Manejo Terapêutico do Paciente com Gangrena de Fournier: Revisão de Literatura

This Fournier syndrome, known as Fournier Gangrene, is a serious polymicrobialinfection that mainly affects the perineum and genital region. The research, anintegrative review between 2020 and 2024, resulted in the analysis of 41 articles, ofwhich 6 were selected. The incidence is higher in men, with an increase after the age of50. The results point to several sources of technology, highlighting skin, urological andgastrointestinal. The pathophysiology involves endarteritis obliterans, ischemia andthrombosis, leading to necrosis. The progression of the disease is divided into fourphases, with the third phase characterized by general signs and severe infectioussyndrome, which can lead to septic shock. Treatment includes broad-spectrumantibiotics, surgical debridement and, in severe cases, superficial scrotal debridement.Hyperbaric oxygen therapy is considered an adjuvant, periodic at the request ofmicroorganisms and stimulating healing. It concludes by highlighting the urgency ofearly diagnosis and multidisciplinary treatment, given the rapid progression of necrosisand high rates of morbidity and mortality associated with Fournier syndrome. Theresearch contributes to clinical understanding and highlights the importance ofimproving knowledge for a correct diagnosis and improving treatment conditions.A síndrome de Fournier, conhecida como Gangrena de Fournier, é uma infecçãopolimicrobiana grave que afeta principalmente a região do períneo e genital. Apesquisa, uma revisão integrativa entre 2020 e 2024, resultou na análise de 41 artigos,dos quais foram selecionados 6. A incidência é maior em homens, com aumento apósos 50 anos. Os resultados apontam diversas fontes de infecção, destacando pele,urológicas e gastrointestinais. A fisiopatologia envolve endarterite obliterante,isquemia e trombose, levando à necrose. A progressão da doença é dividida em quatrofases, com a terceira fase caracterizada por sinais gerais e síndrome infecciosa grave,podendo levar ao choque séptico. O tratamento abrange antibióticos de amploespectro, desbridamentos cirúrgicos e, em casos graves, reconstrução escrotal. Aoxigenioterapia hiperbárica é considerada adjuvante, reduzindo a proliferação demicro-organismos e estimulando a cicatrização. Conclui-se ressaltando a urgência dodiagnóstico precoce e tratamento multidisciplinar, dado o rápido avanço da necrose ealtas taxas de morbimortalidade associadas à síndrome de Fournier. A pesquisacontribui para a compreensão clínica e destaca a importância de aprimorar oconhecimento para um diagnóstico correto e melhorar as condições de tratamento

ATLANTIC EPIPHYTES: a data set of vascular and non-vascular epiphyte plants and lichens from the Atlantic Forest

Epiphytes are hyper-diverse and one of the frequently undervalued life forms in plant surveys and biodiversity inventories. Epiphytes of the Atlantic Forest, one of the most endangered ecosystems in the world, have high endemism and radiated recently in the Pliocene. We aimed to (1) compile an extensive Atlantic Forest data set on vascular, non-vascular plants (including hemiepiphytes), and lichen epiphyte species occurrence and abundance; (2) describe the epiphyte distribution in the Atlantic Forest, in order to indicate future sampling efforts. Our work presents the first epiphyte data set with information on abundance and occurrence of epiphyte phorophyte species. All data compiled here come from three main sources provided by the authors: published sources (comprising peer-reviewed articles, books, and theses), unpublished data, and herbarium data. We compiled a data set composed of 2,095 species, from 89,270 holo/hemiepiphyte records, in the Atlantic Forest of Brazil, Argentina, Paraguay, and Uruguay, recorded from 1824 to early 2018. Most of the records were from qualitative data (occurrence only, 88%), well distributed throughout the Atlantic Forest. For quantitative records, the most common sampling method was individual trees (71%), followed by plot sampling (19%), and transect sampling (10%). Angiosperms (81%) were the most frequently registered group, and Bromeliaceae and Orchidaceae were the families with the greatest number of records (27,272 and 21,945, respectively). Ferns and Lycophytes presented fewer records than Angiosperms, and Polypodiaceae were the most recorded family, and more concentrated in the Southern and Southeastern regions. Data on non-vascular plants and lichens were scarce, with a few disjunct records concentrated in the Northeastern region of the Atlantic Forest. For all non-vascular plant records, Lejeuneaceae, a family of liverworts, was the most recorded family. We hope that our effort to organize scattered epiphyte data help advance the knowledge of epiphyte ecology, as well as our understanding of macroecological and biogeographical patterns in the Atlantic Forest. No copyright restrictions are associated with the data set. Please cite this Ecology Data Paper if the data are used in publication and teaching events. © 2019 The Authors. Ecology © 2019 The Ecological Society of Americ

