Background Steroid use for COVID-19 is based on the possible role of these drugs in mitigating the inflammatory response, mainly in the lungs, triggered by SARS-CoV-2. This study aimed at evaluating at evaluating the efficacy of methylprednisolone (MP) among hospitalized patients with suspected COVID-19. Methods Parallel, double-blind, placebo-controlled, randomized, phase IIb clinical trial was performed with hospitalized patients aged ≥ 18 years with clinical, epidemiological and/or radiological suspected COVID-19, at a tertiary care facility in Manaus, Brazil. Patients were randomly allocated (1:1 ratio) to receive either intravenous MP (0.5 mg/kg) or placebo (saline solution), twice daily, for 5 days. A modified intention-to-treat (mITT) analysis was conducted. The primary outcome was 28-day mortality. ClinicalTrials Identifier NCT04343729. Findings From April 18 to June 16, 2020, 647 patients were screened, 416 randomized, and 393 analyzed as mITT, MP in 194 and placebo in 199 individuals. SARS-CoV-2 infection was confirmed by RT-PCR in 81.3%. Mortality at day 28 was not different between groups. A subgroup analysis showed that patients over 60 years in the MP group had a lower mortality rate at day 28. Patients in the MP arm tended to need more insulin therapy, and no difference was seen in virus clearance in respiratory secretion until day 7. Conclusion The findings of this study suggest that a short course of MP in hospitalized patients with COVID-19 did not reduce mortality in the overall population.

A study was carried out to investigate the combined effect of released ions in the pulp by pH regulator and mineral surface on dolomite flotation. The tests were carried out using a dolomite sample in a bench flotation cell with automatic froth remover. Zeta potential measurements, solution conductivity and FTIR analysis were done to support the interpretation of the results. The main reagents used for pH adjustment in the alkaline range (calcium hydroxide, sodium hydroxide, and sodium carbonate) were compared using amine or sodium oleate as collector. Dolomite is a sparingly soluble-type calcium mineral (as calcite, apatite, fluorite and scheelite), releasing different amounts of calcium and magnesium ions in the pulp. Amine adsorbs mainly by a chemical complexation mechanism between the molecular specie RNH 2 with calcium and magnesium ions present on the dolomite surface. In this system calcium hydroxide must be used because in addition to adjusting the pH it is a calcium ion supplier, thus increasing the collector adsorption. In turn, in the dolomite flotation with oleate, the pH must be regulated with soda ash that precipitates Ca 2+ and Mg 2+ as carbonate allowing for higher adsorption of the collector.

Pesquisas demonstram a viabilidade técnica da utilização de sais de ácidos graxos, obtidos a partir da hidrólise alcalina de óleos provenientes de espécies vegetais amazônicas como coletores em flotação de minérios fosfáticos. No entanto, a necessidade de torná-los solúveis em água através da reação de saponificação, que é feita em alta temperatura e tempo elevado de reação, dificulta a sua aplicação a nível industrial. Nesse sentido, o objetivo principal deste trabalho é avaliar diferentes métodos de saponificação do óleo vegetal extraído da polpa de buriti (Mauritia flexuosa), oriundo da floresta amazônica, analisando a influência do método na flotabilidade da apatita. Nas reações de saponificação variou-se o tempo e a temperatura de reação, a proporção água/álcool e proporção óleo/NaOH. O critério de flotabilidade utilizado foi a microflotação em tubo de Hallimond modificado, com emprego de extensor da altura do aparato para evitar o arraste hidrodinâmico. Os resultados de flotabilidade obtidos apontam como as melhores condições: tempo máximo de reação de 20 minutos, proporção óleo/NaOH de 1:0,3, proporção álcool/água de 1:0 e temperatura de reação de 55 °C.

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