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1.
Hashimoto’s thyroiditis masquerading as acute tubular injury and rhabdomyolysis Hashimotos Hashimoto s
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Resumo A tireoidite de Hashimoto que se manifesta como hipotireoidismo tem sido implicada em distúrbios glomerulares devido à formação de autoanticorpos. Apresentamos aqui o caso de um homem de 26 anos de idade, sem quaisquer comorbidades, que apresentou fadiga fácil e ganho de peso por 2 meses. Foi constatado que ele apresentou creatinina de 2,1 mg/dL com histórico de rinite tratada com anti-histamínico três dias antes da visita ao hospital. Ele teve sintomas de mialgia intermitente nas duas semanas anteriores. Na avaliação laboratorial, constatou-se que ele apresentava níveis elevados de CPK, TSH elevado, T4 normal baixo e anticorpos anti-TPO e anti-Tg positivos. A ultrassonografia do pescoço revelou septações ecogênicas lineares na glândula tireoide. A biópsia renal revelou lesão tubular aguda. Foi iniciada uma suplementação adequada de tiroxina e sua creatinina foi reduzida para 1,2 mg/dL após um mês. É importante que os médicos estejam cientes dessa rara apresentação renal na tireoidite de Hashimoto. autoanticorpos idade comorbidades meses 21 1 2, mgdL mg dL antihistamínico anti histamínico hospital anteriores laboratorial constatouse constatou CPK elevado T antiTPO TPO antiTg Tg positivos tireoide aguda 12 1, mês
Abstract Hashimoto’s thyroiditis manifesting as hypothyroidism has been implicated in glomerular disorders due to autoantibody formation. Here we present the case of a 26-year-old male without any comorbidities presenting with easy fatiguability and weight gain for 2 months. He was found to have a creatinine of 2.1 mg/dL with a history of rhinitis treated with anti-histaminic three days prior to the hospital visit. He had symptoms of intermittent myalgia for the past two weeks. On laboratory evaluation, he was found to have raised CPK, elevated TSH, low normal T4, and positive anti-TPO and anti-Tg antibodies. Neck ultrasound revealed linear echogenic septations in the thyroid gland. Renal biopsy revealed acute tubular injury. Appropriate thyroxine supplementation was started and his creatinine decreased to 1.2 mg/dL after 1 month. It is important that clinicians should be aware of this rare kidney presentation in Hashimoto’s thyroiditis. Hashimotos Hashimoto s formation 26yearold yearold 26 year old months 21 2. mgdL mg dL antihistaminic anti histaminic visit weeks evaluation CPK TSH T4 T antiTPO TPO antiTg Tg antibodies gland injury 12 1. month
2.
Assessing factors considered in the project design and the perceived value of a research project by the students in a university chemistry course
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Project-based learning has received a lot of attention in academia across all education levels as one of the pedagogical approaches with the potential to promote scientific literacy and the development of work-related knowledge, skills, and competencies. Through mixed methods, this descriptive study assessed chemistry students' perceptions about a project design experience in response to the following research questions: What lessons can be drawn from students' perceptions about conceptualising a research project? What are students' perceptions about the inclusion of research projects as part of their learning in chemistry? Likert scale questionnaires and open-ended questionnaires were used to collect data. Quantitative data were analysed through descriptive statistics to establish patterns, while qualitative data were analysed through conventional content analysis. Findings show that most students were able to design their own projects with minimal assistance. Environmental concerns, curiosity and concepts from other courses were primary factors that influenced students' choice of projects. However, the conceptualisation of the research projects by students showed some challenges and lack of coherence, which were attributed, in part, to students' lack of experience in both research and experimentation. Nonetheless, students recommend the inclusion of projects as part of their learning because of the opportunities they experienced. The study concludes that project design stage is critical and exposes students to essential elements of project-based learning, should be introduced early and be supported with resources and adequate supervision. Adoption of project-based learning has the potential to help students acquire and develop skills readily applicable to address real-life problems.
3.
Garlic Extract Reverses Ischemic Heart Disease in Female Rats Exposed to Combined Oral Contraceptive Pills
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Nelson, Onitsha Enebrayi
; Simeon, Gborienemi George
; Borobuebi, Okutu Jackson
; Wankasi, Mie-Ebi Martin
; Chukwuma, Ezeiruaku Ferdinand
.
International Journal of Cardiovascular Sciences
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Abstract Background Garlic is an herbal medicinal plant with several pharmacological properties used for the management of various ailments. However, its potential in the reversal of ischemic heart disease induced by combined oral contraceptive pills is not well reported. Objective This study investigated the cardioprotective potential of aqueous garlic extract against cardiotoxicity induced by oral contraceptive pills. Methods Forty-six rats were used for this study. Six were used to determine the lethal dose (LD50), and 40 rats were divided randomly into 5 groups of 8 rats each. Group A received feed and distilled water. Group B received 0.6 mg/kg of oral contraceptive pills. Group C received 500 mg/kg of garlic extract. Group D received 0.6 mg/kg of oral contraceptive pills + 500 mg/kg garlic extract. Group E received 0.6 mg/kg of oral contraceptive pills + 700 mg/kg garlic extract. The animals were sacrificed, and blood and tissue samples were collected for biochemical and histological analysis. Statistical analysis was done using SPSS, and p values < 0.05 were considered significant. Results The acute toxicity dose of combined oral contraceptive pills was 1.5 mg/kg for albino rats. Combined oral contraceptive pills induced ischemic necrosis as revealed by the photomicrographs, in addition to elevation of serum cardiac troponin-1, lactate dehydrogenase, creatine kinase, and malondialdehyde levels. Treatment with garlic extract demonstrated significant reduction in cardiac troponin-1 (p = 0.000), lactate dehydrogenase (p = 0.002), creatine kinase (p = 0.001), and malondialdehyde (p = 0.001) levels, as well as restoration of the cardiac cytoarchitecture changes caused by the combined oral contraceptive pills. Conclusion This study has demonstrated that aqueous garlic juice can reverse ischemic heart disease, lessen cytoarchitectural alterations of the heart caused by combined oral contraceptive pills, and thus ameliorate cardiac dysfunction. ailments However reported Fortysix Forty six LD50, LD50 LD , (LD50) 4 each water 06 0 6 0. mgkg mg kg 50 70 sacrificed SPSS 005 05 0.0 15 1 1. photomicrographs troponin1, troponin1 troponin 1, levels troponin- 0.000, 0000 0.000 000 0.000) 0.002, 0002 0.002 002 0.002) 0.001, 0001 0.001 001 dysfunction LD5 (LD50 7 00 0.00 (LD5 (LD
4.
Root canal curvature influences uncontrolled removal of dentin and cleaning efficacy after ultrasonic activation
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Paiva, Hermano Camelo
; Iglecias, Elaine Faga
; Freire, Laila Gonzales
; Candeiro, George Táccio de Miranda
; Vieira, Basílio Rodrigues
; Sousa, Frederico Barbosa de
; Gavini, Giulio
.
