CONHECIMENTO DE USUÁRIAS DE UMA UNIDADE BÁSICA DE SAÚDE SOBRE O AUTOEXAME DAS MAMAS / KNOWLEDGE OF CLIENTS OF A PRIMARY HEALTHCARE UNIT ABOUT BREAST SELF-EXAMINATION

Introdução: Atualmente, o câncer de mama é uma das doenças de maior impacto devido à elevada e preocupante incidência, devido aos enormes custos sociais, e às desastrosas consequências físicas e psíquicas com altas taxas de mortalidade. Objetivo: Avaliar o nível de conhecimento sobre o autoexame das mamas em usuárias de uma Unidade Básica de Saúde. Métodos: Estudo transversal descritivo onde foram entrevistadas mulheres que procuraram espontaneamente ao ambulatório de ginecologia da Unidade Básica de Saúde Fabiciana Moraes, localizada na periferia de São Luís (MA). Foi utilizado o modelo de regressão 2 logística e o teste do χ e o nível de significância adotado foi de 5%. Resultados: O estudo mostrou que 77,4% das usuárias conheciam o autoexame, 63,3% afirmaram saber como o autoexame é feito, porém a maior parte delas desconhecia a periodicidade correta para realizá-lo (63,7%). Quanto à frequência de realização do autoexame pelas entrevistadas, apenas 31,5% o faziam na periodicidade preconizada, ou seja, mensalmente. A maioria das entrevistadas afirmou ter adquirido seus conhecimentos através de rádio/TV (58,9%); 51,4% das entrevistadas relataram ter dificuldades na realização do autoexame, sendo o esquecimento o principal motivo apresentado. Quanto à análise das variáveis sócio-demográficas, apenas a faixa etária (p=0,01) e a escolaridade (p=0,00) foram estatisticamente significativas relacionadas ao conhecimento do autoexame. Conclusão: Apesar de muitas mulheres possuírem conhecimento sobre o autoexame, poucas o incorporam como hábito.Palavras-Chave: Autoexame. Neoplasias da mama. Saúde da Mulher.AbstractIntroduction: Currently, breast cancer is one of diseases most striking and worrisome due to the high incidence, the enormous social costs, and the disastrous consequences of physical and psychological with high mortality rates. Objective: To evaluate the level of knowledge about breast self-examination in clients of primary healthcare unit. Methods: Cross-sectional study where they were interviewed women who spontaneously sought the service of gynecology in the primary Healthcare Unit 2 Fabiciana Moraes, on the outskirts of São Luís. The logistic regression and χ test was used and the significance level was 5%. Results: This study showed that 77.4% of those who knew the self-examination, 63.3% claimed to know how the self-exam is done, but most of them unaware of the correct frequency to accomplish it (63.7%). Regarding the frequency of application of self-examination by the interviewees, only 31.5% were in the recommended interval, or monthly. Most patients said they had acquired their knowledge through self-examination on the radio / TV (58.9%), 51.4% of respondents reported having difficulties in carrying out self-examination, and forgetting the main reason given. Regarding the analysis of socio-demographic variables, only age (p = 0.01) and schooling (p = 0.00) were statistically significant with knowledge of self-examination. Conclusion: Although many women studied to know the self-examination, few are those that incorporate it as a habit.Keywords: Self-examination. Breast câncer. Women's Health

PERFIL CLÍNICO-EPIDEMIOLÓGICO E AVALIAÇÃO PÓS-OPERATÓRIA E PERINATAL DE PACIENTES SUBMETIDAS À MIOMECTOMIA DURANTE A GESTAÇÃO / CLINICAL EPIDEMIOLOGICAL PROFILE AND POST-OPERATIVE AND PERINATAL EVALUATION OF PATIENTS THAT UNDERWENT MYOMECTOMY DURING PREGNANCY

