Heterogeneidade ambiental e comunidade de anuros em agroecossistema na região do Pantanal, Brasil

The Pantanal of central Brazil has experienced considerable modifications as a result of growing land use. The association between anuran assemblage and the local habitat structure of an agroecosystem in central Brazil at the Pantanal is described. It is shown that the structure of the anuran community is reestablished within the new environmental dynamics in such human-modified habitat. Twenty-four anuran species were recorded in the area. The community was dominated by four species (Dendropsophus nanus, Leptodactylus chaquensis, Hypsiboas raniceps, and Rhinella cf. bergi), which accounted for more than 50% of the sampled individuals. The species distribution pattern was adjusted to the logarithmic, log-normal, and broken stick models, partially reflecting its association with agroecosystem characteristics. Habitat heterogeneity contributes to the anuran community at a local scale, thereby emphasizing the importance of maintaining distinct habitats for anuran species in the Pantanal as a management practice, even in in situations in which anthropic actions are predictable, as in agroecosystems.A planície pantaneira no Brasil Central tem sofrido intensa modificação devido às práticas de ocupação antrópica ocorrida nos últimos anos na região. Este trabalho ilustra a associação entre a comunidade de anfíbios anuros e a estrutura ambiental em escala local de um agroecossistema no Pantanal (Mato Grosso do Sul) e mostra que em ambientes modificados pela ação humana a comunidade de anuros pode ser restabelecida de acordo com as novas condições encontradas. Foram encontradas 24 espécies de anuros das quais quatro foram predominantes (Dendropsophus nanus, Leptodactylus chaquensis, Hypsiboas raniceps e Rhinella cf. bergi), representando mais de 50% dos indivíduos amostrados. O padrão de distribuição das espécies foi melhor ajustado aos modelos logarítmicos, log-normal e broken stick, refletindo parcialmente uma associação com as características do agroecossistema. A heterogeneidade ambiental contribuiu com a estrutura da comunidade, o que reforça a importância da manutenção de ambientes distintos para as espécies de anuros do Pantanal como uma prática de manejo mesmo em situações em que as ações antrópicas forem previsíveis e irreversíveis como os agroecossistemas

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

Geoeconomic variations in epidemiology, ventilation management, and outcomes in invasively ventilated intensive care unit patients without acute respiratory distress syndrome: a pooled analysis of four observational studies

Background: Geoeconomic variations in epidemiology, the practice of ventilation, and outcome in invasively ventilated intensive care unit (ICU) patients without acute respiratory distress syndrome (ARDS) remain unexplored. In this analysis we aim to address these gaps using individual patient data of four large observational studies. Methods: In this pooled analysis we harmonised individual patient data from the ERICC, LUNG SAFE, PRoVENT, and PRoVENT-iMiC prospective observational studies, which were conducted from June, 2011, to December, 2018, in 534 ICUs in 54 countries. We used the 2016 World Bank classification to define two geoeconomic regions: middle-income countries (MICs) and high-income countries (HICs). ARDS was defined according to the Berlin criteria. Descriptive statistics were used to compare patients in MICs versus HICs. The primary outcome was the use of low tidal volume ventilation (LTVV) for the first 3 days of mechanical ventilation. Secondary outcomes were key ventilation parameters (tidal volume size, positive end-expiratory pressure, fraction of inspired oxygen, peak pressure, plateau pressure, driving pressure, and respiratory rate), patient characteristics, the risk for and actual development of acute respiratory distress syndrome after the first day of ventilation, duration of ventilation, ICU length of stay, and ICU mortality. Findings: Of the 7608 patients included in the original studies, this analysis included 3852 patients without ARDS, of whom 2345 were from MICs and 1507 were from HICs. Patients in MICs were younger, shorter and with a slightly lower body-mass index, more often had diabetes and active cancer, but less often chronic obstructive pulmonary disease and heart failure than patients from HICs. Sequential organ failure assessment scores were similar in MICs and HICs. Use of LTVV in MICs and HICs was comparable (42\ub74% vs 44\ub72%; absolute difference \u20131\ub769 [\u20139\ub758 to 6\ub711] p=0\ub767; data available in 3174 [82%] of 3852 patients). The median applied positive end expiratory pressure was lower in MICs than in HICs (5 [IQR 5\u20138] vs 6 [5\u20138] cm H2O; p=0\ub70011). ICU mortality was higher in MICs than in HICs (30\ub75% vs 19\ub79%; p=0\ub70004; adjusted effect 16\ub741% [95% CI 9\ub752\u201323\ub752]; p<0\ub70001) and was inversely associated with gross domestic product (adjusted odds ratio for a US$10 000 increase per capita 0\ub780 [95% CI 0\ub775\u20130\ub786]; p<0\ub70001). Interpretation: Despite similar disease severity and ventilation management, ICU mortality in patients without ARDS is higher in MICs than in HICs, with a strong association with country-level economic status. Funding: No funding

