993 resultados para 338.43[822.1]


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Our objective was to determine the effect of body mass index (BMI) on response to bacterial vaginosis (BV) treatment. A secondary analysis was conducted of two multicenter trials of therapy for BV and TRICHOMONAS VAGINALIS. Gravida were screened for BV between 8 and 22 weeks and randomized between 16 and 23 weeks to metronidazole or placebo. Of 1497 gravida with asymptomatic BV and preconceptional BMI, 738 were randomized to metronidazole; BMI was divided into categories: < 25, 25 to 29.9, and > or = 30. Rates of BV persistence at follow-up were compared using the Mantel-Haenszel chi square. Multiple logistic regression was used to evaluate the effect of BMI on BV persistence at follow-up, adjusting for potential confounders. No association was identified between BMI and BV rate at follow-up ( P = 0.21). BMI was associated with maternal age, smoking, marital status, and black race. Compared with women with BMI of < 25, adjusted odds ratio (OR) of BV at follow-up were BMI 25 to 29.9: OR, 0.66, 95% CI 0.43 to 1.02; BMI > or = 30: OR, 0.83, 95% CI 0.54 to 1.26. We concluded that the persistence of BV after treatment was not related to BMI.

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OBJECTIVES This study sought to determine the effect of rotational atherectomy (RA) on drug-eluting stent (DES) effectiveness. BACKGROUND DES are frequently used in complex lesions, including calcified stenoses, which may challenge DES delivery, expansion, and effectiveness. RA can adequately modify calcified plaques and facilitate stent delivery and expansion. Its impact on DES effectiveness is widely unknown. METHODS The ROTAXUS (Rotational Atherectomy Prior to TAXUS Stent Treatment for Complex Native Coronary Artery Disease) study randomly assigned 240 patients with complex calcified native coronary lesions to RA followed by stenting (n = 120) or stenting without RA (n = 120, standard therapy group). Stenting was performed using a polymer-based slow-release paclitaxel-eluting stent. The primary endpoint was in-stent late lumen loss at 9 months. Secondary endpoints included angiographic and strategy success, binary restenosis, definite stent thrombosis, and major adverse cardiac events at 9 months. RESULTS Despite similar baseline characteristics, significantly more patients in the standard therapy group were crossed over (12.5% vs. 4.2%, p = 0.02), resulting in higher strategy success in the rotablation group (92.5% vs. 83.3%, p = 0.03). At 9 months, in-stent late lumen loss was higher in the rotablation group (0.44 ± 0.58 vs. 0.31 ± 0.52, p = 0.04), despite an initially higher acute lumen gain (1.56 ± 0.43 vs. 1.44 ± 0.49 mm, p = 0.01). In-stent binary restenosis (11.4% vs. 10.6%, p = 0.71), target lesion revascularization (11.7% vs. 12.5%, p = 0.84), definite stent thrombosis (0.8% vs. 0%, p = 1.0), and major adverse cardiac events (24.2% vs. 28.3%, p = 0.46) were similar in both groups. CONCLUSIONS Routine lesion preparation using RA did not reduce late lumen loss of DES at 9 months. Balloon dilation with only provisional rotablation remains the default strategy for complex calcified lesions before DES implantation.

