Viability and Vigor of Cerrado Cashew Seeds (Anacardium humile) on Different Substrates

The little cashew from the Cerrado (Anacardium humile) is a kind of family anacardiáceaceas, a shrubby plant of great incidence in the Brazilian Cerrado. It is a small pseudofruit, of acidic and juicy flavor, which is known to have colors ranging from yellow to red. It can be consumed naturally or in juices, drinks, sweets. However, its true fruit is the chestnut. Seed germination is influenced by factors such as the substrate, which can be improved in order to improve germination, resulting in the acquisition of more vigorous seedlings. The experiment was conducted in a greenhouse at the Federal Institute of Education, Science and Technology of Tocantins, city of Gurupi/TO, from 26 October 2017 to 15 February 2018. Seeds were collected directly from the pseudofruits. The highest root length value was obtained for seedlings of the following substrates: bs + ws + pb (7.1 cm and 12.5 cm) and ws (6.7 cm and 10.7 cm), intermediate values: or + rs + vl (6.3 cm and 10.0 cm) and hw + vl + sawdust + cp + ws (5.5 cm and 9.5 cm), and lower values on substrates: bs (5.7 cm and 8.0 cm) and bs + rs + sawdust (6,6 cm e 9,0 cm). It was also observed that the highest value referring to the first emergency count and seedling emergence once again stood out the substrates bs + ws + pb (61.0 % and 87.5 %) and ws (56.2% and 86.2 %). Intermediate results were obtained from hw substrates + vl + sawdust + cp + ws(44.0 % and 81.0 %) and or + rs + vl (48.4 % and 81.2 %) and lower for bs substrates (37.5% and 72.0 %) and bs + rs + sawdust (45.3% and 77.0 %). The substrates: bs + ws + pb and washed sand provided the highest values of viability and vigor in cashew seeds.

Outpatient Care and Short Hospitalization for the Elderly Patient with Inguinal Hernia

Introduction: The surgery of hernial disease of abdominal wall and especially of the inguinofemoral hernia has increase but in fact its prevalence is unknown. The objective of present study was to assess the result of surgical treatment of the inguinofemoral region hernia in third-age patients seen in the "Dr. Enrique Cabrera" Teaching General Hospital. Methods: A study was conducted in 2186 third-age patients operated on of inguinofemoral hernia from January, 2000 to December, 2020 in the above mentioned hospital. In all cases patients had the alternative to be operated on in ambulatory way or with a short hospital stay. Also, were included the patients operated on as an urgency. From the patients operated on in an elective way were excluded those suffering of associated, cardiopulmonary or thromboembolic ASA-III type diseases (classification of the American Society of Anesthesiology). Results: The great incidence of the inguinal hernia was found in ages from 60-69 years (59,3%). The indirect right inguinal hernia was the more frequent. The Desarda's anatomical surgical technique was the more applied one in the inguinal hernia and theLichtenstein's prosthetic technique with the 32% was the following in frequency. There were 20 relapses (0,9%). Local anesthesia was applied in the 75,4% of patients, in ambulatory way in the 76,4%. The total of complications was of 78 (7,1%). Conclusions: The surgical treatment of inguinofemoral hernias, ambulatory or with a short hospital stay is a suitable procedure in third-age patients since to increase the comfort of patients, to decrease the hospital infection risk, to reduce the waiting lists and the hospital costs.

Intelligent Diagnosis of Thyroid Ultrasound Imaging Using an Ensemble of Deep Learning Methods

Background and Objectives: At present, thyroid disorders have a great incidence in the worldwide population, so the development of alternative methods for improving the diagnosis process is necessary. Materials and Methods: For this purpose, we developed an ensemble method that fused two deep learning models, one based on convolutional neural network and the other based on transfer learning. For the first model, called 5-CNN, we developed an efficient end-to-end trained model with five convolutional layers, while for the second model, the pre-trained VGG-19 architecture was repurposed, optimized and trained. We trained and validated our models using a dataset of ultrasound images consisting of four types of thyroidal images: autoimmune, nodular, micro-nodular, and normal. Results: Excellent results were obtained by the ensemble CNN-VGG method, which outperformed the 5-CNN and VGG-19 models: 97.35% for the overall test accuracy with an overall specificity of 98.43%, sensitivity of 95.75%, positive and negative predictive value of 95.41%, and 98.05%. The micro average areas under each receiver operating characteristic curves was 0.96. The results were also validated by two physicians: an endocrinologist and a pediatrician. Conclusions: We proposed a new deep learning study for classifying ultrasound thyroidal images to assist physicians in the diagnosis process.

