Five people were killed and four wounded in a shooting in Carapicuíba, in the Brazilian state of Sao Paulo, police told Agence France Presse on Monday. Unknown gunmen got out of a vehicle and opened fire against people who were at the door of a business that rents computers with Internet access, witnesses told police. "Apparently this was a place where drugs were sold," a spokesperson for the Sao Paulo military police told AFP. There were no immediate arrests and police said they were investigating the crime. Carapicuíba lies to the north-west of the giant Sao Paulo megalopolis, away from major tourist attractions. Tracking levels of C-reactive protein (CRP) in the body may help health care professionals to determine whether anastomotic leakage is occurring in patients who have recently undergone colorectal surgery. According to a pair of recent studies, monitoring CRP levels may signal leakage, thus acting as an easy, early indicator appearing before other radiological and clinical signs (Sci Rep 2020:10[1]. doi:10.1038/s41598-020-58780-3; Br J Surg 2020:107:1832-1837). “Anastomotic leakage is an undesirable complication of colorectal surgery, resulting in increased length of hospitalization, increased treatment costs, delayed return of intestinal homeostasis and decreased survival,” wrote the authors of a Brazilian study published in Scientific Reports. “Because vital signs and leukocyte numbers are slow in responding, it is important to identify tools to detect early leakage.” Despite advances in surgical techniques, the mortality rate among patients with anastomotic leakage is estimated to approach 30% (J Am Coll Surg 2009;208:269-278), and delayed diagnosis has been found to increase mortality by 18% (J Am Coll Surg 1999;189:554-559). The Brazilian study focused retrospectively on patients who underwent elective or emergency colorectal surgery with primary anastomosis at CarapicuÍba General Hospital. The 90 patients were divided into two groups: 11 who experienced anastomotic leakage and 79 who did not. Serum CRP level was evaluated on each of the first seven postoperative days (PODs), as were other clinical parameters such as abdominal pain, volume, return of bowel function and/or appearance of abdominal drainage. Overall, surgical outcomes in patients who developed anastomotic leakage were far worse than in those who did not. Postoperative mortality was 18.2% in the group with leakage versus 1.3% in those without it; median hospital length of stay was 15 days for the leakage group compared with seven days in the nonleakage group; and 91.9% of patients in the group with leakage underwent surgical treatment. When looking specifically at CRP level, the researchers found no significant differences during the first three days after surgery. However, starting on POD 4, patients with leakage experienced significant increases in serum CRP level. Peak CRP level occurred five days after surgery among patients with leakage. In contrast, in patients without leakage, CRP level peaked on POD 2 and fell from that point on. “Serum CRP levels can be routinely analyzed in patients who undergo elective or emergency colorectal surgery. Decreased CRP levels after POD 2 can exclude anastomotic leakage because they are not influenced by factors such as individual inflammatory response, type of approach or surgical indication,” the team of researchers concluded. The liver produces CRP as an acute phase protein, so such a signal may be the fastest way to detect potential anastomosis in a patient. “The liver is the sentinel of the body, tapping into bad things which may be happening in other parts of the body,” commented Peter K. Kim, MD, an associate professor in the Department of Surgery at Albert Einstein College of Medicine, in Bronx, N.Y. Dr. Kim told General Surgery News that he has been tracking CRP levels among his patients as an early identification system for the “devastating complication” of anastomotic leak. He has found tracking CRP levels to be a simple, reassuring way of monitoring his patients. “CRP is not a difficult test—most hospitals have access to it,” he said. Dr. Kim added that he focuses on other clinical and laboratory markers such as fever, heart rate, complaints of pain, return to bowel function and white blood cell count, but he noted that they can often be “soft signs of anastomotic leaks,” and may not appear until leakage is well underway. “You want to know earlier on whether patients are in trouble or not,” he said. Dr. Kim did note, however, that the Brazilian study had a downside, in that it was a retrospective, single-institution study with relatively small numbers. The second study in the British Journal of Surgery addresses many of those concerns. This prospective study involved 833 patients