983 resultados para Targets: (HIP 78530, [PGZ2001] J161031.9-191305, GSC 06214-00210, 1RXS J160929.1-210524)
Resumo:
O N é o nutriente mais demandado pelas plantas. Contudo, para produção de mudas enraizadas de cacaueiro em substratos e sob irrigação freqüente não existem estudos de calibração de adubação nitrogenada. Os objetivos deste trabalho foram comparar a eficiência das adubações no substrato e foliar com uréia para mudas clonais de cacau e definir doses recomendáveis e nível crítico foliar de N. O experimento foi instalado em viveiro de produção de mudas do Instituto Biofábrica de Cacau, em Ilhéus, Bahia, em julho de 2006, envolvendo 10 tratamentos (duas formas de adubação, combinadas com cinco doses de uréia), em blocos casualizados, com quatro repetições. A parcela útil constituiu-se de 12 mudas clonais de cacaueiro cultivadas em tubetes, contendo 288 cm³ de substrato (50 % de fibra de coco e 50 % de Plantmax®). O substrato foi corrigido com 3,20 kg m-3 de calcário e adubado com 2,68 kg m-3 de superfosfato simples. Os tratamentos foram aplicados entre o 82º até o 138º dia, com as seguintes doses semanais de N: 0, 20, 40, 60 e 80 mg dm-3 via substrato e 0,0; 2,25; 4,5; 9,0; e 13,5 g L-1 via foliar. Em todos os tratamentos, fez-se a adubação complementar com P, K, S, Zn e B via substrato. Aos 145 dias, as plantas foram colhidas, sendo avaliados: diâmetro da haste principal, altura, área foliar, matéria seca da parte aérea (MSPA), teor de nutrientes na folha diagnóstica e conteúdo de nutrientes na parte aérea. As variáveis biométricas e nutricionais responderam aos tratamentos. A adubação via substrato proporcionou produção máxima superior à adubação foliar, para MSPA, altura e área foliar. As doses recomendáveis de N, calculadas para obtenção de 99 % da produção máxima, variaram de acordo com a variável biométrica de 43 a 76 mg dm-3 para adubação via substrato e de 9,1 a 11,7 g L-1 para adubação foliar. O nível crítico foliar de N, para obtenção de 99 % da produção máxima da MSPA, foi de 23,1 g kg-1.
Resumo:
Em solos recentemente fertilizados, as plantas absorvem os nutrientes que estão principalmente nas adjacências dos grânulos, cuja composição química é pouco conhecida. Este trabalho teve como objetivo avaliar o gradiente de concentração de K e a concentração eletrolítica a partir da região fertilizada com KCl em cinco solos, que tinham quantidades variáveis de argila (95 a 569 g kg-1) e de matéria orgânica (13 a 54 g kg-1). Os tratamentos consistiram de doses de KCl equivalentes a 0, 50, 100 e 200 kg ha-1 de K2O. Para obter as quantidades a serem aplicadas, considerou-se que essas doses seriam adicionadas sobre a superfície do solo, em linhas distanciadas de 0,70 m, e atingiria uma faixa de 2,5 cm, ou seja, entrariam em contato com 357 m² ha-1 de solo. Cada unidade experimental foi formada pela união de dois tubos horizontais de PVC, cada um com 7,0 cm de diâmetro e 9,0 cm de comprimento, preenchida com solo. Os grânulos de KCl foram distribuídos uniformemente entre duas folhas circulares de papel-filtro (7,0 cm de diâmetro), que foram colocadas na superfície de junção dos dois tubos. O gradiente de concentração de K nos solos foi quantificado por meio da concentração do K trocável (Mehlich-1) em diferentes distâncias a partir do local de aplicação dos grânulos. A movimentação de K variou com o tipo de solo, aumentou com a dose de KCl e foi menor no solo que tinha mais areia e menos matéria orgânica. Após 7 dias, com a maior dose de KCl aplicada (200 mg kg-1 K2O), a movimentação de K foi maior no Cambissolo Húmico léptico CHat (8,4 cm) e menor no Latossolo Vermelho distrófico LVd (6,4 cm). A amplitude de concentração de K no centímetro mais próximo do adubo variou de 9.800 a 16.475 mg kg-1; na camada distante de 4,0 a 5,0 cm dos grânulos, o K variou de 244 a 2.254 mg kg-1. A condutividade elétrica não atingiu valores prejudiciais ao processo germinativo de espécies com média tolerância a sais, mesmo no centímetro mais próximo do fertilizante. O movimento do K nos solos aconteceu em poucos dias, porém a movimentação máxima em cada dose de KCl não teve correlação com nenhum atributo de solo.
