Estudos paleoambientais interdisciplinares: dinâmica da vegetação, do ambiente marinho e inferências climáticas milenares a atuais na Costa Norte do Espírito Santo, Brasil

Estudos paleoambientais desde ~50.000 anos na costa do Brasil e, em particular, no litoral do Espírito Santo, são ainda insuficientes para servir de base a reconstituições da dinâmica da vegetação, de oscilações do nível relativo do mar e de flutuações climáticas e respectivas influências sobre a ação humana milenar. Para obter essas informações, uma equipe interdisciplinar, financiada por projetos temáticos FAPESP e CNPq, desenvolveu pesquisas correlatas na Reserva Natural Vale (RNV) e região. Para a caracterização da dinâmica da vegetação e marinha, com inferências climáticas, em locais de floresta de tabuleiros e campos naturais da RNV e região desde ~16.000 anos, utilizaram-se isótopos do C (12C, 13C e 14C) da matéria orgânica do solo e sedimentar, além de palinologia em sedimentos lacustres e terrestres. No estudo da dinâmica do ecótono floresta – campo, apresentam-se inferências preliminares sobre a evolução pedogenética dos Espodossolos associados ao campo, com ênfase às suas características físico-químicas, e também dos Argissolos, encontrados sob floresta. Finaliza-se com o estágio inicial de uma coleção de referência de fitólitos, bioindicador de vegetação utilizado em estudos paleoambientais, extraídos de plantas da floresta de tabuleiros da RNV.A equipe agradece todo o empenho dos funcionários e apoio logístico da Reserva Natural Vale, Linhares, Espírito Santo; à FAPESP através do projeto Temático 2011/00995-7 (ProjES); e ao CNPq – Universal 2012-5/470210, pelo aporte financeiro e a colaboração dos técnicos do Laboratório 14C, Liz Mary Bueno de Moraes e Thiago Casemiro Barrios de Campos, na preparação de amostras gasosas para a datação 14C.Peer Reviewe

Conselheiros usuários do conselho municipal de saúde de Belo Horizonte: características sociais e representatividade

A preocupação com os representantes dos usuários do Sistema Único de Saúde (SUS) em Conselhos Municipais de Saúde é uma realidade, pois mesmo com todo aparato jurídico que garante a paridade com relação aos demais membros, não se pode garantir a representatividade de sua participação. O objetivo desta pesquisa foi conhecer os Conselheiros Usuários do Conselho Municipal de Saúde de Belo Horizonte, suas características sociais, bem como sua relação com a base que representa. Foram aplicadas técnicas de pesquisa quantitativa para conhecer as características e qualitativa para avaliar o relacionamento com a base. Quanto às características encontradas, observa-se que os conselheiros são na maioria homens, aposentados e com baixa escolaridade. Os mandatos repetem-se sugerindo profissionalização dessa categoria. O relacionamento com a base apresenta limitações, principalmente quanto à comunicação, e, ao que tudo indica, a educação continuada dos conselheiros pode ser uma solução para esse problema.The concern about the representatives of the users of SUS (Brazil's National Health System) in Municipal Health Councils is a reality, because even with all the legal apparatus that guarantees parity with regard to the other members, it is not possible to guarantee the quality of their participation. The objective of this research was to learn who the Councillors Users of the Municipal Health Council of Belo Horizonte are, their social characteristics, as well as their relation with the base they represent. Quantitative research techniques were applied to learn the characteristics, and qualitative techniques were employed to evaluate the relationship with the base. Regarding the characteristics, it was observed that the majority of the Councillors are retired men with low level of schooling. The terms of office are repeated, suggesting professionalization of this category. The relationship with the base has limitations, mainly concerning communication, and it seems that the continuing education of the Councillors to work adequately with their base may be a solution to this problem

The Sail-Backed Reptile Ctenosauriscus from the Latest Early Triassic of Germany and the Timing and Biogeography of the Early Archosaur Radiation

Background Archosaurs (birds, crocodilians and their extinct relatives including dinosaurs) dominated Mesozoic continental ecosystems from the Late Triassic onwards, and still form a major component of modern ecosystems (>10,000 species). The earliest diverse archosaur faunal assemblages are known from the Middle Triassic (c. 244 Ma), implying that the archosaur radiation began in the Early Triassic (252.3–247.2 Ma). Understanding of this radiation is currently limited by the poor early fossil record of the group in terms of skeletal remains. Methodology/Principal Findings We redescribe the anatomy and stratigraphic position of the type specimen of Ctenosauriscus koeneni (Huene), a sail-backed reptile from the Early Triassic (late Olenekian) Solling Formation of northern Germany that potentially represents the oldest known archosaur. We critically discuss previous biomechanical work on the ‘sail’ of Ctenosauriscus, which is formed by a series of elongated neural spines. In addition, we describe Ctenosauriscus-like postcranial material from the earliest Middle Triassic (early Anisian) Röt Formation of Waldhaus, southwestern Germany. Finally, we review the spatial and temporal distribution of the earliest archosaur fossils and their implications for understanding the dynamics of the archosaur radiation. Conclusions/Significance Comprehensive numerical phylogenetic analyses demonstrate that both Ctenosauriscus and the Waldhaus taxon are members of a monophyletic grouping of poposauroid archosaurs, Ctenosauriscidae, characterised by greatly elongated neural spines in the posterior cervical to anterior caudal vertebrae. The earliest archosaurs, including Ctenosauriscus, appear in the body fossil record just prior to the Olenekian/Anisian boundary (c. 248 Ma), less than 5 million years after the Permian–Triassic mass extinction. These earliest archosaur assemblages are dominated by ctenosauriscids, which were broadly distributed across northern Pangea and which appear to have been the first global radiation of archosaurs

Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio