Tiragem molecular de pseudomonas aeruginosa pelo Sistema DiversiLab

The isolation of Pseudomonas aeruginosa in the blood of a newborn, as well as in the water of two incubators of UCIN of Oporto Hospitalar Centre, triggered the need to clarify the existence of an outbreak. Molecular typing of the three isolates was performed by Diversilab system, bioMérieux, which revealed a high degree of similarity in genomic profiles. The timely response allowed intervention measures to prevent the spread of these infections.  O isolamento de Pseudomonas aeruginosa na hemocultura de um recém-nascido, bem como na água de duas das incubadoras da UCIN do Centro Hospitalar do Porto, despoletou a necessidade de esclarecer a existência de um surto. Foi efectuada a tipagem molecular dos três isolados pelo sistema Diversilab, bioMérieux, que revelou elevado grau de similaridade nos perfis genómicos. A resposta atempada permitiu implementar medidas para evitar a disseminação destas infecções

Children with Feeding Difficulties Present Changes in the Development of Feeding Skills: A Study with a Control Group

Introduction: Feeding skills (FS) are important to child development, as the delay in their presence could suggest feeding difficulties (FD) symptoms. The aim of the present study was to compare the development of three types of FS (autonomy to eat, posture at meals, and adequate use of cutleries) among children with FD and without FD. Methods: This was a case-control retrospective observational study. The sample consisted of 316 children from case and control groups in accordance with the presence (or not) of FD. The control group was recruited by convenience (verbal approaching at the emergency care unit), and the case group was based on the medical records collected at the reference center. A same-structured questionnaire was used for both groups. Results: Children with FD (63.2%) used baby-bottles in an inadequate way with a higher frequency after 24 months of age. Inadequate posture at meals was observed with higher frequency in children with FD (78.1%). Children without FD (89.1%) had more autonomy to eat. In children > 18 months old, this frequency was higher (90.6%). Conclusion: Children with FD showed changes on the development of FS. Inadequate posture at meals was associated with a 36-fold higher risk of having FD. Not eating alone after the age of 18 months was associated with a 6-fold higher risk of having FD, while not using baby bottles was associated with a lower risk (52%) of FD complaints. Delays in FS can be predictors of FD during childhood

A IMPORTÂNCIA DO ENFERMEIRO NOS SERVIÇOS DE HEMODINÂMICA: UMA REVISÃO INTEGRATIVA

No início do século XX as doenças cardiovasculares provocavam 10% dos óbitos no mundo. Com o objetivo de melhorar a estratégia de tratamento dessas doenças surgem procedimentos com resultados favoráveis, os quais estão inclusos na cardiologia intervencionista, a qual é desenvolvida em Unidades de Hemodinâmica, sendo eles: a angioplastia primária e o emprego de stents. A experiência do médico e de toda a equipe de enfermagem e radiologia é um fator essencial para o resultado obtido nos procedimentos empregados na cardiologia intervencionista. O presente artigo consiste em uma revisão integrativa, no qual tem como objetivo discorrer acerca da importância do enfermeiro nos serviços de hemodinâmica, com o intuito de conscientizar os estudantes e profissionais da área acerca da sua importância nesse setor. Trata-se de uma revisão de literatura do tipo integrativa, na qual foi realizada uma pesquisa bibliográfica, nas bases de dados da Biblioteca Virtual da Saúde: Sistema Latino Americano e do Caribe de informação em Ciências da Saúde e na Biblioteca Eletrônica Científica Online, acerca do tema em estudo. A atuação da Enfermagem no serviço de hemodinâmica cardíaca é de suma importância, visto que tem como objetivo um melhor planejamento do cuidado por meio da Sistematização da Assistência de Enfermagem. Em suma, é possível concluir que as Unidades de Hemodinâmica exigem do enfermeiro conhecimentos referentes à administração e à assistência ao indivíduo, estendendo-se à família e à comunidade

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

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

Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight NCD Risk Factor Collaboration (NCD-RisC)

From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions

Estimativa do consumo de matéria seca de vacas em lactação em pastejo rotativo em capim coastcross (Cynodon dactylon, (L.) Pers cv. coast-cross)

The objective of this experiment was to estimate the total dry matter intake of gir and girolanda breed cows kept in coastcross pasture [Cynodon dactylon (L.) Pers cv. coastcross]. Eight gir and eight girolanda cows were used, all between 30 and 90 days of lactation period. The pasture (five ha) was divided in 10 paddocks, grazed for three days with 27 days of resting period with stocking rate of 1.6 cows/ha at the end of the dry season and 3.2 cows/ha in the other experimental periods. Chromic mordant marker was used to estimate dry matter intake. The experimental design was a randomized complete block with two treatments (gir and girolanda), eight replications and four blocks (seasons). The total mean dry matter intake for girolanda cows was of 7.68 kg DM/cow/day and 5.71 kg DM/cow/day for gir cows, corresponding to 1.58% and 1.38% live weight respectively. The calculated mean dry matter intake of pasture for gir cows was of 2.71 kg DM/cow/day and 4.68 kg DM/cow/day for girolanda cows, corresponding to 0.66% and 1.16% live weight respectively.O experimento teve como objetivo estimar o consumo total de MS de vacas das raças gir e girolanda, em pastagem de capim coastcross [Cynodon dactylon (L.) Pers cv. coastcross]. Foram utilizadas oito vacas gir e oito girolanda com 30 a 90 dias de lactação. Foi utilizada uma área de cinco hectares (ha), dividida em 10 piquetes de um hectare, e a pastagem manejada em pastejo rotacionado, com três dias de ocupação e 27 dias de descanso e taxa de lotação de 1,6 animais/ha no final da seca e 3,2 animais/ha nas demais épocas experimentais. Para a estimativa do consumo, foi utilizado o marcador cromo mordente. O delineamento experimental foi o de blocos casualizados com dois tratamentos (gir e girolanda), oito repetições e quatro blocos (épocas). O consumo total médio foi de 7,68kg de MS/animal/dia para a raça girolanda e 5,71kg de MS/animal/dia para a raça gir, correspondentes a 1,58% e 1,38% do peso vivo, respectivamente. Os consumos médios de capim coastcross estimados foram de 2,70kg e 4,68kg de MS/animal/dia para a raça gir e girolanda, correspondendo a 0,66 e 1,16% de PV, respectivamente