Resumo Este estudo avaliou a correlação entre a curvatura do canal radicular e os efeitos da irrigação ultrassônica nos seguintes parâmetros: volume de remoção não controlada de dentina (UDRVol), profundidade máxima do desgaste de dentina, remoção de debris de tecido duro acumulado (AHTD) e transporte em canais radiculares curvos. Vinte e quatro molares inferiores humanos permanentes foram divididos em dois grupos de acordo com a curvatura do canal radicular: curvatura moderada (MC: média de 25°); e curvatura acentuada (SC: média de 48°). Os espécimes foram digitalizados usando um scanner microcomputador de raios X (Skyscan 1172) antes e depois da limpeza e modelagem e após a irrigação ultrassônica. Houve uma correlação moderada entre o grau de curvatura do canal radicular e o volume de AHTD remanescente (p<0,05) e entre o grau de curvatura do canal radicular e a profundidade máxima de defeitos devido à remoção descontrolada de dentina (p<0,05). Os dentes do grupo SC apresentaram maior profundidade máxima de defeitos na parede dentinária no terço apical do que os dentes do grupo MC (p<0,05). Ambos os grupos tiveram uma redução significativa de AHTD em todos os terços do canal, mas a quantidade de AHTD remanescente nos terços médio e apical e em todo o canal foi significativamente maior no grupo SC do que no grupo MC (p <0,05). O transporte do canal não foi influenciado pela curvatura do canal em todos os terços (p > 0,05). Este estudo concluiu que a curvatura do canal radicular afeta significativamente a remoção descontrolada de dentina e o volume remanescente de AHTD após a irrigação ultrassônica. parâmetros UDRVol, UDRVol , (UDRVol) (AHTD curvos (MC 25° 25 25°) (SC 48°. 48 48° . 48°) Skyscan 1172 p<0,05 p005 p 0 05 (p<0,05 p<0,05. <0,05. 005 <0,05 <0,05) 0,05. 0,05 0,05) (UDRVol 2 4 117 p<0,0 p00 (p<0,0 00 <0,0 0,0 11 p<0, p0 (p<0, <0, 0, 1 p<0 (p<0 <0 p< (p< <
Abstract This study evaluated the correlation between root canal curvature and the effects of ultrasonic irrigation in the following parameters: volume of uncontrolled dentin removal (UDRVol), maximum depth of dentin defects, removal of accumulated hard tissue debris (AHTD), and canal transportation in prepared curved root canals. Twenty-four human permanent mandibular molars were divided into two groups according to root canal curvature: moderate curvature (MC: mean 25°); and severe curvature (SC: mean 48°). The specimens were scanned using an X-ray microcomputed scanner (Skyscan 1172) before and after cleaning and shaping and after the final irrigation protocol with ultrasonic irrigation. There was a moderate correlation between the degree of root canal curvature and the volume of remaining AHTD (p<0.05) and between the degree of root canal curvature and maximum depth of defects due to uncontrolled removal of dentin (p<0.05). The teeth in the SC group had a greater maximum depth of defects on the dentin wall in the apical third than the teeth in the MC group (p <0.05). Both groups had a significant reduction of AHTD in all canal thirds, but the amount of remaining AHTD in the middle and apical thirds and the whole canal was significantly greater in the SC than in the MC group (p <0.05). Canal transportation was not influenced by the canal curvature in all thirds (p >0.05). This study concluded that root canal curvature affects significantly the uncontrolled removal of dentin and remaining AHTD volume after the final irrigation protocol with ultrasonic irrigation. parameters UDRVol, UDRVol , (UDRVol) AHTD, (AHTD) canals Twentyfour Twenty four (MC 25° 25 25°) (SC 48°. 48 48° . 48°) Xray X ray Skyscan 1172 p<0.05 p005 p 0 05 (p<0.05 p<0.05. <0.05. 005 <0.05 <0.05) >0.05. >0.05 >0.05) (UDRVol (AHTD 2 4 117 p<0.0 p00 (p<0.0 00 <0.0 >0.0 11 p<0. p0 (p<0. <0. >0. 1 p<0 (p<0 <0 >0 p< (p< < >
5.
Lung function and quality of life one year after severe COVID-19 in Brazil COVID19 COVID 19 COVID-1 COVID1 1 COVID-
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Prata, Tarciane Aline
; Leite, Arnaldo Santos
; Augusto, Valéria Maria
; Bretas, Daniel Cruz
; Andrade, Bruno Horta
; Oliveira, Jaqueline das Graças Ferreira
; Batista, Aline Priscila
; Machado-Coelho, George Luiz Lins
; Mancuzo, Eliane
; Marinho, Carolina Coimbra
.
ABSTRACT Objective: To evaluate symptoms, lung function, and quality of life of a cohort of patients hospitalized for severe COVID-19 12 months after hospital admission. Methods: This was a cross-sectional study. We included severe COVID-19 survivors hospitalized in one of three tertiary referral hospitals for COVID-19 in the city of Belo Horizonte, Brazil. Participants were submitted to lung function and six-minute walk tests and completed the EQ-5D-3L questionnaire. Results: The whole sample comprised 189 COVID-19 survivors (mean age = 59.6 ± 13.4 years) who had been admitted to a ward only (n = 96; 50.8%) or to an ICU (n = 93; 49.2%). At 12 months of follow-up, 43% of patients presented with dyspnea, 27% of whom had a restrictive ventilatory disorder and 18% of whom presented with impaired DLCO. There were no significant differences in FVC, FEV1, and TLC between the survivors with or without dyspnea. However, those who still had dyspnea had significantly more impaired DLCO (14.9% vs. 22.4%; p < 0.020) and poorer quality of life. Conclusions: After one year, survivors of severe COVID-19 in a middle-income country still present with high symptom burden, restrictive ventilatory changes, and loss of quality of life. Ongoing follow-up is needed to characterize long COVID-19 and identify strategies to mitigate its consequences. Objective symptoms COVID19 COVID 19 COVID-1 1 admission Methods crosssectional cross sectional study Horizonte Brazil sixminute six minute EQ5D3L EQDL EQ 5D 3L D L questionnaire Results 18 mean 596 59 6 59. 134 13 4 13. years n 96 50.8% 508 50 8 93 49.2%. 492 49.2% . 49 2 49.2%) followup, followup follow up, up 43 27 FVC FEV1 FEV However 14.9% 149 14 9 (14.9 vs 22.4% 224 22 0.020 0020 0 020 Conclusions year middleincome middle income burden changes consequences COVID1 COVID- 5 50.8 49.2 14.9 (14. 22.4 0.02 002 02 50. 49. 14. (14 22. 0.0 00 (1 0. (
6.
Novel Phenylpropanoid Derivative from Euploca procumbens (Mill.) Diane & Hilger with Potential Anti-Inflammatory Activity Mill. Mill (Mill. AntiInflammatory Anti Inflammatory (Mill
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Santos, George L. D. dos
; Lins, Francisca S. V.
; Nascimento, Yuri M. do
; Souza, Thalisson A. de
; Opretzka, Luiza C. F.
; Villarreal, Cristiane F.
; Albuquerque, Ana C. F. de
; Abreu, Lucas S.
; Santos Junior, Fernando M. dos
; Melo, José I. M. de
; Fechine, Ivana M.
; Braz Filho, Raimundo
; Tavares, Josean F.
; Silva, Marcelo S. da
.