Resumo:
Em decorrência dos altos rendimentos de arroz irrigado por inundação, verificados nos últimos anos, e das respostas dessa cultura à adubação no Sul do Brasil, as recomendações de adubação foram flexibilizadas no sentido de atender a diferentes expectativas de produtividade. Como essas recomendações foram embasadas em poucos dados de pesquisa, o presente trabalho foi desenvolvido para avaliar a eficácia delas para o sistema de semeadura em solo seco nas regiões arrozeiras do RS. Foram conduzidos 13 experimentos de campo, quatro na safra 2004/2005 e nove na safra 2005/2006, com os seguintes tratamentos: 1- Testemunha (sem adubação); 2- Recomendação de adubação para atingir produtividade até 6,0 Mg ha-1; 3- Para atingir produtividade entre 6,0 e 9,0 Mg ha-1; 4- Para atingir produtividade entre 9,0 e 12,0 Mg ha-1; e 5- Para atingir produtividade maior que 12,0 Mg ha-1. Os tratamentos 2, 3 e 4 constituem as recomendações de adubação para o arroz irrigado no Sul do Brasil. As doses foram definidas em função dos índices de fertilidade de cada local, e os tratamentos, distribuídos em blocos ao acaso. As indicações de adubação para o arroz irrigado no sistema de semeadura em solo seco, apesar de resultarem em incremento relevante de produtividade (média de 3,2 Mg ha-1), não atenderam às respectivas expectativas, pois variaram com as condições edafoclimáticas de cada local.
Resumo:
A conversão de áreas nativas com o corte e queima de vegetação seguida do cultivo do solo resultam em mudanças na dinâmica da matéria orgânica do solo, com alterações nas emissões dos gases causadores de efeito estufa (GEE: CO2, CH4 e N2O) da biosfera para a atmosfera, que causam a elevação da temperatura média e, consequentemente, as mudanças climáticas globais. O objetivo deste estudo foi verificar as relações entre os fluxos de CO2, CH4 e N2O com a umidade, biomassa microbiana e as formas inorgânicas de N no solo com diferentes usos das terras no bioma Cerrado (Rio Verde, Goiás). O clima da região é do tipo Aw (Köppen-Geiger), e o solo foi classificado como Latossolo Vermelho distrófico caulinítico textura argilosa com vegetação original de Cerradão. O delineamento experimental foi inteiramente casualizado (DIC), com quatro tratamentos (áreas): vegetação nativa - Cerradão (CE); pastagem (PA) de braquiária, semeadura convencional (SC) de soja; e semeadura direta (SD) de milho sucedido por milheto. As emissões anuais de CO2 e N2O não mostraram diferenças significativas entre os tratamentos; isso ocorreu devido à elevada variação nos fluxos dos gases em decorrência da sazonalidade no clima, com as menores emissões observadas durante o inverno, devido à ausência da umidade do solo. A média na emissão de CO2 foi de 108,9 ± 85,6 mg m-2 h-1 , e para o N2O, de 13,5 ± 7,6 µg m-2 h-1. Os fluxos de CH4 apresentaram diferenças significativas somente para a pastagem, com emissão de 32 µg m-2 h-1 , enquanto nas demais áreas foram observados influxos entre 46 e 15 µg m-2 h-1 . Com os resultados das correlações, pode-se verificar que a umidade foi a variável do solo que apresentou maior correlação com o fluxo dos três gases de efeito estufa. O teor de N-NO3- e as emissões de CO2 mostraram correlações para todas as áreas. Quando consideradas as correlações para todos os tratamentos conjuntamente, verificou-se que os fluxos dos três gases apresentaram correlações significativas com os teores de C e N-microbiano. Contudo, a relação Cmicro:Nmicro não mostrou correlação significativa com o fluxo dos gases de efeito estufa. A pastagem foi a única situação em que os fluxos de CO2 e N2O apresentaram correlação com as quantidades de N-inorgânico. Os resultados sugerem que os fluxos dos GEE são dependentes do regime pluvial no bioma Cerrado, principalmente nas áreas cultivadas que recebem altas doses de fertilizantes para o aumento da produtividade.
Resumo:
Dada a escassez de informações na literatura e a importância do manejo adequado de resíduos orgânicos na agricultura, objetivou-se avaliar os efeitos da aplicação do resíduo da indústria processadora de goiabas em um Argissolo Vermelho-Amarelo, determinando-se as alterações provocadas na química do solo, no estado nutricional de goiabeiras e na produção de frutos. As doses de resíduo aplicadas no pomar foram estabelecidas em função dos teores de N no resíduo. O delineamento empregado foi o de blocos casualizados, com cinco tratamentos e quatro repetições, sendo as doses do resíduo (moído) de 0, 9, 18, 27 e 36 t ha-1 (peso do material seco). Foram feitas três aplicações do resíduo: em 2006, 2007 e 2008. O resíduo da indústria processadora de goiabas promoveu aumento nos teores de P no solo; as goiabeiras apresentaram aumento dos teores de N, Ca, Mg e Mn; a produção de frutos foi alterada positiva e significativamente no terceiro ano do experimento.
Resumo:
OBJECTIVE: To describe a method to obtain a profile of the duration and intensity (speed) of walking periods over 24 hours in women under free-living conditions. DESIGN: A new method based on accelerometry was designed for analyzing walking activity. In order to take into account inter-individual variability of acceleration, an individual calibration process was used. Different experiments were performed to highlight the variability of acceleration vs walking speed relationship, to analyze the speed prediction accuracy of the method, and to test the assessment of walking distance and duration over 24-h. SUBJECTS: Twenty-eight women were studied (mean+/-s.d.) age: 39.3+/-8.9 y; body mass: 79.7+/-11.1 kg; body height: 162.9+/-5.4 cm; and body mass index (BMI) 30.0+/-3.8 kg/m(2). RESULTS: Accelerometer output was significantly correlated with speed during treadmill walking (r=0.95, P<0.01), and short unconstrained walks (r=0.86, P<0.01), although with a large inter-individual variation of the regression parameters. By using individual calibration, it was possible to predict walking speed on a standard urban circuit (predicted vs measured r=0.93, P<0.01, s.e.e.=0.51 km/h). In the free-living experiment, women spent on average 79.9+/-36.0 (range: 31.7-168.2) min/day in displacement activities, from which discontinuous short walking activities represented about 2/3 and continuous ones 1/3. Total walking distance averaged 2.1+/-1.2 (range: 0.4-4.7) km/day. It was performed at an average speed of 5.0+/-0.5 (range: 4.1-6.0) km/h. CONCLUSION: An accelerometer measuring the anteroposterior acceleration of the body can estimate walking speed together with the pattern, intensity and duration of daily walking activity.
Resumo:
Poultry litter is an important nutrient source in agriculture, although little information is available regarding its decomposition rate and nutrient release. To evaluate these processes, poultry litter (PL) was applied to the soil to supply 100, 200 and 300 kg ha-1 N contained in 4,953, 9,907 and 14,860 kg ha-1 PL, respectively. The litter bag technique was used to monitor the process of decomposition and nutrient release from the litter. These bags were left on the soil surface and collected periodically (after 15, 30, 60, 90, 120, 150, 180, 210, 240, 270, 300, 330, and 365 days). The dry matter (DM) loss was highest (35 %) after the first 30 days of field incubation. The highest nutrient release occurred in the first 60 days on the field, when 40, 34, 91, and 39 %, respectively, of N, P, K, and Ca of the initial PL dry matter (4,860 kg ha-1) was already released to the soil. In absolute terms, these percentages represent 40, 23, 134, and 69 kg ha-1 of N, P, K, and Ca and these values doubled and tripled as the PL fertilization rates increased to 9,907 and 14,860 kg ha-1, respectively. After one year of field incubation, the residual contents in the litter were 27, 15, 18 and 30 % of the initial DM , and N, P and Ca, respectively. The release rate of K was the fastest and 91 % of the K had been released from the PL after 30 days of field incubation.
