O Encontro Dialógico Entre a Justiça e as Populações Ribeirinhas

La investigación tiene como objetivo, desde la perspectiva del modelo de itinerancia río desarrollado por el Estado de Amapá Tribunal de Justicia, reflexionar sobre la relación dialógica entre el poder judicial de ribera y Amapá, comprobar las diferencias entre el lenguaje jurídico y la causa de ribera obstáculos para garantizar el acceso la justicia. Específicamente busca entender la importancia del diálogo entre los profesionales de la costa y de abogados para democratizar el poder judicial. Por último , identifica lo que es necesario para su adjudicación adecuada de itinerancias . El estudio tiene un enfoque cualitativo basado en búsqueda.A pesquisa visa, sob a perspectiva do modelo de itinerância fluvial desenvolvido pelo Tribunal de Justiça do Estado do Amapá, refletir sobre a relação dialógica entre os ribeirinhos e o Judiciário amapaense, averiguando se as diferenças entre a linguagem jurídica e a ribeirinha causa obstáculos para a garantia do acesso à justiça. Especificamente, busca compreender a importância da interlocução entre ribeirinhos e operadores do direito para a democratização dos serviços judiciários. Por fim, identificar o que é necessário para uma boa prestação jurisdicional em itinerâncias. O estudo tem uma abordagem qualitativa baseada em pesquisa bibliográfica e em pesquisa documental

Effect of hyperbaric oxygen therapy combined with autologous platelet concentrate applied in rabbit fibula fraction healing

OBJECTIVES: The purpose is to study the effects of hyperbaric oxygen therapy and autologous platelet concentrates in healing the fibula bone of rabbits after induced fractures. METHODS: A total of 128 male New Zealand albino rabbits, between 6-8 months old, were subjected to a total osteotomy of the proximal portion of the right fibula. After surgery, the animals were divided into four groups (n = 32 each): control group, in which animals were subjected to osteotomy; autologous platelet concentrate group, in which animals were subjected to osteotomy and autologous platelet concentrate applied at the fracture site; hyperbaric oxygen group, in which animals were subjected to osteotomy and 9 consecutive daily hyperbaric oxygen therapy sessions; and autologous platelet concentrate and hyperbaric oxygen group, in which animals were subjected to osteotomy, autologous platelet concentrate applied at the fracture site, and 9 consecutive daily hyperbaric oxygen therapy sessions. Each group was divided into 4 subgroups according to a pre-determined euthanasia time points: 2, 4, 6, and 8 weeks postoperative. After euthanasia at a specific time point, the fibula containing the osseous callus was prepared histologically and stained with hematoxylin and eosin or picrosirius red. RESULTS: Autologous platelet concentrates and hyperbaric oxygen therapy, applied together or separately, increased the rate of bone healing compared with the control group. CONCLUSION: Hyperbaric oxygen therapy and autologous platelet concentrate combined increased the rate of bone healing in this experimental model.Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP)Universidade Federal do Vale do Sao Francisco Colegiado de MedicinaUniversidade Federal de São Paulo (UNIFESP) Departamento de CirurgiaUniversidade Federal do Vale do Sao Francisco Colegiado de Medicina VeterinariaSociedade Brasileira de Traumatologia Esportiva e ArtroscopiaUNIFESP, Depto. de Cirurgia104698SciEL

Effect of hyperbaric oxygen therapy combined with autologous platelet concentrate applied in rabbit fibula fraction healing

OBJECTIVES: The purpose is to study the effects of hyperbaric oxygen therapy and autologous platelet concentrates in healing the fibula bone of rabbits after induced fractures. METHODS: A total of 128 male New Zealand albino rabbits, between 6-8 months old, were subjected to a total osteotomy of the proximal portion of the right fibula. After surgery, the animals were divided into four groups (n = 32 each): control group, in which animals were subjected to osteotomy; autologous platelet concentrate group, in which animals were subjected to osteotomy and autologous platelet concentrate applied at the fracture site; hyperbaric oxygen group, in which animals were subjected to osteotomy and 9 consecutive daily hyperbaric oxygen therapy sessions; and autologous platelet concentrate and hyperbaric oxygen group, in which animals were subjected to osteotomy, autologous platelet concentrate applied at the fracture site, and 9 consecutive daily hyperbaric oxygen therapy sessions. Each group was divided into 4 subgroups according to a pre-determined euthanasia time points: 2, 4, 6, and 8 weeks postoperative. After euthanasia at a specific time point, the fibula containing the osseous callus was prepared histologically and stained with hematoxylin and eosin or picrosirius red. RESULTS: Autologous platelet concentrates and hyperbaric oxygen therapy, applied together or separately, increased the rate of bone healing compared with the control group. CONCLUSION: Hyperbaric oxygen therapy and autologous platelet concentrate combined increased the rate of bone healing in this experimental model

Uso indiscriminado de inibidores da bomba de prótons em receituários de medicamentos de uso contínuo/ Indiscriminate use of proton pump inhibitors in continuous use drug prescriptions

