13 research outputs found

    Adding non-randomised studies to a Cochrane review brings complementary information for healthcare stakeholders: an augmented systematic review and meta-analysis

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    Potencial agronômico e divergência genética entre genótipos de berinjela nas condições do Caribe Colombiano Agronomic potential and genetic divergence among eggplant genotypes in the Colombian Caribbean region

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    Foram avaliados 24 genótipos (híbridos, cultivares e variedades locais) de berinjela quanto às características produtivas no Caribe Colombiano para quantificar a divergência genética entre estes e indicar possíveis cruzamentos. Visa-se dar início a um programa de melhoramento genético da cultura na região, considerando a divergência genética e as características agronômicas desses genótipos. Utilizou-se delineamento em blocos casualizados, com três repetições. As variáveis estudadas foram comprimento do fruto, número de frutos por planta, massa média do fruto, rendimento, firmeza do fruto e altura da planta. Os dados foram submetidos à análise de variância univariada e estatísticas multivariadas utilizando-se diferentes métodos de agrupamento hierárquico e as variáveis canônicas. As médias foram agrupadas pelo teste de Scott-Knott. Verificou-se elevada divergência entre os genótipos estudados. Quando se considerou isoladamente os híbridos, as cultivares e as variedades locais, observou-se maior variabilidade entre os híbridos seguido das cultivares e, por fim, das variedades locais. O método UPGMA foi mais fidedigno no agrupamento que os métodos Ward e Vizinho Mais Próximo, pois obteve maior valor de Coeficiente de Correlação Cofenética. Pelos critérios pseudo-F e pseudo-t² verificou-se que o ponto de máximo foi atingido quando da forma��ão de quatro grupos, sendo este considerado o número ideal de grupos para o UPGMA. Houve concordância entre os grupos formados pelo UPGMA e pelas variáveis canônicas. Com os resultados pode-se inferir que os cruzamentos CC08 x CC02; CC08 x EU01 e CC08 x C016 têm grande potencial visando à produção e a firmeza do fruto.<br>We evaluated 24 genotypes (hybrids, cultivars and landraces) of eggplant related to yield traits in the Colombian Caribbean region, to quantify the genetic divergence among these genotypes and to indicate possible crosses. With the results of the genetic diversity and agronomic traits we intend to initiate a program of eggplant breeding in that region. A randomized block design with three replications was used. The analyzed variables were fruit length, number of fruits per plant, mean fruit weight, yield, fruit firmness and plant height. The data were submitted to variance analysis and the averages grouped by Scott-Knott test. A multivariate analysis was also performed using different methods of hierarchical clustering and canonical variables. There was high divergence among the studied genotypes even when considered within hybrids, cultivars and landraces, with highest variability among the cultivars and hybrids followed by the landraces. The UPGMA method was more reliable than Ward and Single Linkage methods since UPGMA presented greater value of Cophenetic Correlation Coefficient (CCC). Using pseudo-F and pseudo-t² criteria the maximum point was reached when four clusters were formed, being considered the ideal number of groups for the UPGMA. There was agreement among the groups formed for UPGMA analysis and canonic variables. Crosses between CC08 x CC02; CC08 x EU01 and CC08 x C016 may be recommended to start an eggplant breeding program aiming to improve yield and fruit firmness

    Transfer and bioaccumulation of mercury from soil in cowpea in gold mining sites

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    In this study, we evaluated the phytoremediation ability of three different genotypes of cowpea grown on mercury-contaminated soils from gold mining areas. In particular we compared a native genotype with two commercial lines L-019 and L-042. The plants were cultivated in soils amended at different concentrations of Hg (i.e. 0.2, 1, 2, 5 and 8 mg kg−1). After three months exposure, we determined plant growth, seed production, and Hg accumulation in different plant tissues (root, leaf, seed and stem). Indices of soil-plant metal transfer such as translocation, bioconcentration and bioaccumulation factors were calculated. Results showed that the native variety presented the highest seed production (3.8 g), however the highest plant biomass (7.9 g) was observed in line L-019, both on Hg-contaminated soil of 1 mg kg−1. The different plant tissues differed in terms of Hg concentration (root > leaf > stem). In the highest treated soil, the line L-042 accumulates higher Hg in both roots and leaves, while line L-019 accumulates more metal in stems. In line L-019, Hg concentrations in the fruit showed significant differences being higher in the valves than in the seeds. The transfer factors were generally lower than 1 and indicates the low accumulation of Hg by cowpeas. The estimated daily Hg intake through cowpea consumption showed values far below the threshold of 0.57 μg kg−1 dw day−1 recommended by the World Health Organization. Our results show cowpea V. unguiculata as a good protein-rich food substitute of Hg-contaminated fish for populations living near gold mining sites.The authors are grateful to the University of Córdoba, Montería, Colombia for its funding through projects FCB-11-16 and FCB-02-17.Peer reviewe

