Pedoenvironmental indicators of soil in Western Amazonia, Brazil.

This study aimed to ascertain what soil attributes may be an indicator of natural and anthropic pedogenic changes in top grassland (TG), low grassland (LG), ecotone zone (EZ), and forest (F) in Western Amazonia. Twenty samples of the diagnostic horizons were collected from the studied pedoenvironments: TG (A 0.0-14 and Bi 0.30-0.66 m); LG (A 0.0-0.15 and Cg1 0.27-0.80 m); EZ (A 0.0-0.15 and Bi 0.32-0.50 m); and forest (F) (A1 0.0-0.15 and Bt1 0.67-0.10 m). Sand, silt, clay, particle density (PD),soil bulk density (BD),saturated soil hydraulic conductivity, calcium (Ca), magnesium (Mg), exchangeable aluminum (Al3+), potassium (K), sodium (Na), phosphorus (P), pH in water and KCl, and organic matter (OM) contents were calculated and submitted to variance analysis. LG is more related to OM and clay than SHC value. These same attributes characterized TG. EZ is highlighted by its higher values and relationship with Al and K. It was concluded that for TG, LG, EZ, and F top soil layers, 28% of natural and anthropic changes can be identified based on sand, clay, pH in KCl, and OM data; on the other hand, subsurface 23% of determinations can be attributed to pH in H2O, Al, Na, and sand.

Surgical antibiotic prophylaxis: is the clinical practice based on evidence?

OBJECTIVE: To assess the surgical antibiotic prophylaxis. METHODS: This was a descriptive study performed at a public tertiary care university hospital gathering prescription, sociodemographic and hospitalization data of inpatients admitted in 2014 who used antimicrobial drugs. This data were obtained from the hospital electronic database. The antimicrobial data were classified according to the anatomical, therapeutic chemical/defined daily dose per 1,000 inpatients. An exploratory analysis was performed using principal component analysis. RESULTS: A total of 5,182 inpatients were prescribed surgical antibiotic prophylaxis. Of the total antimicrobial use, 11.7% were for surgical antibiotic prophylaxis. The orthopedic, thoracic and cardiovascular postoperative units, and postoperative intensive care unit comprised more than half of the total surgical antibiotic prophylaxis use (56.3%). The duration of antimicrobial use of these units were 2.2, 2.0, and 1.4 days, respectively. Third-generation cephalosporins and fluoroquinolones had the longest use among antimicrobial classes. CONCLUSION: Surgical antibiotic prophylaxis was inadequate in the orthopedic, postoperative intensive care, thoracic and cardiovascular postoperative, gynecology and obstetrics, and otolaryngology units. Therefore, the development and implementation of additional strategies to promote surgical antibiotic stewardship at hospitals are essential.

Surgical antibiotic prophylaxis: is the clinical practice based on evidence? / Antibioticoprofilaxia cirúrgica: sua prática clínica está baseada em evidências?

ABSTRACT Objective: To assess the surgical antibiotic prophylaxis. Methods: This was a descriptive study performed at a public tertiary care university hospital gathering prescription, sociodemographic and hospitalization data of inpatients admitted in 2014 who used antimicrobial drugs. This data were obtained from the hospital electronic database. The antimicrobial data were classified according to the anatomical, therapeutic chemical/defined daily dose per 1,000 inpatients. An exploratory analysis was performed using principal component analysis. Results: A total of 5,182 inpatients were prescribed surgical antibiotic prophylaxis. Of the total antimicrobial use, 11.7% were for surgical antibiotic prophylaxis. The orthopedic, thoracic and cardiovascular postoperative units, and postoperative intensive care unit comprised more than half of the total surgical antibiotic prophylaxis use (56.3%). The duration of antimicrobial use of these units were 2.2, 2.0, and 1.4 days, respectively. Third-generation cephalosporins and fluoroquinolones had the longest use among antimicrobial classes. Conclusion: Surgical antibiotic prophylaxis was inadequate in the orthopedic, postoperative intensive care, thoracic and cardiovascular postoperative, gynecology and obstetrics, and otolaryngology units. Therefore, the development and implementation of additional strategies to promote surgical antibiotic stewardship at hospitals are essential.

RESUMO Objetivo: Avaliar a utilização de antibioticoprofilaxia cirúrgica. Métodos: Foi realizado um estudo descritivo em um hospital universitário de cuidado terciário por meio de coleta de dados de prescrição, sociodemográficos e de hospitalização sobre todos os pacientes internados em 2014 que utilizaram pelo menos um medicamento antimicrobiano. Esses dados foram coletados da base de dados eletrônica do hospital. O consumo de antimicrobianos foi analisado de acordo com a classificação anatômica terapêutica e química/dose diária definida por mil pacientes-dia. Realizou-se uma análise exploratória por meio da análise de componentes principais. Resultados: Um total de 5.182 pacientes internados receberam prescrição de antibioticoprofilaxia cirúrgica, que corresponde a 11,7% do total de antibióticos utilizados no hospital. As unidades de ortopedia, pós-operatória de cirurgia torácica e cardiovascular e terapia intensiva pós-operatória foram responsáveis pela utilização de mais da metade (56,3%) da antibioticoprofilaxia cirúrgica. A duração de uso desses antimicrobianos nessas unidades foi 2,2, 2,0 e 2,4 dias, respectivamente. Cefalosporinas de terceira geração e fluoroquinolonas foram as classes de antimicrobianos com tempo de utilização mais longo. Conclusão: A utilização de antibioticoprofilaxia cirúrgica foi inadequada nas unidades de ortopedia, pós-operatória de cirurgia torácica e cardiovascular, terapia intensiva pós-operatória, ginecologia e obstetrícia e otorrinolarigonlogia. Portanto, são importantes o desenvolvimento e a implantação de estratégias que promovam o uso racional de antibioticoprofilaxia cirúrgica nos hospitais.