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OBJECTIVES To learn upon incidence, underlying mechanisms and effectiveness of treatment strategies in patients with central airway and pulmonary parenchymal aorto-bronchial fistulation after thoracic endovascular aortic repair (TEVAR). METHODS Analysis of an international multicentre registry (European Registry of Endovascular Aortic Repair Complications) between 2001 and 2012 with a total caseload of 4680 TEVAR procedures (14 centres). RESULTS Twenty-six patients with a median age of 70 years (interquartile range: 60-77) (35% female) were identified. The incidence of either central airway (aorto-bronchial) or pulmonary parenchymal (aorto-pulmonary) fistulation (ABPF) in the entire cohort after TEVAR in the study period was 0.56% (central airway 58%, peripheral parenchymal 42%). Atherosclerotic aneurysm formation was the leading indication for TEVAR in 15 patients (58%). The incidence of primary endoleaks after initial TEVAR was n = 10 (38%), of these 80% were either type I or type III endoleaks. Fourteen patients (54%) developed central left bronchial tree lesions, 11 patients (42%) pulmonary parenchymal lesions and 1 patient (4%) developed a tracheal lesion. The recognized mechanism of ABPF was external compression of the bronchial tree in 13 patients (50%), the majority being due to endoleak formation, further ischaemia due to extensive coverage of bronchial feeding arteries in 3 patients (12%). Inflammation and graft erosion accounted for 4 patients (30%) each. Cumulative survival during the entire study period was 39%. Among deaths, 71% were attributed to ABPF. There was no difference in survival in patients having either central airway or pulmonary parenchymal ABPF (33 vs 45%, log-rank P = 0.55). Survival with a radical surgical approach was significantly better when compared with any other treatment strategy in terms of overall survival (63 vs 32% and 63 vs 21% at 1 and 2 years, respectively), as well as in terms of fistula-related survival (63 vs 43% and 63 vs 43% at 1 and 2 years, respectively). CONCLUSIONS ABPF is a rare but highly lethal complication after TEVAR. The leading mechanism behind ABPF seems to be a continuing external compression of either the bronchial tree or left upper lobe parenchyma. In this setting, persisting or newly developing endoleak formation seems to play a crucial role. Prognosis does not differ in patients with central airway or pulmonary parenchymal fistulation. Radical bronchial or pulmonary parenchymal repair in combination with stent graft removal and aortic reconstruction seems to be the most durable treatment strategy.

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BACKGROUND Many orthopaedic surgical procedures can be performed with either regional or general anesthesia. We hypothesized that total hip arthroplasty with regional anesthesia is associated with less postoperative morbidity and mortality than total hip arthroplasty with general anesthesia. METHODS This retrospective propensity-matched cohort study utilizing the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database included patients who had undergone total hip arthroplasty from 2007 through 2011. After matching, logistic regression was used to determine the association between the type of anesthesia and deep surgical site infections, hospital length of stay, thirty-day mortality, and cardiovascular and pulmonary complications. RESULTS Of 12,929 surgical procedures, 5103 (39.5%) were performed with regional anesthesia. The adjusted odds for deep surgical site infections were significantly lower in the regional anesthesia group than in the general anesthesia group (odds ratio [OR] = 0.38; 95% confidence interval [CI] = 0.20 to 0.72; p < 0.01). The hospital length of stay (geometric mean) was decreased by 5% (95% CI = 3% to 7%; p < 0.001) with regional anesthesia, which translates to 0.17 day for each total hip arthroplasty. Regional anesthesia was also associated with a 27% decrease in the odds of prolonged hospitalization (OR = 0.73; 95% CI = 0.68 to 0.89; p < 0.001). The mortality rate was not significantly lower with regional anesthesia (OR = 0.78; 95% CI = 0.43 to 1.42; p > 0.05). The adjusted odds for cardiovascular complications (OR = 0.61; 95% CI = 0.44 to 0.85) and respiratory complications (OR = 0.51; 95% CI = 0.33 to 0.81) were all lower in the regional anesthesia group. CONCLUSIONS Compared with general anesthesia, regional anesthesia for total hip arthroplasty was associated with a reduction in deep surgical site infection rates, hospital length of stay, and rates of postoperative cardiovascular and pulmonary complications. These findings could have an important medical and economic impact on health-care practice.

