User perception on the approach of a team of multidisciplinary residents

Estudo qualitativo realizado com o objetivo de identificar e analisar as percepções dos usuários acompanhados por uma equipe de residentes multiprofissional. Os dados foram coletados por meio de entrevistas semiestruturadas, sendo posteriormente submetidos à análise temática que permitiu a construção de três categorias: 1) É diferente, vem com a gente!; 2) Surpresa boa não é aquela que não se espera, é aquela que não se esquece; 3) Críticas: o despertar de potências. A conclusão mostra que aparentemente a abordagem multiprofissional, com tendência interprofissional, vivenciada pelos sujeitos entrevistados envolveu fatores positivos, apesar das barreiras para a efetivação desta prática.Qualitative study aiming to identify and analyze the perceptions of users accompanied by a team of Multidisciplinary residents. Data were collected through semi-structured interviews and later submitted to thematic analysis which allowed the construction of three categories: 1) It is different, come along!; 2) a good surprise is not that which is not expected, but that which will not be forgotten; 3) reviews: the awakening of powers. The conclusion shows that apparently the multidisciplinary approach, with inter-professional tendency, experienced by interviewees involved positive factors, despite the barriers to the realization of this practice

Viral genetic clustering and transmission dynamics of the 2022 mpox outbreak in Portugal

Pathogen genome sequencing during epidemics enhances our ability to identify and understand suspected clusters and investigate their relationships. Here, we combine genomic and epidemiological data of the 2022 mpox outbreak to better understand early viral spread, diversification and transmission dynamics. By sequencing 52% of the confirmed cases in Portugal, we identified the mpox virus sublineages with the highest impact on case numbers and fitted them into a global context, finding evidence that several international sublineages probably emerged or spread early in Portugal. We estimated a 62% infection reporting rate and that 1.3% of the population of men who have sex with men in Portugal were infected. We infer the critical role played by sexual networks and superspreader gatherings, such as sauna attendance, in the dissemination of mpox virus. Overall, our findings highlight genomic epidemiology as a tool for the real-time monitoring and control of mpox epidemics, and can guide future vaccine policy in a highly susceptible population.info:eu-repo/semantics/publishedVersio

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio

The complete genome sequence of Chromobacterium violaceum reveals remarkable and exploitable bacterial adaptability

Chromobacterium violaceum is one of millions of species of free-living microorganisms that populate the soil and water in the extant areas of tropical biodiversity around the world. Its complete genome sequence reveals (i) extensive alternative pathways for energy generation, (ii) ≈500 ORFs for transport-related proteins, (iii) complex and extensive systems for stress adaptation and motility, and (iv) wide-spread utilization of quorum sensing for control of inducible systems, all of which underpin the versatility and adaptability of the organism. The genome also contains extensive but incomplete arrays of ORFs coding for proteins associated with mammalian pathogenicity, possibly involved in the occasional but often fatal cases of human C. violaceum infection. There is, in addition, a series of previously unknown but important enzymes and secondary metabolites including paraquat-inducible proteins, drug and heavy-metal-resistance proteins, multiple chitinases, and proteins for the detoxification of xenobiotics that may have biotechnological applications

