FRAGILIDADES DO CONHECIMENTO DAS EQUIPES DE UNIDADES DE CRÍTICOS RELACIONADAS AO PROCESSO DE DOAÇÃO DE ÓRGÃOS E TECIDOS

Objetivo: avaliar fragilidades das equipes das unidades críticas relacionadas ao processo de doação.Método: estudo transversal, com 150 profissionais de saúde. Coleta de dados entre 2017 e 2018em dois hospitais públicos de Santa Catarina, com auxílio de instrumento específico sobre as etapasdo processo de doação de órgãos e tecidos. Dados analisados por frequência absoluta e relativa,testes de Kolmogorov-Smirnov e Mann-Whitney.Resultados: índices de acertos: critérios para iniciar o diagnóstico de morte encefálica 137 (91,3%)e sinais clínicos de morte encefálica 126 (84%). Fragilidades: critérios que impedem o diagnósticode morte encefálica 36 (24%) e sequência das etapas do processo de doação 56 (37%). Houvecorrelação entre tempo de atuação na unidade com os critérios que impedem o diagnóstico deMorte p=0,039.Conclusão: os resultados podem embasar ações frente às fragilidades, impactando na melhora doprocesso de doação e transplante de órgãos e tecidos.Objective: To assess the weaknesses of the teams of the critical care units related to thedonation process.Method: A cross-sectional study conducted with 150 health professionals. Data collectiontook place between 2017 and 2018 in two public hospitals in Santa Catarina, with the aid of aspecific instrument on the stages process of organ and tissue donation. Data was analyzed byabsolute and relative frequencies, Kolmogorov-Smirnov and Mann-Whitney tests.Results: Hit rates: criteria for starting the diagnosis of brain death 137 (91.3%) and clinicalsigns of brain death 126 (84%). Weaknesses: criteria that prevent the diagnosis of braindeath 36 (24%) and sequence of the stages of the donation process 56 (37%). There was acorrelation between the length of professional activity in the unit and the criteria that preventthe diagnosis of Death p=0.039.Conclusion: The results can support actions in the face of the weaknesses, impacting on theimprovement of the organ and tissue donation and transplantation process.Objetivo: evaluar las debilidades de los equipos de las unidades de cuidados críticosrelacionadas con el proceso de donación.Método: estudio transversal realizado con 150 profesionales de la salud. Los datos serecolectaron entre 2017 y 2018 en dos hospitales públicos de Santa Catarina, con la ayuda deun instrumento específico sobre las etapas del proceso de donación de órganos y tejidos. Losdatos se analizaron por frecuencia absoluta y relativa, y mediante pruebas de Kolmogorov-Smirnov y de Mann-Whitney.Resultados: índices de respuestas correctas: criterios para iniciar el diagnóstico de muerteencefálica, 137 (91,3%), y señales clínicas de muerte encefálica, 126 (84%). Debilidades:criterios que impiden el diagnóstico de muerte encefálica, 36 (24%), y secuencia de las etapasdel proceso de donación, 56 (37%). Se registró una correlación entre el tiempo de trabajo enla unidad con los criterios que impiden el diagnóstico de muerte: p = 0,039.Conclusión: los resultados pueden servir de base para implementar acciones frente a lasdebilidades, con un buen efecto sobre la mejora del proceso de donación y trasplante deórganos y tejidos

Brazilian Flora 2020: Leveraging the power of a collaborative scientific network

International audienceThe shortage of reliable primary taxonomic data limits the description of biological taxa and the understanding of biodiversity patterns and processes, complicating biogeographical, ecological, and evolutionary studies. This deficit creates a significant taxonomic impediment to biodiversity research and conservation planning. The taxonomic impediment and the biodiversity crisis are widely recognized, highlighting the urgent need for reliable taxonomic data. Over the past decade, numerous countries worldwide have devoted considerable effort to Target 1 of the Global Strategy for Plant Conservation (GSPC), which called for the preparation of a working list of all known plant species by 2010 and an online world Flora by 2020. Brazil is a megadiverse country, home to more of the world's known plant species than any other country. Despite that, Flora Brasiliensis, concluded in 1906, was the last comprehensive treatment of the Brazilian flora. The lack of accurate estimates of the number of species of algae, fungi, and plants occurring in Brazil contributes to the prevailing taxonomic impediment and delays progress towards the GSPC targets. Over the past 12 years, a legion of taxonomists motivated to meet Target 1 of the GSPC, worked together to gather and integrate knowledge on the algal, plant, and fungal diversity of Brazil. Overall, a team of about 980 taxonomists joined efforts in a highly collaborative project that used cybertaxonomy to prepare an updated Flora of Brazil, showing the power of scientific collaboration to reach ambitious goals. This paper presents an overview of the Brazilian Flora 2020 and provides taxonomic and spatial updates on the algae, fungi, and plants found in one of the world's most biodiverse countries. We further identify collection gaps and summarize future goals that extend beyond 2020. Our results show that Brazil is home to 46,975 native species of algae, fungi, and plants, of which 19,669 are endemic to the country. The data compiled to date suggests that the Atlantic Rainforest might be the most diverse Brazilian domain for all plant groups except gymnosperms, which are most diverse in the Amazon. However, scientific knowledge of Brazilian diversity is still unequally distributed, with the Atlantic Rainforest and the Cerrado being the most intensively sampled and studied biomes in the country. In times of “scientific reductionism”, with botanical and mycological sciences suffering pervasive depreciation in recent decades, the first online Flora of Brazil 2020 significantly enhanced the quality and quantity of taxonomic data available for algae, fungi, and plants from Brazil. This project also made all the information freely available online, providing a firm foundation for future research and for the management, conservation, and sustainable use of the Brazilian funga and flora