Ecologia trófica das assembléias de peixes do reservatório de Chavantes (Medio rio Paranapanema. SP/PR)

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Atividade sazonal e uso do ambiente por anfíbios da Mata Atlântica no alto da Serra do Mar

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Dieta e morfologia trófica de espécies do gênero Hypostomus Lacépède, 1803 (Ostariophysi, Loricariidae) no alto curso do Rio Corumbataí-SP

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Diversidade, padrões espaciais e temporais de anfíbios anuros em uma floresta estacional semidecidual atlântica, parque estadual do Morro do Diabo (PEMD)

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Diversidade de anuros (Amphibia) do Parque Estadual Morro do Diabo, SP

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Bioacústica e filogenia de três grupos de Physalaemus Fitzinger (1826)(Anura, Leptodactylidae)

Pós-graduação em Biologia Animal - IBILCE

Relação entre tamanho corporal e estrutura de comunidade em anfíbios anuros do município de Botucatu/SP

Pós-graduação em Ciências Biológicas (Zoologia) - IBB

Dopplervelocimetria nas gestações complicadas por hiperglicemia: curva do índice de pulsatilidade da artéria umbilical

Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB

An alternative approach to deal with the absence of clinical trials: a proportional meta-analysis of case series studies

PURPOSE: Systematic reviews are criticized for frequently offering inconsistent evidences and absence of straightforward recommendations. Their value seems to be depreciated when the conclusions are uncertain. To describe an alternative approach of evaluating case series studies in health care when there is absence of clinical trials. METHODS: We provide illustrations from recent experiences. Proportional meta-analysis was performed on surgical outcomes: (a) case series studies, (b) use of cryoablation or radiofrequency ablation, and (c) patients with small renal cell carcinoma. The statistically significant difference between both interventions studied was defined if their combined 95% confidential interval (CI) did not overlap. RESULTS: As demonstrated by the example, this analysis is an alternative approach to provide some evidence of the intervention´s effects under evaluation and plotting all available case series in the absence of clinical trials for the health field. CONCLUSIONS: Although we are leading to a low level of evidence to determine efficacy, effectiveness and safety of interventions this alternative approach can help surgeons, physicians and health professionals for a provisionally decision in health care along with their clinical expertise and the patient´s wishes and circumstances in the absence of high-quality primary studies. It´s not a replacement for the gold standard randomized clinical trial, but an alternative analysis for clinical research.

Avaliação de uma técnica para geração de modelos digitais de superfície utilizando múltiplas imagens

The efficient generation of digital surface model (DSM) from optical images has been explored for many years and the results are dependent on the project characteristics (image resolution, size of overlap between images, among others), of the image matching techniques and the computer capabilities for the image processing. The points generated from image matching have a direct impact on the quality of the DSM and, consequently, influence the need for the costly step of edition. This work aims at assessing experimentally a technique for DSM generation by matching of multiple images (two or more) simultaneously using the vertical line locus method (VLL). The experiments were performed with six images of the urban area of Presidente Prudente/SP, with a ground sample distance (GSD) of approximately 7cm. DSMs of a small area with homogeneous texture, repetitive pattern, moving objects including shadows and trees were generated to assess the quality of the developed procedure. This obtained DSM was compared to cloud points acquired by LASER (Light Amplification by Simulated Emission of Radiation) scanning as wells as with a DSM generated by Leica Photogrammetric Suite (LPS) software. The accomplished results showed that the MDS generated by the implemented technique has a geometric quality compatible with the reference models.

Biogeografia histórica e conservação das serpentes da floresta pluvial atlântica costeira do Brasil

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Pretreatment of sugarcane bagasse with microwaves irradiation and its effects on the structure and on enzymatic hydrolysis

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Genomic divergence of zebu and taurine cattle identified through high-density SNP genotyping

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Two species of swimming crabs of the genus Achelous (Crustacea, Brachyura): environmental requirements determining the niche

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Enhanced Recovery after Elective Open Surgical Repair of Abdominal Aortic Aneurysm: A Complementary Overview through a Pooled Analysis of Proportions from Case Series Studies

Objectives: To evaluate the efficacy and safety of enhanced recovery after surgery (ERAS) programs in elective open surgical repair (OSR) of abdominal aortic aneurysm (AAA).Background: Open surgical repair of AAA is associated with high morbidity and mortality, prolonged hospital stay and high costs. ERAS programs contribute to the optimization of treatment by reducing hospital stay and improving clinical outcomes.Methods: A review of PubMed, EMBASE and LILACS databases was conducted. As only one randomized controlled trial was found, a pooled analysis of proportions from case series was conducted, considering it a complementary overview of the topic. Inclusion criteria were case series with more than five cases reported, adult patients who underwent an elective OSR of AAA and use of an ERAS program. ERAS was compared to conventional perioperative care. The pooled proportion and the confidence interval (CI) are shown for each outcome. The overlap of the CI suggests similar effect of the interventions studied.Results: Thirteen case series studies with ERAS involving 1,250 patients were compared to six case series with conventional care with a total of 1,429 patients. The pooled, respective proportions for ERAS and conventional care were: mortality, 1.51% [95% CI: 0.0091, 0.0226] and 3.0% [95% CI 0.0183, 0.0445]; and incidence of complications, 3.82% [95% CI 0.0259, 0.0528] and 4.0% [95% CI 0.03, 0.05].Conclusion: This review shows that ERAS and conventional care therapies have similar mortality and complication rates in OSR of AAA.