Formação em Emergência e Catástrofe

Emergências e Catástrofes Internacionais e Nacionais; Planos de Catástrofe; Formações para Emergências e CatástrofesN/

Implementation of the Medical Response to Major Incidents Course in Madeira, Portugal

Background. The Medical Response to Major Incidents (MRMI) course was created in response to the need to train people from multi-agencies on major incidents management. In Madeira, a group of physicians and nurses from SESARAM attended this course and “Madeira International Disaster Training Center” (MIDTC) was created with the objective of providing training in the areas of emergency, trauma and catastrophe. Since its implementation, the MRMI course has been offered in Portugal twice a year in Madeira, Mainland Portugal and Azores. Objectives. To describe the method of implementation and functioning of the MRMI course and, additionally, to study the degree of satisfaction of the trainees. Material and methods. A quantitative study was performed during our last courses, using a satisfaction scale with the simulated clinical experience composed of 17 items with a Likert-type scale, punctuated from one (lowest level of satisfaction) to ten (highest level of satisfaction), in terms of practical, cognitive and realism dimensions. Data analysis was performed using the SPSS Statistic software, v. 25. A p-value of < 0.05 was used as the significance threshold. Results. Twenty-one Portuguese MRMI courses were attended by 1,556 trainees from different professional areas (physicians, nurses, emergency and security technicians, social workers, command and control professionals). One hundred sixty-three surveys submitted by the trainees were available for analysis. A total of 60.7% of the respondents were men aged 30–49 years (71.8%). The overall satisfaction average score was 9.06. The practical dimension attained the highest score (9.12), followed by realism (9.05) and finally the cognitive aspect (8.90). Non-medical trainees’ scores were slightly lower when compared to the scores provided by the medical trainees. Conclusions. Demand for the MRMI course in Portugal has been high, with the number of students increasing since its first implementation. This makes the MRMI course a practical doctrine to implement in Portugal by the national authorities.info:eu-repo/semantics/publishedVersio

SALUD MENTAL Y GÉNERO EN EL PERSONAL SANITARIO DURANTE LA PANDEMIA COVID-19 EN LATINOAMÉRICA

La emergencia sanitaria producto de la pandemia COVID-19 generó afectaciones en la salud mental de la población en general y en especial en el personal sanitario. Este estudio se basa en una encuesta realizada a personal sanitario en cinco países (Argentina, Brasil, Chile, Perú y Uruguay). La muestra fue de 9.820 participantes, con 79,6% de mujeres. Se construyeron modelos de regresión logística múltiple para hombres y mujeres en cada país, identificando los factores que estaban asociados al deterioro de su salud mental. Las mujeres reportaron un mayor deterioro de su salud mental y un perfil diferente de factores asociados a esto. Estos hallazgos se relacionan con los roles tradicionales según género, donde las mujeres tienen un mayor peso en el cuidado de los otros y valoran los aspectos relacionales por encima de los personales, a diferencia de los hombres quienes otorgan más importancia al ámbito público y al cuidado propio. Se resalta la importancia de incluir el enfoque de género en el diseño de políticas para el personal de salud, especialmente en el cuidado de su salud mental

EuReCa ONE—27 Nations, ONE Europe, ONE Registry A prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe

AbstractIntroductionThe aim of the EuReCa ONE study was to determine the incidence, process, and outcome for out of hospital cardiac arrest (OHCA) throughout Europe.MethodsThis was an international, prospective, multi-centre one-month study. Patients who suffered an OHCA during October 2014 who were attended and/or treated by an Emergency Medical Service (EMS) were eligible for inclusion in the study. Data were extracted from national, regional or local registries.ResultsData on 10,682 confirmed OHCAs from 248 regions in 27 countries, covering an estimated population of 174 million. In 7146 (66%) cases, CPR was started by a bystander or by the EMS. The incidence of CPR attempts ranged from 19.0 to 104.0 per 100,000 population per year. 1735 had ROSC on arrival at hospital (25.2%), Overall, 662/6414 (10.3%) in all cases with CPR attempted survived for at least 30 days or to hospital discharge.ConclusionThe results of EuReCa ONE highlight that OHCA is still a major public health problem accounting for a substantial number of deaths in Europe.EuReCa ONE very clearly demonstrates marked differences in the processes for data collection and reported outcomes following OHCA all over Europe. Using these data and analyses, different countries, regions, systems, and concepts can benchmark themselves and may learn from each other to further improve survival following one of our major health care events

Low cost loT monitoring solution for increased student awareness on campus

O preço do equipamento eletrónico tem descido acentuadamente nas últimas décadas. Este decréscimo favoreceu um crescimento exponencial de todo o tipo de dispositivos eletrónicos, a ubiquidade destes dispositivos torna-os quase indissociáveis dos seus utilizadores. Uma das áreas a beneficiar e igualmente a potenciar esse crescimento é a Internet das Coisas, IoT, ou seja, a possibilidade de uma ligação constante e de partilha de dados entre os mais diversos dispositivos. Em paralelo com o uso de soluções de índole comercial, tem surgido dispositivos de custo reduzido como o Arduino, que permitem criar pequenos projetos IoT de forma económica. Para além destes, outros produtos tais como as boards da Espressif Esp8266 e ESP32 já com ligação Wi-Fi incluída tem ganho notoriedade em anos recentes. O objetivo deste projeto foi precisamente o desenvolvimento de um sistema de recolha de dados de baixo custo e autónomo, que tenha utilidade para os seus utilizadores, especialmente num contexto académico utilizando o ESP32 da Espressif como base. Este sistema visa recolher dados ambientais tais como temperatura, humidade, nível de ruído, e através do uso dos sinais Wi-Fi emitidos pelos dispositivos móveis, tentar estabelecer a estimativa da ocupação de uma determinada localização. Esta informação recolhida deverá ser disponibilizada à comunidade académica tornando possível, por exemplo, aos alunos selecionar a melhor sala de estudo baseando-se na sua ocupação, ou nível de ruido. Os principais componentes destes projetos são os ESP32s e os respetivos sensores, denominados de SensingBox, e a componente de software e infraestrutura associada para processar os dados recolhidos, interagir com as SensingBox e permitir a visualização dos dados recolhidos. Além deste objetivo primário é importante fazer uma análise exploratória das potencialidades desta plataforma em projetos de baixo custo assim como as metodologias de desenvolvimento para a mesma. De certa forma este projeto visa em parte servir de guia para quem esteja a desenvolver um projeto de natureza similar. O sistema desenvolvido foi testado em dois contextos, um para aprimorar o sistema num contexto doméstico, e outro no contexto para o qual havia sido idealizado, ou seja, no Campus da Universidade da Madeira.In the last decades there has been a steep decrease in the price of electronics. This decrease has favored an exponential increase of all types of consumer electronics. The ubiquity of these devices makes them almost inseparable from their users. One area benefiting and at the same time further increasing this ubiquity is the Internet of Things, IoT, in other words the possibility of having a constant connection and data sharing amongst the most diverse devices. In parallel with the development of IoT solutions designed for Industrial use, some other low-cost devices such as the Arduino have appeared, which enable the development of small IoT projects economically. Besides the Arduino other products such as the ESP8266 and ESP32 boards by Espressif have been gaining popularity in recent years. The aim of this project is the development of a low cost, autonomous monitoring solution that is of use for the academic community. This system should collect environmental data such as temperature, humidity, noise pollution and make an estimation of the occupancy of a certain zone through the ubiquity of mobile devices by capturing their Wi-Fi request probes. The information collected will be made available for the academic community, giving the possibility of students to select the best study room based on the occupancy or noise level of the different rooms. The main constituents of the project are the ESP32s with the associated sensors named Sensing Boxes, and the necessary software component and infrastructure to process the data collected and provide it to interested parties. In addition to this main objective, it is important to understand and document the potentialities of the ESP32 in low-cost projects as its development methodologies available. In a sense provide a guideline of the most important topics about this board and some sensors for anyone developing a project of similar nature. The system was tested in two contexts, one of domestic nature, and in order to fine tune and debug the system, the other in the context to which it was originally idealized, the campus of University of Madeira

Structural and Molecular Modeling Features of P2X Receptors

Currently, adenosine 5\u27-triphosphate (ATP) is recognized as the extracellular messenger that acts through P2 receptors. P2 receptors are divided into two subtypes: P2Y metabotropic receptors and P2X ionotropic receptors, both of which are found in virtually all mammalian cell types studied. Due to the difficulty in studying membrane protein structures by X-ray crystallography or NMR techniques, there is little information about these structures available in the literature. Two structures of the P2X4 receptor in truncated form have been solved by crystallography. Molecular modeling has proven to be an excellent tool for studying ionotropic receptors. Recently, modeling studies carried out on P2X receptors have advanced our knowledge of the P2X receptor structure-function relationships. This review presents a brief history of ion channel structural studies and shows how modeling approaches can be used to address relevant questions about P2X receptors

Structural and Molecular Modeling Features of P2X Receptors

Made available in DSpace on 2015-05-08T14:08:45Z (GMT). No. of bitstreams: 2 license.txt: 1914 bytes, checksum: 7d48279ffeed55da8dfe2f8e81f3b81f (MD5) pedro_teixeiraetal_IOC_2014.pdf: 1170587 bytes, checksum: ee8e7f922ff541184cf10b4f43e70f8e (MD5) Previous issue date: 2014Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Comunicação Celular. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Fortaleza, CE, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Comunicação Celular. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Comunicação Celular. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Comunicação Celular. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Comunicação Celular. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo cruz. Programa de Computação Científica. Rio de Janeiro, RJ, Brasil.Currently, adenosine 5'-triphosphate (ATP) is recognized as the extracellular messenger that acts through P2 receptors. P2 receptors are divided into two subtypes: P2Y metabotropic receptors and P2X ionotropic receptors, both of which are found in virtually all mammalian cell types studied. Due to the difficulty in studying membrane protein structures by X-ray crystallography or NMR techniques, there is little information about these structures available in the literature. Two structures of the P2X4 receptor in truncated form have been solved by crystallography. Molecular modeling has proven to be an excellent tool for studying ionotropic receptors. Recently, modeling studies carried out on P2X receptors have advanced our knowledge of the P2X receptor structure-function relationships. This review presents a brief history of ion channel structural studies and shows how modeling approaches can be used to address relevant questions about P2X receptors