The Brazilian Registry of Adult Patient Undergoing Cardiovascular Surgery, the BYPASS Project: Results of the First 1,722 Patients

Objective: To report the early results of the BYPASS project - the Brazilian registrY of adult Patient undergoing cArdiovaScular Surgery - a national, observational, prospective, and longitudinal follow-up registry, aiming to chart a profile of patients undergoing cardiovascular surgery in Brazil, assessing the data harvested from the initial 1,722 patients. Methods: Data collection involved institutions throughout the whole country, comprising 17 centers in 4 regions: Southeast (8), Northeast (5), South (3), and Center-West (1). The study population consists of patients over 18 years of age, and the types of operations recorded were: coronary artery bypass graft (CABG), mitral valve, aortic valve (either conventional or transcatheter), surgical correction of atrial fibrillation, cardiac transplantation, mechanical circulatory support and congenital heart diseases in adults. Results: 83.1% of patients came from the public health system (SUS), 9.6% from the supplemental (private insurance) healthcare systemsand 7.3% from private (out-of-pocket) clinic. Male patients comprised 66%, 30% were diabetics, 46% had dyslipidemia, 28% previously sustained a myocardial infarction, and 9.4% underwent prior cardiovascular surgery. Patients underwent coronary artery bypass surgery were 54.1% and 31.5% to valve surgery, either isolated or combined. The overall postoperative mortality up to the 7th postoperative day was 4%for CABG was 2.6%, and for valve operations, 4.4%. Conclusion: This first report outlines the consecution of the Brazilian surgical cardiac database, intended to serve primarily as a tool for providing information for clinical improvement and patient safety and constitute a basis for production of research protocols.Univ Fed Sao Paulo UNIFESP EPM, Hosp Sao Paulo, Sao Paulo, SP, BrazilHosp Caridade Sao Vicente Paulo, Jundiai, SP, BrazilInst Med Integral Prof Fernando Figueira IMIP, Recife, PE, BrazilHosp Base FUNFARME & FAMERP, Sao Jose Do Rio Preto, SP, BrazilIMC, Sao Jose Do Rio Preto, SP, BrazilIrmandade Santa Casa Sao Paulo INCT HPV, Fac Ciencias Med Santa Casa Sao Paulo, Sao Paulo, SP, BrazilFundacao Univ Cardiol, Inst Cardiol Rio Grande do Sul, Porto Alegre, RS, BrazilInst Coracao Natal, Natal, RN, BrazilInst Cardiol Dist Fed, Brasilia, DF, BrazilUniv Fed Maranhao HU UFMA, Univ Hosp, Sao Luis, MA, BrazilHosp Evangelico, Cachoeiro De Itapemirim, ES, BrazilHosp Coracao Sergipe, Aracaju, SE, BrazilHosp Nossa Senhora Salete, Inst Cirurgia Cardiovasc ICCV, Cascavel, PR, BrazilHosp Wilson Rosado, Mossoro, RN, BrazilHosp Bosque Saude, Sao Paulo, SP, BrazilHosp Univ Santa Maria, Santa Maria, RS, BrazilHosp Coracao HCor, Sao Paulo, SP, BrazilHosp Coracao IP HCor, Ins Pesquisa, Sao Paulo, SP, BrazilInst Coracao InCor, Sao Paulo, SP, BrazilUniv Fed Sao Paulo UNIFESP EPM, Hosp Sao Paulo, Sao Paulo, SP, BrazilWeb of Scienc

ATLANTIC-PRIMATES: a dataset of communities and occurrences of primates in the Atlantic Forests of South America

