56 research outputs found
O processo de autoria na perspectiva da análise do discurso ancorado na base nacional curricular comum brasileira / The authorship process from the perspective of discourse analysis anchored in the brazilian national common core curriculum
Este artigo tem por objetivo apresentar uma prática de leitura e escrita na perspectiva discursiva, a partir de versões da literatura na reconstrução de histórias, tendo como foco a autoria. A base teórica que sustenta esta reflexão é a Análise do Discurso (AD), ancorada nos estudos de Michel Pêcheux, na França, e de Eni Puccinelli Orlandi, no Brasil, a Base Nacional Comum Curricular (BNCC) brasileira e o Documento de Referência Curricular de Mato Grosso (DRC-MT). A finalidade foi trabalhar discursivamente a obra literária, desenvolvendo competências e habilidades por meio de atividades que conduziram ao estabelecimento de relações de semelhanças e diferenças entre esses materiais, nas quais demos visibilidade aos efeitos de sentido produzidos, considerando os diferentes processos de constituição, formulação e circulação das diferentes materialidades significantes como produto final. As atividades foram realizadas entre 2019 e 2020, na Escola Estadual Rui Barbosa, distrito de Monte Castelo - Brasil, por meio de um projeto de leitura que se iniciou em 2012 e que vem se aperfeiçoando gradativamente, mas tem mostrado que vale a pena investir em práticas de sala de aula diferenciadas e contribuir de forma significativa para que todos que dele participarem promovam o crescimento intelectual e ampliem a perspectiva de futuro prevista na ótica educacional
Sistematização da assistência de enfermagem aplicada nas equipes de consultórios de rua
The aim was to describe the activities performed by nurses in the Street Clinic. Due to the constant disruption of the bonds established between users and professionals of the Street Clinic teams, there is great difficulty in carrying out and developing the work, especially for nurses, who would benefit from the adoption of the Systematization of Nursing Care, in order to organize and document their practices and service delivery. However, there are several difficulties in implementing this work tool in health services, in addition to the lack of preparation of many nurses about its applicability, making it even more difficult to use it in Street Clinics. Thus, the many activities performed by nurses end up linking them to technical practices, distancing them from their functions and contributing even more to the devaluation of the Systematization of Nursing Care. Despite the SUS guaranteeing Universality, Integrality and Equity in its principles, homeless individuals still face difficulties in accessing public health networks. Due to the difficulties of immediate responses to these individuals' health problems, many abandon the treatment offered by the professionals at the Street Clinic, which breaks down the bonds between professionals and patients, which are so important for nursing care.Objetivou-se descrever as atividades desempenhadas pelo enfermeiro no Consultório na Rua. Devido à ruptura constante dos vínculos estabelecidos entre os usuários e os profissionais das equipes de Consultório na Rua, existe uma grande dificuldade de execução e desenvolvimento do trabalho principalmente do enfermeiro, que se beneficiaria da adoção da Sistematização da Assistência de Enfermagem, a fim de organizar e documentar suas práticas e prestação de serviços. Porém, existem várias dificuldades na implementação desta ferramenta de trabalho nos serviços de saúde, além da falta de preparo de muitos enfermeiros sobre a sua aplicabilidade, dificultando ainda mais a sua utilização nos Consultórios na Rua. Assim, as muitas atividades desenvolvidas pelo enfermeiro, acabam vinculando-o às práticas tecnicistas, distanciando-o de suas funções e colaborando ainda mais para a desvalorização da Sistematização da Assistência de Enfermagem. Apesar do SUS garantir a Universalidade, Integralidade e a Equidade em seus princípios, os indivíduos em situação de rua ainda encontram dificuldades na hora do acesso às redes de saúde pública. Devido às dificuldades das respostas imediatas dos problemas de saúde destes indivíduos, muitos abandonam o tratamento ofertado pelos profissionais do Consultório na Rua, o que gera a ruptura dos vínculos entre profissionais e pacientes, tão importantes para a assistência de enfermagem
Sistematização da assistência de enfermagem aplicada nas equipes de consultórios de rua
The aim was to describe the activities performed by nurses in the Street Clinic. Due to the constant disruption of the bonds established between users and professionals of the Street Clinic teams, there is great difficulty in carrying out and developing the work, especially for nurses, who would benefit from the adoption of the Systematization of Nursing Care, in order to organize and document their practices and service delivery. However, there are several difficulties in implementing this work tool in health services, in addition to the lack of preparation of many nurses about its applicability, making it even more difficult to use it in Street Clinics. Thus, the many activities performed by nurses end up linking them to technical practices, distancing them from their functions and contributing even more to the devaluation of the Systematization of Nursing Care. Despite the SUS guaranteeing Universality, Integrality and Equity in its principles, homeless individuals still face difficulties in accessing public health networks. Due to the difficulties of immediate responses to these individuals' health problems, many abandon the treatment offered by the professionals at the Street Clinic, which breaks down the bonds between professionals and patients, which are so important for nursing care.Objetivou-se descrever as atividades desempenhadas pelo enfermeiro no Consultório na Rua. Devido à ruptura constante dos vínculos estabelecidos entre os usuários e os profissionais das equipes de Consultório na Rua, existe uma grande dificuldade de execução e desenvolvimento do trabalho principalmente do enfermeiro, que se beneficiaria da adoção da Sistematização da Assistência de Enfermagem, a fim de organizar e documentar suas práticas e prestação de serviços. Porém, existem várias dificuldades na implementação desta ferramenta de trabalho nos serviços de saúde, além da falta de preparo de muitos enfermeiros sobre a sua aplicabilidade, dificultando ainda mais a sua utilização nos Consultórios na Rua. Assim, as muitas atividades desenvolvidas pelo enfermeiro, acabam vinculando-o às práticas tecnicistas, distanciando-o de suas funções e colaborando ainda mais para a desvalorização da Sistematização da Assistência de Enfermagem. Apesar do SUS garantir a Universalidade, Integralidade e a Equidade em seus princípios, os indivíduos em situação de rua ainda encontram dificuldades na hora do acesso às redes de saúde pública. Devido às dificuldades das respostas imediatas dos problemas de saúde destes indivíduos, muitos abandonam o tratamento ofertado pelos profissionais do Consultório na Rua, o que gera a ruptura dos vínculos entre profissionais e pacientes, tão importantes para a assistência de enfermagem
Risk of mortality for small newborns in Brazil, 2011-2018: A national birth cohort study of 17.6 million records from routine register-based linked data.
