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How did resource use, trade, and patterns of everyday life change at visita mission towns in the early decades of the colonial period in northern Yucatán, Mexico? We consider this question with an analysis of archaeological material assemblages from the site of Hunacti, occupied from 1557 to 1572. Household archaeology performed at three elite residences and investigations at the central plaza and church provide evidence of continuity, change, and metrics for assessing relative prosperity by which Hunacti can be compared to its contemporaries. This spectacularly built mission town evinces several signs of initial wealth and privilege enjoyed by the site’s Maya elites, but historical records reveal relentless persecution of these leaders for idolatry, which affected the longer-term prospects of the settlement. Our findings indicate the persistence of Maya religious rites through the site’s occupation, the importance of traditional Maya tools and technologies, and relative impoverishment (as conventionally measured). These patterns offer a profile of material life at a site that chose, ultimately, abiding resistance—and consequently, greater local self-sufficiency—in the face of accelerating external scrutiny and persecution.
Public hospitals in São Paulo can be held financially responsible for costs related to medications prescribed outside the recommendations of the Brazilian Unified Health System (SUS). The objective of this study was to describe these expenses in a public hospital and the measures implemented and evaluated to reduce this problem.
Methods
In January 2023, the Health Technology Assessment Center collected data on legal proceedings filed against a tertiary teaching hospital from January 2021 to November 2023. The data were obtained from monthly reports sent by the São Paulo State Department of Health (SES). The proceedings were categorized according to the type of technology and its availability in the SUS, costs, and the prescribing specialties. The indicators developed were used to plan improvement actions to guide care teams, negotiate with the SES, and resolve current legal proceedings.
Results
The cost of legal proceedings for 136 patients was BRL4,410,278 (USD890,965). Four medicines for six patients constituted 56 percent of the total cost. A group created an informative folder explaining how to access the National List of Essential Medicines, prescribe medicines from the high-cost program, and make administrative requests. Other related actions were the creation of a standardized process for requesting medicines, monthly assessment of judicialization data, clinical discussions with prescribers, and educational activities with residents. The interventions reduced average monthly costs from BRL177,268 (USD35,811) to BRL85,493 (USD17,271) in the last trimester.
Conclusions
Knowledge and measurement of judicialization costs allowed the hospital to implement improvements to help avoid new legal proceedings and to understand the demands of medical specialties regarding situations not covered by SUS guidelines. The Health Technology Assessment Center’s work with managers made it possible to identify opportunities for improving the education of professionals regarding the procedures and technologies available in the SUS.
Elevated levels of IL-6 in plasma are associated with the severity of visceral leishmaniasis (VL). The clinical manifestations of VL vary among patients, influenced by host factors and the virulence of the Leishmania infantum parasite. Considering that severe VL may result from an exaggerated inflammatory response, this study investigated whether IL-6 could serve as a biomarker to identify pro-inflammatory virulence factors. We conducted a genome-wide association study (GWAS) analysis on L. infantum isolates from patients with VL, whose IL-6 concentrations were measured. The analysis revealed that the relationship between IL-6 levels and clinical outcomes (survival vs mortality) had an area under the curve (AUC) of 0.67 (95% CI 0.52–0.81). A cut-off of 391.7 pg mL−1 for IL-6 was established to conduct a logistic regression analysis. We identified 10 029 single nucleotide variants (SNVs) across 62 genomes, resulting in 6,948 SNVs after filtering, of which 6,341 are located in protein-coding regions. The association analysis with PLINK identified 722 variants, of which 35 showed significant associations, with odds ratios ≥3.3, primarily in coding regions. These findings demonstrate that IL-6 levels tended to be associated with the fatal outcome of VL and highlight 35 novel genetic variants that could serve as potential biomarkers for prognosis. Further research into the biological role of these variants may lead to new therapeutic targets and improve the clinical management of VL, especially in identifying high-risk patients.
