ATLANTIC EPIPHYTES: a data set of vascular and non-vascular epiphyte plants and lichens from the Atlantic Forest

Epiphytes are hyper-diverse and one of the frequently undervalued life forms in plant surveys and biodiversity inventories. Epiphytes of the Atlantic Forest, one of the most endangered ecosystems in the world, have high endemism and radiated recently in the Pliocene. We aimed to (1) compile an extensive Atlantic Forest data set on vascular, non-vascular plants (including hemiepiphytes), and lichen epiphyte species occurrence and abundance; (2) describe the epiphyte distribution in the Atlantic Forest, in order to indicate future sampling efforts. Our work presents the first epiphyte data set with information on abundance and occurrence of epiphyte phorophyte species. All data compiled here come from three main sources provided by the authors: published sources (comprising peer-reviewed articles, books, and theses), unpublished data, and herbarium data. We compiled a data set composed of 2,095 species, from 89,270 holo/hemiepiphyte records, in the Atlantic Forest of Brazil, Argentina, Paraguay, and Uruguay, recorded from 1824 to early 2018. Most of the records were from qualitative data (occurrence only, 88%), well distributed throughout the Atlantic Forest. For quantitative records, the most common sampling method was individual trees (71%), followed by plot sampling (19%), and transect sampling (10%). Angiosperms (81%) were the most frequently registered group, and Bromeliaceae and Orchidaceae were the families with the greatest number of records (27,272 and 21,945, respectively). Ferns and Lycophytes presented fewer records than Angiosperms, and Polypodiaceae were the most recorded family, and more concentrated in the Southern and Southeastern regions. Data on non-vascular plants and lichens were scarce, with a few disjunct records concentrated in the Northeastern region of the Atlantic Forest. For all non-vascular plant records, Lejeuneaceae, a family of liverworts, was the most recorded family. We hope that our effort to organize scattered epiphyte data help advance the knowledge of epiphyte ecology, as well as our understanding of macroecological and biogeographical patterns in the Atlantic Forest. No copyright restrictions are associated with the data set. Please cite this Ecology Data Paper if the data are used in publication and teaching events. © 2019 The Authors. Ecology © 2019 The Ecological Society of Americ

CONDIÇÕES DE ARMAZENAMENTO DE MEDICAMENTOS NAS UNIDADES BÁSICAS DE SAÚDE DO DISTRITO SANITÁRIO NORDESTE DE BELO HORIZONTE, BRASIL

The storage of medicines is intended to provide medicines by quality standards and in proper amount and time for the population. The aim of this work was to evaluate the storage conditions of medicines in the warehouse and the Basic Health Units (BHU) of Northeast Health District of Belo Horizonte. The study was descriptive and quantitative, conducted in the warehouse and 20 BHU. Data were collected through direct observation using indicators proposed by the World Health Organization (WHO). The proportion of attainment to requirements of appropriate storage conditions was in average 76,7% per BHU pharmacy and 83.3% for the warehouse. Expired drugs were not found. The items with the lowest evaluation were related to the physical structure of the units, and the best-evaluated one referred to the working process. Measures are recommended to ensure that the quality of the medicines is preserved and that their rational use contributes to the population health, such as an increase in investments for the structuring of the physical area for the storage of pharmaceutical products

The predictive value of neonatal neurological assessment and neonatal cranial ultrasonography with respect to the development of very low birth weight premature infants

