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The objective of this systematic review (SR) was to select studies on the use of gene editing by CRISPR technology related to plant resistance to biotic stresses. We sought to evaluate articles deposited in six electronic databases, using pre-defined inclusion and exclusion criteria. This SR demonstrates that countries such as China and the United States of America stand out in studies with CRISPR/Cas. Among the most studied crops are rice, tomatoes and the model plant Arabidopsis thaliana. The most cited biotic agents include the genera, Xanthomonas, Manaporthe, Pseudomonas and Phytophthora. This SR also identifies several CRISPR/Cas-edited genes and demonstrates that plant responses to stressors are mediated by many complex signaling pathways. The Cas9 enzyme is used in most articles and Cas12 and 13 are used as additional editing tools. Furthermore, the quality of the articles included in this SR was validated by a risk of bias analysis. The information collected in this SR helps to understand the state of the art of CRISPR/Cas aimed at improving resistance to diseases and pests to understand the mechanisms involved in most host–pathogen relationships. This SR shows that the CRISPR/Cas system provides a straightforward method for rapid gene targeting, providing useful information for plant breeding programs.

Bacterial cellulose (BC) has been used for various applications; however, studies investigating the immunohistochemical characteristics of the inflammatory and scarring component in BC implanted in the peritoneum in vivo have not yet been fully described. This study aimed to evaluate the systemic and organic safety of BC through oxidative stress, blood, and serum biochemical markers, as well as the late inflammatory response in rats, using histopathology and immunohistochemistry. Forty-three rats (26 males; 17 females) received BC in the peritoneal cavity (implanted group—IG), while twenty-seven rats (12 males; 15 females) served as the control (sham group—SG). Sixty days after surgery, oxidative stress in tissues, blood biochemical markers, and histopathological and immunohistochemical analyses for lymphocytes, macrophages, collagen, and vascular response around the BC were assessed. Only one oxidative stress marker, glutathione peroxidase, was elevated in the liver of IG rats. Creatine kinase MB and lactate dehydrogenase levels were significantly lower in IG animals. Histopathological analysis showed granulomatous inflammation in 93% of IG rats, with 74% of mild intensity. Immunohistochemistry revealed a significant macrophage presence (F4/80), with CD3, CD20, and F4/80 markers indicating differences favoring macrophages. In conclusion, BC implantation in the peritoneum induces a foreign body granulomatous response with prominent macrophage presence (F4/80). Type I and III collagen were observed around the membrane, and vascularization was intense 60 days post-implantation. From a biochemical and oxidative stress perspective, BC seems to be a safe material to be used in the peritoneal cavity.

Banana breeding consists of obtaining diploid, triploid, and tetraploid intra- and interspecific hybrids by conventional breeding methods with the objective of aggregating characteristics of agronomic and commercial interest. Given the narrow genetic base of bananas, Embrapa’s Banana Genetic Breeding Program (BGBP) aims at crosses between improved diploids (ID) (ID × ID) and between improved diploids (ID) and commercial triploids (ID × CTP) and tetraploids (ID × CTT), in order to increase the genetic base and variability in bananas regarding agronomic traits of interest and resistance to main biotic and abiotic factors. These improved diploids are resistant to main fungal diseases such as yellow (YSD) and black Sigatoka (BSD) disease and Fusarium wilt (race 1 and subtropical race 4), the latter being one of the most devastating diseases in bananas. The genetic diversity between 22 improved diploids and seven commercial banana triploids was analyzed using DNA molecular markers. Five IRAP (Inter-Retrotransposon Amplified Polymorphism, 7 ISSR (Inter-Simple Sequence Repeats) and 12 SSR (Simple Sequence Repeat) markers were used. The genetic dissimilarity matrix was based on the Jaccard dissimilarity index; clusters were separated using the UPGMA (Unweighted Pair Group Method With Arithmetic Mean) method and cophenetic correlation of 0.8755. This study of the genetic diversity between improved diploids and commercial triploids, based on the genetic dissimilarity matrix, revealed that the most dissimilar diploids were DM23 and DM15 (74%) and DM16 and DM15 (74%). The smallest genetic distances between the improved diploids and commercial triploids were between TCGN25 and DM17 (50%) and TCN26 and DM17 (50%). The genetic distance matrix also revealed important genotypes to be used in crosses in order to maintain good characteristics in commercial triploids when crossed with improved diploids. The results of our study provide better breeding strategies for one of the largest banana-breeding programs worldwide focused on the development of banana varieties resistant to main biotic and abiotic factors.

The fresh fruits of ‘Grande Naine’ (Cavendish AAA—Musa spp.) dominate the world market, especially in countries with a population in a situation of social vulnerability. However, Fusarium wilt, caused by the fungus Fusarium oxysporum f.sp. cubense race 4 Subtropical (Foc ST4), emerges as a serious threat to banana production, requiring the development of resistant cultivars based on biotechnological strategies, such as the induction of mutation in tissue culture. This study aimed to identify and characterize genetic variation in somaclones resistant to Fusarium oxysporum f.sp. cubense subtropical race 4 (Foc ST4), derived from ‘Grand Naine’ bananas, by molecular markers based on retrotransposons IRAP (Inter-retrotransposon Amplified Polymorphism) and REMAP (Retrotransposon-Microsatellite Amplified Polymorphism). Nine combinations of IRAP and six combinations of REMAP primers were used. The low number of polymorphic bands did not allow for genetic diversity studies; however, ten polymorphic bands between the somaclones and control were sequenced. Of these, three presented good base calling and were aligned, namely, 1AF, 2AF, and 3AF bands. Only the 1AF band presented function related to stress response with homology to a calcium-binding protein. These proteins act early in plant infection as secondary messengers activated by pathogen-associated molecular patterns (PAMPs), initiating the cascade of plant defense signals. The fact that this band is present in all somaclones reinforces previous assessments of their resistance to Foc ST4. The use of markers IRAP and REMAP produced polymorphic bands that can, through future primer design and field validations, accelerate the identification of resistant banana genotypes for use in banana genetic breeding programs.

In addition to the surrounding climatic environment, the intrinsic characteristics of the stones used in construction are a critical factor to understand a building’s conservation state and define the necessary planning and conservation management activities. The use of environmentally susceptible stones, such as carbonate stones, in heritage buildings can be especially problematic. The present investigation presents an overview of past research and contributes to identifying the types of carbonate stones used over time in Coimbra’s Old Cathedral in Portugal, which was classified as a National Monument and integrated into the Coimbra World Heritage site by UNESCO. Our mineralogical and chemical analyses revealed the use of carbonate stones from different quarries (Coimbra region), including Ançã limestone and dolostone (Porta Especiosa portal), Portunhos limestone and Outil limestone (in the perimeter of windows), and marlstones and Outil limestone (side facades). These stones, which were installed at various times during the construction and alteration of the monument, represent a great challenge for conservation planning due to their intrinsic vulnerability to adverse environmental conditions and pollution.

