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ABSTRACT Plecturocebus ornatus is an endemic vulnerable species due to its population decline and its restricted range within the Eastern Plains of Colombia. This region is affected by deforestation as a result of legal and illegal economic activities. The aim of this work was to analyze the presence and abundance of P. ornatus during a period of urban and livestock production expansion (1986-2019) in Villavicencio, Colombia. This municipality is the most affected by land-use changes associated with regional economic development and represents 3.4 % of P. ornatus distribution's area. The analysis was performed using satellite images Landsat 4 and 8, with V-Late in ArcGIS 10.5 to describe landscape structure, and P. ornatus occurrence records, obtained through field observations and the Global Biological Information Facility. Densities were calculated for each fragment based on total individuals observed by transect. A generalized lineal model was used to evaluate the effects of patch-scale, landscape-scale and other variables on P. ornatus abundance. By 1986 the rural and peri-urban areas of Villavicencio were already a transformed landscape. During the analyzed period, landscape was predominantly made up of disconnected linear fragments with a secondary humid forest cover. Around 82.1 % of the fragments with P. ornatus records are threatened by urbanization and only 50 % are in protected areas. Densities varied from 0.00 to 7.26 ind/ha (0.00-726.82 ind/km2). Abundance of P. ornatus was highly influenced by landscape-scale variables related with landscape connectivity, as well as fragment area and number of other primate species. Therefore, the implementation of restoration measures that increase landscape connectivity and habitat availability is proposed, as well as more control over environmental land-use planning, to contribute to the conservation of P. ornatus in urban areas.
RESUMEN Plecturocebus ornatus es una especie endémica vulnerable debido a la disminución de su población y distribución restringida al piedemonte de los Llanos Orientales Colombianos. Esta región es afectada por la deforestación resultante de actividades económicas legales e ilegales. El objetivo de este trabajo fue analizar la presencia y abundancia de P. ornatus durante un período de expansión urbana y ganadera (1986-2019) en Villavicencio, Colombia. Este municipio es el más afectado por cambios de uso del suelo asociados al desarrollo económico regional y representa el 3,4 % del área de distribución de P. ornatus. El análisis se realizó a partir de imágenes satelitales Landsat 4 y 8, con V-Late de ArcGIS 10.5, para describir la estructura del paisaje, y registros de P. ornatus obtenidos en observaciones de campo y del Global Biological Information Facility. Se calcularon densidades de cada fragmento basadas en el número total de individuos observados. Un modelo lineal generalizado fue usado para evaluar el efecto de variables a la escala del parche, paisaje y otros sobre la abundancia de P. ornatus. Para 1986 los sectores rurales y periurbanos de Villavicencio ya eran un paisaje transformado. Durante el período analizado, el paisaje estuvo predominantemente conformado por fragmentos lineales desconectados con cobertura de bosque húmedo secundario. Alrededor del 82,1 % de los fragmentos con registros de P. ornatus están amenazados por la urbanización y solo el 50 % se encuentran en áreas protegidas. Las densidades variaron de 0,00 to 7,26 ind/ha (0,00-726,82 ind/km2). La abundancia de P. ornatus fue altamente influenciada por variables a la escala de paisaje relacionadas con la conectividad del paisaje, así como el área del fragmento y la presencia de otras especies de primates. Por lo tanto, la implementación de medidas de restauración que incrementen la conectividad del paisaje y disponibilidad de hábitat, así como un mayor control sobre el ordenamiento territorial ambiental, pueden contribuir a la conservación de P. ornatus en áreas urbanas.
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Abstract Introduction: Enhanced recovery after surgery (ERAS) programs in adults have positively impacted morbidity, mortality, and healthcare costs. Its effects on the pediatric population is recognized. Objective: To prepare a narrative review on the current evidence of the various strategies within the framework of enhancing recovery after pediatric surgery, in the context of major abdominal surgery. Methods: A search was conducted on the scientific evidence available in databases (Pubmed/Medline, Science Direct, OVID, SciELO), in order to prepare a narrative literature review. Conclusion: Notwithstanding the limited evidence on the practicality of the ERAS protocols in the pediatric population undergoing major abdominal surgery, better results could be accomplished if these strategies are adopted.
Resumen Introducción: Los programas de recuperación intensificada después de cirugía (ERAS, por sus siglas del inglés enhanced recovery after surgery) en adultos han impactado positivamente en morbilidad, mortalidad y costos en salud. Es conocido su efecto respecto a su efectividad en población pediátrica. Objetivo: Elaborar una revisión narrativa respecto a la evidencia actual de las diferentes estrategias en el marco de programas de recuperación intensificada en cirugía pediátrica (ERPS, por sus siglas del inglés enhancing recovery in pediatric surgery), en el contexto de cirugía abdominal mayor. Métodos: Se realizó una búsqueda sobre la evidencia científica disponible en bases de datos (Pubmed/Medline, Science Direct, OVID, SciELO) para elaborar una revisión narrativa de la literatura. Conclusiones: Aunque existe evidencia limitada sobre la utilidad de los protocolos ERAS en la población pediátrica sometida a cirugía abdominal mayor, podrían lograrse mejores resultados si se adoptan estas estrategias en pacientes pediátricos.
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Humanos , Criança , Estratégias de Saúde , Custos de Cuidados de Saúde , Recuperação Pós-Cirúrgica Melhorada , Efetividade , Sistema Único de Saúde , Morbidade , Mortalidade , ÁlcalisRESUMO
Dental age estimation was recognized as an imperative issue in clinical and medico-legal practice. However, very few studies on dental age estimation in children have been published in Colombia. This study evaluated the accuracy of Cameriere's method of measurement of open apices on tooth roots in a sample of 526 digital panoramic radiographs (OPTs) of children (274 boys and 252 girls), aged between 6 and 14 years, from Bogotá, Valle del Cauca, Buga and Villavicencio, in Southwest Colombia. Only first seven permanent lower teeth, except third molar, from the left side of mandible were studied. Difference between dental age and chronological age was evaluated for boys and girls across nine age classes. Intra-class correlation coefficient and Kappa score was used to test intra- and inter-observer agreement error rate. Dental age was overestimated by 0.08 years and standard deviation (±SD) of 0.68 years in boys which was not statistically significant (p = 0.06), while in girls dental age underestimated by -0.25 ± 0.65 years which was statistically significant difference (p < 0.001). The absolute difference between DA and CA or mean prediction error (ME) was 0.57 ± 0.38 years in boys and 0.57 ± 0.41 in girls (p = 0.966) which implies that Cameriere's European formula is similarly accurate in both sexes in this sample of Colombian children.
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Determinação da Idade pelos Dentes/métodos , Ápice Dentário/diagnóstico por imagem , Raiz Dentária/diagnóstico por imagem , Adolescente , Criança , Colômbia , Dentição Permanente , Feminino , Humanos , Masculino , Radiografia Dentária Digital , Radiografia Panorâmica , Ápice Dentário/crescimento & desenvolvimento , Raiz Dentária/crescimento & desenvolvimentoRESUMO
The aim of this cross-sectional study was to test the accuracy of cut-off value of 0.08 by measurement of third molar index (I3M) in assessing legal adult age of 18 years in a sample of Colombian children and young adults. Digital orthopantomographs of 288 Colombian children and young adults (163 girls and 125 boys), aged between 13 and 22 years, were analysed. Concordance correlation coefficient (ρc) and κ statistics (Cohen's Kappa coefficient) showed that repeatability and reproducibility are high for both intra- and inter-observer error. κ statistics for intra- and inter-observer agreement in decision on adult or minor was 0.913 and 0.877, respectively. Age distribution gradually decreases as I3M increases in both girls and boys. For girls, the sensitivity test was 95.1% (95% CI 87.1%-95%) and specificity was 93.8% (95% CI 87.1%-98.8%). The proportion of correctly classified individuals was 95.1%. For boys, the sensitivity test was 91.7% (95% CI 85.1%-96.8%) and specificity was 90.6% (95% CI 82.1%-97.8%). The proportion of correctly classified individuals was 89.7%. The cut-off value of 0.08 is highly useful to determine if a subject is 18 years of age or older or not.