Miocárdio não compactado – um relatode caso: Non-compacted myocardium - a case report

A insuficiência cardíaca (IC) é uma patologia que pode apresentar diversas etiologias e que muitas vezes não é esclarecida. O miocárdio não compactado (MNC) muitas vezes é subestimado devido a não extensão propedêutica. O esclarecimento da causa da IC pode implicar em avaliação prognóstica do paciente e investigação precoce dos familiares, possibilitando tratamento adequado e aumento da sobrevida desses

Ações educativas em uma instituição de longa permanência para pessoa idosa: relato de experiência / Educational actions in a long stay institution for elderly people: experience report

Relatar a experiência de discentes de enfermagem em uma Instituição de Longa Permanência para Pessoa Idosa. Trata-se de um relato de experiência vivenciado em uma atividade de extensão do curso de enfermagem da Faculdade de Tecnologia de Alagoas, levando atendimento humanizado e acolhedor em uma Instituição de Longa Permanência para Pessoa Idosa. A participação se deu de forma assistida, através das práticas em enfermagem assimilados em sala de aula e com aspectos voltados de forma humana, coletiva, individual e subjetiva de cada um. Durante a visita supervisionada, foi desenvolvida atividades de saúde e bem-estar, alongamentos, caminhadas, orientações sobre bons hábitos de vida e alimentação saudável, bem como a realização de aferição de sinais vitais, exame físico e anamnese. As práticas que são voltadas de cunho científico- extensão viabilizam a formação com a perspectiva de maior aperfeiçoamento em relação as técnicas que são empregadas durante a graduação de enfermagem. A assistência de enfermagem visa proporcionar a esses idosos melhor qualidade de vida, e são através dessas práticas que também conseguimos identificar quais pontos requerem mais atenção para que haja intervenções voltadas para essa população

Idosos e o uso desordenado de psicofármaco na atenção básica/ Elderly people and the disordered use of psychopharmaceuticals in basic care

Uma das parcelas significativas dos medicamentos prescritos no Brasil é da classe dos psicofármacos, essas drogas interferem no sistema nervoso central, essa utilização aumentada é um problema de todo o mundo. Objetivo: Analisar através da literatura científica artigos que discorram sobre o uso de forma desordenada de psicotrópicos em pacientes idosos. Metodologia: Trata-se de uma revisão narrativa da literatura. foram utilizadas produções científicas com bases nos periódicos: Lilacs, Bdenf e Scielo, entre os anos de 2012 a 2017. Como critérios de inclusão optou-se por artigos apenas no idioma português, e estudos de natureza qualitativa, quantitativa e revisão da literatura. Além dos descritores: Transtorno Depressivo, Antidepressivos e Adesão à Medicação. Resultado: É necessário que haja uma reestruturação dos serviços de saúde afim de poder oferecer aos pacientes idosos uma maior segurança na conduta terapêutica aplicada, afim de minimizar os efeitos colaterais adversos, orientando sobre o uso correto das medicações de acordo com suas necessidades, através de profissionais especializados e prescritores capacitados. Conclusões: Desta forma, o trabalho apresentado refere-se a um estudo bibliográfico, de caráter narrativo, buscando refletir sobre o cuidado da saúde mental dos idosos, afim de poder estabelecer uma ponte entre o sujeito e o seu contexto de vida em que está inserido

TRY plant trait database - enhanced coverage and open access

Plant traits-the morphological, anatomical, physiological, biochemical and phenological characteristics of plants-determine how plants respond to environmental factors, affect other trophic levels, and influence ecosystem properties and their benefits and detriments to people. Plant trait data thus represent the basis for a vast area of research spanning from evolutionary biology, community and functional ecology, to biodiversity conservation, ecosystem and landscape management, restoration, biogeography and earth system modelling. Since its foundation in 2007, the TRY database of plant traits has grown continuously. It now provides unprecedented data coverage under an open access data policy and is the main plant trait database used by the research community worldwide. Increasingly, the TRY database also supports new frontiers of trait-based plant research, including the identification of data gaps and the subsequent mobilization or measurement of new data. To support this development, in this article we evaluate the extent of the trait data compiled in TRY and analyse emerging patterns of data coverage and representativeness. Best species coverage is achieved for categorical traits-almost complete coverage for 'plant growth form'. However, most traits relevant for ecology and vegetation modelling are characterized by continuous intraspecific variation and trait-environmental relationships. These traits have to be measured on individual plants in their respective environment. Despite unprecedented data coverage, we observe a humbling lack of completeness and representativeness of these continuous traits in many aspects. We, therefore, conclude that reducing data gaps and biases in the TRY database remains a key challenge and requires a coordinated approach to data mobilization and trait measurements. This can only be achieved in collaboration with other initiatives

Bacteria-inducing legume nodules involved in the improvement of plant growth, health and nutrition

Bacteria-inducing legume nodules are known as rhizobia and belong to the class Alphaproteobacteria and Betaproteobacteria. They promote the growth and nutrition of their respective legume hosts through atmospheric nitrogen fixation which takes place in the nodules induced in their roots or stems. In addition, rhizobia have other plant growth-promoting mechanisms, mainly solubilization of phosphate and production of indoleacetic acid, ACC deaminase and siderophores. Some of these mechanisms have been reported for strains of rhizobia which are also able to promote the growth of several nonlegumes, such as cereals, oilseeds and vegetables. Less studied are the mechanisms that have the rhizobia to promote the plant health; however, these bacteria are able to exert biocontrol of some phytopathogens and to induce the plant resistance. In this chapter, we revised the available data about the ability of the legume nodule-inducing bacteria for improving the plant growth, health and nutrition of both legumes and nonlegumes. These data showed that rhizobia meet all the requirements of sustainable agriculture to be used as bio-inoculants allowing the total or partial replacement of chemicals used for fertilization or protection of crops

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

AIM: The SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery. METHODS: This was an international prospective cohort study of consecutive colorectal cancer patients with a decision for curative surgery (January-April 2020). Surgical delay was defined as an operation taking place more than 4 weeks after treatment decision, in a patient who did not receive neoadjuvant therapy. A subgroup analysis explored the effects of delay in elective patients only. The impact of longer delays was explored in a sensitivity analysis. The primary outcome was complete resection, defined as curative resection with an R0 margin. RESULTS: Overall, 5453 patients from 304 hospitals in 47 countries were included, of whom 6.6% (358/5453) did not receive their planned operation. Of the 4304 operated patients without neoadjuvant therapy, 40.5% (1744/4304) were delayed beyond 4 weeks. Delayed patients were more likely to be older, men, more comorbid, have higher body mass index and have rectal cancer and early stage disease. Delayed patients had higher unadjusted rates of complete resection (93.7% vs. 91.9%, P = 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, P < 0.001). After adjustment, delay was not associated with a lower rate of complete resection (OR 1.18, 95% CI 0.90-1.55, P = 0.224), which was consistent in elective patients only (OR 0.94, 95% CI 0.69-1.27, P = 0.672). Longer delays were not associated with poorer outcomes. CONCLUSION: One in 15 colorectal cancer patients did not receive their planned operation during the first wave of COVID-19. Surgical delay did not appear to compromise resectability, raising the hypothesis that any reduction in long-term survival attributable to delays is likely to be due to micro-metastatic disease

The psychological science accelerator’s COVID-19 rapid-response dataset

In response to the COVID-19 pandemic, the Psychological Science Accelerator coordinated three large-scale psychological studies to examine the effects of loss-gain framing, cognitive reappraisals, and autonomy framing manipulations on behavioral intentions and affective measures. The data collected (April to October 2020) included specific measures for each experimental study, a general questionnaire examining health prevention behaviors and COVID-19 experience, geographical and cultural context characterization, and demographic information for each participant. Each participant started the study with the same general questions and then was randomized to complete either one longer experiment or two shorter experiments. Data were provided by 73,223 participants with varying completion rates. Participants completed the survey from 111 geopolitical regions in 44 unique languages/dialects. The anonymized dataset described here is provided in both raw and processed formats to facilitate re-use and further analyses. The dataset offers secondary analytic opportunities to explore coping, framing, and self-determination across a diverse, global sample obtained at the onset of the COVID-19 pandemic, which can be merged with other time-sampled or geographic data