Effect of remote ischaemic conditioning on clinical outcomes in patients with acute myocardial infarction (CONDI-2/ERIC-PPCI): a single-blind randomised controlled trial.

BACKGROUND: Remote ischaemic conditioning with transient ischaemia and reperfusion applied to the arm has been shown to reduce myocardial infarct size in patients with ST-elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PPCI). We investigated whether remote ischaemic conditioning could reduce the incidence of cardiac death and hospitalisation for heart failure at 12 months. METHODS: We did an international investigator-initiated, prospective, single-blind, randomised controlled trial (CONDI-2/ERIC-PPCI) at 33 centres across the UK, Denmark, Spain, and Serbia. Patients (age >18 years) with suspected STEMI and who were eligible for PPCI were randomly allocated (1:1, stratified by centre with a permuted block method) to receive standard treatment (including a sham simulated remote ischaemic conditioning intervention at UK sites only) or remote ischaemic conditioning treatment (intermittent ischaemia and reperfusion applied to the arm through four cycles of 5-min inflation and 5-min deflation of an automated cuff device) before PPCI. Investigators responsible for data collection and outcome assessment were masked to treatment allocation. The primary combined endpoint was cardiac death or hospitalisation for heart failure at 12 months in the intention-to-treat population. This trial is registered with ClinicalTrials.gov (NCT02342522) and is completed. FINDINGS: Between Nov 6, 2013, and March 31, 2018, 5401 patients were randomly allocated to either the control group (n=2701) or the remote ischaemic conditioning group (n=2700). After exclusion of patients upon hospital arrival or loss to follow-up, 2569 patients in the control group and 2546 in the intervention group were included in the intention-to-treat analysis. At 12 months post-PPCI, the Kaplan-Meier-estimated frequencies of cardiac death or hospitalisation for heart failure (the primary endpoint) were 220 (8·6%) patients in the control group and 239 (9·4%) in the remote ischaemic conditioning group (hazard ratio 1·10 [95% CI 0·91-1·32], p=0·32 for intervention versus control). No important unexpected adverse events or side effects of remote ischaemic conditioning were observed. INTERPRETATION: Remote ischaemic conditioning does not improve clinical outcomes (cardiac death or hospitalisation for heart failure) at 12 months in patients with STEMI undergoing PPCI. FUNDING: British Heart Foundation, University College London Hospitals/University College London Biomedical Research Centre, Danish Innovation Foundation, Novo Nordisk Foundation, TrygFonden

A multi-country test of brief reappraisal interventions on emotions during the COVID-19 pandemic.

The COVID-19 pandemic has increased negative emotions and decreased positive emotions globally. Left unchecked, these emotional changes might have a wide array of adverse impacts. To reduce negative emotions and increase positive emotions, we tested the effectiveness of reappraisal, an emotion-regulation strategy that modifies how one thinks about a situation. Participants from 87 countries and regions (n = 21,644) were randomly assigned to one of two brief reappraisal interventions (reconstrual or repurposing) or one of two control conditions (active or passive). Results revealed that both reappraisal interventions (vesus both control conditions) consistently reduced negative emotions and increased positive emotions across different measures. Reconstrual and repurposing interventions had similar effects. Importantly, planned exploratory analyses indicated that reappraisal interventions did not reduce intentions to practice preventive health behaviours. The findings demonstrate the viability of creating scalable, low-cost interventions for use around the world

Habitat heterogeneity and anuran community of an agroecosystem in the Pantanal of Brazil

