ANÁLISE DO MANEJO CLÍNICO E CIRÚRGICO DA NEFROLITÍASE

  Nephrolithiasis, a common condition characterized by the formation of kidney stones, represents a significant challenge in clinical practice due to its high prevalence and recurrence. This study aimed to analyze the clinical and surgical management of nephrolithiasis, identifying the most effective approaches and their respective implications for patients' health. An integrative literature review was used, with searches in the Scientific Electronic Library Online (SCIELO) and Latin American and Caribbean Literature in Health Sciences (LILACS) databases. Studies published in the last ten years were included, addressing both the clinical and surgical treatment of nephrolithiasis. The results showed that, while clinical therapy is effective in preventing the formation of new stones and managing small stones, surgical interventions are often necessary for larger stones and in cases of complications. It is concluded that a multidisciplinary approach, which combines clinical and surgical strategies, is essential for the effective management of nephrolithiasis, aiming to minimize recurrence and improve patients' quality of life.A nefrolitíase, condição comum caracterizada pela formação de cálculos renais, representa um desafio significativo na prática clínica devido à sua alta prevalência e recorrência. Este estudo teve como objetivo analisar o manejo clínico e cirúrgico da nefrolitíase, identificando as abordagens mais eficazes e suas respectivas implicações para a saúde dos pacientes. Utilizou-se uma revisão integrativa da literatura, com buscas nas bases de dados Scientific Electronic Library Online (SCIELO) e Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS). Foram incluídos estudos publicados nos últimos dez anos, abordando tanto o tratamento clínico quanto o cirúrgico da nefrolitíase. Os resultados apontaram que, enquanto a terapia clínica é eficaz na prevenção da formação de novos cálculos e no manejo de cálculos pequenos, as intervenções cirúrgicas são frequentemente necessárias para cálculos maiores e em casos de complicações. Conclui-se que uma abordagem multidisciplinar, que combine estratégias clínicas e cirúrgicas, é essencial para o manejo eficaz da nefrolitíase, visando minimizar a recorrência e melhorar a qualidade de vida dos pacientes

TÉCNICAS DE ANESTESIA PARA CIRURGIA DE CÂNCER DE CÓRNEA E PROCEDIMENTOS DE CIRURGIA GERAL

Anesthesia plays a crucial role in corneal cancer surgery and general surgery procedures, directly affecting patient safety and comfort during the procedure. Therefore, it is essential to investigate the most appropriate anesthetic techniques for these types of surgeries.  Objective: This study aims to analyze the anesthesia techniques used in corneal cancer surgeries and general surgery procedures, aiming to identify the most effective and safe ones for patients. Methodology: An integrative literature review was conducted, encompassing studies selected between 2002 and 2023 from the SciELO, BVS, and Web of Science databases. The guiding question, defined by the PICO acronym, was: "What are the most effective and safe anesthesia techniques for corneal cancer surgeries and general surgery procedures?" Results: The review results showed a variety of anesthesia techniques used in these surgeries, with significant differences in effectiveness and safety. There was a need for individualized approach, taking into consideration the specific characteristics of each patient and procedure. Conclusion: It is concluded that the choice of anesthesia technique should be made carefully, considering factors such as type of surgery, patient's clinical condition, and anesthesiologist's experience. A multidisciplinary approach and the search for updated evidence are recommended to guide clinical practice.A anestesia desempenha um papel crucial na cirurgia de câncer de córnea e procedimentos de cirurgia geral, afetando diretamente a segurança e o conforto do paciente durante o procedimento. Portanto, é essencial investigar as técnicas anestésicas mais adequadas para esses tipos de cirurgias. Objetivo: Este estudo tem como objetivo analisar as técnicas de anestesia utilizadas em cirurgias de câncer de córnea e procedimentos de cirurgia geral, buscando identificar as mais eficazes e seguras para os pacientes. Metodologia: Foi realizada uma revisão integrativa da literatura, abrangendo estudos selecionados entre 2002 a 2023 nas bases de dados SciELO, BVS e Web of Science. A pergunta norteadora, definida pelo acrônimo PICO, foi: "Quais são as técnicas de anestesia mais eficazes e seguras para cirurgias de câncer de córnea e procedimentos de cirurgia geral?" Resultados: Os resultados da revisão mostraram uma variedade de técnicas anestésicas utilizadas nessas cirurgias, com diferenças significativas em eficácia e segurança. Foi observada uma necessidade de abordagem individualizada, levando em consideração as características específicas de cada paciente e procedimento. Conclusão: Conclui-se que a escolha da técnica de anestesia deve ser feita de forma criteriosa, considerando fatores como tipo de cirurgia, condição clínica do paciente e experiência do anestesiologista. Recomenda-se uma abordagem multidisciplinar e a busca por evidências atualizadas para orientar a prática clínica

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