RCAAP Repository

ABSTRACT: Soil Fertility is one of the most relevant fields of Soil Science related to agricultural production, especially in tropical and subtropical environments, due to the prevalence of weathered and naturally unproductive soils. However, indicators of Soil Fertility currently used do not represent what actual happens in the soil; once must be understood as a process. The wisdom of this importance occurred in Antiquity and evolved until the mid-19th century, when the mineralist concept was proposed, which is still dominant in Brazil and worldwide. In this process, Soil Fertility has been associated with current perceptions, soil chemical properties and management systems in the development of agriculture over time. During the evolution of Brazilian agriculture, from the 1960’s onwards and most notable with the consolidation of conservation management in the 1990’s, Intrinsic limitations were increasingly evident on the ability of indicators to assess the actual level of Soil Fertility and the respective response of the plants. Concurrently, the view of the soil as an open system was strengthened, and the conception of fertility began to constitute a property that emerges from the functioning of the soil, whose processes are self-organizing, due to the continuous flows of energy and matter driven by organic compounds. In this context, we present a part of the history of Brazilian agriculture, relating it to its management and Intrinsic limitations of indicators to assess Soil Fertility due to changes in soil functioning. The Intrinsic limitations added to understanding based on a systemic approach of the functional processes of the soil are the practical and theoretical bases for the proposition of another concept: Systemic Soil Fertility .

ABSTRACT: The Cerrado (Brazilian savannah) is a biome of great socio-economic and environmental importance to Brazil. The rapid agricultural expansion in the Cerrado biome areas promoted biogeochemical cycles that affect nitrogen and carbon dynamics, leading to increased greenhouse gas (GHG) emissions. In Brazil, nitrous oxide (N2O) is the main gas in agriculture, and agricultural practices increase emissions into the atmosphere. This review aimed to assess the influence of agriculture on N2O emissions in the Cerrado region, based on existing data in the literature, and extract patterns of direct N2O emissions in different agricultural systems in the Cerrado from existing data. A systematic review of data from 36 scientific publications in the Cerrado region with several crop systems revealed that N2O emissions varied from 0.15 kg ha-1 in native cerrado to 4.84 kg ha-1 in conventional tillage. Agricultural systems, nitrogen fertilizer application, and crop residues influence N2O emissions. One of the strategies to mitigate emissions is the sustainable intensification of farming systems. Cumulative N2O emissions in the Cerrado range from 0.001 to 4.84 kg ha-1 in different land-use scenarios. Soil under the conventional tillage system (CT) had the highest emissions, with an overall average of 1.58 kg ha-1 of N2O, compared to no-till system (NT) (0.82 kg ha-1) and native Cerrado 0.15 kg ha-1. Integrated crop-livestock (ICL) systems in the Cerrado had emissions with an overall average of 1.68 kg ha-1, integrated crop-livestock-forest systems (ICLF) had 1.20 ha-1, and eucalyptus plantations had 0.48 kg ha-1.

ABSTRACT: No-tillage (NT) has been one of the main advances related to soil management in Brazilian agriculture in the last 30 years. However, its full adoption in lowland areas that are traditionally cultivated with flooded rice is still incipient (<5 %). The main reasons are associated with the soil hydromorphic condition and the management of highly recalcitrant residual crop biomass, demanding soil disturbance even occasionally. This review presents a historical survey about the soil management systems utilized in lowland areas in southern Brazil, emphasizing the experiences of NT adoption in areas with flooded rice. Results from studies focused on the main changes in chemical, physical, and microbiological soil properties due to NT adoption were addressed, as well as the NT effects on greenhouse gas emissions and crop yields. Finally, the main challenges and prospects for NT were discussed considering new emerging scenarios for flooded rice production in lowlands, especially soybean rotation and integrated agricultural production systems. No-tillage can increase the soil organic carbon, the cation exchangeable capacity and tends to promote the accumulation of nutrients as nitrogen in surface layers. Improvements in soil aggregation, porosity and water availability are usually observed in NT, but only if medium or long-term trials are considered. NT favors microbial activity in the shallower soil layer by promoting microbial biomass carbon (+45 %), microbial biomass nitrogen (+54 %) and basal respiration (+54 %) compared to conventional tillage (CT), while the activity of extracellular enzymes also may be stimulated. Crop yield tends to be similar among the soil managements systems over time. Seasonal CH4 emissions might be reduced by 21 % with NT adoption without increasing N2O. Plant breeding and geotechnology advances associated with soybean market valuation intensified the introduction of this crop in paddy fields. The main challenge for the full adoption of NT is the need for soil tillage after rice harvesting to correct soil surface irregularities or manage rice straw. In the future, advances in plant breeding and drainage techniques probably will favor the expansion of NT in southern Brazil lowlands. The traditional system of flooded rice cultivation, based on CT and monoculture associated with beef cattle under extensive grazing, is no longer viable and will not be further established.