recruited from 20 hospitals in Australia, New Zealand, England and Scotland between March 2017 and July 2018. Level of CRP was measured before operation and for five days after surgery. Of the patients, 4.9% had anastomotic leakage with a median hospital length of stay of 16 days, compared with six days in the group without leakage. The researchers determined that an increasing CRP level between any consecutive PODs had a sensitivity for predicting anastomotic leak, and a negative predictive value of 0.99. The authors found the results to be less definitive than those from retrospective studies, but commented that “there was evidence of value in CRP testing.” “This large prospective analysis of the accuracy of CRP testing in diagnosing anastomotic leakage has shown that, although CRP trajectory and cutoff points are not as accurate as expected when subjected to a large multicenter study, they certainly have value in diagnosing and excluding this significant surgical condition,” the investigators added. Despite these data, Yosef Nasseri, MD, a colorectal surgeon and the founding partner of Surgical Group LA, based at Cedars-Sinai Medical Center, in Los Angeles, cautioned that identifying anastomotic leak is a complicated task. Either way, Dr. Nasseri noted that a significant change in CRP level over a 24-hour period “can be suggestive of a significant acute infectious issue which can raise suspicion for an anastomotic leak, leading to other more definitive investigatory workup.” Additionally, he commented that the “specific cutoff value for a concerning CRP and/or change in CRP should ideally be validated by others before it makes its way into standard practice.” Yet, Dr. Nasseri said, monitoring CRP levels may, indeed, be beneficial when used in combination with other markers. “Fortunately, it is a cheap test and can certainly help in conjunction with other parameters so long as it does not lead to unnecessary pursuit of expansive workup that can be exhaustive and costly.” We've added an exciting new feature to our website. Click on "Clinical" in the navbar to explore! the São Paulo state government reported 4 flood-related fatalities: 3 in Botucatu and 1 in Marília Meanwhile the number of displacements has increased to over 730 with around 350 of them in the Greater Sao Paulo area mostly in the municipalities of Carapicuíba (65); Pirapora do Bom Jesus (120); Jandira (32); and Itaquaquecetuba (128) Hundreds of people also remain displaced outside Greater Sao Paulo Heavy rain has affected wider areas of the state of São Paulo with severe flooding reported in the city of Botucatu State government in São Paulo confirmed that 246 people have been displaced across the state acting Governor Rodrigo Garcia surveyed the flooded areas of the Pinheiros and Tietê and landslides in Osasco Laranjal Paulista and Taboão da Serra have declared an emergency São Paulo State government said that the regions of Vale do Ribeira Baixada Santista and Alto Tietê were also among the worst affected Torrential rain has caused flooding and landslides in the Greater São Paulo area, Brazil The state government said some places recorded more rain in 3 hours than normally seen in the entire month of February According to Instituto Nacional de Meteorologia (INMET) Barueri recorded 145.8mm of rain in 24 hours to 10 February Mirante de Santana in São Paulo City recorded 121.8mm during the same period The rain caused the Tietê and Pinheiros rivers to overflow with levels of the Pinheiros River at their highest for 15 years according to the Empresa Metropolitana de Águas e Energia (EMAE) Some schools have been closed and public transport suspended The São Paulo Fire Department has responded to more than 4,000 calls from late 09 February with 7 landslides and 132 flood points reported in the Greater São Paulo area overnight By early 10 February these figures had increased to 88 incidents of landslides and flooding in 546 points Cookies | Privacy | Contacts © Copyright 2025 FloodList Text description provided by the architects. The residential project comprising eight wooden houses at Vila Taguaí, located 22 km from the centre of São Paulo, is a property development that was conceived as an innovative alternative, building new living spaces amongst the greenery of the city’s suburbs. The site is placed among dense vegetation on an East facing, 35% slope and the implantation sought to maintain the natural terrain to the greatest extent possible. The eight houses are elevated off the ground, creating terrace gardens. The trees were preserved and new ones will be planted, reinforcing the native flora. © João XavierThe road network is finished in cobblestones Private areas are integrated with communal ones – a large garden – through the use of terraces