Accuracy of 99mTc-Ubiquicidin (29-41) scintigraphy on the differential diagnosis of musculoskeletal infectious diseases and sterile inflammations

The differential diagnosis between infection and a sterile inflammatory process is critical and requires imaging techniques that are sensitive and specific. The objective of this systematic review is to determine the accuracy of the 99mTc-ubiquicidin (29-41) scintigraphy on the differential diagnosis of musculoskeletal infectious diseases and sterile inflammations. The papers were searched on the free access databases Scientific Electronic Library Online (ScieLO), PubMed, LILACS, Biblioteca Virtual em Saúde (BVS), Cochrane Library, Banco de Teses e Dissertações da CAPES e Health System Evidences with the descriptors “ubiquicidin”, “ubiquicidina” or “UBI” on the title or abstract of papers published from January 2000 to January 2017. The analysis of the studies suggests that 99mTc-ubiquicidin (29-41) scintigraphy is a method of high accuracy for the differential diagnosis of musculoskeletal infectious diseases and sterile inflammations.O diagnóstico diferencial entre infecção e processo inflamatório não infeccioso é crítico na avaliação de um paciente e sua análise por exames de imagem sensíveis e específicos se faz necessária. O objetivo desta revisão sistemática é determinar a acurácia da cintilografia com 99mTc-ubiquicidina (29-41) no diagnóstico diferencial de condições infecciosas e inflamações estéreis. A busca dos artigos foi realizada nas bases de dados de acesso livre Scientific Electronic Library Online (SciELO), PubMed, LILACS, Biblioteca Virtual em Saúde (BVS), Cochrane Library, Banco de Teses e Dissertações da CAPES e Health System Evidences com os  descritores  “ubiquicidin”, “ubiquicidina” ou “UBI” presentes no título ou resumo de artigos publicados entre janeiro de 2000  até janeiro de 2017. A análise dos artigos incluídos sugere que a cintilografia com 99mTc-ubiquicidina (29-41) é um método de elevada acurácia para o diagnóstico diferencial entre infecções musculoesqueléticas e inflamações assépticas

Evidências científicas sobre o manejo de complicações intra-abdominal, pélvica e geniturinárias da cirurgia colorretal: Scientific evidence on the management of intra-abdominal, pelvic and genitourinary complications of colorectal surgery

A segurança da cirurgia colorretal, realizada em pacientes com câncer colorretal e doença inflamatória intestinal, melhorou dramaticamente nos últimos 50 anos devido a melhorias na preparação pré-operatória, profilaxia antibiótica, técnica cirúrgica e manejo pós-operatório. O risco de disfunção urinária persistir além do pós-operatório imediato (30 dias) é baixo, a disfunção sexual após a proctocolectomia está relacionada à extensão da dissecção dos nervos pélvicos. Uma vez que a taxa de infertilidade para mulheres com doença inflamatória intestinal aumenta após a proctocolectomia, um atraso na cirurgia até depois da gravidez pode ser considerado, se clinicamente possível. O risco operatório de lesão esplênica varia de 0,4 a 8 por cento dos procedimentos colônicos, a lesão ocorre devido à proximidade do cólon com o baço.&nbsp

Brazilian Flora 2020: Leveraging the power of a collaborative scientific network

International audienceThe shortage of reliable primary taxonomic data limits the description of biological taxa and the understanding of biodiversity patterns and processes, complicating biogeographical, ecological, and evolutionary studies. This deficit creates a significant taxonomic impediment to biodiversity research and conservation planning. The taxonomic impediment and the biodiversity crisis are widely recognized, highlighting the urgent need for reliable taxonomic data. Over the past decade, numerous countries worldwide have devoted considerable effort to Target 1 of the Global Strategy for Plant Conservation (GSPC), which called for the preparation of a working list of all known plant species by 2010 and an online world Flora by 2020. Brazil is a megadiverse country, home to more of the world's known plant species than any other country. Despite that, Flora Brasiliensis, concluded in 1906, was the last comprehensive treatment of the Brazilian flora. The lack of accurate estimates of the number of species of algae, fungi, and plants occurring in Brazil contributes to the prevailing taxonomic impediment and delays progress towards the GSPC targets. Over the past 12 years, a legion of taxonomists motivated to meet Target 1 of the GSPC, worked together to gather and integrate knowledge on the algal, plant, and fungal diversity of Brazil. Overall, a team of about 980 taxonomists joined efforts in a highly collaborative project that used cybertaxonomy to prepare an updated Flora of Brazil, showing the power of scientific collaboration to reach ambitious goals. This paper presents an overview of the Brazilian Flora 2020 and provides taxonomic and spatial updates on the algae, fungi, and plants found in one of the world's most biodiverse countries. We further identify collection gaps and summarize future goals that extend beyond 2020. Our results show that Brazil is home to 46,975 native species of algae, fungi, and plants, of which 19,669 are endemic to the country. The data compiled to date suggests that the Atlantic Rainforest might be the most diverse Brazilian domain for all plant groups except gymnosperms, which are most diverse in the Amazon. However, scientific knowledge of Brazilian diversity is still unequally distributed, with the Atlantic Rainforest and the Cerrado being the most intensively sampled and studied biomes in the country. In times of “scientific reductionism”, with botanical and mycological sciences suffering pervasive depreciation in recent decades, the first online Flora of Brazil 2020 significantly enhanced the quality and quantity of taxonomic data available for algae, fungi, and plants from Brazil. This project also made all the information freely available online, providing a firm foundation for future research and for the management, conservation, and sustainable use of the Brazilian funga and flora