ABSTRACT: The soil particles can be gathered through physical and/or chemical processes in association with the biological activity, leading to the formation of aggregates. Soil aggregates has several functions in the soil, increasing macroporosity and water circulation - consequently reducing soil erosion and mechanical resistance to root growth, contributing to greater fixation of plants to the soil and absorption of water and nutrients, and protection of intra-aggregate organic matter. The aggregates were initially classified morphologically and in terms of their stability. In recent years, another way of evaluating aggregates, regarding their formation or origin pathway, has gained prominence in the studies conducted in Brazil. As for their origin, the aggregates can be classified morphologically as physicogenic, biogenic, or intermediate. This manuscript presents the techniques used to sample aggregates, the morphological patterns for their distinction observed in different soil classes and management types, and the chemical and physical properties. Additionally, we present analyses that are not commonly used to evaluate aggregates but which have the potential to be used as tools for a better understanding of their origin and to evaluate their modifications when subject to different types of management. In practical terms, identifying the aggregate origin and determining the related attributes allows recognizing the effect of vegetation/soil/management on soil aggregate forming agents, mainly roots and soil fauna, which reflects soil quality. For future studies, and especially to determine the importance of biogenic aggregation in improving edaphic properties, we suggest the use of micromorphology, near-infrared spectroscopy, X-ray computed tomography, clay dispersion analyses in addition with chemical, physical, and biological analysis. This approach can contribute to the identification of other patterns related to pedogenesis and the pathways of aggregate formation.

OBJECTIVE: To identify the left inferior pulmonary vein as an indirect marker of increased pulmonary flow in congenital heart diseases.METHODS: We carried out a prospective consecutive study on 40 patients divided into 2 groups as follows: G1 - 20 patients diagnosed with congenital heart disease and increased pulmonary flow; G2 (control group) - 20 patients who were either healthy or had congenital heart disease with decreased or normal pulmonary flow. We obtained the velocity-time integral of the left inferior pulmonary vein flow, excluding the "reverse A" wave, with pulsed Doppler echocardiography.RESULTS: In G1, 19 out of the 20 patients had well-identified dilation of the left inferior pulmonary vein. No G2 patient had dilation of the left inferior pulmonary vein. Dilation of the left inferior pulmonary vein in conditions of increased pulmonary flow had sensitivity of 95%, specificity of 100%, positive predictive value of 100%, and negative predictive value of 95% (1 false-negative case). The integral of time and velocity of the pulmonary venous flow obtained with pulsed Doppler echocardiography was greater in the G1 patients (G1=25.0±4.6 cm versus G2=14.8±2.1 cm, p=0.0001).CONCLUSION: The identification of dilation of the left inferior pulmonary vein suggests the presence of congenital heart disease with increased pulmonary flow. This may be used as an indirect sign of increased flow, mainly in malformations of difficult diagnosis, such as atrial septal defects of the venous sinus or coronary sinus type.

OBJECTIVE: To evaluate clinical and evolutive characteristics of patients admitted in an intensive care unit after cardiopulmonary resuscitation, identifying prognostic survival factors.METHODS: A retrospective study of 136 patients admitted between 1995 and 1999 to an intensive care unit, evaluating clinical conditions, mechanisms and causes of cardiopulmonary arrest, and their relation to hospital mortality.RESULTS: A 76% mortality rate independent of age and sex was observed. Asystole was the most frequent mechanism of death, and seen in isolation pulmonary arrest was the least frequent. Cardiac failure, need for mechanical ventilation, cirrhosis and previous stroke were clinically significant (p<0.01) death factors.CONCLUSION: Prognostic factors supplement the doctor's decision as to whether or not a patient will benefit from cardiopulmonary resuscitation.

OBJECTIVE: The 6-minute walk test is an way of assessing exercise capacity and predicting survival in heart failure. The 6-minute walk test was suggested to be similar to that of daily activities. We investigated the effect of motivation during the 6-minute walk test in heart failure. METHODS: We studied 12 males, age 45±12 years, ejection fraction 23±7%, and functional class III. Patients underwent the following tests: maximal cardiopulmonary exercise test on the treadmill (max), cardiopulmonary 6-minute walk test with the walking rhythm maintained between relatively easy and slightly tiring (levels 11 and 13 on the Borg scale) (6EB), and cardiopulmonary 6-minute walk test using the usual recommendations (6RU). The 6EB and 6RU tests were performed on a treadmill with zero inclination and control of the velocity by the patient. RESULTS: The values obtained in the max, 6EB, and 6RU tests were, respectively, as follows: O2 consumption (ml.kg-1.min-1) 15.4±1.8, 9.8±1.9 (60±10%), and 13.3±2.2 (90±10%); heart rate (bpm) 142±12, 110±13 (77±9%), and 126±11 (89±7%); distance walked (m) 733±147, 332±66, and 470±48; and respiratory exchange ratio (R) 1.13±0.06, 0.9±0.06, and 1.06±0.12. Significant differences were observed in the values of the variables cited between the max and 6EB tests, the max and 6RU tests, and the 6EB and 6RU tests (p<0.05). CONCLUSION: Patients, who undergo the cardiopulmonary 6-minute walk test and are motivated to walk as much as they possibly can, usually walk almost to their maximum capacity, which may not correspond to that of their daily activities. The use of the Borg scale during the cardiopulmonary 6-minute walk test seems to better correspond to the metabolic demand of the usual activities in this group of patients.

