88 research outputs found
Waiting room of the bone marrow transplant outpatient clinic: patient and companion experiences
O transplante de cĂ©lulas-tronco hematopoiĂ©ticas Ă© um procedimento de alta complexidade que vem se constituindo como uma alternativa para algumas doenças potencialmente graves e desencadeadoras de uma sĂ©rie de afecções. A proposta deste estudo Ă© examinar aquilo que o paciente experimenta durante o processo do transplante, especificamente, enquanto aguarda atendimento na sala de espera. Utilizando a narrativa como mĂ©todo de pesquisa, trabalha com o conceito de inconsciente, cuja referĂŞncia Ă© a teoria psicanalĂtica. Os resultados encontrados remetem a dois pontos axiais: a imisção do sujeito, isto Ă©, como a questĂŁo da identidade passa pela alteridade; e a expectativa por respostas em uma clĂnica em que as alterações orgânicas podem ser muito ameaçadoras em sua evolução. O percurso feito dá ensejo Ă pergunta sobre o lugar da palavra na instituição hospitalar e conclui com a proposta que ampliemos nosso olhar sobre aqueles de quem cuidamos.La transplantation de cellules-souches hĂ©matopoĂŻĂ©tiques est une procĂ©dure très complexe, qui rĂ©prĂ©sente une alternative pour certaines maladies pottentiellement graves et capables de dĂ©clancher une sĂ©ries d’affections. Le but de cette Ă©tude est de s’attarder sur ce que le patient Ă©prouve lorsqu’il se trouve dans la salle d’attente pour se faire soigner. Prenant le rĂ©cit comme mĂ©thode de recherche, l’étude s’utilise du concept d’insconscient, empruntĂ© Ă la thĂ©orie psychanalytique. Les rĂ©sultats nous remettent Ă deux points axiaux: l’immixtion du sujet, c’est-Ă -dire, la manière dont la question de l’identitĂ© passe par l’altĂ©ritĂ© et l’espoir d’entendre des rĂ©ponses au sein d’une clinique oĂą les altĂ©rations de l’organisme peuvent se rĂ©vĂ©ler très menaçantes au cours de leur Ă©volution. Le chemin parcouru soulève la question de la place occupĂ©e par la parole dans l’institution hospitalière et conclut par la recommandation d’amplifier notre regard sur tous ceux Ă qui nous apportons des soins.El trasplante de cĂ©lulas madre hematopoyĂ©ticas es un procedimiento de alta complejidad, que se constituye como alternativa para algunas enfermedades potencialmente graves y desencadenantes de una serie de afecciones. La propuesta de este estudio es examinar lo que el paciente experimenta durante el proceso de trasplante, especĂficamente mientras aguarda en la sala de espera. Utilizando la narrativa como mĂ©todo de investigaciĂłn, se trabaja con el concepto de inconsciente, cuya referencia teĂłrica es la teorĂa psicoanalĂtica. Los resultados encontrados remiten a dos puntos centrales: la intromisiĂłn del sujeto, es decir, como la cuestiĂłn de la identificaciĂłn pasa por la alteridad; y la expectativa por la respuesta en una clĂnica en que las alteraciones orgánicas pueden ser muy impactantes en su evoluciĂłn. El recorrido realizado da lugar a la pregunta sobre el lugar de la palabra en el hospital, y concluye con una propuesta para que ampliemos nuestra mirada sobre aquellos que cuidamos.Hematopoietic stem cell transplantation is a highly complex procedure that is becoming an alternative to some potentially serious diseases that trigger a series of conditions. The purpose of this study is to examine what the patient experiences during the transplant process, specifically while awaiting care in the waiting room. Using the narrative as a method of research, we work with the concept of unconscious, whose reference is the psychoanalytic theory. Results found refer to two axial points: the subject’s immixing, i.e., how the issue of identity passes through the otherness; and the expectation of answers in a clinic where organic changes can be very threatening in their evolution. The path traversed gives rise to questions on the role of the word in hospital institutions and concludes with the proposal that we expand our view on those of whom we care