Resumo:
Background: The anti-angiogenic drug, bevacizumab (Bv), is currently used in the treatment of different malignancies including breast cancer. Many angiogenesis-associated molecules are found in the circulation of cancer patients. Until now, there are no prognostic or predictive factors identified in breast cancer patients treated with Bv. We present here the first results of the prospective monitoring of 6 angiogenesis-related molecules in the peripheral blood of breast cancer patients treated with a combination of Bv and PLD in the phase II trial, SAKK 24/06. Methods: Patients were treated with PLD (20 mg/m2) and Bv (10 mg/kg) on days 1 and 15 of each 4-week cycle for a maximum of 6 cycles, followed by Bv monotherapy maintenance (10 mg/m2 q2 weeks) until progression or severe toxicity. Plasma and serum samples were collected at baseline, after 2 months of therapy, then every 3 months and at treatment discontinuation. Enzyme-linked immunosorbent assays (Quantikine, R&D Systems and Reliatech) were used to measure the expression levels of human vascular endothelial growth factor (hVEGF), placental growth factor (hPlGF), matrix metalloproteinase 9 (hMMP9) and soluble VEGF receptors hsVEGFR-1, hsVEGFR-2 and hsVEGFR-3. The log-transformed data (to reduce the skewness) for each marker was analyzed using an analysis of variance (ANOVA) model to determine if there was a difference between the mean of the subgroups of interest (where α = 0.05). The untransformed data was also analyzed in the same manner as a "sensitivity" check. Results: 132 blood samples were collected in 41 out of 43 enrolled patients. Baseline levels of the molecules were compared to disease status according to RECIST. There was a statistically significant difference in the mean of the log-transformed levels of hMMP9 between responders [CR+PR] versus the mean in patients with PD (p-value=0.0004, log fold change=0.7536), and between patients with disease control [CR+PR+SD] and those with PD (p-value=<0.0001, log fold change=0.81559), with the log-transformed level of hMMP9 being higher for the responder group. The mean of the log-transformed levels of hsVEGFR-1 was statistically significantly different between patients with disease control [CR+PR+SD] and those with PD (p-value=0.0068, log fold change=-0.6089), where the log-transformed level of hsVEGFR-1 was lower for the responder group. The log-transformed level of hMMP9 at baseline was identified as a significant prognostic factor in terms of progression free survival (PFS): p-value=0.0417, hazard ratio (HR)=0.574 with a corresponding 95% confidence interval (0.336 - 0.979)). No strong correlation was shown either between the log-transformed levels of hsVEGF, hPlGF, hsVEGFR-2 or hsVEGFR-3 and clinical response or the occurrence of severe toxicity, or between the levels of the different molecules. Conclusions: Our results suggest that baseline plasma level of the matrix metalloproteinase, hMMP9, could predict tumor response and PFS in patients treated with a combination of Bv and PLD. These data justify further investigation in breast cancer patients treated with anti-angiogenic therapy.
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BACKGROUND: Within the frame of a twinning programme with Nicaragua, The La Mascota project, we evaluated in our study the contribution of cytogenetic characterization of acute lymphoblastic leukemia (ALL) as prognostic factor compared to clinical, morphological, and immunohistochemical parameters. METHODS: All patients with ALL treated at the only cancer pediatric hospital in Nicaragua during 2006 were studied prospectively. Diagnostic immunophenotyping was performed locally and bone marrow or blood samples were sent to the cytogenetic laboratory of Zurich for fluorescence in situ hybridization (FISH) analysis and G-banding. RESULTS: Sixty-six patients with ALL were evaluated. Their mean age at diagnosis was 7.3 years, 31.8% were >or=10 years. Thirty-four patients (51.5%) presented with hyperleucocytosis >or=50 x 10(9)/L, 45 (68.2%) had hepatosplenomegaly. Immunophenotypically 63/66 patients (95%) had a B-precursor, 2 (3%) a T- and 1 (1.5%) a B-mature ALL. FISH analysis demonstrated a TEL/AML1 fusion in 9/66 (14%), BCR/ABL fusion in 1 (1.5%), MLL rearrangement in 2 (3.1%), iAMP21 in 2 (3.1%), MYC rearrangement in 1 (1.5%), and high-hyperdiploidy in 16 (24%). All patients but two with TEL/AML1 fusion and high-hyperdiploidy were clinically and hematologically in the standard risk group whereas those with poor cytogenetic factors had clinical high-risk features and were treated intensively. CONCLUSIONS: Compared to Europe, the ALL population in Nicaragua is older, has a higher proportion of poor prognostic clinical and hematological features and receives more intensive treatment, while patients with TEL/AML1 translocations and high-hyperdiploidy are clinically in the standard risk group. Cytogenetics did not contribute as an additional prognostic factor in this setting.