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BACKGROUND Biomarkers of myocardial injury increase frequently during transcatheter aortic valve implantation (TAVI). The impact of postprocedural cardiac troponin (cTn) elevation on short-term outcomes remains controversial, and the association with long-term prognosis is unknown. METHODS AND RESULTS We evaluated 577 consecutive patients with severe aortic stenosis treated with TAVI between 2007 and 2012. Myocardial injury, defined according to the Valve Academic Research Consortium (VARC)-2 as post-TAVI cardiac troponin T (cTnT) >15× the upper limit of normal, occurred in 338 patients (58.1%). In multivariate analyses, myocardial injury was associated with higher risk of all-cause mortality at 30 days (adjusted hazard ratio [HR], 8.77; 95% CI, 2.07-37.12; P=0.003) and remained a significant predictor at 2 years (adjusted HR, 1.98; 95% CI, 1.36-2.88; P<0.001). Higher cTnT cutoffs did not add incremental predictive value compared with the VARC-2-defined cutoff. Whereas myocardial injury occurred more frequently in patients with versus without coronary artery disease (CAD), the relative impact of cTnT elevation on 2-year mortality did not differ between patients without CAD (adjusted HR, 2.59; 95% CI, 1.27-5.26; P=0.009) and those with CAD (adjusted HR, 1.71; 95% CI, 1.10-2.65; P=0.018; P for interaction=0.24). Mortality rates at 2 years were lowest in patients without CAD and no myocardial injury (11.6%) and highest in patients with complex CAD (SYNTAX score >22) and myocardial injury (41.1%). CONCLUSIONS VARC-2-defined cTnT elevation emerged as a strong, independent predictor of 30-day mortality and remained a modest, but significant, predictor throughout 2 years post-TAVI. The prognostic value of cTnT elevation was modified by the presence and complexity of underlying CAD with highest mortality risk observed in patients combining SYNTAX score >22 and evidence of myocardial injury.

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OBJECTIVE Growth hormone (GH) has a strong lipolytic action and its secretion is increased during exercise. Data on fuel metabolism and its hormonal regulation during prolonged exercise in patients with growth hormone deficiency (GHD) is scarce. This study aimed at evaluating the hormonal and metabolic response during aerobic exercise in GHD patients. DESIGN Ten patients with confirmed GHD and 10 healthy control individuals (CI) matched for age, sex, BMI, and waist performed a spiroergometric test to determine exercise capacity (VO2max). Throughout a subsequent 120-minute exercise on an ergometer at 50% of individual VO2max free fatty acids (FFA), glucose, GH, cortisol, catecholamines and insulin were measured. Additionally substrate oxidation assessed by indirect calorimetry was determined at begin and end of exercise. RESULTS Exercise capacity was lower in GHD compared to CI (VO2max 35.5±7.4 vs 41.5±5.5ml/min∗kg, p=0.05). GH area under the curve (AUC-GH), peak-GH and peak-FFA were lower in GHD patients during exercise compared to CI (AUC-GH 100±93.2 vs 908.6±623.7ng∗min/ml, p<0.001; peak-GH 1.5±1.53 vs 12.57±9.36ng/ml, p<0.001, peak-FFA 1.01±0.43 vs 1.51±0.56mmol/l, p=0.036, respectively). There were no significant differences for insulin, cortisol, catecholamines and glucose. Fat oxidation at the end of exercise was higher in CI compared to GHD patients (295.7±73.9 vs 187.82±103.8kcal/h, p=0.025). CONCLUSION A reduced availability of FFA during a 2-hour aerobic exercise and a reduced fat oxidation at the end of exercise may contribute to the decreased exercise capacity in GHD patients. Catecholamines and cortisol do not compensate for the lack of the lipolytic action of GH in patients with GHD.

