Prevalence and interference of neuropathic pain in the quality of life in patients with knee osteoarthritis.

OBJECTIVE: With the aging of the population, more patients have complained of pain due to knee Osteoarthritis (OA), and the number of arthroplasties has also increased. The objective of this study is to evaluate the prevalence of the neuropathic pain component in candidates for Total Knee Replacement and the effects of this component on their quality of life. METHODS: In this cross-sectional study, patients with OA candidates for knee arthroplasty in the present institution were evaluated using the pain detection questionnaire and the Visual Analog Pain (VAS) scale to measure the pain index and the presence of associated neuropathic pain. In addition, evaluation of the quality of life and functionality using the EQ5D and SF12 questionnaires and their relationship with cases of neuropathic pain were performed. RESULTS: One hundred twenty-six patients were evaluated, and 71.4 % were female. The age ranged from 46 to 85 years, and about 70 % of the patients had some associated clinical comorbidity. Neuropathic pain was present in 28.6 % of the patients evaluated. Patients with neuropathic pain presented worse results in the VAS evaluation, in the care, pain, and anxiety domains of the EQ5D, and in the physical and mental scores of the SF12. CONCLUSION: Neuropathic pain was present in 28.6 % of the patients with knee OA who are candidates for arthroplasty. Patients with associated neuropathic pain present a higher level of pain and worse quality of life scores. Recognizing this type of pathology is extremely important in fully monitoring gonarthrosis.

Human Exposure to Non-Ionizing Radiation from Indoor Distributed Antenna System: Shopping Mall Measurement Analysis.

It is crucial to monitor the levels of Non-Ionizing Radiation (NIR) to which the general population may be exposed and compare them to the limits defined in the current standards, in view of the rapid rise of communication services and the prospects of a connected society. A high number of people visits shopping malls and since these locations usually have several indoor antennas close to the public, it is therefore a kind of place that must be evaluated. Thus, this work presents measurements of the electric field in a shopping mall located in Natal, Brazil. We proposed a set of six measurement points, following two criteria: places with great the flow of people and the presence of one or more Distributed Antenna System (DAS), co-sited or not with WiFi access points. Results are presented and discussed in terms of the distance to DAS (conditions: near and far) and flow density of people in the mall (scenarios: low and high number of people). The highest peaks of electric field measured were 1.96 and 3.26 V/m, respectively corresponding to 5% and 8% of the limits defined by the International Commission on Non-Ionizing Radiation Protection (ICNIRP) and the Brazilian National Telecommunication Agency (ANATEL).

Understanding the state-dependent impact of species correlated responses on community sensitivity to perturbations.

Understanding how communities respond to perturbations requires us to consider not only changes in the abundance of individual species but also correlated changes that can emerge through interspecific effects. However, our knowledge of this phenomenon is mostly constrained to situations where interspecific effects are fixed. Here, we introduce a framework to disentangle the impact of species correlated responses on community sensitivity to perturbations when interspecific effects change over time due to cyclic or chaotic population dynamics. We partition the volume expansion rate of perturbed abundances (community sensitivity) into contributions of individual species and of species correlated responses by converting the time-varying Jacobian matrix containing interspecific effects into a time-varying covariance matrix. Using population dynamics models, we demonstrate that species correlated responses change considerably across time and continuously alternate between reducing and having no impact on community sensitivity. Importantly, these alternating impacts depend on the abundance of particular species and can be detected even from noisy time series. We showcase our framework using two experimental predator-prey time series and find that the impact of species correlated responses is modulated by prey abundance-as theoretically expected. Our results provide new insights into how and when species interactions can dampen community sensitivity when abundances fluctuate over time.

Apert Syndrome Type III Hand: Prevalence and Outcomes.