A new phenylpropanoid derivative, named euploic acid (1), was isolated from Euploca procumbens (Mill.) Diane & Hilger, Boraginaceae, along with lithospermic acid B (2), lithospermic acid (3), 9’’-methyl lithospermate (4), and luteolin-7-O-glucoside (5). Compound structures were determined by mass spectrometry (MS), nuclear magnetic resonance (NMR) analysis and comparison with published data. Absolute configuration of 1 was established via electronic circular dichroism (ECD). Anti-inflammatory potential of euploic acid (1) was assessed by measuring its inhibition of cytokine and nitric oxide production in stimulated J774 macrophages. Compound 1 significantly reduced pro-inflammatory mediator production and release by stimulated macrophages at non-cytotoxic concentrations, comparable to the efficacy of dexamethasone. Our findings demonstrate the potential of euploic acid (1) as an effective anti-inflammatory agent. This study contributes to the structural elucidation of a new phenylpropanoid derivative and highlights its promising anti-inflammatory activity in the treatment of inflammatory disorders. 1, , Mill. Mill (Mill. Hilger Boraginaceae 2, 2 (2) 3, 3 (3) 9methyl methyl 9 4, 4 (4) luteolin7Oglucoside luteolinOglucoside luteolin 7 O glucoside 5. 5 . (5) MS, MS (MS) NMR (NMR data ECD. ECD (ECD) Antiinflammatory Anti (1 J J77 proinflammatory pro noncytotoxic non cytotoxic concentrations dexamethasone antiinflammatory anti agent disorders (Mill (2 (3 (4 Oglucoside (5 (MS (ECD ( J7
7.
Using geophysical density logging to estimate the thickness and density of coal seams in the Southern region of Brazil
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Andrade, Barbara Victoria Reffatti
; Salvadoretti, Paulo
; Abichequer, Luciana Arnt
; Gasper, George Olufunmilayo
; Souza, Luis Eduardo de
.
Abstract This study shows the usefulness of borehole geophysical logging of density in the identification of coal seams, in relation to other lithologies present in a coal deposit located in the south of Brazil. Four drillholes were studied. The geological descriptions of the core samples recovered from these holes were the main information used as a control parameter in comparison with the geophysical logs. A threshold of density (2.0 g/cm3) was established in the gamma-gamma log analysis for identifying the coal seams with economic value. Also due to the economic and operational aspects related to the coal industry, the coal seams must be at least 0.4 meters thick. Once the coal seams were identified by density logs, a verification of the accuracy in the determination of the thicknesses and densities of the coal seams was performed. The coal seam thicknesses and densities determined by borehole logging were close to the observed values in the borehole core samples. As a result of the comparison between the geological and density log data, an average value difference of 0.03 m and -0.01 g/cm3 was reached for thickness and density, respectively. Due to the results and valuable information obtained, it was also possible to indicate and determine which areas of the deposit should be mined in relation to the drillholes studied and threshold parameters established. In conclusion, the importance of this evaluation is emphasized, mainly with respect to the thickness of the coal seams, which aids in the development of effective mine planning. Brazil logs 2.0 20 2 0 (2. gcm3 gcm g cm3 cm gammagamma gamma industry 04 4 0. thick performed data 003 03 0.0 0.01 001 01 -0.0 g/cm respectively obtained conclusion emphasized planning 2. (2 00 -0. ( -0 -
8.
Foliar diagnosis of common arrowroot propagated by different forms and fertilized with biofertilizer
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Lima, Ana K. B.
; Costa, Rafael S. da
; Borges, Francisca R. M.
; Dias, Thiago J.
; Mamede, George L.
; Amorim, Aiala V.
; Silva, Mateus G. J. B.
; Lourencio, Rosaliny de C.
; Melo Junior, Madson F. de
; Marinho, Albanise B.
.
Revista Brasileira de Engenharia Agrícola e Ambiental
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RESUMO A araruta (Maranta arundinaceae) é uma planta alimentícia não convencional (PANC) que apresenta propriedades nutricionais relevantes. No entanto, poucos estudos sobre a espécie quanto às suas formas de propagação e sua nutrição foram realizados. Paralelamente, o biofertilizante fornece nutrientes e estimula o desenvolvimento das espécies, pois promove melhorias nas propriedades do solo. Nesse contexto, o objetivo neste estudo foi avaliar o efeito de diferentes formas de propagação e doses de biofertilizante na nutrição da araruta. O delineamento experimental foi em blocos casualizados em esquema de parcelas subdivididas, avaliando três formas de propagação (rizoma inteiro, parte do rizoma e caule) e utilizando cinco doses de biofertilizante (0, 300, 600, 900 e 1200 mL por planta semana-1). Aos 268 dias após o plantio foi realizada a coleta das folhas para análise do teor de macro e micronutrientes foliares. Plantas propagadas por haste apresentam menor acúmulo de N, P, K, S e maior acúmulo de Na, em relação às demais formas de propagação. Os teores de N e K foram incrementados pela aplicação do biofertilizante, alcançando valores de 20,8 e 18,2 g kg-1 nas doses de 1200 e 955 mL por planta semana-1, respectivamente. O acúmulo dos micronutrientes foi influenciado pelas formas de propagação e pelas doses de biofertilizante, apresentando respostas positivas, especialmente para o Zn na dose máxima. A propagação por rizoma inteiro e as doses entre 600 e 1200 mL por planta semana-1 são as recomendadas para que se obtenha os melhores resultados nutricionais na araruta. Maranta arundinaceae PANC (PANC relevantes entanto realizados Paralelamente espécies solo contexto subdivididas caule 0, 0 (0 300 90 120 semana1. semana1 semana 1 . semana-1) 26 foliares P Na 208 20 8 20, 182 18 2 18, kg1 kg kg- 95 semana1, 1, respectivamente positivas máxima 60 semana- ( 30 9 12 6 3
ABSTRACT Arrowroot (Maranta arundinaceae) is a unconventional food plant (UFP) that has relevant nutritional properties. However, few studies on the species regarding its forms of propagation and its nutrition have been performed. In parallel, biofertilizer provides nutrients and stimulates the development of species, as it promotes improvements in soil properties. In this context, the objective in this study was to evaluate the effect of different forms of propagation and doses of biofertilizer on arrowroot nutrition. A randomized block experimental design in a split-plot scheme, evaluating three forms of propagation (whole rhizome, part of the rhizome and stem) and five doses of biofertilizer (0, 300, 600, 900 and 1200 mL per plant week-1) was used. At 268 days after planting, the leaves were collected for analysis of leaf macro and micronutrient contents. Plants propagated by stem have lower accumulation of N, P, K and S and higher accumulation of Na, compared to the other forms of propagation. N and K contents were increased by the application of biofertilizer, reaching values of 20.8 and 18.2 g kg-1 at doses of 1200 and 955 mL per plant week-1, respectively. Accumulation of micronutrients was influenced by the forms of propagation and doses of biofertilizer, showing positive responses, especially for Zn at the maximum dose. Propagation by whole rhizome and doses from 600 to 1200 mL per plant week-1 are recommended to obtain the best nutritional results in arrowroot. Maranta arundinaceae UFP (UFP properties However performed parallel context splitplot split plot scheme 0, 0 (0 300 90 120 week1 week 1 used 26 planting P Na 208 20 8 20. 182 18 2 18. kg1 kg kg- 95 week1, 1, respectively responses dose 60 week- ( 30 9 12 6 3
9.
Catálogo Taxonômico da Fauna do Brasil: Setting the baseline knowledge on the animal diversity in Brazil Brasil
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Boeger, Walter A.
; Valim, Michel P.
; Zaher, Hussam
; Rafael, José A.
; Forzza, Rafaela C.
; Percequillo, Alexandre R.
; Serejo, Cristiana S.
; Garraffoni, André R.S.
; Santos, Adalberto J.
; Slipinski, Adam
; Linzmeier, Adelita M.
; Calor, Adolfo R.
; Garda, Adrian A.
; Kury, Adriano B.
; Fernandes, Agatha C.S.
; Agudo-Padrón, Aisur I.
; Akama, Alberto
; Silva Neto, Alberto M. da
; Burbano, Alejandro L.
; Menezes, Aleksandra
; Pereira-Colavite, Alessandre
; Anichtchenko, Alexander
; Lees, Alexander C.
; Bezerra, Alexandra M.R.
; Domahovski, Alexandre C.
; Pimenta, Alexandre D.
; Aleixo, Alexandre L.P.
; Marceniuk, Alexandre P.
; Paula, Alexandre S. de
; Somavilla, Alexandre
; Specht, Alexandre
; Camargo, Alexssandro
; Newton, Alfred F.
; Silva, Aline A.S. da
; Santos, Aline B. dos
; Tassi, Aline D.
; Aragão, Allan C.
; Santos, Allan P.M.
; Migotto, Alvaro E.
; Mendes, Amanda C.
; Cunha, Amanda
; Chagas Júnior, Amazonas
; Sousa, Ana A.T. de
; Pavan, Ana C.
; Almeida, Ana C.S.
; Peronti, Ana L.B.G.
; Henriques-Oliveira, Ana L.
; Prudente, Ana L.
; Tourinho, Ana L.
; Pes, Ana M.O.
; Carmignotto, Ana P.
; Wengrat, Ana P.G. da Silva
; Dornellas, Ana P.S.
; Molin, Anamaria Dal
; Puker, Anderson
; Morandini, André C.
; Ferreira, André da S.
; Martins, André L.
; Esteves, André M.
; Fernandes, André S.
; Roza, André S.
; Köhler, Andreas
; Paladini, Andressa
; Andrade, Andrey J. de
; Pinto, Ângelo P.
; Salles, Anna C. de A.
; Gondim, Anne I.
; Amaral, Antonia C.Z.
; Rondón, Antonio A.A.
; Brescovit, Antonio
; Lofego, Antônio C.
; Marques, Antonio C.
; Macedo, Antonio
; Andriolo, Artur
; Henriques, Augusto L.
; Ferreira Júnior, Augusto L.
; Lima, Aurino F. de
; Barros, Ávyla R. de A.
; Brito, Ayrton do R.
; Romera, Bárbara L.V.
; Vasconcelos, Beatriz M.C. de
; Frable, Benjamin W.
; Santos, Bernardo F.
; Ferraz, Bernardo R.
; Rosa, Brunno B.
; Sampaio, Brunno H.L.
; Bellini, Bruno C.
; Clarkson, Bruno
; Oliveira, Bruno G. de
; Corrêa, Caio C.D.
; Martins, Caleb C.
; Castro-Guedes, Camila F. de
; Souto, Camilla
; Bicho, Carla de L.
; Cunha, Carlo M.
; Barboza, Carlos A. de M.
; Lucena, Carlos A.S. de
; Barreto, Carlos
; Santana, Carlos D.C.M. de
; Agne, Carlos E.Q.
; Mielke, Carlos G.C.
; Caetano, Carlos H.S.
; Flechtmann, Carlos H.W.
; Lamas, Carlos J.E.
; Rocha, Carlos
; Mascarenhas, Carolina S.
; Margaría, Cecilia B.
; Waichert, Cecilia
; Digiani, Celina
; Haddad, Célio F.B.
; Azevedo, Celso O.
; Benetti, Cesar J.
; Santos, Charles M.D. dos
; Bartlett, Charles R.
; Bonvicino, Cibele
; Ribeiro-Costa, Cibele S.
; Santos, Cinthya S.G.
; Justino, Cíntia E.L.
; Canedo, Clarissa
; Bonecker, Claudia C.
; Santos, Cláudia P.
; Carvalho, Claudio J.B. de
; Gonçalves, Clayton C.
; Galvão, Cleber
; Costa, Cleide
; Oliveira, Cléo D.C. de
; Schwertner, Cristiano F.
; Andrade, Cristiano L.
; Pereira, Cristiano M.
; Sampaio, Cristiano
; Dias, Cristina de O.
; Lucena, Daercio A. de A.
; Manfio, Daiara
; Amorim, Dalton de S.
; Queiroz, Dalva L. de
; Queiroz, Dalva L. de
; Colpani, Daniara
; Abbate, Daniel
; Aquino, Daniel A.
; Burckhardt, Daniel
; Cavallari, Daniel C.
; Prado, Daniel de C. Schelesky
; Praciano, Daniel L.
; Basílio, Daniel S.
; Bená, Daniela de C.
; Toledo, Daniela G.P. de
; Takiya, Daniela M.
; Fernandes, Daniell R.R.
; Ament, Danilo C.
; Cordeiro, Danilo P.
; Silva, Darliane E.
; Pollock, Darren A.
; Muniz, David B.
; Gibson, David I.
; Nogueira, David S.
; Marques, Dayse W.A.
; Lucatelli, Débora
; Garcia, Deivys M.A.
; Baêta, Délio
; Ferreira, Denise N.M.
; Rueda-Ramírez, Diana
; Fachin, Diego A.
; Souza, Diego de S.
; Rodrigues, Diego F.
; Pádua, Diego G. de
; Barbosa, Diego N.
; Dolibaina, Diego R.
; Amaral, Diogo C.
; Chandler, Donald S.
; Maccagnan, Douglas H.B.
; Caron, Edilson
; Carvalho, Edrielly
; Adriano, Edson A.
; Abreu Júnior, Edson F. de
; Pereira, Edson H.L.
; Viegas, Eduarda F.G.
; Carneiro, Eduardo
; Colley, Eduardo
; Eizirik, Eduardo
; Santos, Eduardo F. dos
; Shimbori, Eduardo M.
; Suárez-Morales, Eduardo
; Arruda, Eliane P. de
; Chiquito, Elisandra A.
; Lima, Élison F.B.
; Castro, Elizeu B. de
; Orlandin, Elton
; Nascimento, Elynton A. do
; Razzolini, Emanuel
; Gama, Emanuel R.R.
; Araujo, Enilma M. de
; Nishiyama, Eric Y.
; Spiessberger, Erich L.
; Santos, Érika C.L. dos
; Contreras, Eugenia F.
; Galati, Eunice A.B.
; Oliveira Junior, Evaldo C. de
; Gallardo, Fabiana
; Hernandes, Fabio A.
; Lansac-Tôha, Fábio A.
; Pitombo, Fabio B.
; Dario, Fabio Di
; Santos, Fábio L. dos
; Mauro, Fabio
; Nascimento, Fabio O. do
; Olmos, Fabio
; Amaral, Fabio R.
; Schunck, Fabio
; Godoi, Fábio S. P. de
; Machado, Fabrizio M.
; Barbo, Fausto E.
; Agrain, Federico A.
; Ribeiro, Felipe B.
; Moreira, Felipe F.F.
; Barbosa, Felipe F.
; Silva, Fenanda S.
; Cavalcanti, Fernanda F.
; Straube, Fernando C.
; Carbayo, Fernando
; Carvalho Filho, Fernando
; Zanella, Fernando C.V.
; Jacinavicius, Fernando de C.
; Farache, Fernando H.A.
; Leivas, Fernando
; Dias, Fernando M.S.
; Mantellato, Fernando
; Vaz-de-Mello, Fernando Z.
; Gudin, Filipe M.
; Albuquerque, Flávio
; Molina, Flavio B.
; Passos, Flávio D.
; Shockley, Floyd W.
; Pinheiro, Francielly F.
; Mello, Francisco de A.G. de
; Nascimento, Francisco E. de L.
; Franco, Francisco L.
; Oliveira, Francisco L. de
; Melo, Francisco T. de V.
; Quijano, Freddy R.B.
; Salles, Frederico F.
; Biffi, Gabriel
; Queiroz, Gabriel C.
; Bizarro, Gabriel L.
; Hrycyna, Gabriela
; Leviski, Gabriela
; Powell, Gareth S.
; Santos, Geane B. dos
; Morse, Geoffrey E.
; Brown, George
; Mattox, George M.T.
; Zimbrão, Geraldo
; Carvalho, Gervásio S.
; Miranda, Gil F.G.
; Moraes, Gilberto J. de
; Lourido, Gilcélia M.
; Neves, Gilmar P.
; Moreira, Gilson R.P.
; Montingelli, Giovanna G.
; Maurício, Giovanni N.
; Marconato, Gláucia
; Lopez, Guilherme E.L.
; Silva, Guilherme L. da
; Muricy, Guilherme
; Brito, Guilherme R.R.
; Garbino, Guilherme S.T.
; Flores, Gustavo E.
; Graciolli, Gustavo
; Libardi, Gustavo S.
; Proctor, Heather C.
; Gil-Santana, Helcio R.
; Varella, Henrique R.
; Escalona, Hermes E.
; Schmitz, Hermes J.
; Rodrigues, Higor D.D.
; Galvão Filho, Hilton de C.
; Quintino, Hingrid Y.S.
; Pinto, Hudson A.
; Rainho, Hugo L.
; Miyahira, Igor C.
; Gonçalves, Igor de S.
; Martins, Inês X.
; Cardoso, Irene A.
; Oliveira, Ismael B. de
; Franz, Ismael
; Fernandes, Itanna O.
; Golfetti, Ivan F.
; S. Campos-Filho, Ivanklin
; Oliveira, Ivo de S.
; Delabie, Jacques H.C.
; Oliveira, Jader de
; Prando, Jadila S.
; Patton, James L.
; Bitencourt, Jamille de A.
; Silva, Janaina M.
; Santos, Jandir C.
; Arruda, Janine O.
; Valderrama, Jefferson S.
; Dalapicolla, Jeronymo
; Oliveira, Jéssica P.
; Hájek, Jiri
; Morselli, João P.
; Narita, João P.
; Martin, João P.I.
; Grazia, Jocélia
; McHugh, Joe
; Cherem, Jorge J.
; Farias Júnior, José A.S.
; Fernandes, Jose A.M.
; Pacheco, José F.
; Birindelli, José L.O.
; Rezende, José M.
; Avendaño, Jose M.
; Duarte, José M. Barbanti
; Ribeiro, José R. Inácio
; Mermudes, José R.M.
; Pujol-Luz, José R.
; Santos, Josenilson R. dos
; Câmara, Josenir T.
; Teixeira, Joyce A.
; Prado, Joyce R. do
; Botero, Juan P.
; Almeida, Julia C.
; Kohler, Julia
; Gonçalves, Julia P.
; Beneti, Julia S.
; Donahue, Julian P.
; Alvim, Juliana
; Almeida, Juliana C.
; Segadilha, Juliana L.
; Wingert, Juliana M.
; Barbosa, Julianna F.
; Ferrer, Juliano
; Santos, Juliano F. dos
; Kuabara, Kamila M.D.
; Nascimento, Karine B.
; Schoeninger, Karine
; Campião, Karla M.
; Soares, Karla
; Zilch, Kássia
; Barão, Kim R.
; Teixeira, Larissa
; Sousa, Laura D. do N.M. de
; Dumas, Leandro L.
; Vieira, Leandro M.
; Azevedo, Leonardo H.G.
; Carvalho, Leonardo S.
; Souza, Leonardo S. de
; Rocha, Leonardo S.G.
; Bernardi, Leopoldo F.O.
; Vieira, Letícia M.
; Johann, Liana
; Salvatierra, Lidianne
; Oliveira, Livia de M.
; Loureiro, Lourdes M.A. El-moor
; Barreto, Luana B.
; Barros, Luana M.
; Lecci, Lucas
; Camargos, Lucas M. de
; Lima, Lucas R.C.
; Almeida, Lucia M.
; Martins, Luciana R.
; Marinoni, Luciane
; Moura, Luciano de A.
; Lima, Luciano
; Naka, Luciano N.
; Miranda, Lucília S.
; Salik, Lucy M.
; Bezerra, Luis E.A.
; Silveira, Luis F.
; Campos, Luiz A.
; Castro, Luiz A.S. de
; Pinho, Luiz C.
; Silveira, Luiz F.L.
; Iniesta, Luiz F.M.
; Tencatt, Luiz F.C.
; Simone, Luiz R.L.
; Malabarba, Luiz R.
; Cruz, Luiza S. da
; Sekerka, Lukas
; Barros, Lurdiana D.
; Santos, Luziany Q.
; Skoracki, Maciej
; Correia, Maira A.
; Uchoa, Manoel A.
; Andrade, Manuella F.G.
; Hermes, Marcel G.
; Miranda, Marcel S.
; Araújo, Marcel S. de
; Monné, Marcela L.
; Labruna, Marcelo B.
; Santis, Marcelo D. de
; Duarte, Marcelo
; Knoff, Marcelo
; Nogueira, Marcelo
; Britto, Marcelo R. de
; Melo, Marcelo R.S. de
; Carvalho, Marcelo R. de
; Tavares, Marcelo T.
; Kitahara, Marcelo V.
; Justo, Marcia C.N.
; Botelho, Marcia J.C.
; Couri, Márcia S.
; Borges-Martins, Márcio
; Felix, Márcio
; Oliveira, Marcio L. de
; Bologna, Marco A.
; Gottschalk, Marco S.
; Tavares, Marcos D.S.
; Lhano, Marcos G.
; Bevilaqua, Marcus
; Santos, Marcus T.T.
; Domingues, Marcus V.
; Sallum, Maria A.M.
; Digiani, María C.
; Santarém, Maria C.A.
; Nascimento, Maria C. do
; Becerril, María de los A.M.
; Santos, Maria E.A. dos
; Passos, Maria I. da S. dos
; Felippe-Bauer, Maria L.
; Cherman, Mariana A.
; Terossi, Mariana
; Bartz, Marie L.C.
; Barbosa, Marina F. de C.
; Loeb, Marina V.
; Cohn-Haft, Mario
; Cupello, Mario
; Martins, Marlúcia B.
; Christofersen, Martin L.
; Bento, Matheus
; Rocha, Matheus dos S.
; Martins, Maurício L.
; Segura, Melissa O.
; Cardenas, Melissa Q.
; Duarte, Mércia E.
; Ivie, Michael A.
; Mincarone, Michael M.
; Borges, Michela
; Monné, Miguel A.
; Casagrande, Mirna M.
; Fernandez, Monica A.
; Piovesan, Mônica
; Menezes, Naércio A.
; Benaim, Natalia P.
; Reategui, Natália S.
; Pedro, Natan C.
; Pecly, Nathalia H.
; Ferreira Júnior, Nelson
; Silva Júnior, Nelson J. da
; Perioto, Nelson W.
; Hamada, Neusa
; Degallier, Nicolas
; Chao, Ning L.
; Ferla, Noeli J.
; Mielke, Olaf H.H.
; Evangelista, Olivia
; Shibatta, Oscar A.
; Oliveira, Otto M.P.
; Albornoz, Pablo C.L.
; Dellapé, Pablo M.
; Gonçalves, Pablo R.
; Shimabukuro, Paloma H.F.
; Grossi, Paschoal
; Rodrigues, Patrícia E. da S.
; Lima, Patricia O.V.
; Velazco, Paul
; Santos, Paula B. dos
; Araújo, Paula B.
; Silva, Paula K.R.
; Riccardi, Paula R.
; Garcia, Paulo C. de A.
; Passos, Paulo G.H.
; Corgosinho, Paulo H.C.
; Lucinda, Paulo
; Costa, Paulo M.S.
; Alves, Paulo P.
; Roth, Paulo R. de O.
; Coelho, Paulo R.S.
; Duarte, Paulo R.M.
; Carvalho, Pedro F. de
; Gnaspini, Pedro
; Souza-Dias, Pedro G.B.
; Linardi, Pedro M.
; Bartholomay, Pedro R.
; Demite, Peterson R.
; Bulirsch, Petr
; Boll, Piter K.
; Pereira, Rachel M.M.
; Silva, Rafael A.P.F.
; Moura, Rafael B. de
; Boldrini, Rafael
; Silva, Rafaela A. da
; Falaschi, Rafaela L.
; Cordeiro, Ralf T.S.
; Mello, Ramon J.C.L.
; Singer, Randal A.
; Querino, Ranyse B.
; Heleodoro, Raphael A.
; Castilho, Raphael de C.
; Constantino, Reginaldo
; Guedes, Reinaldo C.
; Carrenho, Renan
; Gomes, Renata S.
; Gregorin, Renato
; Machado, Renato J.P.
; Bérnils, Renato S.
; Capellari, Renato S.
; Silva, Ricardo B.
; Kawada, Ricardo
; Dias, Ricardo M.
; Siewert, Ricardo
; Brugnera, Ricaro
; Leschen, Richard A.B.
; Constantin, Robert
; Robbins, Robert
; Pinto, Roberta R.
; Reis, Roberto E. dos
; Ramos, Robson T. da C.
; Cavichioli, Rodney R.
; Barros, Rodolfo C. de
; Caires, Rodrigo A.
; Salvador, Rodrigo B.
; Marques, Rodrigo C.
; Araújo, Rodrigo C.
; Araujo, Rodrigo de O.
; Dios, Rodrigo de V.P.
; Johnsson, Rodrigo
; Feitosa, Rodrigo M.
; Hutchings, Roger W.
; Lara, Rogéria I.R.
; Rossi, Rogério V.
; Gerstmeier, Roland
; Ochoa, Ronald
; Hutchings, Rosa S.G.
; Ale-Rocha, Rosaly
; Rocha, Rosana M. da
; Tidon, Rosana
; Brito, Rosangela
; Pellens, Roseli
; Santos, Sabrina R. dos
; Santos, Sandra D. dos
; Paiva, Sandra V.
; Santos, Sandro
; Oliveira, Sarah S. de
; Costa, Sávio C.
; Gardner, Scott L.
; Leal, Sebastián A. Muñoz
; Aloquio, Sergio
; Bonecker, Sergio L.C.
; Bueno, Sergio L. de S.
; Almeida, Sérgio M. de
; Stampar, Sérgio N.
; Andena, Sérgio R.
; Posso, Sergio R.
; Lima, Sheila P.
; Gadelha, Sian de S.
; Thiengo, Silvana C.
; Cohen, Simone C.
; Brandão, Simone N.
; Rosa, Simone P.
; Ribeiro, Síria L.B.
; Letana, Sócrates D.
; Santos, Sonia B. dos
; Andrade, Sonia C.S.
; Dávila, Stephane
; Vaz, Stéphanie
; Peck, Stewart B.
; Christo, Susete W.
; Cunha, Suzan B.Z.
; Gomes, Suzete R.
; Duarte, Tácio
; Madeira-Ott, Taís
; Marques, Taísa
; Roell, Talita
; Lima, Tarcilla C. de
; Sepulveda, Tatiana A.
; Maria, Tatiana F.
; Ruschel, Tatiana P.
; Rodrigues, Thaiana
; Marinho, Thais A.
; Almeida, Thaís M. de
; Miranda, Thaís P.
; Freitas, Thales R.O.
; Pereira, Thalles P.L.
; Zacca, Thamara
; Pacheco, Thaynara L.
; Martins, Thiago F.
; Alvarenga, Thiago M.
; Carvalho, Thiago R. de
; Polizei, Thiago T.S.
; McElrath, Thomas C.
; Henry, Thomas
; Pikart, Tiago G.
; Porto, Tiago J.
; Krolow, Tiago K.
; Carvalho, Tiago P.
; Lotufo, Tito M. da C.
; Caramaschi, Ulisses
; Pinheiro, Ulisses dos S.
; Pardiñas, Ulyses F.J.
; Maia, Valéria C.
; Tavares, Valeria
; Costa, Valmir A.
; Amaral, Vanessa S. do
; Silva, Vera C.
; Wolff, Vera R. dos S.
; Slobodian, Verônica
; Silva, Vinícius B. da
; Espíndola, Vinicius C.
; Costa-Silva, Vinicius da
; Bertaco, Vinicius de A.
; Padula, Vinícius
; Ferreira, Vinicius S.
; Silva, Vitor C.P. da
; Piacentini, Vítor de Q.
; Sandoval-Gómez, Vivian E.
; Trevine, Vivian
; Sousa, Viviane R.
; Sant’Anna, Vivianne B. de
; Mathis, Wayne N.
; Souza, Wesley de O.
; Colombo, Wesley D.
; Tomaszewska, Wioletta
; Wosiacki, Wolmar B.
; Ovando, Ximena M.C.
; Leite, Yuri L.R.
.
ABSTRACT The limited temporal completeness and taxonomic accuracy of species lists, made available in a traditional manner in scientific publications, has always represented a problem. These lists are invariably limited to a few taxonomic groups and do not represent up-to-date knowledge of all species and classifications. In this context, the Brazilian megadiverse fauna is no exception, and the Catálogo Taxonômico da Fauna do Brasil (CTFB) (http://fauna.jbrj.gov.br/), made public in 2015, represents a database on biodiversity anchored on a list of valid and expertly recognized scientific names of animals in Brazil. The CTFB is updated in near real time by a team of more than 800 specialists. By January 1, 2024, the CTFB compiled 133,691 nominal species, with 125,138 that were considered valid. Most of the valid species were arthropods (82.3%, with more than 102,000 species) and chordates (7.69%, with over 11,000 species). These taxa were followed by a cluster composed of Mollusca (3,567 species), Platyhelminthes (2,292 species), Annelida (1,833 species), and Nematoda (1,447 species). All remaining groups had less than 1,000 species reported in Brazil, with Cnidaria (831 species), Porifera (628 species), Rotifera (606 species), and Bryozoa (520 species) representing those with more than 500 species. Analysis of the CTFB database can facilitate and direct efforts towards the discovery of new species in Brazil, but it is also fundamental in providing the best available list of valid nominal species to users, including those in science, health, conservation efforts, and any initiative involving animals. The importance of the CTFB is evidenced by the elevated number of citations in the scientific literature in diverse areas of biology, law, anthropology, education, forensic science, and veterinary science, among others. publications problem uptodate up date classifications context exception (CTFB http//fauna.jbrj.gov.br/, httpfaunajbrjgovbr http //fauna.jbrj.gov.br/ , jbrj gov br (http://fauna.jbrj.gov.br/) 2015 Brazil 80 specialists 1 2024 133691 133 691 133,69 125138 125 138 125,13 82.3%, 823 82 3 (82.3% 102000 102 000 102,00 7.69%, 769 7 69 (7.69% 11000 11 11,00 . 3,567 3567 567 (3,56 2,292 2292 2 292 (2,29 1,833 1833 833 (1,83 1,447 1447 447 (1,44 1000 1,00 831 (83 628 (62 606 (60 520 (52 50 users science health biology law anthropology education others http//fauna.jbrj.gov.br/ faunajbrjgovbr //fauna.jbrj.gov.br (http://fauna.jbrj.gov.br/ 201 8 202 13369 13 133,6 12513 12 125,1 82.3% (82.3 10200 10 00 102,0 7.69% 76 6 (7.69 1100 11,0 3,56 356 56 (3,5 2,29 229 29 (2,2 1,83 183 83 (1,8 1,44 144 44 (1,4 100 1,0 (8 62 (6 60 52 (5 5 http//fauna.jbrj.gov.br (http://fauna.jbrj.gov.br 20 1336 133, 1251 125, 82.3 (82. 1020 0 102, 7.69 (7.6 110 11, 3,5 35 (3, 2,2 22 (2, 1,8 18 (1, 1,4 14 4 ( 82. (82 7.6 (7. 3, (3 2, (2 (1 7. (7
10.
End-tidal carbon dioxide measurements as a surrogate to arterial carbon dioxide during pediatric laparoscopic surgeries a prospective observational cohort study Endtidal End tidal
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Abdel-Ghaffar, Hala Saad
; Bakr, Mohammed Abdel-Moneim
; Osman, Mohamed Abdel-Kadr
; Hanna, Sarah George Labib
; Ali, Wesam Nashat
.
Abstract Background: Maintaining normocapnia during mechanical ventilation in anesthetized children during laparoscopic surgeries is highly recommended. There is a debate regarding the use of capnography (ETCO2) as a trend monitor for evaluation of arterial carbon dioxide levels (PaCO2). We analyzed the relationship between ETCO2 and PaCO2 with time in elective pediatric laparoscopic surgeries. Methods: This study was a prospective observational cohort analysis of 116 paired comparisons between PaCO2 and ETCO2 computed from 29 children (ASA I, 12–72 months). Arterial blood samples were withdrawn before, at 15 minutes and 30 minutes during pneumoperitoneum and 1 minute after deflation. ETCO2 value was recorded simultaneously, while arterial blood was withdrawn. PaCO2-ETCO2 relationship was evaluated by Pearson’s correlation coefficients and Bland Altman Method of agreement. Results: Out of the 116 comparisons analyzed, a PaCO2–ETCO2 difference beyond 0 to ≤ 5 mmHg was recorded in 71 comparisons (61.2%) with negative difference in 34 comparisons (29.3%). A positive significant correlation between PaCO2 and ETCO2 was recorded before (r = 0.617, p = 0.000) and at 15 minutes (r = 0.582, p = 0.001), with no significant correlation at 30 minutes (r = 0.142, p = 0.461), either after deflation (r = 0.108, p = 0.577). Bland-Altman plots showed agreement between ETCO2 and PaCO2 before inflation with mean PaCO2-ETCO2 difference 0.14±5.6mmHg (limits of 95% agreement −10.84–11.2, simple linear regression testing p-value 0.971), with no agreement at 15 minutes (0.51 ±7.15, −13.5–14.5, p = 0.000), 30 minutes. (2.62 ±7.83, -12.73–17.97, p = 0.000), or after deflation (1.81 ± 6.56, −10.93–14.55, p = 0.015). Conclusion: Usage of capnography as a trend monitor in pediatric laparoscopic surgeries may not be a reliable surrogate for PaCO2 levels. Background recommended ETCO (ETCO2 PaCO2. PaCO . (PaCO2) Methods 11 2 ASA I 1272 12 72 12–7 months. months months) 3 simultaneously PaCO2ETCO2 PaCOETCO PaCO2-ETCO Pearsons Pearson s Results PaCO2–ETCO 7 61.2% 612 61 (61.2% 29.3%. 293 29.3% (29.3%) r 0617 617 0.617 0.000 0000 000 0582 582 0.582 0.001, 0001 0.001 , 001 0.001) 0142 142 0.142 0.461, 0461 0.461 461 0.461) 0108 108 0.108 0.577. 0577 0.577 577 0.577) BlandAltman 01456mmHg 14 6mmHg limits 95 1084112 10 84 −10.84–11.2 pvalue 0.971, 0971 0.971 971 0.971) 0.51 051 51 (0.5 715 ±7.15 135145 13 −13.5–14.5 0.000, 2.62 262 62 (2.6 783 83 ±7.83 12.73–17.97, 12731797 73 17 97 -12.73–17.97 1.81 181 81 (1.8 656 6 56 6.56 10931455 93 55 −10.93–14.55 0.015. 0015 0.015 015 0.015) Conclusion (ETCO (PaCO2 127 12– PaCO2ETCO 61.2 (61.2 29.3 (29.3% 061 0.61 0.00 00 058 58 0.58 014 0.14 046 0.46 46 010 0.10 057 0.57 57 9 108411 8 −10.84–11. 097 0.97 0.5 05 (0. ±7.1 13514 −13.5–14. 2.6 26 (2. 78 ±7.8 12.73–17.97 1273179 -12.73–17.9 1.8 18 (1. 65 6.5 1093145 −10.93–14.5 0.01 01 (PaCO 61. (61. 29. (29.3 06 0.6 0.0 0.1 04 0.4 4 10841 −10.84–11 09 0.9 0. (0 ±7. 1351 −13.5–14 2. (2 12.73–17.9 127317 -12.73–17. 1. (1 6. 109314 −10.93–14. (61 (29. 1084 −10.84–1 ( ±7 135 −13.5–1 12.73–17. 12731 -12.73–17 10931 −10.93–14 (6 (29 −10.84– −13.5– 12.73–17 1273 -12.73–1 1093 −10.93–1 −10.84 −13.5 12.73–1 -12.73– 109 −10.93– −10.8 −13. 12.73– -12.73 −10.93 −10. −13 12.73 -12.7 −10.9 −10 −1 12.7 -12. − 12. -12 -1 -
11.