Primates play an important role in ecosystem functioning and offer critical insights into human evolution, biology, behavior, and emerging infectious diseases. There are 26 primate species in the Atlantic Forests of South America, 19 of them endemic. We compiled a dataset of 5,472 georeferenced locations of 26 native and 1 introduced primate species, as hybrids in the genera Callithrix and Alouatta. The dataset includes 700 primate communities, 8,121 single species occurrences and 714 estimates of primate population sizes, covering most natural forest types of the tropical and subtropical Atlantic Forest of Brazil, Paraguay and Argentina and some other biomes. On average, primate communities of the Atlantic Forest harbor 2 ± 1 species (range = 1–6). However, about 40% of primate communities contain only one species. Alouatta guariba (N = 2,188 records) and Sapajus nigritus (N = 1,127) were the species with the most records. Callicebus barbarabrownae (N = 35), Leontopithecus caissara (N = 38), and Sapajus libidinosus (N = 41) were the species with the least records. Recorded primate densities varied from 0.004 individuals/km 2 (Alouatta guariba at Fragmento do Bugre, Paraná, Brazil) to 400 individuals/km 2 (Alouatta caraya in Santiago, Rio Grande do Sul, Brazil). Our dataset reflects disparity between the numerous primate census conducted in the Atlantic Forest, in contrast to the scarcity of estimates of population sizes and densities. With these data, researchers can develop different macroecological and regional level studies, focusing on communities, populations, species co-occurrence and distribution patterns. Moreover, the data can also be used to assess the consequences of fragmentation, defaunation, and disease outbreaks on different ecological processes, such as trophic cascades, species invasion or extinction, and community dynamics. There are no copyright restrictions. Please cite this Data Paper when the data are used in publications. We also request that researchers and teachers inform us of how they are using the data. © 2018 by the The Authors. Ecology © 2018 The Ecological Society of Americ

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

Medium to large-sized mammal community structure in a fragmented landscape with eucalyptus matrix, Capão Bonito and Buri, SP

