Discussões sobre corredores ecológicos no Brasil 2006-2016

Objetivou-se nesse estudo analisar as produções sobre o contexto de corredores ecológicos publicados em periódicos nacionais de Geografia no recorte temporal de 2006 a 2016, atentando para as discussões realizadas para conservação dos ecossistemas e de seus remanescentes. Para isso, a pesquisa foi desenvolvida mediante 4 fases de organização de dados: 1) Levantamento de Periódicos de Geografia de qualis A1, A2 e B1 na plataforma oficial de periódicos da CAPES (plataforma sucupira); 2) Levantamento nas edições das revistas, por artigos científicos que abordassem corredores ecológicos, 3) organização de quadro síntese quanto as variáveis título, área do conhecimento, nome da revista, objetivos, métodos e discussões dos trabalhos e 4) Exposição dos dados das produções de maneira quantitativa e qualitativa. Diante dessa fase de trabalho, objetiva-se futuramente propor um corredor ecológico no entorno do Parque Estadual do Desengano ao Parque estadual da Lagoa do Açu, visando conexão de ambientes e preservação

Characterization of drugs prescribed to the elderly in the Family Health Strategy

Considering that the elderly are heavy consumers of medications, with significant consequences for their living conditions, the current study was intended to analyze the characteristics of such drug prescription, using the indicators proposed by the World Health Organization (WHO), and to characterize the drug classes prescribed to them in four units under the Family Health Strategy (FHS) in Marilia, Sao Paulo State, Brazil. One family health unit (FIIU) was selected by region of the city, and 100 patient charts were checked in FHU-A; 86 in B, 99 in C, and 97 in D. According to WHO drug prescription criteria, the results were similar to the recommended patterns except for drug prescription by generic name. In addition, there were significant differences between the family health units. The most frequently prescribed drug classes were for cardiovascular disorders. The health professionals showed a concern for adjusting drug prescription to rational-use criteria. However, there is a need for understanding the differences in prescription between units and a search for consensus, aimed at rational drug use.Fac Med Marilia, BR-17514000 Marilia, SP, BrazilUniv Fed Sao Paulo, Programa Posgrad Ciencias Saude, Sao Paulo, BrazilUniv Fed Sao Paulo, Programa Posgrad Ciencias Saude, Sao Paulo, BrazilWeb of Scienc

The need for communication between clinicians and pathologists in the context of oral and maxillofacial diseases

Good communication between clinicians and pathologists is a vital element in the diagnostic process, and poor communication can adversely affect patient care. There is a lack of research about communication in diagnostic oral and maxillofacial pathology. This narrative review explores different aspects of the quality of communication between clinicians and oral pathologists, with a focus on the diagnosis of oral and maxillofacial diseases. An electronic search was carried out in MEDLINE through the PubMed, Scopus, and Embase databases up to April 2021. No studies reporting communication, its adequacy or the required skills between clinicians and pathologists in oral diagnosis were found. According to studies published in medicine, strategies for improving communication skills include clinicianpathologist collaboration; a well-formatted, clear and thorough report; training in communication skills; and patient-centered care. Further studies evaluating the current practices and quality in oral and maxillofacial pathology are required to identify barriers and encourage optimal communication to facilitate diagnosis, as well as patient safety.The Coordenação de Aperfeiçoamento de Pessoal de Nível Superior – Brasil (CAPES), the Brazilian National Council for Scientific and Technological Development, CNPq and a PhD scholarship from the São Paulo State Research Foundation.https://www.scielo.br/j/bordm2022Oral Pathology and Oral Biolog

Incidence and predictors of severe liver fibrosis in HIV-infected patients with chronic hepatitis C in Brazil

The aim of this study was to examine the incidence and factors associated with the severity of liver fibrosis in 234 coinfected patients in Brazil. Patients were cared for in our clinic, from 1996 to 2004. Eligible patients were defined as patients with documented HIV and hepatitis C virus (HCV) infections and had previously undergone a liver biopsy. Patients with persistently normal alanine aminotransferase (ALT) were also included. The variables selected for study were age, gender, risk category, history of high alcohol consumption, CD4(+) T cell count, antiretroviral therapy usage, HCV genotype and duration of HCV infection. Stage of fibrosis was scored as follows: F0, no fibrosis; F1, portal fibrosis with no septa; F2, portal fibrosis with few septa; F3, bridging fibrosis with many septa; and F4, cirrhosis. The liver fibrosis stage was F3 in 39 (16.6%) and F4 in 20(8.5%) patients. Among patients with normal ALT, the liver fibrosis stage was F3-F4 in three patients (5.6%). Predictors of severe liver fibrosis (17344) by multivariate analysis were age (older patients) and genotype 3 (genotype I odds ratio [OR], 0.28; 95% confidence interval [0], 0.12 0.65). In summary, in the present study severe liver fibrosis was found in 25% of our patients and was associated with an age of more than 38 years at the time of liver biopsy as well as, HCV genotype 3. No differences were found with respect to CD4(+) T cell counts although patients with a CD4(+) T cell count greater than 50 were excluded