Metacognição como proposta pedagĂłgica nos cursos de Terapia Ocupacional: priorização do raciocĂnio clĂnico
O raciocĂnio clĂnico Ă© importante para a caracterização do domĂnio da prática em Terapia Ocupacional (TO), mas o seu aprendizado Ă© difĂcil, em função de sua estrutura complexa que, ao incluir as dimensões cientĂfica, narrativa, pragmática e Ă©tica, implica na execução de variadas operações mentais pelo aluno no seu aprendizado e pelo profissional na sua atuação cotidiana. Este artigo objetiva apresentar a metacognição como recurso auxiliar para o ensino do raciocĂnio clĂnico em Terapia Ocupacional. Realizou-se estudo metodolĂłgico fundamentado em revisĂŁo narrativa que busca estabelecer interface entre o ensino do raciocĂnio clĂnico em TO e as bases teĂłricas e conceituais do domĂnio metacognitivo e da aprendizagem significativa. Percebe-se a necessidade de reflexĂŁo e pensamento crĂtico para fazer diagnĂłstico clĂnico em TO. A metacognição caracteriza-se pelo seu foco dirigido a esses processos e por sua capacidade de explicitá-los e de permitir o seu gerenciamento. No entanto na Terapia Ocupacional, o uso da metacognição ainda nĂŁo faz parte das propostas de ensino-aprendizagem do raciocĂnio clĂnico. Dado o seu desempenho positivo em domĂnios similares, conclui-se ser factĂvel o uso da metacognição para facilitar o ensino e o aprendizado do raciocĂnio clĂnico em TO
TelessaĂşde Brasil Redes no enfrentamento ao novo coronavĂrus em Mato Grosso do Sul: Um relato de experiĂŞncia / TelessaĂşde Brasil Redes in the fight against the new coronavirus in Mato Grosso do Sul: an experience report
Trata-se da experiĂŞncia das ações realizadas pelo NĂşcleo TĂ©cnico-CientĂfico do Programa Nacional TelessaĂşde Brasil Redes em Mato Grosso do Sul (MS), para o enfrentamento da pandemia da doença COVID-19. Entre os meses de fevereiro a julho de 2020, foram realizadas teleconsultorias sobre: Conduta clĂnica frente a doença, ações do governo para contenção da pandemia, sinais e sintomas, uso dos Equipamentos de Proteção Individual, procedimentos odontolĂłgicos, isolamento social dos usuários e gestĂŁo de serviços na Atenção Primária em SaĂşde (APS) frente Ă crise sanitária. A maioria das teleconsultorias foram dos municĂpios do interior do estado de MS (59%), e realizadas principalmente por Agentes Comunitários de SaĂşde (58%). Foram ao todo, 92 webaulas, e 3 publicações de Segunda Opiniões Formativas. Conclui-se que as ações do NĂşcleo TĂ©cnico-CientĂfico do TelessaĂşde em Mato Grosso do Sul sĂŁo importantes para a contingĂŞncia da doença COVID-19, qualificando as práticas dos profissionais da APS
Molecular characterization of the NSP4 gene of human group A rotavirus samples from the West Central region of Brazil
Nonstructural protein 4 (NSP4), encoded by group A rotavirus genome segment 10, is a multifunctional protein and the first recognized virus-encoded enterotoxin. The NSP4 gene has been sequenced, and five distinct genetic groups have been described: genotypes A-E. NSP4 genotypes A, B, and C have been detected in humans. In this study, the NSP4-encoding gene of human rotavirus strains of different G and P genotypes collected from children between 1987 and 2003 in three cities of West Central region of Brazil was characterized. NSP4 gene of 153 rotavirus-positive fecal samples was amplified by reverse transcriptase-polymerase chain reaction and then sequenced. For phylogenetic analysis, NSP4 nucleotide sequences of these samples were compared to nucleotide sequences of reference strains available in GenBank. Two distinct NSP4 genotypes could be identified: 141 (92.2%) sequences clustered with NSP4 genotype B, and 12 sequences (7.8%) clustered with NSP4 genotype A. These results reinforce that further investigations are needed to assess the validity of NSP4 as a suitable target for epidemiologic surveillance of rotavirus infections and vaccine development
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Rarity of monodominance in hyperdiverse Amazonian forests.
Tropical forests are known for their high diversity. Yet, forest patches do occur in the tropics where a single tree species is dominant. Such "monodominant" forests are known from all of the main tropical regions. For Amazonia, we sampled the occurrence of monodominance in a massive, basin-wide database of forest-inventory plots from the Amazon Tree Diversity Network (ATDN). Utilizing a simple defining metric of at least half of the trees ≥ 10 cm diameter belonging to one species, we found only a few occurrences of monodominance in Amazonia, and the phenomenon was not significantly linked to previously hypothesized life history traits such wood density, seed mass, ectomycorrhizal associations, or Rhizobium nodulation. In our analysis, coppicing (the formation of sprouts at the base of the tree or on roots) was the only trait significantly linked to monodominance. While at specific locales coppicing or ectomycorrhizal associations may confer a considerable advantage to a tree species and lead to its monodominance, very few species have these traits. Mining of the ATDN dataset suggests that monodominance is quite rare in Amazonia, and may be linked primarily to edaphic factors
Geographic patterns of tree dispersal modes in Amazonia and their ecological correlates
Unidad de excelencia MarĂa de Maeztu CEX2019-000940-MAim: To investigate the geographic patterns and ecological correlates in the geographic distribution of the most common tree dispersal modes in Amazonia (endozoochory, synzoochory, anemochory and hydrochory). We examined if the proportional abundance of these dispersal modes could be explained by the availability of dispersal agents (disperser-availability hypothesis) and/or the availability of resources for constructing zoochorous fruits (resource-availability hypothesis). Time period: Tree-inventory plots established between 1934 and 2019. Major taxa studied: Trees with a diameter at breast height (DBH) ≥ 9.55 cm. Location: Amazonia, here defined as the lowland rain forests of the Amazon River basin and the Guiana Shield. Methods: We assigned dispersal modes to a total of 5433 species and morphospecies within 1877 tree-inventory plots across terra-firme, seasonally flooded, and permanently flooded forests. We investigated geographic patterns in the proportional abundance of dispersal modes. We performed an abundance-weighted mean pairwise distance (MPD) test and fit generalized linear models (GLMs) to explain the geographic distribution of dispersal modes. Results: Anemochory was significantly, positively associated with mean annual wind speed, and hydrochory was significantly higher in flooded forests. Dispersal modes did not consistently show significant associations with the availability of resources for constructing zoochorous fruits. A lower dissimilarity in dispersal modes, resulting from a higher dominance of endozoochory, occurred in terra-firme forests (excluding podzols) compared to flooded forests. Main conclusions: The disperser-availability hypothesis was well supported for abiotic dispersal modes (anemochory and hydrochory). The availability of resources for constructing zoochorous fruits seems an unlikely explanation for the distribution of dispersal modes in Amazonia. The association between frugivores and the proportional abundance of zoochory requires further research, as tree recruitment not only depends on dispersal vectors but also on conditions that favour or limit seedling recruitment across forest types
Práticas Educomunicativas
Esta publicação pretende divulgar as práticas educomunicativas realizadas em diferentes regiões do paĂs e que estĂŁo sendo implantadas por nossos associados. O e-book Práticas Educomunicativas, que visa oferecer um material de uso prático que possa servir de apoio pedagĂłgico em diferentes contextos, escolar ou de ações junto a instituições, apresenta 20 artigos de profissionais e pesquisadores que implementam ações que inter-relacionam comunicação e educação no contexto da educação apontando as experiĂŞncias e processos de educomunicação e valorizando desta forma, o trabalho realizado por cada educomunicador oferecendo, ao leitor, um material de uso prático que possa servir de apoio pedagĂłgico em diferentes contextos
EstratĂ©gia de SaĂşde da FamĂlia em FlorianĂłpolis: integração, coordenação e posição na rede assistencial
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
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