This research evaluated the effects of energy supplementation on sheep’s feeding behavior, feed preference, and thermoregulatory responses using technical cashew nutshell liquid (CNSL) and different vegetable oils with different unsaturated fatty acid (UFA) compositions. The experiment was completely randomized with five treatments: a mixture of CNSL (0.5%) + vegetable oils [canola (high in monounsaturated fatty acids—MUFA), and corn, soybean, sunflower, or cottonseed oil (high in polyunsaturated fatty acids-PUFA) at 1.5%] based on total diet dry matter, with eight replications. Forty uncastrated male sheep, with an average initial BW of 24.44 ± 1.5 kg, were evaluated for 70 days. The CNSL + vegetable oil blend did not affect DM and neutral detergent fiber (aNDF) intake (p > 0.05). However, diets with canola oil resulted in higher SFA intake (p < 0.05) than other oils. The canola oil + CNSL blend led to a higher intake of UFA and MUFA and lower PUFA intake than other oil blends (p < 0.05). Sheep fed canola oil ruminated fewer boli per day than those fed soybean and sunflower oils. Using three sieves (pef1.18) reflected in higher sheep aNDF intake. Respiratory frequency and surface temperature of sheep were lower before feeding than 3 h after, without effects of the type of oil. Higher serum creatinine and cholesterol levels were observed in sheep fed CNSL with corn and canola oils compared to other oils. Serum calcium was lower in sheep fed CNSL with soybean and canola compared to sunflower and corn. Including CNSL with vegetable oils with different FA compositions did not affect physiological and thermographic variables. However, sheep showed better diet selectivity and lower bolus rumination with higher MUFA (canola oil) content. Including CNSL with canola oil in sheep diets is recommended, as it increases dietary energy content, enhances diet selectivity, reduces PUFA intake, and does not impact animal health.

Diversified cropping systems offer an alternative to sustainable agriculture, but they present high spatial variability. This study aims to develop and evaluate an automated irrigation system and a variable-rate water application for areas with diversified vegetable crops. The prototype comprises a mobile drip line, a winding reel, and an electronic control system. The drip line irrigates plants individually, with irrigation depths along the beds controlled by the displacement speed and between beds by adjusting the timing of electrical pulses to activate the water flow control valves. To evaluate the drip line, irrigation depths were defined for different crops, followed by performance assessments, which included evaluating the uniformity (Christiansen’s Uniformity Coefficient—CUC) of the line under constant and variable rates. A hydraulic evaluation of the system was also carried out, as well as the calculation of the potential irrigable area. The drip line showed CUC ≥96% for depths under a constant rate and 95% for depths under a variable rate. The application efficiency reached 93.4% for a degree of suitability of 83%, considering variable depths along and between beds. The potential irrigable area obtained was 360 m2 day−1. The developed drip line effectively meets the spatial variability of crop water requirements in diversified cropping systems by adopting the variable-rate irrigation technique. The control of irrigation depth through valve activation via electrical pulses allows for the application of variable depths between the beds.

Studies to improve the use of subsurface drippers in pasture formation are needed. Therefore, the objective of this study was to evaluate the germination and emergence of Sabia grass as a function of drippers installed at different depths. The study was conducted in pots in Viçosa, Minas Gerais State, Brazil. The experiment was conducted using a completely randomized design with four replicates. The experimental layout featured split plots over time, where the main plots consisted of three cultivation cycles and the subplots represented various dripper installation depths. The three sowing dates were 26 March, 12 April, and 29 April 2022. Drip tapes were installed at seven different depths: 0 (superficial), 5, 10, 15, 20, 25, and 30 cm. The results showed that the reduction in water potential, associated with increased temperature, resulted in lower performance of Sabia grass seeds. Seed germination and parameters related to germination speed were negatively impacted by the increase in dripper installation depth, with a 30–40% reduction in germination speed observed at depths greater than 15 cm. Drippers installed at 15–20 cm depth in clayey soil were ideal, providing a balance between reducing soil water evaporation and maintaining seedling emergence rates. Compared to surface installation, this depth improved seed performance by up to 25%, while enhancing operability and minimizing water loss. It is recommended to install drippers at a depth of 15–20 cm in subsurface drip irrigation systems in clayey soil areas to achieve benefits such as decreased soil water evaporation and improved operability compared to surface systems.

Thyroid gland carcinoma (TGC), though only 1% of all carcinomas, is the most common endocrine neoplasm with an increasing incidence since the 1990s. Of the TGC types, papillary thyroid carcinoma (PTC) is the most common and has the best overall prognosis. Although primarily studied in various neural spectrum disorders, monoamine oxidase A (MAOA) may also contribute to cancer occurrence. This case control study assessed the prevalence of MAOA uVNTR polymorphism in PTC patients, compared its frequency with a healthy control, and assessed the variant’s impact on clinical features. The research participants consisted of 30 PTC patients (20 female, 10 male) over 18 years old who underwent thyroidectomy and radioiodine therapy at a Federal District private clinic and 30 paired and unrelated healthy volunteers (18 female, 12 male). The most frequent MAOA uVNTR alleles were 3R and 4R. Although no significant difference was detected in the genotypic distribution nor the PTC patients’ thyroglobulin, thyroid-stimulating hormone, and antithyroglobulin levels; body mass indexes; administered radiopharmaceutical (131I) doses; or biological sex, the presence of at least one 3R allele was associated with a larger tumor size (T3 + T4 staging). Thus, the 3R allele seems to be associated with PTC pathogenesis severity.

The detection of genetic alterations in patients with acute leukemias is essential for the targeting of more specific and effective therapies. Therefore, the aim of this study was to compare the sensitivity of Nested-PCR and RT-qPCR techniques in the detection of genetic alterations in patients with acute leukemias. This study included samples from 117 patients treated at the Fortaleza General Hospital. All samples were submitted to analysis using the Nested-PCR and the RT-qPCR techniques. Acute Myeloid Leukemia (AML) patients’ samples were submitted to the analysis of the following alterations: FLT3-ITD, RUNX1::RUNX1T1, CBFB::MYH11 and PML::RARA; meanwhile, BCR::ABL1, TCF3::PBX1, KMT2A::AFF1, ETV6::RUNX1, and STIL::TAL1 fusions were investigated in the Acute Lymphoblastic Leukemia (ALL) patients’ samples. Throughout the study, 77 patients were diagnosed with AML and 40 with ALL. Among the 77 AML patients, FLT3-ITD, RUNX1::RUNX1T1, PML::RARA, and CBFB::MYH11 were detected in 4, 7, 10 and 8 patients, respectively. Among the 40 ALL patients, the presence of 23 patients with BCR::ABL1 translocation and 9 patients with TCF3::PBX1 translocation was observed through the RT-qPCR methodology. Overall, the present study demonstrated that the RT-qPCR technique presented a higher sensitivity when compared to the Nested-PCR technique at the time of diagnosis of the acute leukemia samples studied.

Endocrine-disrupting chemicals (EDCs) are synthetic or natural compounds that interfere with the endocrine system, inducing harmful effects on organisms depending on the dose and period of exposure. Numerous studies have identified concerning amounts of EDCs in environmental and human samples. The thyroid gland is essential for thyroid hormone production and controls several body functions. Several EDCs have been classified as thyroid disruptors, impairing thyroid hormone production, synthesis, metabolism, transport, and/or actions. Notably, thyroid disorders are the second most prevalent endocrine disease worldwide, with incidence increasing significantly in recent years. Some studies have correlated this rise in thyroid dysfunctions and cancers with increased exposure to EDCs. Although many EDCs are linked to thyroid dysfunction, this review focuses on the deleterious effects of plasticizers, organochlorine pesticides, and per- and poly-fluoroalkyl substances on thyroid function. These contaminants are commonly found in food, water, and everyday products. Although the impact of human exposure to these EDCs is controversial, numerous epidemiological, in vivo, and in vitro studies have indicated their harmful effects on thyroid function. Given the critical role of thyroid function and hormone production in growth, metabolism, and development, this review summarizes the consequences of exposure to thyroid disruptors for human health.

Electricity expense management presents significant challenges, as this resource is susceptible to various influencing factors. In universities, the demand for this resource is rapidly growing with institutional expansion and has a significant environmental impact. In this study, the machine learning models long short-term memory (LSTM), random forest (RF), support vector regression (SVR), and extreme gradient boosting (XGBoost) were trained with historical consumption data from the Federal Institute of Paraná (IFPR) over the last seven years and climatic variables to forecast electricity consumption 12 months ahead. Datasets from two campuses were adopted. To improve model performance, feature selection was performed using Shapley additive explanations (SHAP), and hyperparameter optimization was carried out using genetic algorithm (GA) and particle swarm optimization (PSO). The results indicate that the proposed cooperative ensemble learning approach named Weaker Separator Booster (WSB) exhibited the best performance for datasets. Specifically, it achieved an sMAPE of 13.90% and MAE of 1990.87 kWh for the IFPR–Palmas Campus and an sMAPE of 18.72% and MAE of 465.02 kWh for the Coronel Vivida Campus. The SHAP analysis revealed distinct feature importance patterns across the two IFPR campuses. A commonality that emerged was the strong influence of lagged time-series values and a minimal influence of climatic variables.

