949 resultados para Area with a shortage of doctors


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A new species of predaceous midge, Austrosphaeromias setosa sp. nov., is described and illustrated from adult males and females collected in the Patagonian-Andean region of Argentina and Chile. Based on examination of the type species of Austrosphaeromias Spinelli, 1997 and recently collected specimens from near the type-locality, the female and previously unknown male of Austrosphaeromias chilensis (Ingram & Macfie, 1931) are also described and illustrated. Descriptions are accompanied by color photographs and illustrations of key features of females and males of both species. We also provide a key to adult females and males of the four species of Austrosphaeromias.

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"Vegeu el resum a l'inici del document del fitxer adjunt."

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Num lote de 10 vespas, estilopizadas, gentilmente cedidas para estudo pelo Dr. R. L. Araujo, de S. Paulo, os A. A., identificaram 5 espécies do gênero Xenos Rossius (Família Stylopidae): Xenos bohlsi Hoffmann, descrita do Paraguai e Xenos bonairensis Brèthes, descrita da Argentina, e 3 consideradas novas, que são aqui descritas.

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Susceptibility experiments with 1582 specimens of Biomphalaria occidentalis, 3-6 mm in shell diameter, from 10 localities of the states of Mato Groso, Mato Grosso do Sul, Paraná and São Paulo, exposed individually to 5 miracidia of Schistosoma mansoni (SJ2 strain), gave negative results. B. tenagophila from Joinville (Santa Catarina) and Taubaté (São Paulo), used as controls, showed infection rates of 17.9% and 14.8%, respectively. Experiments with other strains of S. mansoni are in progress. If the present results are confirmed, expansion of schistosomiasis toward far-western Brazil through the agency of B. occidentalis becomes less probable.

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New species of Issikiella and Nannobittacus are described and notes are presented on other Amazonian species of Mecoptera.

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During recent studies of the parasites of birds from the Amazonian Regio, the following nematodes were recovered: Hoazinstrongylus amazonensis n.gen.n.sp. from Opisthocomus hoazin (Muller, 1776); Ascaridia columbae (Gmel., 1790) Travassos, 1913, from Leptotila r. rufaxilla (Richard & Bernard, 1712) representing a new host record; Inglisakis ibanezi Freitas, Vicente & Santos, 1969, Cyrnea (C.) semilunaris (Molin, 1860) Seurat, 1914 and Thelazia digitata Travassos, 1918. A compelte description is restrained to the new genus and new species here proposed. The other known and well described species are listed and accounted.

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Purpose: In extreme situations, such as hyperacute rejection of heart transplant or major bleeding per-operating complications, an urgent heart explantation might be the only means of survival. The aim of this experimental study was to improve the surgical technique and the hemodynamics of an Extracorporeal Membrane Oxygenation (ECMO) support through a peripheral vascular access in an acardia model. Methods: An ECMO support was established in 7 bovine experiments (59±6.1 kg) by the transjugular insertion to the caval axis of a self-expanded cannula, with return through a carotid artery. After baseline measurements of pump flow and arterial and central venous pressure, ventricular fibrillation was induced (B), the great arteries were clamped, the heart was excised and right and left atria remnants, containing the pulmonary veins, were sutured together leaving an atrial septal defect (ASD) over the cannula in the caval axis. Measurements were taken with the pulmonary artery (PA) clamped (C) and anastomosed with the caval axis (D). Regular arterial and central venous blood gases tests were performed. The ANOVA test for repeated measures was used to test the null hypothesis and a Bonferroni t method for assessing the significance in the between groups pairwise comparison of mean pump flow. Results: Initial pump flow (A) was 4.3±0.6 L/min dropping to 2.8±0.7 L/min (P B-A= 0.003) 10 minutes after induction of ventricular fibrillation (B). After cardiectomy, with the pulmonary artery clamped (C) it augmented not significantly to 3.5±0.8 L/min (P C-B= 0.33, P C-A= 0.029). Finally, PA anastomosis to the caval axis was followed by an almost to baseline pump flow augmentation (4.1±0.7 L/min, P D-B= 0.009, P D-C= 0.006, P D-A= 0.597), permitting a full ECMO support in acardia by a peripheral vascular access. Conclusions: ECMO support in acardia is feasible, providing new opportunities in situations where heart must urgently be explanted, as in hyperacute rejection of heart transplant. Adequate drainage of pulmonary circulation is pivotal in order to avoid pulmonary congestion and loss of volume from the normal right to left shunt of bronchial vessels. Furthermore, the PA anastomosis to the caval axis not only improves pump flow but it also permits an ECMO support by a peripheral vascular access and the closure of the chest.