Mitotic index of epithelia cells in gills of Guppy (Poecilia vivipara) exposed to fractions of the leaf and bark of pequi (Caryocar brasiliensis)

Many wild plants of the Cerrado bioma are used as medicinal plants. The pequi (Caryocar brasiliensis) is representative of those equipped with molluscicidal action against schistosomiasis. This paper sets out to verify the toxic action of pequi fractions in other aquatic animals before they are used in rivers or lakes. Analysis were made of the alterations to the mitotic index of epithelia cells in the gills of guppy (Poecilia vivipara) exposed to ethyl-acetate fraction of leaf pequi and bark. Animals exposed to ethyl-acetate fraction (leaf), no significant change was observed in the mitotic index when compared with the control group, whereas in fish exposed to ethyl-acetate fraction (bark) we detected an increase in mitotic index of the epithelia cells in two regions of the branchial filaments. Thus, ethyl-acetate fractions (leaf) could be used against schistosomiasis, given their high efficacy and low action as piscicide.Várias plantas nativas do bioma Cerrado são utilizadas como plantas medicinais. Dentre elas, o pequi possuí ação moluscicida utilizada no combate a esquistossomose. Objetivamos neste trabalho a verificação da toxicidade de frações de pequi sobre outros organismos aquáticos, antes da utilização destas em mananciais. Para isso, analisamos alterações no índice mitótico das células epiteliais das brânquias de Guaru (Poecilia vivipara) expostas às frações da folha e da casca do caule de pequi extraídas com acetato de etila. Constatamos que nenhuma das frações se mostrou letal aos peixes. Os animais expostos à fração acetato de etila da folha não apresentaram modificações significativas no índice mitótico em relação ao grupo controle, mas os animais expostos à fração acetato de etila da casca do caule apresentaram aumento do índice mitótico das células epiteliais em duas regiões dos filamentos branquiais. Desta forma, a fração acetato de etila da folha poderia ser utilizada como moluscicida em mananciais, enquanto que a fração acetato de etila da casca do caule necessitaria passar por outros testes mais específicos.22122

Índice mitótico em células epiteliais da brânquia de Guaru (Poecilia vivipara) tratados com frações da casca do caule e da folha de pequi (Caryocar brasiliensis)

Várias plantas nativas do bioma Cerrado são utilizadas como plantas medicinais. Dentre elas, o pequi possuí ação moluscicida utilizada no combate a esquistossomose. Objetivamos neste trabalho a verificação da toxicidade de frações de pequi sobre outros organismos aquáticos, antes da utilização destas em mananciais. Para isso, analisamos alterações no índice mitótico das células epiteliais das brânquias de Guaru (Poecilia vivipara) expostas às frações da folha e da casca do caule de pequi extraídas com acetato de etila. Constatamos que nenhuma das frações se mostrou letal aos peixes. Os animais expostos à fração acetato de etila da folha não apresentaram modificações significativas no índice mitótico em relação ao grupo controle, mas os animais expostos à fração acetato de etila da casca do caule apresentaram aumento do índice mitótico das células epiteliais em duas regiões dos filamentos branquiais. Desta forma, a fração acetato de etila da folha poderia ser utilizada como moluscicida em mananciais, enquanto que a fração acetato de etila da casca do caule necessitaria passar por outros testes mais específicos.Many wild plants of the Cerrado bioma are used as medicinal plants. The pequi (Caryocar brasiliensis) is representative of those equipped with molluscicidal action against schistosomiasis. This paper sets out to verify the toxic action of pequi fractions in other aquatic animals before they are used in rivers or lakes. Analysis were made of the alterations to the mitotic index of epithelia cells in the gills of guppy (Poecilia vivipara) exposed to ethyl-acetate fraction of leaf pequi and bark. Animals exposed to ethyl-acetate fraction (leaf), no significant change was observed in the mitotic index when compared with the control group, whereas in fish exposed to ethyl-acetate fraction (bark) we detected an increase in mitotic index of the epithelia cells in two regions of the branchial filaments. Thus, ethyl-acetate fractions (leaf) could be used against schistosomiasis, given their high efficacy and low action as piscicide

Estratégias de coping utilizadas por familiares de indivíduos em tratamento hemodialítico

