Fragilidade física em unidades de conservação: estudo de caso da Reserva Ecológica Itaytyba – RPPNPhysical fragility in conservation units: a case study of the Itaytyba Ecological Reserve - RPPN

A utilização irracional dos recursos naturais aliada ao lançamento indiscriminado de dejetos na superfície terrestre potencializou, nas últimas décadas, impactos de ordem ambiental. Tal realidade despertou a necessidade de criação e implementação de medidas e estratégias de combate a tal situação. Assim, a legitimação de Unidades de Conservação por meio do Sistema Nacional de Unidades de Conservação - SNUC surgiu com tal propósito. No entanto, questões como regulamentação fundiária, falta de recursos financeiros e humanos nos processos de gestão e manejo de Unidades de Conservação e de análises específicas sobre cada área, são fatores que comprometem a funcionalidade e o objetivo preservacionista dessas unidades. Nesse contexto, priorizando a preservação do ambiente, este trabalho tem como objetivo a análise da fragilidade física ambiental como medida base para a preservação da natureza. A pesquisa ocorreu na Reserva Particular do Patrimônio Natural - RPPN Reserva Ecológica Itaytyba, localizada no município de Tibagi (PR). Este estudo fundamentou-se numa metodologia que prioriza uma análise conjunta e integrada das variáveis físicas, gerando uma identificação de diferentes classes de fragilidade. Esses procedimentos possibilitaram a identificação de locais com diferenciados graus de susceptibilidade aos impactos ambientais dentro da área de estudo. Dessa forma, a avaliação e a correlação destas variáveis certificaram o manejo da propriedade, além de fundamentar tecnicamente sua manutenção ambiental.AbstractThe irrational use of the natural resources combined with the imprudent launching of dejections onto the surface of Earth have increased environmental impacts during the last decades. Such reality prompted the creation and implementation of measures and strategies for dodging the situation. The legitimation of Conservation Units by means of the National System of Conservation Units – SNUC - happened to meet this goal. However, issues such as agrarian regulation, lack of financial and human resources in the administration and management processes of Conservation Units, and the lack of specific analyses covering each area jeopardize the operation and the preservation of these units. From this stance, and in keeping with environmental preservation as a priority, the objective of this work has been to analyze the environment physical fragility as a basic means for nature preservation. The research was done in the Private Reserve of Natural Patrimony - RPPN Ecological Reserve Itaytyba, located in the town of Tibagi (PR). This study was based on a methodology that accentuates a joint and integrated analysis of the physical variable, generating an identification of different fragility types. These procedures allowed for the identification of places with differentiated degrees of susceptibility to the environmental impacts in the studied area. The assessment and the correlation of these variables granted the property management, besides technically supporting its environmental maintenance

Lip squamous cell carcinoma in a Brazilian population : epidemiological study and clinicopathological associations

Objectives: It was evaluated epidemiological aspects of primary lip squamous cell carcinoma (LSCC) and its associations with clinicopathological factors. Study design: This retrospective, cross-sectional study analysed a sociodemographic, clinical, and morphological data of HNSCC in a Brazilian population (n=30). Data analysis included descriptive statistics and bivariate analyses using the chi-square and Fisher's exact tests to compare the variables. Results: The LSCC represented 10.8% of all oral cavity squamous cell carcinoma. Lip malignant disease was more prevalent in elderly men, with male-to-female ratio of 5:1. Lower lip was more affected. It was observed high rates of chronic solar exposure, and tobacco and alcohol drinking habits. Clinically, early TNM staging, small tumour lesions, and non-metastatic disease were predominant findings. It was identified a high frequency of well differentiated tumor samples. Worse Karnofsky performance status was associated with cervical metastasis. Conclusions: Our findings showed that LSCC patients exhibited similar epidemiological and clinical profiles as noted in other studies. Still, the occurrence of metastatic disease was associated with a worse physical performance status of the LSCC patients during diagnosis. © Medicina Oral S. L

POTENCIAL DE USO AGRÍCOLA E FRAGILIDADE AMBIENTAL DA MICROBACIA DO RIO CAMPESTRE, COLOMBO – PR

The use of the land according to its capability is critical in the implementation of agricultural systems based on environmental sustainability. In this sense, this work aims to apply and compare the systems agricultural suitability of the land (SAA), Ability to Use (SCU) and Environmental Fragility (FA) together with the Environmental Law (APP) in the Campestre watershed located in the Colombo – PR, Brazil, to determine their potential for agricultural use. These methods can be utilized for evaluation and planning of the appropriate use of land for production purposes and environmental preservation. The software SPRING elaborated by the INPE, specifically the LEGAL tool was the base for the maps elaboration. The conflict of use indicates that only 15% of watershed, average between systems of agricultural skills and ability to use the land, is super used, and that approximately 50% of the area is in line with the recommendation. This study also showed that 15% of watershed must be preserved with riparian forest and that 26% of this area of permanent preservation must be restored to meet environmental legislation The results of environmental fragility (potential and emerging) show that the watershed has naturally conducive to a potential degradation due to the high slope of the region and the soil insufficiently developed. However, vegetation in this watershed (43% of natural trees, 17% of trees planted and 25% of pasture) contributes in a positive way reducing the environmental fragility.O uso da terra de acordo com sua potencialidade é fundamental na implantação de sistemas agrícolas baseados na sustentabilidade ambiental. Neste sentido, este trabalho tem como objetivo aplicar e comparar os sistemas de Aptidão Agrícola das Terras (SAA), Capacidade de Uso (SCU) e Fragilidade Ambiental (FA) em conjunto com a Legislação Ambiental na microbacia do rio Campestre – Colombo – PR para determinar seu potencial de uso agrícola. Estas metodologias podem ser utilizadas para avaliação e planejamento do uso adequado do solo para fins produtivos e de preservação ambiental. Para tanto foi utilizado o software SPRING elaborado pelo INPE, sendo a ferramenta LEGAL a base para a elaboração dos mapas. O conflito de uso indica que apenas 15% da microbacia, média dos sistemas de aptidão agrícola e capacidade de uso das terras, está super utilizada, e que aproximadamente 50% da área está de acordo com a recomendação. Este estudo também mostrou que 15% da microbacia deve estar preservada com mata ciliar e que 26% desta área de preservação permanente precisa ser recuperada para atender à legislação ambiental. Os resultados da fragilidade ambiental (potencial e emergente) mostram que a microbacia possui naturalmente um potencial favorável à degradação devido à alta declividade da região e aos solos pouco desenvolvidos. No entanto, a cobertura vegetal presente na microbacia (43% de vegetação arbórea natural, 17% de vegetação arbórea plantada e 25% de pastagem) contribui de forma positiva diminuindo a fragilidade ambiental

Desafios e Oportunidades da Equipe Multidisciplinar na Saúde Pública: Enfoque em Neonatologia e Tratamentos Farmacológicos

Este artigo tem por objetivo discutir os desafios e oportunidades da equipe multidisciplinar na saúde pública, com enfoque em neonatologia e tratamentos farmacológicos. Tal pesquisa trata-se de uma revisão integrativa de literatura, as buscas foram realizadas nas bases de dados SCIELO, LILACS e Google Acadêmico, entre os meses de junho e julho de 2023. Foram usados os descritores em saúde, retirados dos Decs: Saúde Pública; Equipe Multiprofissional; Neonatologia e Tratamento Farmacológico. Os critérios de inclusão foram apenas artigos de revista, em português, publicados dentro do recorte temporal de 2016 e 2023. Como critério de exclusão, estudos repetidos, de acesso pago e fora do escopo. Durante a triagem, apenas 12 estudos não foram eliminados, estes compuseram a amostra final. Com base na amostra, foi demostrado que coordenar diferentes especialidades para cuidar dos recém-nascidos demanda uma comunicação clara, equidade no acesso a recursos e superação das limitações em diagnósticos e tratamentos específicos para neonatos. No entanto, essa abordagem também abre oportunidades significativas. A integração de conhecimentos e habilidades pode levar a tratamentos mais abrangentes e personalizados, pesquisa avançada, promoção da saúde e educação para pais e cuidadores. Conclui-se que, as equipes de saúde tem suas maiores dificuldades relacionadas a fragilidade dos pacientes, diagnósticos imprecisos, disponibilidade de recursos, integração entre equipes, prevenções de infecções, falta de medicamentos, falta de formulações pediátricas, entre outros. Porém, suas oportunidades giram em torno da pesquisa e inovação, da abordagem holística, integração de conhecimentos, educação e redução da mortalidade infantil

