Goodbye Hartmann trial: a prospective, international, multicenter, observational study on the current use of a surgical procedure developed a century ago

Background: Literature suggests colonic resection and primary anastomosis (RPA) instead of Hartmann's procedure (HP) for the treatment of left-sided colonic emergencies. We aim to evaluate the surgical options globally used to treat patients with acute left-sided colonic emergencies and the factors that leading to the choice of treatment, comparing HP and RPA. Methods: This is a prospective, international, multicenter, observational study registered on ClinicalTrials.gov. A total 1215 patients with left-sided colonic emergencies who required surgery were included from 204 centers during the period of March 1, 2020, to May 31, 2020. with a 1-year follow-up. Results: 564 patients (43.1%) were females. The mean age was 65.9 ± 15.6 years. HP was performed in 697 (57.3%) patients and RPA in 384 (31.6%) cases. Complicated acute diverticulitis was the most common cause of left-sided colonic emergencies (40.2%), followed by colorectal malignancy (36.6%). Severe complications (Clavien-Dindo ≥ 3b) were higher in the HP group (P < 0.001). 30-day mortality was higher in HP patients (13.7%), especially in case of bowel perforation and diffused peritonitis. 1-year follow-up showed no differences on ostomy reversal rate between HP and RPA. (P = 0.127). A backward likelihood logistic regression model showed that RPA was preferred in younger patients, having low ASA score (≤ 3), in case of large bowel obstruction, absence of colonic ischemia, longer time from admission to surgery, operating early at the day working hours, by a surgeon who performed more than 50 colorectal resections. Conclusions: After 100 years since the first Hartmann's procedure, HP remains the most common treatment for left-sided colorectal emergencies. Treatment's choice depends on patient characteristics, the time of surgery and the experience of the surgeon. RPA should be considered as the gold standard for surgery, with HP being an exception

O jogo educativo “caça-piolhos”: Como prevenir a pediculose brincando

A pediculose é uma infecção parasitária comumente encontrada na comunidade escolar brasileira. A despeito das campanhas para controle do piolho de cabeça, as taxas de prevalência permanecem altas. Este trabalho apresenta o jogo educativo “Caça-Piolhos” como parte de uma sequência didática para informar, de forma lúdica, sobre a biologia do piolho e a prevenção da pediculose. Estudantes dos 4o e 5o anos do ensino fundamental de uma unidade escolar pública participaram de aulas expositivas dialogadas, oficinas além de participar do jogo “Caça-Piolhos”. Verificou-se que o jogo manteve um bom nível de engajamento dos estudantes, permitindo verificar o aprendizado dos conteúdos discutidos. Observou-se ainda a falta de interesse de alguns estudantes em função da idade e/ou dificuldades na leitura e compreensão das perguntas. Além de promover o aprendizado sobre a pediculose, este jogo poderia atuar como ferramenta na detecção de problemas de alfabetização se caso fosse incorporado à uma estratégia interdisciplinar envolvendo professores de Ciências e Português. Ao desenvolver ou utilizar jogos educativos é importante avaliar a qualidade destes produtos para assegurar que eles trazem benefícios à aprendizagem, justificando a sua utilização. Assim, estudos que desenvolvam métodos para avaliar a eficiência dos jogos educativos como metodologia ativa de ensino-aprendizagem são encorajados

Effects of feed restriction and forage:concentrate ratio on digestibility, methane emission, and energy utilization by goats

ABSTRACT This study was carried out to to evaluate how feed restriction and different forage:concentrate ratios affect digestibility, methane emission (using the SF6 technique), and energy utilization of Anglo-Nubian goats. Fifteen (15) dry and non-pregnant Anglo Nubian goats, averaging 30±2.9 kg body weight, were used. The experiment was divided into two trials, the first of which was designed to study the effects of feed restriction (0% or ad libitum; 15% of feed restriction or equivalent to 85% of ad libitum intake; and 40% of feed restriction or equivalent to 60% of ad libitum intake) and the second, to study the effects of forage:concentrate (F:C) ratios (75:25, 54:46, and 25:75) in the diet. The sulfur hexafluoride (SF6) tracer gas method was used to collect and estimate methane (CH4) emissions. Feed restriction level did not affect apparent total tract digestibility of dry matter (DM), organic matter, crude protein, and neutral detergent fiber. Methane emission (g d−1) decreased linearly as intake level decreased. However, energy loss in methane proportional to organic matter intake was similar among levels of feed restriction; consequently, dietary metabolizability did not differ among treatments. Methane gas (g d−1) as a function of F:C ratio revealed a quadratic response, showing the highest values when animals were fed the 46:54 F:C ratio diet (18.2 g d−1), suggesting that the decrease in absolute CH4 occurred when the level of concentrate inclusion in the diet surpassed approximately 50%. The results presented herein may be relevant for the ongoing and future efforts towards completion of an IPCC inventory regarding the contribution of goats to the greenhouse gas effects on the planet

