65 research outputs found
Advancing Long-Term Care Science Through Using Common Data Elements: Candidate Measures for Care Outcomes of Personhood, Well-Being, and Quality of Life
To support the development of internationally comparable common data elements (CDEs) that can be used to measure essential aspects of long-term care (LTC) across low-, middle-, and high-income countries, a group of researchers in medicine, nursing, behavioral, and social sciences from 21 different countries have joined forces and launched the Worldwide Elements to Harmonize Research in LTC Living Environments (WE-THRIVE) initiative. This initiative aims to develop a common data infrastructure for international use across the domains of organizational context, workforce and staffing, person-centered care, and care outcomes, as these are critical to LTC quality, experiences, and outcomes. This article reports measurement recommendations for the care outcomes domain, focusing on previously prioritized care outcomes concepts of well-being, quality of life (QoL), and personhood for residents in LTC. Through literature review and expert ranking, we recommend nine measures of well-being, QoL, and personhood, as a basis for developing CDEs for long-term care outcomes across countries. Data in LTC have often included deficit-oriented measures; while important, reductions do not necessarily mean that residents are concurrently experiencing well-being. Enhancing measurement efforts with the inclusion of these positive LTC outcomes across countries would facilitate international LTC research and align with global shifts toward healthy aging and person-centered LTC models
Selection and characterization of Beauveria spp. isolates to control the broad mite Polyphagotarsonemus latus (Banks, 1904) (Acari: Tarsonemidae)
Partida de reator anaeróbio compartimentado em série com um reator anaeróbio de manta de lodo, utilizando parâmetros de sedimentabilidade para formação da biomassa
Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.
BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362
Dual role of cerebral blood flow in regional brain temperature control in the healthy newborn infant.
Small shifts in brain temperature after hypoxia-ischaemia affect cell viability. The main determinants of brain temperature are cerebral metabolism, which contributes to local heat production, and brain perfusion, which removes heat. However, few studies have addressed the effect of cerebral metabolism and perfusion on regional brain temperature in human neonates because of the lack of non-invasive cot-side monitors. This study aimed (i) to determine non-invasive monitoring tools of cerebral metabolism and perfusion by combining near-infrared spectroscopy and echocardiography, and (ii) to investigate the dependence of brain temperature on cerebral metabolism and perfusion in unsedated newborn infants. Thirty-two healthy newborn infants were recruited. They were studied with cerebral near-infrared spectroscopy, echocardiography, and a zero-heat flux tissue thermometer. A surrogate of cerebral blood flow (CBF) was measured using superior vena cava flow adjusted for cerebral volume (rSVC flow). The tissue oxygenation index, fractional oxygen extraction (FOE), and the cerebral metabolic rate of oxygen relative to rSVC flow (CMRO2 index) were also estimated. A greater rSVC flow was positively associated with higher brain temperatures, particularly for superficial structures. The CMRO2 index and rSVC flow were positively coupled. However, brain temperature was independent of FOE and the CMRO2 index. A cooler ambient temperature was associated with a greater temperature gradient between the scalp surface and the body core. Cerebral oxygen metabolism and perfusion were monitored in newborn infants without using tracers. In these healthy newborn infants, cerebral perfusion and ambient temperature were significant independent variables of brain temperature. CBF has primarily been associated with heat removal from the brain. However, our results suggest that CBF is likely to deliver heat specifically to the superficial brain. Further studies are required to assess the effect of cerebral metabolism and perfusion on regional brain temperature in low-cardiac output conditions, fever, and with therapeutic hypothermia
