5,633 research outputs found
Impacts of climate extremes in Brazil the development of a web platform for understanding long-term sustainability of ecosystems and human health in amazonia (pulse-Brazil)
This is the final version of the article. Available from the American Meteorological Society via the DOI in this record.This work was funded by the joint FAPESP 2011/51843-2 and NERC NE/J016276/1 International Opportunities Fund. PULSE-Brazil development is also funded by the FAPESP grant (2012/51876-0) under the Belmont Forum Cooperation Agreement. Marengo and Aragão thank the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) for their Research Productivity Fellowship
Distribution of populations of broad-snouted caiman (Caiman latirostris, Daudin 1802, Alligatoridae) in the São Francisco River basin, Brazil
We surveyed populations of the broad-snouted caiman, Caiman latirostris, throughout the São Francisco River basin, from Três Marias reservoir, State of Minas Gerais, to the river delta, at the boarder of Sergipe and Alagoas states. We registered the occurrence of crocodilians in 61% of all surveyed localities (n = 64), in which the presence of C. latirostris was confirmed in 44% of the surveyed sites. Caimans occurred in both lentic and lotic habitats, although there was a preference for small dams, oxbow lakes and wetlands. Despite the hunting pressure and human impact on natural habitats, our results indicate that the populations of C. latirostris in the São Francisco basin are not fragmented
Agreement and accuracy using the FIGO, ACOG and NICE cardiotocography interpretation guidelines.
INTRODUCTION: One of the limitations reported with cardiotocography (CTG) is the modest interobserver agreement observed in tracing interpretation. This study compared agreement, reliability and accuracy of CTG interpretation using the FIGO, ACOG and NICE guidelines. MATERIAL AND METHODS: A total of 151 tracings was evaluated by 27 clinicians from three centers where FIGO, ACOG and NICE guidelines were routinely used. Interobserver agreement was evaluated using the proportions of agreement (PA) and reliability with the kappa (k) statistic. The accuracy of tracings classified as "pathological/category III" was assessed for prediction of newborn acidemia. For all measures, 95% confidence intervals (95%CI) were calculated RESULTS: CTG classifications were more distributed with FIGO (9%, 52%, 39%) and NICE (30%, 33%, 37%) than with ACOG (13%, 81%, 6%). The category with the highest agreement was ACOG category II (PA=0.73 95%CI 0.70-76), and the ones with the lowest agreement were ACOG categories I and III. Reliability was significantly higher with FIGO (k=0.37, 95%CI 0.31-0.43), and NICE (k=0.33, 95%CI 0.28-0.39) than with ACOG (k= 0.15, 95%CI 0.10-0.21), however all represent only slight/fair reliability. FIGO and NICE showed a trend towards higher sensitivities in prediction of newborn acidemia (89% and 97% respectively) than ACOG (32%,), but the latter achieved a significantly higher specificity (95%) CONCLUSIONS: With ACOG guidelines there is high agreement in category II, low reliability, low sensitivity and high specificity in prediction of acidemia. With FIGO and NICE guidelines there is higher reliability, a trend towards higher sensitivity, and lower specificity in prediction of acidemia. This article is protected by copyright. All rights reserved
CONTRAINTERPRETAR O SOCIALISMO E RESSIGNIFICAR A MODERNIDADE: CONTRIBUIÇÕES DE LEONARDO PADURA
No texto a seguir, parto da observação do cenário brasileiro contemporâneo para evidenciar o enfastiado conhecimento político e social que tem a população, o qual proporciona mal-entendidos em relação à esquerda e ao socialismo. Mostra-se urgente, então, uma contrainterpretação do socialismo e, consequentemente, um novo entendimento da modernidade. Um dos caminhos para isso são as manifestações artísticas, incluindo a literatura. Por isso, num segundo momento do texto, analiso de que maneira o autor cubano Leonardo Padura, mais especificamente em El hombre que amaba a los perros, contribui com a contrainterpretação do socialismo e com a ressignificação da modernidade
Peripherally Inserted Central Catheter Placement in a Cardiology Ward: A Focus Group Study of Nurses’ Perspectives
info:eu-repo/semantics/publishedVersio
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