Submitted by Luis Guilherme Macena ([email protected]) on 2013-03-11T14:54:39Z No. of bitstreams: 1 Valores de predição da avaliação neurológica.pdf: 79270 bytes, checksum: 4c0a8648614ec3f345dea0ea99ac828d (MD5)Made available in DSpace on 2013-03-11T14:54:39Z (GMT). No. of bitstreams: 1 Valores de predição da avaliação neurológica.pdf: 79270 bytes, checksum: 4c0a8648614ec3f345dea0ea99ac828d (MD5) Previous issue date: 1998Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Neonatologia. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Pediatria. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Pediatria. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, BrasilVerifica os valores de prediçäo de dois exames (neurológico e ultra-sonográfico) realizados no período neonatal, em relaçäo ao desenvolvimento neuromotor e cognitivo de prematuros. Foram estudados 70 prematuros com peso de nascimento inferior a 1.500g. A média do peso de nascimento e idade gestacional foram, respectivamente, 1.185g (DP: 180) e 32,2 semanas (DP: 1,4). Foi realizada a avaliaçäo neurológica pelo método de Dubowitz e ultra-sonografia cerebral por volta de 40 semanas de idade corrigida. Após a alta do berçário, estas crianças foram acompanhadas no ambulatório de seguimento. Com idade média de 21 meses (DP: 4,9) corrigidos para a prematuridade, 25,7 por cento das crianças apresentaram comprometimento neuromotor, e 20,3 por cento, alteraçäo cognitiva. O exame neurológico neonatal foi mais sensível que específico em relaçäo à alteraçäo neuromotora (sensibilidade: 77,7 por cento, especificidade: 57,6 por cento) e cognitiva (sensibilidade: 78,5 por cento, especificidade: 56,4 por cento), e apresentou baixo valor de prediçäo tanto para alteraçäo neuromotora (38,9 por cento) quanto cognitiva (31,4 por cento). A ultra-sonografia apresentou elevada especificidade tanto para o desenvolvimento neuromotor (92,3 por cento) quanto cognitivo (89,1 por cento). O valor preditivo da ultra-sonografia foi satisfatório para anormalidades neuromotoras (69,2 por cento), porém baixo para as alteraçöes cognitivas (50,0 por cento). A associaçäo dos dois exames com resultados anormais apresentou valores de prediçäo mais elevada para as anormalidades nas duas áreas do desenvolvimentoTo verify the predictive value of two tests (neurological assessment and ultrasonography) performed at the time of discharge, with respect to the neuromotor and cognitive development of premature infants. Seventy very low birth weight premature infants (below 1,500g), admitted to the Neonatal Department between 1992 and 1994 were studied. The average birth weight and gestation age were, respectively, 1,185g (SD:180g) and 32.2 weeks (SD: 1.4). At the term correct age, neurological assessment by the Dubowitz & Dubowitz method and cerebral ultrasonography were carried out. After discharge, the development was monitored at the follow up clinic. At 21 months correct age (SD: 4.9), neuromotor and cognitive abnormalities were observed, respectively, in 25.7% and 20.3% of the infants evaluated. The neonatal neurological assessment was found to be more sensitive than those specific for neuromotor (sensibility:77.7%, specificity:57.6%) and cognitive (sensibility:78.5%, specificity:56.4%) abnormalities, and exhibited low predictive value for both neuromotor and cognitive abnormality. Ultrasonography exhibited high specificity with respect to both neuromotor and cognitive development. The cerebral ultrasonography has also a reasonable predictive value for neuromotor abnormality. The combination of both tests yielded higher predictive values

Risk factors for respiratory morbidity at 12 to 36 months in very low birth weight premature infants previously admitted to a public neonatal intensive care unit

