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Resumen Los tumores cerebrales son una causa importante de las epilepsias de difícil manejo, corresponden a un 20-30 % de los casos de cirugía de epilepsia refractaria. En este grupo de pacientes los tumores neuroepiteliales de bajo grado asociados a epilepsia (LEAT) son la principal causa, siendo los más frecuentes los tumores neuroepiteliales disembrioplásticos (DNT) y ganglioglioma (GG). En el presente artículo revisamos los cambios en la definición de epilepsia refractaria, avances en el diagnóstico por imágenes y el diagnóstico histopatológico con los nuevos marcadores moleculares, que han permitido un diagnóstico cada vez más precoz y certero. Se revisa también la cirugía resectiva que permite en estos casos una libertad de crisis cercana un 70-90% de los pacientes. Los mejores resultados en términos de control de crisis, se pueden alcanzar cuando la cirugía es precoz.

Brain tumors are an important cause of epilepsy that is difficult to manage, accounting for 20-30% of cases of refractory epilepsy surgery. In this group of patients, low-grade epilepsy-associated neuroepithelial tumors (LEAT) are the main cause and the most frequent being dysembryoplastic neuroepithelial tumors (DNT) and ganglioglioma (GG). In this article, we review the changes in the definition of refractory epilepsy, advances in diagnostic imaging, and histopathological diagnosis with new molecular markers, which have allowed for an increasingly early and accurate diagnosis. Resective surgery is also reviewed, allowing in these cases a seizure freedom close to 70-90% of patients. The best outcome in terms of seizure control can be achieved when early surgery is performed.

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Cell osmoporation is a simple and straightforward procedure of creating food-grade biocapsules. This study proposes a new protocol of sequential cell osmoporation stages and evaluates its impact on the efficiency of curcumin and fisetin internalization into Saccharomyces cerevisiae cells. To the best of our knowledge, this is the first report in the literature regarding the subject. To assess how multiple osmoporation stages influence the encapsulation efficiency (% EE), encapsulated amount of curcumin (IC) and fisetin (IF) into S. cerevisiae cells and cell viability, the residual supernatant was used for the subsequent encapsulation stages and viability was assessed by the CFU method. Quantification was carried through direct extraction, using an ultrasonic bath and UV-Vis spectrophotometry. Experimental data demonstrated that the addition of a second osmoporation stage increases both the EE (% EE) and the amount of encapsulated curcumin and fisetin (IC and IF). As a result, the EE was considerably improved and the obtained microcapsules contained a higher amount of the targeted bioactive compounds in its internal structure. However, adding a third osmoporation stage proved to less beneficial to the process efficiency due to its lower yield and the significant negative impact to cell viability. SIGNIFICANCE AND IMPACT OF THE STUDY: For the first time in the literature, a protocol of serial osmoporation stages to enhance the encapsulation efficiency of hydrophobic low molecular weight molecules (curcumin and fisetin) into Saccharomyces cerevisiae cells was determined. By increasing overall efficiency, this protocol empowers the encapsulation process and creates a rational way to reduce waste for future industrial osmoporation applications.