and pedestrian walkways The buildings make the most of natural sunlight and ventilation and utilise solar energy for water heating. The area surrounding the project must be preserved – rainwater runoff is collected and directed to an existing stream. Sewage and wastewater is treated in a plant located within the condominium for subsequent use in toilets and irrigation. © Daniel DucciWood is the best performing material as regards the two big issues of this century: energy and the environment. Its production requires only solar energy and, furthermore, managed forests help offset greenhouse gas emissions and generate quality jobs in rural areas, mitigating migration to large cities as well as promoting the economic development of producing regions. Using wood from sustainably managed forests in the Amazon region with a well thought out methodology, this project’s premise was to find innovative, low cost, easily implemented technology. © ITA - Prototype photosClose collaboration between the Engineering and Architectural sides enabled productive research into the method adopted, comprising wood panels used in the construction of walls and floor and roof slabs. The 10 cm strip modular system used for panel production enables them to come in widths of between 20 cm and 300 cm and heights varying from 100 cm to 550 cm. The reasoning behind this design is to allow the use of small, solid wood parts whilst still meeting requirements for a variety of architectural designs. The final dimensions of each panel facilitate pre-fabrication in the workshop, storage and transport to the site. Courtesy of Cristina Xavier - Photos of workLocal labour can be quickly trained for production and assembly, in workshops and at sites, thus reducing the constrictive situation inherent with a need for skilled workers. The panel system elaborated for this project combines industrialisation with flexibility, and can be applied at a variety of scales and is easily adaptable to local conditions without necessitating significant start-up investment. Its use is characterised by a reduced environmental impact, extremely low rates of waste production, low labour costs, fast construction times and tighter budgetary control. © Daniel DucciThe eight houses, based around three different floor plans with built areas ranging from 129-173m², available in single or two storey variations, create multifunctional spaces in compact residences, and allowed the construction system to be tested. The units all have direct access to the living room and terrace level. The architectural design prioritised the use of natural cross ventilation, with the largest openings facing North or East, and the smaller ones facing West. This controls the insulation whilst allowing natural sunlight into the environments and creating the chimney effect. As the houses are built of wood and elevated off the ground, they have good thermal performance and avoid damp seeping up from the soil, not to mention creating a shaded terrace next to the gardens. © Daniel DucciThe roof design includes an alwitra membrane and provides wide eaves, whilst thermal insulation comes from polystyrene sheets affixed to the panels. Suitable acoustic insulation between storeys was achieved by adding a 5 cm deep cement slab to the floor panels. Sewage and wastewater is collected and treated at a subterranean plant located within the site, proportioning treated water for use in toilets and irrigation that results in water consumption being reduced by 30%. DiagramThe rainwater collection system was designed to channel runoff toward the natural, existing stream. Each unit, as well as the communal areas, have joint plumbing and electrical inspection chambers that allow for future infrastructure installations and maintenance. © Daniel DucciNote: This project was originally publish on September 29 You'll now receive updates based on what you follow Personalize your stream and start following your favorite authors If you have done all of this and still can't find the email Registration for the Vertical MRO Conference in Kelowna B.C. is now open! Click here to learn more. and website in this browser for the next time I comment Δdocument.getElementById( "ak_js_1" ).setAttribute( "value" Bell 525 Walkaround: The First Commercial Fly-by-Wire Helicopter Skyryse One Contact seller for price Year: 2026 Click on the button below to send an email to our team and we will get to it as soon as possible Have a story idea you would like to suggest 30% of them infected with the protozoan that causes Chagas disease teams from the Endemic Diseases Oversight Office (SUCEN) have found 135 insects in the municipalities of Greater São Paulo that are carriers of the protozoan that causes Chagas disease While there are no cases of the