Penetrating cervical trauma with trachea transection and esophageal injury: case report/ Traumatismo cervical penetrante com transecção da traqueia e lesão esofágica: relato de caso

Cervical injuries are common and have high morbimortality. The cervical region is highly susceptible due to the structures present. Lesions in this area requires attention with the respiratory tract and continuous discussions over that intra-surgery management for the purpose defining protocols and techniques to provide better prognosis. Surgical exploration is mandatory for unstable patients, which requires experienced professionals to avoid catastrophic results. This report presents a case of a male patient victim of a car accident that resulted in penetrating cervical trauma by iron wire that culminated in tracheal transection and esophageal lesion, that as a result of early diagnosis and treatment and with multidisciplinary monitoring in the therapy it obtained a good evolution

Skin lesions associated with invasive devices in highly complex neonatal and pediatric patients

The skin is the largest organ of the human body. It has three layers: epidermis, dermis and hypodermis. The epidermis performs multiple functions in the body, standing out as a defensive barrier and internal integrity in addition to containing the evasion of moisture, and exogenous substances. Injury is by definition any interruption in the continuity of the skin regardless of its extent and may be chronic or acute. A newborn's skin is delicate and vulnerable, and the use of invasive devices in highly complex care can negatively affect its integrity. This review study addressed data from Brazilian research on newborn skin in intensive hospital treatment units. The studies evaluated were obtained from the SciELO, Medline and Lilacs, Google Scholar and Elsevier databases. The inclusion criteria were articles, monographs, dissertations and theses published in the period between 2018 and 2023, in Portuguese with a pre-established theme, and the exclusion criteria were articles, monographs, dissertations and repeated theses, incomplete manuscripts and with unauthorized access free of charge. As results, 3 categories were obtained: Category 1 – Main causes of skin lesions in newborns and highly complex children. Category 2- Prevention measures in newborns and highly complex children with skin lesions. Category 3- Highly complex skin care strategies for newborns and children. It is evident that due to the high susceptibility of newborns and children to develop highly complex skin lesions, it requires greater attention from the nursing team. Early detection of the risk of skin lesions and the use of prophylaxis enable a better quality of life for newborns hospitalized in high complexity, avoiding and minimizing skin lesions caused by the care provided

Main nursing diagnoses in a patient with traumatic injury of the spinal cord from the perspective of high complexity

Traumatic spinal cord injury and sequelae are catastrophic events that adversely affect the victim's functional capacity, and rapid rehabilitation is necessary. Nursing patients with spinal cord injury is essential for the patient's rehabilitation. Nursing professionals offer individualized support according to different levels of complexity to prevent and treat the main complications caused by spinal cord injury. The objective of this study was to verify knowledge about the care of patients with spinal cord injuries undergoing rehabilitation. This study was developed from the virtual databases resident in the Library Research Portal: Latin American and Caribbean Literature in Health Sciences (LILACS); Scientific Electronic Library online (SciELO); Medical Literature Analysis and Retrieval System Online (MEDLINE) and Elsevier. It is concluded that nurses have knowledge of methods and scientific support to care for patients with spinal cord injuries. Their professional qualification provides greater technical competence in activities carried out with victims and facilitates the progression of trauma. Its process has a high contribution to rehabilitation, aiming at care that pays attention to each individual's needs and particularities, helping to face the physical, social and psychological limitations of patients with traumatic spinal cord injuries

The relationship between socioeconomic level and mathematics proficiency of 9th grade students from Pernambuco through Educational Data Mining

O desempenho escolar dos estudantes da educação básica, mensurado pelo Ideb a partir dos índices de aprovação das instituições escolares e de proficiência no Saeb (Prova Brasil), possui relação com aspectos sociais, como: renda familiar, trabalho doméstico, nível de escolaridade dos pais, dentre outros. Nesse sentido, esse trabalho tem como propósito demonstrar o quanto os aspectos relativos aos Índices de Nível Socioeconômico (Inse) afetam a proficiência em matemática dos estudantes dos Anos Finais das escolas públicas do Estado de Pernambuco. Para tal, aplicou-se técnicas de mineração de dados sobre os microdados coletados no banco de dados do INEP. Os resultados demonstram uma diferença estatisticamente significativa entre proficiências de matemática dos estudantes de Inses diferentes e destaca os tópicos socioeconômicos mais relevantes relacionados ao desempenho no Saeb.The Basic education student's performance, measured by Ideb based on the approval rates of school institutions and proficiency in the Saeb (Brazilian National Exams), is related to social aspects, such as: family income, domestic work, parents' education level, among others. In this sense, this work is focused on demonstrating how aspects related to the Socioeconomic Level Index (Inse) affects the Final Years of public schools student's proficiency in mathematics in the State of Pernambuco. To this end, educational data mining techniques were applied to the microdata collected on the INEP's database. The results demonstrate a statistically significant difference between the student's math proficiencies belonging to different Inses and highlight the most relevant socioeconomic topics related to performance on the Saeb

Manifestação clínica-epidemiológica do Schwannoma vestibular: uma revisão de literatura

O Schwannoma vestibular (SV) responde por 8% dos tumores intracranianos e por 90% dos tumores do ângulo ponto-cerebelar. Entretanto, ainda existem poucos trabalhos que abordem o quadro clínico desencadeado por esse tumor. O objetivo desse trabalho é descrever as manifestações clínicas e epidemiológicas do SV. Trata-se de uma revisão de literatura. Foram pesquisados artigos publicados entre 2012-2017 na base de dados Pubmed Central®. Os termos utilizadosna pesquisa desses artigos foram: 1) “schwannoma/vestibular”; 2) “acoustic/neuroma”. Foram identificados 1.497 e 1.016 artigos a partir dos termos 1 e 2, respectivamente. Entretanto, foram analisados apenas 60 artigos a partir de cada termo, totalizando um levantamento de 120 artigos. Com a exclusão das nove repetições, restaram 111 artigos. Esses artigos foram selecionados mediante a leitura do título e do resumo. Foram excluídos os artigos com desenho do tipo relato de caso. Desse modo, foram selecionados 14 artigos. Os dados analisados nesses artigos foram: 1) descrição conceitual do SV; 2) epidemiologia (porcentagem por sexo e faixa etária) do SV; 3) expressão percentual da prevalência dos sintomas do SV. Foram utilizados oito, sete e cinco artigos nas análises 1, 2 e 3, respectivamente. Esse trabalho observou que as mulheres são mais acometidas do queos homens, que a idade média mais afetada está entre a quinta e a sexta década de vida. Quanto aos sintomas, baixa auditiva e zumbidos são os mais frequentes, estando comumente associados. O conhecimento dessa epidemiologia é relevante para o aprimoramento do manejo clínico dos pacientes com SV.estibular Schwannoma (VS) accounts for 8% of intracranial tumors and 90% of cerebellar-angle tumors. However, there are still few studies that address the clinical manifestations triggered by this tumor. The objective of this work is to describe the clinical manifestations and epidemiological of VS. This is a literature review. We searched articles published between 2012-2017 in the Pubmed Central® database. The terms usedin the research of these articles were: 1) “schwannoma / vestibular”; 2) “acoustic / neuroma”. We identified 1,497 and 1,016 articles from terms 1 and 2, respectively. However, only 60 articles were analyzed from each term, totalizing a survey of 120 articles. With the exclusion of the nine replicates, 111 articles remained. These articles were selected by reading the title and abstract. Articles with a case report design were excluded. Thus, 14 articles were selected. The data analyzed in these articles were: 1) conceptual description of VS; 2) epidemiology (percentage by sex and age group) of VS; 3) percentage expression of the prevalence of VS symptoms. Eight, seven and five articles were used in analyzes 1, 2 and 3, respectively. This study observed that women are more affected than men, that the average age most affected is between the fifth and sixth decade of life. As for the symptoms, low hearing and tinnitus are the most frequent, being commonly associated. The knowledge of this epidemiology is relevant for the improvement of the clinical management of patients with VS