    Redução do número de internações hospitalares por asma após a implantação de programa multiprofissional de controle da asma na cidade de Londrina Reduction in the number of asthma-related hospital admissions after the implementation of a multidisciplinary asthma control program in the city of Londrina, Brazil

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    OBJETIVO: Avaliar a relação entre a redução do número de internações hospitalares por asma e as transformações ocorridas após a intervenção realizada no sistema de saúde de Londrina. MÉTODOS: Em 2003, houve intervenção no sistema de saúde local (Unidades de Saúde da Família). Foram adotados os seguintes passos: elaboração de protocolo baseado no III Consenso Brasileiro no Manejo da Asma, fornecimento gratuito de corticosteróides inalatórios aos pacientes, capacitação de profissionais de saúde e realização de ações educativas, especialmente para a comunidade. Foram analisadas as autorizações de internação hospitalar de pacientes de Londrina com diagnóstico único de asma entre 2002 e 2005. RESULTADOS: A média de idade foi de 14,3 ± 0,5 anos, sem predomínio de sexo. Houve redução mais acentuada do número de internações hospitalares em 2005, em comparação aos anos anteriores estudados. Verifica-se declínio mais acentuado em Unidades de Saúde da Família onde a capacitação dos profissionais ocorreu há mais tempo. O índice de internação hospitalar por asma após a intervenção (2004 e 2005)-120/100.000 habitantes-foi significativamente menor que o encontrado antes da intervenção (2002 e 2003) -178/100.000 habitantes (p < 0,01). CONCLUSÕES: A curva de internação mostrou tendência à queda após o ano de 2003, não sendo identificado outro fator, além da intervenção realizada, que justificasse os resultados obtidos. Quanto maior o tempo decorrido desde a intervenção, maior a redução do número de internações. Concluímos que a intervenção realizada no sistema de saúde local foi a responsável pelos dados apresentados.<br>OBJECTIVE: To evaluate the relationship between the reduction in the number of asthma-related hospital admissions and the changes occurring after the intervention performed in the health care system of the city of Londrina, Brazil. METHODS: In 2003, an intervention was performed in the local health care system (Family Health Clinics). The steps adopted were as follows: development of a protocol based on the III Brazilian Consensus on Asthma Management; access to free inhaled corticosteroids for patients; training of health professionals; and implementation of educational measures, especially for the community. The authorizations for hospital admissions of patients diagnosed with asthma alone between 2002 and 2005 in the city of Londrina were analyzed. RESULTS: The mean age was 14.3 ± 0.5 years, without gender predominance. The number of hospital admissions fell more markedly in 2005 than in the previous years studied. This decline was more pronounced at the Family Health Clinics where professional training occurred earlier. The post-intervention (2004-2005) rate of asthma-related hospital admissions (120/100,000 inhabitants) was significantly lower than the pre-intervention (2002-2003) rate (178/100,000 inhabitants; p < 0.01). CONCLUSIONS: The admission curve showed a tendency toward a reduction after 2003, and, aside from the intervention performed, no other factors that would explain the results obtained were identified. The rate at which the number of hospital admissions decreased was in direct proportion to the length of time elapsed since the intervention (greater decreases over time). We conclude that the intervention performed in the local health care system was responsible for the data presented

    Low-severity Musculoskeletal Complaints Evaluated in the Emergency Department

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    Patients with musculoskeletal disorders represent a considerable percentage of emergency department volume. Although patients with acute or high-severity conditions are encouraged to seek care in the emergency department, patients with nonacute, low-severity conditions may be better served elsewhere. This study prospectively assessed patients presenting to the emergency department with nonacute, low-severity musculoskeletal conditions to test the hypothesis that these patients have access to care outside the emergency department. One thousand ten adult patients with a musculoskeletal complaint were identified, and a detailed questionnaire was completed by 862 (85.3%) during their emergency department stay. Three hundred fifty (40.6%) patients presented with nonacute, low-severity conditions. Patients with nonacute, low-severity problems were less likely to have a primary care physician (62.5% versus 72.3%) or to have medical insurance (82.5% versus 87.7%), but a majority had both (59.3%). Only 14.3% had neither. Forty-four percent of all patients with primary care physicians believed their primary care physician was incapable of managing musculoskeletal problems. Appropriate use of the emergency department by patients with musculoskeletal disorders may require not only increased access to insurance and primary care, but also improved public understanding of the scope of care offered by primary care physicians and the conflicting demands placed on emergency department providers
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