The tropical forest carbon sink is known to be drought sensitive, but it is unclear which forests are the most vulnerable to extreme events. Forests with hotter and drier baseline conditions may be protected by prior adaptation, or more vulnerable because they operate closer to physiological limits. Here we report that forests in drier South American climates experienced the greatest impacts of the 2015–2016 El Niño, indicating greater vulnerability to extreme temperatures and drought. The long-term, ground-measured tree-by-tree responses of 123 forest plots across tropical South America show that the biomass carbon sink ceased during the event with carbon balance becoming indistinguishable from zero (−0.02 ± 0.37 Mg C ha−1 per year). However, intact tropical South American forests overall were no more sensitive to the extreme 2015–2016 El Niño than to previous less intense events, remaining a key defence against climate change as long as they are protected.
non-traumatic rupture is extremely rare and has been associated as an unusual event in patients with SLE and so far, only six cases have been reported in the literature [5,[9][10][11][12][13]. Since in these cases there is no history of trauma, the diagnosis is often missed ou delayed.We report a 35-year-old woman with SLE who had spontaneous splenic rupture during the course of her illness and present a brief review of spontaneous splenic rupture in SLE.
A gravidez e o parto são eventos importantes na vida das mulheres. Até o século 20, o parto acontecia em casa, um momentopessoal e privado, compartilhado com outras mulheres. Objetivo: analisar na literatura a percepção das mulheres quanto à assistência na forma de parir. Método: trata-se de uma revisão sistemática da literatura com metassíntese, com utilização do protocolo PRISMA. Foram utilizados os descritores em ciências da saúde (DeCS): “enfermagem”, “assistência ao parto” e “tocologia”. associados ao operador booleano AND, da seguinte forma “enfermagem” AND “assistência ao parto” AND “tocologia”, sendo encontrados 32 artigos. Resultados: Através dos critérios de inclusão e exclusão a amostra foi composta por 6 trabalhos. Conclusão: foi possível analisar que os profissionais de saúde, em especial os enfermeiros precisam dar todas as informações e atenção necessária, através de uma assistência centrada no respeito a particularidade de cada mulher, possibilitando assim, uma vivência menos traumática do parto.
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