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Transgenic maize expressing the insecticidal protein Vip3Aa20 is increasingly being adopted in Brazil. In this study, we determined the baseline susceptibility of Helicoverpa armigera (Hübner) (Lepidoptera: Noctuidae) and Helicoverpa zea (Boddie) (Lepidoptera: Noctuidae) to Vip3Aa20, as part of an Insect Resistance Management (IRM) program. Diet-overlay bioassays were conducted with neonates exposed to Vip3Aa20 for 7 d. The baseline susceptibility data were obtained for seven field populations of H. armigera and six of H. zea collected from major soybean-, cotton-, and maize-producing areas in Brazil. To validate the diagnostic concentration, 11 field populations of H. zea were tested from 2014 to 2015. The LC50 for H. armigera populations ranged from 2.97 to 8.41 µg Vip3Aa20/cm2 (threefold variation), and for H. zea populations from 0.04 to 0.21 µg Vip3Aa20/cm2 (fivefold variation). The EC50 for H. armigera ranged from 0.099 to 0.455 µg Vip3Aa20/cm2 (fivefold variation), and for H. zea from 0.004 to 0.020 µg Vip3Aa20/cm2 (fivefold variation). H. armigera was more tolerant to Vip3Aa20 protein than was H. zea (≈40- to 75-fold, based on LC50). Based on the LC99 value, the concentration of 6.4 µg Vip3Aa20/cm2 was defined as a diagnostic concentration for susceptibility monitoring in H. zea, and >44 µg Vip3Aa20/cm2 for H. armigera. Our baseline susceptibility data for Vip3Aa20 in H. armigera and H. zea populations will be useful in IRM programs in Brazil.

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There is currently no consensus regarding the survival rate of osseointegrated implants in patients with osteoporosis. A systematic review with meta-analysis was performed to evaluate the survival rate of implants in such patients. The PubMed/MEDLINE, Web of Science, Cochrane Library, and SciELO databases were used to identify articles published up to September 2016. The systematic review was performed in accordance with PRISMA/PICO requirements and the risk of bias was assessed (Australian National Health and Medical Research Council scale). The relative risk (RR) of implant failure and mean marginal bone loss were analyzed within a 95% confidence interval (CI). Fifteen studies involving 8859 patients and 29,798 implants were included. The main outcome of the meta-analysis indicated that there was no difference in implant survival rate between patients with and without osteoporosis, either at the implant level (RR 1.39, 95% CI 0.93-2.08; P=0.11) or at the patient level (RR 0.98, 95% CI 0.50-1.89; P=0.94). However, the meta-analysis for the secondary outcome revealed a significant difference in marginal bone loss around implants between patients with and without osteoporosis (0.18mm, 95% CI 0.05-0.30, P=0.005). Data heterogeneity was low. An increase in peri-implant bone loss was observed in the osteoporosis group. Randomized and controlled clinical studies should be conducted to analyze possible biases.

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In spite of the possibility of triggering thromboembolic events, many professionals indicate the suspension of antiplatelet agents before dental surgical procedures. The aim of this study was to perform a quantitative assessment of intraoperative bleeding in patients on dual antiplatelet therapy. A case-control study was conducted in patients on dual antiplatelet therapy (APT group) and in patients who did not use these medications (control group). The following examinations were requested: complete blood cell count, blood coagulation tests, and platelet aggregation. The quantity of bleeding was measured intraoperatively by collection of aspirated blood. The mean volume of blood lost during the surgical procedure was 6.10ml in the control group and 16.07ml in the APT group (P=0.002). The mean volume of blood lost per minute was 0.60ml/min in the control group and 1ml/min in the APT group (P=0.001), with local haemostatic methods being sufficient to control the bleeding. There was no postoperative bleeding complication in any case. Patients on dual antiplatelet therapy presented a larger volume of bleeding, but this could be controlled by means of local haemostatic measures. Therefore, there is no need to stop either of the two dual antiplatelet therapy medications before dental extractions.

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In spite of the possibility of triggering thromboembolic events, many professionals indicate the suspension of antiplatelet agents before dental surgical procedures. The aim of this study was to perform a quantitative assessment of intraoperative bleeding in patients on dual antiplatelet therapy. A case-control study was conducted in patients on dual antiplatelet therapy (APT group) and in patients who did not use these medications (control group). The following examinations were requested: complete blood cell count, blood coagulation tests, and platelet aggregation. The quantity of bleeding was measured intraoperatively by collection of aspirated blood. The mean volume of blood lost during the surgical procedure was 6.10ml in the control group and 16.07ml in the APT group (P=0.002). The mean volume of blood lost per minute was 0.60ml/min in the control group and 1ml/min in the APT group (P=0.001)...