disease reported in humans yet laboratory analyses at SUCEN indicate that the captured insects had been feeding on the blood of humans and animals “We need to be careful to avoid transmission to people,” warns biologist Rubens Antonio da Silva a scientific researcher and technical coordinator for the Chagas disease control program at the oversight agency When a kissing bug was identified in 2015 in Pirapora do Bom Jesus Silva and his team thought they might be simply sporadic events That conclusion fell apart when they received calls from residents of Taboão da Serra in the following years and also received notifications from Carapicuíba and neighborhoods in the western districts of São Paulo Juquitiba and Santana de Parnaíba were added to the list of municipalities reporting kissing bugs researchers identified colonies with 57 insects living in possum nests under the tile roofs of three houses in a subdivision surrounded by forest 47% of the kissing bugs were infected with Trypanosoma cruzi females with eggs were found under the mattress on which the residents slept While on the rise for the first time in the São Paulo Metropolitan Region the kissing bug population has fallen in other parts of the state The total number of insects captured has decreased from about 6,000 in 2007 to about 2,000 in 2018 as Silva describes in an article published in April 2019 in the Brazilian Journal of Health Review the state of São Paulo reported only one new case of Chagas disease in 2016 and two in 2017 During the same two years the number of new cases went from 20 to 320 in Pará and from 3 to 24 in Amapá states with the majority of new case reports Brazil received international certification from the World Health Organization (WHO) for practically eliminating the kissing bug Triatoma infestans the principal species transmitting the disease which today is restricted to regions of Bahia and Rio Grande do Sul as a result of the high infection rates prevalent through the mid-twentieth century it’s estimated that 1.2 million to 4.6 million people in Brazil have the chronic form of Chagas disease responsible for approximately 6,000 deaths per year which affects about 30% of people with the parasite according to the WHO Currently the species of kissing bug that causes the most concern is Panstrongylus megistus since it is capable of living in both forests and domestic spaces Megistus has a brown body with red spots and is 2.5 to 4 centimeters in length the insect may enter homes through open doors or windows cruzi by feeding on the blood of animals that harbor it—without themselves developing the disease—called natural reservoirs megistus in the metropolitan region of São Paulo have been sparse 15 specimens were captured in the city of São Paulo Only two insects were examined: one collected in 2011 in Jabaquara but the specimen collected in 2014 in Sacomã This is according to a survey by biologist Walter Ceretti Junior published in July 2018 in the Revista do Instituto de Medicina Tropical de São Paulo rodents and possums approach houses for shelter and food,” says Ceretti Júnior “The possibility of parasite transmission leaving the sylvatic [wildlife] cycle and expanding into urban areas is at the very least worrying,” says epidemiologist Guilherme Werneck a professor at the Federal University of Rio de Janeiro (UFRJ) megistus in areas close to forests in four neighborhoods in the western districts of São Paulo: Jardim Amaralina Examining the locations of kissing bug reports in recent years they concluded that the insects may be on the move taking advantage of parks and forest corridors starting from the region between the Régis Bittencourt and Raposo Tavares highways “If in fact there is a territorial expansion of the carrier insects the situation tends to worsen,” Silva observes He believes that if the hypothesis is correct then since the insects reproduce more intensely in the summer residents of northern neighborhoods such as Tucuruvi will likely find the insects nearby or inside their homes by late 2019 SUCEN’s action plan includes communicating with the residents of Cotia The parasite is transmitted mainly through food or beverages contaminated with feces from kissing bugs “We have to avoid letting them form colonies 565 adults and 1,183 kissing bug nymphs of the species Rhodnius neglectus were collected from dozens of palm trees in the streets and squares of the northwestern city of Araçatuba in São Paulo State He states that although these kissing bugs weren’t infected the concern is that a contaminated possum might climb the palm trees in search of parrot eggs and transmit the parasite to the insects “The identification of kissing bugs in urban areas reinforces the need to warn of the risks of transmission to humans,” says