Acolhimento com classificação de risco na Estratégia de Saúde da Família: percepção da equipe de enfermagem

Objective: to know the under standing of the nursing team about the Reception with Risk Classification in the Family Health Strategy. Method: fieldstudy, qualitative. Eight professional from nursing teams participated in the study. A semi-structured interview was used to collect the data. The data analysis was performed by the Content Analysisand, afterwards, the data were organized in to two categories. Results: many professionals found it difficult to carry out risk classification because, in addition to the work process being center edon medical knowledge, professionals do no thave training and protocol to classify risk. Conclusions: recognizing the fragilities dimension the expectation that managers and primary care professionals will review their practices and the work process, seeking strategies of institutional support, team and users for the improvement in the management of the host.Objetivo: conocer el entendimiento del equipo de enfermería sobre el Acogimiento con Clasificación de Riesgo en la Estrategia de Salud de la Familia (ESF). Método: estudio de campo, cualitativo. Participaron de la investigación ocho profesionales de los equipos de enfermería. Se utilizó entrevista semiestructurada para la recolección de datos. El análisis de los datos ocurrió por medio del Análisis de Contenido y, después, los datos fueron organizados en dos categorías: Capacitación de los profesionales de enfermería de la ESF sobre Acogimiento con Clasificación de Riesgo e Importancia de la implementación de un protocolo para Clasificación de Riesgo en ESF. Resultados: muchos profesionales encontraron dificultades en realizar la clasificación de riesgo, a causa de la falta de capacitación y protocolo para clasificar el riesgo. Conclusiones: reconocer las fragilidades dimensiona la expectativa de gestores y profesionales de la atención primaria, para que revisen sus prácticas y el proceso de trabajo, buscando estrategias de apoyo institucional, del equipo y de los usuarios.Objetivo: conhecer a percepção da equipe de enfermagem acerca do Acolhimento com Classificação de Risco na Estratégia de Saúde da Família (ESF). Método: estudo descritivo de abordagem qualitativa. Participaram da pesquisa oito profissionais das equipes de enfermagem. Utilizou-se entrevista semiestruturada como técnica de coleta dos dados. A análise dos dados ocorreu pela Análise de Conteúdo na modalidade temática, e após, os mesmos foram organizados em duas categorias: Capacitação dos profissionais de enfermagem da ESF sobre o Acolhimento com Classificação de Risco e Importância da implementação de um protocolo para Classificação de Risco em ESF. Resultados: muitos profissionais encontraram dificuldades em realizar a classificação de risco, devido a falta de capacitação e protocolo para classificar o risco. Conclusões: reconhecer as fragilidades dimensiona a expectativa de que gestores e profissionais da atenção primária revejam suas práticas e o processo de trabalho, buscando estratégias de apoio institucional, da equipe e dos usuários

Similar health benefits of endurance and high-intensity interval training in obese children

Purpose: To compare two modalities of exercise training (i.e., Endurance Training [ET] and High-Intensity Interval Training [HIT]) on health-related parameters in obese children aged between 8 and 12 years. Methods: Thirty obese children were randomly allocated into either the ET or HIT group. The ET group performed a 30 to 60-minute continuous exercise at 80% of the peak heart rate (HR). The HIT group training performed 3 to 6 sets of 60-s sprint at 100% of the peak velocity interspersed by a 3-min active recovery period at 50% of the exercise velocity. HIT sessions last similar to 70% less than ET sessions. At baseline and after 12 weeks of intervention, aerobic fitness, body composition and metabolic parameters were assessed. Results: Both the absolute (ET: 26.0%; HIT: 19.0%) and the relative VO2 peak (ET: 13.1%; HIT: 14.6%) were significantly increased in both groups after the intervention. Additionally, the total time of exercise (ET: 19.5%; HIT: 16.4%) and the peak velocity during the maximal graded cardiorespiratory test (ET: 16.9%; HIT: 13.4%) were significantly improved across interventions. Insulinemia (ET: 29.4%; HIT: 30.5%) and HOMA-index (ET: 42.8%; HIT: 37.0%) were significantly lower for both groups at POST when compared to PRE. Body mass was significantly reduced in the HIT (2.6%), but not in the ET group (1.2%). A significant reduction in BMI was observed for both groups after the intervention (ET: 3.0%; HIT: 5.0%). The responsiveness analysis revealed a very similar pattern of the most responsive variables among groups. Conclusion: HIT and ET were equally effective in improving important health related parameters in obese youth.Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP)Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP)Conselho Nacional de Pesquisa e Desenvolvimento (CNPq)Conselho Nacional de Pesquisa e Desenvolvimento (CNPq)CAPES (Coordenacao de Aperfeicoamento de Pessoal de Ensino Superior)Coordenacao de Aperfeicoamento de Pessoal de Ensino Superior (CAPES

Beyond trees: Mapping total aboveground biomass density in the Brazilian savanna using high-density UAV-lidar data

Tropical savanna ecosystems play a major role in the seasonality of the global carbon cycle. However, their ability to store and sequester carbon is uncertain due to combined and intermingling effects of anthropogenic activities and climate change, which impact wildfire regimes and vegetation dynamics. Accurate measurements of tropical savanna vegetation aboveground biomass (AGB) over broad spatial scales are crucial to achieve effective carbon emission mitigation strategies. UAV-lidar is a new remote sensing technology that can enable rapid 3-D mapping of structure and related AGB in tropical savanna ecosystems. This study aimed to assess the capability of high-density UAV-lidar to estimate and map total (tree, shrubs, and surface layers) aboveground biomass density (AGBt) in the Brazilian Savanna (Cerrado). Five ordinary least square regression models esti-mating AGBt were adjusted using 50 field sample plots (30 m × 30 m). The best model was selected under Akaike Information Criterion, adjusted coefficient of determination (adj.R2), absolute and relative root mean square error (RMSE), and used to map AGBt from UAV-lidar data collected over 1,854 ha spanning the three major vegetation formations (forest, savanna, and grassland) in Cerrado. The model using vegetation height and cover was the most effective, with an overall model adj-R2 of 0.79 and a leave-one-out cross-validated RMSE of 19.11 Mg/ha (33.40%). The uncertainty and errors of our estimations were assessed for each vegetation formation separately, resulting in RMSEs of 27.08 Mg/ha (25.99%) for forests, 17.76 Mg/ha (43.96%) for savannas, and 7.72 Mg/ha (44.92%) for grasslands. These results prove the feasibility and potential of the UAV-lidar technology in Cerrado but also emphasize the need for further developing the estimation of biomass in grasslands, of high importance in the characterization of the global carbon balance and for supporting integrated fire management activities in tropical savanna ecosystems. Our results serve as a benchmark for future studies aiming to generate accurate biomass maps and provide baseline data for efficient management of fire and predicted climate change impacts on tropical savanna ecosystems

A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

Meeting abstrac

Understanding sweet-liking phenotypes and their implications for obesity: narrative review and future directions

Building on a series of recent studies that challenge the universality of sweet liking, here we review the evidence for multiple sweet-liking phenotypes which strongly suggest, humans fall into three hedonic response patterns: extreme sweet likers (ESL), where liking increases with sweetness, moderate sweet likers (MSL), who like moderate but not intense sweetness, and sweet dislikers (SD), who show increasing aversion as sweetness increases. This review contrasts how these phenotypes differ in body size and composition, dietary intake and behavioural measures to test the widely held view that sweet liking may be a key driver of obesity. Apart from increased consumption of sugar-sweetened beverages in ESL, we found no clear evidence that sweet liking was associated with obesity and actually found some evidence that SD, rather than ESL, may have slightly higher body fat. We conclude that ESL may have heightened awareness of internal appetite cues that could protect against overconsumption and increased sensitivity to wider reward. We note many gaps in knowledge and the need for future studies to contrast these phenotypes in terms of genetics, neural processing of reward and broader measures of behaviour. There is also the need for more extensive longitudinal studies to determine the extent to which these phenotypes are modified by exposure to sweet stimuli in the context of the obesogenic environment

To a paradigm shift to the evaluation of scientific activity into Higher Education

La evaluación actual de la actividad científica se lleva a cabo mediante un mismo patrón internacional. Esta circunstancia ha estimulado un notable número de investigaciones críticas. Sin embargo, la abundancia de críticas contrasta con la falta de propuestas alternativas. En este trabajo se presenta una síntesis de los inconvenientes observados en las prácticas de evaluación, identificando consecuencias negativas para la propia ciencia, sus miembros y su utilidad pública respecto a las Instituciones de Educación Superior. También se añade una revisión de voces alternativas. Finalmente, se propone un conjunto de ocho principios para ayudar a promover un cambio de paradigma.The current assessment of scientific activity is performed by the same international pattern. This has stimulated a remarkable number of critical researches. However, the abundance of critical publications contrasts with the lack of alternative proposals. This paper presents a synthesis of the drawbacks observed in assessment practices, identifying negative consequences for science itself, its members and its public utility, in reference to Higher Education Institutions. A review of alternative voices is also added. Finally, this paper proposes a set of eight principles to assist in promoting a paradigm shift

Nurses' perceptions of aids and obstacles to the provision of optimal end of life care in ICU

Contains fulltext : 172380.pdf (publisher's version ) (Open Access

Planejamento estratégico participativo: proposta para a transferência de tecnologia da Embrapa Cerrados.

bitstream/CPAC-2010/31535/1/doc-236.pd