Laparoscopic right hemicolectomy: the SICE (Societ\ue0 Italiana di Chirurgia Endoscopica e Nuove Tecnologie) network prospective trial on 1225 cases comparing intra corporeal versus extra corporeal ileo-colic side-to-side anastomosis

Background: While laparoscopic approach for right hemicolectomy (LRH) is considered appropriate for the surgical treatment of both malignant and benign diseases of right colon, there is still debate about how to perform the ileo-colic anastomosis. The ColonDxItalianGroup (CoDIG) was designed as a cohort, observational, prospective, multi-center national study with the aims of evaluating the surgeons\u2019 attitude regarding the intracorporeal (ICA) or extra-corporeal (ECA) anastomotic technique and the related surgical outcomes. Methods: One hundred and twenty-five Surgical Units experienced in colorectal and advanced laparoscopic surgery were invited and 85 of them joined the study. Each center was asked not to change its surgical habits. Data about demographic characteristics, surgical technique and postoperative outcomes were collected through the official SICE website database. One thousand two hundred and twenty-five patients were enrolled between March 2018 and September 2018. Results: ICA was performed in 70.4% of cases, ECA in 29.6%. Isoperistaltic anastomosis was completed in 85.6%, stapled in 87.9%. Hand-sewn enterotomy closure was adopted in 86%. Postoperative complications were reported in 35.4% for ICA and 50.7% for ECA; no significant difference was found according to patients\u2019 characteristics and technologies used. Median hospital stay was significantly shorter for ICA (7.3 vs. 9 POD). Postoperative pain in patients not prescribed opioids was significantly lower in ICA group. Conclusions: In our survey, a side-to-side isoperistaltic stapled ICA with hand-sewn enterotomy closure is the most frequently adopted technique to perform ileo-colic anastomosis after any indications for elective LRH. According to literature, our study confirmed better short-term outcomes for ICA, with reduction of hospital stay and postoperative pain. Trial registration: Clinical trial (Identifier: NCT03934151)

NEOTROPICAL XENARTHRANS: a data set of occurrence of xenarthran species in the Neotropics

Xenarthrans – anteaters, sloths, and armadillos – have essential functions for ecosystem maintenance, such as insect control and nutrient cycling, playing key roles as ecosystem engineers. Because of habitat loss and fragmentation, hunting pressure, and conflicts with 24 domestic dogs, these species have been threatened locally, regionally, or even across their full distribution ranges. The Neotropics harbor 21 species of armadillos, ten anteaters, and six sloths. Our dataset includes the families Chlamyphoridae (13), Dasypodidae (7), Myrmecophagidae (3), Bradypodidae (4), and Megalonychidae (2). We have no occurrence data on Dasypus pilosus (Dasypodidae). Regarding Cyclopedidae, until recently, only one species was recognized, but new genetic studies have revealed that the group is represented by seven species. In this data-paper, we compiled a total of 42,528 records of 31 species, represented by occurrence and quantitative data, totaling 24,847 unique georeferenced records. The geographic range is from the south of the USA, Mexico, and Caribbean countries at the northern portion of the Neotropics, to its austral distribution in Argentina, Paraguay, Chile, and Uruguay. Regarding anteaters, Myrmecophaga tridactyla has the most records (n=5,941), and Cyclopes sp. has the fewest (n=240). The armadillo species with the most data is Dasypus novemcinctus (n=11,588), and the least recorded for Calyptophractus retusus (n=33). With regards to sloth species, Bradypus variegatus has the most records (n=962), and Bradypus pygmaeus has the fewest (n=12). Our main objective with Neotropical Xenarthrans is to make occurrence and quantitative data available to facilitate more ecological research, particularly if we integrate the xenarthran data with other datasets of Neotropical Series which will become available very soon (i.e. Neotropical Carnivores, Neotropical Invasive Mammals, and Neotropical Hunters and Dogs). Therefore, studies on trophic cascades, hunting pressure, habitat loss, fragmentation effects, species invasion, and climate change effects will be possible with the Neotropical Xenarthrans dataset

Religião, saúde e cura: um estudo entre neopentecostais

O sistema de saúde precário tem levado grande parte da população à procura de formas alternativas para o restabelecimento do seu bem-estar. Buscamos entender como se dá a construção das noções de saúde e doença a partir de uma visão religiosa do mundo e quais as influências dessa concepção na relação dos pacientes com a Medicina ou com a busca de poderes sobrenaturais. Participando de seis cultos de uma igreja neopentecostal, observamos e realizamos entrevistas semi-estruturadas com três fiéis e um pastor. Percebemos que o discurso da igreja fornece sentido, orienta e ajuda as pessoas a resolverem e contornarem suas aflições cotidianas. O “diabo” torna-se a causa principal de todos os males. Assim, a doença passa a ser uma ação demoníaca e a cura requer o exorcismo do fiel. Destaca-se que os rituais de cura da igreja e a consulta médica são atos quase excludentes

Possessão e inversão da subalternidade: com a palavra, Pombagira das Rosas

Este artigo é decorrente de uma pesquisa de campo que analisou a possessão na religião afro-brasileira da Umbanda no terreiro de Umbanda Caboclo Pena Branca, na cidade de Juiz de Fora, MG. No presente recorte é apresentada a narrativa da Pombagira das Rosas, com o propósito de observar a relação de alteridade que se estabelece entre a médium e a entidade. A partir de um quadro conceitual definido por Michael De Certeau, as narrativas são analisadas buscando compreender de que forma a possessão se articula com a realidade histórica das mulheres no Brasil e com a trajetória pessoal da mulher médium que incorpora o referido espírito, redefinindo seu cotidiano. A intenção é focalizar na voz subalterna da entidade as dinâmicas individuais e coletivas que, fazendo uso do imaginário nacional sobre a entidade, possibilitam compreender a possessão como significando solidariedade social