OBJECTIVE: To establish the allelic and genotypic frequencies related to apolipoprotein E (ApoE) polymorphism and association of the genotypes with risk factors and cardiovascular morbidity in an elderly population with longevity. METHODS: We analyzed 70 elderly patients aged 80 years or more who were part of the Projeto Veranópolis. We used the gene amplification technique through the polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) and cleavage with the restriction enzyme Hha I to identify the ApoE genotypes. The most frequent genotypes were compared considering biological variables and cardiovascular risks and morbidity. RESULTS: The frequencies of the E2, E3, and E4 alleles were 0.05, 0.84, and 0.11, respectively, and of the genotypes were as follows: E3E3 (0.70), E3E4 (0.22), E2E3 (0.06), and E2E2 (0.02). Individuals with the E3E4 had a mean age greater than those with the E3E3. No association was observed between the genotypes and the variables analyzed, except for obesity, which was associated with the E3E3 genotype. Individuals with the E3E4 genotype had high levels of LDL-cholesterol and fibrinogen as compared with those with the E3E3 genotype. CONCLUSION: The results suggest that the E4E4 genotype may be associated with early mortality. A balance between the protective or neutral factors and the cardiovascular risk factors may occur among the individuals with different genotypes, attenuating the negative effects of the E4 allele.

The authors describe a case of pericardial effusion accompanied by cardiac tamponade caused by primary hypothyroidism. Diagnosis was made by exclusion, because other causes of cardiac tamponade are more frequent. Emergency treatment of cardiac tamponade is pericardiocentesis (with possible pericardial window), and, after stabilization, performance of hormonal reposition therapy with L-thyroxin.

Cardiac angiosarcomas are malignant tumors that almost invariably have a short and fatal evolution. The therapeutic approach includes surgery, chemotherapy, and radiation therapy, alone or in combination. Heart transplantation is an attractive option in nonresectable tumors, even though the current experience is still limited. However, in most patients, the diagnosis is still established late, and survival is only slightly altered by the proposed treatments, mainly due to previously existing and undetected metastases. We report a case that illustrates the therapeutic dilemma faced with this neoplasia, and we discuss the case based on a literature review.

A 59-year-old female patient with mitral valve prolapse and a previous history of lumbosacral spondyloarthrosis and lumbar disk hernia had an episode of infective endocarditis due to Streptococcus viridans, which evolved with peripheral embolism to the left kidney, spleen, and left iliac artery, and intraventricular cerebral hemorrhage. Her clinical manifestations were low back pain and hematuria, which were initially attributed to an osteoarticular condition. Infective endocarditis is a severe polymorphic disease with multiple clinical manifestations and it should always be included in the differential diagnosis by clinicians.

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OBJECTIVE: To evaluate cardiac arrhythmias during and after pregnancy in women with Chagas' disease without apparent heart disease using dynamic electrocardiography. METHODS: Twenty pregnant women with Chagas' disease without apparent heart disease aged 19 to 42 years (26.96 ± 3.6) and a control group of 20 non-chagasic pregnant patients aged 16 to 34 years (22.5 ± 4.8). The patients were submitted to passive hemagglutination and indirect immunofluorescence for the detection of Trypanosoma cruzi evaluation, and electrocardiography, echocardiography and 24-h dynamic electrocardiography. RESULTS: Supraventricular premature depolarizations were observed in 18 (90%) patients and ventricular premature depolarization in 11 (55%) patients of both groups during pregnancy. After delivery, supraventricular premature depolarizations were present in 13 (60%) chagasic patients and in 16 (89.4%) control patients (P<=0.05). Ventricular premature depolarization were observed in 9 (45%) chagasic patients and 11 (57.8%) control patients. CONCLUSION: The prevalence of ventricular premature depolarization was similar for the chagasic and control groups during and after pregnancy. The incidence of supraventricular premature depolarizations was similar in the two groups during pregnancy, while after delivery a predominance was observed in the control group compared to the chagasic group.

OBJECTIVE: To assess, in myocardium specimens obtained from necropsies, the correlation between the concentration of hydroxyproline, measured with the photocolorimetric method, and the intensity of fibrosis, determined with the morphometric method. METHODS: Left ventricle myocardium samples were obtained from 45 patients who had undergone necropsy, some of them with a variety of cardiopathies and others without any heart disease. The concentrations of hydroxyproline were determined with the photocolorimetric method. In the histologic sections from each heart, the myocardial fibrosis was quantified by using a light microscope with an integrating ocular lens. RESULTS: A median of, respectively, 4.5 and 4.3 mug of hydroxyproline/mg of dry weight was found in fixed and nonfixed left ventricle myocardium fragments. A positive correlation occurred between the hydroxyproline concentrations and the intensity of fibrosis, both in the fixed (Sr=+0.25; p=0.099) and in the nonfixed (Sr=+0.32; p=0.03) specimens. CONCLUSION: The biochemical methodology was proven to be adequate, and manual morphometry was shown to have limitations that may interfere with the statistical significance of correlations for the estimate of fibrosis intensity in the human myocardium.

OBJECTIVE: To verify the possible role of adventitial inflammation in atherosclerotic plaque vulnerability and coronary artery remodelling. METHODS: We compared the mean numbers of lymphocytes in the adventitia and in the plaque of ruptured thrombosed and stable equi-stenotic coronary segments of 34 patients who died due to acute myocardial infarction. We also analysed adventitial microvessels, adventitial fibrosis and the external elastic membrane. RESULTS: In the adventitia, the numbers of lymphocytes and microvessels/mm² were 69.5±88.3 and 60.9± 32.1 in culprit lesions and 16.4 ± 21.1 and 44.3±16.1 in stable lesions (p<0.05); within the plaques, the mean number of lymphocytes was 24±40.8 in culprit lesions and 10.9±13.2 in stable ones (p=0.17). The mean percent area of adventitial fibrosis/cross-sectional area of the vessel was significantly lower in unstable plaques (p<0.001). The confocal images showed holes in the external elastic membrane. CONCLUSION: Unstable plaques exhibit chronic pan-arteritis, accompanied by enlargement, medial thinning, and less fibrosis than in stable lesions, which is compatible with vessel aneurysm. Adventitial inflammation may contribute significantly to atheroma instability.

OBJECTIVE: To assess coronary stent placement in patients with multivessel coronary disease and involvement of the proximal portion of the anterior descending coronary artery. METHODS: We retrospectively analyzed the in-hospital and late evolution of 189 patients with multivessel coronary disease, who underwent percutaneous coronary stent placement. These patients were divided into 2 groups as follows: group I (GI) - 59 patients with involvement of the proximal segment of the anterior descending coronary artery; and group II (GII) - 130 patients without involvement of the proximal segment of the anterior descending coronary artery. RESULTS: No significant difference was observed in the success rate of the procedure (91.5% versus 97.6%, p=0.86), nor in the occurrence of major adverse cardiac events (5.1% versus 1.5%, p=0.38), nor in the occurrence of major vascular complications (1.7% versus 0%, p=0.69) in the in-hospital phase. In the late follow-up, the incidence of major adverse cardiac events (15.4% versus 13.7%, p=0.73) and the need for new revascularization (13.5% versus 10.3%, p=0.71) were similar for both groups. CONCLUSION: The in-hospital and late evolution of patients with multivessel coronary disease with and without involvement of the proximal segment of the anterior descending coronary artery treated with coronary stent placement did not differ. This suggests that this revascularization method is an effective procedure and a valuable option for treating these types of patients.

OBJECTIVE: Physical exercise helps to prevent cardiovascular disorders. Campaigns promoting exercise have taken many people to the parks of our city. The most appropriate exercise for preventing cardiovascular disorders is the aerobic modality; inappropriate exercise acutely increases cardiovascular risk, especially in individuals at higher risk. Therefore, assessing the cardiovascular risk of these individuals and their physical activities is of practical value. METHODS: In the Parque Fernando Costa, we carried out the project "Exercício e Coração" (Exercise and Heart) involving 226 individuals. Assessment of the cardiovascular risk and of the physical activity practiced by the individuals exercising at that park was performed with a questionnaire and measurement of the following parameters: blood pressure, weight, height, and waist/hip ratio. The individuals were lectured on the benefits provided by exercise and how to correctly exercise. Each participant received a customized exercise prescription. RESULTS: In regard to risk, 43% of the individuals had health problems and 7% of the healthy individuals had symptoms that could be attributed to heart disorders. High blood pressure was observed in a large amount of the population. In regard to the adequacy of the physical activity, the individuals exercised properly. The project was well accepted, because the participants not only appreciated the initiative, but also reported altering their exercise habits after taking part in the project. CONCLUSION: Data obtained in the current study point to the need to be more careful in assessing the health of individuals who exercise at parks, suggesting that city parks should have a sector designated for assessing and guiding physical activity.