Chemical desiccation is widely used in agriculture to anticipate harvest and mitigate the effects of adverse environmental conditions. It is applied to both grains and seeds. Although this practice is widely used, there are still significant gaps in understanding the effects of different herbicide application times on seed quality and plant physiological responses. The objective of this study was to evaluate the effects of different herbicide application times on cowpea, focusing on seed quality, physiological responses, and biochemical composition, including chlorophylls, carotenoids, sugars, and proline, under nocturnal desiccation. In the first experiment, eight herbicides and two mixtures were applied at night: diquat, flumioxazin, diquat + flumioxazin, glufosinate ammonium, saflufenacil, carfentrazone, diquat + carfentrazone, atrazine, and glyphosate. All of the tested herbicides caused a reduction in normal seedling formation, with the diquat + carfentrazone combination resulting in 100% abnormal seedlings. A significant decrease in chlorophyll levels (chlorophyll a: 63.5%, chlorophyll b: 50.2%) was observed using diquat, which indicates damage to photosynthetic processes, while the carotenoid content increased. Total soluble sugars and proline were also negatively impacted, reflecting physiological stress and metabolic changes in seedlings. In the second experiment, three application times were tested with diquat, diquat + flumioxazin, and diquat + carfentrazone. Nocturnal application showed the most significant reduction in chlorophyll levels and increased carotenoid levels. Application at noon and late afternoon also significantly changed the soluble sugar and proline levels. These results indicate that the herbicide application time directly influences the seeds’ physiological quality.

COVID-19 was a defining moment of the 21st century, causing major disruptions to tourism and global mobility. Travel patterns have changed significantly, influencing people’s perception of travel. This study aims to explore how COVID-19 affected the travel intentions of the Portuguese. The research is based on a questionnaire administered to 762 individuals, using structural equation modeling with partial least squares. In general, individuals have a reasonable perception of fear of the consequences of COVID-19, risk, and travel behavior and do not appear to have anxiety or fear of traveling. As for their intention to travel, they seem to have intentions. The results of this analysis demonstrate that fear of traveling, and travel behavior directly influence travel intentions and, indirectly, through fear of the consequences of COVID-19, anxiety, fear of traveling, and perceived travel risk. This study is particularly relevant for entities that manage and monitor the travel intentions of their clients and consumers, especially in the travel and tourism sector. It aims to more effectively meet the needs and desires of travelers, in addition to formulating strategies that promote the recovery of tourism in the post-pandemic period. The added value of research lies in its potential to guide strategic decision-making and policy formulation.

Coffee production has become increasingly technified in order to optimize the use of inputs and the sustainable use of natural resources. In this context, one way that farmers are investing in their coffee plantations is in the use of precision agriculture techniques, termed precision coffee farming. Over the last few years, research has been conducted to facilitate the application of this technology, and sampling grids with two points per hectare have been recommended by several studies. These georeferenced demarcations in a plot are generally shaped as equidistant squares or rectangles, and the sampling points are located at the centers of these areas. Coffee farmers typically plant their crops following the level line, which greatly hinders the navigation of equidistant points within the field. Thus, the objective of this study was to develop an optimized walking route method to reduce the distance for sampling soil, leaf, and yield attributes. The experimental plots were established in 2000 at Samambaia Farm, located in Santo Antônio do Amparo, Minas Gerais, Brazil, with coffee the cultivar Acaia IAC 479-19, totaling 56.65 ha. The 111 sampling points were distributed in the land following the new method proposed in this study, and, after walking simulations using Farm Works Mapping Software, the new method was compared with the conventional method using the mean displacement between points. The new optimized walking routes method reduced the mean distance traveled to sample the points by 50.1%.

The high rate of perishability of fruits such as cagaita (Eugenia dysenterica DC.), seriguela (Spondias purpurea L.), mangaba (Hancornia speciosa Gomes) and pitomba (Talisia esculenta Radlk.) makes it necessary to develop adequate conservation techniques to increase post-harvest shelf life. The aim of this research was to evaluate the post-harvest quality attributes of cagaita, seriguela, mangaba and pitomba fruits stored in different types of packaging during certain periods. The treatments were defined by the combination of three types of packaging (low-density polyethylene (LDPE), polyvinyl chloride (PVC) and without packaging) and seven storage periods. Total soluble solids, titratable acidity, hydrogen potential (pH), fruit firmness and loss of fresh mass were analyzed. Fruits packaged with LDPE presented the lowest values of fresh mass loss: 2.7, 2.3, 4.2 and 1.1% for cagaita, seriguela, mangaba and pitomba, respectively. Furthermore, LPDE packaging maintained the quality attributes in all fruits analyzed. PVC packaging was more efficient in maintaining fruit firmness, with average values of 0.03 N. Atmospheric modification techniques, such as LDPE and PVC packaging, make it possible to reduce metabolic activity, ensuring better post-harvest quality and increasing the storage period of fruits that occur in the semiarid region of Minas Gerais.

Background/Objectives: Limited research has been performed to assess the strength of resin-bonded 3D-printed restorations. Based on that, this study investigates the impact of different manufacturing methods on the fracture load of indirect composite restorations (ICRs) following an aging process. Methods: Three manufacturing techniques—conventional (CRC), milled (MRC), and printed (PRC)—were evaluated using 60 specimens, each with a diameter of 10 mm and a thickness of 1.0 mm. Sandblasting with Al2O3 particles was employed to optimize the bonding process, significantly influencing surface roughness parameters (Ra, Rz, RSm). All specimens were bonded to the dentin analog using composite resin cement and subjected to either 10,000 thermocycles (TC) or storage (ST) at 37 °C in distilled water. Fracture load assessments were performed using a universal testing machine. A finite element analysis was conducted to assess stress distribution. Results: Two-way ANOVA results indicated that the manufacturing method significantly affected mean fracture load values (p < 0.001), with PRC showing the highest mean fracture load (4185 ± 914 N), followed by MRC (2495 ± 941 N) and CRC (599 ± 292 N). The aging protocol did not have a significant impact on fracture load. Conclusions: This study revealed that 3D-printed resin composite exhibited comparable strength to milled resin composite when adhesively cemented, suggesting it is a promising option for indirect composite restorations based on its mechanical performance. However, further research is needed to evaluate its bond strength and optimal surface treatment methods to prevent early debonding.

Chikungunya fever (CHIKF), caused by the Chikungunya virus (CHIKV), manifests as acute febrile illness often associated with polyarthritis and polyarthralgia. Although the acute symptoms resolve within two weeks, many patients experience prolonged joint pain and inflammation, resembling rheumatoid arthritis (RA). This study aimed to identify molecular markers related to joint pain and chronicity in CHIKV-infected individuals by analyzing blood transcriptomes using bulk RNA sequencing. B- and T-cell receptor (BCR and TCR) diversity was assessed through computational analysis of RNA-seq data, revealing a significant reduction in CDR3 diversity in CHIKV-infected individuals compared to healthy controls. This reduced diversity was associated with the upregulation of genes involved in osteoclast differentiation and activation, particularly through the RANK/RANKL signaling pathway. These findings suggest a potential link between immune dysregulation and enhanced osteoclast activity, which may contribute to the persistence of joint pain in chronic CHIKF. Targeting osteoclast-related pathways could offer therapeutic strategies for managing chronic symptoms in CHIKF patients.