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The p21-activated kinase 5 (PAK5) is a serine/threonine protein kinase associated with the group 2 subfamily of PAKs. Although our understanding about PAK5 is very limited, it is receiving increasing interest due to its tissue specific expression pattern and important signaling properties. PAK5 is highly expressed in brain. Its overexpression induces neurite outgrowth in neuroblastoma cells and promotes survival in fibroblasts. ^ The serine/threonine protein kinase Raf-1 is an essential mediator of Ras-dependent signaling that controls the ERK/MAPK pathway. In contrast to PAK5, Raf-1 has been the subject of intensive investigation. However due to the complexity of its activation mechanism, the biological inputs controlling Raf-1 activation are not fully understood. ^ PAKs 1-3 are the known kinases responsible for phosphorylation of Raf-1 on serine 338, which is a crucial phosphorylation site for Raf-1 activation. However, dominant negative versions of these kinases do not block EGF-induced Raf-1 activation, indicating that other kinases may regulate the phosphorylation of Raf-1 on serine 338. ^ This thesis work was initiated to test whether the group 2 PAKs 4, 5 and 6 are responsible for EGF-induced Raf-1 activation. We found that PAK5, and to a lesser extent PAK4, can activate Raf-1 in cells. Our studies thereafter focused on PAK5. With the progress of our study we found that PAK5 does not significantly stimulate serine 338 phosphorylation of Triton X-100 soluble Raf-1. PAK5, however, constitutively and specifically associates with Raf-1 and targets it to a Triton X-100 insoluble, mitochondrial compartment, where PAK5 phosphorylates serine 338 of Raf-1. We further demonstrated that endogenous PAK5 and Raf-1 colocalize in Hela cells at the mitochondrial outer membrane. In addition, we found that the mitochondria-targeting of PAK5 is determined by its C-terminal kinase domain plus the upstream proximal region, and facilitated by the N-terminal p21 binding domain. We also demonstrated that Rho GTPases Cdc42 and RhoD associate with and regulate the subcellular localization of PAK5. Taken together, this work suggests that the mitochondria-targeting of PAK5 may link Ras and Rho GTPase-mediated signaling pathways, and sheds light on aspects of PAK5 signaling that may be important for regulating neuronal homeostasis. ^