biologist José Eduardo Tolezano director of the Center for Parasitology at the Adolfo Lutz Institute (IAL) today accounts for 9% of the human cases recorded in Brazil by the Ministry of Health the means by which the parasite was transmitted is not identified Currently the leading cause is oral transmission (72%) through the consumption of food or drink containing feces from insects contaminated with the parasite a study by the Tropical Medicine Foundation reported ten cases of people who presented with the initial symptoms of Chagas disease—fever and weakness—after drinking acai juice contaminated with T a transmission event of still uncertain origin was reported In a group of 77 people who attended a religious retreat during Holy Week in Ibimirim possibly contracted from contaminated food or drink Their treatment was initiated with benznidazole which is effective in controlling the acute phase of the disease but has strong side effects such as allergic skin reactions © Revista Pesquisa FAPESP - All rights reserved. and models are radically reimagining the future the skin of her figures is alternately built up from blacks situating the complexities of identity and experience right on the canvas’s surface—or “Creating an image of the body while questioning itself and its spaces.” A magia acontecendo enquanto não foi colocada uma forma de como vão entender o que você sente As for her own body and its spaces: Hariadne was born and raised in the municipality of Carapicuíba in Greater São Paulo maybe because I was around older people like my grandparents,” she recalls and she honed her powers of observation early: “I wasn’t much for being around everyone but always watching what’s going on around me.” Yet her creative practice didn’t begin in earnest until college at the Centro Universitário Belas Artes in São Paulo where she briefly studied public relations before deciding to major in visual arts “My passion [for art] started when I made my first canvas and saw that I could start and finish something with my own hands she name-checks the Swedish mystic Hilma af Klint the British Mexican painter Leonora Carrington Los Angeles–based artist Njideka Akunyili Crosby as inspirations for her vibrant and boldly gestural aesthetic all women who worked or work “with lots of colors and who especially took risks,” Hariadne says A vontade de se jogar dentro da bola do sol e esperar ela contar sua história “Distance from your virtual figure makes you more real with yourself!” “I find inspiration with everything I do with my body I like dancing and moving around a lot—it helps me not to stand still,” she says Scattered throughout her social feed are videos of her dancing with joyful abandon to the likes of KAMAUU and SZA She also loves to ride her bicycle and cook “because I always want to understand how best to make my body work.” Sign in Join now, it's FREE! The family of Leandro Ayers regrets to announce his sudden passing on February 25 Treasured son of Pam (nee Maki) and the late Roy Ayers Loving brother of Elpidio Daniel Ayers (Sarah) and Ana Paula Ayers Grandson of Edna and the late Gilchrist Ayers of Orillia and the late Elmer Maki and late Anna Maki (late Ted Grunt) of Sault Ste Leandro and his siblings were adopted into Pam & Roy's loving home in Canada in 1997 He was fortunate to have traveled coast to coast throughout his new country and was so proud of his time of service in the Canadian Armed Forces He is remembered for his work ethic and from a young age when asked "what are you up to he would answer "Trabalhando!" (Working!) and nothing could bring a brighter smile to his face than the time he spent with his dear nephews Leandro was so much more than his struggles over the past few years as you rarely know the journey someone is on Family and friends are invited to visit at O'Sullivan Funeral Home (215 St There will be a memorial service that will follow at 1:30 p.m and the use of hand sanitizer is appreciated Memorial donations made to the Sault Area Hospital Foundation would be appreciated by the family (Payable to or online to) Visit www.osullivanfuneralhome.com to leave condolences for the family Arrangements entrusted to O’Sullivan Funeral Home (215 St James Street More In Memoriam > THIS is the terrifying moment a giant blimp hired by a major football team crashed into a row of houses in a failed PR stunt Shocking footage shows onlookers screaming in horror as they watched the Sao Paulo FC airship plummet in the neighbourhood of Osasco Neighbours were seen running away as the blimp slowly deflated over the rooftops on Wednesday afternoon One woman could be heard saying: "Oh my heavenly God "Everybody is running across the street The Brazilian giants were performing a test flight ahead of their Copa