Bone mineral density and body composition in girls with idiopathic central precocious puberty before and after treatment with a gonadotropin-releasing hormone agonist

OBJECTIVES: Idiopathic central precocious puberty and its postponement with a (gonadotropin-releasing hormone) GnRH agonist are complex conditions, the final effects of which on bone mass are difficult to define. We evaluated bone mass, body composition, and bone remodeling in two groups of girls with idiopathic central precocious puberty, namely one group that was assessed at diagnosis and a second group that was assessed three years after GnRH agonist treatment. METHODS: The precocious puberty diagnosis and precocious puberty treatment groups consisted of 12 girls matched for age and weight to corresponding control groups of 12 (CD) and 14 (CT) girls, respectively. Bone mineral density and body composition were assessed by dual X-ray absorptiometry. Lumbar spine bone mineral density was estimated after correction for bone age and the mathematical calculation of volumetric bone mineral density. CONEP: CAAE-0311.0.004.000-06. RESULTS: Lumbar spine bone mineral density was slightly increased in individuals diagnosed with precocious puberty compared with controls; however, after correction for bone age, this tendency disappeared (CD = -0.74 +/- 0.9 vs. precocious puberty diagnosis = -1.73 +/- 1.2). The bone mineral density values of girls in the precocious puberty treatment group did not differ from those observed in the CT group. CONCLUSION: There is an increase in bone mineral density in girls diagnosed with idiopathic central precocious puberty. Our data indicate that the increase in bone mineral density in girls with idiopathic central precocious puberty is insufficient to compensate for the marked advancement in bone age observed at diagnosis. GnRH agonist treatment seems to have no detrimental effect on bone mineral density.

Nutrição mineral da cana‑de‑açúcar irrigada com efluente de esgoto tratado, em área com aplicação de fosfogesso

O objetivo deste trabalho foi quantificar o aporte e a remoção de nutrientes em sistemas de cultivo  de cana‑de‑açúcar irrigados, ou não, com efluente de estação de tratamento de esgoto (EETE), com e sem  adição  de fosfogesso,  bem  como  avaliar  os  efeitos  desses sistemas  de  cultivo  no  estado  nutricional  das  plantas. Foram avaliados tratamentos sem irrigação e com irrigação a 100 e 150% da necessidade hídrica da  cultura. Os tratamentos com fosfogesso foram aplicados em área de terceiro corte, irrigada com EETE desde  o plantio. As  avaliações foram realizadas em duas safras. Os tratamentos não afetaram os rendimentos de  colmos. O tratamento com EETE e fosfogesso apresentou efeito sinérgico sobre o conteúdo de nitrogênio e de  enxofre nas plantas. O EETE beneficiou a nutrição das plantas quanto ao fósforo, mas não causou melhorias  na nutrição com potássio e enxofre. A nutrição com ferro, zinco e manganês não foi influenciada pelo aporte  desses micronutrientes pelo EETE. O  fósforo e o nitrogênio aportados na irrigação com EETE devem ser  considerados na recomendação de adubação. Porém, potássio, enxofre, ferro, zinco e manganês do efluente não  são fontes eficientes desses nutrientes para as plantas.

NUTRITIONAL BALANCE, ESSENTIAL OIL AND WOOD PRODUCTION FROM Corymbia citriodora Hill & Johnson WITH SEWAGE SLUDGE AND MINERAL FERTILIZER APPLICATIONS

The Corymbia citriodora is one of the most important forest species in Brazil and the reason is the diversity of its use, because it produces good quality wood and the leaves may be used for essential oil production. Although, there are not many studies about species and the handling effect in the nutritional balance. This study aimed to evaluate the biomass production and nutrient balance in the conventional production of essential oil and wood of Corymbia citriodora with sewage sludge application. The experiment design established was the randomized blocks, with four replicates and two treatments: 1 - fertilization with 10 tons ha(-1) (dry mass) of sewage sludge, supplemented with K and B, and 2 - mineral fertilization. It was evaluated the aerial biomass production, the nutrient export of the leaves, the essential oil and wood production at four years old. The trees that received application of sewage sludge produced 20 % more leaves biomass than the trees with mineral fertilization, resulting in larger oil production. Besides, the trees with sewage sludge application produced 14.2 tons ha(-1) yr(-1) of woody biomass that was 27 % higher than the treatment with mineral fertilization. For both treatments the N balance was negative, but treatment with sewage sludge application (-45 kg ha(-1)) was four times lower than the observed on mineral fertilization treatment (-185 kg ha(-1)). It may be concluded in this paper that the application of sewage sludge benefits the production of leaves biomass, essential oil and wood, besides result better nutritional balance of the Corymbia citriodora production system.

Adubação mineral com cobalto e molibdênio na cultura da soja

Altas produtividades de soja requerem grandes quantidades de nitrogênio, que podem ser obtidas principalmente, a partir da fixação simbiótica. No entanto, há possibilidade da eficiência desse processo biológico ser prejudicada pela deficiência de micronutrientes, especialmente de cobalto e molibdênio. Nesse contexto, objetivou-se com o presente trabalho avaliar a eficiência agronômica e a forma de aplicação de adubação mineral com cobalto e molibdênio na cultura da soja. Para tanto, a cultivar CD-206 foi submetida a diferentes tratamentos que consistiram da combinação entre aplicação de Co e Mo via tratamento de sementes e adubação foliar. As características agronômicas avaliadas foram o número de nódulos, massa seca da parte aérea, massa seca de raiz, número de vagens, número de grãos, massa de mil grãos e produção de grãos. A aplicação de molibdênio e cobalto via sementes e/ ou adubação foliar no estádio V4 (terceira folha trifoliolada completamente desenvolvida, quarto nó) promoveram incrementos significativos no rendimento da cultura. Respostas positivas ao cobalto e molibdênio também foram observadas no número de nódulos, vagens e grãos, com aumentos de até 240 kg ha-1 no rendimento da cultura. Os parâmetros agronômicos avaliados foram afetados positivamente pela aplicação de Co e Mo, principalmente quanto aplicado tanto via semente como foliar (TS + V4), inclusive para a produtividade de grãos. A forma de aplicação não foi significativamente distinta, ou seja, tanto a aplicação via semente como via foliar foram eficientes no fornecimento destes nutrientes para a cultura da soja.

Low Bone Mineral Density in Middle-Aged Breast Cancer Survivors: Prevalence and Associated Factors

Background: The aim of this study was to investigate the prevalence of low bone mineral density (BMD) and associated factors in middle-aged breast cancer survivors (BCS). Patients and Methods: A cross-sectional study was conducted with 70 BCS of 45-65 years of age undergoing complete oncology treatment. Logistic regression models were used to identify factors associated with low BMD (osteopenia and osteoporosis taken together as a single group). Results: The mean age of participants was 53.2 +/- 5.9 years. BMD was low at the femoral neck in 28.6% of patients and at the lumbar spine in 45.7%. Body mass index <= 30 kg/m(2) (adjusted odds ratio (OR) 3.43; 95% confidence interval (CI) 1.0-11.3) and postmenopausal status (OR adjusted 20.42; 95% CI 2.0-201.2) were associated with low BMD at the lumbar spine. Femoral neck measurements, age > 50 years (OR 3.41; 95% CI 1.0-11.6), and time since diagnosis > 50 months (OR adjusted 3.34; 95% CI 1.0-11.3) increased the likelihood of low BMD. Conclusion: These findings show that low BMD is common in middle-aged BCS. Factors were identified that may affect BMD in BCS and should be considered when implementing strategies to minimize bone loss in middle-aged women with breast cancer.