Extensionist pioneering at the Universidade do Estado do Rio Grande do Norte: online course in first aids and basic life support

The university´s extension has as main aim to develop interventions that impact and embrace the society. The first aids and basic life support (BLS) in the UERN has as principal objective to include, by means of the dissemination of the practical and theoretical knowledge, the first aids procedures turned to the general public, by means of an accessible language and of dynamical methodologies. Conditions of urgency and emergency are presented, usually the most frequent in the pre-hospital´ treatment, where precocious intervention word as the way to save lives, by means of practical and theoretical classes. This work tried to show how these initiatives have been developed, implanting new modalities of access to technical information about first aids, as well as all the used strategies to train effectively academic and not academic people. This Project have been under execution since 2013 and, consequently due to the importance of the theme, every year, the number of trained participants have been increasing, corroborating to the quality of the information presented and to the backup of the university and the citizens. In this way, it is of extremely importance the continuity of the permanent character of the course, in order to promote the importance and constant actualization in the field so neglected and recurrent, also considering, the promotion of the health in the virtual world too, bringing the information to any place in the world with internet access

Papel da Cirurgia Bucomaxilofacial na Reabilitação de Pacientes com Câncer de Cabeça e Pescoço

The aim of this article is to investigate and elucidate the impact and relevance of oral and maxillofacial surgery in the rehabilitation process of individuals facing the challenge of head and neck cancer. The indexes SciVerse Scopus, Scientific Electronic Library Online (Scielo), U.S. National Library of Medicine (PUBMED) and ScienceDirect were used as search engines. The articles were contemplated between the years 2000 to 2023. The rehabilitation approach in oral and maxillofacial surgery for patients facing head and neck cancer represents a crucial pillar in the journey of treatment and recovery. The complexity of the functional, aesthetic and psychosocial implications of this type of cancer requires a multidisciplinary and integrated approach that goes beyond the medical aspect. The results demonstrate that this rehabilitation technique can effectively improve the quality of life of patients, allowing restoration of function, recovery of self-image and social reintegration. Collaboration between oral and maxillofacial surgeons, physical therapists, speech therapists and mental health professionals plays a vital role in this process, providing a holistic and comprehensive approach.O objetivo deste artigo é investigar e elucidar o impacto e a relevância da cirurgia bucomaxilofacial no processo de reabilitação de indivíduos que enfrentam o desafio do câncer de cabeça e pescoço. Foram utilizados como motores de busca os indexadores SciVerse Scopus, Scientific Eletronic Library Online (Scielo), U.S. National Library of Medicine (PUBMED) e ScienceDirect. Os artigos foram contemplados entre os anos de 2000 a 2023. A abordagem de reabilitação na cirurgia bucomaxilofacial para pacientes que enfrentam câncer de cabeça e pescoço representa um pilar crucial na jornada de tratamento e recuperação. A complexidade das implicações funcionais, estéticas e psicossociais desse tipo de câncer exige uma abordagem multidisciplinar e integrada que vá além do aspecto médico. Os resultados demonstram que essa técnica de reabilitação pode efetivamente melhorar a qualidade de vida dos pacientes, permitindo a restauração da função, a recuperação da autoimagem e a reintegração social. A colaboração entre cirurgiões bucomaxilofaciais, fisioterapeutas, fonoaudiólogos e profissionais de saúde mental desempenha um papel vital nesse processo, fornecendo uma abordagem holística e abrangente

Conhecendo a síndrome de autofermentação: etiopatogenia, apresentação e abordagem

Revisar os dados sobre síndrome da autofermentação disponíveis na literatura e reforçar a possibilidade dessa condição como hipótese durante as avaliações diagnósticas. Revisão de literatura de caráter exploratório com estudos selecionados nas plataformas PubMED e Google Scholar, no período de 2015 a 2024. Foram elegidos, após a aplicação dos critérios de seleção e exclusão, 20 artigos para a leitura completa e adicionados 4 materiais extras de valor para o estudo.  A síndrome da autofermentação é uma intoxicação alcoólica de origem endógena, causada, principalmente, por fungos fermentadores após um processo de disbiose intestinal. Suas principais manifestações incluem desorientação, descoordenação motora, marcha atáxica e desinibição social. O diagnóstico é realizado por anamnese detalhada, detecção de altos níveis séricos de álcool e teste do desafio dos carboidratos positivo. O manejo da condição consiste em evitar fatores que prejudiquem o microbioma intestinal e tratar os agentes causadores com uso de antifúngicos principalmente. A síndrome da autofermentação pode ter impacto nos contextos médico, legal e social. É necessário que ela seja mais disseminada entre a comunidade médica e leiga com intuito de permitir que o paciente possa ter um diagnóstico e tratamento adequados

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost

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