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Objetivou-se avaliar a degradação e a produção de gás de diferentes fontes proteicas geradas na cadeia produtiva do biodiesel em substituição à silagem de milho. Os tratamentos foram: coprodutos de Gossyypium hirsutum, Ricinus communis, Moringa oleifera, Jatropha curcas, Helianthus annus. Os produtos foram analisados mediante a técnica semiautomática de produção de gases in vitro. O coproduto da moringa apresentou maior taxa de degradação, quando comparado aos demais alimentos, porém apresentou baixa produção de gás e se tornou mais eficiente, sendo, portanto, indicado como o melhor nível (27,06%) de substituição à silagem de milho. O coproduto da mamona e o do algodão produziram a maior quantidade de gás em 48h de incubação. Todos os coprodutos estudados podem ser utilizados na dieta de ruminantes como alimento proteico até 30% de substituição à silagem de milho.(AU)

This study aimed to assess the degradation and gas production of different protein sources generated in the biodiesel production chain replacing corn silage. The treatments were byproducts Gossyypium hirsutum, Ricinus communis, Moringa oleifeira, Jatrophacurcas, and Helianthusannus. The products were analyzed by semi-automated technique of gas production in vitro. The coproduct moringa showed higher degradation rate compared to other foods, but showed low gas production, making it more efficient, being nominated as the best level of 27.06% by replacing corn silage. The byproducts of castor oil and cottonseed produced the largest amount of gas in 48 h of incubation. All studied byproducts can be used in the diet of ruminants as a protein food up to 30% by substitution of corn silage.(AU)

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Objetivou-se avaliar a degradação e a produção de gás de diferentes fontes proteicas geradas na cadeia produtiva do biodiesel em substituição à silagem de milho. Os tratamentos foram: coprodutos de Gossyypium hirsutum, Ricinus communis, Moringa oleifera, Jatropha curcas, Helianthus annus. Os produtos foram analisados mediante a técnica semiautomática de produção de gases in vitro. O coproduto da moringa apresentou maior taxa de degradação, quando comparado aos demais alimentos, porém apresentou baixa produção de gás e se tornou mais eficiente, sendo, portanto, indicado como o melhor nível (27,06%) de substituição à silagem de milho. O coproduto da mamona e o do algodão produziram a maior quantidade de gás em 48h de incubação. Todos os coprodutos estudados podem ser utilizados na dieta de ruminantes como alimento proteico até 30% de substituição à silagem de milho.(AU)

This study aimed to assess the degradation and gas production of different protein sources generated in the biodiesel production chain replacing corn silage. The treatments were byproducts Gossyypium hirsutum, Ricinus communis, Moringa oleifeira, Jatrophacurcas, and Helianthusannus. The products were analyzed by semi-automated technique of gas production in vitro. The coproduct moringa showed higher degradation rate compared to other foods, but showed low gas production, making it more efficient, being nominated as the best level of 27.06% by replacing corn silage. The byproducts of castor oil and cottonseed produced the largest amount of gas in 48 h of incubation. All studied byproducts can be used in the diet of ruminants as a protein food up to 30% by substitution of corn silage.(AU)

