Prejuízos e benefícios na saúde da criança decorrente do uso de chupetas: o que o pediatra precisa saber / Damage and benefits to the child's health due to the use of pacifiers: what pediatricians need to know

INTRODUÇÃO: A prática de utilizar a chupeta faz parte dos “hábitos de sucção não nutritivos”, que são frequentes em bebês e crianças. Entretanto, deve-se questionar quais são os benefícios e malefícios desse objeto, o que gera uma discussão em torno do uso da chupeta, visto que as recomendações variam ao redor do mundo. METODOLOGIA: O presente estudo consiste em uma revisão bibliográfica narrativa de literatura, realizada nas bases de dados PUBMED e SciELO em Outubro de 2020, utilizando os descritores: “Pacifiers” e “Child”. Foram incluídos artigos em inglês e português publicados nos últimos 5 anos. RESULTADOS: Foram encontrados 65 artigos, dentre eles 21 encaixavam nos critérios de inclusão e exclusão, cujas informações foram cruciais para compor o trabalho. DISCUSSÃO: A utilização da chupeta apresenta tanto fatores positivos, como efeitos calmantes, quanto fatores negativos, como alterações anatômicas e funcionais na região orofaríngea, déficit nutritivo e imunológico. CONCLUSÃO: O uso da chupeta ainda é foco de discussão, devendo-se analisar os benefícios e malefícios para cada criança individualmente. A decisão de introduzi-la ou não deve ser um acordo entre a orientação do profissional da saúde e os desejos da família

Manejo Terapêutico do Paciente Queimado: Revisão de Literatura

Burns are traumatic wounds resulting from thermal, chemical, electrical or radioactive agents that compromise vital skin functions. In Brazil, they constitute one of the main external causes of death, alongside transport accidents and homicides. An integrative review was carried out, using the Google Scholar database with the following descriptors “Burn”, “Pain Management”, “Therapeutic Indication”. In which 8 articles were selected from 1,710, published in English and Portuguese from 2019 to 2024. The main author conducted the analysis, with disagreements resolved between the authors. WHO estimates indicate 300,000 annual deaths from burns globally. In Brazil, one million people suffer burns annually, with young adults being the most vulnerable, mainly in domestic or work environments. The classification of burns, extent of the affected area and treatment are fundamental for the best therapeutic management, given that pain is a prevalent complaint that is difficult to control in these patients. Protocols vary, and wound care, hydration, and pain management are challenges. Different therapies, including agents such as silver sulfadiazine and essential fatty acids, show promising results. Surgical treatment aims to remove compromised tissues, contributing to effective healing. The study reinforces the importance of medical knowledge in the management of burns and its relevance to public health.As queimaduras são feridas traumáticas resultantes de agentes térmicos, químicos, elétricos ou radioativos que comprometem funções vitais tanto da pele, como dos demais órgãos internos. No Brasil, constituem uma das principais causas externas de morte, disputando com acidentes de transporte e homicídios. Realizou-se uma revisão integrativa, utilizando a base de dados Google Acadêmico com os seguintes descritores “Queimadura”, “Manejo da Dor”, “Indicação Terapêutica”. Nos quais foram selecionados 8 artigos entre 1.710, publicados em inglês e português de 2019 a 2024. O autor principal conduziu a análise, com discordâncias resolvidas entre os autores. Estimativas da OMS indicam 300 mil mortes anuais por queimaduras globalmente. No Brasil, um milhão de pessoas anualmente sofrem queimaduras, sendo adultos jovens mais vulneráveis, principalmente em ambientes domésticos ou laborais. A classificação das queimaduras, extensão da área afetada e o tratamento são fundamentais para o melhor manejo terapêutico, haja vista que a dor é uma queixa prevalente e de difícil controle nesses pacientes. Protocolos variam, e o cuidado da ferida, hidratação e manejo da dor são desafios. Diferentes terapias, incluindo agentes como sulfadiazina de prata e ácidos graxos essenciais, apresentam resultados promissores. O tratamento cirúrgico visa a remoção de tecidos comprometidos, contribuindo para a cicatrização eficaz. O estudo reforça a importância do conhecimento médico na abordagem de queimaduras e sua relevância para a saúde pública

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost

NEOTROPICAL XENARTHRANS: a data set of occurrence of xenarthran species in the Neotropics

Xenarthrans—anteaters, sloths, and armadillos—have essential functions for ecosystem maintenance, such as insect control and nutrient cycling, playing key roles as ecosystem engineers. Because of habitat loss and fragmentation, hunting pressure, and conflicts with domestic dogs, these species have been threatened locally, regionally, or even across their full distribution ranges. The Neotropics harbor 21 species of armadillos, 10 anteaters, and 6 sloths. Our data set includes the families Chlamyphoridae (13), Dasypodidae (7), Myrmecophagidae (3), Bradypodidae (4), and Megalonychidae (2). We have no occurrence data on Dasypus pilosus (Dasypodidae). Regarding Cyclopedidae, until recently, only one species was recognized, but new genetic studies have revealed that the group is represented by seven species. In this data paper, we compiled a total of 42,528 records of 31 species, represented by occurrence and quantitative data, totaling 24,847 unique georeferenced records. The geographic range is from the southern United States, Mexico, and Caribbean countries at the northern portion of the Neotropics, to the austral distribution in Argentina, Paraguay, Chile, and Uruguay. Regarding anteaters, Myrmecophaga tridactyla has the most records (n = 5,941), and Cyclopes sp. have the fewest (n = 240). The armadillo species with the most data is Dasypus novemcinctus (n = 11,588), and the fewest data are recorded for Calyptophractus retusus (n = 33). With regard to sloth species, Bradypus variegatus has the most records (n = 962), and Bradypus pygmaeus has the fewest (n = 12). Our main objective with Neotropical Xenarthrans is to make occurrence and quantitative data available to facilitate more ecological research, particularly if we integrate the xenarthran data with other data sets of Neotropical Series that will become available very soon (i.e., Neotropical Carnivores, Neotropical Invasive Mammals, and Neotropical Hunters and Dogs). Therefore, studies on trophic cascades, hunting pressure, habitat loss, fragmentation effects, species invasion, and climate change effects will be possible with the Neotropical Xenarthrans data set. Please cite this data paper when using its data in publications. We also request that researchers and teachers inform us of how they are using these data

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