Submitted by Santos Bárbara ([email protected]) on 2015-04-15T13:37:43Z No. of bitstreams: 1 Fatores associados à morbidade respiratória entre 12 e 36 meses de vida de crianças nascidas de muito baixo peso oriu.pdf: 115128 bytes, checksum: 75eb25091f25418edbdfdb464ff4a88c (MD5)Approved for entry into archive by Santos Bárbara ([email protected]) on 2015-04-15T13:37:54Z (GMT) No. of bitstreams: 1 Fatores associados à morbidade respiratória entre 12 e 36 meses de vida de crianças nascidas de muito baixo peso oriu.pdf: 115128 bytes, checksum: 75eb25091f25418edbdfdb464ff4a88c (MD5)Approved for entry into archive by Santos Bárbara ([email protected]) on 2015-04-15T15:00:07Z (GMT) No. of bitstreams: 1 Fatores associados à morbidade respiratória entre 12 e 36 meses de vida de crianças nascidas de muito baixo peso oriu.pdf: 115128 bytes, checksum: 75eb25091f25418edbdfdb464ff4a88c (MD5)Made available in DSpace on 2015-04-15T15:00:07Z (GMT). No. of bitstreams: 1 Fatores associados à morbidade respiratória entre 12 e 36 meses de vida de crianças nascidas de muito baixo peso oriu.pdf: 115128 bytes, checksum: 75eb25091f25418edbdfdb464ff4a88c (MD5) Previous issue date: 2009Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Universidade de Lisboa. Centro de Estatística e Aplicações. Lisboa, Portugal.Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.O objetivo do estudo foi estimar a morbidade respi-ratória entre 12 e 36 meses em crianças prematuras e identificar os fatores associados. A população com-preendeu 84 crianças de uma coorte de prematuros de muito baixo peso. O desfecho foi a taxa de incidência de morbidade respiratória. A associação entre as vari-áveis independentes e morbidade respiratória foi veri-ficada por modelo linear generalizado. Entre 12 e 24 meses, 56,3% das crianças apresentaram morbidade respiratória. Entre 24 e 36 meses, 38,1% das crianças foram acometidas. As variáveis associadas à morbi-dade respiratória foram: displasia broncopulmonar (RT = 1,9; IC95%: 1,2-2,9), complacência pulmonar al-terada (RT = 1,6; IC95%: 1,1-2,2), pneumonia neonatal (RT = 2,8; IC95%: 2,0-4,0), persistência do canal arte-rial (RT = 1,6; IC95%: 1,1-2,4) e morbidade respiratória no primeiro ano de vida (RT = 1,8; IC95%: 1,3-2,6). A incidência de morbidade respiratória entre 12 e 36 me-ses se manteve elevada neste grupo de crianças de alto risco, o que reforça a necessidade de acompanhamento e de intervenções efetivas na prevenção do adoecimen-to e na melhora da qualidade de vida destas crianças e suas famílias.The aim of this paper was to estimate respira-tory morbidity and its determinants for prema-ture infants aged 12 to 36 months. The popula-tion comprised 84 infants from a cohort of very low birth weight premature infants. The outcome was the respiratory morbidity incidence rate. The relationship between the independent variables and respiratory morbidity was estimated using a Poisson regression model. From 12 to 24 months of age, 56.3% of children had experienced at least one episode of respiratory disease. >From 24 to 36 months, 38.1% of children were affected. Variables significantly associated with respiratory mor-bidity were bronchopulmonary dysplasia (RR = 1.9; 95%CI: 1.2-2.9), abnormal lung compliance (RR = 1.6; 95%CI: 1.1-2.3), neonatal pneumonia (RR = 2.8; 95%CI: 1.9-4.0), patent ductus arte-riosus (RR = 1.6; 95%CI: 1.1-2.5), and respiratory morbidity in the first year of life (RR = 1.7; 95%CI: 1.2-2.5). The incidence of respiratory morbidity remains high in this group of high-risk infants, which calls for regular follow-up and effective in-terventions to prevent respiratory disease and to improve the quality of life of these children and their families

Con abilidades intra e interobservador na interpretação da tomogra a computadorizada de alta resolução do pulmão de lactentes prematuros