Introdução: O leiomioma é o tumor benigno do músculo liso mais frequente no sexo feminino, podendo apresentar crescimentodurante a gestação em até metade dos casos. A miomectomia neste período pode ser realizada em casos selecionados,porém se observa uma escassez de publicações sobre o tema. Objetivos: Avaliar o perfil clínico-epidemiológico, resultadospós-operatório e perinatais de pacientes submetidas à miomectomia na Unidade Materno Infantil do Hospital Universitário daUniversidade Federal do Maranhão (HUMI-UFMA) no período de 2005 a 2013. Métodos: Trata-se de um estudo descritivo,retrospectivo, de caráter exploratório com abordagem quantitativa. Foram incluídas todas as gestantes submetidas a miomectomiae que fizeram acompanhamento pré-natal no ambulatório de Miomatose e Gravidez no período de 2005 a 2013 no HUMIUFMA.As variáveis maternas e neonatais foram obtidas por revisão dos prontuários e ficha pré-natal. Foram pesquisadas intercorrênciasno transoperatório e pós-operatório. Foram analisadas características do parto, resultados perinatais e suas intercorrências.Resultados: Foram identificadas 12 gestantes submetidas à miomectomia. A idade média foi de 35,5 anos, a corparda foi predominante, as primíparas foram responsáveis por 66,7% dos casos. A idade gestacional na miomectomia foi frequentementeo segundo trimestre (83,3%). A indicação em todas as pacientes foi dor intratável. As pacientes evoluíram bem notransoperatório e pós-operatório. Não houve perda fetal, parto prematuro ou aborto. O índice de cesárea foi de 100%. Todos osrecém-nascidos tiveram Apgar entre 9-10. Conclusão: A maioria das mulheres se autodeclararam pardas e eram primíparas.A intervenção ocorreu em sua maioria no segundo trimestre, devido ao aumento acelerado do volume uterino é a presença dedor. Não houve intercorrências durante a cirurgia, e casos de abortamento ou partos prematuros.Palavras-chave: Leiomiomas Uterinos. Miomectomia na gestação. Pós-operatório. Perinatal.AbstractIntroduction: The myoma is the most frequent benign tumor of the smooth muscle among women can grow during the pregnancyin 50% of all cases. The myomectomy in this period can be done in selected cases; however little publication has been doneis this matter. Objectives: Analyse the clinical and epidemiological profile, post-operation and perinatal results of the patientsundergoing myomectomy, in the Materno Infantil University Hospital (HUMI) in the period of 2005-2013. Methods: This is astudy of exploratory retrospective descriptive nature with quantitative approach. It were included all pregnant women that didtheir pre-natal follow up in the Myomatosis and Pregnancy clinic in the period of 2003 through 2015 in the HUMI. The maternaland neonatal variables were obtained through the records and pre natal file. Complications were surveyed during surgery andin the postoperative. The features of the labor, perinatal results and their complications were analyzed. Results: There were 12pregnant women that underwent trough myomectomy. The average age was 35,5 years old, brown women were the mostcases, and 66,7% of all cases were in woman that were having their first child. In 83,3% of all myomectomies happened in thesecond trimester. The indication of surgery in all patients was the incurable pain. The patients had good outcomes in the operatingroom and in the post operatory. There were no fetal losses, premature birth or abortions. All births were through cesarean.All the newborns had APGAR score between 9-1. Conclusion: this study brought as conclusion that the epidemiological profilewas constituted of white women in their first pregnancy. The intervencion occurred mostly in the second trimester, due to thegrowth of the uterus size associated with non controllable pain. There were no complications during surgery, neither abortionsor need for rapprochement. No premature birth was registred.Keywords: Uterine leiomyomas. Miomectomy during pregnancy. Post operatory. perinatal

Nurses in the front line of the combat to Covid-19 in the hospital environment: related experience

Objective: to report nurses experiences at reference hospital in the care of patients diagnosed with COVID-19 in the state of Sergipe, Brazil. Method: descriptive study, of the experience report type, about nurses\u27 experience in assisting patients diagnosed with COVID-19 in the hospital environment. Results: The nurses\u27 experiences were structured into three categories: Structural and organizational changes in the hospital service; Nurse\u27s work routine on the front line in the respiratory area; Main difficulties for nurses in caring for patients in the respiratory area and experienced opportunities. The positive aspects identified were participation in training and support for newly hired professionals. Conclusion: the COVID-19 pandemic changed economic, political, social and health care behavior. In addition, changes in the hospital environment demanded a reorientation of workflows, impacting nurses\u27 mental health and suffering

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

Mapping density, diversity and species-richness of the Amazon tree flora

Using 2.046 botanically-inventoried tree plots across the largest tropical forest on Earth, we mapped tree species-diversity and tree species-richness at 0.1-degree resolution, and investigated drivers for diversity and richness. Using only location, stratified by forest type, as predictor, our spatial model, to the best of our knowledge, provides the most accurate map of tree diversity in Amazonia to date, explaining approximately 70% of the tree diversity and species-richness. Large soil-forest combinations determine a significant percentage of the variation in tree species-richness and tree alpha-diversity in Amazonian forest-plots. We suggest that the size and fragmentation of these systems drive their large-scale diversity patterns and hence local diversity. A model not using location but cumulative water deficit, tree density, and temperature seasonality explains 47% of the tree species-richness in the terra-firme forest in Amazonia. Over large areas across Amazonia, residuals of this relationship are small and poorly spatially structured, suggesting that much of the residual variation may be local. The Guyana Shield area has consistently negative residuals, showing that this area has lower tree species-richness than expected by our models. We provide extensive plot meta-data, including tree density, tree alpha-diversity and tree species-richness results and gridded maps at 0.1-degree resolution

Educomunicação e suas áreas de intervenção: Novos paradigmas para o diálogo intercultural

oai:omp.abpeducom.org.br:publicationFormat/1O material aqui divulgado representa, em essência, a contribuição do VII Encontro Brasileiro de Educomunicação ao V Global MIL Week, da UNESCO, ocorrido na ECA/USP, entre 3 e 5 de novembro de 2016. Estamos diante de um conjunto de 104 papers executivos, com uma média de entre 7 e 10 páginas, cada um. Com este rico e abundante material, chegamos ao sétimo e-book publicado pela ABPEducom, em seus seis primeiros anos de existência. A especificidade desta obra é a de trazer as “Áreas de Intervenção” do campo da Educomunicação, colocando-as a serviço de uma meta essencial ao agir educomunicativo: o diálogo intercultural, trabalhado na linha do tema geral do evento internacional: Media and Information Literacy: New Paradigms for Intercultural Dialogue

ATLANTIC-PRIMATES: a dataset of communities and occurrences of primates in the Atlantic Forests of South America

Primates play an important role in ecosystem functioning and offer critical insights into human evolution, biology, behavior, and emerging infectious diseases. There are 26 primate species in the Atlantic Forests of South America, 19 of them endemic. We compiled a dataset of 5,472 georeferenced locations of 26 native and 1 introduced primate species, as hybrids in the genera Callithrix and Alouatta. The dataset includes 700 primate communities, 8,121 single species occurrences and 714 estimates of primate population sizes, covering most natural forest types of the tropical and subtropical Atlantic Forest of Brazil, Paraguay and Argentina and some other biomes. On average, primate communities of the Atlantic Forest harbor 2 ± 1 species (range = 1–6). However, about 40% of primate communities contain only one species. Alouatta guariba (N = 2,188 records) and Sapajus nigritus (N = 1,127) were the species with the most records. Callicebus barbarabrownae (N = 35), Leontopithecus caissara (N = 38), and Sapajus libidinosus (N = 41) were the species with the least records. Recorded primate densities varied from 0.004 individuals/km 2 (Alouatta guariba at Fragmento do Bugre, Paraná, Brazil) to 400 individuals/km 2 (Alouatta caraya in Santiago, Rio Grande do Sul, Brazil). Our dataset reflects disparity between the numerous primate census conducted in the Atlantic Forest, in contrast to the scarcity of estimates of population sizes and densities. With these data, researchers can develop different macroecological and regional level studies, focusing on communities, populations, species co-occurrence and distribution patterns. Moreover, the data can also be used to assess the consequences of fragmentation, defaunation, and disease outbreaks on different ecological processes, such as trophic cascades, species invasion or extinction, and community dynamics. There are no copyright restrictions. Please cite this Data Paper when the data are used in publications. We also request that researchers and teachers inform us of how they are using the data. © 2018 by the The Authors. Ecology © 2018 The Ecological Society of Americ

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