BRSMG Realce: Common bean cultivar with striped grains for the state of Minas Gerais

The common bean cultivar “BRSMG Realce”, recommended for the state of Minas Gerais, has high yield potential and resistance to powdery mildew, bacterial wilt and to anthracnose pathotypes 65, 73, 77, 81, 91, 475 and 479. The plants and pods are high, resulting in lower loss during mechanical harves

PACIENTES OSTOMIZADOS: AÇÕES DE EDUCAÇÃO EM SAÚDE NO ÂMBITO DA ATENÇÃO PRIMÁRIA.

The objective was to search for evidenced literature that supports the main educational care for patients with ostomies in primary care units. This is an integrative bibliographic review. The search was carried out in Lilacs and Medline. Using the PICo technique, the following question was constructed: What are the health education actions for patients with ostomies in the context of primary care? The following structure is considered: Population: Patients with ostomies; Interest: Health education; Context: Primary care. Inclusion criteria were the addition of primary-based studies, without language limitations and published between 2016 and 2023. Secondary-based studies were excluded. Studies have demonstrated that health education actions for ostomy patients in basic health units are characterized as fundamental, as they provide improvements in several aspects, including social, physical, environmental and cultural. It is necessary to carry out new research that highlights the importance of educational actions for patients with ostomies in primary health care.El objetivo fue buscar literatura evidenciada que respalde la principal atención educativa al paciente con ostomías en unidades de atención primaria. Se trata de una revisión bibliográfica integradora. La búsqueda se realizó en Lilacs y Medline. Utilizando la técnica PICo se construyó la siguiente pregunta: ¿Cuáles son las acciones de educación en salud para pacientes con ostomías en el contexto de la atención primaria? Se considera la siguiente estructura: Población: Pacientes con ostomías; Interés: Educación para la salud; Contexto: Atención primaria. Los criterios de inclusión fueron la adición de estudios de base primaria, sin limitaciones de idioma y publicados entre 2016 y 2023. Se excluyeron los estudios de base secundaria. Estudios demostraron que las acciones de educación en salud para pacientes ostomizados en unidades básicas de salud se caracterizan por ser fundamentales, ya que proporcionan mejoras en diversos aspectos, incluidos los sociales, físicos, ambientales y culturales. Es necesario realizar nuevas investigaciones que resalten la importancia de acciones educativas para pacientes con ostomías en la atención primaria de salud.Objetivou-se a busca de literaturas evidenciadas que embasem os principais cuidados educativos para pacientes com estomias em unidades de atenção primárias. Trata-se de uma revisão bibliográfica do tipo integrativa. A busca foi realizada no Lilacs e Medline. Com a técnica PICo, construiu-se a seguinte questão: Quais as ações de educação em saúde para pacientes com ostomias em contexto de atenção primaria ? Considera-se a seguinte estrutura: População: Pacientes com ostomias; Interesse: Educação em saúde; Contexto: Atenção primária. Critérios de inclusão foram adicionados estudos de base primaria, sem limitações em relação a idioma e publicados nos anos de 2016 a 2023. Excluíram-se estudos de base secundarias. Os estudos demonstraram que as ações de educação em saúde para pacientes ostomizados em unidades básicas de saúde se caracterizam como fundamentais, pois proporcionam melhores em diversos aspectos, dentre eles o social, físico, ambiental e cultural. faz-se necessária a elaboração de novas pesquisas que evidenciem a importância das ações educativas para pacientes com ostomias em cuidados primários de saúde

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

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection