16 research outputs found
Pott´s puffy tumor
Tumor de Pott (Pott‘s Puffy tumor) é uma comorbidade caracterizada por um ou mais abscessos sub-periosteais do osso frontal associados a osteomielite subjacente. As etiologias incluem trauma e sinusite, entre outras. Relatamos o caso de uma paciente de 17 anos que se apresentou com abaulameto doloroso, calor local e flutuação na região frontal à direita há um mês, bem como cefaléia holocraniana e hipertermia. O diagnóstico de Tumor de Pott como uma complicação de uma sinusite frontal foi estabelecido pela clínica e confirmado por tomografia computadorizada de crânio. Foi tratada com sucesso com esquema inicial de amoxicilina mais clavulanato, o qual foi substituído por ciprofloxacina, associados à craniotomia, com craniectomia do osso acometido. Esta é uma doença que por ser infreqüente muitas vezes não é diagnosticada. Deste modo enfatizamos o diagnóstico e tratamento precoces como forma de evitar seqüelas neurológicas.Pott‘s Puffy Tumor is a comorbidity characterized by one or multiple subperiosteal abscesses of the frontal bone associated with underlying osteomyelitis. Etiologies include trauma and sinusitis among others. Here we report the case of a 17-year-old female patient with painful bulging, local heat, and fluctuation in the frontal region on the right for a month, as well as holocranial headache and hyperthermia. The diagnosis of Pott‘s Puffy Tumor as a complication of frontal sinusitis was clinically established and confirmed by computerized tomography of the skull. It was successfully initially treated with amoxicilin + clavunate, followed by ciprofloxacin, combined with craniotomy and craniectomy of the affected bone. Because of its rarity, this disorder often goes underdiagnosed. Thus we emphasize an early diagnosis and treatment so as to avoid neurological sequels
Validade da variação da pressão de pulso (delta PP) como preditor de resposta a desafios hídricos em pacientes ventilados com volumes correntes reduzidos
MAMMALS IN PORTUGAL : A data set of terrestrial, volant, and marine mammal occurrences in P ortugal
Mammals are threatened worldwide, with 26% of all species being includedin the IUCN threatened categories. This overall pattern is primarily associatedwith habitat loss or degradation, and human persecution for terrestrial mam-mals, and pollution, open net fishing, climate change, and prey depletion formarine mammals. Mammals play a key role in maintaining ecosystems func-tionality and resilience, and therefore information on their distribution is cru-cial to delineate and support conservation actions. MAMMALS INPORTUGAL is a publicly available data set compiling unpublishedgeoreferenced occurrence records of 92 terrestrial, volant, and marine mam-mals in mainland Portugal and archipelagos of the Azores and Madeira thatincludes 105,026 data entries between 1873 and 2021 (72% of the data occur-ring in 2000 and 2021). The methods used to collect the data were: live obser-vations/captures (43%), sign surveys (35%), camera trapping (16%),bioacoustics surveys (4%) and radiotracking, and inquiries that represent lessthan 1% of the records. The data set includes 13 types of records: (1) burrowsjsoil moundsjtunnel, (2) capture, (3) colony, (4) dead animaljhairjskullsjjaws, (5) genetic confirmation, (6) inquiries, (7) observation of live animal (8),observation in shelters, (9) photo trappingjvideo, (10) predators dietjpelletsjpine cones/nuts, (11) scatjtrackjditch, (12) telemetry and (13) vocalizationjecholocation. The spatial uncertainty of most records ranges between 0 and100 m (76%). Rodentia (n=31,573) has the highest number of records followedby Chiroptera (n=18,857), Carnivora (n=18,594), Lagomorpha (n=17,496),Cetartiodactyla (n=11,568) and Eulipotyphla (n=7008). The data setincludes records of species classified by the IUCN as threatened(e.g.,Oryctolagus cuniculus[n=12,159],Monachus monachus[n=1,512],andLynx pardinus[n=197]). We believe that this data set may stimulate thepublication of other European countries data sets that would certainly contrib-ute to ecology and conservation-related research, and therefore assisting onthe development of more accurate and tailored conservation managementstrategies for each species. There are no copyright restrictions; please cite thisdata paper when the data are used in publications.info:eu-repo/semantics/publishedVersio
Mammals in Portugal: a data set of terrestrial, volant, and marine mammal occurrences in Portugal
Mammals are threatened worldwide, with ~26% of all species being included in the IUCN threatened categories. This overall pattern is primarily associated with habitat loss or degradation, and human persecution for terrestrial mammals, and pollution, open net fishing, climate change, and prey depletion for marine mammals. Mammals play a key role in maintaining ecosystems functionality and resilience, and therefore information on their distribution is crucial to delineate and support conservation actions. MAMMALS IN PORTUGAL is a publicly available data set compiling unpublished georeferenced occurrence records of 92 terrestrial, volant, and marine mammals in mainland Portugal and archipelagos of the Azores and Madeira that includes 105,026 data entries between 1873 and 2021 (72% of the data occurring in 2000 and 2021). The methods used to collect the data were: live observations/captures (43%), sign surveys (35%), camera trapping (16%), bioacoustics surveys (4%) and radiotracking, and inquiries that represent less than 1% of the records. The data set includes 13 types of records: (1) burrows | soil mounds | tunnel, (2) capture, (3) colony, (4) dead animal | hair | skulls | jaws, (5) genetic confirmation, (6) inquiries, (7) observation of live animal (8), observation in shelters, (9) photo trapping | video, (10) predators diet | pellets | pine cones/nuts, (11) scat | track | ditch, (12) telemetry and (13) vocalization | echolocation. The spatial uncertainty of most records ranges between 0 and 100 m (76%). Rodentia (n =31,573) has the highest number of records followed by Chiroptera (n = 18,857), Carnivora (n = 18,594), Lagomorpha (n = 17,496), Cetartiodactyla (n = 11,568) and Eulipotyphla (n = 7008). The data set includes records of species classified by the IUCN as threatened (e.g., Oryctolagus cuniculus [n = 12,159], Monachus monachus [n = 1,512], and Lynx pardinus [n = 197]). We believe that this data set may stimulate the publication of other European countries data sets that would certainly contribute to ecology and conservation-related research, and therefore assisting on the development of more accurate and tailored conservation management strategies for each species. There are no copyright restrictions; please cite this data paper when the data are used in publications
Entre a ?tica e a tecnologia : um di?logo com Emmanuel Levinas
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Previous issue date: 2008-11-19A inten??o do presente estudo ? apurar a potencial contribui??o da ?tica da alteridade de Emmanuel Levinas na qualifica??o da rela??o m?dico-paciente. Levinas prop?e uma ?tica fundamentada na n?o nega??o da alteridade, onde o Outro, que se apresenta de modo significativo, provoca um abalo na estrutura do Mesmo. Este questionamento do Mesmo demanda uma resposta que deve ser dada, n?o existindo possibilidade de escapar ? responsabilidade de responder ao comando do Outro. Quando o eu ? chamado inicia-se a instaura??o da justi?a, ou seja, surge o campo para a rela??o ?tica. Rela??o que inicia no di?logo inaugurado na apresenta??o do Outro, atrav?s do desvelamento do rosto. A import?ncia da ?tica como fundamento ? ressaltada na cr?tica ? id?ia de que a tecnologia afasta o m?dico do paciente e na den?ncia que o indiv?duo nunca foi o foco principal da medicina moderna. Por fim, ? sugerida a literatura como instrumento de aux?lio na ruptura da Totalidade do saber m?dico, assim como, o uso respons?vel da tecnologia sendo um caminho na constru??o da justi?a