59 research outputs found

    ANALYSIS OF MORPHOLOGICAL AND HYDROLOGICAL CHANGES IN THE CORRENTES RIVER

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    Meandering rivers have a number of features that differentiate them from rectilinear and anastomosing channels, such as the rapid change of course, which is the result of continuous adjustments of hydro-sedimentary factors. Studying these changes helps to inform on the potential future changes, and generates valuable data for landuse planning. This study aims to identify the morphological changes in the lower Correntes River between 1984 and 2016, and generate information that is currently scarce about the watershed. A temporal analysis of migrating meanders using remote sensing, literature search, and field work was conducted. This river is highly mobile with lateral and downstream migration, exhibiting a rectilinear channel tendency as shown by the decreased sinuosity between 1984 and 2016. This trend reflects channel adjustment in relation to hydro-sedimentary factors. Because the upstream hydroelectric dam retained sediment and enhanced flow velocity, erosion and meander migration increased. In addition to the channel modification, the dam caused observable changes to the river stage and discharg

    Educação em saúde a professores do ensino infantil: relato de experiência de uma extensão universitária na Amazônia / Health education for preschool teachers: an experience report of a university extension program in the Amazon

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    Objetivou-se realizar ações educativas na prevenção de doenças derivadas da atividade profissional, com professores de escolas públicas do ensino básico do município de Coari/AM, Brasil. Trata-se de relato de experiência de atividade educacional multiprofissional com alunos dos cursos de Nutrição, Enfermagem, Medicina e Fisioterapia, cujas ações foram baseadas nas principais queixas dos professores. A promoção da saúde desses profissionais, além de promover benefícios para estes, com a estimulação da melhora do estilo de vida, fomenta melhor produtividade na jornada de trabalho, pois a torna menos desgastante, além disso, atividades de extensão integram a universidade com a comunidade, possibilitando que conteúdos repassados em sala de aula, alcancem a população em forma de ações educativas

    Eight basic principles for the elaboration of public policies and development projects for the Pantanal

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    This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. © 2024 The Author(s). Conservation Science and Practice published by Wiley Periodicals LLC on behalf of Society for Conservation Biology. The Pantanal is considered the largest continuous freshwater wetland in the world, and its sustainable use requires a unified conceptual framework. The lengthy process to establish public policies has contributed to the increasing vulnerability of the Pantanal. Given the need for a conceptual basis to help this process, we elaborate a list of eight basic principles based on the accumulated scientific evidence: (i) Consider the Paraguay River Basin a management unity; (ii) Establish rules that follow the concept of restricted use approach; (iii) Ensure the ecologically sustainable use of the Pantanal; (iv) Maintain the environmental heterogeneity and functionality in the Pantanal landscapes; (v) Maintain the hydrological integrity and connectivity; (vi) Ensure the environmental representativeness of the protected areas network; (vii) Provide economic incentives for conservationist use of the land; and (viii) Recognize and protect traditional people, their values, resources, and way of living. However, the elaboration of public policies should be a participatory and inclusive decision‐making process towards a more just and sustainable future

    Economic Losses and Cross Border Effects Caused by Pantanal Catastrophic Wildfires

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    The Pantanal, the Earth's largest continuous wetland, experienced severe impacts from wildfires in 2019 and, particularly, in 2020. The surge in wildfires can be attributed to several factors, including climate extremes, inadequate fire management, ineffective policymaking, as well as commercial and demographic dynamics. Understanding the economic effects of wildfires is crucial for guiding resource allocation toward prevention and firefighting efforts. This study aims to examine the economic losses resulting from the catastrophic wildfires in the Brazilian Pantanal region during 2019 and 2020. By utilizing publicly available datasets and data obtained from representatives of public and private institutions, we constructed scenarios to simulate the fire's impacts on economic input-output matrices. Through the application of structural impact analysis, we can simulate variations in output, value-added, and income by considering demand variation scenarios resulting from external shocks. Our findings reveal that the economic impact of the wildfires extends beyond the burned areas, affecting other regions of Brazil, such as São Paulo and Paraná. The lack of a comprehensive public database encompassing different scales (municipal, state, and national), along with a clear methodology for calculating and reporting firefighting expenses, hinders accurate prediction of economic losses and impedes proactive investments in wildfire prevention

    Global, regional, and national burden of disorders affecting the nervous system, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

