCI). Resultados: Observou-se que, em concordância com a tendência brasileira no período estudado, houve um padrão decrescente do número de casos registrados de hanseníase no município de Anápolis, no período de 2015 a 2019. Foram registrados 165 (5,38% em relação aos dados de Goiás) casos de hanseníase neste período, com queda gradativa. No entanto, a partir de 2018, ocorreu aumento de notificações na cidade, fato que também se repetiu no âmbito nacional. Constatou-se predomínio de casos entre a faixa etária dos 40 aos 49 anos, sexo masculino e escolaridade “Ensino Fundamental Incompleto”. Conclusões: A partir do presente artigo, foi possível o levantamento da incidência e prevalência de casos de hanseníase no município de Anápolis, entre 2015 a 2019, e compará-los com os registros estadual e nacional. Sexo masculino, faixa etária de 40 a 49 anos e nível de escolaridade com ensino fundamental incompleto representaram as maiores parcelas de manifestação da doença em Goiás, no período em estudo.Objective: This article aims to outline the epidemiological profile of leprosy in Anápolis-Goiás, in the period between 2015 to 2019. Methods: This is a quantitative, descriptive, observational and cross-sectional study that used records from 2015 to 2019, depending on the availability for each variable on the platforms used for the survey. Data collected included leprosy cases being carried out through the SUS Informatics Department (DATASUS, Tabnet), the Basic Attention Informatization Strategy database (e-SUS AB) and the Chronic Conditions and Diseases Department -Sexually Transmitted Infections (DCCI). Results: Following national brazilian trend, in the studied period between 2015 and 2018, there was a decreasing pattern in the number of registered cases of leprosy in the municipality of Anápolis. 165 (5.38% of Goiás’ state cases) cases of leprosy were recorded in this period, with a gradual decrease in each year. However, in 2018, there was an increase in notifications in the city, a fact that was also observed nationwide. There was a predominance of cases between the age group of 40 to 49 years old, males and people with incomplete elementary education status. Conclusions: This article has made it possible to survey the incidence and prevalence of leprosy cases in the municipality of Anápolis, between 2015 and 2019, and to compare them with Goias’ state cases and national records. In the period studied, those of male gender, age group 40 to 49 years and education level with incomplete elementary education represented the largest portions of the disease in Goiás state

The fight against sexually transmitted infections cannot stop in the COVID-19 era: a brazilian experience in online training for sexually transmitted infections guidelines

Introduction: The Brazilian Ministry of Health had planned face-to-face workshops for professional training about the Clinical Protocols and Therapeutic Guidelines for Comprehensive Care for People with Sexually Transmitted Infections for the year 2020. Due to the COVID-19 pandemic, the workshops were cancelled, and a new strategy was adopted: virtual meetings, called Webinars—Clinical Protocols and Therapeutic Guidelines for Comprehensive Care for People with Sexually Transmitted Infections 2020. Objective: To report the experience at the Ministry of Health in online training about the clinical protocol and therapeutic guidelines for comprehensive care for people sexually transmitted infections for health professionals in 2020. Methods: The webinars were held in partnership with the Brazilian Society of Sexually Transmitted Diseases and the Pan American Health Organization. Each chapter of the Clinical Protocols and Therapeutic Guidelines for Comprehensive Care for People with Sexually Transmitted Infections—2020 was converted into a webinar, with the participation of at least three experts, two speakers, and a moderator. Results: In total, 16 webinars were presented, covering topics such as sexually transmitted infections surveillance, prevention, diagnosis, treatment, public policies, and sexual violence. The initiative had more than 77,000 hits, with an average of 4,900 hits per webinar and the topic “syphilis” being the most accessed. The event reached all 27 federative units of Brazil, as well as 27 other countries. About 500 questions were received from the audience and answered during the sessions and/or through a document published later on by the Ministry of Health. Conclusion: Given the high number of hits and inquiries received, we can conclude that health professionals remained engaged in the topic of sexually transmitted infections during the pandemic. This experience shows the great potential of innovative methods for distance learning to promote continuing education, including a series of webinars aimed at strengthening the fight against sexually transmitted infections.

Perfil e desafios da produção e da comercialização de alimentos orgânicos processados no estado do Rio de Janeiro

Introduction: Smallholder organic food processing contributes to an economically, socially and environmentally sustainable food system. It is important to know the profile and potential difficulties of organic food processors, organized under the modality of the Participatory Organic Quality Assurance System, due to its growth and social relevance for targeting actions and public policies with the consequent strengthening ofagriculture with an agroecological basis. Objective: Describe the profile of organic food processors in Rio de Janeiro state and identify the main challenges in the production and commercialization schemes. Method: This is an exploratory and descriptive study with transversal design developed by documental research of different documents: handling plans, good practices manual, minutes of the Participatory Organic Quality Assurance System, certificates issued by the Association of Biological Farmers of the State of Rio de Janeiro, and other updated documents of the Participative Organism of Organic ConformityAssessment related to the accredited producers. Results: Sixty per cent of the organic processors in the Rio de Janeiro state were linked to the Participatory Organic Quality Assurance System. The processing unit mostly used is the one attached to their homes. Most of them are farmers or family micro-entrepreneurs that have assistance of family members in the production process and the mainactivity carried out is the production of canned foods, jams, sauces, and homemade desserts. Less than 70% of the producers had an operation permit and sanitary license, 97% had an Organic Handling Plan; 79% had a Good Practices Manual and 78% had a Traceability Plan. Among the main difficulties, there were: raw resource acquisition, sanitary rules adequacy and logistics in supplies. Conclusions:The study demonstrated the potentiality of organic products processing for the local social and economic development, and the need of greater inducements to make an inclusive production of small enterprises feasible.Introdução: O processamento de alimentos orgânicos por pequenos produtores contribui para um sistema alimentar economicamente, socialmente e ambientalmente sustentável. É importante conhecer o perfil e as potenciais dificuldades dos processadores de alimentos orgânicos, organizados sob a modalidade do Sistema Participativo de Garantia da qualidade orgânica, devido ao seu crescimento e relevância social, para direcionamento de ações e políticas públicas com consequente fortalecimento da agricultura de bases agroecológica. Objetivo: Descrever o perfil dos processadores de alimentos orgânicos do estado do Rio de Janeiro e identificar os principais desafios nas redes de produção e comercialização. Método: Estudo exploratório e descritivo com delineamento transversal realizado por pesquisa documental aos planos de manejos, manual de boas práticas, atas do Sistema Participativo de Garantia, certificados  emitidos pela Associação de Agricultores Biológicos do Estado do Rio de Janeiro, assim como outros documentos de atualização de Organismos Participativos de Avaliação da Conformidade Orgânica em relação aos produtores credenciados. Resultados: Observou-se que 60% dos processadores orgânicos no estado do Rio de Janeiro são vinculados ao Sistema Participativo de Garantia da qualidade orgânica. A unidade de processamento mais utilizada é a anexa ao domicílio. A maioria são agricultores ou microempreendedores familiares que recebem ajuda da família no processo produtivo e a atividade mais desenvolvida é a fabricação de conservas, geleias, molhos e doces. Menos de 70% possuíam alvará de funcionamento e licença sanitária, 97% tinham plano de manejo orgânico; 79% possuíam manual de boas práticas e 78%, plano de rastreabilidade. Das principais dificuldades, destacam-se: aquisição de matéria-prima, adequação às normas sanitárias e logística de distribuição. Conclusões: O estudo desvelou a potencialidade do processamento de produtos orgânicos para o desenvolvimento socioeconômico regional e a necessidade de mais incentivos para viabilizar a inclusão produtiva de pequenos empreendimentos