Esôfago de Barret: Diagnóstico e Manejo

Gastroesophageal reflux disease (GERD) is a condition in which the acidic contents of the stomach flow back into the esophagus, causing symptoms such as heartburn, regurgitation, and chest pain. The diagnosis of GERD is based on clinical evaluation and may involve pH monitoring tests. The treatment of GERD is multifaceted and includes both medicinal and non-medicinal interventions. Proton pump inhibitors (PPIs) are often prescribed to reduce gastric acid production and alleviate symptoms. Additionally, dietary modification, weight loss, and lifestyle changes, such as elevating the head of the bed and avoiding meals before bedtime, play a crucial role in GERD management. Complications of GERD include the development of Barrett's esophagus, a condition in which the normal squamous epithelium of the esophagus is replaced by intestinal metaplasia. Barrett's esophagus is  associated with a higher risk of esophageal cancer, especially in cases of high-grade dysplasia. Therefore, early detection and regular surveillance through endoscopy are essential to prevent severe complications. Mortality is linked to the progression of the disease to esophageal cancer, particularly in advanced stages. Thus, early diagnosis and timely intervention are crucial to reduce GERD-related mortality. A multidisciplinary approach involving healthcare professionals such as gastroenterologists, surgeons, and other specialists is required to provide comprehensive and personalized care to GERD patients. Proper management of GERD aims to alleviate symptoms, prevent severe complications, and enhance the quality of life for individuals affected by this common gastrointestinal condition.O refluxo gastroesofágico (DRGE) é uma condição na qual o conteúdo ácido do estômago reflui para o esôfago, causando sintomas como azia, regurgitação e dor no peito. O diagnóstico do DRGE é baseado na avaliação clínica e pode envolver testes de monitoramento do pH esofágico. O tratamento do DRGE é multifacetado e inclui intervenções medicamentosas e não medicamentosas. Os inibidores da bomba de prótons (IBPs) são frequentemente prescritos para reduzir a produção de ácido gástrico e aliviar os sintomas. Além disso, a modificação da dieta, a perda de peso e mudanças no estilo de vida, como elevar a cabeceira da cama e evitar refeições antes de dormir, desempenham um papel crucial na gestão do DRGE. As complicações do DRGE incluem o desenvolvimento de esofagite de Barrett, uma condição na qual o epitélio escamoso normal do esôfago é substituído por metaplasia intestinal. O Esôfago de Barrett está associado a um maior risco de câncer de esôfago, especialmente em casos de displasia de alto grau. Portanto, a detecção precoce e a vigilância regular por meio de endoscopia são essenciais para prevenir complicações graves. A mortalidade está relacionada à progressão da doença para o câncer de esôfago, particularmente em estágios avançados. Portanto, o diagnóstico precoce e a intervenção oportuna são fundamentais para reduzir a mortalidade associada ao DRGE. Uma abordagem multidisciplinar, envolvendo profissionais de saúde como gastroenterologistas, cirurgiões e outros especialistas, é necessária para fornecer um cuidado abrangente e personalizado aos pacientes com DRGE. O tratamento adequado do DRGE visa aliviar os sintomas, prevenir complicações graves e melhorar a qualidade de vida dos pacientes afetados por essa condição gastrointestinal comum

GeoInfo: infraestructura de datos espaciales abiertos para la investigación agropecuaria

Made available in DSpace on 2017-12-21T12:29:27Z (GMT). No. of bitstreams: 2 license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5) 13.pdf: 1291344 bytes, checksum: 88bc95602e9d31d6bcbda97a46402928 (MD5) Previous issue date: 2017Empresa Brasileira de Pesquisa Agropecuária. Informática Agropecuária. Campinas, SP, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Monitoramento por Satélite. Campinas, SP, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Solos. Rio de Janeiro, RJ, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Monitoramento por Satélite. Campinas, RJ, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Informática Agropecuária. Campinas, SP, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Monitoramento por Satélite. Campinas, SP, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Solos. Rio de Janeiro, RJ, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Solos. Rio de Janeiro, RJ, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Monitoramento por Satélite. Campinas, RJ, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Solos. Rio de Janeiro, RJ, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Solos. Rio de Janeiro, RJ, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Florestas. Colombo, PR, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Solos. Rio de Janeiro, RJ, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Cerrados. Brasília, DF, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Meio Ambiente. Jaguariúna, SP, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Algodão. Campina Grande, PB, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Florestas. Colombo, PR, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Clima Temperado. Pelotas, RS, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Clima Temperado. Pelotas, RS, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Agrossilvipastoril. Sinop, MT, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Tabuleiros Costeiros. Aracaju, SE, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Amazônia Oriental. Belém, PA, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Caprinos e Ovinos. Sobral, CE, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Informática Agropecuária. Campinas, SP, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Meio Ambiente. Jaguariúna, SP, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Monitoramento por Satélite. Campinas, SP, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Monitoramento por Satélite. Campinas, SP, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Monitoramento por Satélite. Campinas, SP, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Informática Agropecuária. Campinas, SP, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Florestas. Colombo, PR, Brasil.Empresa Brasileira de Pesquisa Agropecuária. Departamento de Pesquisa e Desenvolvimento. Brasília, DF, Brasil.A geoinformação é essencial para o planejamento e monitoramento das atividades agropecuárias, justificando o emprego de esforços para reuni-la e padronizá-la de acordo com as diretrizes governamentais e possibiltando sua disponibilização à sociedade em geral. O objetivo deste trabalho é apresentar a experiência da Embrapa em construir sua Infraestrutura de Dados Espaciais, denominada GeoInfo, uma iniciativa para organizar, preservar, documentar e ofertar dados geoespaciais abertos produzidos nas pesquisas da empresa, ampliando o potencial de aplicação dessa informação na produção e difusão de conhecimento e inovação. O GeoInfo implementa os padrões da Infraestrutura Nacional de Dados Espaciais e viabiliza a interoperabilidade de dados geoespaciais provenientes de diferentes fontes, inclusive sob o aspecto semântico. Essa iniciativa possibilita a integração das informações geoespaciais produzidas na Embrapa com diversas informações disponíveis em nosso país e permite que a redundância de esforços na obtenção e produção de dados geoespaciais sejam evitados.Geoinformation is essential to plan and monitor agricultural activities, justifying efforts to gather and standardize it according to governmental guidelines and to make it available to decision makers and general public. This work aims on presenting the experience of Embrapa on building its Spatial Data Infrastructure (SDI). This SDI, called GeoInfo, is an initiative to organize, preserve, document and offer geodata produced by the company, in order to increase the application of this information in the production and diffusion of knowledge and innovation. GeoInfo implements the guidelines of the Brazilian National Spatial Data Infrastructure and enables scientific geodata interoperability, encompassing semantics. GeoInfo SDI promotes redundancy of efforts avoidance in obtaining and producing geodata. This initiative enables the integration of geospatial information produced at Embrapa with many other public information sources available worldwide.La geoinformación es esencial para la planificación y monitoreo de las actividades agropecuarias, justificando el empleo de esfuerzos para reunirla y estandarizarla de acuerdo con las directrices gubernamentales, posibilitando su disponibilidad para la sociedad en general y los tomadores de decisión. El objetivo de este trabajo es presentar la experiencia de Embrapa en construir su Infraestructura de Datos Espaciales (IDE), denominada GeoInfo, una iniciativa para organizar, preservar, documentar y ofrecer la geoinformación producida por la empresa, para ampliar el potencial de aplicación de esa información en la producción y difusión de conocimiento e innovación. La IDE-GeoInfo implementa los estándares de la Infraestructura Nacional de Datos Espaciales (INDE) y viabiliza la interoperabilidad de datos e informaciones espaciales provenientes de distintas fuentes, incluso bajo el aspecto semántico. El uso del Geoinfo permite que la redundancia de esfuerzos en la obtención y producción de datos geoespaciales sean evitados. Geoinfo es una estructura que posibilita la integración de las informaciones geoespaciales producidas en la Embrapa con diversas informaciones disponibles en todo el mundo

Orientações TCC e Iniciação Científica

Trabalhos dos orientandos da Profa. Denny Thame e materiais para pesquisa de Direito da Informática, da Comunicação, Internacional e Ambiental

Sertão e Narração: Guimarães Rosa, Glauber Rocha e seus desenredos Sertão (backland) and Narration: Guimarães Rosa, Glauber Rocha and their plots

