10 research outputs found

    As particularidades clínicas da otite média: Clinical features of otitis media

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    A otite média é um processo inflamatório de evolução abrupta, acompanhado pelo quadro clínico típico de inflamação na orelha média, sendo sua incidência prevalente em crianças, culminando em leves repercussões clínicas, mas que deve ser adequadamente diagnosticada e tratada. Este evento clínico pode ser agudo, subagudo ou crônico com aparições típicas, evolução e manejo clínico diferenciados. O seguinte artigo é uma revisão narrativa de literatura que visa analisar a respeito das principais particularidades clínicas da Otite Média. Diante das informações coletadas, pode se elucidar que a otite média é o fator causal para implicações negativas e antibioticoterapia em crianças, logo é essencial medidas para diagnose precoce para evitar repercussões na saúde destes

    The place of theory in literature teaching: a reflection on the literature specialties and the choices made by teachers

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    This paper presents a reflection on the literature specialties and on the literary choices made by teachers. Our assumption is that the difficulty in defining literature influences the selection of texts made by teachers as well as the way teachers work the texts with their students.</p

    Complete genome sequence of a new bipartite begomovirus infecting Macroptilium lathyroides in Brazil

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    A distinct bipartite begomovirus was isolated in northeastern Brazil infecting Macroptilium lathyroides showing symptoms of yellow mosaic. The complete genome (DNA-A and DNA-B) of the virus was cloned using rolling circle amplification and subsequently sequenced. Clones presented the typical genomic organization of a New World bipartite begomovirus. Based on the current taxonomic criteria established for the genus Begomovirus, the virus corresponds to a new species, showing highest nucleotide identity with other Brazilian begomoviruses that infect leguminous hosts. In phylogenetic analysis the virus clustered with bean golden mosaic virus. Recombination events were not detected. We propose the name Macroptilium common mosaic virus (MacCMV) for the virus reported in this study

    TRATAMENTO CLÍNICO DE TRAUMA CRANIOENCEFÁLICO EM GRAXAIM-DO-CAMPO (Lycalopex gymnocercus)

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    Background: The pampas fox (Lycalopex gymnocercus) is a wild canid that occurs in the state of Rio Grande do Sul, Brazil. Environmental changes have brought this animal into proximity with urbanized areas. Therefore, one of the greatest threats to the species is being run over, which is considered the main cause of traumatic brain injury (TBI). Data on the treatment of brain injuries in veterinary medicine, especially in wild animals, is still insufficient, so the guidelines applied here are based on human medicine and small animal medicine. The purpose of this paper is to report the clinical treatment used in a case of TBI in a pampas fox (L. gymnocercus). Case: A 2.5 kg juvenile male pampas fox (L. gymnocercus) was admitted to a Wildlife Rehabilitation Center in Rio Grande do Sul. The patient presented with opisthotonos, in a stupor and a score of 10 on the Glasgow Coma Scale. The animal received clinical treatment, isotonic fluid therapy [lactated Ringer’s solution 50 mL/kg/day], and later, hyperosmolar therapy [hypertonic 3%, 4 mL/kg and mannitol 1g/kg], analgesia [dipyrone 25 mg/kg and meloxicam 0.1mg/kg] and antibiotic therapy [sulfamethoxazole with trimethoprim 20 mg/kg]. Clinical follow-up included blood pressure monitoring and complementary tests such as radiography, ultrasound, blood count and biochemistry. The animal exhibited fractures of the parietal bone, microcytic hypochromic anemia and an increase in the enzymes ALT, AST and CK. Dexamethasone [0.15 mg/kg] was introduced on the eighth day of treatment. This was followed by physiotherapy sessions aimed at encouraging the patient to remain in a standing position. After 55 days, the animal was returned to the wild. Discussion: The Glasgow Coma Scale is used in order to standardize the assessment of the depth and duration of unconsciousness and coma in small animals with TBI, based on a similar table to the one used for humans. Motor activity, brainstem reflexes and levels of consciousness are assessed, generating a score. In this case, the patient scored 10, with a prognosis ranging from poor to guarded. After the occurrence of TBI, edema and hemorrhage add volume to the intracranial space, contributing to an increase in intracranial pressure (ICP). The purpose of TBI treatment is to maintain cerebral blood flow and prevent increases in ICP. To this end, 3% hypertonic fluid therapy was administered, which acts by extracting fluid from the intraparenchymal space into the vascular space, reducing intracranial oedema. By the third day of treatment, the patient had already overcome opisthotonos, but was unable to maintain a standing posture, so the 3% hypertonic solution was replaced by mannitol, which is an osmotic, hyperosmolar diuretic and also acts as a free radical eliminator, helping to improve the stability of the neuronal membrane and further inhibiting the development of cytotoxic edema. Dexamethasone was applied 8 days after the animal’s arrival. The use of glucocorticoids is recommended as an adjuvant treatment in patients that do not respond adequately to the use of mannitol and that are not hyperglycemic. Their use can be beneficial in stabilizing plasma membranes in the CNS, increasing energy supply to CNS tissues, reducing edema, promoting diuresis, reducing the formation of free radicals in the CNS, and reducing the formation of cerebrospinal fluid (CSF). With the end of the drug treatment, the patient was able to remain in sternal decubitus, but still had difficulty standing and walking normally. Physiotherapy sessions were started, such as passive range of movement and stretching of the pelvic limbs, assisted support and exercises to stimulate proprioception by gently brushing the patient’s foot pads, which contributed to its improvement and consequently its return to nature. Keywords: brain injury, running over, TBI, wildlife. Título: Traumatismo cranioencefálico em um Graxaim-do-campo (Lycalopex gymnocercus) Descritores: animais silvestres, atropelamento, lesão encefálica, TCE.Background: The pampas fox (Lycalopex gymnocercus) is a wild canid that occurs in the state of Rio Grande do Sul, Brazil. Environmental changes have brought this animal into proximity with urbanized areas. Therefore, one of the greatest threats to the species is being run over, which is considered the main cause of traumatic brain injury (TBI). Data on the treatment of brain injuries in veterinary medicine, especially in wild animals, is still insufficient, so the guidelines applied here are based on human medicine and small animal medicine. The purpose of this paper is to report the clinical treatment used in a case of TBI in a pampas fox (L. gymnocercus). Case: A 2.5 kg juvenile male pampas fox (L. gymnocercus) was admitted to a Wildlife Rehabilitation Center in Rio Grande do Sul. The patient presented with opisthotonos, in a stupor and a score of 10 on the Glasgow Coma Scale. The animal received clinical treatment, isotonic fluid therapy (lactated Ringer’s solution 50ml/kg/day), and later, hyperosmolar therapy (hypertonic 3%, 4ml/kg and mannitol 1g/kg), analgesia (dipyrone 25mg/kg and meloxicam 0.1mg/kg) and antibiotic therapy (sulfamethoxazole with trimethoprim 20mg/kg). Clinical follow-up included blood pressure monitoring and complementary tests such as radiography, ultrasound, blood count and biochemistry. The animal exhibited fractures of the parietal bone, microcytic hypochromic anemia and an increase in the enzymes ALT, AST and CK. Dexamethasone (0.15mg/kg) was introduced on the eighth day of treatment. This was followed by physiotherapy sessions aimed at encouraging the patient to remain in a standing position. After 55 days, the animal was returned to the wild. Discussion: The Glasgow Coma Scale is used in order to standardize the assessment of the depth and duration of unconsciousness and coma in small animals with TBI, based on a similar table to the one used for humans. Motor activity, brainstem reflexes and levels of consciousness are assessed, generating a score. In this case, the patient scored 10, with a prognosis ranging from poor to guarded. After the occurrence of TBI, edema and hemorrhage add volume to the intracranial space, contributing to na increase in intracranial pressure (ICP). The purpose of TBI treatment is to maintain cerebral blood flow and prevent increases in ICP. To this end, 3% hypertonic fluid therapy was administered, which acts by extracting fluid from the intraparenchymal space into the vascular space, reducing intracranial oedema. By the third day of treatment, the patient had already overcome opisthotonus, but was unable to maintain a standing posture, so the 3% hypertonic solution was replaced by mannitol, which is an osmotic, hyperosmolar diuretic and also acts as a free radical eliminator, helping to improve the stability of the neuronal membrane and further inhibiting the development of cytotoxic edema. Dexamethasone was applied eight days after the animal’s arrival. The use of glucocorticoids is recommended as an adjuvant treatment in patients that do not respond adequately to the use of mannitol and that are not hyperglycemic. Their use can be beneficial in stabilizing plasma membranes in the CNS, increasing energy supply to CNS tissues, reducing edema, promoting diuresis, reducing the formation of free radicals in the CNS, and reducing the formation of cerebrospinal fluid (CSF). With the end of the drug treatment, the patient was able to remain in sternal decubitus, but still had difficulty standing and walking normally. Physiotherapy sessions were started, such as passive range of movement and stretching of the pelvic limbs, assisted support and exercises to stimulate proprioception by gently brushing the patient’s foot pads, which contributed to its improvement and consequently its return to nature

