Os impactos ambientais da pandemia de Covid-19 e seus reflexos na saúde e na economia

A pandemia de Covid-19 exigiu medidas sanitárias extremas para a contenção da transmissão do vírus, como o isolamento social ou lockdown, adotado em muitos países nos momentos de surto. Tais medidas restritivas modificaram totalmente a vida das pessoas em todo o planeta, afetando o meio ambiente e a economia global. Nesse trabalho, realizamos uma revisão sistemática da literatura com o objetivo de mapear os impactos ambientais e econômicos da pandemia. Nossos resultados mostram que o isolamento social teve um efeito positivo sobre o meio ambiente, principalmente no que se refere à melhoria da qualidade do ar com a redução das emissões de gases poluentes pelas indústrias e veículos. As mudanças ambientais observadas se refletiram na economia e na saúde da população, trazendo importantes reflexões sobre os efeitos das nossas atividades sobre o planeta e as estratégias possíveis de combate à degradação ambiental, mas preservando a economia visando o cumprimento dos Objetivos do Desenvolvimento Sustentável (ODS) constantes da Agenda 2030

Small time scale plankton structure variations at the entrance of a tropical eutrophic bay (Guanabara Bay, Brazil)

A dinâmica dos vários compartimentos do plâncton foi avaliada durante uma série de curta duração na entrada da baía de Guanabara (SE do Brasil), com o objetivo de estimar suas correlações tróficas. A biomassa e eficiência fotossíntética das três frações do fitoplâncton (picoplâncton: < 2µm, nanoplâncton: 2-20µm e microplâncton: &gt; 20µm), juntamente com a composição e abundância do nano-e microplâncton auto-e heterótrofos e do mesozooplâncton, foram determinadas em uma estação fixa durante 3 dias consecutivos, a intervalos de 3h, nas camadas de superfície e de fundo (20m). A variabilidade de quase todos os compartimentos do plâncton na superfície foi diretamente relacionada à temperatura, indicando forte influência da circulação da entrada da baía na estrutura planctônica. Na camada superficial, o mesozooplâncton parece ser alimentado pelo nano-e picoplâncton autótrofos, esse último sendo sustentado pelo microzooplâncton. Próximo ao fundo, o microplâncton auto-e heterótrofo estão possivelmente sustentando a biomassa mesozooplanctônica. Nossos resultados sugerem, portanto, que na entrada da baía de Guanabara esteja estabelecida uma rede trófica multívora, i.e., uma combinação entre as cadeias microbiana e de pastagem.The dynamics of the plankton compartments at the entrance of Guanabara Bay (SE Brazil) were assessed during a short-term temporal survey to estimate their trophic correlations. Size-fractioned phytoplankton (picoplankton: < 2µm, nanoplankton: 2-20µm and microplankton: &gt; 20µm) biomass and photosynthetic efficiency, composition and abundance of the auto-and heterotrophic nano-and microplankton, and mesozooplankton were evaluated at a fixed station for 3 consecutive days at 3-h intervals, in the surface and bottom (20m) layers. The variability of almost all plankton compartments in the surface layer was directly dependent on temperature, indicating the great influence of the circulation at the entrance of the bay on plankton structure. In the surface layer, the mesozooplankton seems to be sustained by both autotrophic nano-and picoplankton, this last being channeled through the microzooplankton. Near the bottom, both auto-and heterotrophic microplankton are probably supporting the mesozooplankton biomass. Our findings thus suggest that the entrance of Guanabara bay presents a multivorous food web, i.e., a combination of both grazing and microbial trophic pathways

Percepção e atuação dos estudantes universitários da área de saúde em relação à gestão de resíduos sólidos: Um estudo de caso na Universidade de Pernambuco, Recife - PE

O presente estudo investigou a percepção dos estudantes universitários quanto à separação e descarte de resíduos sólidos bem como sua atuação como cidadão consciente neste processo. Com o auxílio de um questionário, foram entrevistados 100 estudantes dos cinco cursos da área da saúde oferecidos pela Universidade de Pernambuco (Recife, PE): Ciências Biológicas, Odontologia, Medicina, Educação Física e Enfermagem. De um modo geral, os estudantes apresentaram elevado conhecimento sobre reciclagem e destinação apropriada dos resíduos sólidos e a percepção clara da importância da prática sustentável. No entanto, sua atuação individual na gestão dos resíduos ainda é bastante insignificante. Essa distância percebida entre “o saber” e “o fazer” pode ser facilmente encurtada através da educação ambiental. A mudança no comportamento da sociedade em relação ao compromisso com o meio ambiente se inicia nos estudantes, e a Universidade, como um local de troca de conhecimento e ideias precisa ir além do papel de formar profissionais em suas áreas específicas

Identifying the current and future status of freshwater connectivity corridors in the Amazon Basin

The Amazon Basin features a vast network of healthy, free-flowing rivers, which provides habitat for the most biodiverse freshwater fauna of any basin globally. However, existing and future infrastructure developments, including dams, threaten its integrity by diminishing river connectivity, altering flows, or changing sediment regimes, which can impact freshwater species. In this study, we assess critical rivers that need to be maintained as freshwater connectivity corridors (FCCs) for selective freshwater species—long-distance migratory fishes and turtles (both with migrations >500 km) and river dolphins. We define FCCs as river stretches of uninterrupted river connectivity that provide important riverine and floodplain habitat for long-distance migratory and other species and that maintain associated ecosystem functions. We assessed more than 340,000 km of river, beginning with an assessment of the connectivity status of all rivers and then combining river status with models of occurrence of key species to map where FCCs occur and how they could be affected under a scenario of proposed dams. We identified that in 2019, 16 of 26 very long (>1000 km) rivers are free-flowing but only 9 would remain free-flowing if all proposed dams are built. Among long and very long rivers (>500 km), 93 are considered FCCs. Under the future scenario, one-fifth (18) of these long and very long FCCs—those that are of critical importance for long-distance migrants and dolphins—would lose their FCC status, including the Amazon, the Negro, Marañ on, Napo, Ucayali, Preto do Igap o Açu, Beni, and Uraricoera rivers. To avoid impacts of poorly sited infrastructure, we advocate for energy and water resources planning at the basin scale that evaluates alternative development options and limits development that will impact on FCCs. The results also highlight where corridors could be designated as protected from future fragmentation

Robust estimation of bacterial cell count from optical density

Optical density (OD) is widely used to estimate the density of cells in liquid culture, but cannot be compared between instruments without a standardized calibration protocol and is challenging to relate to actual cell count. We address this with an interlaboratory study comparing three simple, low-cost, and highly accessible OD calibration protocols across 244 laboratories, applied to eight strains of constitutive GFP-expressing E. coli. Based on our results, we recommend calibrating OD to estimated cell count using serial dilution of silica microspheres, which produces highly precise calibration (95.5% of residuals &lt;1.2-fold), is easily assessed for quality control, also assesses instrument effective linear range, and can be combined with fluorescence calibration to obtain units of Molecules of Equivalent Fluorescein (MEFL) per cell, allowing direct comparison and data fusion with flow cytometry measurements: in our study, fluorescence per cell measurements showed only a 1.07-fold mean difference between plate reader and flow cytometry data

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat