Competências do enfermeiro na parada cardiorrespiratória

The aim was to identify, in the light of literature, the main competencies of nurses in the face of cardiorespiratory arrest. This is an integrative review of the literature, data were collected through the databases Higher Education Personnel Improvement Portal and Scientific Electronic Library Online, as they are electronic libraries/databases that bring together national and international studies of scientific relevance. The inclusion criteria were studies published in full between 2017 and 2022, in Portuguese, theses, dissertations and articles not consistent with the objective of the research were excluded. Nine articles were analyzed that met the inclusion criteria, among them nine were carried out in Brazil, four published in 2018, one in 2019 and four in 2021. After reading the full in selected studies, representative categories were chosen, namely: knowledge, communication, skills, attitudes, and values. Cardiovascular diseases occupy the first place in the mortality ranking in the world, the nurse is an essential professional in the pre-hospital urgency and emergency team, playing an extremely important role in the assistance provided based on skills.Objetivou-se identificar a luz da literatura as principais competências do enfermeiro frente à parada cardiorrespiratória. Trata-se de uma revisão integrativa da literatura, os dados foram coletados atraves das bases de dados Portal de Aperfeiçoamento de Pessoal de Nível Superior e Scientific Electronic Library Online, pois se tratam de bibliotecas eletrônicas/bases de dados que reúnem estudos nacionais e internacionais de relevância cientifica. Os critérios de inclusão foram estudos publicados na integra entre 2017 e 2022, em português, foram excluidos teses, dissertação e artigos não condizentes com o objetivo da pesquisa. Analisou-se nove artigos que atenderam aos critérios de inclusão, dentre eles nove foram realizados no Brasil, quatro  publicados no ano de 2018, um em 2019 e quatro em 2021. Após a leitura na integra dos estudos selecionados, foram elecadas categorias representativas a saber: o conhecimento, a comunicação, as habilidades, atitudes e valores. As doenças cardiovasculares acupam o primeiro lugar no raking de mortalidade no mundo, o enfermeiro é um profissional indispensável na equipe de urgência e emergência pré-hospitalar possuindo um papel de extrema relevancia na assistencia prestada pautada em competências

Competências do enfermeiro na parada cardiorrespiratória

The aim was to identify, in the light of literature, the main competencies of nurses in the face of cardiorespiratory arrest. This is an integrative review of the literature, data were collected through the databases Higher Education Personnel Improvement Portal and Scientific Electronic Library Online, as they are electronic libraries/databases that bring together national and international studies of scientific relevance. The inclusion criteria were studies published in full between 2017 and 2022, in Portuguese, theses, dissertations and articles not consistent with the objective of the research were excluded. Nine articles were analyzed that met the inclusion criteria, among them nine were carried out in Brazil, four published in 2018, one in 2019 and four in 2021. After reading the full in selected studies, representative categories were chosen, namely: knowledge, communication, skills, attitudes, and values. Cardiovascular diseases occupy the first place in the mortality ranking in the world, the nurse is an essential professional in the pre-hospital urgency and emergency team, playing an extremely important role in the assistance provided based on skills.Objetivou-se identificar a luz da literatura as principais competências do enfermeiro frente à parada cardiorrespiratória. Trata-se de uma revisão integrativa da literatura, os dados foram coletados atraves das bases de dados Portal de Aperfeiçoamento de Pessoal de Nível Superior e Scientific Electronic Library Online, pois se tratam de bibliotecas eletrônicas/bases de dados que reúnem estudos nacionais e internacionais de relevância cientifica. Os critérios de inclusão foram estudos publicados na integra entre 2017 e 2022, em português, foram excluidos teses, dissertação e artigos não condizentes com o objetivo da pesquisa. Analisou-se nove artigos que atenderam aos critérios de inclusão, dentre eles nove foram realizados no Brasil, quatro  publicados no ano de 2018, um em 2019 e quatro em 2021. Após a leitura na integra dos estudos selecionados, foram elecadas categorias representativas a saber: o conhecimento, a comunicação, as habilidades, atitudes e valores. As doenças cardiovasculares acupam o primeiro lugar no raking de mortalidade no mundo, o enfermeiro é um profissional indispensável na equipe de urgência e emergência pré-hospitalar possuindo um papel de extrema relevancia na assistencia prestada pautada em competências

ESTUDO COMPARATIVO TÉCNICO, ECONÔMICO, E AMBIENTAL DAS FONTES DE ENERGIAS RENOVÁVEIS, E DISTRIBUIÇÃO ELÉTRICA

<p>Considerando o aumento da demanda por energia e a necessidade de diversificação das matrizes energéticas em todo o mundo, se faz necessário analisar os aspectos técnicos, os impactos ambientais e a viabilidade econômica e energética das tecnologias disponíveis para geração de energia elétrica. Este estudo aborda a importância da eficiência energética, os desafios na implementação de sistemas energéticos baseados em fontes de energias renováveis e o papel crucial desses recursos energéticos, como uma alternativa financeiramente viável e ecologicamente correta. São abordados também os principais conceitos envolvidos no que se refere à distribuição elétrica on-grid e off-grid, bem como, descrever os desafios que envolvem a sua implementação.</p><p>Portanto, este artigo trata-se de uma revisão bibliográfica, cujos dados foram coletados mediante pesquisa de produções científicas e de bases de dados sobre a utilização de fontes de energias renováveis como meio de geração de energia elétrica.</p><p>Nesse sentido, foram comparados e analisados os aspectos econômicos, ambientais e energéticos das principais fontes de energias renováveis presentes na matriz elétrica brasileira, sendo elas: energia eólica, energia fotovoltaica, energia hidrelétrica, energia biomassa e energia biogás. </p><p>Os resultados obtidos da análise comparativa demonstram que, dentre as fontes de energia renováveis, objetos de estudo neste artigo, a energia eólica, é a que possui o menor índice de custo nivelado de eletricidade (LCOE) e o terceiro maior retorno sobre o investimento em energia (EROI). Sendo assim, é a fonte de energia renovável que apresenta os melhores resultados gerais.</p&gt

NEOTROPICAL ALIEN MAMMALS: a data set of occurrence and abundance of alien mammals in the Neotropics

Biological invasion is one of the main threats to native biodiversity. For a species to become invasive, it must be voluntarily or involuntarily introduced by humans into a nonnative habitat. Mammals were among first taxa to be introduced worldwide for game, meat, and labor, yet the number of species introduced in the Neotropics remains unknown. In this data set, we make available occurrence and abundance data on mammal species that (1) transposed a geographical barrier and (2) were voluntarily or involuntarily introduced by humans into the Neotropics. Our data set is composed of 73,738 historical and current georeferenced records on alien mammal species of which around 96% correspond to occurrence data on 77 species belonging to eight orders and 26 families. Data cover 26 continental countries in the Neotropics, ranging from Mexico and its frontier regions (southern Florida and coastal-central Florida in the southeast United States) to Argentina, Paraguay, Chile, and Uruguay, and the 13 countries of Caribbean islands. Our data set also includes neotropical species (e.g., Callithrix sp., Myocastor coypus, Nasua nasua) considered alien in particular areas of Neotropics. The most numerous species in terms of records are from Bos sp. (n = 37,782), Sus scrofa (n = 6,730), and Canis familiaris (n = 10,084); 17 species were represented by only one record (e.g., Syncerus caffer, Cervus timorensis, Cervus unicolor, Canis latrans). Primates have the highest number of species in the data set (n = 20 species), partly because of uncertainties regarding taxonomic identification of the genera Callithrix, which includes the species Callithrix aurita, Callithrix flaviceps, Callithrix geoffroyi, Callithrix jacchus, Callithrix kuhlii, Callithrix penicillata, and their hybrids. This unique data set will be a valuable source of information on invasion risk assessments, biodiversity redistribution and conservation-related research. There are no copyright restrictions. Please cite this data paper when using the data in publications. We also request that researchers and teachers inform us on how they are using the data

NEOTROPICAL CARNIVORES: a data set on carnivore distribution in the Neotropics

Mammalian carnivores are considered a key group in maintaining ecological health and can indicate potential ecological integrity in landscapes where they occur. Carnivores also hold high conservation value and their habitat requirements can guide management and conservation plans. The order Carnivora has 84 species from 8 families in the Neotropical region: Canidae; Felidae; Mephitidae; Mustelidae; Otariidae; Phocidae; Procyonidae; and Ursidae. Herein, we include published and unpublished data on native terrestrial Neotropical carnivores (Canidae; Felidae; Mephitidae; Mustelidae; Procyonidae; and Ursidae). NEOTROPICAL CARNIVORES is a publicly available data set that includes 99,605 data entries from 35,511 unique georeferenced coordinates. Detection/non-detection and quantitative data were obtained from 1818 to 2018 by researchers, governmental agencies, non-governmental organizations, and private consultants. Data were collected using several methods including camera trapping, museum collections, roadkill, line transect, and opportunistic records. Literature (peer-reviewed and grey literature) from Portuguese, Spanish and English were incorporated in this compilation. Most of the data set consists of detection data entries (n = 79,343; 79.7%) but also includes non-detection data (n = 20,262; 20.3%). Of those, 43.3% also include count data (n = 43,151). The information available in NEOTROPICAL CARNIVORES will contribute to macroecological, ecological, and conservation questions in multiple spatio-temporal perspectives. As carnivores play key roles in trophic interactions, a better understanding of their distribution and habitat requirements are essential to establish conservation management plans and safeguard the future ecological health of Neotropical ecosystems. Our data paper, combined with other large-scale data sets, has great potential to clarify species distribution and related ecological processes within the Neotropics. There are no copyright restrictions and no restriction for using data from this data paper, as long as the data paper is cited as the source of the information used. We also request that users inform us of how they intend to use the data

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)