Counterterrorism in Brazil: From Dictatorship to Democratic Times

info:eu-repo/semantics/publishedVersio

Paleohydrological changes in an Amazonian floodplain lake: Santa Ninha Lake

International audienceHolocene environments have been reconstructed by sedimentological, mineralogical and organic geochemical analysis of a 270-cm core from Santa Ninha Lake, a floodplain lake in lower Amazonia. Dated by fourteen AMS-radiocarbon dates, the sediment core has a basal age of 5,600 cal years BP and different sedimentary units were identified. These units document various hydrologic phases in the evolution of this lake. Reduced Amazon River influence, with reduced high-water levels of the river, characterized the period between 5,600 and 5,100 cal years BP. Comparison with other Amazonian and Andean paleoclimate studies point to a dryer climate during this phase. After 5,100 cal years BP coarse sediments and quartz increase which suggest a higher inflow of the Amazon River. Between 5,000 and 2,300 cal years BP the coarse sediments and quartz remain high but the organic carbon showed the lowest values. The riverine inflow caused dilution of the organic material produced in the lake and consequently low rates of carbon flux in these phases were recorded. These results show that the hydrodynamics of the Amazon River strongly influence the behavior, productivity and consequently the sedimentation process in the floodplain lakes

Safety of hospital discharge before return of bowel function after elective colorectal surgery

Background: Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function.Methods: A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multivariable regression analysis. Other outcomes were postoperative complications within 30 days of surgery, measured using the Clavien-Dindo classification system.Results: A total of 3288 patients were included in the analysis, of whom 301 (9.2 per cent) were discharged before the return of bowel function. The median duration of hospital stay for patients discharged before and after return of bowel function was 5 (i.q.r. 4-7) and 7 (6-8) days respectively (P < 0.001). There were no significant differences in rates of readmission between these groups (6.6 versus 8.0 per cent; P = 0.499), and this remained the case after multivariable adjustment for baseline differences (odds ratio 0.90, 95 per cent c.i. 0.55 to 1.46; P = 0.659). Rates of postoperative complications were also similar in those discharged before versus after return of bowel function (minor: 34.7 versus 39.5 per cent; major 3.3 versus 3.4 per cent; P = 0.110).Conclusion: Discharge before return of bowel function after elective colorectal surgery appears to be safe in appropriately selected patients