Sodium overload during childhood impairs baroreflex sensitivity and increases arterial blood pressure and heart rate in adulthood; these effects persist even after high-salt diet (HSD) withdrawal. However, the literature lacks details on the effects of HSD during postnatal phases on cardiac ischemia/reperfusion responses in adulthood. The current study aimed to elucidate the impact of HSD during infancy adolescence on isolated heart function and cardiac ischemia/reperfusion responses in adulthood. Male 21-day-old Wistar rats were treated for 60 days with hypertonic saline solution (NaCl; 0.3M; experimental group) or tap water (control group). Subsequently, both groups were maintained on a normal sodium diet for 30 days. Subsequently, the rats were euthanized, and their hearts were isolated and perfused according to the Langendorff technique. After 30 min of the basal period, the hearts were subjected to 20 min of anoxia, followed by 20 min of reperfusion. The basal contractile function was unaffected by HSD. However, HSD elevated the left ventricular end-diastolic pressure during reperfusion (23.1 ± 5.2 mmHg vs. 11.6 ± 1.4 mmHg; p < 0.05) and increased ectopic incidence period during reperfusion (208.8 ± 32.9s vs. 75.0 ± 7.8s; p < 0.05). In conclusion, sodium overload compromises cardiac function after reperfusion events, diminishes ventricular relaxation, and increases the severity of arrhythmias, suggesting a possible arrhythmogenic effect of HSD in the postnatal phases.
Recent studies on the quality of life in women with breast cancer show a high prevalence of signs and symptoms that should be the focus of palliative care (PC), leading us to question the current role they play in addressing breast cancer. Therefore, the objective of this review is to map the scope of available literature on the role of PC in the treatment of women with breast cancer.
Methods
This is a methodologically guided scoping review by the Joanna Briggs Institute and adapted to the PRISMA Extension for Scoping Reviews (PRISMA-ScR) Checklist for report writing. Systematic searches were conducted in 8 databases, an electronic repository, and gray literature. The searches were conducted with the support of a librarian. The study selection was managed through the RAYYAN software in a blind and independent manner by 2 reviewers. The extracted data were analyzed using the qualitative thematic analysis technique and discussed through textual categories.
Results
A total of 9,812 studies were identified, of which only 136 articles and 3 sources of gray literature are included in this review. In terms of general characteristics, the majority were published in the USA (35.7%), had a cross-sectional design (44.8%), and were abstracts presented at scientific events (19.6%). The majority of interventions focused on palliative radiotherapy (13.6%). Thematic analysis identified 14 themes and 12 subthemes.
Significance of results
Our findings offer a comprehensive view of the evidence on PC in the treatment of breast cancer. Although a methodological quality assessment was not conducted, these results could guide professionals interested in the topic to position themselves in the current context. Additionally, a quick synthesis of recommendations on different palliative therapies is provided, which should be critically observed. Finally, multiple knowledge gaps are highlighted, which could be used for the development of future studies in this field.
Cashew (Anacardium occidentale L.) is cultivated in more than 30 countries because of its economic and nutritional importance. Despite having a significant agronomic role, little is known about the genetic and phenotypic diversity of cashew populations in Brazil. Thus, we aimed to characterize and estimate the diversity among cashew genotypes based on agro-morphological and physicochemical traits, with an objective of selection of varieties for breeding programmes. Forty-three cashew trees were evaluated based on 13 morphological traits and three physicochemical traits. A wide range of variations was recorded for the phenotypic characteristics, including total weight, fruit weight, pseudofruit length, kernel weight and total acidity, suggesting the existence of considerable variations for potential use in breeding programmes. Principal component analysis explained 79.74% of the total variation in the first two principal axes. The dendrogram based on the UPGMA method classified the 43 genotypes into six groups. Groups IV and VI were the most dissimilar, with emphasis on the genotypes 28 and 43, which were observed to be most divergent based on the Euclidean distance matrix (3.054). This makes it possible to select genotypes for hybridization with F1 generation gains. Based on cluster analysis and comparison of means among the six groups, promising genotypes were identified with superior traits, such as fruit weight, pseudofruit length, kernel weight and total acidity. This suggests the importance of phenotypic characterization for cashew breeding programmes. In addition, the observed vast diversity is an important genetic basis for improving cashew yield in northeastern Brazil.