BACKGROUND: The Upton type III hand, which represents the most severe hand type among Apert syndrome patients, has been considered the least prevalent hand type. The objective of this study is to address type III Apert hand prevalence and describe treatment strategies that will result in a 5 digit hand. METHODS: The authors retrospectively reviewed 15 years of Apert syndrome hand practice at our hospital. Demographic (patient sex and age at the time of the operation), surgical (eg, techniques used for webspace release, osteotomy, and various aspects of soft-tissue reconstruction), and outcome (perioperative and long-term complication and need for revision operation) data was verified through medical records, clinical photographs, radiographic images, and interviews with patients' families. Patients who had incomplete medical records and/or postoperative follow up <6 months in length were excluded from this study. RESULTS: A total of 93 Apert patients [50 male (56.1%) and 43 female (43.9%)] were treated at our hospital from 2007 to 2021. Stratification of Apert hand severity using Upton's classification system identified 34 patients with type I hands (36.4%), 19 patients with type II hands (20.6%), and 40 patients with type III hands (43%). Of the 40 patients with type III hands a 5 digit hand was achieved for 35 patients (87%), with an average of 3.37 operations per patient. CONCLUSIONS: The Upton type III hand is the most prevalent hand type among Apert syndrome patients. Following a three stage protocol, a surgical team can consistently achieve a 5 digit hand for the majority of Apert syndrome patients with type III hands.

Ranking species based on sensitivity to perturbations under non-equilibrium community dynamics.

Managing ecological communities requires fast detection of species that are sensitive to perturbations. Yet, the focus on recovery to equilibrium has prevented us from assessing species responses to perturbations when abundances fluctuate over time. Here, we introduce two data-driven approaches (expected sensitivity and eigenvector rankings) based on the time-varying Jacobian matrix to rank species over time according to their sensitivity to perturbations on abundances. Using several population dynamics models, we demonstrate that we can infer these rankings from time-series data to predict the order of species sensitivities. We find that the most sensitive species are not always the ones with the most rapidly changing or lowest abundance, which are typical criteria used to monitor populations. Finally, using two empirical time series, we show that sensitive species tend to be harder to forecast. Our results suggest that incorporating information on species interactions can improve how we manage communities out of equilibrium.

Luxações do ombro: epidemologia, aspectos clínicos e terapêutica / Shoulder Dislocations: Epidemology, Clinical Aspects And Therapeutic / Luxaciones de hombro: epidemología, aspectos clínicos y terapéuticos

A luxação anterior do ombro é comumente observada em clínicas de acidentes e emergências e trauma e postos de saúde. Neste estudo, revisamos a literatura existente sobre a lesão e as tendências recentes no manejo. Descrevemos a anatomia clínica do ombro, o diagnóstico e as técnicas de redução. As decisões de manejo em relação a esta condição continuam a variar entre as unidades, especialmente para casos recorrentes e posteriores luxação. A luxação do ombro é uma lesão comum. Os atrasos no diagnóstico continuam a ser o maior obstáculo para uma otimização dos resultados neste grupo de pacientes. Uma proporção significativa necessitará de eventual cirurgia e até um terço destes pacientes irão desenvolver artrite no ombro a longo prazo. A técnica escolhida para a redução, dependerá do conhecimento do médico, que já deve estar familiarizado com a técnica adotada, pois a perfeição na realização da resolução do problema, trará conforto e alivio ao paciente, já que mesmo os pacientes que sofreram um único episódio de luxação podem continuar desenvolver sequelas a longo prazo.

Anterior shoulder dislocation is commonly seen in accident and emergency and trauma clinics and health clinics. In this study, we review existing literature on the injury and recent trends in management. We describe the clinical anatomy of the shoulder, diagnosis and reduction techniques. Management decisions regarding this condition continue to vary between units, especially for recurrent cases and subsequent dislocations. Shoulder dislocation is a common injury. Delays in diagnosis remain the biggest obstacle to optimizing outcomes in this group of patients. A significant proportion will require eventual surgery and up to one-third of these patients will develop long-term shoulder arthritis. The technique chosen for the reduction will depend on the physician's knowledge, who should already be familiar with the technique adopted, as perfection in solving the problem will bring comfort and relief to the patient, since even patients who have suffered a single episode of dislocation may continue to develop long- term sequelae.

