Perfil e fatores de risco para câncer mamário de mulheres atendidas no ambulatório previna / Profile and risk factors for breast cancer in women attended in the previna ambulatory

Objetivos: Caracterizar o perfil e identificar os fatores de risco e proteção para câncer de mama das usuárias atendidas em um ambulatório de enfermagem. Método: Estudo retrospectivo e descritivo. Utilizou-se dados secundários obtidos da avaliação de enfermagem de 21 pacientes do ambulatório de enfermagem de um hospital universitário. Resultados: Observou-se que 57% das mulheres tinham 50 anos ou mais; 42,9% eram casadas; 38,1% eram “do lar”; 38,1% tinham ensino médio e 42,9% eram brancas; 28,6% eram fumantes; 33,3% consumiam bebida alcoólica; 71,4% eram sedentárias; 76,2% tiverem menarca precoce; 23,8% tinham parentes consanguíneos com câncer de mama e/ou ovário; 28,6% eram nulíparas; 12 estavam na menopausa, sendo uma com menopausa tardia; das 15 mulheres que tiveram filhos, 13,3% os tiveram depois dos 30 anos e 73,4% amamentaram. Conclusão: A pesquisa permitiu identificar o perfil sociodemográfico e os fatores de risco e proteção associados à neoplasia mamária.

O apoio social da mulher mastectomizada/ Social support for women with mastectomies

A cirurgia de mama é um dos principais tratamentos para o câncer mamário e, associada a outros tratamentos, pode causar impactos e comprometimentos na vida das mulheres. O estudo buscou identificar o perfil e conhecer a rede de apoio das mulheres mastectomizadas atendidas no Projeto De Peito Aberto do Hospital Universitário da Universidade Federal de Juiz de Fora. Conduziu-se um estudo qualitativo, descritivo e exploratório, a partir de dados secundários do livro de registro do grupo de apoio integrado. Quatro categorias empíricas foram descritas como as principais fontes de apoio: religioso/espiritual; familiares; vizinhos/amigos e o grupo. Enfatizou-se a grande relevância do apoio social nos momentos antes, durante e após o diagnóstico do câncer de mama, assim como o cuidado humanizado de apoio prestado pela equipe multidisciplinar

Construção de política para gestão de resíduos na Universidade de São Paulo como modelo para implementação da PNRS em IES

The actual scenario of the University of São Paulo (USP) has, in an isolated form, various environmental initiatives in diverse fronts, according to the reality of its campi. In 2010, USP designated an Environmental Management coordinator attached to the university’s rectory. The following year USP approved the its Environmental Policy, that promotes environmental sustainability in all its campi. In 2012 the Environmental Management Superintendence (SGA) was created as an office responsible for environmental management of the university, with the objective of developing norms for environmental issues in agreement to the proposed environmental policy. This superintendence created in 2012 a Working Group for dealing with issues related to solid residues generated in USP. This group, composed of specialists in this area and coordinated by an member of the SGA, developed, using participative processes, strategies and procedures for the elaboration and implementation of the Solid Residue Management Policy (PGRUSP). This policy following a previous model (PUSP-C, 2010), has as objective adequate the National Solid Residue Policy (PNRS) to the university’s environment. An initial version of the PGRUSP was presented to the academic community in a Forum promoted by the SGA. In this occasion, representatives of all the categories coming from the university’s different campi, apart from members of the external community, analyzed the document and made suggestions on its contents that were later included in the final document. PGRUSP determines the elaboration of Residue Management Plans in all the units that belong to USP. At this moment, the Working Group is elaborating directives for the training of the academic community for the execution of an ample residue diagnosis, with the objective of also mobilizing and publicizing the directives of the PGRUSP. The training and residue management plan construction presupposes learning about the practical issues of residue management. Data production and indicator construction will be the basis for the continuous and efficient implementation of this policy. For the ordering of the data a virtual platform is being developed. With such a platform, USP pretends to control generation, stocking, treatment and destination of Solid Residues produced in its academic units. It pretends with this database, to generate information that will permit the SGA to make decisions that will improve residue management in USP’s campi and, consequently, minimize environmental impacts caused in all levels of its activities. O cenário atual da Universidade de São Paulo (USP) tem, isoladamente, diversas ações ambientais em diferentes frentes, de acordo com a realidade de seus campi. Em 2010, a USP designou um coordenador de Gestão Ambiental junto à Reitoria. No ano seguinte, regulamentou a Política Ambiental da USP, que visa promover a sustentabilidade ambiental nos campi. Em 2012, foi criado um órgão institucional responsável pela gestão ambiental, a Superintendência de Gestão Ambiental (SGA), que tem como premissa ditar normas para questões ambientais em consonância com a política ambiental proposta. Esta superintendência formou, em 2012, um Grupo de Trabalho para cuidar das questões relativas aos resíduos gerados na USP. Tal grupo, composto por especialistas na área, sob a coordenação de um assessor de gabinete da própria SGA, priorizou desenvolver, através de processos participativos, estratégias e procedimentos para elaboração e implantação de uma Política de Gestão de Resíduos (PGRUSP), com base na Política Nacional de Resíduos Sólidos. A PGRUSP prevê a elaboração dos planos de gerenciamento de resíduos em todas as unidades pertencentes à USP e prevê também a capacitação da comunidade acadêmica para a realização de um diagnóstico de resíduos e sistematização dos indicadores numa plataforma virtual unificada de resíduos. Assim, pretende-se controlar tanto os insumos utilizados como a geração, o armazenamento, os tratamentos e os descartes relacionados aos resíduos gerados em nossas Unidades e, consequentemente, minimizar impactos ambientais causados em todos os níveis e atividades

Construction of a Residue Management Policy in the University of São Paulo: A model for the implementation of the NSRP in HEI

O cenário atual da Universidade de São Paulo (USP) tem, isoladamente, diversas ações ambientais em diferentes frentes, de acordo com a realidade de seus campi. \ud Em 2010, a USP designou um coordenador de Gestão Ambiental junto à Reitoria. No ano seguinte, regulamentou a Política Ambiental da USP, que visa promover a \ud sustentabilidade ambiental nos campi. Em 2012, foi criado um órgão institucional responsável pela gestão ambiental, a Superintendência de Gestão Ambiental (SGA), \ud que tem como premissa ditar normas para questões ambientais em consonância com a política ambiental proposta. Esta superintendência formou, em 2012, um \ud Grupo de Trabalho para cuidar das questões relativas aos resíduos gerados na USP. Tal grupo, composto por especialistas na área, sob a coordenação de um assessor \ud de gabinete da própria SGA, priorizou desenvolver, através de processos participativos, estratégias e procedimentos para elaboração e implantação de uma Política de \ud Gestão de Resíduos (PGRUSP). Esta Política, aos moldes de um trabalho anterior (PUSP-C, 2010), tem como proposta adequar as especificidades contidas na Política \ud Nacional de Resíduos Sólidos, para o contexto universitário.Uma versão inicial da PGRUSP foi apresentadapara a comunidade acadêmica em um Fórum promovido \ud pela SGA. Nesta ocasião, representantes de todas as categorias advindos dos diversos campi da USP, além de outros da comunidade externa, fizeram considerações \ud sobre o conteúdo desta versão, que foi, então, reformulada. A PGRUSP prevê a elaboração dos planos de gerenciamento de resíduos em todas as unidades pertencentes \ud à USP. Neste momento, o Grupo de Trabalho está elaborando diretrizes para a capacitação da comunidade acadêmica para a realização de um diagnóstico de resíduos, \ud com intuito também de mobilizar e conscientizar sobre os ditames da PGRUSP. A partir da capacitação e da elaboração dos planos de gerenciamento de resíduos, \ud pressupõe-se um aprendizado sobre questões práticas da gestão de resíduos. A geração de dados e de indicadores fornecerá embasamento para uma implementação \ud contínua e eficaz da política. Para sistematização destes dados, está sendo desenvolvida uma plataforma virtual unificada. Assim, pretende-se controlar tanto os \ud insumos utilizados como a geração, o armazenamento, os tratamentos e os descartes relacionados aos resíduos gerados em nossas Unidades. Pretende-se, ainda, com \ud esta sistematização, fornecer informações que permitam à SGA atomar medidas norteadoras para melhora na gestão dos resíduos nos campi, e,consequentemente, \ud minimizar impactos ambientais causados em todos os níveis e atividades

A roadmap for the conservation of freshwater mussels in Europe

Europe has a long history of human pressure on freshwater ecosystems. As pressure continues to grow and new threats emerge, there is an urgent need for conservation of freshwater biodiversity and its ecosystem services. However, whilst some taxonomic groups, mainly vertebrates, have received a disproportionate amount of attention and funds, other groups remain largely off the public and scientific radar. Freshwater mussels (Bivalvia, Unionida) are an alarming example of this conservation bias and here we point out six conceptual areas that need immediate and long-term attention: knowledge, threats, socioeconomics, conservation, governance and education. The proposed roadmap aims to advance research, policy and education by identifying the most pressing priorities for the short- and long-term conservation of freshwater mussels across Europe

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

Spirituality/religiosity and support network in the perception of women with breast cancer

The diagnosis of breast cancer triggers an emotional impact, generating a variety of feelings. Spirituality and religiosity and support from family, friends and professionals is fundamental in coping with this period of adversity. The objective of this study was to understand how women’s spirituality and social support network help in coping with the diagnosis of breast cancer. This is a qualitative study, carried out in an oncology hospital, with the participation of forty women with breast cancer. For data collection, semi-structured interviews were applied, analyzed using Content Analysis. The thematic axis “Support” was composed of the categories “Spirituality/Religiosity” and “Social support”. Faced with the discovery of a disease that leads to suffering and death, a support network is needed to cope with cancer. Spiritual support was unanimous and faith favored overcoming the initial impact, infusing strength to face the diagnosis. The family represented a unique support, helping with health care and with words of encouragement. Professional support occurred through guidance, kindness in assistance and motivation. The pandemic has impacted social isolation. However, it brought benefits such as greater contact with the family. To cope with the cancer diagnosis, the women studied had social and spiritual support, through emotional support, material and practical resources, received from family members and significant others. These are strategies that need to be explored by the multidisciplinary team at the time of diagnosis, minimizing the impact and accepting the demands presented by women with breast cancer

An Evaluation Approach Based on the Problem-Based Learning in a Software Engineering Master Course

The effectiveness of a Master’s Program Course can only be appraised with the support of an efficient and accurate evaluation program. Taking the Problem Based Learning, as a reference to implement practical and real problems on a class of master students, and the traditional methods that focuses on formal exams as methodology, a method for evaluation was defined to contemplate both scopes. Nevertheless, such method was first applied in a case study of CESAR.edu Master’s Program Class and is being continuously used and improved in order to support the students learning process, providing quantitative results so that they can evaluate and progress their performance along the course. Software Engineering is the core discipline that guides the program, and the implementation of Software Factories is the mean to provide the Problem Based structure in the context of a masters program