Potencialidades, subsídios e repercussões da teoria do autocuidado de orem para a pessoa com estoma intestinal

A confecção de uma estomia intestinal resulta em mudanças na rotina da pessoa, que serão evidenciadas em todos os níveis da sua vida, onde pode-se citar as necessidades de realização do autocuidado para manutenção da qualidade de vida e rotina de atividade diárias. Trata-se de um estudo exploratório descritivo, tendo como fonte de informação a pesquisa de campo e abordagem qualitativa em um município da Metropolitana II, do Estado do Rio de Janeiro, com autorização do CEP em 04/09/18 sob o número 2.872.449, com objetivo de discutir o autocuidado realizado pelo paciente estomizado intestinal à luz de Dorothea Orem. A coleta de dados foi realizada através de roteiro de entrevista semiestruturada. As entrevistas foram gravadas, transcritas e posteriormente, realizado análise de conteúdo de Bardin. O Corpus do estudo foi composto por 32 entrevistas, originando 609 unidades de registro agrupadas em 3 categorias. A mutilação e reconstrução e o sistema totalmente compensatório trouxe reflexões sobre o impacto na qualidade de vida do estomizado intestinal. A condição de estomizado e o sistema parcialmente compensatório evidenciou o Isolamento social no decorrer do processo de reabilitação e o sistema de apoio-educação e a adaptação à condição de estomizado abordou a promoção da educação em saúde com os cuidados específicos com o estoma. Conclui-se que o atendimento aos pacientes com estoma exige a análise das suas condições clínicas, valorizando-se os relatos verbais do paciente, geralmente relacionados às mudanças ocorridas no modo de vida, pela não aceitação do estoma e pelo estigma causado por ele. &nbsp

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

IMPACTOS DA PANDEMIA DA COVID-19 FRENTE AO PROCESSO DE ENSINO-APRENDIZAGEM NO ENSINO SUPERIOR

A pandemia por Covid-19 representa um dos maiores desafios sanitários em escala mundial deste século. O coronavírus denominado SARS-CoV-2 tem seu processo de transmissão de pessoa para pessoa, que se dá por meio da autoinoculação do vírus em membranas mucosas, sendo o isolamento social sua principal estratégia de prevenção. O ministério da saúde, em 19 de março de 2020 se pronunciou autorizando substituição das aulas presenciais por aulas que utilizem instrumentos tecnológicos de comunicação. Trata-se de uma pesquisa de revisão integrativa que objetivou em identificar os principiais desafios no processo de ensino-aprendizagem no ensino superior advindas da pandemia da COVID-19 e consequentemente, descrever as estratégias metodológicas frente processo de ensino-aprendizagem na pandemia da COVID -19. Assim a revisão foi realizada através da Biblioteca Virtual de Saúde (BVS), nas seguintes bases de dados: LILACS, BDENF e Google Acadêmico, no período de outubro de 2020, com as palavras-chave: COVID – 19; Educação Superior; Pandemia. Foram localizados 52 artigos, realizado leitura flutuante, selecionado 22 e apenas 14 artigos atendiam a proposto a relacionado à temática do estudo. Os artigos foram analisados segundo os passos da análise temática de Bandin e evidenciaram duas categorias: Desafios no processo de ensino-aprendizagem no ensino superior advindas da pandemia da COVID-19 e Estratégias metodológicas frente processo de ensino-aprendizagem na pandemia da COVID -19. Por fim, o estudo evidenciou, através da revisão de literatura, a grande dificuldade, por parte dos docentes, em ressignificar, de forma emergencial, o processo de ensino-aprendizagem nos cursos de graduação