Effects of feed restriction and forage:concentrate ratio on digestibility, methane emission, and energy utilization by goats

ABSTRACT This study was carried out to to evaluate how feed restriction and different forage:concentrate ratios affect digestibility, methane emission (using the SF6 technique), and energy utilization of Anglo-Nubian goats. Fifteen (15) dry and non-pregnant Anglo Nubian goats, averaging 30±2.9 kg body weight, were used. The experiment was divided into two trials, the first of which was designed to study the effects of feed restriction (0% or ad libitum; 15% of feed restriction or equivalent to 85% of ad libitum intake; and 40% of feed restriction or equivalent to 60% of ad libitum intake) and the second, to study the effects of forage:concentrate (F:C) ratios (75:25, 54:46, and 25:75) in the diet. The sulfur hexafluoride (SF6) tracer gas method was used to collect and estimate methane (CH4) emissions. Feed restriction level did not affect apparent total tract digestibility of dry matter (DM), organic matter, crude protein, and neutral detergent fiber. Methane emission (g d−1) decreased linearly as intake level decreased. However, energy loss in methane proportional to organic matter intake was similar among levels of feed restriction; consequently, dietary metabolizability did not differ among treatments. Methane gas (g d−1) as a function of F:C ratio revealed a quadratic response, showing the highest values when animals were fed the 46:54 F:C ratio diet (18.2 g d−1), suggesting that the decrease in absolute CH4 occurred when the level of concentrate inclusion in the diet surpassed approximately 50%. The results presented herein may be relevant for the ongoing and future efforts towards completion of an IPCC inventory regarding the contribution of goats to the greenhouse gas effects on the planet

NEOTROPICAL ALIEN MAMMALS: a data set of occurrence and abundance of alien mammals in the Neotropics

Biological invasion is one of the main threats to native biodiversity. For a species to become invasive, it must be voluntarily or involuntarily introduced by humans into a nonnative habitat. Mammals were among first taxa to be introduced worldwide for game, meat, and labor, yet the number of species introduced in the Neotropics remains unknown. In this data set, we make available occurrence and abundance data on mammal species that (1) transposed a geographical barrier and (2) were voluntarily or involuntarily introduced by humans into the Neotropics. Our data set is composed of 73,738 historical and current georeferenced records on alien mammal species of which around 96% correspond to occurrence data on 77 species belonging to eight orders and 26 families. Data cover 26 continental countries in the Neotropics, ranging from Mexico and its frontier regions (southern Florida and coastal-central Florida in the southeast United States) to Argentina, Paraguay, Chile, and Uruguay, and the 13 countries of Caribbean islands. Our data set also includes neotropical species (e.g., Callithrix sp., Myocastor coypus, Nasua nasua) considered alien in particular areas of Neotropics. The most numerous species in terms of records are from Bos sp. (n = 37,782), Sus scrofa (n = 6,730), and Canis familiaris (n = 10,084); 17 species were represented by only one record (e.g., Syncerus caffer, Cervus timorensis, Cervus unicolor, Canis latrans). Primates have the highest number of species in the data set (n = 20 species), partly because of uncertainties regarding taxonomic identification of the genera Callithrix, which includes the species Callithrix aurita, Callithrix flaviceps, Callithrix geoffroyi, Callithrix jacchus, Callithrix kuhlii, Callithrix penicillata, and their hybrids. This unique data set will be a valuable source of information on invasion risk assessments, biodiversity redistribution and conservation-related research. There are no copyright restrictions. Please cite this data paper when using the data in publications. We also request that researchers and teachers inform us on how they are using the data

Brazilian Flora 2020: Leveraging the power of a collaborative scientific network

International audienceThe shortage of reliable primary taxonomic data limits the description of biological taxa and the understanding of biodiversity patterns and processes, complicating biogeographical, ecological, and evolutionary studies. This deficit creates a significant taxonomic impediment to biodiversity research and conservation planning. The taxonomic impediment and the biodiversity crisis are widely recognized, highlighting the urgent need for reliable taxonomic data. Over the past decade, numerous countries worldwide have devoted considerable effort to Target 1 of the Global Strategy for Plant Conservation (GSPC), which called for the preparation of a working list of all known plant species by 2010 and an online world Flora by 2020. Brazil is a megadiverse country, home to more of the world's known plant species than any other country. Despite that, Flora Brasiliensis, concluded in 1906, was the last comprehensive treatment of the Brazilian flora. The lack of accurate estimates of the number of species of algae, fungi, and plants occurring in Brazil contributes to the prevailing taxonomic impediment and delays progress towards the GSPC targets. Over the past 12 years, a legion of taxonomists motivated to meet Target 1 of the GSPC, worked together to gather and integrate knowledge on the algal, plant, and fungal diversity of Brazil. Overall, a team of about 980 taxonomists joined efforts in a highly collaborative project that used cybertaxonomy to prepare an updated Flora of Brazil, showing the power of scientific collaboration to reach ambitious goals. This paper presents an overview of the Brazilian Flora 2020 and provides taxonomic and spatial updates on the algae, fungi, and plants found in one of the world's most biodiverse countries. We further identify collection gaps and summarize future goals that extend beyond 2020. Our results show that Brazil is home to 46,975 native species of algae, fungi, and plants, of which 19,669 are endemic to the country. The data compiled to date suggests that the Atlantic Rainforest might be the most diverse Brazilian domain for all plant groups except gymnosperms, which are most diverse in the Amazon. However, scientific knowledge of Brazilian diversity is still unequally distributed, with the Atlantic Rainforest and the Cerrado being the most intensively sampled and studied biomes in the country. In times of “scientific reductionism”, with botanical and mycological sciences suffering pervasive depreciation in recent decades, the first online Flora of Brazil 2020 significantly enhanced the quality and quantity of taxonomic data available for algae, fungi, and plants from Brazil. This project also made all the information freely available online, providing a firm foundation for future research and for the management, conservation, and sustainable use of the Brazilian funga and flora

Goodbye Hartmann trial: a prospective, international, multicenter, observational study on the current use of a surgical procedure developed a century ago /

Background: Literature suggests colonic resection and primary anastomosis (RPA) instead of Hartmann’s procedure (HP) for the treatment of left-sided colonic emergencies. We aim to evaluate the surgical options globally used to treat patients with acute left-sided colonic emergencies and the factors that leading to the choice of treatment, comparing HP and RPA. Methods: This is a prospective, international, multicenter, observational study registered on ClinicalTrials.gov. A total 1215 patients with left-sided colonic emergencies who required surgery were included from 204 centers during the period of March 1, 2020, to May 31, 2020. with a 1-year follow-up. Results: 564 patients (43.1%) were females. The mean age was 65.9 ± 15.6 years. HP was performed in 697 (57.3%) patients and RPA in 384 (31.6%) cases. Complicated acute diverticulitis was the most common cause of left-sided colonic emergencies (40.2%), followed by colorectal malignancy (36.6%). Severe complications (Clavien-Dindo ≥ 3b) were higher in the HP group (P < 0.001). 30-day mortality was higher in HP patients (13.7%), especially in case of bowel perforation and diffused peritonitis. 1-year follow-up showed no differences on ostomy reversal rate between HP and RPA. (P = 0.127). A backward likelihood logistic regression model showed that RPA was preferred in younger patients, having low ASA score (≤ 3), in case of large bowel obstruction, absence of colonic ischemia, longer time from admission to surgery, operating early at the day working hours, by a surgeon who performed more than 50 colorectal resections. Conclusions: After 100 years since the first Hartmann’s procedure, HP remains the most common treatment for left-sided colorectal emergencies. Treatment’s choice depends on patient characteristics, the time of surgery and the experience of the surgeon. RPA should be considered as the gold standard for surgery, with HP being an exception