Libertadores quarter-final clash against Botafogo with the messages "Fans who lead" It was travelling from the nearby municipality of Carapicuiba when it crashed just after 12pm local time The pilot was reportedly rescued from the cabin in time and rushed to a local hospital Authorities have not yet confirmed if anyone was inside their homes when at the time of the accident. Sao Paulo FC meanwhile confirmed that there were thankfully "no serious injuries" following the flopped marketing move The club also vowed to give all the "necessary support" to the crew and all of those involved in the ordeal It said in a statement: "The aircraft was undergoing a test this morning in preparation for the night flight previously authorised by ANAC (National Civil Aviation Agency) which was scheduled for the stadium region there were no serious injuries and is providing all necessary support to the crew and others involved." The Aeronautical Accident Investigation and Prevention Center added that it is using the necessary techniques and equipment to gather necessary information for the probe Our journalists strive for accuracy but on occasion we make mistakes. For further details of our complaints policy and to make a complaint please click this link: thesun.co.uk/editorial-complaints/ The death of Thomaz Rodrigues Alckmin was confirmed in a statement posted Friday on the website of the Sao Paulo state government He’s the 31-year-old son of Governor Geraldo Alckmin Police say the governor’s son was a professional pilot who was making a post-maintenance test flight at the time of the crash Brazilian officials say the son of the governor Sao Paulo state was among the five people killed when their helicopter crashed into a house on the outskirts of Sao Paulo The accident occurred Thursday afternoon in a residential neighborhood in the town of Carapicuiba Police said they are still investigating what caused the accident Story compiled with information from The Associated Press Governor's son and 4 others dead in Sao Paulo helicopter crash http://t.co/7sRAw4UFWu pic.twitter.com/zgWsN6NZRw — Daily Mail Online (@MailOnline) April 3, 2015 including the son of the governor of Sao Paulo have died after a helicopter crashed into a house in the Brazilian city According to official sources Thomaz Alckmin was one of the victims after the aircraft came down in a residential neighborhood The crash happened in the Carapicuiba area on the outskirts of Sao Paulo at around 5.20pm local time yesterday The helicopter came down on a house in the Carapicuiba area of Sao Paulo killing five people No one was thought to have been in the house the roof of which was clearly devastated by the impact It is thought the damaged house had been under construction It is understood three mechanics were killed  Television reports showed aerial footage of firefighters working on the crash scene which was strewn with the shattered remnants of the craft the roof of which had been devastated by the impact Officers could be seen evacuating residents from the area It is also understood the damaged house was under construction Authorities said they were investigating the cause of the crash According to reports the aircraft was making a test flight after the exchange of a main rotor blade Firefighters and policemen set up a cordon in the Sao Paulo off street where the helicopter crashed yesterday The crash happened in the residential area of Carapicuiba Authorities said they were investigating the cause The comments below have been moderated in advance We are no longer accepting comments on this article The Mail on Sunday & Metro Media Group The dairy company "Piracanjuba," in partnership with the Missing Persons Organization "Mães da Sé," an institution that has been helping families search for their loved ones since 1996 combines Artificial Intelligence with my expertise in creating images that depict how people who disappeared decades ago might look today According to data from the 2024 Public Security Yearbook 80,317 missing persons cases were recorded in Brazil last year The campaign reimagines a movement from the 1980s that featured photos of missing people on milk cartons in the United States now brought to life through modern technology With the use of AI tools and my collaboration—honed over the past two years during which I have gained expertise in age-projection techniques and even assisted the police—the campaign leverages the wide reach and distribution of "Piracanjuba," the ninth most chosen brand in households across Brazil At piracanjuba.com.br the public can learn more about the initiative and access detailed information about each individual featured in the campaign The "Mães da Sé" Instagram profile will also share several photos and videos created by me