414 research outputs found
Colecções de medicina: paradigma emergente
SIAM. Series Iberoamericanas de Museología. Año 3, Vol.
A história de vida focal e suas potencialidades na pesquisa em saúde e em enfermagem
Este relato tem por objetivo apresentar nossa experiência na utilização da História de Vida Focal como abordagem metodológica em pesquisa que buscou apreender o impacto da experiência de adoecimento e da busca do cuidado por usuários do Sistema Único de Saúde, apontando suas potencialidades na pesquisa em saúde e enfermagem e na prática avaliativa de serviços de saúde. A riqueza das narrativas fez emergir a subjetividade dos usuários, as interpretações e sentidos que os mesmos vão tecendo neste processo, possibilitando uma compreensão profunda dessa vivência que outras abordagens metodológicas dificilmente ofereceriam. Por permitir a composição dos Itinerários Terapêuticos empreendidos pelos usuários ao buscar a resolutividade para suas necessidades de saúde, a História de vida Focal demonstra grande potencialidade como estratégia metodológica privilegiada na prática avaliativa do cuidado em saúde na perspectiva de quem vivencia o adoecimento e a busca por cuidado, ou seja, o usuário e sua família
Sex- and age-related differences in the management and outcomes of chronic heart failure: an analysis of patients from the ESC HFA EORP Heart Failure Long-Term Registry
Aims: This study aimed to assess age- and sex-related differences in management and 1-year risk for all-cause mortality and hospitalization in chronic heart failure (HF) patients. Methods and results: Of 16 354 patients included in the European Society of Cardiology Heart Failure Long-Term Registry, 9428 chronic HF patients were analysed [median age: 66 years; 28.5% women; mean left ventricular ejection fraction (LVEF) 37%]. Rates of use of guideline-directed medical therapy (GDMT) were high (angiotensin-converting enzyme inhibitors/angiotensin receptor blockers, beta-blockers and mineralocorticoid receptor antagonists: 85.7%, 88.7% and 58.8%, respectively). Crude GDMT utilization rates were lower in women than in men (all differences: P\ua0 64 0.001), and GDMT use became lower with ageing in both sexes, at baseline and at 1-year follow-up. Sex was not an independent predictor of GDMT prescription; however, age >75 years was a significant predictor of GDMT underutilization. Rates of all-cause mortality were lower in women than in men (7.1% vs. 8.7%; P\ua0=\ua00.015), as were rates of all-cause hospitalization (21.9% vs. 27.3%; P\ua075 years. Conclusions: There was a decline in GDMT use with advanced age in both sexes. Sex was not an independent predictor of GDMT or adverse outcomes. However, age >75 years independently predicted lower GDMT use and higher all-cause mortality in patients with LVEF 6445%
Study of the decay
The decay is studied
in proton-proton collisions at a center-of-mass energy of TeV
using data corresponding to an integrated luminosity of 5
collected by the LHCb experiment. In the system, the
state observed at the BaBar and Belle experiments is
resolved into two narrower states, and ,
whose masses and widths are measured to be where the first uncertainties are statistical and the second
systematic. The results are consistent with a previous LHCb measurement using a
prompt sample. Evidence of a new
state is found with a local significance of , whose mass and width
are measured to be and , respectively. In addition, evidence of a new decay mode
is found with a significance of
. The relative branching fraction of with respect to the
decay is measured to be , where the first
uncertainty is statistical, the second systematic and the third originates from
the branching fractions of charm hadron decays.Comment: All figures and tables, along with any supplementary material and
additional information, are available at
https://cern.ch/lhcbproject/Publications/p/LHCb-PAPER-2022-028.html (LHCb
public pages
Measurement of the ratios of branching fractions and
The ratios of branching fractions
and are measured, assuming isospin symmetry, using a
sample of proton-proton collision data corresponding to 3.0 fb of
integrated luminosity recorded by the LHCb experiment during 2011 and 2012. The
tau lepton is identified in the decay mode
. The measured values are
and
, where the first uncertainty is
statistical and the second is systematic. The correlation between these
measurements is . Results are consistent with the current average
of these quantities and are at a combined 1.9 standard deviations from the
predictions based on lepton flavor universality in the Standard Model.Comment: All figures and tables, along with any supplementary material and
additional information, are available at
https://cern.ch/lhcbproject/Publications/p/LHCb-PAPER-2022-039.html (LHCb
public pages
An update of IPCC climate reference regions for subcontinental analysis of climate model data: definition and aggregated datasets
Several sets of reference regions have been used in the literature for the regional synthesis of observed and modelled climate and climate change information. A popular example is the series of reference regions used in the Intergovernmental Panel on Climate Change (IPCC) Special Report on Managing the Risks of Extreme Events and Disasters to Advance Climate Adaptation (SREX). The SREX regions were slightly modified for the Fifth Assessment Report of the IPCC and used for reporting subcontinental observed and projected changes over a reduced number (33) of climatologically consistent regions encompassing a representative number of grid boxes. These regions are intended to allow analysis of atmospheric data over broad land or ocean regions and have been used as the basis for several popular spatially aggregated datasets, such as the Seasonal Mean Temperature and Precipitation in IPCC Regions for CMIP5 dataset. We present an updated version of the reference regions for the analysis of new observed and simulated datasets (including CMIP6) which offer an opportunity for refinement due to the higher atmospheric model resolution. As a result, the number of land and ocean regions is increased to 46 and 15, respectively, better representing consistent regional climate features. The paper describes the rationale for the definition of the new regions and analyses their homogeneity. The regions are defined as polygons and are provided as coordinates and a shapefile together with companion R and Python notebooks to illustrate their use in practical problems (e.g. calculating regional averages).We also describe the generation of a new dataset with monthly temperature and precipitation, spatially aggregated in the new regions, currently for CMIP5 and CMIP6, to be extended to other datasets in the future (including observations). The use of these reference regions, dataset and code is illustrated through a worked example using scatter plots to offer guidance on the likely range of future climate change at the scale of the reference regions. The regions, datasets and code (R and Python notebooks) are freely available at the ATLAS GitHub repository: https://github.com/SantanderMetGroup/ATLAS (last access: 24 August 2020), https://doi.org/10.5281/zenodo.3998463 (Iturbide et al., 2020).This research has been supported by the Spanish National Plan for Scientific and Technical Research and Innovation (project PID2019-111481RB-I00 and María de Maeztu excellence programme projects MdM-2017-0765 and MdM-2017-0714), FCT MCTES financial support to CESAM (UIDP/50017/2020+UIDB/50017/2020), and the Basque Government BERC 2018–2021 programm
O colecionismo etnográfico no Brasil (1955-1975): entrevista com René Fuerst
Heritage of Indigenous People
- …