A conversão do uso do solo é uma das principais ameaçadas à fauna, pois a paisagem torna-se fragmentada e as áreas ocupadas por vegetação nativa são reduzidas, podendo alterar a estrutura das comunidades animais. Neste estudo, a comunidade de mamíferos de médio e grande porte (> 1 kg) foi avaliada em uma paisagem fragmentada com matriz de eucalipto, no sul do Estado de São Paulo, municípios de Buri e Capão Bonito (23°52\'47\" S; 48°23\'24\" O), através de três métodos distintos instalados conjuntamente (parcelas de areia, camera-trap e scent stations - nesta última foram utilizadas iscas atrativas específicas para carnívoros e onívoros, Canine Call® e Pro\'s Choice®). Os objetivos desta dissertação foram: i) avaliar a estrutura dessa comunidade em função da estrutura da paisagem; ii) comparar métodos de amostragem utilizados, discutindo sua aplicação. O levantamento das espécies foi realizado em cinco campanhas de cinco dias cada, entre 2010-2012, com unidades amostrais instaladas na matriz, nos corredores e nos fragmentos florestais, sendo que os elementos da paisagem foram avaliados em buffers de 250, 500, 1000 e 2000 m. Foram registradas 20 espécies de mamíferos de médio e grande porte, sendo a maioria (n=18) encontrada nos ambientes ocupados por vegetação nativa. Embora em menor número, várias espécies foram registradas na matriz. Outras medidas de biodiversidade como riqueza de grupos e diversidade funcional foram avaliados, no entanto, foram redundantes ao número de espécies. As proporções de vegetação nativa, a 250 e 2000 m, foram as mais importantes para explicar a frequência de registros de diversas espécies. Em termos de composição, os conjuntos de espécies obtidos nos remanescentes e corredores florestais foram semelhantes. Dentre os métodos de amostragem, as parcelas de areia demonstraram ser mais eficientes em estudos curtos, porém, seu custo financeiro é significativamente superior para estudos de longo prazo. A utilização de iscas odoríferas é uma inovação na região neotropical, apesar de suas incertezas na atração da fauna. Uma desvantagem desses métodos é que várias espécies não podem ser precisamente identificadas, dada a semelhança dos rastros, o que raramente ocorre com a utilização de cameras-trap, onde os espécimes são visualizados em fotografias, permitindo uma identificação segura. As diferentes metodologias utilizadas apresentaram taxas de registros distintas, ou seja, não foram capazes de identificar a mesma comunidade, entretanto, as estimativas de riqueza, quando avaliadas separadamente, indicam que os três atingiriam o mesmo resultado final. Este estudo sugere que paisagens silviculturais fragmentadas podem ser importantes para a conservação de mamíferos se bem planejadas, como a manutenção de manchas de habitat em bons estados de conservação e corredores que conectem os elementos florestais. Além disso, a utilização dos métodos de amostragem deve ser planejados de acordo com a finalidade do estudo.The land use conversion is a major threat to wildlife because the landscape becomes fragmented and the areas occupied by native vegetation are reduced, altering the structure of animal communities. In this study, the medium to large-sized mammal community (> 1 kg) was evaluated in a fragmented landscape in eucalyptus matrix, in the southern São Paulo State, Buri and Capão Bonito municipalities (23°52\'47\" S, 48°23\'24\" W), using three different methods installed together (sand plots, camera-trap and scent stations, where were used specific baits to carnivores and omnivores, Canine Call® and Pro\'s Choice®). The objectives of this work were: i) to evaluate the structure of the community as a function of landscape structure, ii) compare sampling methods used, discussing their application. The species sampling was conducted in five campaigns of five days each, between 2010-2012, with sampling units installed in the matrix, corridors and forest fragments. The landscape elements were evaluated in buffers with 250, 500, 1000 and 2000 m around. We recorded 20 medium and large mammals species, the majority (n=18) found in y native vegetation (corridors and habitat patches). Although only several species were recorded in the matrix. Other measures of biodiversity as a functional group richness and functional diversity were evaluated, however, the results were the same obtained to species richness. The proportions of native vegetation, 250 and 2000 m, were most important in explaining the records frequency for many species. In terms of composition, the assemblage obtained in the habitat patches and forest corridors were similar. Among the methods of sampling, the sand plots was more effective in short-term assessment, however, its financial cost is significantly higher for long-term studies. The use of lure in scent stations is an innovation in the Neotropical, despite their uncertainties in attracting the animals. A disadvantage of these methods is that several species cannot be accurately identified because of the similarity of the tracks, which rarely occurs with the use of cameras-trap, where the specimens are shown in photographs, allowing a reliable identification. The different methodologies used showed different rates of records, or were not able to identify the same community, however, the richness estimates, when evaluated separately, indicate that the three would achieve the same result. This study suggests that forestry fragmented landscapes may be important for mammals conservation if well planned, such as the maintenance of habitat patches and corridors that connect the remaining habitat fragments. Furthermore, the use of sampling method must be planned according to the purpose of study

Levantamento e censo de primatas em fragmentos florestais de mata atlântica na região de Sousas e Joaquim Egídio, Campinas, SP

A Mata Atlântica, um dos biomas mais ameaçados do mundo, possui alta biodiversidade e endemismos, restando apenas 7% de sua área original, e por isso considerada um hotspot. O município de Campinas está incluído no domínio vegetal de Mata Atlântica com transição para Cerrado, onde restam menos de 3% de floresta estacional semidecidual. A fragmentação de áreas naturais, a caça ilegal e a introdução de espécies exóticas são as principais causas de extinção de espécies. Neste estudo buscou-se identificar a riqueza e a densidade populacional de primatas em dez fragmentos de mata na região da Área de Proteção Ambiental de Sousas e Joaquim Egídio, área de ocorrência do sagüi-do-tufo-preto (Callithrix penicilatta), do macaco-prego (Cebus nigritus) e dos ameaçados, segundo a IUCN (2007), sagüi-da-serra-escuro (Callithrix aurita), sauá (Callicebus nigrifrons) e bugio-ruivo (Alouatta guariba clamitans). Os fragmentos variam entre dois e 24ha com formatos variados e de diferentes composições de capoeiras e matas secundárias, numa matriz agrícola, composta de pastagens, silvicultura e culturas perenes e anuais. O levantamento foi feito entre maio de 2007 e outubro de 2008 através de contagens absolutas dos grupos, diferenciados pelo local dos reavistamentos, composição sexual e etária. Cada avistamento foi georreferenciado com um GPS Garmin Camo Etrex®. Por serem territoriais, sauás foram atraídos através do uso de playbacks. A comunidade de primatas da Mata Ribeirão Cachoeira (245ha), maior remanescente local, é composta por cinco espécies. Sagüi-detufo- preto e bugio foram avistados em seis fragmentos e sauás em dois. Em cinco, foram observados grupos de Callithrix jacchus (sagüi-comum), exóticos na região. Em três fragmentos foram encontrados grupos mistos ou híbridos de Callithrix jacchus e C. penicillata. A área total...(Resumo completo, clicar acesso eletrônico abaixo