The occurrence of weeds is one of the main factors limiting agricultural productivity. Studies on new techniques for the identification of these species can contribute to the development of proximal sensors, which in the future might be coupled to machines to optimize the performance of species-specific weed management. Thus, the objective of this study was to use near-infrared (NIR) spectroscopy and multivariate analysis to discriminate three morningglory species (Ipomoea spp.). The NIR spectra were collected from the leaves of the three weed species at the vegetative stage (up to five leaves), within the spectral band of 4,000 to 10,000 cm−1. The discrimination models were selected according to accuracy, sensitivity, specificity, and Youden’s index and were analyzed with a validation data set (n = 135). The best results occurred when the selection of spectral bands associated with the use of preprocessing was performed. It was possible to obtain an accuracy of 99.3%, 98.5%, and 98.7% for ivyleaf morningglory (Ipomoea hederifolia L.), Japanese morningglory [Ipomoea nil (L.) Roth], and hairy woodrose [Merremia aegyptia (L.) Urb.], respectively. NIR spectroscopy associated with principal component analysis and linear discriminant analysis (PC-LDA) or partial least-squares regression with discriminant analysis (PLS-DA) can be used to discriminate Ipomoea spp.
The great recession of 2008/2009 had a huge impact on unemployment and public finances in most advanced countries, and these impacts were magnified in the southern Euro area by the sovereign debt crisis of 2010/2011. The fiscal consolidation imposed by the European Union on highly indebted countries was based on the assumptions of so-called expansionary austerity. However, the reality so far provides proof to the contrary, and the results outlined in this article support the opposing view of a self-defeating austerity. Based on a model of the input–output relations of the productive system, an unemployment rate/budget balance trade-off equation is derived, as well as the impact of a strong fiscal consolidation based on social transfers and the notion of a neutral budget balance. An application to the Portuguese case confirms the huge costs of a strong fiscal consolidation, both in terms of unemployment and social policy regress. The conclusion is that too much consolidation in anyone year makes consolidation more difficult in the following year.
This article presents a compositional analysis of metal artifacts from the Postclassic period (a.d. 1100–1450) city of Mayapan, Yucatan, Mexico. We document metallurgical production at R-183, an elite residential group and one of the most significant archaeological contexts associated with metalworking at Mayapan. Salvage excavations in 1998 recovered a small cache containing 282 copper bells, two miniature ceramic vessels filled with metal, and production debris including loose casting sprues and miscast bells. Metallographic analysis of a small copper bell and wire fragments from the cache reveals lost-wax casting production techniques. X-ray fluorescence spectrometry (XRF) of metal artifacts provides insight into the range of metals used by the R-183 metalworkers, which included copper-lead, copper-tin, and copper-arsenic alloys, and how these alloys compare to assemblages recovered from other contexts at the city. Our findings strongly suggest the use of remelting and casting techniques, likely utilizing remelted metals of both West and central Mexican origin, together with the use of imported goods made from a range of copper alloys.
The spatial contexts of effigy censer and figurine molds at Mayapan, Yucatan, Mexico suggest a tightly controlled industry in which elite representatives of state government and religious orders exerted oversight over production and distribution. Attached artisans at Mayapan made these and other restricted goods for residents of palaces and patrons of the city's public buildings. The study of effigy ceramic production reveals that, like earlier, Classic period Maya kingdoms, Postclassic elites also sponsored the crafting of symbolically charged goods. This finding expands understanding of Postclassic period economic organization, which is best-known for its expansive regional market exchange. The limited distribution of effigy censers and figurines further attests their primary use in the context of state-sponsored ceremonies and, to a lesser extent, high-status mortuary settings. Unlike other places and times in Mesoamerica, neither figurines nor effigy censers are representative of household-scale religious practice for the majority of urban residents at Mayapan.