BACKGROUND: Preterm birth (25 times higher for LBW (HR=25.8; (95% CI:25.5-26.1) compared to normal birth weight (NBW). 18% of all live births were included in one of the small vulnerable newborn phenotypes. Of those 8.2% were term-SGA (4.7%NBW, 3.5%LBW), 0.6% were term-AGA-LBW, 8.3% preterm-AGA (3.8%NBW, 4.5%LBW) and 1.0% preterm-SGA-LBW. Compared to term-AGA-NBW, the highest mortality risk was for preterm-LBW phenotypes (HR=36.2(95%CI 35.6-36.8) preterm-AGA-LBW, HR=62.0(95%CI 60.8-63.2) preterm-SGA-LBW). The increased mortality risk associated with vulnerable newborn phenotypes was highest in the first month of life, with attenuated but continued high risk in the post-neonatal period and 1-4 years of age. INTERPRETATION: Our findings support the value of using more detailed phenotypes to identify those at highest risk. More granular data can inform care at the individual level, advance research, especially for prevention, and accelerate progress towards global targets such as the Sustainable Development Goals. FUNDING: Wellcome Trust
Mapping density, diversity and species-richness of the Amazon tree flora
Using 2.046 botanically-inventoried tree plots across the largest tropical forest on Earth, we mapped tree species-diversity and tree species-richness at 0.1-degree resolution, and investigated drivers for diversity and richness. Using only location, stratified by forest type, as predictor, our spatial model, to the best of our knowledge, provides the most accurate map of tree diversity in Amazonia to date, explaining approximately 70% of the tree diversity and species-richness. Large soil-forest combinations determine a significant percentage of the variation in tree species-richness and tree alpha-diversity in Amazonian forest-plots. We suggest that the size and fragmentation of these systems drive their large-scale diversity patterns and hence local diversity. A model not using location but cumulative water deficit, tree density, and temperature seasonality explains 47% of the tree species-richness in the terra-firme forest in Amazonia. Over large areas across Amazonia, residuals of this relationship are small and poorly spatially structured, suggesting that much of the residual variation may be local. The Guyana Shield area has consistently negative residuals, showing that this area has lower tree species-richness than expected by our models. We provide extensive plot meta-data, including tree density, tree alpha-diversity and tree species-richness results and gridded maps at 0.1-degree resolution
Mapping density, diversity and species-richness of the Amazon tree flora
Using 2.046 botanically-inventoried tree plots across the largest tropical forest on Earth, we mapped tree species-diversity and tree species-richness at 0.1-degree resolution, and investigated drivers for diversity and richness. Using only location, stratified by forest type, as predictor, our spatial model, to the best of our knowledge, provides the most accurate map of tree diversity in Amazonia to date, explaining approximately 70% of the tree diversity and species-richness. Large soil-forest combinations determine a significant percentage of the variation in tree species-richness and tree alpha-diversity in Amazonian forest-plots. We suggest that the size and fragmentation of these systems drive their large-scale diversity patterns and hence local diversity. A model not using location but cumulative water deficit, tree density, and temperature seasonality explains 47% of the tree species-richness in the terra-firme forest in Amazonia. Over large areas across Amazonia, residuals of this relationship are small and poorly spatially structured, suggesting that much of the residual variation may be local. The Guyana Shield area has consistently negative residuals, showing that this area has lower tree species-richness than expected by our models. We provide extensive plot meta-data, including tree density, tree alpha-diversity and tree species-richness results and gridded maps at 0.1-degree resolution
Author correction: One sixth of Amazonian tree diversity is dependent on river floodplains
In the version of the article initially published, the affiliation of Edgardo Manuel Latrubesse was incorrect and has now been amended to Environmental Sciences Graduate Program-CIAMB, Federal University of Goiás, Goiânia, Brazil in the HTML and PDF versions of the article
One sixth of Amazonian tree diversity is dependent on river floodplains
Amazonia’s floodplain system is the largest and most biodiverse on Earth. Although forests are crucial to the ecological integrity of floodplains, our understanding of their species composition and how this may differ from surrounding forest types is still far too limited, particularly as changing inundation regimes begin to reshape floodplain tree communities and the critical ecosystem functions they underpin. Here we address this gap by taking a spatially explicit look at Amazonia-wide patterns of tree-species turnover and ecological specialization of the region’s floodplain forests. We show that the majority of Amazonian tree species can inhabit floodplains, and about a sixth of Amazonian tree diversity is ecologically specialized on floodplains. The degree of specialization in floodplain communities is driven by regional flood patterns, with the most compositionally differentiated floodplain forests located centrally within the fluvial network and contingent on the most extraordinary flood magnitudes regionally. Our results provide a spatially explicit view of ecological specialization of floodplain forest communities and expose the need for whole-basin hydrological integrity to protect the Amazon’s tree diversity and its function
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