Os medicamentos inibidores da bomba de prótons (IBP) surgiram na década de 1980, com o intuito de tratar distúrbios gástricos, reduzindo a produção de ácido clorídrico. Os medicamentos desta classe disponíveis no Brasil incluem o Omeprazol, Lansoprazol, Pantoprazol, Rabeprazol, Dexlansoprazol e Esomeprazol. Estudos apontam ligação entre o uso prolongado de omeprazol e algumas doenças podendo desencadear nefrite intersticial aguda, evento adverso potencialmente grave e que pode cursar com lesão renal aguda. Além disso, pesquisadores têm observado que o uso prolongado de IBP pode também aumentar o risco de progressão da doença renal crônica (DRC). Com o crescimento da prescrição e o uso inadequado dessa classe de medicamentos, torna-se importante o estudo dos efeitos do uso prolongado dos IBP sobre a função renal em usuários de medicamentos de uso contínuo no tratamento da Hipertensão Sistêmica Arterial. 

Benefits from using mixed precision computations in the ELPA-AEO and ESSEX-II eigensolver projects

We first briefly report on the status and recent achievements of the ELPA-AEO (Eigenvalue Solvers for Petaflop Applications - Algorithmic Extensions and Optimizations) and ESSEX II (Equipping Sparse Solvers for Exascale) projects. In both collaboratory efforts, scientists from the application areas, mathematicians, and computer scientists work together to develop and make available efficient highly parallel methods for the solution of eigenvalue problems. Then we focus on a topic addressed in both projects, the use of mixed precision computations to enhance efficiency. We give a more detailed description of our approaches for benefiting from either lower or higher precision in three selected contexts and of the results thus obtained

Ensino por temas: analisando a aprendizagem dos estudantes a partir de aulas com a temática água

O modelo de ensino por transmissão de informações tem sofrido inúmeras críticas e precisa ser superado. Com aulas desenvolvidas a partir de temas de interesse dos estudantes e da Química, investigamos a capacidade dos estudantes em explicar situações do contexto social. Para tal aplicamos um instrumento de coleta de dados antes e após o desenvolvimento das aulas. Observamos que, quando o estudante tem concepções alternativas e elas são amplamente discutidas no espaço da sala de aula, há evolução conceitual. Porém, quando introduzimos conceitos novos, que não são familiares ao estudante, a apropriação dos mesmos não se dá tão facilmente e novas estratégias devem ser implementada

Team dynamics in emergency surgery teams: results from a first international survey

Background: Emergency surgery represents a unique context. Trauma teams are often multidisciplinary and need to operate under extreme stress and time constraints, sometimes with no awareness of the trauma\u2019s causes or the patient\u2019s personal and clinical information. In this perspective, the dynamics of how trauma teams function is fundamental to ensuring the best performance and outcomes. Methods: An online survey was conducted among the World Society of Emergency Surgery members in early 2021. 402 fully filled questionnaires on the topics of knowledge translation dynamics and tools, non-technical skills, and difficulties in teamwork were collected. Data were analyzed using the software R, and reported following the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). Results: Findings highlight how several surgeons are still unsure about the meaning and potential of knowledge translation and its mechanisms. Tools like training, clinical guidelines, and non-technical skills are recognized and used in clinical practice. Others, like patients\u2019 and stakeholders\u2019 engagement, are hardly implemented, despite their increasing importance in the modern healthcare scenario. Several difficulties in working as a team are described, including the lack of time, communication, training, trust, and ego. Discussion: Scientific societies should take the lead in offering training and support about the abovementioned topics. Dedicated educational initiatives, practical cases and experiences, workshops and symposia may allow mitigating the difficulties highlighted by the survey\u2019s participants, boosting the performance of emergency teams. Additional investigation of the survey results and its characteristics may lead to more further specific suggestions and potential solutions

Diversity and ethics in trauma and acute care surgery teams: results from an international survey

Background: Investigating the context of trauma and acute care surgery, the article aims at understanding the factors that can enhance some ethical aspects, namely the importance of patient consent, the perceptiveness of the ethical role of the trauma leader, and the perceived importance of ethics as an educational subject. Methods: The article employs an international questionnaire promoted by the World Society of Emergency Surgery. Results: Through the analysis of 402 fully filled questionnaires by surgeons from 72 different countries, the three main ethical topics are investigated through the lens of gender, membership of an academic or non-academic institution, an official trauma team, and a diverse group. In general terms, results highlight greater attention paid by surgeons belonging to academic institutions, official trauma teams, and diverse groups. Conclusions: Our results underline that some organizational factors (e.g., the fact that the team belongs to a university context or is more diverse) might lead to the development of a higher sensibility on ethical matters. Embracing cultural diversity forces trauma teams to deal with different mindsets. Organizations should, therefore, consider those elements in defining their organizational procedures. Level of evidence: Trauma and acute care teams work under tremendous pressure and complex circumstances, with their members needing to make ethical decisions quickly. The international survey allowed to shed light on how team assembly decisions might represent an opportunity to coordinate team member actions and increase performance