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Thirty Aberdeen Angus crossbred steers (281 ± 16 kg) were used to test the effect of finishing feeding system on growth performance, meat quality and fatty acid (FA) profile in intramuscular fat. Steers were fed in confinement (forage:concentrate ratio of 50 : 50; DM basis) or with different levels of energy supplementation (0, 0.4, 0.8 and 1.2% BW) at pasture (Avena strigosa Schreb and Lolium multiflorum L.). There were no differences between treatments for ADG (average=1.60 kg/day), hot carcass weight (HCW) (average=229 kg) and subcutaneous fat depth (average=3 mm). Dressing % (P=0.06; tendency) and carcass ADG (P=0.02) linearly increased with level of supplementation for pasture steers. No differences were observed between treatments for tenderness, marbling, pH, color b*, or cooking loss and drip loss in samples of Longissimus dorsi. However L* increased linearly (P=0.05) with level of supplementation. The concentrations of myristic, palmitic, estearic and linoleic FA did not differ among treatments. The concentration of n-3 FA increased (P<0.001) in steers at pasture compared with confinement, but n-6 FA concentrations did not differ between feeding system. Supplementation up to 0.4% BW increase (P<0.001) conjugated linoleic acid (CLA) and linolenic FA concentrations in intramuscular fat when compared with confinement. The level of supplementation on pasture linearly decreased (P<0.001) n-3 and CLA and linearly increased (P=0.001) the n-6 : n-3 ratio. Finishing of steers grazing winter pasture with energy supplementation or in confinement fed a medium-concentrate diet did not affect meat quality (tenderness, marbling, parameter b* on the CIE L*a*b* scale, cooking and drip losses) except for a* and L*. However, intramuscular fat of animals finished at pasture with moderate level of supplementation compared to animals fed in confinement had greater concentration of CLA, linolenic, and n-3, and lower n-6 : n-3 in intramuscular fat.

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Senna alexandrina MILL é um arbusto alto, originário da Arábia, amplamente cultivado na Índia e largamente utilizado como laxativo na constipação aguda e em casos em que a defecação é aconselhável, como após intervenção cirúrgica antes ou depois de operação abdominal, sendo empregado na forma de pós, xaropes, comprimidos e cápsulas. Como estas formulações geralmente são preparadas à partir de derivados do extrato líquido, torna-se fundamental para a qualidade e eficácia que este tenha seu processo de extração otimizado. O presente trabalho teve por objetivo determinar as melhores condições de extração, por soluções hidroetanólicas, das folhas de Senna alexandrina, empregando planejamento fatorial completo com ponto central 23 (três fatores e dois níveis) onde os níveis dos fatores foram codificados como -1 (baixo), 0 (ponto central) e 1 (alto), e metodologia de superfícies de respostas, para avaliar a influência do solvente, da quantidade de planta e do método de extração sobre o teor de derivados hidroxiantracênicos expressos em senosídeo B (SB) e sobre o resíduo seco (RS) nos extratos líquidos preparados. Foram realizados planejamentos experimentais completos, sendo um realizado pelo deslocamento dos níveis, após a análise do primeiro planejamento. Após a análise da superfície de resposta do planejamento com os níveis deslocados encontrou-se a faixa de melhor extração dos derivados hidroxiantracênicos expressos em senosídeo B com a melhor relação SB/RS, utilizando o solvente etanol/água a 60% V/V, 15 gramas da planta, e extração com aquecimento e agitação.

Senna alexandrina Mill is an erect shrub, native toArabia but widely cultivated in India, that is widely employed as a purgative for acute constipation and when defecation is advisable, such as before or after abdominal surgery. It is used in the form of powder, syrup, tablets and capsules. As these formulations are typically prepared from derivatives of the liquid extract, it is crucial for both quality and efficiency that the extraction process is optimized. The aim of this study was to establish optimal conditions for hydroethanolic extraction of Senna alexandrina leaves, by employing a 23 full factorial experimental design with a central point (three factors and two levels), where the factor levels were coded as -1 (low), 0 (central point) and 1 (high), and response surface methodology, to assess the influence of the solvent, the amount of plant and the extraction method on the yield of hydroxyanthracene derivatives, expressed as sennoside B (SB), and on the dry matter (DM) in the prepared liquid extracts. Full factorial runs were conducted, one being carried out with the levels adjusted following the analysis of the first design. Upon the assessment of the response surface with adjusted levels, the optimum range for extraction of hydroxyanthracene derivatives, expressed as SB, was determined. The best SB/DM ratio was achieved byusing 60% (v/v) ethanol/water solvent, 15 g of the plantand extraction with heating and stirring.

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