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A number of indoor environmental factors, including bioaerosol or aeroallergen concentrations have been identified as exacerbators for asthma and allergenic conditions of the respiratory system. People generally spend 90% to 95% of their time indoors. Therefore, understanding the environmental factors that affect the presence of aeroallergens indoors as well as outdoors is important in determining their health impact, and in identifying potential intervention methods. This study aimed to assess the relationship between indoor airborne fungal spore concentrations and indoor surface mold levels, indoor versus outdoor airborne fungal spore concentrations and the effect of previous as well as current water intrusion. Also, the association between airborne concentration of indoor fungal spores and surface mold levels and the age of the housing structure were examined. Further, the correlation between indoor concentrations of certain species was determined as well. ^ Air and surface fungal measurements and related information were obtained from a Houston-area data set compiled from visits to homes filing insurance claims. During the sampling visit these complaint homes exhibited either visible mold or a combination of visible mold and water intrusion problems. These data were examined to assess the relationships between the independent and dependent variables using simple linear regression analysis, and independent t-tests. To examine the correlation between indoor concentrations of certain species, Spearman correlation coefficients were used. ^ There were 126 houses sampled, with spring, n=43 (34.1%), and winter, n=42 (33.3%), representing the seasons with the most samples. The summer sample illustrated the highest geometric mean concentration of fungal spores, GM=5,816.5 relative to winter, fall and spring (GM=1,743.4, GM=3,683.5 and GM=2,507.4, respectively). In all seasons, greater concentrations of fungal spores were observed during the cloudy weather conditions. ^ The results indicated no statistically significant association between outdoor total airborne fungal spore concentration and total living room airborne fungal spore concentration (β = 0.095, p = 0.491). Second, living room surface mold levels were not associated with living room airborne fungal spore concentration, (β= 0.011, p = 0.669). Third, houses with and without previous water intrusion did not differ significantly with respect to either living room (t(111) = 0.710, p = 0.528) or bedroom (t(111) =1.673, p = 0.162) airborne fungal spore concentrations. Likewise houses with and without current water intrusion did not differ significantly with respect to living room (t(109)=0.716, p = 0.476) or bedroom (t(109) = 1.035, p = 0.304) airborne fungal spore concentration. Fourth, houses with and without current water intrusion did not differ significantly with respect to living room (χ 2 (5) = 5.61, p = 0.346), or bedroom (χ 2 (5) = 1.80, p = 0.875) surface mold levels. Fifth, the age of the house structure did not predict living room (β = 0.023, p = 0.102) and bedroom (β = 0.023, p = 0.065) surface mold levels nor living room (β = 0.002, p = 0.131) and bedroom (β = 0.001, p = 0.650) fungal spore airborne concentration. Sixth, in houses with visually observed mold growth there was statistically significant differences between the mean living room concentrations and mean outdoor concentrations for Cladosporium (t (107) = 11.73, p < 0.0001), Stachybotrys (t (106)=2.288, p = 0.024, and Nigrosporia (t (102) = 2.267, p = 0.025). Finally, there was a significant correlation between several living room fungal species pairs, namely, Cladosporium and Stachybotrys (r = 0.373, p <0.01, n=65), Curvularia and Aspergillus/Penicillium (r = 0.205, p < 0.05, n= 111)), Curvularia and Stachybotrys (r = 0.205, p < 0.05, n=111), Nigrospora and Chaetomium (r = 0.254, p < 0.01, n=105) and Stachybotrys and Nigrospora (r = 0.269, p < 0.01, n=105). ^ This study has demonstrated several positive findings, i.e., significant pairwise correlations of concentrations of several fungal species in living room air, and significant differences between indoor and outdoor concentrations of three fungal species in homes with visible mold. No association was observed between indoor and outdoor fungal spore concentrations. Neither living room nor bedroom airborne spore concentrations and surface mold levels were related to the age of the house or to water intrusion, either previous or current. Therefore, these findings suggest the need for evaluating additional parameters, as well as combinations of factors such as humidity, temperature, age of structure, ventilation, and room size to better understand the determinants of airborne fungal spore concentrations and surface mold levels in homes. ^

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The climate evolution of the South Shetland Islands during the last c. 2000 years is inferred from the multiproxy analyses of a long (928 cm) sediment core retrieved from Maxwell Bay off King George Island. The vertical sediment flux at the core location is controlled by summer melting processes that cause sediment-laden meltwater plumes to form. These leave a characteristic signature in the sediments of NE Maxwell Bay. We use this signature to distinguish summer and winter-dominated periods. During the Medieval Warm Period, sediments are generally finer which indicates summer-type conditions. In contrast, during the Little Ice Age (LIA) sediments are generally coarser and are indicative of winter-dominated conditions. Comparison with Northern and Southern Hemisphere, Antarctic, and global temperature reconstructions reveals that the mean grain-size curve from Maxwell Bay closely resembles the curve of the global temperature reconstruction. We show that the medieval warming occurred earlier in the Southern than in the Northern Hemisphere, which might indicate that the warming was driven by processes occurring in the south. The beginning of the LIA appears to be almost synchronous in both hemispheres. The warming after the LIA closely resembles the Northern Hemisphere record which might indicate this phase of cooling was driven by processes occurring in the north. Although the recent rapid regional warming is clearly visible, the Maxwell Bay record does not show the dominance of summer-type sediments until the 1970s. Continued warming in this area will likely affect the marine ecosystem through meltwater induced turbidity of the surface waters as well as an extension of the vegetation period due to the predicted decrease of sea ice in this area.

