Publications by authors named "N Heming"

The Rio Doce Hydrographic Basin (RDB) lies almost completely in the Brazilian Atlantic Forest, a highly threatened tropical rainforest. The RDB has suffered dramatic anthropogenic impacts during the last two centuries and is currently one of the most degraded regions in southeastern Brazil. In this paper, we gathered 140,742 bird records collected since the early 19th by more than two thousand naturalists, professional scientists, and citizen scientists.

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Article Synopsis
  • Mechanical ventilation for myasthenic crisis lacks standardization and is prone to failure; a study investigated using prolonged spontaneous breathing trials (SBT) and pulmonary function tests (PFT) to improve weaning outcomes.
  • Of the 126 analyzed cases, the weaning failure rate was 14.3%, notably lower when the cause of the crisis was identified, although factors like mechanical ventilation duration and infection risk influenced prolonged weaning.
  • The study suggests that implementing standardized protocols could enhance extubation success, emphasizing the need for further research to validate these findings in larger trials.
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Article Synopsis
  • * Early treatment involves controlling the source of infection, using antibiotics, and supporting organ function, while later care addresses metabolic, nutritional, and immune needs.
  • * Effective management includes moderate glucose control, careful nutritional support to prevent muscle loss, and using corticosteroids to help patients with shock and organ dysfunction, emphasizing a personalized approach for better recovery.
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Background: The COVID-19 pandemic related to SARS-CoV-2 virus was responsible for global pandemic. The severe form of the disease was linked to excessive activation of immune pathways together with a systemic cytokine storm response and thrombotic venous or arterial complications. Factors predicting severe outcomes including venous and/or pulmonary thrombosis (VT) and death were identified, but the prognostic role of their combination was not addressed extensively.

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