This study analyzed changes in ultra-processed food consumption patterns during weekends in patients in the post-metabolic and bariatric surgery periods. It is a cross-sectional study, which recruited and collected data via social media from adults who underwent metabolic and bariatric surgery. The Brazil Food and Nutritional Surveillance System markers of dietary consumption and the NOVA Ultra-Processed Food Screening tools were applied to evaluate dietary patterns and ultra-processed food consumption from the previous day. A total of 1525 participants were included, with a mean age of 38 ± 8 years and a mean body mass index of 29.9 ± 5.8 kg/m2. From these, 766 (50.3%) individuals answered the questionnaire referring to a weekend day. After adjusting for confounders, ultra-processed food consumption was higher on weekends compared to weekdays (NOVA Score 3.07 vs. 2.42; p < 0.01). The consumption of fruits and vegetables was lower on weekends, whereas the consumption of hamburgers/sausages, sugar-sweetened beverages, boxed/canned juice, and frozen pizza increased on weekends. Instant noodles and sandwich cookies did not show differences between weekdays and weekend days. This pattern suggests the need to monitor eating habits on weekends in individuals after metabolic and bariatric surgery.

(1) Background: We aimed to associate the degree of food processing with blood pressure levels in adult women. (2) Methods: A cross-sectional study was carried out on 85 adult women. The participants were subdivided into three groups: normal weight (NW: 27.05%), overweight (OW: 34.1%) and obesity (OB: 38.8%). Their anthropometric parameters, food consumption and blood pressure (BP) were evaluated. The groups were compared using one-way ANOVA or the Kruskal–Wallis test, and correlations were established using Spearman’s correlation, partial correlations (adjusted for age, medications and pathologies) and simple linear regression. Significance was set at p < 0.05. (3) Results: Women with obesity had higher systolic and diastolic blood pressure (SBP = NW: 106.5 ± 11.6; OW: 111.60 ± 11.8; OB: 123.63 ± 14.0; p < 0.001 and DBP = NW: 66.5 ± 9.9; OW: 70.2 ± 8.7; OB: 80.6 ± 11.0; p < 0.001) and a lower consumption of unprocessed or minimally processed food (MPF) (NW: 0.25 ± 0.1; OW: 0.27 ± 0.09; OB: 0.21 ± 0.07; p = 0.027). Moreover, we found an inverse association among the consumption of MPF and diastolic blood pressure that remained after adjustments for covariates (r: −0.27; p = 0.01), suggesting that lower consumption of MPF is related to higher levels of DBP. (4) Conclusions: Our data suggest that women with obesity seem to have a lower consumption of MPF. In addition, MPF is negatively correlated with BP, suggesting an association with obesity and cardiovascular health.

Varronia curassavica Jacq. is an aromatic species appertaining to the Boraginaceae family and has been mentioned for its numerous traditional uses and pharmacological properties, especially its antimicrobial and anti-inflammatory effects. The aim of the present study was to investigate the phytochemical profile and antifungal activities of the essential oils of V. curassavica, in addition to analyzing the ADMET properties of the majority components. The GC-MS analysis of V. curassavica essential oil (EOVC) comprised 97.36% of total composition, with α-pinene, β-caryophyllene, and bicyclogermacrene (44.46%, 22.87%, and 13.05%, respectively) as the main constituents among other minor/trace constituents. The antifungal activity of EOVC was evaluated against three Candida species and was observed with IC50 > 200 μg/mL. Remarkably, the combination of EOVC with fluconazole significantly reduced the IC50 required for the drug to inhibit C. tropicalis (0.003 μg/mL), C. albicans (0.7996 μg/mL), and C. krusei (17.73 μg/mL). In addition, ADME/Tox studies using α-pinene revealed that the compound poses no toxicity threats but requires caution due to its high permeability to the blood–brain barrier (BBB). Overall, the obtained results suggest that Varronia curassavica essential oil is a potentially good antifungal agent for combating fungal resistance.

The olive tree is currently cultivated worldwide, with higher incidence in Mediterranean Basin. Its climate is highly favorable to the synthesis of phenolic compounds, stored in olive leaves; their consumption has been linked to a lower incidence of cancer and cardiovascular disorders for which the research interest upon this feature has increased in last decade. This study aimed (i) to review evidence about the importance of olive leaf extract (OLE) on human health and the physiological effect of its major compounds; (ii) to update the state of the art of studies conducted on the health and technological usage of olive leaf extract; (iii) to report potential uses of OLE in pharmaceuticals, food production, and cosmetics; and (iv) to prospect the future of clinical applications of OLE from diverse cultivars, especially in metabolic inflammatory conditions such as polycystic ovary syndrome (PCOS). Overall, cultivars richer in TPC, including TFC, αT, omega-3 and omega-9, present a main research target for supplementation alone or in conjunction with vitaminic compounds, due to their nutraceutical value in metabolic disorders, chronic inflammatory diseases, and anti-aging treatments, whereas cultivars with less water content might be useful as substrates for food preservation. With regard to future prospects, it would be of great interest to clarify the specific mechanisms underlying the beneficial effects of OLE on neuro-immune and cardiovascular health to design safer and healthier nature-based medicine for a wide array of costly and highly prevalent chronic diseases, such as inflammatory and metabolic-related syndromes, namely, PCOS.

Many anuran survival strategies involve hydric regulation, and reproduction is not different. The aquaporin (AQP) family plays an important role in water transport and regulation in many tissues, including the male gonad. The testes undergo various stages of change during the reproductive cycle, and water balance is an important factor for ensuring reproductive success. Considering the relevance of water control in testicular development in anurans and the lack of research regarding the tissue localization of AQP in the male gonad, the present study investigated the expression of three AQPs (1, 2, and 9) in the testis of the neotropical anuran species Leptodactylus podicipinus during two different periods of the reproductive cycle (reproductive and non-reproductive). AQP1 and 2 immunoreactions were found in early germ cells, spermatozoa, Leydig cells, and Sertoli cells, which were more frequently expressed within the reproductive period. AQP1 was also found in the testicular blood vessels. AQP9 was identified predominantly in the epithelium of the intratesticular ducts of reproductive-period individuals. This study presents, for the first time, the localization of AQP1, AQP2, and AQP9 in the testes of an anuran species and the differences in their location during two distinct periods of the reproductive cycle.

This review aims to enhance the understanding of the fundamentals, applications, and future directions in hydrogen production techniques. It highlights that the hydrogen economy depends on abundant non-dispatchable renewable energy from wind and solar to produce green hydrogen using excess electricity. The approach is not limited solely to existing methodologies but also explores the latest innovations in this dynamic field. It explores parameters that influence hydrogen production, highlighting the importance of adequately controlling the temperature and concentration of the electrolytic medium to optimize the chemical reactions involved and ensure more efficient production. Additionally, a synthesis of the means of transport and materials used for the efficient storage of hydrogen is conducted. These factors are essential for the practical feasibility and successful deployment of technologies utilizing this energy resource. Finally, the technological innovations that are shaping the future of sustainable use of this energy resource are emphasized, presenting a more efficient alternative compared to the fossil fuels currently used by society. In this context, concrete examples that illustrate the application of hydrogen in emerging technologies are highlighted, encompassing sectors such as transportation and the harnessing of renewable energy for green hydrogen production.

The observation of randomness patterns serves as guidance for the craft of probabilistic modelling. The most used count models—Binomial, Poisson, Negative Binomial—are the discrete Morris’ natural exponential families whose variance is at most quadratic on the mean, and the solutions of Katz–Panjer recurrence relation, aside from being members of the generalised power series and hypergeometric distribution families, and this accounts for their many advantageous characteristics. Some other basic count models are also described, as well as models with less obvious but useful randomness patterns in connection with maximum entropy characterisations, such as Zipf and Good models. Simple tools, such as truncation, thinning, or parameter randomisation, are straightforward ways of constructing other count models.

