18 research outputs found

    Team dynamics in emergency surgery teams: results from a first international survey

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    Background: Emergency surgery represents a unique context. Trauma teams are often multidisciplinary and need to operate under extreme stress and time constraints, sometimes with no awareness of the trauma\u2019s causes or the patient\u2019s personal and clinical information. In this perspective, the dynamics of how trauma teams function is fundamental to ensuring the best performance and outcomes. Methods: An online survey was conducted among the World Society of Emergency Surgery members in early 2021. 402 fully filled questionnaires on the topics of knowledge translation dynamics and tools, non-technical skills, and difficulties in teamwork were collected. Data were analyzed using the software R, and reported following the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). Results: Findings highlight how several surgeons are still unsure about the meaning and potential of knowledge translation and its mechanisms. Tools like training, clinical guidelines, and non-technical skills are recognized and used in clinical practice. Others, like patients\u2019 and stakeholders\u2019 engagement, are hardly implemented, despite their increasing importance in the modern healthcare scenario. Several difficulties in working as a team are described, including the lack of time, communication, training, trust, and ego. Discussion: Scientific societies should take the lead in offering training and support about the abovementioned topics. Dedicated educational initiatives, practical cases and experiences, workshops and symposia may allow mitigating the difficulties highlighted by the survey\u2019s participants, boosting the performance of emergency teams. Additional investigation of the survey results and its characteristics may lead to more further specific suggestions and potential solutions

    Systematics of the Neotropical Genus Leptodactylus Fitzinger, 1826 (Anura: Leptodactylidae): Phylogeny, the Relevance of Non-molecular Evidence, and Species Accounts

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    A phylogeny of the species-rich clade of the Neotropical frog genus Leptodactylus sensu stricto is presented on the basis of a total evidence analysis of molecular (mitochondrial and nuclear markers) and non-molecular (adult and larval morphological and behavioral characters) sampled from > 80% of the 75 currently recognized species. Our results support the monophyly of Leptodactylus sensu stricto, with Hydrolaetare placed as its sister group. The reciprocal monophyly of Hydrolaetare and Leptodactylus sensu stricto does not require that we consider Hydrolaetare as either a subgenus or synonym of Leptodactylus sensu lato. We recognize Leptodactylus sensu stricto, Hydrolaetare, Adenomera, and Lithodytes as valid monophyletic genera. Our results generally support the traditionally recognized Leptodactylus species groups, with exceptions involving only a few species that are easily accommodated without proposing new groups or significantly altering contents. The four groups form a pectinate tree, with the Leptodactylus fuscus group diverging first, followed by the L. pentadactylus group, which is sister to the L. latrans and L. melanonotus groups. To evaluate the impact of non-molecular evidence on our results, we compared our total evidence results with results obtained from analyses using only molecular data. Although non-molecular evidence comprised only 3.5% of the total evidence matrix, it had a strong impact on our total evidence results. Only one species group was monophyletic in the molecular-only analysis, and support differed in 86% of the 54 Leptodactylus clades that are shared by the results of the two analyses. Even though no non-molecular evidence was included for Hydrolaetare, exclusion of that data partition resulted in that genus being nested within Leptodactylus, demonstrating that the inclusion of a small amount of non-molecular evidence for a subset of species can alter not only the placement of those species, but also species that were not scored for those data. The evolution of several natural history and reproductive traits is considered in the light of our phylogenic framework. Invasion of rocky outcrops, larval oophagy, and use of underground reproductive chambers are restricted to species of the Leptodactylus fuscus and L. pentadactylus groups. In contrast, larval schooling, larval attendance, and more complex parental care are restricted to the L. latrans and L. melanonotus groups. Construction of foam nests is plesiomorphic in Leptodactylus but their placement varies extensively (e.g., underground chambers, surface of waterbodies, natural or excavated basins). Information on species synonymy, etymology, adult and larval morphology, advertisement call, and geographic distribution is summarized in species accounts for the 30 species of the Leptodactylus fuscus group, 17 species of the L. pentadactylus group, eight species of the L. latrans group, and 17 species of the L. melanonotus group, as well as the three species that are currently unassigned to any species group.Se presenta una filogenia del género Leptodactylus, un ciado neotropical rico en especies, basada en análises combinados de datos moleculares (marcadores nuclear y mitocondriales) y no moleculares (caracteres de la morfología de adultos y larvas así como de comportamiento) se muestrearon > 80% de las 75 especies reconocidas. Los resultados apoyan la monofília de Leptodactylus sensu stricto, con Hydrolaetare como su grupo hermano. La monofília recíproca de Hydrolaetare y Leptodactylus no requiere considerar a Hydrolaetare como un subgénero o sinónimo de Leptodactylus sensu lato. Se reconocen Leptodactylus sensu stricto, Hydrolaetare, Adenomera y Lithodytes como géneros monofiléticos válidos. Los resultados en general resuelven los grupos tradicionalmente reconocidos de Leptodactylus, con excepciones de algunas especies que son reasignadas sin la necesidad de proponer nuevos grupos o alterar significativamente el contenido de los grupos tradicionales. Los cuatro grupos de especies forman una topología pectinada donde el grupo de L. fuscus tiene una posición basal, seguido por el grupo de L. pentadactylus que es el grupo hermano al clado formado por los grupo de L. latrans y L. melanonotus. Se estimó el impacto de los datos no moleculares en los resultados, comparándose los resultados de evidencia total con los de los análises de datos moleculares solamente. Los datos no moleculares representan un 3.5% de la matriz de evidencia total, pero estos datos tuvieron un impacto significativo en los resultados del análisis de evidencia total. En el análisis estrictamente molecular solamente un grupo de especies resultó monofilético, y el apoyo difirió en 86% de los 54 ciados de Leptodactylus compartidos entre los dos análises. A pesar que datos no moleculares no fueron incluidos para Hydrolaetare, la exclusión de evidencia no molecular resultó en el género estar dentro de Leptodactylus, demostrando que la inclusión de evidencia no molecular pequeña para un subgrupo de especies altera no solamente la posición topológica de esas especies, sino tambien de las especies para las cuales dichos datos no fueron codificados. La evolución de patrones de historia natural y reprodución se evalúan en el contexto filogenético. La invasión de afloramientos rocosos y la construción de cámaras de reprodución subterraneas está limitada a los grupos de Leptodactylus fuscus y L. pentadactylus, mientras que la oofagia larval está restringida al grupo de L. pentadactylus. Por otro lado, los cárdumenes larvales, la proteción del cárdumen, y otros comportamientos parentales complejos carecterizan al clado formado por los grupos de especies de L. latrans y L. melanonotus. Los resúmenes de especies incluyen información de sinonimias, etimología, morfología de adultos y larvas, cantos, y distribución geográfica para las 30 especies del grupo de Leptodactylus fuscus, 17 especies del grupo L. pentadactylus, ocho especies del grupo de L. latrans, 17 especies del grupo de L. melanonotus, así como para las tres especies que actualmente no se encuentran asociadas a ninguno de los grupos de especies.Taran Grant was supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico Proc. 307001/2011-3 and Fundação de Amparo à Pesquisa do Estado de São Paulo Proc. 2012/10000-5

