Reorganização do trabalho da enfermagem em uma unidade de terapia intensiva durante a pandemia de Covid-19

Objetivo: Descrever a reorganização do trabalho da enfermagem de uma unidade de terapia intensiva de um hospital público em função da pandemia de Covid-19.Método: Relato da experiência vivenciada no período de fevereiro a abril de 2020, acerca da reorganização de uma unidade.Resultados: A descrição da experiência está dividida em quatro momentos: Definição do isolamento por coorte, Reorganização das unidades de terapia intensiva em Geral e Respiratória, Equipes assistenciais e escalas de serviço e Paramentação e desparamentação das equipes.Conclusão: A pandemia de Covid-19 trouxe inúmeros desafios para a gestão das unidades de terapia intensiva. Socializar as experiências de gestão pode contribuir para a definição de novas estratégias, inclusive no período pós-pandemia. Palavras-chave: Infecções por Coronavirus. Epidemias. Unidades de terapia intensiva. Gerenciamento da prática profissional. Gestão de recursos. Planejamento em saúde

MAMMALS IN PORTUGAL : A data set of terrestrial, volant, and marine mammal occurrences in P ortugal

Mammals are threatened worldwide, with 26% of all species being includedin the IUCN threatened categories. This overall pattern is primarily associatedwith habitat loss or degradation, and human persecution for terrestrial mam-mals, and pollution, open net fishing, climate change, and prey depletion formarine mammals. Mammals play a key role in maintaining ecosystems func-tionality and resilience, and therefore information on their distribution is cru-cial to delineate and support conservation actions. MAMMALS INPORTUGAL is a publicly available data set compiling unpublishedgeoreferenced occurrence records of 92 terrestrial, volant, and marine mam-mals in mainland Portugal and archipelagos of the Azores and Madeira thatincludes 105,026 data entries between 1873 and 2021 (72% of the data occur-ring in 2000 and 2021). The methods used to collect the data were: live obser-vations/captures (43%), sign surveys (35%), camera trapping (16%),bioacoustics surveys (4%) and radiotracking, and inquiries that represent lessthan 1% of the records. The data set includes 13 types of records: (1) burrowsjsoil moundsjtunnel, (2) capture, (3) colony, (4) dead animaljhairjskullsjjaws, (5) genetic confirmation, (6) inquiries, (7) observation of live animal (8),observation in shelters, (9) photo trappingjvideo, (10) predators dietjpelletsjpine cones/nuts, (11) scatjtrackjditch, (12) telemetry and (13) vocalizationjecholocation. The spatial uncertainty of most records ranges between 0 and100 m (76%). Rodentia (n=31,573) has the highest number of records followedby Chiroptera (n=18,857), Carnivora (n=18,594), Lagomorpha (n=17,496),Cetartiodactyla (n=11,568) and Eulipotyphla (n=7008). The data setincludes records of species classified by the IUCN as threatened(e.g.,Oryctolagus cuniculus[n=12,159],Monachus monachus[n=1,512],andLynx pardinus[n=197]). We believe that this data set may stimulate thepublication of other European countries data sets that would certainly contrib-ute to ecology and conservation-related research, and therefore assisting onthe development of more accurate and tailored conservation managementstrategies for each species. There are no copyright restrictions; please cite thisdata paper when the data are used in publications.info:eu-repo/semantics/publishedVersio

Mammals in Portugal: a data set of terrestrial, volant, and marine mammal occurrences in Portugal

Mammals are threatened worldwide, with ~26% of all species being included in the IUCN threatened categories. This overall pattern is primarily associated with habitat loss or degradation, and human persecution for terrestrial mammals, and pollution, open net fishing, climate change, and prey depletion for marine mammals. Mammals play a key role in maintaining ecosystems functionality and resilience, and therefore information on their distribution is crucial to delineate and support conservation actions. MAMMALS IN PORTUGAL is a publicly available data set compiling unpublished georeferenced occurrence records of 92 terrestrial, volant, and marine mammals in mainland Portugal and archipelagos of the Azores and Madeira that includes 105,026 data entries between 1873 and 2021 (72% of the data occurring in 2000 and 2021). The methods used to collect the data were: live observations/captures (43%), sign surveys (35%), camera trapping (16%), bioacoustics surveys (4%) and radiotracking, and inquiries that represent less than 1% of the records. The data set includes 13 types of records: (1) burrows | soil mounds | tunnel, (2) capture, (3) colony, (4) dead animal | hair | skulls | jaws, (5) genetic confirmation, (6) inquiries, (7) observation of live animal (8), observation in shelters, (9) photo trapping | video, (10) predators diet | pellets | pine cones/nuts, (11) scat | track | ditch, (12) telemetry and (13) vocalization | echolocation. The spatial uncertainty of most records ranges between 0 and 100 m (76%). Rodentia (n =31,573) has the highest number of records followed by Chiroptera (n = 18,857), Carnivora (n = 18,594), Lagomorpha (n = 17,496), Cetartiodactyla (n = 11,568) and Eulipotyphla (n = 7008). The data set includes records of species classified by the IUCN as threatened (e.g., Oryctolagus cuniculus [n = 12,159], Monachus monachus [n = 1,512], and Lynx pardinus [n = 197]). We believe that this data set may stimulate the publication of other European countries data sets that would certainly contribute to ecology and conservation-related research, and therefore assisting on the development of more accurate and tailored conservation management strategies for each species. There are no copyright restrictions; please cite this data paper when the data are used in publications

O dispositivo grupal em psicanálise: questões para uma clínica política do nosso tempo

We seek to contribute to the use of group devices in social policy services as a clinical-political strategy of resistance to the logic of individualization and massification of suffering, from the psychoanalytic perspective. We problematize the use, often indiscriminate, of group techniques, topresent ethical and theoretical aspects of Freudo-Lacanian psychoanalysis guiding the group as a clinical device. Considering the alliances that can unite a group -identification, demand and transfer - with possible effects of massification, we discuss the challenges in sustaining the analyst function when operating this device, which, in the case of the group, will subvert the possible obstacles, transforming them into a living force, into resistance to the discourse of a social group willing to become hegemonic. From our experience with groups in segments of the Social Assistance and Human Rights policy, we bring vignettes of supervisions and experiences in the field, providing debates about groups as a clinical-political practice.Nous cherchons à apporter de nouvelles contributions de la psychanalyse à l'utilisation des dispositifs de groupe dans les services qui exécutent les politiques sociales comme stratégie clinicopolítica de résistance à la logique l' de individualisation et de la massification de la souffrance. Nous présentons les aspects éthiques et théoriques de la psychanalyse freudolacanienne qui guident le groupe en tant que dispositif clinique. Considérant les modalités des alliances pouvant unifier un groupe: identification, demande et transfert et leurs effets éventuels de massification, nous discutons les défis de soutenir la fonction d'analyste en utilisant ce dispositif, qui, dans le cas du groupe, sera de renverser les obstacles possibles, en les transformant en résistance au discours d'un groupe social qui veut devenir hégémonique. De notre expérience avec des groupes menés dans des segments de la politique d'assistance sociale et des droits de l'homme, nous apportons des vignettes de supervisions et d'expériences sur le terrain, en proposant des débats sur les groupes en tant que pratique clinique et politique.Buscamos trazer novos aportes à utilização de dispositivos grupais nos serviços que executam políticas sociais como estratégia clínico-política de resistência à lógica de individualização e massificação do sofrimento, a partir do referencial psicanalítico. Problematizamos o uso, amiúde indiscriminado, de técnicas grupais, para apresentar aspectos éticos e teóricos da psicanálise freudolacaniana que norteiam o grupo como dispositivo clínico. Considerando alianças que podem unir um grupo - identificação, demanda e transferência - e seus possíveis efeitos de massificação, discutimos os desafios de sustentar a função de analista ao se operar esse dispositivo, que, no caso do grupo, será subverter os possíveis obstáculos, transformando-os em força viva, em resistência ao discurso de um grupo social que se quer fazer hegemônico. A partir da nossa experiência com grupos realizados em segmentos da política de Assistência Social e Direitos Humanos, trazemos vinhetas de supervisões e experiências no campo, proporcionando debates sobre grupos enquanto prática clínico-política.Traemos contribuciones al uso de dispositivos grupales en servicios que ejecutan l políticas sociales como estrategia clínico-política de resistencia a la lógica de individualización y d masificación del sufrimiento, a partir del referencial psicoanalítico. Problematizamos la utilización frecuentemente indiscriminada de técnicas grupales, para presentar aspectos éticos y teóricos del psicoanálisis freudolacaniana que orientan el grupo como dispositivo clínico. Ante las alianzas que pueden unir un grupo -identificación, demanda y transferencia- y posibles efectos de masificación, discutimos desafíos en sostener la función de analista al operar ese dispositivo, que, en el caso del grupo, será subvertir los posibles obstáculos, transformándolos en fuerza viva, resistencia al discurso de un grupo social que se quiere hacer hegemónico. A partir de nuestra experiencia de trabajo con grupos realizados en segmentos de la política de Asistencia Social y Derechos Humanos, traemos viñetas de supervisiones y experiencias, proporcionando debates acerca de los grupos como práctica clínico-política

Implementation of a sleep hygiene program in 4 - 6 year old portuguese children: the “It is time to sleep” Project first results

Introduction Sleep, as one of the most determining and present factors in our life, is fundamental for humans, and especially during childhood: it is indispensable for good cognitive, physical and emotional development. Objectives Designed in the scope of the Portuguese National School Health Program, the objectives of this project were to promote adequate sleep routines, raise awareness of children’s sleep deprivation and to the consequences of an abusive contact with technologies. At the end of this activity, children should be able to recognize the importance of these dimensions. Methodology The formative activity, performed by 2 school nurses, was applied to 104 children (from 3 different schools from a northern city of Portugal), with 4 (41.3 %), 5 (44.2 %) and 6 years old (14.4 %), and lasted 45 minutes. The project comprises 4 stages: the first one relates to nurses and project theme presentation; the second one is the implementation of a theatre where major issues of the project are presented, namely the importance of sleep and nap, sleep hygiene rules, consequences of sleep deprivation and the influence of technologies on sleep; the third one is the discussion of the main ideas using the song "Sleep Hour"; at the end, a questionnaire was applied to assess children knowledge about sleep hygiene habits divided into six questions with two images each, in which one corresponds to a healthy practice and the other does not. Results The percentage of correct answers ranged between 96.6 to 98.3 %, suggesting that the formative activity had a positive impact on children’s knowledge about healthy sleep hygiene habits. The 2 questions on which the rate of incorrect answers was higher relate to the fact that sleeping with parents is better than sleeping alone (6.3 %) and that watching TV before going to sleep is a better option than reading a story (4.4 %). Conclusion This intervention has given children important knowledge about healthy sleep hygiene habits, resulting in its understanding through an approach tailored to their age.info:eu-repo/semantics/publishedVersio

Parental knowledge about healthy sleep hygiene practices in children under 6 year old: an exploratory study

Introduction Children aged 5 to 12 years old needs, at least, 10-11 hours of sleep. Nowadays, children under 6 years old become more interested in TV, computers and in Internet which can lead to difficulty falling asleep. Parent knowledge about child sleep hygiene can influence parent capacity to promote healthy sleep habits, and should be supported by accurate information. Objectives To analyse parents knowledge of children sleep practices. Methodology A convenience sample of parents (n = 201) of children from three schools in a northern city of Portugal completed the "Sleep Ideas" Parent Survey on child sleep habits and parental basic sleep knowledge, beliefs and attitudes regarding sleep as a health behaviour. Results Of the 201 analysed surveys (response rate 67 %), 33.8 % are from parents of children aged under 3 years old, 19.4 % of children with 3 years older, 24.4 % of children with 4 years old, 16.4 % of children with 5 years old and 6.0 % of children with 6 years old. In general, the percentage of correct answers was 84.8 %. Regarding children age, the percentage of correct answers ranged between 77.9 to 86.2 %, being the parents of children with 6 years old those who had the highest percentage of incorrect answers (22.1 %) and, on the other hand, the parents of children with 3 years old those who had the lowest percentage of incorrect answers (13.8 %). The answer with the highest percentage of incorrect answers, in all parents, was “Making a physical effort before going to sleep makes falling asleep easier” (46.8 %). Conclusion In this study, parents revealed a very reasonable knowledge about sleep, which suggests a good capability to influence positively children’s habits. Parents with high sleep knowledge are more able to promote healthy sleep hygiene habits. Further studies are warranted to promote a better understanding of all the determinant dimensions for good sleeping habits.info:eu-repo/semantics/publishedVersio

Reorganização do trabalho da enfermagem em uma unidade de terapia intensiva durante a pandemia de Covid-19

Objetivo: Descrever a reorganização do trabalho da enfermagem de uma unidade de terapia intensiva de um hospital público em função da pandemia de Covid-19.Método: Relato da experiência vivenciada no período de fevereiro a abril de 2020, acerca da reorganização de uma unidade.Resultados: A descrição da experiência está dividida em quatro momentos: Definição do isolamento por coorte, Reorganização das unidades de terapia intensiva em Geral e Respiratória, Equipes assistenciais e escalas de serviço e Paramentação e desparamentação das equipes.Conclusão: A pandemia de Covid-19 trouxe inúmeros desafios para a gestão das unidades de terapia intensiva. Socializar as experiências de gestão pode contribuir para a definição de novas estratégias, inclusive no período pós-pandemia. Palavras-chave: Infecções por Coronavirus. Epidemias. Unidades de terapia intensiva. Gerenciamento da prática profissional. Gestão de recursos. Planejamento em saúde