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La información básica sobre el relieve de cuencas hidrográficas, mediante metodologías analítico-descriptivas permite contar con los parámetros físicos necesarios para el estudio de los recursos naturales tales como manejo integrado de cuencas, impacto ambiental, degradación de suelos, deforestación, conservación de los recursos hídricos, entre otros. Todos estos procesos ligados a una fuerte componente espacial permiten el uso de sistemas de información geográfica. Los Modelos Digitales de Elevación (DEM) y sus derivados son un componente relevante de estas fuentes de datos. En este trabajo se planteó evaluar los DEMs, generados por captura indirecta de datos fuente, (puntos digitalizados sobre un plano, en formato papel, con curvas de nivel) para determinar si su calidad altimétrica varía con la resolución espacial del mismo (tamaño de grilla). Asimismo se evaluó la posible existencia de alguna interacción entre el software utilizado y los tamaños de grilla, que podría influir sobre la calidad altimétrica del DEM. Se concluyó que la resolución espacial afecta la calidad altimétrica del DEM. Se constató, asimismo, que es posible encontrar un tamaño de grilla ideal en cuanto a calidad altimétrica y peso informático del modelo digital de elevaciones generado. Respecto de la existencia de una interacción entre el tamaño de grilla y el software, que pudieran afectar la calidad de los modelos obtenidos en función de la metodología de adquisición de datos fuente, se demostró que existe esta posibilidad cuando la base de datos se genera a partir de puntos digitalizados.

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En la zona norte de la provincia de Mendoza se desarrollan actividades que pueden afectar la calidad natural del agua subterránea: disposición y re-uso de efluentes industriales para riego agrícola, utilización de fertilizantes, saneamiento in-situ, fugas de redes de alcantarillado, etc. En esta región, surcada superficialmente por los ríos Mendoza y Tunuyán, la sedimentación cuaternaria determinó la formación de dos grandes unidades hidrogeológicas: acuíferos libres (sector de conos aluviales), y acuífero freático superior y acuíferos subyacentes confinados y/o semiconfinados. El área de estudio se encuentra ubicada en esta última unidad hidrogeológica donde se ha detectado contaminación de acuíferos por nitratos. El objetivo de este trabajo es identificar el origen de la contaminación, utilizando metodología hidroquímica mediante la evaluación de diversos parámetros físicoquímicos y biológicos, y técnicas isotópicas para corroborar la procedencia del agua subterránea y el origen de los nitratos. Los resultados obtenidos muestran que la presencia de nitratos en los acuíferos semiconfinado y confinado no proviene de la influencia del acuífero libre suprayacente, afectado por el re-uso de efluentes, sino que se relaciona con el ingreso de flujo horizontal de aguas subterráneas contaminadas provenientes del área del Gran Mendoza, debido a las pérdidas en las redes de alcantarillado y obras de saneamiento in situ.

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Este estudio tuvo por objetivo caracterizar la fertilidad química del suelo superficial nueve meses después de la ocurrencia de fuegos en dos tipos de formaciones del bosque andino patagónico: Nothofagus antarctica y Austrocedrus chilensis. El área de estudio se centró en un sector de suelos de ceniza volcánica que fue afectado por el incendio denominado La Colisión (Chubut, Argentina, febrero 2008) y posteriormente cubierto por ceniza volcánica proveniente del volcán Chaitén (mayo 2008). Se tomaron muestras compuestas de suelo mineral a dos profundidades (0-5 cm y 5-10 cm) en un sector de bosque de N. antarctica y un sector de bosque de A. chilensis, considerando tres niveles de afectación por fuego (control no quemado, poco quemado, muy quemado). En las muestras más superficiales (i.e., 0-5 cm) hubo aumentos significativos de pH y conductividad eléctrica, y disminución de los contenidos de materia orgánica, nitrógeno total, CIC y sodio, como consecuencia del fuego. Las muestras de 5-10 cm evidenciaron disminución de materia orgánica y nitrógeno total y aumento de azufre. El mayor contenido de azufre en los bosques quemados y el aumento observado de fósforo en suelos alofanizados con bajo grado de afectación por fuego, podrían ser beneficiosos para la recuperación de la vegetación.