Influence of pre and postnatal energy restriction on the productive performance of ewes and lambs
TRATAMENTO COM CLORETO DE CÁLCIO NA PÓS-COLHEITA RETARDA O DESVERDECIMENTO E A PERDA DE FIRMEZA DO MAMÃO UENF/CALIMAN01
Subsidies For The Wetlands Protection Of Xingu River Basin (state Of Mato Grosso, Brazil) [subsídios Para A Proteção De áreas úmidas Da Bacia Do Rio Xingu (mato Grosso, Brasil)]
The Suiá-Miçu Basin (BHSM) is an important Xingu River tributary, in the Amazon Basin, comprised of 2.36 millions hectare of ha in the Parecis Plateau, State of Mato Grosso. It encompasses the savannah, the tropical rainforest and the seasonal evergreen forest, whose composition of species reflect the rainfall and the high seasonality. The objective of this work was to characterize the BHSM floodplain areas, and their role for the environmental preservation. The georeferencing of CBERS-2 satellite images (2006) resulted in a RGB234 mosaic with 20 meters of resolution for mapping BHSM drainages. This mosaic allowed to map all drains of the BHSM, therefore, defining the flooded areas, complemented by crossing the hydrography and geomorphological maps as well as the field works. The results point out an area with more than 192,000 hectares, of which approximately 13% were deforested mainly for agricultural uses. The BHSM wetland areas have an important role in supplying water during the dry seasons. They are composed of fluvio-lacustrine habitats and vegetation diversity as native grassland, flooded forests and veredas (swamp Mauritia flexuosa dominant palms). In Brazil, despite having environmental legislation to fully protect the river and its marginal lands, it is of prime importance to monitor these areas, due to ecosystems fragility found in the BHSM floodplain. Therefore, we recommend more scientifically studies on these ecosystems to carry out decision-making on Brazilian wetland protection areas.363489498Almeida, S.S., Amaral, D.D., Silva, A.S.L., Análise florística de florestas de Várzea no estuário Amazônico (2004) Acta Amazônica, 34 (4), pp. 513-524Askew, G.P., Interrelationships of Soils and Vegetation in the Savanna-Forest Boundary Zone of North-Eastern Mato Grosso (1970) The Geographical Journal, 136 (3), pp. 370-376Barrozo, J.C., Políticas de colonização: As políticas públicas para Amazônia e o Centro-Oeste (2008) Mato Grosso do sonho à utopia da Terra., pp. 15-26. , In: BARROZO, J. C. (Org.). Cuiabá: EdUFMT, Carlini & Caniato EditorialBayley, P.B., Understanding large river: Floodplain ecosystems (1995) BioScience, 45 (3), pp. 153-158Borges, R.F., (2010) Mapeamento de áreas úmidas através de dados de sensoriamento remoto e técnicas de geoprocessamento na Bacia Hidrográfica do Ribeirão Bom Jardim-MG., , http://www.geo.ufv.br/simposio/simposio/trabalhos/trabalhos_completos/eixo1/070.pdf, Disponível em: Acesso em: 22 marMinistério do Meio Ambiente e da Amazônia Legal Consolidação da etapa de diagnóstico dos estudos sobre recursos hídricos no estado de Mato Grosso., p. 173. , BRASIL. Produto 1, RT 1. Cuiabá: 2007Campbell, D.G., Daly, D.C., Prance, G.T., Quantitative ecological inventory of terra firme and varzea tropical forest on the Rio Xingu, Brazilian Amazon (1986) Brittonia, 38 (4), pp. 369-393Capobianco, J.P.R., (2001) Biodiversidade na Amazônia Brasileira, p. 540. , São Paulo: Estação LiberdadeCrósta, A.P., (1992) Processamento digital de imagens de sensoriamento remoto, p. 170. , Campinas: IG/UNICAMPGren, I., The value of investing in wetlands for nitrogen abatement (1995) European Review of Agricultural Economics, 22, pp. 157-172Ivanauskas, N.M., Monteiro, R., Rodrigues, R.R., Estrutura de um trecho de floresta Amazônica na bacia do alto rio Xingu (2004) Acta Amazônica, 34 (2), pp. 275-299Joly, C.A., Evolution of the Brazilian phytogeography classification systems: Implications for biodiversity conservation (1999) Ciência e Cultura Journal of Brazilian Association for the Advancement of Science, 51 (5-6), pp. 331-348Junk, W.J., Wetlands of tropical South America (1993) Wetlands of the world., pp. 679-739. , In: WHIGHAM, D.HEJNV, S.DYKVJOVE, D. (Eds). Dordrecht: Kluwer Academic PublishersKunz, S.H., Estrutura fitossociológica de um trecho de Floresta Estacional Perenifólia Bacia do rio das Pacas, Querência, MT (2010) Cerne, 16 (2), pp. 115-122Laurence, W.F., The future of Brazilian Amazon (2001) Science, 291, pp. 438-439Liu, W.T.H., (2007) Aplicações de sensoriamento remoto, p. 908. , Campo Grande: UNIDERPLovejoy, T.E., Amazonian forest degradation and fragmentation: Implications for biodiversity conservation (2000) Amazonia at the crossroads., pp. 41-57. , In: HALL, A. (Ed.). London: Institute of Latin American Studies, University of LondonMaeda, E.E., Formaggio, A.R., Shimabukuro, Y.E., Análise histórica das transformações da Floresta Amazônica em áreas agrícolas na Bacia do Rio Suia-Miçu (2008) Sociedade e Natureza, 20 (1). , http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1982-45132008000100001&lng=pt&nrm=iso, Disponível em: Acesso em: 22 mar.2010Martins, S.V., (2010) Restauração florestal em Áreas de Preservação Permanentes e Reserva Legal, 1, p. 316. , Viçosa, MG: Centro de Produções TécnicasMartins, S.V., Floristic composition of two wetland forests in Araguaian Plain, State of Tocantins, Brazil, and comparison with other areas (2008) Revista Árvore, 32 (1). , http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-67622008000100015&lng=pt&nrm=iso, Disponível em, Acesso em: 23 mar. 2010Martinez, L., Fiedler, N.C., Lucatelli, G.J., Análise das relações entre desflorestamentos e focos de calor. Estudo de caso nos municípios de Altamira e São Félix do Xingu, no estado do Pará (2007) Revista Árvore, 31 (4), pp. 695-702Menezes, M.L.P., (1999) Parque Indígena do Xingu: A construção de um território estatal., p. 404. , Campinas: UNICAMPMorton, D.C., Cropland expansion changes deforestation dynamics in the southern Brazilian Amazon (2006) Proceedings of the National Academy of Sciences, 39 (103), pp. 14637-14641Prance, G.T., Notes on the vegetation of Amazonia III. The terminology of amazonian forest types subject to inundation (1979) Brittonia, 31 (1), pp. 26-38Richardson, C.J., Ecological functions and human values in wetlands: A framework for assessing forestry impacts (1994) Wetlands, 14 (1), pp. 1-9Rizzini, C.T., (1992) Tratado de Fitogeografia do Brasil, p. 788. , Rio de Janeiro: Âmbito Cultural EdiçõesRossete, A.N., (2008) Caracterização e zoneamento ambiental do Município de Querência-MT, , 108f. Tese (Doutorado em Ecologia e Recursos Naturais)-Centro de Ciências da Saúde e Biológicas, Universidade Federal de São Carlos, São Carlos, 2008Sanches, R.A., Villas-Bôas, A., Os formadores do rio Xingu: Desafios para a presevação e gestão ambiental (2008) Seria melhor mandar ladrilhar? Biodiversidade como, para que, por quê, pp. 303-316. , In: BENSUSAN, N. (Org.), Brasília: Instituto Socioambiental, Universidade de BrasíliaSeeger, A., (1981) Nature and society in Central Brazil, p. 278. , The Suya Indians of Mato Grosso. Cambridge: Harvard University PressSoares-Filho, B.S., Modelling conservation in the Amazon basin (2006) Nature, 440 (23), pp. 520-523Stefanello, D., Síndromes de dispersão de diásporos das espécies de trechos de vegetação ciliar do rio das Pacas, Querência-MT (2010) Acta Amazônica, 40 (1), pp. 141-150Stefanello, D., (2008) Florística, estrutura e dispersão de sementes de três trechos de floresta estacional perenifólia ribeirinha na bacia hidrográfica do rio das Pacas, Querência-MT., , 83f. Dissertação (Mestrado em Ciências Florestais)-Universidade Federal de Viçosa, Viçosa, MG, 2008Tockner, K., Stanford, J.A., Riverine flood plains: Present state and future trends (2002) Environmental Conservation, 29, pp. 308-330Turner, K., Economics and wetland management (1991) Ambio, 20 (2), pp. 59-6
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