Teaching Basic Life Support to Students of Public and Private High Schools

Background: Despite being recommended as a compulsory part of the school curriculum, the teaching of basic life support (BLS) has yet to be implemented in high schools in most countries. Objectives: To compare prior knowledge and degree of immediate and delayed learning between students of one public and one private high school after these students received BLS training. Methods: Thirty students from each school initially answered a questionnaire on cardiopulmonary resuscitation (CPR) and use of the automated external defibrillator (AED). They then received theoretical-practical BLS training, after which they were given two theory assessments: one immediately after the course and the other six months later. Results: The overall success rates in the prior, immediate, and delayed assessments were significantly different between groups, with better performance shown overall by private school students than by public school students: 42% &#177; 14% vs. 30.2% &#177; 12.2%, p = 0.001; 86% &#177; 7.8% vs. 62.4% &#177; 19.6%, p < 0.001; and 65% &#177; 12.4% vs. 45.6% &#177; 16%, p < 0.001, respectively. The total odds ratio of the questions showed that the private school students performed the best on all three assessments, respectively: 1.66 (CI95% 1.26-2.18), p < 0.001; 3.56 (CI95% 2.57-4.93), p < 0.001; and 2.21 (CI95% 1.69-2.89), p < 0.001. Conclusions: Before training, most students had insufficient knowledge about CPR and AED; after BLS training a significant immediate and delayed improvement in learning was observed in students, especially in private school students

The Brazilian Registry of Adult Patient Undergoing Cardiovascular Surgery, the BYPASS Project: Results of the First 1,722 Patients

Abstract Objective: To report the early results of the BYPASS project - the Brazilian registrY of adult Patient undergoing cArdiovaScular Surgery - a national, observational, prospective, and longitudinal follow-up registry, aiming to chart a profile of patients undergoing cardiovascular surgery in Brazil, assessing the data harvested from the initial 1,722 patients. Methods: Data collection involved institutions throughout the whole country, comprising 17 centers in 4 regions: Southeast (8), Northeast (5), South (3), and Center-West (1). The study population consists of patients over 18 years of age, and the types of operations recorded were: coronary artery bypass graft (CABG), mitral valve, aortic valve (either conventional or transcatheter), surgical correction of atrial fibrillation, cardiac transplantation, mechanical circulatory support and congenital heart diseases in adults. Results: 83.1% of patients came from the public health system (SUS), 9.6% from the supplemental (private insurance) healthcare systems; and 7.3% from private (out-of -pocket) clinic. Male patients comprised 66%, 30% were diabetics, 46% had dyslipidemia, 28% previously sustained a myocardial infarction, and 9.4% underwent prior cardiovascular surgery. Patients underwent coronary artery bypass surgery were 54.1% and 31.5% to valve surgery, either isolated or combined. The overall postoperative mortality up to the 7th postoperative day was 4%; for CABG was 2.6%, and for valve operations, 4.4%. Conclusion: This first report outlines the consecution of the Brazilian surgical cardiac database, intended to serve primarily as a tool for providing information for clinical improvement and patient safety and constitute a basis for production of research protocols