La dislocación anterior del hombro se observa comúnmente en clínicas de accidentes, emergencias, traumatología y clínicas de salud. En este estudio, revisamos la literatura existente sobre la lesión y las tendencias recientes en su manejo. Describimos la anatomía clínica del hombro, diagnóstico y técnicas de reducción. Las decisiones de gestión con respecto a esta afección continúan variando entre unidades, especialmente para casos recurrentes y dislocaciones posteriores. La dislocación del hombro es una lesión común. Los retrasos en el diagnóstico siguen siendo el mayor obstáculo para optimizar los resultados en este grupo de pacientes. Una proporción significativa requerirá eventualmente cirugía y hasta un tercio de estos pacientes desarrollarán artritis del hombro a largo plazo. La técnica elegida para la reducción dependerá del conocimiento del médico, quien ya debe estar familiarizado con la técnica adoptada, ya que la perfección en la solución del problema traerá comodidad y alivio al paciente, ya que incluso los pacientes que han sufrido un solo episodio de luxación pueden seguir desarrollando secuelas a largo plazo.

Ichthyofauna of the Nascentes do Rio Parnaíba National Park: watershed divide in the main agricultural encroachment area in the Brazilian Cerrado / Ictiofauna do Parque Nacional Nascentes do Rio Parnaíba: um divisor de bacias hidrográficas na principal área de expansão agrícola do Cerrado Brasileiro

The Nascentes do Rio Parnaíba National Park (NPNP), located in Brazilian Cerrado, protects portions of three river basins: headwaters of Parnaíba, a small portion in upper Tocantins-Araguaia, and tributaries of the middle section of the São Francisco. This protected area is in the boundaries of the states of Maranhão, Tocantins, Piauí, and Bahia, also known as MATOPIBA, a region that has established rapid agricultural expansion associated to land conflicts between corporate agriculture, family agriculture, protected areas, indigenous territories, and quilombola communities. The knowledge of the ichthyofauna in this region is scarce while the impacts on the aquatic environments are increasing. We made a survey of fishes in the NPNP and its surroundings areas, estimating richness, endemics, introduced and shared species between river basins. During 2014, 54 sampling sites were visited, 19 in the NPNP and 35 in the surrounding area. Ninety-five species, 51 genera, 22 families, and six orders were recorded, of which 38 (40%) are in the NPNP. One introduced species were recorded in the Parnaíba River basin and no endangered species were registered. Our data corroborate the importance of the network of protected areas for the preservation of Cerrado fishes, including some possibly undescribed and restricted-range species that may be threatened due to intense agricultural encroachment in the MATOPIBA region.

O Parque Nacional Nascentes do Rio Parnaíba (PNNP), localizado no Cerrado brasileiro, protege diferentes porções de três bacias hidrográficas, as cabeceiras do Parnaíba, uma pequena porção do alto rio Tocantins e tributários do trecho médio do São Francisco. Esta área protegida está localizada nos limites dos estados do Maranhão, Tocantins, Piauí e Bahia, também conhecida como MATOPIBA, região que tem apresentado rápida expansão agrícola associada a conflitos fundiários do agronegócio com agricultura familiar, áreas protegidas, territórios indígenas e comunidades quilombolas. O conhecimento da ictiofauna nessas regiões é escasso, embora os impactos sobre os ecossistemas aquáticos sejam crescentes. Assim, elaboramos um levantamento de peixes do PNNP e em seu entorno, identificando a riqueza, espécies endêmicas, introduzidas e compartilhadas entre bacias hidrográficas. Durante o ano de 2014 foram visitados 54 locais de amostragem, 19 no PNNP e 35 no entorno. Foram coletadas 95 espécies, 51 gêneros, 22 famílias e seis ordens, das quais 38 espécies (40%) estão no PNNP. Uma espécie introduzida foi registrada na bacia do rio Parnaíba e nenhuma espécie ameaçada de extinção foi registrada. Os dados aqui apresentados corroboram a importância da rede de áreas protegidas para a preservação dos peixes do Cerrado, com espécies potencialmente novas e de distribuição restrita, que podem estar ameaçadas devido à intensa expansão agrícola na região do MATOPIBA.