This descriptive, qualitative study aims to identify the coping strategies used most by the family members of patients with chronic kidney disease receiving hemodialysis. The data were collected through interviews, with the Coping Strategies Inventory questionnaire administered to ten family members, and were submitted to descriptive statistics and to thematic content analysis. The strategy used most was escape-avoidance, demonstrating that the family members prefer not to face the situation. The second most-used strategy was social support, ratified by the fact that they stated that they talk with other persons and professionals, seeking information about the problem, and because they accept the support received positively. The third was problem resolution, represented by the attitude of accepting responsibility for the care, either through strong affective bonds or through a feeling of responsibility established prior to the disease. The families use coping strategies of different intensities, while, nevertheless, indicating involvement and major participation in the care for the patient.Estudio cualitativo, que trató de identificar las estrategias de afrontamiento empleadas por las familias de los pacientes con insuficiencia renal crónica en hemodiálisis. Se aplicó el Inventario de Estrategias de Afrontamiento y una questión abierta con diez familiares. Los datos cuantitativos fueron sometidos a procedimientos estatísticos y análisis de contenido cualitativo. La estrategia de mayor utilización fue el escape y evitación (oito), lo que demuestra que los miembros de las familisa preferían no tener que enfrentar esta situación. La siguiente estrategia fue utilizada más apoyo social, ya hablé con otras personas y profesionales que buscan información sobre el problema, y aceptar el apoyo positivo recibido. A terceira foi resolução de problemas, representada pela atitude em assumir o cuidado, seja pelo forte vínculo afetivo ou pelo sentimento de responsabilidade já estabelecido antes da doença. Familias de las estrategias de afrontamiento empleadas con diferentes intensidades, pero mostrando una gran implicación y la participación en el cuidado del paciente crónico.Estudo descritivo, de natureza quali-quantitativa, que objetivou identificar as estratégias de enfrentamento mais utilizadas por familiares de pacientes com doença renal crônica em hemodiálise. Os dados foram coletados por meio de entrevista, com aplicação do Inventário de Estratégias de Coping a dez familiares, e submetidos à estatística descritiva e à análise de conteúdo temática. A estratégia mais utilizada foi fuga e esquiva, demonstrando que os familiares preferiam não enfrentar a situação. A segunda estratégia mais usada foi suporte social, ratificada ao afirmarem que conversaram com outras pessoas e profissionais buscando informações sobre o problema, e por aceitarem positivamente o apoio recebido. A terceira foi resolução de problemas, representada pela atitude em assumir o cuidado, seja pelo forte vínculo afetivo ou pelo sentimento de responsabilidade já estabelecido antes da doença. As famílias empregaram estratégias de enfrentamento com intensidades diferentes, porém indicando envolvimento e grande participação no cuidado ao doente.Universidade Federal de São Paulo (UNIFESP)aff2Universidade Estadual de MaringáUEMUNIFESPSciEL

Use of Arthropod Rarity for Area Prioritisation: Insights from the Azorean Islands

We investigated the conservation concern of Azorean forest fragments and the entire Terceira Island surface using arthropod species vulnerability as defined by the Kattan index, which is based on species rarity. Species rarity was evaluated according to geographical distribution (endemic vs. non endemic species), habitat specialization (distribution across biotopes) and population size (individuals collected in standardized samples). Geographical rarity was considered at ‘global’ scale (species endemic to the Azorean islands) and ‘regional’ scale (single island endemics)

Community structure of woody plants on islands along a bioclimatic gradient

Peer reviewe

Mortality and pulmonary complications in patients undergoing surgery with perioperative sars-cov-2 infection: An international cohort study

Background The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (740%) had emergency surgery and 280 (248%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (261%) patients. 30-day mortality was 238% (268 of 1128). Pulmonary complications occurred in 577 (512%) of 1128 patients; 30-day mortality in these patients was 380% (219 of 577), accounting for 817% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 175 [95% CI 128-240], p<00001), age 70 years or older versus younger than 70 years (230 [165-322], p<00001), American Society of Anesthesiologists grades 3-5 versus grades 1-2 (235 [157-353], p<00001), malignant versus benign or obstetric diagnosis (155 [101-239], p=0046), emergency versus elective surgery (167 [106-263], p=0026), and major versus minor surgery (152 [101-231], p=0047). Interpretation Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks