1,009 research outputs found

    Diabetes como causa básica e associada do óbito na cidade do Recife.

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    Objective: To analyze mortality from diabetes mellitus as an underlying and associated cause, in the population in Recife and to identify the chances of dying as an associated cause. Method: analytical cross-sectional population study, between 2014 and 2019, using secondary data, between 2014 and 2019, using data from the Mortality System. Results: a total of 9,799 records analyzed; 57.2% of deaths were female, 95.3% were individuals over 50 years of age. The group between 60 and 69 years (p < 0.001) had a higher chance 42,0% of having diabetes as an associated cause. The yellow/indigenous race/color was 4.6 times more likely to have associated diabetes compared to the black race (p = 0.03); 19,0% chance of death with associated Diabetes when the school level is 12 years or more (p = 0.06). Conclusions: mortality associated with diabetes mellitus is relevant in social classes with higher education in the elderly population.Objetivo: analizar la mortalidad por diabetes mellitus como causa principal y asociada, en la población residente en Recife, considerando las características individuales de esas poblaciones y identificar las chances de morir como causa asociada. Método: estudio transversal analítico de base poblacional, entre 2014 y 2019, utilizando el Sistema de Mortalidad. Resultados: se analizaron 9.799 registros; 57,2% de las muertes fueron mujeres y 95,3% fueron personas mayores de 50 años. El grupo de 60 a 69 años (p < 0,001) tuvo mayor probabilidad 42,0% de tener diabetes como causa asociada; la raza/color amarillo/indígena tuvo 4,6 veces más probabilidad de tener la enfermedad asociada en comparación con la raza negra (p=0,03); cuando la escolaridad, 12 años o más, era 19,0% más probable de morir (p = 0,06). Conclusiones: la mortalidad asociada a la diabetes mellitus es relevante en las clases sociales con mayor escolaridad en la población adulta mayor.Objetivo: Analisar a mortalidade por diabetes mellitus como causa básica e associada, na população residente em Recife considerando as características individuais dessas populações e identificar as chances de morrer como causa associada. Método: estudo transversal analítico, de base populacional, entre 2014 e 2019, utilizando o Sistema de Mortalidade. Resultados: Foram analisados 9.799 registros; 57,2% dos óbitos foram no sexo feminino, 95,3% eram pessoas com mais de 50 anos de idade. O grupo entre 60 e 69 anos (p < 0,001) obteve maior chances 42,0 % de ter diabetes como causa associada; a raça/cor amarela/indígena teve 4,6 vezes mais chances de ter a doença associada em comparação a raça cor preta(p=0,03); quanto à escolaridade, as pessoas com 12 anos ou mais tiveram 19,0% mais chances de morrer (p = 0,06). Conclusões: a mortalidade associada ao diabetes mellitus é relevante nas classes sociais com maior escolaridade na população idosa

    O Serviço de documentação textual e iconografia do Museu Paulista

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    The essay compares the curatorship's works realized during the decade of 1990 by the actual Department of Textual and Iconographical Documentation of Museu Paulista, responsible for the MP Fund / Permanent File (Fundo MP/Arquivo Permanente), hundreds of collections and textual funds and 50.000 iconography pieces, great part of which are gathered in photographic collections. It shows how the documentation work extrapolates the limits of SVDHICO in order to integrate itself with the group activities of the museum and with other research groups. It also points towards new work methodologies which allow to perform the curatorship in an integrated way with the interdisciplinary research and the culture diffusion.O artigo faz um balanço dos trabalhos de curadoria realizados durante a década de 1990 pelo atual Serviço de Documentação Textual e Iconografia do Museu Paulista, responsável pelo Fundo MP/Arquivo Permanente, centenas de coleções e fundos textuais e 50.000 peças de iconografia, grande parte delas reunidas em coleções fotográficas. Mostra como o trabalho de documentação extrapola os limites do SVDHICO para integrar-se com as atividades de conjunto do Museu e com outros grupos de pesquisa. Aponta também para novas metodologias de trabalho com imagens que permitem realizar a curadoria de forma integrada à pesquisa interdisciplinar e à difusão cultural

    Pervasive gaps in Amazonian ecological research

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    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

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    Estimating the global conservation status of more than 15,000 Amazonian tree species

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    Estimates of extinction risk for Amazonian plant and animal species are rare and not often incorporated into land-use policy and conservation planning. We overlay spatial distribution models with historical and projected deforestation to show that at least 36% and up to 57% of all Amazonian tree species are likely to qualify as globally threatened under International Union for Conservation of Nature (IUCN) Red List criteria. If confirmed, these results would increase the number of threatened plant species on Earth by 22%. We show that the trends observed in Amazonia apply to trees throughout the tropics, and we predict thatmost of the world’s >40,000 tropical tree species now qualify as globally threatened. A gap analysis suggests that existing Amazonian protected areas and indigenous territories will protect viable populations of most threatened species if these areas suffer no further degradation, highlighting the key roles that protected areas, indigenous peoples, and improved governance can play in preventing large-scale extinctions in the tropics in this century

    Estimating the global conservation status of more than 15,000 Amazonian tree species

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    Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)

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    Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters. Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs). Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001). Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio

    Educomunicação e suas áreas de intervenção: Novos paradigmas para o diálogo intercultural

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    oai:omp.abpeducom.org.br:publicationFormat/1O material aqui divulgado representa, em essência, a contribuição do VII Encontro Brasileiro de Educomunicação ao V Global MIL Week, da UNESCO, ocorrido na ECA/USP, entre 3&nbsp;e 5 de novembro de 2016. Estamos diante de um conjunto de 104 papers executivos, com uma média de entre 7 e 10 páginas, cada um. Com este rico e abundante material, chegamos ao sétimo e-book publicado pela ABPEducom, em seus seis primeiros anos de existência. A especificidade desta obra é a de trazer as “Áreas de Intervenção” do campo da Educomunicação, colocando-as a serviço de uma meta essencial ao agir educomunicativo: o diálogo intercultural, trabalhado na linha do tema geral do evento internacional: Media and Information Literacy: New Paradigms for Intercultural Dialogue

    Educomunicação, Transformação Social e Desenvolvimento Sustentável

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    Esta publicação apresenta os principais trabalhos dos GTs do II Congresso Internacional de Comunicação e Educação nos temas&nbsp;Transformação social, com os artigos que abordam principalmente Educomunicação e/ou Mídia-Educação, no contexto de políticas de diversidade, inclusão e equidade; e, em Desenvolvimento Sustentável&nbsp;os artigos que abordam os avanços da relação comunicação/educação no contexto da educação ambiental e desenvolvimento sustentável
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