Phenotypic variability among pumpkin accessions in the Brazilian semiarid

The aim of this study was to estimate the phenotypic divergence among fourteen pumpkins accessions of the cucurbits Germplasm Active Bank of Embrapa Semiárido, in order to support breeding program to these species. Nine morphoagronomic descriptors were analyzed by the principal components and by UPGMA techniques. In the analysis of principal components, the formation of three contrasting clusters was observed, each one composed of two accessions. There occurred also the formation of one core group composed of five accessions, being the accessions called 683 and 684 collected in Bahia and the other in Maranhão. The most divergent accessions were 620, 624 and 748. The variables of the greatest contribution to the genetic divergence were diameter, weight and average length of the fruit. In the UPGMA analysis, obtained from the symmetric matrices generated by the Mahalanobis distance for the nine descriptors, there was the formation of one core group, composed of ten accessions, whose similarity was 45.71%, with geographically divergent accessions presenting the greatest similarity. Three accessions were not clustered with others. The study identified phenotypic variability for the analyzed characters and the absence of relationship between place of collection and phenotypic diversity

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Background: Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. // Methods: We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung's disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. // Findings: We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung's disease) from 264 hospitals (89 in high-income countries, 166 in middle-income countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in low-income countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. // Interpretation: Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between low-income, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Perfil dos consumidores de hortaliças minimamente processadas de Belo Horizonte Profile of minimally processed vegetable consumers in Belo Horizonte, Brazil

O consumidor vem apresentando cada vez maior consciência na escolha de sua alimentação, porém com menor tempo disponível para preparar refeições saudáveis. Diante disso, o mercado de hortaliças minimamente processadas tem aumentado rapidamente, proporcionando o surgimento de produtos convenientes, ou seja, produtos frescos que podem ser preparados e consumidos em pouco tempo. Assim, neste trabalho estudou-se o comportamento de compra e o perfil dos consumidores de hortaliças minimamente processadas em supermercados de Belo Horizonte. Foram aplicados questionários aos consumidores de cinco estabelecimentos que vendiam hortaliças minimamente processadas (HMP) e os entrevistados foram escolhidos aleatoriamente no momento das compras, durante o mês de novembro de 2004. Foram entrevistadas 246 pessoas, das quais apenas 23% consumiam HMP. Os principais motivos para consumir foram comodidade e praticidade (46%), pouco tempo para o preparo (21%) das refeições e higiene (11%) dos produtos, e para não consumir foram preço elevado (31,9%), gosta de preparar e/ou escolher (23%) e desconfiança (17,8%) dos produtos ofertados. Os maiores consumidores são as pessoas com maior escolaridade e nível de renda mais elevado. A sobrevalorização dos HMP em relação aos produtos comuns variou de 2,4 vezes (batata) até 39,5 vezes (cenoura), sendo a média de sobrevalorização encontrada no mercado para as onze HMP de 10 vezes.<br>Consumer's food consciousness has increased, however, time for preparing healthy food has decreased. Therefore, the market of minimally processed vegetable has increased rapidly, giving rise to the appearance of fresh products that can be prepared and consumed faster than conventional foods. Thus, the objective of this work was to establish the behavior and profile of minimally processed vegetable consumers in supermarkets of Belo Horizonte, Minas Gerais State, Brazil. Based on the answers to a survey, the consumers profile was traced, highlighting preferences, habits, complaints and demands. The survey was conducted with consumers of five supermarkets which sell minimally processed vegetables (MPV). Consumers were chosen randomly when they were buying in November 2004. Of two hundred and forty six interviewed persons, 23% were consumers of MPV. The main reasons for consumption were: easiness and feasibility (46%); short preparation time (21%) of meals and hygiene (11%) of the products; and the main reasons against consumption were: the high price of the precuts (31,9%); easy to prepare and/or to choose (23%) and distrusting (17,8%) the offered products. The major consumers were those with a better education. Comparing the overrating of MPV with other vegetables, a variation of 2,4 (potato) to 39,5 times (carrots) was found. On average the overrating found in markets for eleven MPV was of 10 times

Triagem sorológica de familiares de pacientes com doença celíaca: anticorpos anti-endomísio, antitransglutaminase ou ambos? Serological screening of relatives of celiac disease patients: antiendomysium antibodies, anti-tissue transglutaminase or both?

RACIONAL: A doença celíaca representa, na atualidade, a doença intestinal mais comum em populações caucasóides e apresenta prevalência que varia de 8% a 18% nos familiares dos pacientes. A pesquisa dos anticorpos anti-endomísio (EmA-IgA) e antitransglutaminase tecidual (anti-tTG-IgA) constitui importante recurso não-invasivo e sensível de triagem e diagnóstico da doença celíaca em grupos de risco e populações. OBJETIVO: Avaliar a prevalência do EmA e anti-tTG em um grupo de familiares de celíacos e verificar o grau de concordância entre os dois métodos. MÉTODOS: Foram estudados 177 familiares (76(feminino); 101(masculino); 2-79 anos) e 93 indivíduos voluntários e sadios (34 (feminino); 59 (masculino); 2-71 anos) como grupo controle. O EmA foi detectado por imunofluorescência indireta (substrato: cordão umbilical humano) e o anti-tTG pelo método de ELISA (kit comercial). RESULTADOS: A positividade total de anticorpos nos familiares em estudo foi de 21% (37/177), mostrando significativa diferença em relação aos controles (0%; 0/93). Doze por cento (21/177) dos familiares foram positivos para o EmA e 13,56% (24/177) para o anti-tTG, sendo 4,52% (8/177) positivos concomitantemente para os dois anticorpos. A concordância de resultados entre os dois métodos foi de 83,6% (148/177) e a discordância de 16,4% (29/177), caracterizando uma correlação positiva significante (r= 0.435) entre ambos. Dentre os concordantes, 79,1% (140/177) eram negativos para o anti-tTG e EmA, e 4,52% (8/177) positivos para ambos. Nos casos discordantes, 7,34% (13/177) apresentaram EmA positivo e anti-tTG negativo e 9,04% (16/177) eram anti-tTG positivo e EmA negativo. CONCLUSÃO: Embora a alta positividade obtida para o EmA e anti-tTG destaque a importância da triagem sorológica em familiares de pacientes com doença celíaca, as discordâncias detectadas no estudo permitem ressaltar que o uso isolado de um único método pode incorrer em reações falso-negativas. O impacto desse fato implica que tais familiares deixarão de ser submetidos a biopsia intestinal para confirmação do diagnóstico da doença, e conseqüentemente, ao tratamento adequado e precoce.<br>BACKGROUND: Celiac disease is the most common intestinal disorder of caucasian populations and presents a prevalence of 8% to 18% between the relatives of patients. The anti-endomysial (IgA-EmA) and anti-tissue transglutaminase antibodies (IgA-tTG) have represented an important non invasive and sensitivity method of screening and diagnosis of celiac disease in risk groups and populations. AIM: To investigate the prevalence of IgA-EmA and IgA-tTG antibodies in relatives of celiac patients and verify the degree of concordance between them. METHODS: One hundred and seventy seven relatives of celiac patients (76(feminino); 101(masculino); 2-79 years) and 93 healthy individuals were evaluated (34(feminino); 59(masculino); 2-71 years). IgA-EmA were detected by indirect immunofluorescence, with human umbilical cord as substrate, while anti-IgA-tTG titers were measured by enzyme-linked immunosorbent assay (ELISA), using commercial kit. RESULTS: Total positivity to antibodies in relatives of celiac patients was of 21% (37/177), and showed significant difference compared to control group (0%; 0/93). Twelve percent (21/177) of celiac disease relatives were positive to IgA-EmA, 13.56% (24/177) to IgA-tTG, and 4.52% (8/177) to both assays simultaneously. The concordance between both methods was 83.6% (148/177) and the discordance was 16.4% (29/177), with a positive and significant correlation (r = 0.435). Among the concordant results, 79.1% (140/177) were negative and 4.52% (8/177) were positive to both antibodies. Among the discordant results, 7.34% (13/177) were positive to IgA-EmA and negative to IgA-tTG, while 9.04% (16/177) were negative to IgA- EmA and positive to IgA-tTG. CONCLUSION: Although the high positivity to IgA-EmA and IgA-tTG emphasizes the importance of the serological screening in relatives of celiac patients, the discordances detected in this study showed that the use of only one method can lead to false negative results. Consequently these relatives will not be submitted to intestinal biopsy to confirm the diagnosis of celiac disease, and to the correct and earlier treatment

Caracterização morfológica e dissimilaridade genética entre variedades crioulas de melão Morphological characterization and genetic dissimilarity in melon landraces

Variedades crioulas de melão (Cucumis melo) são cultivadas no Sul do Brasil para consumo familiar e também para comercialização dos frutos. No entanto, existe uma carência de trabalhos relativos a sua caracterização. Este trabalho teve por objetivo caracterizar e avaliar a variabilidade genética de variedades crioulas de melão do Sul do Brasil mantidos no Banco Ativo de Germoplasma de Cucurbitáceas da Embrapa Clima Temperado. Foram caracterizados 14 acessos utilizando 26 descritores morfológicos de fruto. Os dados foram analisados pelos métodos de agrupamento de Tocher e hierárquico UPGMA. Os métodos de agrupamento foram parcialmente concordantes. O acesso C88 possui características distintas, ficando isolado dos demais, pois é o único entre todos os avaliados que apresenta formato piriforme e sem gomos, cor de epicarpo creme, cor de polpa branca e ruptura profunda no fruto. Existe grande variabilidade genética, para caracteres de frutos, nas variedades crioulas de melão conservadas nesse Banco Ativo de Germoplasma, com potencial para uso no melhoramento genético, destacando-se o acesso C71 por possuir sabor adocicado e polpa de cor laranja e o C72, por apresentar elevados valores de peso de fruto e espessura de polpa.<br>Melon landraces (Cucumis melo) are cultivated in South of Brazil for family consumption and also for marketing fruits. However, there is a lack of works related to characterization of these landraces. The objective of this work was to characterize and evaluate genetic variability of melon landraces from South of Brazil which are maintained in the Cucurbitaceae Genebank at Embrapa Clima Temperado, trough morphological characterization. Fourteen accessions were characterized in 26 morphological fruit descriptors. Data were analyzed by Tocher grouping method and UPGMA hierarchical. The two methods agreed partially. The accession C88 has unique characteristics, being isolated when compared to the other accessions, it is the only one among all evaluated with pyriform shape and fruit ribs absent, cream skin color, white flesh color and deep groove in the fruit. There is great genetic variability for fruit traits in the melon landraces from South of Brazil maintained in this Gene Bank, with potential use in plant breeding, with an emphasis on the accession C71 due to its sweet taste and orange pulp and the C72 due to its high values for fruit weight and flesh thickness