O EXTRATIVISMO NO ESTADO DO ACRE E SUA CORRELAÇÃO COM OS FINANCIAMENTOS FNO

O presente trabalho faz uma avaliação dos investimentos do Fundo Constitucional do Norte – FNO no Estado do Acre desde sua implantação, em 1989, até meados de 2006. Foram analisadas todas as 17 linhas de financiamento, tanto em volume de recursos como em número de contratos, com os valores sendo correlacionados estatisticamente com dados de produção do Setor Extrativo. Os dados bancários foram obtidos junto ao BASA/GERAC e os de produção no sistema IBGE/SIDRA. Verificou-se que houve aumento nos desmates e alguma correlação, sendo a mais positiva para com a extração de açaí. Mas, de maneira geral, o FNO não teve grande influência na evolução deste setor.----------------The present work makes an evaluation of the investments of Deep the Constitutional one of North - FNO in the State of the Acre since its implantation, in 1989, until 2006 middle. The 17 lines of financing had been analyzed all, as much in volume of resources as in contract number, with the correlated values being statistical with data of production of the Extractive Sector. The banking data had been gotten together to the BASA/GERAC and of production in system IBGE/SIDRA. It was verified that it had increase in them you deforest and some correlation, being most positive stops with the extration of açaí. But, in general, the FNO did not have great influence in the evolution of this sector.Financial Economics,

O TURISTA BRASILEIRO NO CONTEXTO DA CRISE SANITÁRIA COVID-19

No contexto de uma grave crise sanitária decorrente da pandemia da covid-19 e ainda sem iniciar a vacinação da população, constatou-se a retomada do fluxo de turismo doméstico no Brasil, a partir de setembro de 2020. Compreender a necessidade de as pessoas viajarem em uma conjuntura tão adversa motivou a realização dessa pesquisa, tendo como objetivo contribuir para a compreensão da dinâmica do turismo diante da crise sanitária, gerada pela pandemia da covid-19, na qual o foco de análise são os/as turistas brasileiros/as. Assim, foi elaborado e aplicado um instrumento de coleta de dados no Google Forms, contemplando as principais variáveis que permitissem descrever o perfil e as atitudes das pessoas que viajaram a lazer durante a pandemia da covid-19 no Brasil, no período entre abril de 2020 e fevereiro de 2021. Dentre os resultados da pesquisa, observa-se que a principal motivação que levou os respondentes a viajar foi o “desejo de descanso, lazer e entretenimento”, seguido da “necessidade/desejo de sair do ambiente doméstico”, atendendo à subjetividade de ruptura com o cotidiano, que durante uma pandemia pode ser ainda mais estressante. Verificou-se a preocupação em relação à contaminação pelo coronavírus, porém, isso não foi impeditivo à viagem dentro das normas de proteção sanitária, sobretudo ao optar pelo deslocamento em veículo particular ou alugado, a ambientes naturais ou menos urbanizados, em que aglomerações poderiam ser evitadas, na perspectiva de uma sensação de segurança, modelo que se aproxima do olhar romântico do turista, praticado por turistas com maior renda

Health-related quality of life in patients with type 1 diabetes mellitus in the different geographical regions of Brazil : data from the Brazilian Type 1 Diabetes Study Group

Background: In type 1 diabetes mellitus (T1DM) management, enhancing health-related quality of life (HRQoL) is as important as good metabolic control and prevention of secondary complications. This study aims to evaluate possible regional differences in HRQoL, demographic features and clinical characteristics of patients with T1DM in Brazil, a country of continental proportions, as well as investigate which variables could influence the HRQoL of these individuals and contribute to these regional disparities. Methods: This was a retrospective, cross-sectional, multicenter study performed by the Brazilian Type 1 Diabetes Study Group (BrazDiab1SG), by analyzing EuroQol scores from 3005 participants with T1DM, in 28 public clinics, among all geographical regions of Brazil. Data on demography, economic status, chronic complications, glycemic control and lipid profile were also collected. Results: We have found that the North-Northeast region presents a higher index in the assessment of the overall health status (EQ-VAS) compared to the Southeast (74.6 ± 30 and 70.4 ± 19, respectively; p < 0.05). In addition, North- Northeast presented a lower frequency of self-reported anxiety-depression compared to all regions of the country (North-Northeast: 1.53 ± 0.6; Southeast: 1.65 ± 0.7; South: 1.72 ± 0.7; Midwest: 1.67 ± 0.7; p < 0.05). These findings could not be entirely explained by the HbA1c levels or the other variables examined. Conclusions: Our study points to the existence of additional factors not yet evaluated that could be determinant in the HRQoL of people with T1DM and contribute to these regional disparities