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Los bosques de Maytenus boaria Mol. (maitén) se distribuyen en Mendoza en el borde oriental de la Cordillera Frontal en el Dpto. de San Carlos y constituyen valiosos relictos. El objetivo del trabajo fue estudiar el estado de conservación de estos bosques en umbría y solana entre 1500 y 1640 m s.n.m. en quebradas de esta cordillera. Para ello se relevó el número de individuos por clase diamétrica (adultos, jóvenes y renovales) y sus características de vitalidad-deterioro. Los bosques relevados se presentan esquemáticamente mediante perfiles que sintetizan su fisonomía, principales características ambientales y la presencia de disturbios. Si se considera la totalidad de los adultos de las poblaciones inventariadas (100 maitenes) sólo 19% están sanos, 50% débiles, 17% decrépitos y 14% muertos en pie; esto reflejaría algún tipo de estrés que reduce su vitalidad o que estarían alcanzando la vejez. La causa del deterioro en jóvenes y renovales se debe al ataque por insectos y/o por ramoneo del ganado; debido al alto deterioro medio de los renovales (65%) y jóvenes (88%) la renovación del bosque es incierta. Se concluye que es necesario iniciar la conservación de estos bosques y profundizar en su conocimiento. Se trata del primer estudio de bosques de maitén en las quebradas de la Cordillera Frontal de Mendoza.

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La predicción de la fenología del haba es un paso crítico para optimizar el manejo de los cultivos, así como para el desarrollo de modelos de cultivos. Este artículo examina la respuesta fenológica del cultivo de haba (Vicia faba L.) a diversos regímenes térmicos y fotoperíodicos evaluada mediante modelos lineales. Se realizaron diecisiete fechas de siembra durante tres años en Lugo, España (43°04’ N; 7°30’ W; altitud 480 m) en las que se hicieron observaciones fenológicas. El tiempo desde emergencia a floración se describe satisfactoriamente mediante un modelo fototérmico. Las tasas de desarrollo de siembra a emergencia, floración hasta la primera vaina y primera vaina hasta madurez fisiológica fueron modeladas en forma satisfactoria, utilizando solamente la temperatura como variable independiente. Los valores de temperaturas basales variaron entre 2,09 y 4,47°C, dependiendo del subperíodo fenológico. El fotoperíodo base resultó de 6,9 h mientras el fotoperíodo crítico fue de 16,2 h.

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El objetivo de este trabajo fue determinar el requerimiento de nitrógeno (N) para alcanzar máximos rendimientos sin afectar la calidad de los tubérculos en las variedades de papa para industria Innovator (INN) y Gem Russet (GR). El trabajo se llevó a cabo durante dos campañas agrícolas bajo cuatro dosis de nitrógeno (N), en un diseño de bloques completos y aleatorizados con tres repeticiones. A la cosecha se determinó el rendimiento, la materia seca (MS), la cantidad de N acumulado y la concentración de nitrato en los tubérculos. En general, la fertilización nitrogenada incrementó el rendimiento, la cantidad de N acumulado y la concentración de nitrato, en tanto que disminuyó la concentración de MS en los tubérculos. La variedad INN presentó una mayor respuesta a la fertilización y requirió mayor cantidad de N que GR para alcanzar el máximo rendimiento. La necesidad de N para maximizar el rendimiento fue de 280 y 245 kg ha-1 para INN y GR, respectivamente. En GR la cantidad de N acumulado y la MS en los tubérculos variaron más por efecto de la disponibilidad hídrica que en INN. Por su parte, INN acumuló mayor cantidad de nitrato en los tubérculos que GR, lo cual indica que las variedades expresaron diferencias en la capacidad de reducir el nitrato acumulado en los mismos. En síntesis, las estrategias de fertilización en estas variedades deben considerar que el agregado de N por encima de la dosis requerida para obtener el máximo rendimiento, disminuye la materia seca y aumenta el nivel de nitrato. En estas condiciones se afectaría más la calidad de los tubérculos en INN que en GR.