Correlation between Risk Score Systems and the extent of Coronary Artery Disease detected by Multislice Computed Tomography

Background Risk stratifying patients for cardiovascular diseases is crucial to formulate early effective prevention strategies. Risk scoring systems (RSS) as Framingham Risk Score (FRS) and the Systematic Coronary Risk Evaluation (SCORE) have been designed for early predictions of cardiovascular events in 10-year time. Objectives To study the correlation between Risk Score Systems and the extent of Coronary Artery Disease detected by Coronary CT angiography. Methods This analysis concluded 120 patients without known coronary disease referred to CCTA from January to June 2018. The extent of CAD, calcium score, coronary plaque burden, composition and distribution were assessed. The Framingham and SCORE risk scores were calculated, then correlation between them was done. Results This included 120 patients (mean age 54 + 9 years, 55% male patients). MSCT detected the presence of coronary lesions in 53.3% of the cases, 18.3% of them were with obstructive plaques (stenosis ≥ 50% in the LM or ≥ 70% in any other vessel). Both RSS had a good diagnostic value where SCORE was found to have a higher predictive value (area under ROC curves, 0.754 vs 0.711 for SCORE and FRS respectively). Low SCORE risk category showed the least number of patients with significant CAD (1/22 = 4.5%), compared to those with low risk using FRS (7/85 = 8.2%). High risk SCORE category included more patients with significant CAD (9/23 = 39%), compared to patients with FRS high risk category (3/10 = 30%). A high versus low risk SCORE was related to a higher plaque burden severity (mean burden 57.20=9.75 vs 50.17 + 9.75, respectively, P-value=0.008) and to a great incidence of Calcium Score (CS) > 100 (mean calcium 101.39 + 113.30 vs 3.18 + 13.40, respectively, P-value=0.000). A high versus low risk FRS was related to a higher plaque burden severity (mean burden 60.90 + 15.6 vs 54.06 + 8.04, respectively, P-value=0.039) and to a great incidence of Calcium Score (CS) > 100 (mean calcium 122.40 + 143.89 vs 26.84 + 81.75, respectively, P-value=0.001). Conclusion Risk score correlates well with the extent of CAD detected by MSCT where SCORE had a higher predictive value than FRS.

AVALIAÇÃO DO PERFIL EPIDEMIOLÓGICO DOS CASOS DE DENGUE NO MUNICÍPIO DE PORTO NACIONAL, TOCANTINS.

Introdução – A dengue é uma doença viral infecciosa, transmitida principalmente pelo mosquito Aedes aegypt e de grande incidência no Brasil. É uma enfermidade de grande potencial epidêmico, representando um grave problema de saúde pública. Objetivo – avaliar o perfil dos casos de dengue no município de Porto Nacional - TO no período de janeiro de 2010 a outubro de 2018. Metodologia – Este é um estudo descritivo, quantitativo e transversal realizado através da avaliação de dados do SINAN sobre a dengue no período de 2010-2018 e de levantamento bibliográfico em bases de dados eletrônicas. Resultados – Com a análise dos dados observou-se a notificação de 5.085 casos de dengue no período, a maioria no ano de 2010. A prevalência foi no sexo feminino (53,9%) e na faixa etária de 20-29 anos (22%), com maior ocorrência no período de janeiro a abril, época de índices pluviométricos mais altos, facilitando a procriação do vetor. Outrossim, as localidades com os maiores números de notificação são áreas mais abastadas e com menos condições sanitárias. Conclusão – Ainda há ocorrência de subnotificação, além de problemas nos serviços de saúde, sendo necessária adoção de medidas de prevenção e combate, e melhorias nos serviços de saúde. Palavras-chave: Dengue; Arboviroses; Saúde pública; Epidemia. ABSTRACT Introduction – Dengue is an infectious viral disease, transmitted mainly by the Aedes aegypt mosquito and of great incidence in Brazil. It is a disease of great epidemic potential, representing a serious public health problem. Objective – To evaluate the profile of dengue cases in the municipality of Porto Nacional - TO from January 2010 to October 2018. Methodology – This is a descriptive, quantitative and cross - sectional study carried out through the evaluation of SINAN data on dengue in period of 2010-2018 and a bibliographic survey in electronic databases. Results – Data were analyzed in a study of 5,085 dengue cases in the period, most of them in 2010. The prevalence was in the female sex (53.9%) and in the age group of 20-29 years (22 %), with higher occurrence in the period from January to April, season of higher rainfall indexes, facilitating the procreation of the vector. In addition, the locations with the highest reporting numbers are more affluent areas with less sanitary conditions. Conclusion – There is still an underreporting, besides problems in the health services, being necessary to adopt measures of prevention and combat, and improvements in health services. Keywords: Dengue; Arboviruses; Public health; Epidemic.

Geotechnical characterization of soils from a slope of the Serra do Mar, susceptible to landslides

The mass gravitational movements are processes of transport of soils, rocks or vegetation, due mainly to the gravity force. These movements are characterized by the shear rupture of the soil and/or rock. Landslides is the most common type of gravitational movement in the climatic and geological dynamics of Brazil. The Serra do Mar (Sea Mountains), which extends for approximately 1,500 kilometers along the Brazilian east / south coast, presents a great incidence of these movements, because of its geomorphological, geological, climatic and vegetation characteristics. The objective of this research is the physicochemical and geotechnical characterization of soils collected from a slope of the Serra do Mar, susceptible to translational landslides.

Etiopatogenia e Tratamento da Contractura Capsular Mamária

Introduction: Capsular contracture is a chronic and the most frequent complication of augmentation mammoplasty with breast implants and the main cause of patient’s and surgeon’s dissatisfaction. The mammary capsule consists of a fibrous tissue that surrounds the implant that may contract, changing the shape and consistency of the breast. In its advanced stage is accompanied by pronounced deformity, hardness and pain, being indicated for surgical treatment.Material and Methods: All the articles indexed on PubMed through the search ‘capsular contracture’ (2000 – January 2012) were reviewed and were included the articles of greater interest in terms of etiology, prophylaxis and treatment. Articles referred in relevant publications were also examined.Results: Everything indicates that its etiology is multifactorial; the etiopathology of breast capsular contracture continues being subject of multiple pre-clinical investigations. There are many studies performed in order to prevent the onset of capsular contracture but, although promising results, little is set for its application on clinical practice. The capsulectomy/capsulotomy continues being the goldstandard treatment although the future may undergo non invasive techniques, at least in mild stages of disease.Conclusion: Although the surgical techniques and the quality of breast implants have been improving drastically in recent years, capsular contracture remains a real complication with great incidence and that continues affecting thousands of women all over the world.

Empirical Approaches to Calculate External Blast Load on Structures

Modeling structures response to external blast loads is studied in this paper. A new model is developed based on the experimental data in literature UFC (unified facilities criteria) 3-340-2. The new model differs from the model which is available in LS-DYNA as take into account new abacuses for reflecting coefficients, leading to more precise load especially at great incidence.

Use of microcrystalline cellulose in the treatment of thyroid gland hyperplasia in children

The children living in Kazan were examined to estimate the state of thyroid gland. The level of iodine saturation of the organism was evaluated by the cerium arsenite method. The discrepancy between the incidence of thyroid gland hyperplasia and the amount of urinary excretion of iodine was revealed. The general health state of the children under study, peculiarities of their diet, and drugs being taken at the moment were analyzed. Taking into account the great incidence of gastro-intestinal tract injuries and allergic manifestations, the use of enterosorbent microcrystalline cellulose in the treatment of children with thyroid gland hyperplasia was suggested. Two types of changes of urinary excretion of iodine proving the participation of enterosorbents in the correction of iodine content in the organism were revealed in the course of the treatment.