Crop-livestock-forestry systems as a strategy for mitigating greenhouse gas emissions and enhancing the sustainability of forage-based livestock systems in the Amazon biome.

Intensification of livestock systems becomes essential to meet the food demand of the growing world population, but it is important to consider the environmental impact of these systems. To assess the potential of forage-based livestock systems to offset greenhouse gas (GHG) emissions, the net carbon (C) balance of four systems in the Brazilian Amazon Biome was estimated: livestock (L) with a monoculture of Marandu palisade grass [Brachiaria brizantha (Hochst. ex A.

Outcomes of recurrent stroke in patients with atrial fibrillation according to presumed etiology.

Background: Atrial fibrillation (AF) is a potent risk factor for stroke. The presence of competing etiologies can modify disease outcomes and demand different treatment strategies.

Objectives: The primary purpose of the study was to examine the differences in outcomes for patients with AF admitted with a recurrent stroke, stratified according to the presumed etiology of the stroke.

Multimorbidity and associated outcomes among older adult inpatients with neurological disorders.

Background: Multimorbidity is common among adults and associated with socioeconomic deprivation, polypharmacy, poor quality of life, functional impairment, and mortality.

Objectives: To identify the frequency of multimorbidity among older adults inpatients with neurological disorders (NDs), stratify clusters of chronic comorbidities associated with NDs in degrees, and verify whether multimorbidity was associated with demographic data, readmission, long length of hospital stay (LOS), and hospital mortality in this population.

Methods: We enrolled patients aged ≥60 years successively admitted to a tertiary medical center with NDs between January 1, 2009, and December 31, 2010.

Association of ionophores, yeast, and bacterial probiotics alters the abundance of ruminal microbial species of pasture intensively finished beef cattle.

The effect of the association of non-protein nitrogen, yeast, and bacterial probiotics on the ruminal microbiome of beef cattle intensively finished on pasture was evaluated. The experiment was carried out in a completely randomized design with five treatments and four replications. The treatments consisted of a group of animals kept on pasture that received low consumption supplementation (LS) and four groups that received for 98 days, 17.

Predictors of long length of hospital stay among elders admitted with seizures in a tertiary centre: a prospective study.

Objective: Population ageing is a global phenomenon, and life expectancy in Brazil is growing fast. Epilepsy is the third most important chronic neurological disorder, and its incidence is higher among elderly patients than in any other segment of the population. The prevalence of epilepsy is greater among inpatients than in the general population and it is related to long length of hospital stay (LOS), which is associated with hospital mortality and higher healthcare costs.

Improvement of thermal comfort indices in agroforestry systems in the southern Brazilian Amazon.

Agroforestry systems can minimize heat stress and improve cattle welfare, but the influence of the forest component in microclimatic changes in the southern Amazon remains unclear. This study aimed to compare the thermal comfort indices in grass monoculture and integrated systems. The three systems were pasture under full sunlight (PFS), integrated (triple-row) livestock-forestry (ILF), and integrated (single-row) livestock-forestry (ILFs), across four seasons, for two years, from June 2017 to June 2019.

Predictors of readmission and long length of stay in elders admitted with neurological disorders in a tertiary center: a real-world investigation.

Objective: Hospital readmission and long length of stay (LOS) increase morbidity and hospital mortality and are associated with excessive costs to health systems. This study aimed to identify predictors of hospital readmission and long LOS among elders with neurological disorders (NDs).

Methods: Patients ≥ 60 years of age admitted to the hospital between January 1, 2009, and December 31, 2010, with acute NDs, chronic NDs as underpinnings of acute clinical disorders, and neurological complications of other diseases were studied.

Hospital Mortality Among Elderly Patients Admitted With Neurological Disorders Was Not Predicted by any Particular Diagnosis in a Tertiary Medical Center.

Background: Neurological disorders (NDs) are associated with high hospital mortality. We aimed to identify predictors of hospital mortality among elderly inpatients with NDs.

Methods: Patients aged ≥60 years admitted to the hospital between January 1, 2009 and December 31, 2010 with acute NDs, chronic NDs as underpinnings of acute clinical disorders, and neurological complications of other diseases were studied.

Frequency, associated features, and burden of neurological disorders in older adult inpatients in Brazil: a retrospective cross-sectional study.

Background: The burden of neurological disorders (NDs) in older adult inpatients is often underestimated. We studied diagnostic frequency and comorbidity of NDs among inpatients aged ≥60 years. We compared rates of hospital mortality, length of stay (LOS), and readmission with younger patient counterparts (aged 18-59 years) and older adult non-neurological patients.

[Brazilian guidelines for the manegement of intracerebral hemorrhage].

Among the stroke subtypes, intracerebral hemorrhage (ICH) has the worst prognosis and still lacks a specific treatment. The present manuscript contains the Brazilian guidelines for the management of ICH. It was elaborated by the executive committee of the Brazilian Cerebrovascular Diseases Society and was based on a broad review of articles about the theme.

The existence and evolution of diffusion-perfusion mismatched tissue in white and gray matter after acute stroke.

Background And Purpose: Although white matter is a potential target of acute stroke therapy, there is uncertainty about its relative resistance to ischemia and whether it is capable of mounting a penumbral response. To explore these issues further, we examined the differential effects of ischemia on gray and white matter using magnetic resonance (MR) perfusion-diffusion mismatch after acute stroke.

Methods: MR imaging studies were performed within 12 hours in patients with initial hemispheric ischemic stroke.

[Pharmacologically-induced hypertension in a patient with vertebro-basilar territory ischemia associated with bilateral vertebral stenosis].

Hypertension is one of the main risk factors for stroke. However, treating hypertension in the acute phase may cause further neurological deterioration. We present a case of an 81-year-old woman, admitted after multiple infarcts in the posterior circulation.