Preserving biodiversity of the Ecudorian rainforest

This report contains information about housing, nutrition and medical management of some Amazonian animal species held at the model farm Centro Fátima. It is written as a handbook for the Center to help to promote good health and wellbeing of the animals living there

ОРГАНИЧЕСКАЯ АРХИТЕКТУРА: В ГАРМОНИИ С ЧЕЛОВЕКОМ И ПРИРОДОЙ

This article is devoted to three components of the organic totality: human, architecture and environment. For many years people have evolved to the environment and were an integral part of it, dwelt in harmony and unity with nature, but due to the current established processes of urbanization there is a rupture of the connection between man and environment. For this reason, urban residents may feel uncomfortable in the urban space and try to move closer to human-nature environment. One of the main tasks of modern architecture is the revival and reunification of previously lost connection of the integral system “man-environment”. Since XIX-XX centuries the rethinking of the relationship between man and nature began and it gave a push to the latest ideas in the field of architecture. It led to the beginning of organic and harmonious fusion of man, architecture and nature. The goal of this article is to identify the fusion characteristics of architecture and landscape to prove necessity to arrange the person to environmental conditions as close as possible and, therefore, comfortable conditions to the natural environment. Analyzed the state of the metropolis’ architecture and the results of environmental impact on the human, there are factors that negatively affect to psychological and physical health in the urban environment. As well the urgency of individual housing is revealed. According to the principles of the organic approach solutions of architectural urban space changes are presented.Статья посвящена вопросам органической целостности трех составляющих компонентов - человека, архитектуры и ландшафта. Одной из главных задач современной архитектуры является возрождение и воссоединение ранее утерянной связи целостной системы «человек-окружающая среда». Основные цели данной статьи заключаются в выявлении особенностей и принципов слияния архитектуры и ландшафта, а также в обосновании необходимости расположения человека в максимально приближенные, а следовательно, комфортные условия естественной природной среды. Выявлены факторы, негативно влияющие на психологическое и физическое состояние человека в условиях городской среды. Также выявлена и обоснована актуальность индивидуального строительства. На основании органического подхода представлены решения изменения архитектуры городского пространства

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks