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Universidade Federal de Mato Grosso

EducationCuiabá, Brazil
About: Universidade Federal de Mato Grosso is a(n) education organization based out in Cuiabá, Brazil. It is known for research contribution in the topic(s): Population & Species richness. The organization has 7748 authors who have published 10181 publication(s) receiving 89994 citation(s).

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Journal ArticleDOI
24 Apr 2020
TL;DR: The preliminary findings of this study suggest that the higher CQ dosage should not be recommended for critically ill patients with COVID-19 because of its potential safety hazards, especially when taken concurrently with azithromycin and oseltamivir.
Abstract: Importance There is no specific antiviral therapy recommended for coronavirus disease 2019 (COVID-19). In vitro studies indicate that the antiviral effect of chloroquine diphosphate (CQ) requires a high concentration of the drug. Objective To evaluate the safety and efficacy of 2 CQ dosages in patients with severe COVID-19. Design, Setting, and Participants This parallel, double-masked, randomized, phase IIb clinical trial with 81 adult patients who were hospitalized with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection was conducted from March 23 to April 5, 2020, at a tertiary care facility in Manaus, Brazilian Amazon. Interventions Patients were allocated to receive high-dosage CQ (ie, 600 mg CQ twice daily for 10 days) or low-dosage CQ (ie, 450 mg twice daily on day 1 and once daily for 4 days). Main Outcomes and Measures Primary outcome was reduction in lethality by at least 50% in the high-dosage group compared with the low-dosage group. Data presented here refer primarily to safety and lethality outcomes during treatment on day 13. Secondary end points included participant clinical status, laboratory examinations, and electrocardiogram results. Outcomes will be presented to day 28. Viral respiratory secretion RNA detection was performed on days 0 and 4. Results Out of a predefined sample size of 440 patients, 81 were enrolled (41 [50.6%] to high-dosage group and 40 [49.4%] to low-dosage group). Enrolled patients had a mean (SD) age of 51.1 (13.9) years, and most (60 [75.3%]) were men. Older age (mean [SD] age, 54.7 [13.7] years vs 47.4 [13.3] years) and more heart disease (5 of 28 [17.9%] vs 0) were seen in the high-dose group. Viral RNA was detected in 31 of 40 (77.5%) and 31 of 41 (75.6%) patients in the low-dosage and high-dosage groups, respectively. Lethality until day 13 was 39.0% in the high-dosage group (16 of 41) and 15.0% in the low-dosage group (6 of 40). The high-dosage group presented more instance of QTc interval greater than 500 milliseconds (7 of 37 [18.9%]) compared with the low-dosage group (4 of 36 [11.1%]). Respiratory secretion at day 4 was negative in only 6 of 27 patients (22.2%). Conclusions and Relevance The preliminary findings of this study suggest that the higher CQ dosage should not be recommended for critically ill patients with COVID-19 because of its potential safety hazards, especially when taken concurrently with azithromycin and oseltamivir. These findings cannot be extrapolated to patients with nonsevere COVID-19. Trial Registration Identifier:NCT04323527

737 citations

Journal ArticleDOI
07 Jul 2016-Nature
Abstract: Concerted political attention has focused on reducing deforestation, and this remains the cornerstone of most biodiversity conservation strategies. However, maintaining forest cover may not reduce anthropogenic forest disturbances, which are rarely considered in conservation programmes. These disturbances occur both within forests, including selective logging and wildfires, and at the landscape level, through edge, area and isolation effects. Until now, the combined effect of anthropogenic disturbance on the conservation value of remnant primary forests has remained unknown, making it impossible to assess the relative importance of forest disturbance and forest loss. Here we address these knowledge gaps using a large data set of plants, birds and dung beetles (1,538, 460 and 156 species, respectively) sampled in 36 catchments in the Brazilian state of Para. Catchments retaining more than 69–80% forest cover lost more conservation value from disturbance than from forest loss. For example, a 20% loss of primary forest, the maximum level of deforestation allowed on Amazonian properties under Brazil’s Forest Code, resulted in a 39–54% loss of conservation value: 96–171% more than expected without considering disturbance effects. We extrapolated the disturbance-mediated loss of conservation value throughout Para, which covers 25% of the Brazilian Amazon. Although disturbed forests retained considerable conservation value compared with deforested areas, the toll of disturbance outside Para’s strictly protected areas is equivalent to the loss of 92,000–139,000 km2 of primary forest. Even this lowest estimate is greater than the area deforested across the entire Brazilian Amazon between 2006 and 2015 (ref. 10). Species distribution models showed that both landscape and within-forest disturbances contributed to biodiversity loss, with the greatest negative effects on species of high conservation and functional value. These results demonstrate an urgent need for policy interventions that go beyond the maintenance of forest cover to safeguard the hyper-diversity of tropical forest ecosystems.

523 citations

01 Jan 2013
Abstract: ________________________________________________________________________________ ______________________________ Atividades de Estagio ________________________________________________________________________________ ______________________________ (1*2) Acompanhar os treinamentos aos usuarios (1*3) Auxiliar no gerenciamento de banco de dados (1*9) Auxiliar no suporte tecnico ao usuario (1*10) Acompanhamento supervisionado na identificacao de necessidade dos dados a serem levantados (1*11) Acompanhamento supervisionado na orientacao de clientes ou usuarios em programas de treinamentos (1*12) Fornecer suporte a usuario/ clientes sobre a utilizacao dos softwares (1*13) Fornecer suporte a usuarios (1*14) Acompanhamento de acoes desenvolvidas pelos analistas de sistemas (1*15) Acompanhamento de instalacoes de redes, micros e comunicacao de dados (1*16) Acompanhamento supervisionado na execucao de testes de qualidade (1*17) Acompanhamento supervisionado na geracao de graficos e relatorios (1*18) Acompanhamento supervisionado na manuntencao de sistemas perifericos (1*19) Acompanhamento supervisionado na tabulacao e analise de dados (1*20) Acompanhamento supervisionado na utilizacao da ferramenta de gerenciamento de clientes (1*21) Acompanhamento supervisionado no desenvolvimento de planilhas eletronicas

506 citations

Journal ArticleDOI
TL;DR: Evidence-based guidelines provide the necessary platform upon which to base a unified protocol for perioperative care for pancreaticoduodenectomy and facilitates multi-institutional prospective cohort registries and adequately powered randomised trials.
Abstract: Protocols for enhanced recovery provide comprehensive and evidence-based guidelines for best perioperative care. Protocol implementation may reduce complication rates and enhance functional recovery and, as a result of this, also reduce length-of-stay in hospital. There is no comprehensive framework available for pancreaticoduodenectomy. An international working group constructed within the Enhanced Recovery After Surgery (ERAS®) Society constructed a comprehensive and evidence-based framework for best perioperative care for pancreaticoduodenectomy patients. Data were retrieved from standard databases and personal archives. Evidence and recommendations were classified according to the GRADE system and reached through consensus in the group. The quality of evidence was rated “high”, “moderate”, “low” or “very low”. Recommendations were graded as “strong” or “weak”. Comprehensive guidelines are presented. Available evidence is summarised and recommendations given for 27 care items. The quality of evidence varies substantially and further research is needed for many issues to improve the strength of evidence and grade of recommendations. The present evidence-based guidelines provide the necessary platform upon which to base a unified protocol for perioperative care for pancreaticoduodenectomy. A unified protocol allows for comparison between centres and across national borders. It facilitates multi-institutional prospective cohort registries and adequately powered randomised trials.

428 citations

Journal ArticleDOI
Abstract: The Pantanal of Mato Grosso, Brazil, is famous for its luxurious plant and animal life. We combine a literature review with recent work and show that species diversity is large but that most major plant and animal groups contain a large number of not wetland-specific species that depend on permanently terrestrial habitats within the Pantanal, or are restricted to dry areas during the low water period. These species occur also in the neighbouring biomes of Cerrado, Amazon Forest or Chaco. Until now, very few endemic species have been described, however, there are large populations of species in the Pantanal that are considered rare or endangered in South America. The number of trees adapted to long term flooding is low in comparison with the Amazon River floodplain. We hypothesize that the reason for the lack of local endemisms and the occurrence of a large number of species with a large ecological amplitude is the climatic instability of the region of the Pantanal, which suffered severe drought during glacial periods. The instability of the actual climate, which is characterized by multi-annual wet and dry periods, has a strong impact on distribution, community structure and population size of many plant and animal species and hinders spatial segregation of populations. The dependence of the system on the flood pulse makes the Pantanal very vulnerable to human induced changes in hydrology and the predicted changes in global climate.

419 citations

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