Acinic cell carcinoma of the oral and maxillofacial region: an international multicenter study

Abstract The aim of this study was to describe the prevalence, clinicopathological, and prognostic features of acinic cell carcinoma (AciCC) of the oral and maxillofacial region. AciCC cases were retrospectively retrieved from 11 pathology centers of three different countries. Medical records were examined to extract demographic, clinical, pathologic, and follow-up information. A total of 75 cases were included. Females (65.33%) with a mean age of 45.51 years were mostly affected. The lesions usually presented as an asymptomatic (64.28%) nodule (95.66%) in the parotid gland (70.68%). The association of two histopathological patterns was the most common finding (48.93%) and the tumors presented mainly conventional histopathological grades (86.11%). Surgical treatment was performed in the majority of the cases (59.19%). Local recurrence was observed in 20% of the informed cases, regional metastasis in 30.43%, and distant metastasis in 12.50%. The statistical analysis showed that the cases with a solid histopathological pattern (p=0.01), high-grade transformation (p=0.008), recurrence (p=0.007), and regional metastasis (p=0.03) were associated with poor survival. In conclusion, high histopathological transformation, presence of nodal metastasis, and recurrence were prognostic factors for AciCC of the oral and maxillofacial region

Updated cardiovascular prevention guideline of the Brazilian Society of Cardiology: 2019

Sem informação113478788

Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID-19 pandemic

BACKGROUND: During the COVID-19 pandemic, decreased volumes of stroke admissions and mechanical thrombectomy were reported. The study\u27s objective was to examine whether subarachnoid haemorrhage (SAH) hospitalisations and ruptured aneurysm coiling interventions demonstrated similar declines. METHODS: We conducted a cross-sectional, retrospective, observational study across 6 continents, 37 countries and 140 comprehensive stroke centres. Patients with the diagnosis of SAH, aneurysmal SAH, ruptured aneurysm coiling interventions and COVID-19 were identified by prospective aneurysm databases or by International Classification of Diseases, 10th Revision, codes. The 3-month cumulative volume, monthly volumes for SAH hospitalisations and ruptured aneurysm coiling procedures were compared for the period before (1 year and immediately before) and during the pandemic, defined as 1 March-31 May 2020. The prior 1-year control period (1 March-31 May 2019) was obtained to account for seasonal variation. FINDINGS: There was a significant decline in SAH hospitalisations, with 2044 admissions in the 3 months immediately before and 1585 admissions during the pandemic, representing a relative decline of 22.5% (95% CI -24.3% to -20.7%, p\u3c0.0001). Embolisation of ruptured aneurysms declined with 1170-1035 procedures, respectively, representing an 11.5% (95%CI -13.5% to -9.8%, p=0.002) relative drop. Subgroup analysis was noted for aneurysmal SAH hospitalisation decline from 834 to 626 hospitalisations, a 24.9% relative decline (95% CI -28.0% to -22.1%, p\u3c0.0001). A relative increase in ruptured aneurysm coiling was noted in low coiling volume hospitals of 41.1% (95% CI 32.3% to 50.6%, p=0.008) despite a decrease in SAH admissions in this tertile. INTERPRETATION: There was a relative decrease in the volume of SAH hospitalisations, aneurysmal SAH hospitalisations and ruptured aneurysm embolisations during the COVID-19 pandemic. These findings in SAH are consistent with a decrease in other emergencies, such as stroke and myocardial infarction

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