Terapia genética de injeção intravítrea de rAAV2-ND4 para neuropatia óptica hereditária de Leber: uma revisão sistemática / rAAV2-ND4 intravitreal injection gene therapy for Leber's hereditary optic neuropathy: a systematic review

RESUMO A neuropatia óptica hereditária de Leber é uma doença mitocondrial hereditária neurodegenerativa. A taxa potencial de recuperação espontânea é controversa na literatura. A terapia genética tem sido estudada como suporte aos pacientes. O objetivo desta revisão foi avaliar qualitativamente a segurança, os efeitos adversos e a eficácia da terapia gênica disponível. Trata-se de uma revisão sistemática de artigos indexados nas bases de dados PubMed®, Biblioteca Virtual em Saúde, SciELO, Cochrane, ScienceDirect, Scopus e Lilacs no primeiro semestre de 2021. Os critérios de inclusão e filtros foram: artigos relacionados ao tema, estudos randomizados, ensaios clínicos, trabalhos em humanos, últimos 5 anos, nas línguas portuguesa, inglesa e espanhola e texto completo disponível gratuitamente. Os parâmetros de exclusão foram: artigos duplicados, fuga ao tema, artigos de revisão, trabalhos não disponíveis e que fugiam aos critérios de inclusão. O coeficiente de kappa foi 0,812. A terapia não apresentou efeitos adversos sérios em nenhum dos artigos selecionados, e os efeitos menores sofreram 100% de remissão espontânea após o tratamento. Apesar de NAbs terem sido encontrados no soro de alguns pacientes, não houve associação entre a resposta imune adaptativa e a injeção do vetor viral. O tratamento foi eficaz na melhora da acuidade e campo visual. Vários estudos confirmaram a eficácia da terapia gênica, em doses baixas e médias, na melhora da acuidade visual e também sobre os efeitos adversos comuns relacionados à altas doses. A resposta imune humoral e a variação dos NAbs no soro foi citada em mais de um artigo. A terapia foi eficaz na melhora da acuidade visual e os efeitos adversos que surgiram foram tratados facilmente. No entanto, a resposta imune humoral ainda precisa ser estudada.

ABSTRACT Leber's Hereditary Optic Neuropathy (LHON) is an inherited neurodegenerative mitochondrial disease. The potential rate of spontaneous recovery is controversial in the literature. Gene therapy has been studied to support patients. The objective of this review was to qualitatively assess the safety, adverse effects, and efficacy of available gene therapy. This is a systematic review of articles indexed in PubMed®, VHL, SciELO, Cochrane, ScienceDirect, Scopus, and Lilacs databases, in the first half of 2021. Inclusion criteria and filters were: articles related to the topic, randomized studies, clinical trials, work in humans, last 5 years, in Portuguese, English, and Spanish and full text available for free. The exclusion parameters were: duplicate articles, not related to the topic, review articles, not available works, and works that did not meet the inclusion criteria. The kappa coefficient was 0.812. The therapy had no serious adverse effects in any of the selected articles, and minor effects experienced 100% spontaneous remission after treatment. Although NAbs were found in the serum of some patients, there was no association between the adaptive immune response and the injection of the viral vector. The treatment was effective in improving acuity and visual field. Several studies have confirmed the effectiveness of gene therapy, at low and medium doses, in improving visual acuity and also on common adverse effects related to high doses. The humoral immune response and the variation in serum NAbs was cited in more than one article. The therapy was effective in improving visual acuity and the adverse effects that arose were easily treated. However, the humoral immune response still needs to be studied.

Prevalence and interference of neuropathic pain in the quality of life in patients with knee osteoarthritis

Abstract Objective: With the aging of the population, more patients have complained of pain due to knee Osteoarthritis (OA), and the number of arthroplasties has also increased. The objective of this study is to evaluate the prevalence of the neuropathic pain component in candidates for Total Knee Replacement and the effects of this component on their quality of life. Methods: In this cross-sectional study, patients with OA candidates for knee arthroplasty in the present institution were evaluated using the pain detection questionnaire and the Visual Analog Pain (VAS) scale to measure the pain index and the presence of associated neuropathic pain. In addition, evaluation of the quality of life and functionality using the EQ5D and SF12 questionnaires and their relationship with cases of neuropathic pain were performed. Results: One hundred twenty-six patients were evaluated, and 71.4 % were female. The age ranged from 46 to 85 years, and about 70 % of the patients had some associated clinical comorbidity. Neuropathic pain was present in 28.6 % of the patients evaluated. Patients with neuropathic pain presented worse results in the VAS evaluation, in the care, pain, and anxiety domains of the EQ5D, and in the physical and mental scores of the SF12. Conclusion: Neuropathic pain was present in 28.6 % of the patients with knee OA who are candidates for arthro-plasty. Patients with associated neuropathic pain present a higher level of pain and worse quality of life scores. Recognizing this type of pathology is extremely important in fully monitoring gonarthrosis.

First case report of monkeypox in Brazil: clinical manifestations and differential diagnosis with sexually transmitted infections.

In 2022, an outbreak of monkeypox is being reported in non-endemic areas, with unusual clinical manifestations. The detailed clinical description of the first patient that received the diagnosis of monkeypox in Brazil is reported here, whose clinical manifestations can easily lead to misdiagnosis of sexually transmitted infections. A 41 years old male presented to an emergency room with a vesicular rash with eight days of evolution. He had traveled to Portugal and Spain and reported non-penetrative sexual involvement with three different male individuals. On the third day of symptoms, he sought medical care and received empirical treatment directed to sexually transmitted infections. As the symptoms did not improve, he sought medical attention at an infectious disease referral center presenting, on admission, an ulcerated penile lesion with central necrotic crusts, a disseminated pleomorphic skin rash and an oropharyngeal ulcer. The monkeypox diagnosis was suspected due to the characteristics of the lesions and the history of intimate contact with casual partners, and it was later confirmed by sequencing the almost complete monkeypox genome. The patient was hospitalized for pain control, which required opiate administration. He developed a secondary bacterial infection on the penile lesions, which were treated with oral antibiotics. He was discharged after 14 days, with lesions in process of re-epithelialization. Given the current outbreak, we must consider the possibility of monkeypox in patients with suggestive lesions, anywhere on the body (including the genitals), added to an epidemiological link or history of intimate contact with strangers or casual partners.

Videolaryngoscopes versus direct laryngoscopes in children: Ranking systematic review with network meta-analyses of randomized clinical trials.

BACKGROUND: Videolaryngoscopes improve tracheal intubation in adult patients, but we currently do not know whether they are similarly beneficial for children. We designed this ranking systematic review to compare individual video and direct laryngoscopes for efficacy and safety of orotracheal intubation in children. METHODS: We searched PubMed and five other databases on January 27, 2021. We included randomized clinical trials with patients aged ≤18 years, comparing different laryngoscopes for the outcomes: failed first intubation attempt; failed intubation within two attempts; failed intubation; glottic view; time for intubation; complications. In addition, we assessed the quality of evidence according to GRADE recommendations. RESULTS: We included 46 studies in the meta-analyses. Videolaryngoscopy reduced the risk of failed first intubation attempt (RR = 0.43; 95% CI: 0.31-0.61; p = .001) and failed intubation within two attempts (RR = 0.33; 95% CI: 0.33-0.33; p < .001) in children aged <1 year. Videolaryngoscopy also reduced the risk of major complications in both children aged <1 year (RR = 0.33; 95% CI: 0.12-0.96; p = .046) and children aged 0-18 years (RR = 0.40; 95% CI: 0.25-0.65; p = .002). We did not find significant difference between videolaryngoscopy and direct laryngoscopy for time to intubation in children aged <1 year (MD = -0.95 s; 95% CI: -5.45 to 3.57 s; p = .681), and children aged 0-18 years (MD = 1.65 s; 95% CI: -1.00 to 4.30 s; p = .222). Different videolaryngoscopes were associated with different performance metrics within this meta-analysis. The overall quality of the evidence ranged from low to very low. CONCLUSION: Videolaryngoscopes reduce the risk of failed first intubation attempts and major complications in children compared to direct laryngoscopes. However, not all videolaryngoscopes have the same performance metrics, and more data is needed to clarify which device may be better in different clinical scenarios. Additionally, care must be taken while interpreting our results and rankings due to the available evidence's low or very low quality.

Shotgun metagenomic sequencing of the first case of monkeypox virus in Brazil, 2022.

Monkeypox virus (MPXV), a zoonotic virus endemic to the African continent, has been reported in 33 non-endemic countries since May 2022. We report an almost complete genome of the first confirmed case of MPXV in Brazil. Shotgun metagenomic sequencing was completed in 18 hours, from DNA extraction to consensus sequence generation.

First case report of monkeypox in Brazil: clinical manifestations and differential diagnosis with sexually transmitted infections

ABSTRACT In 2022, an outbreak of monkeypox is being reported in non-endemic areas, with unusual clinical manifestations. The detailed clinical description of the first patient that received the diagnosis of monkeypox in Brazil is reported here, whose clinical manifestations can easily lead to misdiagnosis of sexually transmitted infections. A 41 years old male presented to an emergency room with a vesicular rash with eight days of evolution. He had traveled to Portugal and Spain and reported non-penetrative sexual involvement with three different male individuals. On the third day of symptoms, he sought medical care and received empirical treatment directed to sexually transmitted infections. As the symptoms did not improve, he sought medical attention at an infectious disease referral center presenting, on admission, an ulcerated penile lesion with central necrotic crusts, a disseminated pleomorphic skin rash and an oropharyngeal ulcer. The monkeypox diagnosis was suspected due to the characteristics of the lesions and the history of intimate contact with casual partners, and it was later confirmed by sequencing the almost complete monkeypox genome. The patient was hospitalized for pain control, which required opiate administration. He developed a secondary bacterial infection on the penile lesions, which were treated with oral antibiotics. He was discharged after 14 days, with lesions in process of re-epithelialization. Given the current outbreak, we must consider the possibility of monkeypox in patients with suggestive lesions, anywhere on the body (including the genitals), added to an epidemiological link or history of intimate contact with strangers or casual partners.

Shotgun metagenomic sequencing of the first case of monkeypox virus in Brazil, 2022

ABSTRACT Monkeypox virus (MPXV), a zoonotic virus endemic to the African continent, has been reported in 33 non-endemic countries since May 2022. We report an almost complete genome of the first confirmed case of MPXV in Brazil. Shotgun metagenomic sequencing was completed in 18 hours, from DNA extraction to consensus sequence generation.

Cheating interactions favor modularity in mutualistic networks / Las interacciones de engaño favorecen la modularidad en las redes mutualistas / Interações de trapaceiros favorece modularidade em redes de mutualismos

A fundamental fact about mutualisms is they are often explored by species that explore resources and services provided by individuals without providing any benefit. The role of these cheaters on the evolutionary dynamics of mutualisms has long been recognized, but cheaters may not only affect the species they explore. Because mutualisms form networks that often involve dozens to hundreds of species in a given site, indirect effects generated by cheaters may cascade through the network, reshaping trait evolution. Here, we study how harboring cheating interactions can influence coevolution in mutualistic networks. We combine a coevolutionary model, data on empirical networks of mutualisms, and numerical simulations to show that the higher frequency of cheating interactions can lead to the formation of groups of species phenotypically similar to each other but distinct from other groups of species, leading to higher trait disparity. The clustered trait patterns generated by cheaters, in turn, change the patterns of interaction in simulated networks, fostering the formation of modules of interacting species. Our results indicate that cheaters of mutualisms can contribute to generate phenotypic clusters in mutualisms, counteracting selection for convergence imposed by mutualistic patterns, and favoring the emergence of modules of interacting species.

Un hecho fundamental sobre los mutualismos es que muchas veces son explorados por especies que exploran recursos y servicios proporcionados por individuos sin proporcionar ningún beneficio. El papel de estos tramposos en la dinámica evolutiva de los mutualismos se ha reconocido desde hace mucho tiempo, pero es posible que los tramposos no solo afecten a las especies que exploran. Debido a que los mutualismos forman redes que muchas veces involucran decenas a cientos de especies en un sitio determinado, los efectos indirectos generados por los tramposos pueden caer en cascada a través de la red, remodelando la evolución de los rasgos. Aquí, estudiamos cómo albergar interacciones de engaño puede influir en la coevolución en redes mutualistas. Combinamos un modelo coevolutivo, datos sobre redes empíricas de mutualismos y simulaciones numéricas para mostrar que la mayor frecuencia de interacciones engañosas puede conducir a la formación de grupos de especies fenotípicamente similares entre sí pero distintos de otros grupos de especies, lo que conduce a mayores disparidad de rasgos. Los patrones de rasgos agrupados generados por los tramposos, a su vez, cambian los patrones de interacción en redes simuladas, fomentando la formación de módulos de especies que interactúan. Nuestros resultados indican que los tramposos de los mutualismos pueden contribuir a generar agrupaciones fenotípicas en mutualismos, contrarrestando la selección por convergencia impuesta por patrones mutualistas y favoreciendo la aparición de módulos de especies interactuantes.

Um fato fundamental sobre os mutualismos é que eles são frequentemente explorados por espécies que exploram recursos e serviços fornecidos por indivíduos sem fornecer qualquer benefício. O papel desses trapaceiros na dinâmica evolutiva dos mutualismos foi reconhecido há muito tempo, mas os trapaceiros podem não apenas afetar as espécies que exploram. Como os mutualismos formam redes que geralmente envolvem dezenas a centenas de espécies em um determinado local, os efeitos indiretos gerados por trapaceiros podem se espalhar pela rede, remodelando a evolução de características. Aqui, estudamos como considerar interações de trapaça pode influenciar a coevolução em redes mutualísticas. Combinamos um modelo coevolucionário, dados sobre redes empíricas de mutualismos e simulações numéricas para mostrar que a maior frequência de interações de trapaça pode levar à formação de grupos de espécies fenotipicamente semelhantes entre si, mas distintos de outros grupos de espécies, levando a disparidade de traço. Os padrões de características agrupados gerados por trapaceiros, por sua vez, alteram os padrões de interação em redes simuladas, promovendo a formação de módulos de espécies em interação. Nossos resultados indicam que trapaceiros de mutualismos podem contribuir para gerar grupos fenotípicos em mutualismos, contrariando a seleção para convergência imposta por padrões mutualísticos e favorecendo o surgimento de módulos de espécies interagentes.

Merging dynamical and structural indicators to measure resilience in multispecies systems.

Resilience is broadly understood as the ability of an ecological system to resist and recover from perturbations acting on species abundances and on the system's structure. However, one of the main problems in assessing resilience is to understand the extent to which measures of recovery and resistance provide complementary information about a system. While recovery from abundance perturbations has a strong tradition under the analysis of dynamical stability, it is unclear whether this same formalism can be used to measure resistance to structural perturbations (e.g. perturbations to model parameters). Here, we provide a framework grounded on dynamical and structural stability in Lotka-Volterra systems to link recovery from small perturbations on species abundances (i.e. dynamical indicators) with resistance to parameter perturbations of any magnitude (i.e. structural indicators). We use theoretical and experimental multispecies systems to show that the faster the recovery from abundance perturbations, the higher the resistance to parameter perturbations. We first use theoretical systems to show that the return rate along the slowest direction after a small random abundance perturbation (what we call full recovery) is negatively correlated with the largest random parameter perturbation that a system can withstand before losing any species (what we call full resistance). We also show that the return rate along the second fastest direction after a small random abundance perturbation (what we call partial recovery) is negatively correlated with the largest random parameter perturbation that a system can withstand before at most one species survives (what we call partial resistance). Then, we use a dataset of experimental microbial systems to confirm our theoretical expectations and to demonstrate that full and partial components of resilience are complementary. Our findings reveal that we can obtain the same level of information about resilience by measuring either a dynamical (i.e. recovery) or a structural (i.e. resistance) indicator. Irrespective of the chosen indicator (dynamical or structural), our results show that we can obtain additional information by separating the indicator into its full and partial components. We believe these results can motivate new theoretical approaches and empirical analyses to increase our understanding about risk in ecological systems.

Observed Ecological Communities Are Formed by Species Combinations That Are among the Most Likely to Persist under Changing Environments.

AbstractDespite the rich biodiversity found in nature, it is unclear to what extent some combinations of interacting species, while conceivable in a given place and time, may never be realized. Yet solving this problem is important for understanding the role of randomness and predictability in the assembly of ecological communities. Here we show that the specific combinations of interacting species that emerge from the ecological dynamics within regional species pools are not all equally likely to be seen; rather, they are among the most likely to persist under changing environments. First, we use niche-based competition matrices and Lotka-Volterra models to demonstrate that realized combinations of interacting species are more likely to persist under random parameter perturbations than the majority of potential combinations with the same number of species that could have been formed from the regional pool. We then corroborate our theoretical results using a 10-year observational study, recording 88 plant-herbivore communities across three different forest successional stages. By inferring and validating plant-mediated communities of competing herbivore species, we find that observed combinations of herbivores have an expected probability of species persistence higher than half of all potential combinations. Our findings open up the opportunity to establish a formal probabilistic and predictive understanding of the composition of ecological communities.

