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Plant microbiome engineering is a promising tool to unlock crop productivity potential and exceed the yield obtained with conventional chemical inputs. We studied the effect of Aspergillus niger inoculation on in-field lettuce ( Lactuca sativa ) growth in soils with limiting and non-limiting P concentrations. Lettuce plants originating from inoculated seeds showed increased plant diameter (6.9%), number of leaves (8.1%), fresh weight (23.9%), and chlorophyll content (3.8%) as compared to non-inoculated ones. Inoculation of the seedling substrate just before transplanting was equally efficient to seed inoculation, while application of a granular formulation at transplanting did not perform well. Plant response to P addition was observed only up to 150 kg P 2 O 5 ha -1 , but A . niger inoculation allowed further increments in all vegetative parameters. We also employed a high-throughput phenotyping method based on aerial images, which allowed us to detect changes in plants due to A . niger inoculation. The visible atmospherically resistant index (VARI) produced an accurate prediction model for chlorophyll content, suggesting this method might be used to large-scale surveys of croplands inoculated with beneficial microorganisms. Our findings demonstrate that A . niger inoculation surpasses the yield obtained with conventional chemical inputs, allowing productivity gains not reached by just increasing P doses.

We present a variant of the weighted vehicle routing problem to design distribution routes in high theft risk areas. The model aims to minimize transportation and cargo theft costs. It uses a set of flow decision variables to calculate cargo value in each edge. Theft probability is calculated for each customer according to the historical frequency of theft occurrences reported in each location. The inclusion of theft costs derives in not so obvious route solutions as it might be less costly to drive longer distances or use more vehicles in order to minimize the value of cargo arriving to risky areas and therefore cargo theft losses. We adopt a simulated annealing metaheuristic as solution method. The model is tested in a real Brazilian pharmaceutical distribution company, highlighting the benefits of preventive routing in relation to theft occurrences.

Flood control infrastructure is essential for the development of cities and the population’s well-being. The goal is to protect human and economic resources by reducing the inundation area and controlling the flood level and peak discharges. Detention basins can do this by storing a large volume of water to be released after the peak discharge. By doing this, a large amount of energy is stored, which can be recovered via micro-hydropower. In addition, as the release flow is controlled and almost constant, Pumps as Turbines (PAT) could be a feasible and economic option in these cases. Thus, this study investigates the feasibility of micro-hydropower (MHP) in urban detention basins, using the Santa Lúcia detention basin in Belo Horizonte as a case study. The methodology involved hydrological modeling, hydraulic analysis, and economic and environmental assessment. The results demonstrated that PAT selection has a crucial role in the feasibility of the MHP, and exploiting rainfall with lower intensities but higher frequencies is more attractive. Using multiple PATs with different operating points also showed promising results in improving energy production. In addition to the economic benefits, the MHP in the detention basin produces minimal environmental impact and, as it exploits a wasted energy source, it also reduces the carbon footprint in the urban water cycle.

Early reports indicate that AKI is common during COVID-19 infection. Different mortality rates of AKI due to SARS-CoV-2 have been reported, based on the degree of organic dysfunction and varying from public to private hospitals. However, there is a lack of data about AKI among critically ill patients with COVID-19. We conducted a multicenter cohort study of 424 critically ill adults with severe acute respiratory syndrome (SARS) and AKI, both associated with SARS-CoV-2, admitted to six public ICUs in Brazil. We used multivariable logistic regression to identify risk factors for AKI severity and in-hospital mortality. The average age was 66.42 ± 13.79 years, 90.3% were on mechanical ventilation (MV), 76.6% were at KDIGO stage 3, and 79% underwent hemodialysis. The overall mortality was 90.1%. We found a higher frequency of dialysis (82.7% versus 45.2%), MV (95% versus 47.6%), vasopressors (81.2% versus 35.7%) (p < 0.001) and severe AKI (79.3% versus 52.4%; p = 0.002) in nonsurvivors. MV, vasopressors, dialysis, sepsis-associated AKI, and death (p < 0.001) were more frequent in KDIGO 3. Logistic regression for death demonstrated an association with MV (OR = 8.44; CI 3.43-20.74) and vasopressors (OR = 2.93; CI 1.28-6.71; p < 0.001). Severe AKI and dialysis need were not independent risk factors for death. MV (OR = 2.60; CI 1.23-5.45) and vasopressors (OR = 1.95; CI 1.12-3.99) were also independent risk factors for KDIGO 3 (p < 0.001). Critically ill patients with SARS and AKI due to COVID-19 had high mortality in this cohort. Mortality was largely determined by the need for mechanical ventilation and vasopressors rather than AKI severity.

Reuse water is defined as the reuse of water from treated effluents, it requires careful monitoring to avoid damage to environmental health. This study evaluates the decay of Escherichia coli and Salmonella spp. bacteria in soil irrigated with reused water for agricultural reuse, without damaging public or environmental health. The decay of Escherichia coli and of Salmonella spp. was verified using the Filter Membrane method SS AGAR culture medium was used. The decay curves over time were made using the Sigmaplot program. Each experimental group had 4 pots (one group irrigated with recycled water and the other with drinking water), two pots containing vegetation cover and two containing only soil. In crops irrigated with reused water, the survival time of Salmonella spp. was double compared to the others, and E. coli survival did not vary between groups. Pots with bare soil irrigated with uncontaminated reused water showed a faster decline in Salmonella spp. For agricultural reuse, irrigation must be done by drip and with the use of personal protective equipment. It is essential to create national legislation to protect public and environmental health. Keywords: agricultural reuse, decay analysis of microorganisms, public health.

