Manejo cirúrgico de pacientes traumatizados por lesões elétricas: uma abordagem da fase aguda do trauma elétrico

The aim of this study is to disassemble, through scientific articles and government exposure, the main concepts related to electric shock injury. And as secondary objectives, to address a perspective of adequate treatment in this scenario and surgical steps in the management of patients traumatized by electric shock. An in-depth search of articles was carried out in the Scientific Electronic Library Online (SciELO) and PubMed databases, with the following Health Sciences Descriptors (DeCS):Electric burns; Shock; Debridement; Hydration; Amputation. Articles were selected between the periods of 2000 to 2023, in Portuguese, to increase the level of relevance and quality of the review, given the scarcity of scientific studies on the subject. It is concluded with the analysis of these studies that the early medical intervention of an electrical trauma is essential. The correct management, before 15 days, can positively corroborate the survival rates of these patients, avoiding possible complications. However, the proportion of the accident can affect medical management, representing a problem for patients, attributing greater symptoms.El objetivo de este estudio es desmontar, a través de artículos científicos y exposición gubernamental, los principales conceptos relacionados con la lesión por descarga eléctrica. Y como objetivos secundarios, abordar una perspectiva de tratamiento adecuado en este escenario y pasos quirúrgicos en el manejo de pacientes traumatizados por descarga eléctrica. Se realizó una búsqueda exhaustiva de artículos en las bases de datos Scientific Electronic Library Online (SciELO) y PubMed, con los siguientes Descriptores en Ciencias de la Salud (DeCS): Quemaduras eléctricas; Choque; desbridamiento; Hidratación; Amputación. Los artículos fueron seleccionados entre los períodos de 2000 a 2023, en portugués, para aumentar el nivel de relevancia y calidad de la revisión, dada la escasez de estudios científicos sobre el tema. Se concluye con el análisis de estos estudios que la intervención médica temprana de un trauma eléctrico es fundamental. El correcto manejo, antes de los 15 días, puede corroborar positivamente las tasas de supervivencia de estos pacientes, evitando posibles complicaciones. Sin embargo, la proporción del accidente puede afectar el manejo médico, representando un problema para los pacientes, atribuyéndoles mayor sintomatología.Objetivo desse estudo é desmontar, por meio de artigos científicos e exposição governamentais, os principais conceitos que tangem a lesão por choque elétrico. E como objetivos secundários, abordar uma perspectiva de tratamento adequado nesse cenário e etapas cirúrgicas do manejo de pacientes traumatizados por choque elétrico. Foi realizada uma profunda pesquisa de artigos nas bases de dados Scientific Electronic Library Online (SciELO) e PubMed, com os seguintes Descritores em Ciências daSaúde(DeCS):Queimaduraselétricas; Choque; Desbridamento; Hidratação; Amputação. Foram selecionados artigos entre os períodos de 2000 a 2023, no idioma Português, para ampliar o nível de relevância e a qualidade da revisão, visto a escassez de estudos científicos sobre a temática. Conclui-se com a análise desses estudos que, a intervenção médica precoce de um trauma elétrico é essencial. O manejo correto, antes dos 15 dias, pode corroborar positivamente com as taxas de sobrevida desses pacientes, evitando possíveis complicações. Contudo, a proporção do acidente pode afetar a conduta médica, representando um problema para os pacientes, atribuindo maiores sintomas

A cirurgia plástica no contexto estético: aspectos sociais por uma revisão de literatura

The objective of this study is to disassemble, through scientific articles, the aspects related to aesthetic plastic surgery and the body satisfaction resulting from these procedures by the individuals who undergo them. A deep search of articles was carried out in the databases Medical Literature Analysis and Retrieval System Online (MEDLINE), Scientific Electronic Library Online (SciELO) and PubMed, with the following Health Sciences Descriptors (DeCS): Body; Body image; Surgical procedures. Articles were selected between the periods of 1998 to 2023, in French, Spanish, English and Portuguese, to increase the level of relevance and quality of the review, given the scarcity of scientific studies on the subject. This review study made it possible to expose the current moment of aesthetic plastic surgeries, in addition to understanding the profile of the individuals who undergo it. Body dissatisfaction becomes an image disorder, correlated with feelings and emotions, are reasons that lead to the search for “correction” through aesthetic procedures. However, plastic surgery can alleviate dissatisfaction and is a tool against different body contexts.El objetivo de este estudio es desmontar, a través de artículos científicos, los aspectos relacionados con la cirugía plástica estética y la satisfacción corporal resultante de estos procedimientos por parte de los individuos que se someten a ellos. Se realizó una búsqueda profunda de artículos en las bases de datos Medical Literature Analysis and Retrieval System Online (MEDLINE), Scientific Electronic Library Online (SciELO) y PubMed, con los siguientes Health Sciences Descriptors (DeCS): Body; Imagen corporal; Procedimientos quirúrgicos. Se seleccionaron artículos entre los períodos de 1998 a 2023, en francés, español, inglés y portugués, para aumentar el nivel de relevancia y calidad de la revisión, dada la escasez de estudios científicos sobre el tema. Este estudio de revisión permitió exponer el momento actual de las cirugías plásticas estéticas, además de comprender el perfil de los individuos que se someten a ella. La insatisfacción corporal se convierte en un trastorno de la imagen, correlacionado con los sentimientos y emociones, son motivos que llevan a la búsqueda de “corrección” a través de procedimientos estéticos. Sin embargo, la cirugía plástica puede aliviar la insatisfacción y es una herramienta frente a diferentes contextos corporales.Objetivo desse estudo é desmontar, por meio de artigos científicos, os aspectos que tange a cirurgia plástica estética e a satisfação corporal advinda desses procedimentos pelos indivíduos submetidos. Foi realizada uma profunda pesquisa de artigos nas bases de dados Medical Literature Analysis and Retrievel System Online (MEDLINE), Scientific Electronic Library Online (SciELO) e PubMed, com os seguintes Descritores em Ciências da Saúde (DeCS): Body; Body image; Surgical procedures. Foram selecionados artigos entre os períodos de 1998 a 2023, nos idiomas Frances, Espanhol, Inglês e Português, para ampliar o nível de relevância e a qualidade da revisão, visto a escassez de estudos científicos sobre a temática. Este estudo de revisão possibilitou expor o momento atual das cirurgias plásticas estéticas, além da compreensão do perfil dos indivíduos que são submetidos. A insatisfação do corpo se torna um distúrbio de imagem, correlacionados a sentimentos e emoções, são motivos que levam a busca de “correção” através de procedimentos estéticos. Todavia, a cirurgia plástica pode amenizar quadros de insatisfação e é uma ferramenta contra diversos contextos corporais

Search for leptophobic Z ' bosons decaying into four-lepton final states in proton-proton collisions at root s=8 TeV

Peer reviewe

Using active learning strategies during a quality improvement collaborative: exploring educational games to enhance learning among healthcare professionals

Background The Breakthrough Series model uses learning sessions (LS) to promote education, professional development and quality improvement (QI) in healthcare. Staff divergences regarding prior knowledge, previous experience, preferences and motivations make selecting which pedagogic strategies to use in LS a challenge.Aim We aimed to assess new active-learning strategies: two educational games, a card game and an escape room-type game, for training in healthcare-associated infection prevention.Methods This descriptive case study evaluated the performance of educational strategies during a Collaborative to reduce healthcare-associated infections in Brazilian intensive care units (ICUs). A post-intervention survey was voluntarily offered to all participants in LS activities.Results Seven regional 2-day LS were held between October and December 2022 (six for adult ICUs and one for paediatric/neonatal ICUs). Of 194 institutions participating in a nationwide QI initiative, 193 (99.4%) participated in these activities, totalling 850 healthcare professionals. From these, 641 participants responded to the survey (75.4%). The post-intervention survey showed that the participants responded positively to the educational activities.Conclusion The participants perceived the various pedagogical strategies positively, which shows the value of a broad and diverse educational approach, customised to local settings and including game-based activities, to enhance learning among healthcare professionals

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

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