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BACKGROUND: Human saphenous vein grafts are one of the salvage bypass conduits when endovascular procedures are not feasible or fail. Understanding the remodeling process that venous grafts undergo during exposure to arterial conditions is crucial to improve their patency, which is often compromised by intimal hyperplasia. The precise role of hemodynamic forces such as shear stress and arterial pressure in this remodeling is not fully characterized. The aim of this study was to determine the involvement of arterial shear stress and pressure on vein wall remodeling and to unravel the underlying molecular mechanisms. METHODS: An ex vivo vein support system was modified for chronic (up to 1 week), pulsatile perfusion of human saphenous veins under controlled conditions that permitted the separate control of arterial shear stress and different arterial pressure (7 mm Hg or 70 mm Hg). RESULTS: Veins perfused for 7 days under high pressure (70 mm Hg) underwent significant development of a neointima compared with veins exposed to low pressure (7 mm Hg). These structural changes were associated with altered expression of several molecular markers. Exposure to an arterial shear stress under low pressure increased the expression of matrix metalloproteinase (MMP)-2 and MMP-9 and tissue inhibitor of metalloproteinase (TIMP)-1 at the transcript, protein, and activity levels. This increase was enhanced by high pressure, which also increased TIMP-2 protein expression despite decreased levels of the cognate transcript. In contrast, the expression of plasminogen activator inhibitor-1 increased with shear stress but was not modified by pressure. Levels of the venous marker Eph-B4 were decreased under arterial shear stress, and levels of the arterial marker Ephrin-B2 were downregulated under high-pressure conditions. CONCLUSIONS: This model is a valuable tool to identify the role of hemodynamic forces and to decipher the molecular mechanisms leading to failure of human saphenous vein grafts. Under ex vivo conditions, arterial perfusion is sufficient to activate the remodeling of human veins, a change that is associated with the loss of specific vein markers. Elevation of pressure generates intimal hyperplasia, even though veins do not acquire arterial markers. CLINICAL RELEVANCE: The pathological remodeling of the venous wall, which leads to stenosis and ultimately graft failure, is the main limiting factor of human saphenous vein graft bypass. This remodeling is due to the hemodynamic adaptation of the vein to the arterial environment and cannot be prevented by conventional therapy. To develop a more targeted therapy, a better understanding of the molecular mechanisms involved in intimal hyperplasia is essential, which requires the development of ex vivo models of chronic perfusion of human veins.
Resumo:
Prominin-1 (CD133) is physiologically expressed at the apical membranes of secretory (serous and mucous) and duct cells of major salivary glands. We investigated its expression in various human salivary gland lesions using two distinct anti-prominin-1 monoclonal antibodies (80B258 and AC133) applied on paraffin-embedded sections and characterized its occurrence in saliva. The 80B258 epitope was extensively expressed in adenoid cystic carcinoma, in lesser extent in acinic cell carcinoma and pleomorphic adenoma, and rarely in mucoepidermoid carcinoma. The 80B258 immunoreactivity was predominately detected at the apical membrane of tumor cells showing acinar or intercalated duct cell differentiation, which lined duct- or cyst-like structures, and in luminal secretions. It was observed on the whole cell membrane in non-luminal structures present in the vicinity of thin-walled blood vessels and hemorrhagic areas in adenoid cystic carcinoma. Of note, AC133 labeled only a subset of 80B258-positive structures. In peritumoral salivary gland tissues as well as in obstructive sialadenitis, an up-regulation of prominin-1 (both 80B258 and AC133 immunoreactivities) was observed in intercalated duct cells. In most tissues, prominin-1 was partially co-expressed with two cancer markers: carcinoembryonic antigen (CEA) and mucin-1 (MUC1). Differential centrifugation of saliva followed by immunoblotting indicated that all three markers were released in association with small membrane vesicles. Immuno-isolated prominin-1-positive vesicles contained CEA and MUC1, but also exosome-related proteins CD63, flotillin-1, flotillin-2 and the adaptor protein syntenin-1. The latter protein was shown to interact with prominin-1 as demonstrated by its co-immunoisolation. A fraction of saliva-associated prominin-1 appeared to be ubiquitinated. Collectively, our findings bring new insights into the biochemistry and trafficking of prominin-1 as well as its immunohistochemical profile in certain types of salivary gland tumors and inflammatory diseases.
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Introduction: Non-operative management (NOM) of blunt splenic injuries in hemodynamically stable patients is nowadays considered the standard treatment. Material and Methods: The aim was to clarify the criteria used for primary operative management (OM) and planned NOM. Furthermore, the study aimed to identify risk factors for failure of NOM. All adult patients with blunt splenic injuries treated from 2000-2008 were reviewed and a logistic regression analysis employed. Results: There were 206 patients (146 men, 70.9%). Mean age was 38.2 ± 19.1 years. The mean Injury Severity Score (ISS) was 30.9 ± 11.6. The American Association for the Surgery of Trauma (AAST) classification of the splenic injury was: grade I, n = 43 (20.9%); grade II, n = 52 (25.2%); grade III, n = 60 (29.1%), grade IV, n = 42 (20.4%) and grade V, n = 9 (4.4%). 47 patients (22.8%) required immediate surgery (OM). More than 5 units of red cell transfusions (odds ratio [OR] 13.72, P < 0.001), a Glasgow Coma Scale < 11 (OR 9.88, P = 0.009) and age ? 55 years (OR 3.29, P = 0.038) were associated with primary OM. 159 patients (77.2%) qualified for a non-surgical approach (NOM), which was successful in 89.9% (143/159). The overall splenic salvage rate amounted to 69.4% (143/206). Multiple logistic regression analysis found age ? 40 years to be the only factor significantly and independently related to the failure of NOM (OR 13.58, P = 0.001). Conclusion: Advanced age is associated with an increased failure rate of NOM in patients with blunt splenic injuries.
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Nas regiões tropicais, o desgaste provocado no solo por ação das águas da chuva, ou seja, a erosão hídrica é a mais importante forma de degradação do solo. Visto que os plantios florestais de eucalipto estão inseridos em ecossistemas sensíveis às perturbações antrópicas em razão de ocorrência de plantações em solos com baixos teores de argila, com baixa fertilidade natural e grande parte das plantações estabelecidas em antigas áreas agrícolas e de pastagens degradadas, surge a necessidade do entendimento dos processos que regem a erosão hídrica e suas relações com as perdas de solo e água nos sistemas florestais. Objetivaram-se com este trabalho calcular os valores de erosividade da chuva (fator R - EI30), estimar a tolerância de perda de solo (T) para as classes representativas nas áreas de estudo, avaliar as perdas de solo e água por erosão hídrica e verificar a influência, por meio de análise de componentes principais (ACP), de atributos físicos e matéria orgânica do solo sobre a erosão hídrica em florestas de eucalipto no estádio de pós-plantio. Os tratamentos constituíram de diferentes sistemas de manejo dos resíduos e da disposição de plantio (nível e desnível), em dois biomas distintos, Cerrado e Floresta, e solo descoberto. Os solos foram classificados como Latossolo Vermelho distrófico típico textura média-alta fase floresta (LVd1) e Latossolo Vermelho distrófico típico textura média-baixa fase cerrado (LVd2). O estudo foi realizado em áreas experimentais de plantio de eucalipto localizadas no município de Três Lagoas, na bacia do Rio Paraná, no leste do Mato Grosso do Sul. O índice de erosividade anual obtido foi de 6.792,7 MJ mm ha-1 h-1 ano-1. Os valores de T variaram de 9,0 a 11,0 Mg ha-1 ano-1, para o LVd2 e LVd1, respectivamente. As perdas de solo apresentaram valores em torno de 0 a 0,505 Mg ha-1 no LVd1 e de 0 a 0,853 Mg ha-1, no LVd2. A ACP evidenciou-se eficiente na discriminação dos sistemas de manejo em razão da interação entre os atributos físicos e matéria orgânica do solo e suas relações com a erosão hídrica, possibilitando visualizar de forma clara a influência do manejo sobre esses atributos e a relação de ambos com as perdas de solo e água.
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BACKGROUND: Little is known on the prevalence of multimorbidity (MM) in the general population. We aimed to assess the prevalence of MM using measured or self-reported data in the Swiss population. METHODS: Cross-sectional, population-based study conducted between 2003 and 2006 in the city of Lausanne, Switzerland, and including 3714 participants (1967 women) aged 35 to 75 years. Clinical evaluation was conducted by thoroughly trained nurses or medical assistants and the psychiatric evaluation by psychologists or psychiatrists. For psychiatric conditions, two definitions were used: either based on the participant's statements, or on psychiatric evaluation. MM was defined as presenting X05;2 morbidities out of a list of 27 (self-reported - definition A, or measured - definition B) or as the Functional Comorbidity Index (FCI) using measured data - definition C. RESULTS: The overall prevalence and (95% confidence interval) of MM was 34.8% (33.3%-36.4%), 56.3% (54.6%-57.9%) and 22.7% (21.4%-24.1%) for definitions A, B and C, respectively. Prevalence of MM was higher in women (40.2%, 61.7% and 27.1% for definitions A, B and C, respectively, vs. 28.7%, 50.1% and 17.9% in men, p201;<201;0.001); Swiss nationals (37.1%, 58.8% and 24.8% for definitions A, B and C, respectively, vs. 31.4%, 52.3% and 19.7% in foreigners, all p201;<201;0.001); elderly (>65 years: 67.0%, 70.0% and 36.7% for definitions A, B and C, respectively, vs. 23.6%, 50.2% and 13.8% for participants <45 years, p201;<201;0.001); participants with lower educational level; former smokers and obese participants. Multivariate analysis confirmed most of these associations: odds ratio (95% Confidence interval) 0.55 (0.47-0.64), 0.61 (0.53-0.71) and 0.51 (0.42-0.61) for men relative to women for definitions A, B and C, respectively; 1.27 (1.09-1.49), 1.29 (1.11-1.49) and 1.41 (1.17-1.71) for Swiss nationals relative to foreigners, for definitions A, B and C, respectively. Conversely, no difference was found for educational level for definitions A and B and abdominally obese participants for all definitions. CONCLUSIONS: Prevalence of MM is high in the Lausanne population, and varies according to the definition or the data collection method.
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Introduction: Growth is a central process in paediatrics. Weight and height evaluation are therefore routine exams for every child but in some situation, particularly inflammatory bowel disease (IBD), a wider evaluation of nutritional status needs to be performed. Objectives: To assess the accuracy of bio-impedance analysis (BIA) compared to the gold standard dual energy X-ray absorptiometry (DEXA) in estimating percentage body fat (fat mass; FM) and lean body mass (fat free mass; FFM) in children with inflammatory bowel disease (IBD). To compare FM and FFM levels between patients with IBD and healthy controls. Methods: Twenty-nine healthy controls (12 females; mean age: 12.7 ± 1.9 years) and 21 patients (11 females; 14.3 ± 1.3 years) were recruited from August 2011 to October 2012 at our institution. BIA was performed in all children and DEXA in patients only. Concordance between BIA and DEXA was assessed using Lin's concordance correlation and the Bland-Altman method. Between-group comparisons were made using analysis of variance adjusting for age. Results: BIA-derived FM% showed a good concordance with DEXA-derived values, while BIA-derived FFM% tended to be slightly higher than DEXA-derived values (table). No differences were found between patients and controls regarding body mass index (mean ± SD: 19.3 ± 3.3 vs. 20.1 ± 2.8 kg/m2, respectively; age-adjusted P = 0.08) and FM% (boys: 25.3 ± 10.2 vs. 22.6 ± 7.1%, for patients and controls, respectively; P = 0.20; girls: 28.2 ± 5.7 vs. 26.4 ± 7.7%; P = 0.91). Also, no differences were found regarding FFM% in boys (74.9 ± 10.2 vs. 77.4 ± 7.1%; P = 0.22) and girls (71.8 ± 5.6 vs. 73.5 ± 7.7%; P = 0.85). Conclusion: BIA adequately assesses body composition (FM%) in children with IBD and could advantageously replace DEXA, which is more expensive and less available. No differences in body composition were found between children with IBD and healthy controls.