Concepción de los estudiantes de enfermería del proceso de enseñanza-aprendizaje mediante simulación realista: nota previa / Nursing students' conception of the teaching-learning process through realistic simulation: preview note

Objetivo Identificar, describir y analizar las concepciones de los estudiantes de enfermería en relación al proceso de enseñanza-aprendizaje a través de la simulación realista. Metodología Se trata de una investigación cualitativa, descriptiva y exploratoria. La recogida de datos se realizará mediante dos instrumentos, uno basado en la escala Student Satisfaction and Self-Confidence in Learning y un cuestionario semiestructurado. Para el análisis de datos objetivos se utilizará un método estadístico descriptivo no inferencial simple, mientras que para los datos subjetivos se utilizará análisis de contenido temático.1 Universidade Federal Fluminense, Rio de Janeiro, RJ Brasil. E-mail de contacto: emilliagsantos@gmail.com2 Escuela de Administración, Departamento de Medicina Social de la Faculdad de Medicina, Universidad Federal de Rio Grande do Sul (UFRGS). Porto Alegre, Rio Grande do Sul, RS, Brasil. 3 Universidad Federal Fluminense (EEAAC-UFF) Niterói, Rio de Janeiro, RJ Brasil4 Centro Federal de Educación Tecnológica Celso Suckow da Fonseca (CEFET-RJ). Rio de Janeiro, RJ, Brasil. 5 Hospital Universitário Antônio Pedro / Universidade Federal Fluminense UFF.6 Universidad Estácio de Sá, Niterói, Rio de Janeiro, Brasil.7 Universidad Estácio de Sá, Niterói, Rio de Janeiro, Brasil.8 Universidad Estácio de Sá, Niterói, Rio de Janeiro, Brasil.9 Universidad de la Amazonía, BrasilCómo citar este artículo: Gonçalves-dos Santos EC; Saba-de Almeida Y; Caldeira-Dos Santos MLS; Dutra-de Vasconcelos SD; Barcellos-de Assis W; Ferreira-Medeiros M; Bispo-Lourenço EB; Nobre-Garrido L; Rodrigues-da Costa RA. Concepción de los estudiantes de enfermería del proceso de enseñanza-aprendizaje mediante simulación realista: nota previa. Revista Cultura del Cuidado Enfermeria. 2021; 18(1): 8-18 Revista Cultura del Cuidado Enfermería Vol. 18 N° 1. Enero a Junio de 2021 - Pereira, Colombia / ISSN: 1794-5232 / ISSN E: 2665-12629Resultados esperadosSe espera que, a través de los resultados obtenidos, se puedan realizar ajustes y mejoras en cuanto a la dinámica pedagógica, enfocándose en aprendizajes significativos y, por lo tanto, generando cambios de comportamiento capaces de promover el desarrollo de habilidades profesionales, además de una práctica centrada en la seguridad del paciente.Palabras clave:Aprendizaje Basado en Problemas; Entrenamiento Simulado; Estudiantes de Enfermería. (Fuente: DECs BIREME)

A new catfish species of Microcambeva Costa Bockmann 1994 (Siluriformes: Trichomycteridae) from a coastal basin in Rio de Janeiro State, southeastern Brazil.

Microcambeva bendego, a small psammophilous catfish species, is described from the rio Guapi-Macacu basin at Guanabara Bay in Rio de Janeiro State, an Atlantic Forest remnant. This coastal drainage has been explored by several naturalists and fish researchers since the 19th century. It is a drainage with remarkably high endemism and species richness, and some recently-described and threatened species. The new species is distinguished from all congeners by two distinctive characters: long finger-like projections in the branchial isthmus and a large opercular patch of odontodes with 19 odontodes. Due to the paucity of specimens (n=3) osteological features of the new species were accessed by CT-Scan images of the holotype. Microcambeva bendego shares putative synapomorphies with two congeners, M. ribeirae and M. filamentosa, such as the fusion of supraorbital pore s6, the absence of ossification in the anterior autopalatine cartilage, the presence of an elongated and wide posterior process of the autopalatine, and a concavity on the dorsal process of the opercle. Those characters suggest that M. bendego is more closely related to those two species from the rio Ribeira de Iguape basin than to other congeners. The biogeography and conservation status of M. bendego are also discussed.