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    BACKGROUND: Disorders affecting the nervous system are diverse and include neurodevelopmental disorders, late-life neurodegeneration, and newly emergent conditions, such as cognitive impairment following COVID-19. Previous publications from the Global Burden of Disease, Injuries, and Risk Factor Study estimated the burden of 15 neurological conditions in 2015 and 2016, but these analyses did not include neurodevelopmental disorders, as defined by the International Classification of Diseases (ICD)-11, or a subset of cases of congenital, neonatal, and infectious conditions that cause neurological damage. Here, we estimate nervous system health loss caused by 37 unique conditions and their associated risk factors globally, regionally, and nationally from 1990 to 2021. METHODS: We estimated mortality, prevalence, years lived with disability (YLDs), years of life lost (YLLs), and disability-adjusted life-years (DALYs), with corresponding 95% uncertainty intervals (UIs), by age and sex in 204 countries and territories, from 1990 to 2021. We included morbidity and deaths due to neurological conditions, for which health loss is directly due to damage to the CNS or peripheral nervous system. We also isolated neurological health loss from conditions for which nervous system morbidity is a consequence, but not the primary feature, including a subset of congenital conditions (ie, chromosomal anomalies and congenital birth defects), neonatal conditions (ie, jaundice, preterm birth, and sepsis), infectious diseases (ie, COVID-19, cystic echinococcosis, malaria, syphilis, and Zika virus disease), and diabetic neuropathy. By conducting a sequela-level analysis of the health outcomes for these conditions, only cases where nervous system damage occurred were included, and YLDs were recalculated to isolate the non-fatal burden directly attributable to nervous system health loss. A comorbidity correction was used to calculate total prevalence of all conditions that affect the nervous system combined. FINDINGS: Globally, the 37 conditions affecting the nervous system were collectively ranked as the leading group cause of DALYs in 2021 (443 million, 95% UI 378–521), affecting 3·40 billion (3·20–3·62) individuals (43·1%, 40·5–45·9 of the global population); global DALY counts attributed to these conditions increased by 18·2% (8·7–26·7) between 1990 and 2021. Age-standardised rates of deaths per 100 000 people attributed to these conditions decreased from 1990 to 2021 by 33·6% (27·6–38·8), and age-standardised rates of DALYs attributed to these conditions decreased by 27·0% (21·5–32·4). Age-standardised prevalence was almost stable, with a change of 1·5% (0·7–2·4). The ten conditions with the highest age-standardised DALYs in 2021 were stroke, neonatal encephalopathy, migraine, Alzheimer's disease and other dementias, diabetic neuropathy, meningitis, epilepsy, neurological complications due to preterm birth, autism spectrum disorder, and nervous system cancer. INTERPRETATION: As the leading cause of overall disease burden in the world, with increasing global DALY counts, effective prevention, treatment, and rehabilitation strategies for disorders affecting the nervous system are needed

    Use of anticoagulants and antiplatelet agents in stable outpatients with coronary artery disease and atrial fibrillation. International CLARIFY registry

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    Global, regional, and national burden of disorders affecting the nervous system, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

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    BackgroundDisorders affecting the nervous system are diverse and include neurodevelopmental disorders, late-life neurodegeneration, and newly emergent conditions, such as cognitive impairment following COVID-19. Previous publications from the Global Burden of Disease, Injuries, and Risk Factor Study estimated the burden of 15 neurological conditions in 2015 and 2016, but these analyses did not include neurodevelopmental disorders, as defined by the International Classification of Diseases (ICD)-11, or a subset of cases of congenital, neonatal, and infectious conditions that cause neurological damage. Here, we estimate nervous system health loss caused by 37 unique conditions and their associated risk factors globally, regionally, and nationally from 1990 to 2021.MethodsWe estimated mortality, prevalence, years lived with disability (YLDs), years of life lost (YLLs), and disability-adjusted life-years (DALYs), with corresponding 95% uncertainty intervals (UIs), by age and sex in 204 countries and territories, from 1990 to 2021. We included morbidity and deaths due to neurological conditions, for which health loss is directly due to damage to the CNS or peripheral nervous system. We also isolated neurological health loss from conditions for which nervous system morbidity is a consequence, but not the primary feature, including a subset of congenital conditions (ie, chromosomal anomalies and congenital birth defects), neonatal conditions (ie, jaundice, preterm birth, and sepsis), infectious diseases (ie, COVID-19, cystic echinococcosis, malaria, syphilis, and Zika virus disease), and diabetic neuropathy. By conducting a sequela-level analysis of the health outcomes for these conditions, only cases where nervous system damage occurred were included, and YLDs were recalculated to isolate the non-fatal burden directly attributable to nervous system health loss. A comorbidity correction was used to calculate total prevalence of all conditions that affect the nervous system combined.FindingsGlobally, the 37 conditions affecting the nervous system were collectively ranked as the leading group cause of DALYs in 2021 (443 million, 95% UI 378–521), affecting 3·40 billion (3·20–3·62) individuals (43·1%, 40·5–45·9 of the global population); global DALY counts attributed to these conditions increased by 18·2% (8·7–26·7) between 1990 and 2021. Age-standardised rates of deaths per 100 000 people attributed to these conditions decreased from 1990 to 2021 by 33·6% (27·6–38·8), and age-standardised rates of DALYs attributed to these conditions decreased by 27·0% (21·5–32·4). Age-standardised prevalence was almost stable, with a change of 1·5% (0·7–2·4). The ten conditions with the highest age-standardised DALYs in 2021 were stroke, neonatal encephalopathy, migraine, Alzheimer's disease and other dementias, diabetic neuropathy, meningitis, epilepsy, neurological complications due to preterm birth, autism spectrum disorder, and nervous system cancer.InterpretationAs the leading cause of overall disease burden in the world, with increasing global DALY counts, effective prevention, treatment, and rehabilitation strategies for disorders affecting the nervous system are needed
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