Este texto busca verificar as formas de construção da nação em Grande Sertão: veredas, de Guimarães Rosa, e Deus e o Diabo na terra do sol, de Glauber Rocha. Utilizando autores como Homi Bhabha, Stuart Hall, Walter Mignolo, Veena Das, o texto indaga de que forma esses autores construíram o sertão.<br>This text tries to verify how the nation was constructed in Grande sertão: veredas [The Devil to Pay in the Backlands] by Guimarães Rosa, and Deus e o Diabo na terra do sol [Black God, White Devil] by Glauber Rocha. By analyzing authors as Homi Bhabha, Stuart Hall and Walter Mignolo, the text inquires how these authors had constructed the sertão (backland)

NEOTROPICAL CARNIVORES: a data set on carnivore distribution in the Neotropics

Mammalian carnivores are considered a key group in maintaining ecological health and can indicate potential ecological integrity in landscapes where they occur. Carnivores also hold high conservation value and their habitat requirements can guide management and conservation plans. The order Carnivora has 84 species from 8 families in the Neotropical region: Canidae; Felidae; Mephitidae; Mustelidae; Otariidae; Phocidae; Procyonidae; and Ursidae. Herein, we include published and unpublished data on native terrestrial Neotropical carnivores (Canidae; Felidae; Mephitidae; Mustelidae; Procyonidae; and Ursidae). NEOTROPICAL CARNIVORES is a publicly available data set that includes 99,605 data entries from 35,511 unique georeferenced coordinates. Detection/non-detection and quantitative data were obtained from 1818 to 2018 by researchers, governmental agencies, non-governmental organizations, and private consultants. Data were collected using several methods including camera trapping, museum collections, roadkill, line transect, and opportunistic records. Literature (peer-reviewed and grey literature) from Portuguese, Spanish and English were incorporated in this compilation. Most of the data set consists of detection data entries (n = 79,343; 79.7%) but also includes non-detection data (n = 20,262; 20.3%). Of those, 43.3% also include count data (n = 43,151). The information available in NEOTROPICAL CARNIVORES will contribute to macroecological, ecological, and conservation questions in multiple spatio-temporal perspectives. As carnivores play key roles in trophic interactions, a better understanding of their distribution and habitat requirements are essential to establish conservation management plans and safeguard the future ecological health of Neotropical ecosystems. Our data paper, combined with other large-scale data sets, has great potential to clarify species distribution and related ecological processes within the Neotropics. There are no copyright restrictions and no restriction for using data from this data paper, as long as the data paper is cited as the source of the information used. We also request that users inform us of how they intend to use the data

NEOTROPICAL ALIEN MAMMALS: a data set of occurrence and abundance of alien mammals in the Neotropics

Biological invasion is one of the main threats to native biodiversity. For a species to become invasive, it must be voluntarily or involuntarily introduced by humans into a nonnative habitat. Mammals were among first taxa to be introduced worldwide for game, meat, and labor, yet the number of species introduced in the Neotropics remains unknown. In this data set, we make available occurrence and abundance data on mammal species that (1) transposed a geographical barrier and (2) were voluntarily or involuntarily introduced by humans into the Neotropics. Our data set is composed of 73,738 historical and current georeferenced records on alien mammal species of which around 96% correspond to occurrence data on 77 species belonging to eight orders and 26 families. Data cover 26 continental countries in the Neotropics, ranging from Mexico and its frontier regions (southern Florida and coastal-central Florida in the southeast United States) to Argentina, Paraguay, Chile, and Uruguay, and the 13 countries of Caribbean islands. Our data set also includes neotropical species (e.g., Callithrix sp., Myocastor coypus, Nasua nasua) considered alien in particular areas of Neotropics. The most numerous species in terms of records are from Bos sp. (n = 37,782), Sus scrofa (n = 6,730), and Canis familiaris (n = 10,084); 17 species were represented by only one record (e.g., Syncerus caffer, Cervus timorensis, Cervus unicolor, Canis latrans). Primates have the highest number of species in the data set (n = 20 species), partly because of uncertainties regarding taxonomic identification of the genera Callithrix, which includes the species Callithrix aurita, Callithrix flaviceps, Callithrix geoffroyi, Callithrix jacchus, Callithrix kuhlii, Callithrix penicillata, and their hybrids. This unique data set will be a valuable source of information on invasion risk assessments, biodiversity redistribution and conservation-related research. There are no copyright restrictions. Please cite this data paper when using the data in publications. We also request that researchers and teachers inform us on how they are using the data