Suscetibilidade da Bacia do Rio Bengalas a deslizamentos de terra

Landslides have frequently occurred in last years, due to the disorderly grownth of the cities and the occupation of risk areas by the poor population, causing social, environmental and economic impacts. Urban areas in expansion move to geologically unstable areas and topographically inclined, such as the Basin of River Bengalas, located in the city of Nova Friburgo, mountainous region of the State of Rio de Janeiro, Brazil. This article aims to present the model survey to assess the susceptibility of the Basin of River Bengalas to landslides, which in january 2011, with the occurrence of heavy rains, caused landslides that impacted in the death of 429 people in city of Nova Friburgo. For the case study, several investigations have been made related to the areas of the basin, such as slope, soil conditions, lithology, land use and cover, vertical and horizontal curvatures. With this study it was possible to understand how the natural and anthropics elements of the basin are related to the local dynamics of the disasters regarding to their interferences in the induction of landslides, thus enabling improved public management of the Municipality regarding the use and division of land, from the identification of areas Basin of River Bengalas susceptible to landslides

RICORS2040 : The need for collaborative research in chronic kidney disease

Chronic kidney disease (CKD) is a silent and poorly known killer. The current concept of CKD is relatively young and uptake by the public, physicians and health authorities is not widespread. Physicians still confuse CKD with chronic kidney insufficiency or failure. For the wider public and health authorities, CKD evokes kidney replacement therapy (KRT). In Spain, the prevalence of KRT is 0.13%. Thus health authorities may consider CKD a non-issue: very few persons eventually need KRT and, for those in whom kidneys fail, the problem is 'solved' by dialysis or kidney transplantation. However, KRT is the tip of the iceberg in the burden of CKD. The main burden of CKD is accelerated ageing and premature death. The cut-off points for kidney function and kidney damage indexes that define CKD also mark an increased risk for all-cause premature death. CKD is the most prevalent risk factor for lethal coronavirus disease 2019 (COVID-19) and the factor that most increases the risk of death in COVID-19, after old age. Men and women undergoing KRT still have an annual mortality that is 10- to 100-fold higher than similar-age peers, and life expectancy is shortened by ~40 years for young persons on dialysis and by 15 years for young persons with a functioning kidney graft. CKD is expected to become the fifth greatest global cause of death by 2040 and the second greatest cause of death in Spain before the end of the century, a time when one in four Spaniards will have CKD. However, by 2022, CKD will become the only top-15 global predicted cause of death that is not supported by a dedicated well-funded Centres for Biomedical Research (CIBER) network structure in Spain. Realizing the underestimation of the CKD burden of disease by health authorities, the Decade of the Kidney initiative for 2020-2030 was launched by the American Association of Kidney Patients and the European Kidney Health Alliance. Leading Spanish kidney researchers grouped in the kidney collaborative research network Red de Investigación Renal have now applied for the Redes de Investigación Cooperativa Orientadas a Resultados en Salud (RICORS) call for collaborative research in Spain with the support of the Spanish Society of Nephrology, Federación Nacional de Asociaciones para la Lucha Contra las Enfermedades del Riñón and ONT: RICORS2040 aims to prevent the dire predictions for the global 2040 burden of CKD from becoming true

International consensus statement on nomenclature and classification of the congenital bicuspid aortic valve and its aortopathy, for clinical, surgical, interventional and research purposes

This International Consensus Classification and Nomenclature for the congenital bicuspid aortic valve condition recognizes 3 types of bicuspid valves: 1. The fused type (right-left cusp fusion, right-non-coronary cusp fusion and left-non-coronary cusp fusion phenotypes); 2. The 2-sinus type (latero-lateral and antero-posterior phenotypes); and 3. The partial-fusion (forme fruste) type. The presence of raphe and the symmetry of the fused type phenotypes are critical aspects to describe. The International Consensus also recognizes 3 types of bicuspid valve-associated aortopathy: 1. The ascending phenotype; 2. The root phenotype; and 3. Extended phenotypes.Cardiolog

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Valores nutricionais do milho de diferentes qualidades para frangas de reposição na fase de recria

O experimento objetivou determinar os valores nutricionais de diferentes frações de milho obtidas por meio de estratificação em mesa densimétrica na recria de frangas. Os milhos foram designados como: MDA - milho de densidade alta; MDI - milho de densidade intermediária; MDB - milho de densidade baixa; MDT - milho de densidade total, composto de 30% de MDA, 60% de MDI e 10% de MDB. Para a determinação da energia metabolizável corrigida (EMAn) foi utilizado o método de coleta total de excretas em frangas Hy Line de 15 semanas. Os valores de EMAn (kcal/kg na MN) foram: 3.467; 3.340; 3.217 e 3.385kcal/kg e densidade (kg/m³): 818,61; 698,13; 681,80 e 736,39kg/m³ para MDA; MDI; MDB e MDT, respectivamente. O MDB apresentou maior valor em todos os aminoácidos digestíveis, com maior intensidade para o triptofano. As frações de milho foram variáveis quanto ao EMAn e perfil de aminoácidos digestíveis, indicando a necessidade de correções nutricionais para a formulação de rações de custo mínimo