Soil macrofauna as bioindicator of the recovery of degraded Cerrado soil / Macrofauna do solo como bio indicador da recuperação de um solo degradado de Cerrado

ABSTRACT: The construction of the hydroelectric power plant of Ilha Solteira, in state of São Paulo, was initiated in the 1960s, when an average, 8.60 m of soil depth was removed, resulting in a degraded area. A plan for the recovery of the area started in 2005 in Selvíria /MS with the use of plant species adapted to the Cerrado biome. This study aimed to evaluate the soil macrofauna of an area under recovery by using different types of soil cover (1- bare soil (control); 2- native Cerrado vegetation; 3- specie Astronium fraxinifolium; 4- Astronium fraxinifolium + Canavalia ensiformis; 5- Astronium fraxinifolium + Raphanus sativus; 6- Astronium fraxinifolium + Brachiaria decumbens + sewage sludge). Soil macrofauna was evaluated in 2005, 2006 and 2007 using the direct collection method and manual counting. Number of species, diversity and uniformity index were determined. Principal component analysis (PCA) and cluster analysis were used for data interpretation. Results showed that treatment 6 (Astronium fraxinifolium+ Brachiaria decumbens+ sewage sludge) increased the soil macrofauna population by approximately 4 to 6 times more than the other types of cover after three years of evaluation. And the PCA and cluster analysis showed the approximation of the data between treatment 6 and Cerrado, which represents the most appropriate treatment for the recovery of the degraded soil.

RESUMO: A construção da usina hidrelétrica de Ilha Solteira, no interior de São Paulo, foi iniciada nos anos 1960, quando foi retirado, em média, 8,60 m de solo em profundidade, dando origem a uma área degradada. Com isso, iniciou-se em 2005 um plano de recuperação da área no município de Selvíria/MS com plantio de espécies vegetais adaptadas ao bioma Cerrado. Assim, este trabalho teve como objetivo avaliar a macrofauna do solo de uma área em processo de recuperação com plantio de diferentes tipos de cobertura vegetal (1- solo nu (testemunha); 2- vegetação nativa de Cerrado; 3- espécie arbórea Astronium fraxinifolium; 4- Astronium fraxinifolium + Canavalia ensiformis; 5- Astronium fraxinifolium + Raphanus sativus; 6- Astronium fraxinifolium + Brachiaria decumbens + lodo de esgoto). A macrofauna de solo foi avaliada em 2005, 2006 e 2007 utilizando o método de coleta direta e contagem manual. Foram determinados: quantidade de espécies e índices de diversidade e uniformidade. As análises de componentes principals (PCA) e de cluster foram utilizadas para interpretação de dados. Os resultados mostraram que o tratamento 6 (Astronium fraxinifolium + Brachiaria decumbens + lodo de esgoto) aumentou a população de macrofauna do solo em aproximadamente 4 a 6 vezes mais que os demais tipos de cobertura vegetal após três anos de avaliação. As análises de PCA e de cluster mostraram aproximação dos dados do tratamento 6 às condições ambientais naturais de Cerrado, indicando ser o tratamento mais adequado para a recuperação do solo degradado.

Protocol for the use of legacy data and magnetic signature on soil mapping of São Paulo Central West, Brazil.

The demand for information on the soil resource to support the establishment of public policies for land use and management has grown exponentially in the last years. However, there are still difficulties to the proper use of already existing information for soil mapping. Here we aimed to establish a protocol for soil mapping using legacy data, magnetic signature and soil attributes evaluation. A total of 493 soil samples were collected at 0-0.20 m in the geological domain of Western Plateau of São Paulo State. This work has three parts: First, we performed a classification analysis using soil mapping units (SMU) extracted from conventional soil map and Support Vector Machines algorithm (SVM). As covariates, we used categorical information, such as geology, dissection and landform maps. Second, we used soil attributes to perform a cluster analysis using k-means as partitioning method. To choose the optimal number of clusters, the same number of SMU showed in the conventional soil map (e.g. 34 clusters) were used. The last step was to compare soil and clusters maps predicted by SVM with the conventional soil map. Results showed good performance of SVM for both classifications (clusters and SMU), with overall accuracy of 0.60 and 0.90 respectively. In addition, the distribution of soil attributes within each cluster was more homogeneous and well distributed than within SMU, showing that is very possible to use numerical classification for soil mapping. Future soil surveys could use cluster analysis as a preliminary evaluation for better understanding of tropical soil variations.