Use of native aquatic macrophytes in the reduction of organic matter from dairy effluents.

Considering the diversity and the unexplored potential of regional aquatic flora, this study aimed to identify and analyze the potential of native aquatic macrophytes to reduce the organic matter of dairy wastewater (DW) using experimental constructed wetlands. The dairy wastewater (DW) had an average chemical oxygen demand (COD) of 7414.63 mg/L and then was diluted to 3133.16 mg/L (D1) and to 2506.53 mg/L (D2). Total solids, COD, temperature, and pH analyses were performed, and the biochemical oxygen demand (BOD) was estimated from the COD values. The best performance in the reduction of the organic matter was observed for Polygonum sp. (87.5% COD and 79.6% BOD) and Eichhornia paniculata (90% COD and 83.7% BOD) at dilution D1, on the 8th day of the experiment. However, the highest total solids removal was observed for Polygonum sp. (32.2%), on the 4th day, at dilution D2. The total solid (TS) concentration has also increased starting from the 8th day of the experiment was observed which may have been due to the development of mosquito larvae and their mechanical removal by sieving, thus changing the steady state of the experimental systems. The macrophytes Polygonum sp. and E. paniculata were considered suitable for the reduction of organic matter of DW using constructed wetlands.

Perfil de morbimortalidade e os desafios para a atenção domiciliar do idoso brasileiro / Morbidity and mortality profile and the challenges for the Home Nursing of the elderly Brazilians / Perfil de morbilidad y mortalidad y los retos para la Atención Domiciliaria de los ancianos brasileños

Objetivou-se caracterizar o perfil de morbimortalidade e apontar os desafios para a Atenção Domiciliar do idoso brasileiro. Estudo descritivo, com dados secundários, de domínio público. Observou-se aumento no número de idosos, predomínio da morbimortalidade e hospitalizações por doenças crônicas. Nesse contexto, a atenção domiciliar figura como importante alternativa assistencial, mas que tem sido implementada com importantes restrições.

This study aimed to characterize the morbidity and mortality profile and point out the challenges for the Home Nursing of elderly Brazilians. It was conducted a descriptive study with secondary data. There was an increase in the number of elderly, and the profile of mortality and hospitalizations was marked by chronic diseases. In this context, Home Nursing figure as an important alternative to delivery an integral care, but it has been implemented with significant restrictions.

Este estudio tuvo como objetivo caracterizar el perfil de morbilidad y mortalidad y señalar los retos para la Atención Domiciliaria de los ancianos brasileños. Se realizó un estudio descriptivo, con datos secundarios. Hubo un aumento en el número de personas de edad avanzada , y el perfil de la mortalidad y las hospitalizaciones se caracterizó por enfermedades crónicas. En este contexto, los cuidados en Atención Domiciliaria representan una alternativa importante para la oferta de una atención integral, pero se ha implementado con restricciones significativas.

First Case Report of an Infant with Aplasia Cutis Congenita of Scalp and Myelomeningocele / Primeiro relato de caso de aplasia cutis congenita e mielomeningocele

Aplasia cutis congenita of scalp (ACCS) is a rare developmental anomaly. It has presented in children who have many concomitant anomalies. Large, deep defects can complicate by repeat local and systemic sepsis and life-threatening hemorrhage. In this paper, we describe, to the best of our knowledge, the first case of a newborn boy with ACCS and myelomeningocele whose evolution with hydrocephalus has brought us a serious paradigm of using a shunt in the presence of tissue expanders. The treatment of hydrocephalus with third ventriculostomy associated with good aesthetic final result show an alternative to the use of shunt in this scenario, even in infants of young age. We review here therapeutic strategies and challenges with this disease.

A aplasia cútis congênita do couro cabeludo (ACC) é uma rara anomalia do desenvol- vimento. Tem sido observada em pacientes com outras deformidades associadas. Formas extensas e profundas podem evoluir com septicemia e hemorragia grave. Neste trabalho descrevemos um caso inédito de neonato do sexo masculino com ACC e espinha bífida na qual a evolução com hidrocefalia nos trouxe um dilema em usar shunt na presença de expansores teciduais. O tratamento com terceiroventriculostomia endoscópica associado a um bom resultado estético revela uma alternativa ao uso de derivações neste cenário, mesmo em lactentes. Revisamos aqui as opções terapêuticas e desafios encontrados nesta patologia.