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost

A relação entre Universidade e serviço: com a palavra os profissionais de saúde

The Universidade Federal de São Paulo, Baixada Santista campus (UNIFESP-BS) presents innovative pedagogical proposal with broad inclusion of students? activities in health services in the city of Santos, in the perspective of an interprofessional teamwork and integrality care. It is believed that the teaching-service integration brings moments of reflection and changes the practices of the professional in their units, causing a new way to produce health. This project aims to describe and analyze the insertion of the activities of UNIFESP-BS, in the perspective of health professionals. An exploratory research was conducted from the qualitative approach using documentary analysis and semi-structured interviews applied to the primary health care professionals (community health workers, nurses and unit chiefs) and the SEATESC team (Care in Community Health Work) involved in actions in UNIFESP-BS (Health Work Axis modules, mandatory internships and Integrated Multi Professional Residence in Health Care). Interviews were analyzed according to the content analysis, the thematic type. UNIFESP-BS services actions have been recognized by professionals and considered important when related to the reflections on practices and care, bringing a new look to how the health professional acts. However, professionals point out the difficulty of identifying and / or differentiate each action, often with indirect participation, without participating in the whole planning of activities, among others. The academy-service partnership as a driving force of changing practices can highlight as positive, since many professionals feel provoked to seek new knowledge and new doings as well. They can recognize a more dedicated care look when monitoring students in their activities, but do not feel responsible for training, considering sometimes the monitoring of students work overload. The Multidisciplinary Residence is the activity pointed by professionals as the most relevant to the transformation of practice. The vocational training proposed by UNIFESP-BS, in accordance with the policy guidelines of national and international training comes in construction with advances and challenges. Several strategies have been implemented in order to strengthen the relationship between UNIFESP-BS and the SMS-Santos as Care specialization course in network and planning meetings and shared assessment of actions at different levels of management. This way of approach between academia and service has advanced the promotion of qualified meetings and has been recognized as beneficial for all actors in this journey: professionals, teachers, students, users and managers.A Universidade Federal de São Paulo, campus Baixada Santista (UNIFESP-BS) apresenta proposta pedagógica inovadora, de ampla inserção discente em atividades realizadas nos serviços de saúde na cidade de Santos, na perspectiva do trabalho interprofissional e da integralidade do cuidado. Acredita-se que a integração ensino-serviço produza momentos de reflexão e mudanças das práticas dos profissionais das unidades, provocando um novo modo de produzir saúde. Este estudo teve como objetivos descrever e analisar a inserção das atividades da UNIFESP-BS, na perspectiva dos profissionais de saúde. Foi realizada pesquisa exploratória, construída a partir de abordagem qualitativa utilizando análise documental e entrevista semiestruturada aplicada aos profissionais da atenção básica em saúde (agentes comunitários de saúde, enfermeiros e chefes de unidades) e da equipe da SEATESC (Seção de Atenção em Trabalho de Saúde Coletiva) envolvidos em ações da UNIFESP-BS (módulos do Eixo Trabalho em Saúde, estágios curriculares obrigatórios e Residência Integrada Multiprofissional em Atenção à Saúde). As entrevistas foram analisadas segundo análise de conteúdo, do tipo temática. As ações da UNIFESP-BS nos serviços foram reconhecidas pelos profissionais e consideradas importantes no que se refere às reflexões sobre as práticas e o cuidado, trazendo um novo olhar para o fazer do profissional de saúde. Entretanto, os profissionais apontam dificuldade de identificar e/ou diferenciar cada uma das ações, tendo muitas vezes contato indireto, sem participar do planejamento conjunto das atividades, entre outros. A parceria academia-serviço como potencializadora da mudança das práticas pode se destacada como positiva, já que muitos profissionais sentem-se provocados a buscar novos saberes, bem como novos fazeres. Reconhecem um olhar para o cuidado mais dedicado quando acompanham os estudantes em suas atividades, porém não se sentem responsabilizados pela formação, considerando, algumas vezes, o acompanhamento de alunos uma sobrecarga de trabalho. A Residência Multiprofissional é a atividade apontada pelos profissionais como a mais relevante ao processo de transformação da prática. A proposta de formação da UNIFESP-BS, em consonância com as diretrizes de políticas de formação nacionais e internacionais apresenta-se em construção, com avanços e desafios. Várias estratégias têm sido executadas com vistas a estreitar a relação entre a UNIFESP-BS e a SMS-Santos como curso de especialização em cuidado em rede e reuniões de planejamento e avaliação compartilhadas das ações nos diversos níveis de gestão. Este caminho de aproximação entre academia e serviço tem avançado na promoção de encontros qualificados e tem sido reconhecido como benéfico por todos os atores neste caminhar: profissionais, professores, alunos, usuários e gestores.Dados abertos - Sucupira - Teses e dissertações (2013 a 2016

A percepção do usuário sobre a abordagem de uma equipe de residentes multiprofissionais

Estudo qualitativo realizado com o objetivo de identificar e analisar as percepções dos usuários acompanhados por uma equipe de residentes multiprofissional. Os dados foram coletados por meio de entrevistas semiestruturadas, sendo posteriormente submetidos à análise temática que permitiu a construção de três categorias: 1) É diferente, vem com a gente!; 2) Surpresa boa não é aquela que não se espera, é aquela que não se esquece; 3) Críticas: o despertar de potências. A conclusão mostra que aparentemente a abordagem multiprofissional, com tendência interprofissional, vivenciada pelos sujeitos entrevistados envolveu fatores positivos, apesar das barreiras para a efetivação desta prática