Evaluation of change in knowledge, attitude, and practice of medical students towards early childhood oral health following educational intervention: a cohort study knowledge attitude intervention
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Medical health professionals have the opportunity to influence the oral health of children, as they are the first health professionals to come in contact with expectant mothers and parents of infants and toddlers. Aim To evaluate and compare undergraduate medical students’ knowledge, attitude, and practice about early childhood oral health care before and after educational intervention. Methods A cohort study was conducted among undergraduate medical students during their course. The baseline knowledge and attitude of 80 medical students were evaluated using a validated questionnaire (Phase I). Following, they completed 8 hours of educational intervention and their change in the knowledge and attitude was reassessed (Phase II). The intervention continued through web-based learning till they reached their residency. The students’ knowledge, attitude, and practice were again reassessed at the end of their residency (Phase III). Results Knowledge: There was a significant increase in the knowledge about the term gum pads, from 70% in Phase I to 90% in Phase III. Only 30% of medical students knew that the oral cavity of a newborn was devoid of microorganisms during Phase I, but this knowledge improved to 86% in Phase III. Almost 58 to 90% of the medical students had a basic knowledge of the influence of high caries on mothers, the importance and benefit of antenatal counselling, and the effect of poor maternal health. In Phase I, although 92% were aware of the multifactorial pattern of dental caries, only 42% and 53% knew the causative organism and transmissibility of it from mother to child, respectively. Around 77% and 62% agreed that antenatal counselling and counselling on feeding and weaning, respectively, will prevent ECC. Attitude The attitude towards treating primary teeth was less (66%) in Phase I, subsequently increasing to 100% at the end of Phase III. Practice Following Phase III, most of them (88%) examined the child’s oral cavity during routine medical checkups in the Knee-to-Knee position (93%) and counted the number of teeth present (91%), and they were able to identify the dental carious teeth (88%). Conclusion The medical curriculum should include a module on early childhood oral health. children toddlers course I. . I) II. II II) webbased web based III III) Knowledge pads 70 90 30 86 5 92 42 53 child respectively 77 62 weaning ECC 66% 66 (66% 100 88% 88 (88% childs s KneetoKnee Knee 93% 93 (93% 91%, 91 91% , (91%) 88%. 7 9 3 4 6 (66 10 (88 (93 (91% (6 1 (8 (9 (91 (
12.
A blended teaching and learning model for family-medicine registrar training at a South African university
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African Journal of Primary Health Care & Family Medicine
- Journal Metrics
Effective primary healthcare is essential in developing countries but faces several challenges, including the lack of standardised training across decentralised sites. In response to unsatisfactory registrar examination outcomes in 2013, the Department of Family Medicine at the University of the Witwatersrand in South Africa introduced a blended teaching and learning programme. The aim of the new programme was to level the playing field by providing uniform online resources on a course site on the university's learning management system. The uniform online resources would be integrated into the teaching programme. A team consisting of the registrar-training-programme coordinator, an educationalist and five family-medicine consultants from different districts began reviewing the curriculum, selecting appropriate resources and developing the course site. The blended programme was developed and implemented using a phased, participatory research action approach, including phases of evaluation and redesign. Since the implementation of the blended-learning programme in 2017, registrar outcomes have improved, but this has not been the only success attributed to the programme. The programme also resulted in an enhanced focus on teaching and learning, especially among those involved in its development. We share the lessons gleaned from our experiences, emphasising the need for adequate training and teamwork if we are to use technology appropriately and effectively to address the difficulties associated with decentralised training in developing countries.
13.
Evidence of learning in workplace-based assessments in a Family Medicine Training Programme
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BACKGROUND: Learning portfolios (LPs) provide evidence of workplace-based assessments (WPBAs) in clinical settings. The educational impact of LPs has been explored in high-income countries, but the use of portfolios and the types of assessments used for and of learning have not been adequately researched in sub-Saharan Africa. This study investigated the evidence of learning in registrars' LPs and the influence of the training district and year of training on assessments METHODS: A cross-sectional study evaluated 18 Family Medicine registrars' portfolios from study years 1-3 across five decentralised training sites affiliated with the University of the Witwatersrand. Descriptive statistics were calculated for the portfolio and quarterly assessment (QA) scores and self-reported clinical skills competence levels. The competence levels obtained from the portfolios and university records served as proxy measures for registrars' knowledge and skills RESULTS: The total LP median scores ranged from 59.9 to 81.0, and QAs median scores from 61.4 to 67.3 across training years. The total LP median scores ranged from 62.1 to 83.5 and 62.0 to 67.5, respectively in QAs across training districts. Registrars' competence levels across skill sets did not meet the required standards. Higher skills competence levels were reported in the women's health, child health, emergency care, clinical administration and teaching and learning domains CONCLUSION: The training district and training year influence workplace-based assessment (WPBA) effectiveness. Ongoing faculty development and registrar support are essential for WPBA CONTRIBUTION: This study contributes to the ongoing discussion of how to utilise WPBA in resource-constrained sub-Saharan settings
14.
Religion and the everyday citizenship of people with dementia in Nigeria: A qualitative study
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BACKGROUND: Research on the lived experience of dementia is burgeoning across the social and health sciences. Yet, very little is still known about the experience of dementia for many tribes and ethnoreligious groups, as most studies are conducted in Western countries OBJECTIVE: The aim is to advance the understanding of the role of faith and prayer in the lives of people with dementia in Nigeria through a lens of everyday citizenship. METHOD: Interviews were conducted with 17 older people with dementia in a low-income, Yoruba-speaking community in Southwestern Nigeria. After transcription, the data were analysed thematically. RESULTS: The major theme identified in participants' accounts was that prayer served as a space for active and agentic participation. This theme was further elaborated upon through four subthemes: (1) agency in routine and daily prayer, (2) cognitive (re)framing through prayer, (3) prayer as a vehicle for active social interaction and support, and (4) prayer as work and transaction. CONCLUSION: Participants described religious practices as important to their acceptance of the situations, their feelings of hope in everyday lives, and their connection and contributions to the community. Analysis also shows the centrality of relationality in the everyday experiences of people with dementia. CONTRIBUTION: This article contributes to advancing the understanding of the socially orientated everyday experience of dementia. It contributes to a small body of literature on the social aspect and everyday experiences of living with dementia in Africa and stands out as the first of its kind study in Nigeria.
15.
Political theology, radical democracy, and explorations of liberation
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In 2012, Vuyani Vellem made a brief proposal for a deeper engagement with political theorists and activists working around the notion of radical democracy, a proposal he reaffirmed in 2013 in articulating the challenge for the church in the face of an inability to contribute to meaningful change amidst vast economic inequality in South Africa. Despite extensive engagement with the work of Vellem in recent years, this particular proposal has so far not been explicitly picked up. This article places Vellem's proposal within the more recent debates around public theology and political theology in South Africa, proposing the possibility of a constructive dialogue between political theologies and South African theologies of liberation in picking up Vellem's suggestion. CONTRIBUTION: After an overview of the very recent attempts at engaging political theology in the South African context, and an overview of Vellem's proposal around radical democracy, two more recent theological attempts at engaging with radical democracy are introduced and elements that might extend Vellem's call for a conversation with radical democracy are outlined
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