Prognostic value of simple frailty and malnutrition screening tools in patients with acute heart failure due to left ventricular systolic dysfunction

Background: Frailty and malnutrition are common in patients with heart failure (HF), and are associated with adverse outcomes. We studied the prognostic value of three malnutrition and three frailty indices in patients admitted acutely to hospital with HF. Methods: 265 consecutive patients [62% males, median age 80 (interquartile range (IQR): 72–86) years, median NTproBNP 3633 (IQR: 2025–6407) ng/l] admitted with HF between 2013 and 2014 were enrolled. Patients were screened for frailty using the Derby frailty index (DFI), acute frailty network (AFN) frailty criteria, and clinical frailty scale (CFS) and for malnutrition using the geriatric nutritional risk index (GNRI), controlling nutritional status (CONUT) score and prognostic nutritional index (PNI). Results: According to the CFS (> 4), DFI, and AFN, 53, 50, and 53% were frail, respectively. According to the GNRI (≤ 98), CONUT score (> 4), and PNI (≤ 38), 46, 46, and 42% patients were malnourished, respectively. During a median follow-up of 598 days (IQR 319–807 days), 113 patients died. One year mortality was 1% for those who were neither frail nor malnourished; 15% for those who were either malnourished or frail; and 65% for those who were both malnourished and frail. Amongst the malnutrition scores, PNI, and amongst the frailty scores, CFS increased model performance most compared with base model. A final model, including CFS and PNI, increased c-statistic for mortality prediction from 0.68 to 0.84. Conclusion: Worsening frailty and malnutrition indices are strongly related to worse outcome in patients hospitalised with HF

Adubação e o período anterior à interferência das plantas daninhas na cultura do amendoim

O presente trabalho teve como objetivo determinar o efeito da adubação sobre a comunidade infestante e sobre o período anterior à interferência (PAI) das plantas daninhas na cultura do amendoim, cv. IAC Runner 886, em sistema convencional. Os períodos de convivência estudados foram: 0, 7, 15, 20, 30, 45, 55 e 126 dias após a emergência (DAE), totalizando oito tratamentos, dispostos em blocos casualizados, com quatro repetições, em dois níveis de adubação: 0 e 150 kg ha-1 da formulação 00-20-20 (N-P-K). A adubação não alterou a composição da comunidade infestante, destacando-se Cyperus rotundus, Eleusine indica, Indigofera hirsuta, Portulaca oleraceae e Sida rhombifolia como as espécies de maior importância relativa. Contudo, a densidade de plantas daninhas foi maior na área não adubada, mas sem afetar de modo diferenciado a massa seca acumulada por elas. O cultivar de amendoim IAC Runner 886 pode conviver com essa comunidade com e sem adubação por até 15 e 17 DAE (PAI), respectivamente, sem sofrer perdas significativas na produção. A interferência das plantas daninhas reduziu entre 31 e 34% a produtividade do amendoim para as áreas sem adubação e com adubação, respectivamente.This experiment was carried out to study the effect of fertilization on weed community and on the period before weed interference (PBI) in peanut culture, IAC Runner 886, under a conventional till system. The weed control periods studied were: 0, 7, 15, 20, 30, 45, 55, and 126 days after emergence (DAE), totaling eight treatments, arranged in a randomized block design, with four replications and two levels of fertilization (0 and 150 kg ha-1 of formulation 00-20-20 (N-P-K)). Fertilization did not affect the weed community, with the species Cyperus rotundus, Eleusine indica, Indigofera hirsuta, Portulaca oleracea and Sida rhombifolia being the most prominent at all levels of fertilization. However, weed density was higher in the non- fertilized area, but without particularly affecting the dry mass accumulated by these species. Peanut can grow along with the weed community, with and without fertilization, up to 15 and 17 DAE, without significant yield losses. Weed interference reduced peanut productivity between 31 and 34% for both the fertilized area and the area without fertilization, respectively

Comunidade infestante e sua interferência no feijoeiro implantado sob plantio direto, na safra de primavera

O objetivo deste estudo foi determinar os períodos críticos de interferência das plantas daninhas no feijoeiro no sistema de plantio direto, na safra de primavera. A cultura antecessora ao feijoeiro foi a de milheto, que gerou 2 t ha-1 de massa seca. Os tratamentos foram constituídos por períodos crescentes (0, 10, 17, 24, 31, 45 e 66 dias após a emergência) de convivência ou de controle das plantas daninhas. O delineamento experimental adotado foi o de blocos ao acaso, com os tratamentos dispostos no esquema fatorial 2 x 6, com quatro repetições, mais duas testemunhas: uma limpa durante todo o ciclo da cultura e outra suja, ausente de controle. A comunidade infestante foi composta por 16 espécies, sendo dez eudicotiledôneas. A espécie de maior importância foi a losna-branca (Parthenium hysterophorus). O período anterior à interferência (PAI) ocorreu até o estádio fenológico V2, e o período total de prevenção à interferência (PTPI), até o estádio V4; assim, o período crítico de prevenção à interferência (PCPI) ficou entre os estádios V2 e V4 do feijoeiro. A safra de primavera mostrou-se alternativa viável de produção. O acúmulo médio de massa e o número médio de indivíduos das plantas daninhas foram pequenos, ocasionando menor interferência na cultura e, consequentemente, um curto PCPI. Houve redução de 19% na produtividade média do feijoeiro quando a cultura conviveu durante todo o seu ciclo com a comunidade infestante.This experiment was carried out to determine the critical periods of weed interference in beans, in response to no-tillage sowing, in the spring season. The culture sown before the bean was pearl millet, generating 2 t ha-¹ dried mass. The treatments were composed by periods of weed coexistence or weed control (0, 10, 17, 24, 31, 45, and 66 days after seedling growth). The experimental design was a complete randomized block with the treatments arranged in a 2 x 6 factorial design, with four replications and two controls (with or without weed control). The relative importance (RI) of the weed community was evaluated. The weed community consisted of sixteen species, with 10 being eudicots. Ragweed (Parthenium hysterophorus) had the highest IR. The period before weed interference was up to the phenological stage V2, and the total interference period was up to the V4 stage. Thus, the critical period of interference corresponded to the period between the V2 and the V4 bean phenological stages. Spring sowingproved to be aviable alternative. Average mass accumulation and weed density were low, causing less interference in the culture and, consequently, a short critical period of interference. The reduction of 19% in the average productivity of the beans was observed when the culture remained with the weeds throughout the cycle

Ideal desiccation periods of Urochloa ruziziensis for a no-till sunflower crop

Sowing crops following cover crops on forage may cause injuries and productivity reduction, due reasons as allelopathy or glyphosate residues. The objective of this study was to evaluate the influence of differing periods between cover crop (Urochloa ruziziensis) desiccation with glyphosate and sunflower (Aguara 4) sowing in a no-tillage system on crop development and productivity. Two assays were performed in two seasons, one in pots and the other in a field. Treatments in field assay consisted on 5 desiccation times of U. ruziziensis (with an application of glyphosate at 1.08 kg ae ha(-1)) preceding the sowing of no-till sunflower (0, 3, 7, 10 and 30 days). At the pot assays, 6 times were studied: 0, 3, 7, 10, 15 and 20 days between cover crop desiccation and sunflower sowing. A control without cover crop was also included in this assay. Biometric evaluations were performed at the vegetative stage and at harvest. As the period between U. ruziziensis desiccation and sunflower sowing was shortened, achene production in sunflower was exponentially reduced. Glyphosate application at 3 or 0 days pre sowing diminished sunflower development and achene production by approximately 30% compared to desiccation periods greater than 7 days