Objectives: To study the effect of additional strengthening of hip abductor and lateral rotator muscles in a strengthening quadriceps exercise rehabilitation programme for patients with the patellofemoral pain syndrome. Design: Randomized controlled pilot trial. Setting: Clinical setting with home programme. Participants: Fourteen patients with patellofemoral pain syndrome. Intervention: The subjects were randomly assigned to the intervention group (strengthening of quadriceps plus strengthening of hip abductor and lateral rotator muscles) or to the control group (strengthening of quadriceps). Both groups participated in a six-week home exercise protocol. Main outcome measures: The perceived pain symptoms, isokinetic eccentric knee extensor, hip abductor and lateral rotator torques and the gluteus medius electromyographic activity were assessed before and after treatment. Parametric and non-parametric tests were used to compare the groups before and after treatment with α=0.05. Results: Only the intervention group improved perceived pain symptoms during functional activities (P=0.02—0.04) and also increased their gluteus medius electromyographic activity during isometric voluntary contraction (P=0.03). Eccentric knee extensors torque increased in both groups (P=0.04 and P=0.02). There was no statistically significant difference in the hip muscles torque in either group. Conclusion: Supplementation of strengthening of hip abductor and lateral rotator muscles in a strengthening quadriceps exercise programme provided additional benefits with respect to the perceived pain symptoms during functional activities in patients with patellofemoral pain syndrome after six weeks of treatment.

The coffee plant is one of the main crops grown in Brazil. However, strategies to estimate its yield are questionable given the characteristics of this crop; in this context, robust techniques, such as those based on machine learning, may be an alternative. Thus, the aim of the present study was to estimate the yield of a coffee crop using multispectral images and machine learning algorithms. Yield data from a same study area in 2017, 2018 and 2019, Sentinel 2 images, Random Forest (RF) algorithms, Support Vector Machine (SVM), Neural Network (NN) and Linear Regression (LR) were used. Statistical analysis was performed to assess the absolute Pearson correlation and coefficient of determination values. The Sentinel 2 satellite images proved to be favorable in estimating coffee yield. Despite the low spatial resolution in estimating agricultural variables below the canopy, the presence of specific bands such as the red edge, mid infrared and the derived vegetation indices, act as a countermeasure. The results show that the blue band and green normalized difference vegetation index (GNDVI) exhibit greater correlation with yield. The NN algorithm performed best and was capable of estimating yield with 23% RMSE, 20% MAPE and R² 0.82 using 85% of the training and 15% of the validation data of the algorithm. The NN algorithm was also more accurate (27% RMSE) in predicting yield.

Plant microbiome engineering is a promising tool to unlock crop productivity potential and exceed the yield obtained with conventional chemical inputs. We studied the effect of Aspergillus niger inoculation on in-field lettuce (Lactuca sativa) growth in soils with limiting and non-limiting P concentrations. Lettuce plants originating from inoculated seeds showed increased plant diameter (6.9%), number of leaves (8.1%), fresh weight (23.9%), and chlorophyll content (3.8%) as compared to non-inoculated ones. Inoculation of the seedling substrate just before transplanting was equally efficient to seed inoculation, while application of a granular formulation at transplanting did not perform well. Plant response to P addition was observed only up to 150 kg P2O5 ha-1, but A. niger inoculation allowed further increments in all vegetative parameters. We also employed a high-throughput phenotyping method based on aerial images, which allowed us to detect changes in plants due to A. niger inoculation. The visible atmospherically resistant index (VARI) produced an accurate prediction model for chlorophyll content, suggesting this method might be used to large-scale surveys of croplands inoculated with beneficial microorganisms. Our findings demonstrate that A. niger inoculation surpasses the yield obtained with conventional chemical inputs, allowing productivity gains not reached by just increasing P doses.

Large-scale phenotyping using unmanned aerial vehicles (UAVs) has been considered an important tool for plant selection. This study aimed to estimate the correlations between agronomic data and vegetation indices (VIs) obtained at different flight heights and to select prediction models to evaluate the potential use of aerial imaging in cassava breeding programs. Various VIs were obtained and analyzed using mixed models to derive the best linear unbiased predictors, heritability parameters, and correlations with various agronomic traits. The VIs were also used to build prediction models for agronomic traits. Aerial imaging showed high potential for estimating plant height, regardless of flight height (r = 0.99), although lower-altitude flights (20 m) resulted in less biased estimates of this trait. Multispectral sensors showed higher correlations compared to RGB, especially for vigor, shoot yield, and fresh root yield (−0.40 ≤ r ≤ 0.50). The heritability of VIs at different flight heights ranged from moderate to high (0.51 ≤ HCullis2 ≤ 0.94), regardless of the sensor used. The best prediction models were observed for the traits of plant vigor and dry matter content, using the Generalized Linear Model with Stepwise Feature Selection (GLMSS) and the K-Nearest Neighbor (KNN) model. The predictive ability for dry matter content increased with flight height for the GLMSS model (R2 = 0.26 at 20 m and R2 = 0.44 at 60 m), while plant vigor ranged from R2 = 0.50 at 20 m to R2 = 0.47 at 40 m in the KNN model. Our results indicate the practical potential of implementing high-throughput phenotyping via aerial imaging for rapid and efficient selection in breeding programs.

We report an innovative treatment strategy for fetal Ebstein’s anomaly with a circular shunt. We used transplacental non-steroidal anti-inflammatory drugs, at the 29th gestational week, to constrict the ductus arteriosus avoiding fetal demise. We addressed the critical neonate with an urgent Starnes procedure. Finally, instead of following the usual single-ventricle palliation pathway after the Starnes procedure, we achieved successful two-ventricle repair with the cone technique at 5 month old.