This study focuses on the role of the population structure of Leishmania spp. on the adaptive capacity of the parasite. Herein, we investigate the contribution of subpopulations of the L. (V.) braziliensis Thor strain (Thor03, Thor10 and Thor22) in the profile of murine macrophages infection. Infection assays were performed with binary combinations of these subpopulations at stationary phases. The initial interaction time showed major effects on the combination assays, as demonstrated by the significant increase in the infection rate at 5 h. Based on the endocytic index (EI), Thor10 (EI = 563.6) and Thor03 (EI = 497) showed a higher infection load compared to Thor22 (EI = 227.3). However, the EI decreased in Thor03 after 48 h (EI = 447) and 72 h (EI = 388.3) of infection, and showed changes in the infection level in all Thor10/Thor22 combinations. Assays with CellTrace CFSE-labelled Thor22 promastigotes indicated an increase (~1.5 fold) in infection by this subpopulation in the presence of Thor10 when compared to the infection profile of Thor03/Thor22 combinations in the same proportions. In addition, the potential of these subpopulations, alone or in binary combinations, to modulate the expression of cytokines and nitric oxide (NO) in vitro was investigated. Lower NO and tumour necrosis factor-α production levels were observed for all Thor10/Thor22 combinations at 24 h compared to these subpopulations alone. In contrast, Thor03/Thor22 combination assays increased IL-10 production at this time. Collectively, these results provide in vitro evidence on the potential of L. (V.) braziliensis population structure to play a relevant role in a host infection by this parasite.
Subsistence hunting provides an important food source for rural populations in tropical forests but can lead to wildlife depletion. Management of wildlife resources depends on assessments of hunting sustainability. We assessed the sustainability of subsistence hunting in two Amazonian Extractive Reserves. We examined hunting data from a community-based monitoring programme conducted in 30 communities during 63 consecutive months to address temporal trends in hunting yields in terms of catch per unit of effort of all game species and the six most hunted species. We also assessed the prey profiles across different communities. Game species composition did not differ between monitored communities, and the most hunted species were Tayassu pecari, large cracids, Cuniculus paca, Mazama spp., Tapirus terrestris and Pecari tajacu. Catch per unit of effort was stable for all game species and each of the most hunted species, indicating that hunting was generally sustainable. These findings reflect the exceptionally low human population density and continuous forest cover of the study landscape, and long-term hunting sustainability and local protein acquisition will depend on maintaining these social and environmental settings. The results also show that large Sustainable Use Protected Areas can help foster sustainable game management and should thus be included in public policies.
Dental modification represents one interesting aspect of corporeal adornment in human history that directly reflects personal social identity. Tooth filing choices distinguished certain individuals at the urban, Maya political capital of Mayapan from 1150 to 1450 ad, along with cranial modification, nose and ear piercings, tattoos and body paint. Here we examine how filing teeth, considered a beautification practice for women at Spanish Contact in the sixteenth century, is distributed across a skeletal sample of males, females, elites and commoners in this city. We evaluate the normative claim of the Colonial period and determine that while predominantly females filed their teeth, most women chose not to. Sculptural art further reveals that male personages associated with the city's feathered serpent priesthood exhibited filed teeth, and we explore the symbolic meaning of filed tooth shape. Assessing the practice in terms of associated archaeological contexts, chronology and bone chemistry reveals that it did not correlate with social class, dietary differences, or birthplace. Residents of Mayapan, a densely inhabited, multi-ethnic city of 20,000, engaged with multiple material expressions of belonging to intersecting imagined communities that crosscut competing influences of polity, city, hometown and family scale identity. Tooth filing reflects identities at the individual or family scale.
Pancreatic eurytrematosis (PE) is an under diagnosed and neglected parasitosis in goats and sheep in the Americas. Clinical and pathological features of PE are not well defined in small ruminants worldwide. Natural cases of PE in small ruminants were detected in the Federal District, Brazil. A survey of necropsy records, including epidemiological and clinicopathological data, in goats and sheep was conducted. Most cases of PE occurred during the rainy season in adult females, with an incidence of 12.9% in goats and 0.8% in sheep. Clinical signs varied from asymptomatic infections to anorexia, lethargy, weakness, marked weight loss and death in some goats. Overall, most cases of PE in goats and sheep were incidental necropsy findings with minor pancreatic lesions. Three goats, however, showed severe chronic pancreatitis, dilation of major pancreatic ducts with numerous trematodes present and marked abdominal fat necrosis. Morphological and molecular characterization of flukes detected Eurytrema coelomaticum. Our findings shed light on the prevalence of E. coelomaticum infections in small ruminants in the region and highlight the possibility of severe and lethal cases in goats. PE must be further investigated in small ruminant populations in relevant livestock production regions of the Americas.
The present study aimed to evaluate the inflammatory response, oxidative status and fatty acid deposition in reproductive tissues of cats supplemented with the dried microalgae Schizochytrium spp. (Thraustochytriaceae) as a DHA source. Thirty-seven cats (males, n 21; females, n 16; 11·5 (sd 0·5) months of age) were divided by sex into five groups. Treatment diets contained algae biomass at 4·0, 8·0, 12·0 or 16·0 g/kg replacing poultry fat (n-6 source). Cats were fed the respective diet for 62 d and neutered on day 58. Blood samples were collected at the beginning of the experiment (day 1), before neutering (day 58) and 4 d after surgery (day 62) for analysis of inflammation and oxidative markers. Acute-phase protein levels were altered (P < 0·01) in the postoperative period, without any treatment effect (P > 0·05). PGE2 concentrations after surgery were reduced linearly (R2 0·8706; P = 0·002) with microalgal inclusion. Blood platelet count was reduced (P = 0·001) after the surgery regardless treatment, but it was higher in the DHA group compared with control (P < 0·001). The DHA deposition (testicles, R2 0·846; ovaries, R2 0·869) and the n-6:n-3 ratio (testicles, R2 0·859; ovaries, R2 0·955) in gonads had a pattern which fitted a quadratic model. DHA from Schizochytrium spp. modifies PGE2 response after the surgery in cats. The physiological roles of the DHA in the reproduction of cats were not investigated, but its gonadal deposition after supplementation was observed.
The goal of this study was to evaluate the effects of thinning eucalyptus trees on yield and nutritive value of corn for silage and palisadegrass in a crop–livestock–forest integrated system and to evaluate the total aboveground biomass yield in systems with and without trees. Plant variables, as well as the incidence of photosynthetically active radiation (PAR) and soil moisture, were evaluated between October 2016 and March 2018 in São Carlos, Brazil, in a crop–livestock–forest and a crop–livestock system. In the crop–livestock–forest system, eucalyptus trees (Eucalyptus urograndis clone GG100) were planted in April 2011, in single rows, with 15 × 2 m spacing. In 2016, the trees were thinned, and the spacing was changed to 15 × 4 m. The treatments comprised measurements at 0.00, 3.75, 7.50, and 11.25 m from the trees of the North row in the integrated crop–livestock–forest (iCLF) system and integrated crop–livestock (iCL) system. Palisadegrass (Urochloa brizantha) was sown after harvesting the corn. Corn yields were similar between treatments, with an average of 13.6 Mg ha−1. Corn for silage presented a higher percentage of grain in total biomass in the crop–livestock–forest positions (41.4 and 42.1%) than in the crop–livestock system (35.6%). No differences in forage accumulation were observed. Crude protein content in corn for silage and palisadegrass was higher in the crop–livestock–forest treatments than in the crop–livestock system. Such results indicate that thinning was favorable to production in the crop–livestock–forest system. Total aboveground biomass yield was higher in the iCLF system, indicating better land use for this type of integrated system.
The African buffalo (Syncerus caffer), a mammal species whose population is declining, can play a role as a reservoir or carrier of a wide number of arthropod-borne pathogens. Translocation procedures have been used as an alternative approach for species conservation. However, the veterinary aspects of this sort of procedures are extremely important to minimize the impact on animal health. In order to detect Bartonella and haemoplasmas, two important group of bacterial that have an impact in both human and animal health, EDTA whole-blood samples were screened for the presence of these bacterial pathogens by molecular techniques. As a result, a molecular occurrence of 4.1 and 15.4% for Bartonella spp. and haemoplasmas, respectively, was reported among 97 wild buffaloes sampled during a translocation procedure from Marromeu to Gorongosa Reserve, Mozambique. Additionally, phylogenetic analyses of the obtained sequences were conducted. At least, three bovine-associated pathogens, namely B. bovis, M. wenyonii and ‘Candidatus M. haemobos’, as well as a probably new Bartonella genotype/species were detected in S. caffer. Further studies are needed in order to determine whether these bacterial species may cause impact in buffaloes and other sympatric ruminant species living in the release site.