Team dynamics in emergency surgery teams: results from a first international survey

Background: Emergency surgery represents a unique context. Trauma teams are often multidisciplinary and need to operate under extreme stress and time constraints, sometimes with no awareness of the trauma\u2019s causes or the patient\u2019s personal and clinical information. In this perspective, the dynamics of how trauma teams function is fundamental to ensuring the best performance and outcomes. Methods: An online survey was conducted among the World Society of Emergency Surgery members in early 2021. 402 fully filled questionnaires on the topics of knowledge translation dynamics and tools, non-technical skills, and difficulties in teamwork were collected. Data were analyzed using the software R, and reported following the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). Results: Findings highlight how several surgeons are still unsure about the meaning and potential of knowledge translation and its mechanisms. Tools like training, clinical guidelines, and non-technical skills are recognized and used in clinical practice. Others, like patients\u2019 and stakeholders\u2019 engagement, are hardly implemented, despite their increasing importance in the modern healthcare scenario. Several difficulties in working as a team are described, including the lack of time, communication, training, trust, and ego. Discussion: Scientific societies should take the lead in offering training and support about the abovementioned topics. Dedicated educational initiatives, practical cases and experiences, workshops and symposia may allow mitigating the difficulties highlighted by the survey\u2019s participants, boosting the performance of emergency teams. Additional investigation of the survey results and its characteristics may lead to more further specific suggestions and potential solutions

Morphogenetic traits and biomass accumulation of Brachiaria brizantha cv. Xaraés subjected to nitrogen doses

The objective of this experiment was to evaluate the morphogenetic traits and biomass accumulation of Brachiaria brizantha cv. Xaraés subjected to doses of N (0, 125, 250, 375 and 500 kg.ha-1 N). The treatments were arranged in a completely randomized design with four replications. Morphogenetic traits and biomass accumulation of dry matter (DM).ha-1 were evaluated. The results were subjected to statistical analysis by grouping the data in two periods, rainy season and throughout the year. Nitrogen doses influenced leaf appearance in the rainy season and throughout the year, with significant increase in leaf elongation during the rainy season, an increase of 56% compared with control. During this period, maximum dose of N (248.1 kg.ha-1) produced 214.49 kg.ha-1.day-1 DM of leaf blade, which was 133% higher than the control. However, the higher N dose in the rainy season resulted in an increase of 137% in the stalk accumulation compared with non-fertilized grass; estimating maximum accumulation of salk of 84.97 kg.ha-1.day-1 of DM for the application of 326.2 kg.ha-1 N. Doses of N also intensified leaf senescence during the rainy season and throughout the year. The control treatment presented 32% less senescence compared with maximum N dose (270.1 kg.ha-1 N) in the rainy season. Forage loss was estimated at 26.08 kg ha-1.day-1 DM at the maximum dose of 295.0 kg.ha-1 N for this period. All variables studied responded positively to N supply in the rainy season. The accumulation of biomass of the plant reached the maximum point with fertilization close to 250 kg.ha-1 N in the rainy season and 375 kg.ha-1 N throughout the year

Tumor venéreo transmissível com metástases cutâneas em um cão transmissible venereal Tumor with cutaneous metastasis in a dog

O tumor venéreo transmissível é diagnosticado, na maioria das vezes, em animais jovens, sadios e sexualmente ativos. Acomete, comumente, a genitália externa. Metástases, apesar de incomuns, ocorrem. O presente trabalho relata um caso de tumor venéreo transmissível na glande peniana com disseminação para a pele das regiões abdominal e inguinal.<br>Transmissible venereal tumor is most of the times diagnosed in young, healthy and sexually active animais. In general it affects any part of external genitalis; metastasis, although uncommon, may occur. This paper reports a case of a transmissible venereal tumor, in the glans penis of a dog with spread to the skin of abdominal and inguinal regions

Structural and productive characteristics of Marandu and Xaraés grasses fertilized at different times after harvesting

The objective of this study was to assess the effect of applying N and K2O at different times after harvest on the structure and production characteristics of Marandu and Xaraés cultivars of Brachiaria brizantha. Two greenhouse 4 × 2 factorial experiments using a randomized block design with eight treatments and four replicates were carried out. In experiment 1, the plants in pots were fertilized weekly with 50 mg/dm³ of N and K2O until a week before a uniformity cut, for a total of four applications. After cutting, plants were fertilized with 50 mg/dm³ of N and K2O at 0, 3, 6, and 9 days. Cultivars were evaluated after 44 days of regrowth. In experiment 2, a single 50 mg/dm³ dose of N and K2O was applied a week before the uniformity cut, and 100 mg/dm³ of N and K2O were applied at 0, 4, 8, and 12 days after cutting; cultivars were evaluated after 39 days of regrowth. In experiment 1, the leaf/stem ratio and dry matter yield were influenced by the time at which fertilizers were applied. In the second experiment, the total number of leaves, expanded leaves, dead leaves, and the leaf lamina accumulated length and dry matter production were influenced by the time at which fertilizers were applied. Marandugrass had more leaves and tillers than cv. Xaraés, which, in turn, had greater height, dry matter yield and regrowth vigor. Applying nitrogen and potassium fertilizer immediately after cutting improves the structural characteristics, while the dry matter yield is maximized by applying fertilizers immediately after cutting by using lower doses of N, or at 4.5 days after cutting by using higher doses of N