Modelo de Remuneração na Gestão de Pessoas: a Estruturação Tradicional de Cargos e Salários Ainda Pode Trazer Benefícios?

A Gestão de Pessoas passa por constantes atualizações. Novas abordagens no campo dos modelos de remuneração estão sendo cada vez mais indicadas e aplicadas pelas organizações. Porém, muitas empresas ainda sobrevivem com uma estruturação tradicional de cargos e salários. Estariam essas empresas fora de contexto ou apenas usufruindo de algo que ainda lhe é útil e traz benefícios? É nesse contexto que este relato técnico teve o objetivo de apresentar o caso de uma empresa com a estruturação tradicional de cargos e salários e seus benefícios na contribuição para a equidade interna e a atração e retenção de talentos visando à competitividade externa de mercado. Os resultados mostraram que o modelo tradicional de remuneração, considerando uma estruturação de cargos e salários fixos pode, a despeito de suas críticas, ainda ser benéfico a determinadas empresas, dependendo de suas características

Digital Versus Conventional Rehabilitation After Total Hip Arthroplasty: A Single-Center, Parallel-Group Pilot Study

Background: The demand for total hip arthroplasty (THA) is rising. In the face of rapidly increasing health care costs, ensuring widespread, cost-effective rehabilitation is a priority. Technologies allowing independent home-based rehabilitation may be the key to facilitate access, improve effectiveness, and lower costs of care. Objective: The aim of this study was to assess the feasibility of a novel artificial intelligence-powered digital biofeedback system following THA and compare the clinical outcomes against supervised conventional rehabilitation. Methods: This was a single-center, parallel-group pilot study, with an 8-week intervention program. Patients were assessed at baseline, during the program (at 4 and 8 weeks), and 3 and 6 months after surgery. The primary outcome was the Timed Up and Go (TUG) score and secondary outcomes were the Hip dysfunction and Osteoarthritis Outcome Scale (HOOS; a patient-reported outcome) and hip range of motion (ROM). Results: A total of 66 patients were included: 35 digital physiotherapy (PT) versus 31 conventional. There were no differences at baseline between groups except for lower HOOS quality of life (QoL) subscale scores in the digital PT group. Clinically relevant improvements were noted in both groups at all time points. The digital PT group showed a retention rate of 86% (30/35). Per-protocol analysis revealed a superiority of the digital PT group for all outcome measures. Intention-to-treat analysis revealed the superiority of the digital PT group at all time points for TUG (change between baseline and 4 and 8 weeks: P<.001; change between baseline and 3 and 6 months: P=.001 and P=.005, respectively), with a difference between median changes of -4.79 seconds (95% CI -7.24 to -1.71) at 6 months post-THA. Between baseline and month 6, results were also superior in the digital PT group for the HOOS sports and QoL subscales and all ROM except for standing flexion. Conclusions: This study demonstrates this novel solution holds promise in rehabilitation after THA, ensuring better clinical outcomes than conventional rehabilitation while reducing dependence on human resources.info:eu-repo/semantics/publishedVersio

Medium-Term Outcomes of Digital Versus Conventional Home-Based Rehabilitation After Total Knee Arthroplasty: Prospective, Parallel-Group Feasibility Study

Background: Physical rehabilitation is recommended after total knee arthroplasty (TKA). With the expected increase in TKA over the next few decades, it is important to find new ways of delivering cost-effective interventions. Technological interventions have been developed with this intent, but only preliminary evidence exists regarding their validity, with short follow-up times. Objective: This study aimed to present the follow-up results of a feasibility study comparing two different home-based programs after TKA: conventional face-to-face sessions and a digital intervention performed through the use of an artificial intelligence-powered biofeedback system under remote clinical monitoring. Methods: The digital intervention uses a motion tracker allowing 3D movement quantification, a mobile app and a Web portal. This study presents the results of the previous single-center, prospective, parallel-group, feasibility study including an 8-week active treatment stage and further assessments at 3 and 6 months post-TKA. Primary outcome was the Timed Up and Go score, and secondary outcomes were the Knee Osteoarthritis Outcome Scale (KOOS) score and knee range of motion. Results: A total of 59 patients completed the study (30 in the digital intervention group and 29 in the conventional rehabilitation group) and follow-up assessments. During the active treatment stage, patients in the digital intervention group demonstrated high engagement and satisfaction levels, with an 82% retention rate. Both groups attained clinically relevant improvements from baseline to 6 months post-TKA. At the end of the 8-week program, clinical outcomes were superior in the digital intervention group. At the 3- and 6-month assessments, the outcomes remained superior for the Timed Up and Go score (P<.001) and all KOOS subscale scores (at 3 months, P<.001 overall; at 6 months, KOOS Symptoms: P=.006, Pain: P=.002, Activities of Daily Living: P=.001, Sports: P=.003, and Quality of Life: P=.001). There was progressive convergence between both groups in terms of the knee range of motion, which remained higher for standing flexion in the digital intervention group than the conventional group at 6 months (P=.01). For the primary outcome, at 6 months, the median difference between groups was 4.87 seconds (95% CI 1.85-7.47), in favor of the digital intervention group. Conclusions: The present study demonstrates that this novel digital intervention for independent home-based rehabilitation after TKA is feasible, engaging, and capable of maximizing clinical outcomes in comparison to conventional rehabilitation in the short and medium term; in addition, this intervention is far less demanding in terms of human resources.info:eu-repo/semantics/publishedVersio

NEONATAL JAUNDICE AND PHOTOTHERAPY: THE CONTRIBUTION OF NURSES TO THE EFFECTIVENESS OF

Resumo: A Icterícia Neonatal é um dos episódios mais comuns em uma UTI, assim os objetivos desta pesquisa são: identificar as dificuldades encontradas pelo enfermeiro na utilização da fototerapia em Rns com icterícia neonatal e descrever os cuidados dos enfermeiros aos Rns com icterícia, minimizando as dificuldades evidenciadas, de modo a contribuir para a melhoria da eficácia da fototerapia. Pesquisa exploratória, descritiva, bibliográfica na BVS (LILACS e BDENF) e qualitativa. Após a coleta de dados foi realizada uma leitura exploratória, seletiva, crítica e análise temática.  Categorias emergentes: Dificuldades encontradas pelos enfermeiros na utilização da fototerapia e os cuidados do enfermeiro para eficácia da fototerapia em Rns com icterícia. Concluímos que se faz necessário a implementação de uma rotina hospitalar na qual deve conter todas as ações necessárias a serem cumpridas em um Rn ictérico, visando um melhor cuidado do enfermeiro e reduzindo a dificuldade de implementação para um tratamento de qualidade.Descritores: Icterícia Neonatal, Cuidados de Enfermagem e Fototerapia

Explorar matemática e ciências através de origami no 2.º ciclo do ensino básico

Este trabalho resulta da implementação e análise de tarefas realizadas por alunos do 2.º ciclo do ensino básico (CEB), no âmbito da comemoração do Dia Nacional da Cultura Científica, a 24 de novembro de 2021. As tarefas foram organizadas em duas propostas de trabalho baseadas na construção de origamis e devidamente enquadradas pelo Perfil do Aluno à Saída da Escolaridade Obrigatória (ME/DGE, 2017) e nas aprendizagens essenciais de Matemática, Ciências Naturais e Tecnologias da Informação e Comunicação do 2.º CEB. As propostas foram implementadas por estudantes da formação inicial de professores do Mestrado em Ensino do 1.º CEB e da Matemática e das Ciências Naturais no 2.º CEB, da Escola Superior de Educação de Santarém, nos respetivos contextos de estágio: Escola Básica 2,3 Alexandre Herculano (Agrupamento de Escolas Alexandre Herculano) e Escola Básica 2,3 D. João II (Agrupamento de Escolas Sá da Bandeira), em Santarém. Os alunos do 2.º CEB realizaram diferentes procedimentos de dobragem de papel com o apoio de guiões e dos recursos educativos digitais respetivos de duas propostas de trabalho - construção de um morcego e construção de uma estrela octogonal.N/

Crescimento e valor nutritivo do capim xaraés sob diferentes adubações e umidades do solo / Growth and nutritive value of the xaraés grass under different fertilizations and soil moisture

Objetivou-se avaliar as características produtivas, composição química bromatológica e qualidade nutricional de Urochloa brizantha cv. Xaraés, sob diferentes adubações e umidades do solo. Utilizou-se do delineamento em blocos casualizados, disposto em esquema fatorial 2 x 6, sendo os fatores referentes: umidades do solo (70 e 100% da capacidade de campo) e adubações (sem adubação, adubação mineral convencional, fertilizante organomineral peletizado e farelado nas doses de 80 e 160% da adubação convencional), com quatro repetições. Foram realizados dois cortes no capim Xaraés, o primeiro aos 90 dias após a semeadura e, aos 30 dias após o primeiro corte. Avaliou-se variáveis de crescimento das plantas e acúmulo de matéria seca, bem como análises bromatológicas e nutricionais dos tecidos foliares para os dois cortes das plantas de braquiária. Observou-se que a adubação organomineral peletizado na dose 160% em relação a mineral favoreceu o desenvolvimento da braquiária na maioria das variáveis analisadas em solo com 70% da capacidade de campo independente do tempo de corte, sem alterar a sua qualidade bromatológica

Brazilian Sepsis Epidemiological Study (BASES study)

INTRODUCTION: Consistent data about the incidence and outcome of sepsis in Latin American intensive care units (ICUs), including Brazil, are lacking. This study was designed to verify the actual incidence density and outcome of sepsis in Brazilian ICUs. We also assessed the association between the Consensus Conference criteria and outcome METHODS: This is a multicenter observational cohort study performed in five private and public, mixed ICUs from two different regions of Brazil. We prospectively followed 1383 adult patients consecutively admitted to those ICUs from May 2001 to January 2002, until their discharge, 28th day of stay, or death. For all patients we collected the following data at ICU admission: age, gender, hospital and ICU admission diagnosis, APACHE II score, and associated underlying diseases. During the following days, we looked for systemic inflammatory response syndrome (SIRS), sepsis, severe sepsis, and septic shock criteria, as well as recording the sequential organ failure assessment score. Infection was diagnosed according to CDC criteria for nosocomial infection, and for community-acquired infection, clinical, radiological and microbiological parameters were used. RESULTS: For the whole cohort, median age was 65.2 years (49–76), median length of stay was 2 days (1–6), and the overall 28-day mortality rate was 21.8%. Considering 1383 patients, the incidence density rates for sepsis, severe sepsis and septic shock were 61.4, 35.6 and 30.0 per 1000 patient-days, respectively. The mortality rate of patients with SIRS, sepsis, severe sepsis and septic shock increased progressively from 24.3% to 34.7%, 47.3% and 52.2%, respectively. For patients with SIRS without infection the mortality rate was 11.3%. The main source of infection was lung/respiratory tract. CONCLUSION: Our preliminary data suggest that sepsis is a major public health problem in Brazilian ICUs, with an incidence density about 57 per 1000 patient-days. Moreover, there was a close association between ACCP/SCCM categories and mortality rate

Protocolos de Parada Cardiorrespiratória na Sala de Emergência: Uma Revisão Sistemática

Cardiopulmonary arrest (CPA) is a medical emergency that requires immediate and effective intervention in the emergency room. Well-defined protocols are essential to optimize patient outcomes. A systematic review was conducted following PRISMA guidelines. Comprehensive literature search included electronic databases and relevant references. Studies addressing CPA protocols in the emergency room were included, with assessment of methodological quality and data extraction. Analysis of included studies revealed a variety of approaches in CPA protocols, highlighting both points of agreement and disagreement among international guidelines. Integration of resuscitation strategies, such as post-CPA temperature management and acute coronary syndromes, was discussed in relation to challenges and opportunities in clinical practice. This systematic review provides a comprehensive synthesis of current evidence on CPA protocols in the emergency room, emphasizing the importance of implementing updated guidelines and identifying gaps to guide future research and improvements in clinical practice.A parada cardiorrespiratória (PCR) é uma emergência médica que requer intervenção imediata e eficaz na sala de emergência. Protocolos bem definidos são essenciais para otimizar os resultados dos pacientes. Uma revisão sistemática foi conduzida de acordo com as diretrizes do PRISMA. A busca abrangente de literatura incluiu bases de dados eletrônicas e referências relevantes. Foram incluídos estudos que abordavam protocolos de PCR na sala de emergência, com avaliação da qualidade metodológica e extração de dados. A análise dos estudos incluídos revelou uma variedade de abordagens em protocolos de PCR, destacando tanto pontos de concordância quanto discordância entre as diretrizes internacionais. A integração de estratégias de ressuscitação, como manejo da temperatura pós-PCR e síndromes coronárias agudas, foi discutida em relação aos desafios e oportunidades na prática clínica. Esta revisão sistemática fornece uma síntese abrangente das evidências atuais sobre protocolos de PCR na sala de emergência, destacando a importância da implementação de diretrizes atualizadas e da identificação de lacunas para orientar futuras pesquisas e melhorias na prática clínica

Educomunicação, Transformação Social e Desenvolvimento Sustentável

Esta publicação apresenta os principais trabalhos dos GTs do II Congresso Internacional de Comunicação e Educação nos temas&nbsp;Transformação social, com os artigos que abordam principalmente Educomunicação e/ou Mídia-Educação, no contexto de políticas de diversidade, inclusão e equidade; e, em Desenvolvimento Sustentável&nbsp;os artigos que abordam os avanços da relação comunicação/educação no contexto da educação ambiental e desenvolvimento sustentável

Catálogo Taxonômico da Fauna do Brasil: setting the baseline knowledge on the animal diversity in Brazil

The limited temporal completeness and taxonomic accuracy of species lists, made available in a traditional manner in scientific publications, has always represented a problem. These lists are invariably limited to a few taxonomic groups and do not represent up-to-date knowledge of all species and classifications. In this context, the Brazilian megadiverse fauna is no exception, and the Catálogo Taxonômico da Fauna do Brasil (CTFB) (http://fauna.jbrj.gov.br/), made public in 2015, represents a database on biodiversity anchored on a list of valid and expertly recognized scientific names of animals in Brazil. The CTFB is updated in near real time by a team of more than 800 specialists. By January 1, 2024, the CTFB compiled 133,691 nominal species, with 125,138 that were considered valid. Most of the valid species were arthropods (82.3%, with more than 102,000 species) and chordates (7.69%, with over 11,000 species). These taxa were followed by a cluster composed of Mollusca (3,567 species), Platyhelminthes (2,292 species), Annelida (1,833 species), and Nematoda (1,447 species). All remaining groups had less than 1,000 species reported in Brazil, with Cnidaria (831 species), Porifera (628 species), Rotifera (606 species), and Bryozoa (520 species) representing those with more than 500 species. Analysis of the CTFB database can facilitate and direct efforts towards the discovery of new species in Brazil, but it is also fundamental in providing the best available list of valid nominal species to users, including those in science, health, conservation efforts, and any initiative involving animals. The importance of the CTFB is evidenced by the elevated number of citations in the scientific literature in diverse areas of biology, law, anthropology, education, forensic science, and veterinary science, among others