The Pantanal of central Brazil has experienced considerable modifications as a result of growing land use. The association between anuran assemblage and the local habitat structure of an agroecosystem in central Brazil at the Pantanal is described. It is shown that the structure of the anuran community is reestablished within the new environmental dynamics in such human-modified habitat. Twenty-four anuran species were recorded in the area. The community was dominated by four species (Dendropsophus nanus, Leptodactylus chaquensis, Hypsiboas raniceps, and Rhinella cf. bergi), which accounted for more than 50% of the sampled individuals. The species distribution pattern was adjusted to the logarithmic, log-normal, and broken stick models, partially reflecting its association with agroecosystem characteristics. Habitat heterogeneity contributes to the anuran community at a local scale, thereby emphasizing the importance of maintaining distinct habitats for anuran species in the Pantanal as a management practice, even in in situations in which anthropic actions are predictable, as in agroecosystems

Parques urbanos como locais de ensino: experiências de cursos de Ecologia de Campo

Urban green areas (parks, squares and gardens) are important in biodiversity maintenance, as places of leisure, sports, nature contemplation and sites to develop research and teaching. In city Aquidauana, Brazil is located the Parque Municipal da Lagoa Comprida (PNMLC), a conservation unit in an urban area. The aim of this work is to do an experience report about the use of PNMLC as a place for non-formal education. This experience report is related to two teaching projects in Field Ecology of Universidade Federal de Mato Grosso do Sul (UFMS). The target audience was students of the Biological Sciences course from UFMS, which performed activities of observation, collection, analysis and interpretation of Park ecological data. The use of PNMLC as a place for teaching practices provided and fortified the comprehension of phenomena that students just knew in theoretical context. Besides, the experience in a green area promoted a relationship of belonging with that place, allowing the students a better understanding about their socio-environmental role in the park.Las zonas verdes urbanas (parques, plazas y jardines) son importantes en el mantenimiento de la biodiversidad, como zonas de ocio, deportes, contemplación de la naturaleza y sitios para el desarrollo de ensenñanza e investigación. En la ciudad de Aquidauana, Brasil hay el Parque Municipal da Lagoa Comprida (PNMLC), una unidad de conservación en la zona urbana. El objetivo del trabajo es hacer un informe de experiencia acerca del uso del PNMLC como ambiente de enseñanza no formal. Ese informe se refiere a las actividades desarrolladas en dos Cursos de Ecología de Campo de la Universidade Federal de Mato Grosso do Sul (UFMS). El público objetivo fueron estudiantes de licenciatura en Ciencias Biológicas de la UFMS, que realizaron observaciones, colecta, análisis e interpretación de datos ecológicos del Parque. El uso del PNMLC como sitio de prácticas educativas proporcionó y reforzó la comprensión de fenómenos que los estudiantes solamente conocían en el contexto teórico. Además, la experiencia en una zona verde también desarrolló una relación de pertenencia con aquél ambiente, lo que permitió un mejor entendimiento en respecto a su rol socio ambiental en el parque. As áreas verdes urbanas (parques, praças e jardins) são importantes na manutenção na biodiversidade, como áreas de lazer, esporte, contemplação da natureza e espaços para desenvolvimento de ensino e pesquisa. No município de Aquidauana, Brasil está inserido o Parque Natural Municipal da Lagoa Comprida (PNMLC), uma unidade de conservação em área urbana. O objetivo deste trabalho é fazer um relato de experiência sobre o uso do PNMLC como ambiente não formal de ensino. Este relato refere-se as atividades desenvolvidas em dois cursos de Ecologia de Campo realizados na Universidade Federal de Mato Grosso do Sul (UFMS). O público-alvo foram acadêmicos do curso de Ciências Biológicas Licenciatura da UFMS, os quais realizaram atividades de observação, coleta, análise e interpretação de dados ecológicos no Parque. A utilização do PNMLC como área de práticas educativas propiciou e reforçou a compreensão de fenômenos conhecidos pelos estudantes apenas no contexto teórico. Além disso, a vivência na área verde também promoveu uma relação de pertencimento com aquele ambiente, permitindo um maior entendimento quanto a sua função socioambiental

Predation on young treefrog (Osteocephalus taurinus) by arthropods (Insecta, Mantodea and Arachnida, Araneae) in Central Brazil

Praying mantis and spider species are common food items in the diet of several anuran species. Nevertheless, in this study we report the predation of young treefrogs Osteocephalus taurinus by two spider species, a Pisauridae and a Trechaleidae (Neoctenus sp.) and by the praying mantis Eumusonia sp. in Mato Grosso, Central Brazil. The great abundance of this treefrog in the region, combined with its small body size during the juvenil stage, favor its predation by generalists predators. Indeed, more studies are needed to quantify the real influence of invertebrate predators on anuran populations