    Resumos em andamento - Saúde Coletiva

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    Resumos em andamento - Saúde Coletiv

    Resumos em andamento - Saúde Coletiva

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    Resumos em andamento - Saúde Coletiv

    NEOTROPICAL CARNIVORES: a data set on carnivore distribution in the Neotropics

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    Mammalian carnivores are considered a key group in maintaining ecological health and can indicate potential ecological integrity in landscapes where they occur. Carnivores also hold high conservation value and their habitat requirements can guide management and conservation plans. The order Carnivora has 84 species from 8 families in the Neotropical region: Canidae; Felidae; Mephitidae; Mustelidae; Otariidae; Phocidae; Procyonidae; and Ursidae. Herein, we include published and unpublished data on native terrestrial Neotropical carnivores (Canidae; Felidae; Mephitidae; Mustelidae; Procyonidae; and Ursidae). NEOTROPICAL CARNIVORES is a publicly available data set that includes 99,605 data entries from 35,511 unique georeferenced coordinates. Detection/non-detection and quantitative data were obtained from 1818 to 2018 by researchers, governmental agencies, non-governmental organizations, and private consultants. Data were collected using several methods including camera trapping, museum collections, roadkill, line transect, and opportunistic records. Literature (peer-reviewed and grey literature) from Portuguese, Spanish and English were incorporated in this compilation. Most of the data set consists of detection data entries (n = 79,343; 79.7%) but also includes non-detection data (n = 20,262; 20.3%). Of those, 43.3% also include count data (n = 43,151). The information available in NEOTROPICAL CARNIVORES will contribute to macroecological, ecological, and conservation questions in multiple spatio-temporal perspectives. As carnivores play key roles in trophic interactions, a better understanding of their distribution and habitat requirements are essential to establish conservation management plans and safeguard the future ecological health of Neotropical ecosystems. Our data paper, combined with other large-scale data sets, has great potential to clarify species distribution and related ecological processes within the Neotropics. There are no copyright restrictions and no restriction for using data from this data paper, as long as the data paper is cited as the source of the information used. We also request that users inform us of how they intend to use the data
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