Submitted by Luis Guilherme Macena ([email protected]) on 2011-03-27T18:38:29Z No. of bitstreams: 1 Intra and interobserver reliability of the interpretation of high-resolution computed tomography on the lungs of premature infants.pdf: 1937107 bytes, checksum: a5de069726c0068d740370b5e980ffd2 (MD5)Made available in DSpace on 2011-03-27T18:38:29Z (GMT). No. of bitstreams: 1 Intra and interobserver reliability of the interpretation of high-resolution computed tomography on the lungs of premature infants.pdf: 1937107 bytes, checksum: a5de069726c0068d740370b5e980ffd2 (MD5) Previous issue date: 2010-05Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Universidade Federal Fluminense. Niterói, RJ, Brasil.CONTEXTO E OBJETIVO: Tomografia computadorizada de alta resolução dos pulmões (TCAR) é mais sensível que radiografias para avaliar doença pulmonar, entretanto, pouco tem sido descrito sobre a interpretação da TCAR no período neonatal ou imediatamente após. O objetivo foi avaliar a confiabilidade na interpretação da TCAR em lactentes prematuros de muito baixo peso (LPMBP, < 1500 g). TIPO DE ESTUDO E LOCAL: Estudo transversal sobre confiabilidade intra e interobservador da TCAR em LPMBP. MÉTODOS: 86 LPMBP foram submetidos a TCAR. Dois radiologistas pediátricos analisaram as tomografias. A confiabilidade foi medida pela proporção de concordância, coeficiente kappa (KC) e índices de concordância positiva e negativa. RESULTADOS: Para o radiologista A, na confiabilidade intraobservador o KC foi 0,79 (intervalo de confiança, IC: 0,54-1.0) para exames normais/anormais; para cada alteração tomográfica o KC variou de 0,05 a 1. Para o radiologista B, na confiabilidade intraobservador o KC foi 0,79 (IC: 0,54-1.0) para exames normais/anormais e variou de 0,37 a 0,83 para cada alteração tomográfica. Concordância interobservador foi de 88% para exames normais/anormais e o KC foi 0,71 (IC: 0,5-0,93) e variou de 0,51-0,67 em muitos achados anormais. CONCLUSÃO: Para exames normais/anormais, as concordâncias intra e interobservador foram substanciais. Para muitos achados tomográficos, a concordância intraobservador variou de moderada a substancial. Nossos dados demonstram que, na prática clínica, não há razão para mais de um avaliador das imagens tomográficas, desde que este seja bem treinado na interpretação de TCAR de LPMBP. A análise por diferentes observadores estará reservada para pesquisa e casos difíceis no contexto clínico.CONTEXT AND OBJECTIVE: High-resolution computed tomography (HRCT) of the lungs is more sensitive than radiographs for evaluating pulmonary disease, but little has been described about HRCT interpretation during the neonatal period or shortly afterwards. The aim here was to evaluate the reliability of the interpretation of HRCT among very low birth weight premature infants (VLBWPI; < 1500 g). DESIGN AND SETTING: Cross-sectional study on intra and interobserver reliability of HRCT on VLBWPI. METHODS: 86 VLBWPI underwent HRCT. Two pediatric radiologists analyzed the HRCT images. The reliability was measured by the proportion of agreement, kappa coeficient (KC) and positive and negative agreement indices. RESULTS: For radiologist A, the intraobserver reliability KC was 0.79 (confidence interval, CI: 0.54-1.00) for normal/abnormal examinations; for each abnormality on CT, KC ranged from 0.05 to 1.00. For radiologist B, the intraobserver reliability KC was 0.79 (CI: 0.54-1.00) for normal/abnormal examinations; for each abnormality on CT, KC ranged from 0.37 to 0.83. The interobserver agreement was 88% for normal/abnormal examinations and KC was 0.71 (CI: 0.5- 0.93); for most abnormal findings, KC ranged from 0.51-0.67. CONCLUSION: For normal/abnormal examinations, the intra and interobserver agreements were substantial. For most of the imaging findings, the intraobserver agreement ranged from moderate to substantial. Our data demonstrate that in clinical practice, there is no reason for more than one tomographic image evaluator, provided that this person is well trained in VLBWPI HRCT interpretation. Analysis by different observers should be reserved for research and for dificult cases in clinical contexts