La seguridad del paciente y la prevención de lesiones cutáneo-mucosas asociadas con los dispositivos invasivos en las vías aéreas

OBJECTIVETo analyze the care implemented by the nursing team to promote the safety of adult patients and prevention of skin and mucosal lesions associated with the presence of lower airways invasive devices.METHODStudy with qualitative and quantitative approach, descriptive and exploratory type, whose investigative scenarios were adult inpatient units of a hospital in the West Frontier of Rio Grande do Sul. The study subjects consisted of nurses, nursing technicians and nursing assistants.RESULTSA total of 118 professionals were interviewed. We highlight the observed specific care with endotracheal tube and tracheostomy, management and assessment of the cuff and the criteria used to secretion aspiration.CONCLUSIONThere is a superficial nursing work in the patient direct care and a differentiation in relation to the perception of nurse technicians, especially those working in the intensive care unit, who presented major property and view of the patient's clinical status.OBJETIVOAnalizar los cuidados implantados por el equipo de Enfermería para la promoción de la seguridad del paciente adulto y la prevención de lesiones cutáneo-mucosas asociadas con la presencia de dispositivos invasivos en las vías aéreas inferiores.MÉTODOEstudio con abordaje cualitativo y cuantitativo, del tipo descriptivo y exploratorio, cuyos escenarios investigativos fueron las unidades de estancia hospitalaria de adultos en un hospital de Fronteira Oeste, Rio Grande do Sul. Los sujetos investigados se constituyeron de enfermeros, técnicos y auxiliares de Enfermería.RESULTADOSFueron entrevistados 118 profesionales. Se evidenciaron los cuidados específicos con el tubo orotraqueal y la traqueotomía, con el manejo y la evaluación del cuff y los criterios utilizados para la aspiración de secreciones.ConclusiónExiste una superficialidad de la actuación del enfermero en el cuidado directo al paciente y una diferenciación con respecto a la percepción de los técnicos de Enfermería, en especial los actuantes en la unidad de terapia intensiva, que presentaron mayor propiedad y visión clínica del paciente.OBJETIVOAnalisar os cuidados implementados pela equipe de Enfermagem para a promoção da segurança do paciente adulto e a prevenção de lesões cutâneo-mucosas associadas à presença de dispositivos invasivos nas vias aéreas inferiores.MÉTODOEstudo com abordagem qualitativa e quantitativa, do tipo descritivo e exploratório, cujos cenários investigativos foram as unidades de internação adulto de um hospital da Fronteira Oeste do Rio Grande do Sul. Os sujeitos pesquisados constituíram-se de enfermeiros, técnicos e auxiliares de Enfermagem.RESULTADOSForam entrevistados 118 profissionais. Evidenciaram-se os cuidados específicos com o tubo orotraqueal e traqueostomia, com o manejo e avaliação do cuff e os critérios utilizados para a aspiração de secreções.CONCLUSÃOHá uma superficialidade da atuação do enfermeiro no cuidado direto ao paciente e uma diferenciação em relação à percepção dos técnicos de Enfermagem, em especial os atuantes na unidade de terapia intensiva, que apresentaram maior propriedade e visão da clínica do paciente

Perfil clínico, sociodemográfico e preditores de óbito em unidade de terapia intensiva

Objective: to identify the sociodemographic and clinical profile of patients in an intensive care unit in the interior of Brazil and to characterize the deaths and their predictors. Method: cross-sectional study conducted from documentary analysis of medical records of a random sample of patients in intensive care. Data were collected between 2016 and 2018 using standardized instrument. Descriptive analysis performed comparing deaths and survivors. Multivariable regression was used to identify predictors of death. Results: considering the 259 patients analyzed, there were 231 deaths (89.2%). Among the deaths, female gender (55.4%), white race (75.3%) and low education (66.7%) predominated. The variables advanced age, heart failure, and human immunodeficiency virus infection were considered predictors of death. Conclusion: the characterization of patients seen in intensive care was evidenced, as well as the identification of subjects at higher risk of death, providing subsidies for the development of effective strategies to prevent death.Objetivo: identificar o perfil sociodemográfico e clínico dos pacientes de unidade de terapia intensiva do interior do Brasil e caracterizar os óbitos e os seus fatores preditores. Método: estudo transversal realizado a partir da análise documental de prontuários de amostra aleatória de pacientes em cuidados intensivos. Foram coletados dados entre 2016 e 2018 utilizando instrumento padronizado. Análise descritiva realizada comparando óbitos e sobreviventes. Utilizou-se regressão multivariável para identificação dos preditores do óbito. Resultados: considerando os 259 pacientes analisados, ocorreram 231 mortes (89,2%). Entre os óbitos, predominaram o sexo feminino (55,4%), raça branca (75,3%) e baixa escolaridade (66,7%). As variáveis idade avançada, insuficiência cardíaca e infecção pelo vírus da imunodeficiência humana adquirida foram consideradas preditores do óbito. Conclusão: evidenciou-se a caracterização dos pacientes atendidos na terapia intensiva, assim como a identificação de sujeitos com maior risco de morte, fornecendo subsídios para a elaboração de estratégias efetivas de prevenção do óbito

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

Growing knowledge: an overview of Seed Plant diversity in Brazil

Abstract An updated inventory of Brazilian seed plants is presented and offers important insights into the country's biodiversity. This work started in 2010, with the publication of the Plants and Fungi Catalogue, and has been updated since by more than 430 specialists working online. Brazil is home to 32,086 native Angiosperms and 23 native Gymnosperms, showing an increase of 3% in its species richness in relation to 2010. The Amazon Rainforest is the richest Brazilian biome for Gymnosperms, while the Atlantic Rainforest is the richest one for Angiosperms. There was a considerable increment in the number of species and endemism rates for biomes, except for the Amazon that showed a decrease of 2.5% of recorded endemics. However, well over half of Brazillian seed plant species (57.4%) is endemic to this territory. The proportion of life-forms varies among different biomes: trees are more expressive in the Amazon and Atlantic Rainforest biomes while herbs predominate in the Pampa, and lianas are more expressive in the Amazon, Atlantic Rainforest, and Pantanal. This compilation serves not only to quantify Brazilian biodiversity, but also to highlight areas where there information is lacking and to provide a framework for the challenge faced in conserving Brazil's unique and diverse flora