    Descrição do girino de Lysapsus laevis (Parker), com notas sobre o ambiente, hábitos e desenvolvimento (Anura, Hylidae, Pseudinae) Description of the tadpole of Lysapsus laevis (Parker), with notes on the habitat, habits, and development (Anura, Hylidae, Pseudinae)

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    O girino de Lysapsus laevis (Parker, 1935) é descrito e figurado, com base em exemplares coletados na Vila Surumu, Estado de Roraima, Brasil. No estágio 37, o girino possui 61,4 mm de comprimento total; corpo triangular em vista lateral, ovóide em vistas dorsal e ventral, correspondendo a 28% do comprimento total; olhos laterais, parcialmente visíveis em vistas dorsal e ventral; disco oral ânteroventral, pequeno; fórmula dentária, 2(2)/3(1); espiráculo curto, sinistro; tubo anal longo, largo, direito, mediano; em vida, dorso do corpo verde, ventre branco iridescente; musculatura caudal e nadadeiras verdes; terço anterior da nadadeira caudal e tubo anal com manchas irregulares iridescentes; metade distal da cauda cinza a cinza escuro; íris bronze. Notas sobre o ambiente, hábitos e desenvolvimento são apresentadas.<br>The tadpole of Lysapsus laevis (Parker, 1935) is described and figured, based on specimens from Vila Surumu, State of Roraima, northern Brazil. In stage 37, the tadpole attains 61.4 mm in total length; body triangular in lateral view, ovoid in dorsal and ventral views, corresponding to 28% of the total length; eyes lateral, partially visible in dorsal and ventral views; oral disc anteroventral, small; labial tooth row formula, 2(2)/3(1); spiracle short, sinistral; anal tube large, wide, medium; in life, dorsum of body green, venter iridescent white; caudal musculature and fins green; anterior third of caudal fin and anal tube with irregular iridescent stains; distal half of tail gray to dark gray; iris bronze. Notes on the habitat, habits, and development are provided

    Monitoramento histopatológico de mexilhão Perna perna da Lagoa de Itaipu, Niterói, RJ Histopathological monitoring assessment of mussels Perna perna at the Itaipu Lagoon, Brazil

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    Cortes histológicos de 120 mexilhões Perna perna (Linnaeus, 1758), coletados na Lagoa de Itaipu, Niterói, RJ, por um período de 12 meses, foram examinados quanto a presença de parasitas e lesões. Noventa exemplares apresentaram cinco diferentes processos patológicos: bucefalose, presença de protozoários Nematopsis sp., inclusões basofílicas não específicas, encapsulamentos parasitários e cistos epiteliais branquiais. Cinquenta animais mostravam duas ou mais patologias concomitantes.<br>Histologic sections of 120 mussels Perna perna (Linnaeus, 1758), from Itaipu Lagoon, Niterói, State of Rio de Janeiro, Brazil, were examined for the presence of parasites and lesions during a period of 12 months. Ninety mussels showed five different pathological processes: bucephalosis, protozoan Nematopsis sp., basophilic non-specific inclusions, parasitic encapsulations and ctenidia epithelial cysts. Fifty animals presented two or more pathological processes at the same time
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