Background: Type 2 diabetes mellitus (DM) is an important disease with an impact on public health globally. Early assessment is necessary with accessible markers, such as the TG/HDL ratio, in predicting DM. Methods: A total of 11,653 subjects from the ELSA-Brazil were included in this analysis and were reevaluated after 3.9 ± 0.6 years of follow-up. Participants were classified according to the quartiles of the TG/HDL index, stratified by sex. ANOVA with Bonferroni correction and p-for-trend analysis were used to compare groups. Cox analysis was performed with adjustments for covariables. Kaplan–Meier curves are presented with the log rank pool and linear analysis. Results: From 11,653 participants (56% female; aged 50.5 ± 8.7 years), 866 (7.8%) were diagnosed with DM (7.2% in women and 7.8% in men). For both sexes, a worsening of the cardiometabolic profile was observed across the increase in TG/HDL quartiles (p < 0.001). Incidence rates of DM increased across TG/HDL quartiles for both men (from Q1 3.3% to Q4 12.8%) and women (from Q1 3.3% to Q4 12.4%). For the entire period, the incidence was highest in participants in the fourth quartile of TG/HDL (log rank analysis < 0.001 for both sexes). In the Cox regression analyses, for men, the HR (95%CI) for risk of DM was 2.4 (1.49–3.26) across the fourth quartile of the TG/HDL ratio, and in women it was 1.57 (1.11–2.22) for the third quartile and 2.08 (1.48–2.93) for the fourth quartile, compared to the first quartile after adjustments. Conclusions: Higher levels of the TG/HDL ratio were independently predictors of DM in both men and women.

Cannabis sativa L. has garnered attention as a potential source for new antimicrobial agents, particularly due to the increased prevalence of microbial resistance to conventional antimicrobials and the emergence of multidrug-resistant pathogens. This review, conducted according to the PRISMA 2020 statement, systematically analyzed the antimicrobial properties of C. sativa extracts and cannabinoids against various bacteria, fungi, viruses, and parasites. Data were collected from the scientific literature (102 papers) and clinical trials (5 studies) from 2014 to June 2024. Findings revealed that cannabinoids, especially CBD, demonstrate significant antimicrobial activity against Gram-positive bacteria like MRSA, Gram-negative bacteria such as Pseudomonas aeruginosa, various Candida species, SARS-CoV-2, and HIV. Additionally, CBD showed efficacy against parasitic infections like Echinococcus granulosus and Leishmania species. These results suggest that cannabinoids may represent a new class of antimicrobial agents with unique and diverse mechanisms of action, potentially effective in broad-spectrum therapies. This study highlights the urgent need for further research and standardized clinical trials to validate these findings and to develop cannabinoid-based treatments. The antimicrobial properties of C. sativa align with WHO priorities and support global health initiatives, offering promising avenues for addressing antimicrobial resistance and improving public health outcomes.

This work presents an investigation of the degradation of paracetamol via heterogeneous photocatalysis, aiming to magnetically immobilize the catalyst in a continuous process. Catalyst immobilization was conducted on aggregated flower-like structures. The CoFe2O4@Nb5O2 catalyst was characterized using a Vibrating Sample Magnetometer (VSM). The effects of the magnetic immobilization of the catalyst, flow, residence time, adsorption, and photolysis were evaluated. Additionally, catalyst reuse cycles were analyzed. The results indicated that a longer residence time favors the degradation of paracetamol due to the increase in the contact time of the effluent catalyst. At a flow rate of 20 mL·min−1, a degradation of 27% was obtained. Photolysis and adsorption tests indicated that residence time was not an important factor for paracetamol degradation. For the photolysis test, in the first cycle, the values obtained were in the range of 6.0–8.5%. The adsorption results indicated ~10% removal.

Weight stigma is described as prejudice and discrimination concerning body weight. People stigmatized by their body weight report worse physical and mental health and, consequently, poor psychosocial functioning. Research has shown a high prevalence of weight stigma among health professionals. However, less is known about weight stigma among healthcare undergraduate students. In this vignette study, we assessed weight stigma in 217 healthcare students, who filled sociodemographic and weight stigma measures, and read one of three vignettes at random, each one with a hypothetical patient which differs only in terms of body weight (underweight, healthy weight, and overweight). Then, participants answered ten questions/statements about patient characteristics described in the vignette to assess the influence of body weight on stigmatizing beliefs. Weight stigma was found in 39.44% of healthcare students. Moreover, weight stigma was higher among men, healthy weight people, and Physical Therapy students. This experimental study showed more negative attitudes in participants exposed to the patient with overweight and underweight vignettes compared to those exposed to the healthy weight patient vignette. Due to the known impacts of weight stigma, efforts are needed to address this issue during the training of healthcare undergraduate students.

Heart transplantation is the gold-standard treatment for terminal heart failure. Despite being successful, pre- and post-transplant limitations interfere with patients’ functional capacity, self-care, and quality of life post-surgery. Rehabilitation is necessary to address these limitations, prevent complications, and promote a safe return home. This study analyzes the safety of a phase 1 cardiac rehabilitation protocol (RN4HTx) in heart transplant patients and its effects on self-care capacity. A quantitative, descriptive study was conducted with 19 heart transplant recipients. The protocol was implemented in collaboration with a rehabilitation professional, who monitored adverse events, hemodynamic variables, self-care capacity (Barthel) pre- and post-transplant, and functional capacity at discharge (6 min walk test). The results showed that 68.42% of recipients were men, with an average age of 50.21 years and 15 days of hospitalization post-transplant. Approximately 73.68% of recipients were transferred from other wards with changes in functional capacity. All patients progressed to the final stage of the program without adverse events. There was a notable improvement in self-care capacity before and after transplantation, with a measure of functional status of 310.035 m (6MWT). The study found that RN4HTx is a feasible cardiac rehabilitation program without adverse events in the immediate postoperative period following heart transplantation, positively impacting functional recovery and therapeutic self-care capacity, thus increasing the safety of returning home. This study was retrospectively registered on Clinical Trials—NCT06552390.

Background: This study aimed to conduct a narrative review approaching the effects of exclusive breastfeeding on neuropsychomotor development. The goal was to provide evidence-based knowledge to inform healthcare practices and policies and promote optimized infant feeding strategies. Methods: Our study reviewed the relevant literature from May and June 2024, covering the publication period between 2013 and 2024. The PubMed database was utilized and searched for articles using keywords such as “Brain”, “Growth”, “Development”, and “Breastfeeding”, employing Boolean operators such as “AND”, “OR”, and “NOT.” Results: Our search initially screened 15,412 studies, resulting in 600 articles. Eleven studies met our inclusion criteria and provided relevant information on the topic. Several studies have shown that exclusive breastfeeding and its duration are beneficial for neural development. Research suggests that breastfeeding improves brain architecture, white matter development, and cognitive performance. Additionally, studies indicate that the mother’s intake of omega-3 fatty acids can enhance infant brain development, and specific micronutrients in breast milk, such as myo-inositol, may contribute to neural connectivity. Some findings also suggest that the child’s sex may play a role in how breast milk benefits the brain. Furthermore, there is evidence of the strong influence of epigenetic compounds on the neurodevelopmental benefits of exclusive breastfeeding. Conclusions: This narrative review revealed findings that indicate breast milk has a positive impact on brain development. This emphasizes that breast milk has a positive impact on brain development. It underscores the importance of conducting additional research to understand how breastfeeding specifically influences neurodevelopment.

Tutton salts form an isomorphic crystallographic family that has been intensively investigated in recent decades due to their attractive thermal and optical properties. In this work, we report four mixed Tutton crystals (obtained by the slow solvent evaporation method) with novel chemical compositions based on K2V1−xM’x(SO4)2(H2O)6, where M’ represents Co, Ni, Cu, and Zn, aiming at thermochemical energy storage applications. Their structural and thermal properties were correlated with theoretical studies. The crystal structures were solved by powder X-ray diffraction using the Rietveld method with similar compounds. All of the samples crystallized in monoclinic symmetry with the P21/a-space group. A detailed study of the intermolecular interactions based on Hirshfeld surfaces and 2D fingerprint mappings showed that the main interactions arise from hydrogen bonds (H∙∙∙O/O∙∙∙H) and dipole–ion (K∙∙∙O/O∙∙∙K). On the other hand, free space percentages in the unit cells determined by electron density isosurfaces presented low values ranging from 0.53 (V–Ni) to 0.81% (V–Cu). The thermochemical findings from thermogravimetry, a differential thermal analysis, and differential scanning calorimetry indicate that K2V0.47Ni0.53(SO4)2(H2O)6 salt is the most promising among mixed salts (K2V1−xM’x(SO4)2(H2O)6) for heat storage potential, achieving a low dehydration temperature (≈85 °C), high dehydration enthalpy (≈360 kJ/mol), and high energy storage density (≈1.84 GJ/m3).

Ecuador is one of the world’s leading banana exporters; however, low productivity resulting from inadequate agronomic management requires an analysis of banana production units. This study aimed to define the types of banana production units based on the different agronomic management practices adopted by producers in two Ecuadorian provinces. Data from the National Institute of Statistics and Censuses (INEC) for 2021 were used, with a sample of 319 production units. Principal component and cluster analyses were applied to identify the different types of production units, resulting in four types: high technology conventional (Cluster 1), balanced conventional (Cluster 2), intensive conventional (Cluster 3), and agroecological (Cluster 4). It is important to highlight that 58% of the production units are intensive conventional and use an average of 3.5 management practices, with 98% using fertilizers, 100% using fungicides and pesticides, and 45% using improved genotypes. In contrast, agroecological production is still incipient in Ecuador (4.7%). Regression analysis showed that waste is important in high-yield production units in the three clusters. In addition, Cluster 2 relied on regional factors, family labor, and irrigation efficiency, while in intensive conventional farms (Cluster 3), banana yield was related to fungicide application. Therefore, public policies should be customized according to cluster-specific characteristics to optimize agronomic management practices and facilitate their transfer among groups.

Plant pathologies significantly jeopardise global food security, necessitating the development of prompt and precise diagnostic methods. This study employs advanced deep learning techniques to evaluate the performance of nine convolutional neural networks (CNNs) in identifying a spectrum of phytosanitary issues affecting the foliage of Solanum lycopersicum (tomato). Ten thousand RGB images of leaf tissue were subsampled in training (64%), validation (16%), and test (20%) sets to rank the most suitable CNNs in expediting the diagnosis of plant disease. The study assessed the performance of eight well-known networks under identical hyperparameter conditions. Additionally, it introduced the GamaNNet architecture, a custom-designed model optimised for superior performance on this specific type of dataset. The investigational results were most promising for the innovative GamaNNet and ResNet-152, which both exhibited a 91% accuracy rate, as evidenced by their confusion matrices, ROC curves, and AUC metrics. In comparison, LeNet-5 and ResNet-50 demonstrated lower assertiveness, attaining accuracies of 74% and 69%, respectively. GoogLeNet and Inception-v3 emerged as the frontrunners, displaying diagnostic preeminence, achieving an average F1-score of 97%. Identifying such pathologies as Early Blight, Late Blight, Corynespora Leaf Spot, and Septoria Leaf Spot posed the most significant challenge for this class of problem.

The objective of this study is to evaluate the spatio-temporal dynamics of land vulnerability and pasture areas in the dairy basins of the states of Pernambuco and Alagoas, which are part of the Ipanema River Watershed (IRW) in the Northeast Region of Brazil. Maps of the Land Use and Land Cover (LULC); the Index of Vulnerability to Degradation (IVD); the Land Vulnerability Index (LVI); time series of Effective Herd (EH), Milked Cows (MC), and Milk Production (MP); and Pasture Cover (PC) and Quality (PCQ) were created as parameters. An opposite pattern was observed between the land use classes of Livestock, Agriculture, and Forest. The IRW area has predominantly flat terrain with a very high risk of degradation. The analysis of MC was consistent with the information from the EH analysis as well as with MP. When assessing Pasture Quality, Severe Degradation areas increased from 2010 to 2014, decreased after 2015, and rose again in 2020. Moderate Degradation areas remained high, while Not Degraded pasture areas were consistently the lowest from 2012 to 2020. Over the 10 years analyzed (2010–2020), the area showed a strong degradation process, with the loss of approximately 16% of the native vegetation of the Caatinga Biome and an increase in pasture areas and land vulnerability.

Despite the huge potential of aquaculture in the Amazon, several producers have abandoned the activity due to a lack of assistance, technology, and innovation. Thus, the objective of this study was to identify factors that have contributed to the withdrawal of aquaculturists from the municipality of ‘Vigia de Nazaré’, state of Pará (Northern Region of Brazil). This case study took place in 2022 through a quanti-qualitative survey, applying structured questionnaires to former aquaculturists. A total of 30 fish farms were investigated, with 11 of them being abandoned. They are distributed across 10 rural communities that have developed fish farming, with ‘Vila de Itapuá’ (18.2%) being the most representative. When active, fish farming was practiced by men (100%) aged between 51 to 60 years (54.5%) with an incomplete primary education (100%), who carried out the activity for an average of 5 years (81.8%), quitting fish farming between the years 2019 and 2020 (72.7%). All former aquaculturists owned small properties, with excavated ponds in an extensive system and used family labor. The absence of technical assistance and the high cost of feed were pointed out as the main problems in the production chain. It is worth noting that the monoculture of Tambaqui (Colossoma macropomum) accounted for 63.6% of the species produced in rural communities. In conclusion, former aquaculturists express the desire to return to fish farming due to its socio-economic importance. For this, government actions supporting technical assistance and advanced studies in fish nutrition by educational, research, and extension institutions are necessary.

We have synthesized 22 symmetric and asymmetric 4-aryl-1,4-dihydropyridines (1,4-DHPs) by a “green” microwave-assisted one-pot multicomponent Hantzsch reaction and evaluated their cytotoxicity to three human cancer cell lines regarding U-251MG (human glioblastoma), HeLa 229 (human cervical adenocarcinoma), and MCF-7 (human breast carcinoma). None of the 1,4-DHPs were cytotoxic to U-251MG cells. Most of the 1,4-DHPs did not affect HeLa 229 or MCF-7 cell viability. On the other hand, symmetric 1,4-DHPs 18 (diethyl 4-(4-benzyloxyphenyl)-2,6-dimethyl-1,4-dihydropyridine-3,5-dicarboxylate), 19 (diethyl 4-(4-bromophenyl)-2,6-dimethyl-1,4-dihydropyridine-3,5-dicarboxylate), and 20 (diethyl 4-(3-fluorophenyl)-2,6-dimethyl-1,4-dihydropyridine-3,5-dicarboxylate) reduced the HeLa (IC50 = 3.6, 2.3, and 4.1 µM, respectively) and MCF-7 (IC50 = 5.2, 5.7, and 11.9 µM, respectively) cell viability. These 1,4-DHPs were more cytotoxic to the HeLa and MCF-7 cells than to the GM07492 (normal human fibroblast) cells, as evidenced by their selectivity indexes. Therefore,1,4-DHPs 18, 19, and 20 may serve as novel lead compounds to discover other 1,4-DHP derivatives with improved anticancer potency and selectivity.

Nitrogen fertilization is one of the main management strategies for continuous pasture management with high productivity. We examined the effects of nitrogen fertilization on the morphogenic, structural, and tillering dynamic characteristics of Tanzania grass in the Amazon region in the state of Pará, Brazil. The study was conducted using a randomized block design with six treatments (0, 100, 200, 300, 400, and 500 kg N ha−1 year−1) and five replicates. The treatments were performed during the rainy season in 2016 and 2017 using urea as the nitrogen source. The leaf elongation rate was increased by 68.5% compared with that of the control treatment (p < 0.01). The leaf appearance rate and number of alive leaves increased with higher doses of nitrogen (p < 0.01, each). The regrowth period was reduced by approximately 13 days under 500 kg N ha−1 (p < 0.01), thus providing more production cycles. Nitrogen fertilization was also associated with a higher tillering rate (p < 0.01); however, the rate of this increase decreased with increasing nitrogen dose. Higher nitrogen doses thus improved the development of Tanzania grass; however, this became less pronounced at doses < 300 kg N ha−1.

Background: Sickle cell disease (SCD) affects approximately 100,000 people in the United States and millions worldwide, with the highest prevalence of 70% of SCD being found in individuals of African ethnicity. Delayed hemolytic, alloimmunization, and anamnestic transfusion reactions in multiple transfusion patients need to be investigated and managed to avoid a worsening of the patient’s clinical status. Objective: This paper aims to investigate delayed transfusion reactions in SCD patients who were polytransfused in the Brazilian Amazon. Material and Methods: The clinical and laboratory indicators of SCD patients with more than four transfusions were investigated. The patients were treated at the Fundação Hospitalar de Hematologia e Hemoterapia do Estado do Amazonas, Brazil. Results: A total of 44 polytransfused patients with SCD were followed. Regarding Rh phenotype, it was possible to observe a frequency of 26.6% (12) patients with the RZRZ (DCE/DCE) phenotype, in addition to 4.5% (two) patients with RH and RHCE variants. It was also possible to observe 20.5% (nine) patients with an alloimmunization reaction, who presented the following alloantibodies: anti-RhD, anti-E, anti-K, anti-Jkb, anti-N, anti-S, and anti-Dia, two of which are unidentified. Of these, four (44.4%) patients also presented autoantibodies, anti-e, and three unidentified antibodies, and four (44.4%) patients presented an anamnestic reaction, with anti-RhD, K, and Jkb antibodies. Of the 44 patients monitored, 54.4% (24) had clinical and laboratory indicators of a delayed hemolytic reaction. Conclusion: Delayed transfusion reactions, often neglected, occur frequently. Therefore, transfusions need to be monitored for at least 28 days, with medical investigation of clinical and laboratory indicators to make greater use of this therapeutic resource.

This study investigated the psychological constructs related to ocean conservation among visitors to a marine mammal park in Portugal. A survey was conducted with 335 adult visitors, assessing value orientations, awareness of ocean vulnerability, attribution of responsibility, personal norms, and behavioral intentions towards ocean conservation. The results revealed two distinct attitudinal profiles among the visitors. ‘Anthropocentric visitors’ prioritize human interests over environmental concerns, along with heightened awareness of the ocean’s vulnerability and greater ascription of responsibility to humans for environmental problems. ‘Ecocentric visitors’ recognize the intrinsic worth of nature, reporting deeper awareness of the consequences of environmental issues on the ocean, more robust personal norms centered on moral obligations towards conservation and higher behavioral intentions to support ocean conservation. Compared to whale-watching tourists from a previous study, the zoo visitors exhibited more polarized anthropocentric and ecocentric profiles, suggesting the whale-watching tourists fell somewhere between the two zoo visitor profiles in their psychological orientations. These contrasting profiles emphasize the heterogeneity in environmental attitudes and highlight the importance of tailoring interventions to resonate with the distinct psychological motivations of different audience segments. Institutions like zoos can play a vital role in shaping public attitudes through targeted communication strategies aligned with visitors’ unique value systems and beliefs.

This study aimed to evaluate the efficacy of the ethanolic extract of Anadenanthera colubrina in modulating the immune response in the Experimental Autoimmune Encephalomyelitis (EAE) model. The ethanolic extract of the dried bark was analyzed by ESI (+) Orbitrap-MS to obtain a metabolite profile, demonstrating a wide variety of polyphenols, such as flavonoids and phenolic acids. Various parameters were evaluated, such as clinical signs, cytokines, cellular profile, and histopathology in the central nervous system (CNS). The ethanolic extract of A. colubrina demonstrated significant positive effects attenuating the clinical signs and pathological processes associated with EAE. The beneficial effects of the extract treatment were evidenced by reduced levels of pro-inflammatory cytokines, such as IL1β, IL-6, IL-12, TNF, IFN-γ, and a notable decrease in several cell profiles, including CD8+, CD4+, CD4+IFN-γ, CD4+IL-17+, CD11c+MHC-II+, CD11+CD80+, and CD11+CD86+ in the CNS. In addition, histological analysis revealed fewer inflammatory infiltrates and demyelination sites in the spinal cord of mice treated with the extract compared to the control model group. These results showed, for the first time, that the ethanolic extract of A. colubrina exerts a modulatory effect on inflammatory processes, improving clinical signs in EAE, in the acute phase of the disease, which could be further explored as a possible therapeutic alternative.

The urgent requirement for swift diagnostic methods in pathogen identification and antimicrobial susceptibility testing is emphasized by rising bacterial resistance and limited treatment options, which are particularly critical in sepsis management. The shift from traditional phenotype-based methods to rapid molecular and mass spectrometry techniques has significantly reduced result turnaround times, enhancing patient outcomes. In this systematic review with meta-analysis, the aspects of correct empirical antimicrobial therapy are evaluated to determine their impact on mortality. We performed a systematic review and meta-analysis on EMBASE, the Cochrane Library, Web of Science, and MEDLINE. Studies evaluating mortality associated with empirical adequate and inadequate therapy in different sites of infection were included. Outcomes included clinical cures in microbiologically evaluable patients. Among the sites of infection, the most studied were bloodstream infections (n = 9), followed by respiratory tract infections (n = 5), intra-abdominal infections (n = 5), and urinary tract infections (evaluated by 3 studies). Inadequate therapy was associated with an increase in mortality between 11 and 68%. Technologies to speed up pathogen identification are extremely necessary to reduce mortality.

The Brazilian market holds the second position globally in the beauty sector, poised to surpass the USD 50 billion mark in the upcoming years. Aesthetic procedures encompass a spectrum, ranging from non-invasive ones, such as drainage, radiofrequency, ultrasound, and cryolipolysis, to more invasive techniques, including fillers, botulinum toxin, microneedling, micropigmentation, carboxytherapy, and enzyme application. This wide array of treatments has yielded satisfactory cosmetic results for individuals who opt out of surgical procedures. However, despite being categorized as having low complexity, they still carry inherent risks. These risks are often exacerbated by the breach of the skin barrier, the exposure of organs and spaces, or the presence of implantable devices. Among the bacteria most isolated concerning this matter are non-tuberculous Mycobacteria. This study presents descriptive case reports involving three patients under the care of the Infectious Diseases Department at General Hospital of Roraima (HGR). These patients were diagnosed with Mycobacterium abscessus infections subsequent to undergoing enzyme application procedures. Although these cases involve the same microorganism, they exhibit varying degrees of severity, ranging from the development of locally nodular formations to a progression towards sepsis. These cases provide an opportunity to delve into the diagnostic subtleties and clinical implications of these infections while also prompting a critical evaluation of therapeutic strategies. Additionally, the report underscores the potential risks associated with routine aesthetic procedures.

Tahiti lemon juice (Citrus aurantifolia) was evaluated for its antibacterial activity. For this purpose, microbiological parameters were assessed in vitro (measurement of the inhibition potential of bacteria using the disk diffusion method) and in vivo (the number of total aerobic mesophilic bacteria and Enterobacteriaceae on the eggshell). Tahiti lemon juice inhibited Escherichia coli and Staphylococcus aureus, with larger halos for pure juice. The values were 14.33 ± 0.58 mm for E. coli and 16.00 ± 1.00 mm for S. aureus. Compared with the load of mesophilic bacteria in the shells of non-sanitized eggs (5.49 ± 0.12 log10 CFU/mL), Tahiti lemon juice significantly reduced this bacterial group on the eggshell (2.07 ± 0.18 log10 CFU/mL). Combining the characteristics inherent to Tahiti lemon juice and the sanitization processes of poultry products proved helpful in guaranteeing the bacterial quality of eggs.

Immunotherapy has paved the way for the development of solid tumor new treatments in the last decade. The approval of immune checkpoint inhibitors such as anti PD-1/PD-L1 provided a revolution with optimal results. However, a considerable proportion of patients experience adverse therapeutic effects, and up to 50% may develop secondary resistance in the first three to five years. This has prompted the need for identifying new targets for immunotherapy that have good tolerance and biosafety and, of course, good tumoral response, either alone or in combination. Two of these new targets are the Lymphocyte-activation gene 3 (LAG-3) and the T cell immunoglobulin and ITIM domain (TIGIT). They are responsible for several interactions with the immune system, prompting an immunosuppressive phenotype in the tumor microenvironment. Both LAG-3 and TIGIT can be druggable, alone or in combination with anti-PD-1/PD-L1, with rather safe profiles making them attractive. In this review, we highlight some of the immune mechanisms of TIGIT and LAG-3 and their detection by immunohistochemistry, providing some insight into their use in the clinical setting.

A 72-year-old Brazilian woman presented with a 4-year history of rest tremors of the hands, followed by slowness of movement, and a diagnosis of idiopathic Parkinson’s disease. She was started on dopamine agonists with significant improvement. After three years, she complained about slowly progressive dysphagia, dysphonia, quadriparesis, and cramps and fasciculations. A neurological examination disclosed distal-dominant quadriparesis, dysarthria, atrophy and fasciculation of the tongue, global brisk tendon reflexes, fasciculations, bilateral ankle clonus, and moderate spasticity of the lower limbs. She had also palpitations, dyspnea, and one episode of paroxysmal atrial fibrillation. Electrocardiography revealed a short PR interval, a widened QRS complex, and the delta wave, suggestive of Wolff–Parkinson–White syndrome. Brain and spine MR imaging, a cerebrospinal fluid analysis, and general serum lab exams were unremarkable. Needle electromyography disclosed chronic denervation involving cervical, thoracic, lumbosacral, and bulbar levels associated with acute denervation, including positive sharp waves, fasciculations, and fibrillation potentials. This patient fulfilled the diagnostic criteria for amyotrophic lateral sclerosis associated with parkinsonism. A broad next-generation sequencing-based panel disclosed the presence of the novel heterozygous variant c.1247C > T (p.Pro416Leu) in the PRKAG2 gene (NM_016203.4). Clinicians must be aware of the possibility of PRKAG2 variants in complex clinical scenarios associating cardiac arrhythmia, preexcitation syndromes, hypertrophic cardiomyopathy, motor neuron disease, and parkinsonism.

Studies have revealed the dependence of glioma cells on iron, making them sensitive to ferroptosis. Ferroptosis can be triggered by inhibition of the xc- system, resulting in redox imbalance and membrane lipid peroxidation. The xc- system is composed of two coupled proteins, xCT and CD98hc. The control of transporters, such as xCT, by the CD98hc glycoprotein suggests that molecules targeting glycans may have an impact on the treatment of glioma. This study evaluated the effect of the Canavalia brasiliensis (ConBr) lectin on C6 glioma cells and compared it with erastin, an xc- system inhibitor. Both induced dose-dependent cell death, accompanied by an increase in the production of reactive oxygen species and a decrease in reduced glutathione. However, co-treatment did not show an additive effect. The analysis was updated by molecular dynamics assessments of the xc- system interacting with ConBr or erastin. The interaction of erastin with the xc- system affects its interaction with ConBr, reducing the antagonistic effect when both are in the protein complex. The data show that ConBr is effective in inducing cell death in glioma cells and regulates the xc system through interaction with CD98hc glycans, showing that lectins have the potential to promote ferroptosis in glioma cells.

(1) Background: Medication adherence is influenced by a variety of intricate factors, presenting hurdles for nurses working to improve it among adults with chronic conditions. Pinpointing the reasons for non-adherence is crucial for customizing interventions. The objective of this quality improvement project was to improve medication adherence among adults with chronic diseases in primary healthcare by promoting evidence-based practices, identifying barriers and facilitators to compliance, and developing strategies to ensure optimal adherence through engaging the nursing team, enhancing knowledge, and evaluating the effectiveness of the implemented strategies. (2) Methods: This study was a quality improvement project that utilized the JBI Evidence Implementation framework, the Practical Application of Clinical Evidence System, and the Getting Research into Practice audit tool across three phases: (i) forming a project team and conducting a baseline audit, (ii) offering feedback via the GRiP tool, and (iii) conducting a follow-up audit to assess best practice outcomes. The study was conducted between September 2021 and March 2022 in the community care unit of Algarve Regional Health Administration, targeting adults with chronic illnesses. (3) Results: A total of 148 individuals were audited, including 8 nurses, 70 baseline patients, and 70 post-implementation patients. Initial compliance with key best practices was low, with several criteria at 0% compliance at baseline. Post-intervention, we observed significant improvements; compliance with key best practices improved dramatically, with many reaching 100%. Notable improvements included enhanced patient education on medication management, regular medication adherence assessments, and increased engagement of healthcare professionals in adherence activities. (4) Conclusions: This quality improvement project demonstrated that structured, evidence-based interventions could significantly enhance medication adherence among adults with chronic diseases. The success of the project highlights the potential of similar strategies to be applied broadly in primary healthcare settings to improve health outcomes.

Background: A robust safety culture is essential for ensuring high-quality healthcare delivery. From a nursing perspective, especially among critical patients, it fosters ongoing improvement by highlighting areas that need attention. Aims: This study aimed to evaluate the perception of patient safety culture among nurses within the critical care environment. Methodology: An observational study was conducted at a central hospital in Portugal employing the Hospital Survey on Patient Safety Culture (HSPSC) questionnaire. Results: The study encompassed 57, nurses predominantly female (73.7%), aged 25–64. Most participants were general nurses (77.2%), with a significant proportion (61.4%) working in the emergency department and possessing an average tenure of 13 years at the facility. The perception of critical patient safety culture (CPSC) was predominantly positive (40.6%), varying by department, with intensive care nurses reporting the highest positivity rates. Teamwork was identified as a strong point, receiving 80.7% positivity, highlighting it as a well-established domain in the CPSC, whereas other domains were recognised as requiring enhancements. Conclusions: The study pinpointed both strengths and weaknesses within the CPSC, offering a foundation for developing targeted strategies to bolster patient safety culture in critical care settings.

In this study, a steady-state thermodynamic equilibrium evaluation of CO2 methanation was conducted. Calculations were performed by solving the material balance equations using the equilibrium constants of CO2 methanation and reverse water–gas shift reactions. Results obtained from an analytical method developed with the aid of the Microsoft Excel platform were compared to simulations conducted using the commercially available free software COCO and DWSIM. The effects of temperature, pressure, and H2/CO2 ratio on CH4 yield, carbon oxide formation, and heat balance were investigated. The results indicate that the methanation process is highly favored by low temperatures and higher pressures with a stoichiometric H2/CO2 ratio. Under these conditions, CH4 output increases, and carbon formation is reduced, resulting in better performance. Simulations from all three models are in agreement, with minor differences noted in the DWSIM software.