Humanized care in the ICU: challenges from the viewpoint of health professionals

Objective: To investigate the difficulties faced to the care humanization from the viewpoint of ICU health professionals. Method: Data collection was performed on January 2012, by means of a semi-structured questionnaire, in the ICU of a public institution from the city of Imperatriz/MA/Brazil. The qualitative analysis was conducted according to Minayo. Results: Professionals have defined care humanization as having respect for the patient and watch it as a whole through a holistic gaze. The pointed difficulties were: work overload, low income, scarce resources, lack of continuing education and the relationship with family members. The interviewees believe that a humanized care significantly contributes to the recovery of the critical patient. Conclusion: It is necessary having an increased commitment of the managers and the stakeholders to overcome existing challenges and, thus, providing a more humane and warm care to the users

MUDANÇAS BIOPSICOSSOCIAIS E ESPIRITUAIS NA MULHER MASTECTOMIZADA / BIOPSYCHOSOCIAL-SPIRITUAL CHANGES IN MASTECTOMIZED WOMEN

Introdução: A mama sempre foi símbolo de feminilidade, de erotização e de maternidade. A retirada (mastectomia) da mama em consequência de uma doença maligna interfere na história orgânica e emocional da mulher. Objetivo: conhecer as mudanças biopsicossociais e espirituais ocorridas no cotidiano de mulheres mastectomizadas. Métodos: Trata-se de estudo descritivo com abordagem qualitativa. Foram entrevistadas 15 mulheres as quais tiveram suas falas organizadas e analisadas através da técnica de análise de conteúdo. Constituíram-se as seguintes categorias: relacionamento familiar, imagem corporal, autoestima, atividades laborativas, medo e religiosidade. Resultados: Observou-se que é rico o universo de significados na vida das mulheres que tiveram câncer de mama, porque a mama representa a elas a maternidade, o poder de sedução, a feminilidade; a perda desta, interfere não só na história orgânica como também no emocional. Conclusão: Diversas foram as mudanças biopsicossociais e espirituais na vida das mulheres mastectomizadas. Sentimentos como o de inutilidade, diminuição da vaidade, vergonha do corpo e o medo de morrer fizeram com que elas valorizassem mais as suas vidas. Elas buscaram forças para continuar vivendo e superar seus medos e dificuldades principalmente através do apoio de seus familiares e através da religiosidade.Palavras-chave: Saúde da Mulher. Mastectomia. Neoplasias da mama.AbstractIntroduction: The breast has always been a symbol of femininity, eroticism and motherhood. The removal (mastectomy) of this part of the woman's body as a result of a malignant disease interferes in the woman's organic and emotional history. Objective: To know about the biopsychosocial and spiritual changes occurring in daily life of women who have undergone mastectomy. Methods: Descriptive study with qualitative approach with fifteen women. All the participants were interviewed and had their speeches organized and analyzed through the Bardin's content analysis technique. The following categories were analyzed: family relationships, body image, self-esteem, work activities, fear and religion. Results: We observed that the lives of women who had breast cancer are rich of meanings since the breast represents maternity, power of seduction as well as the femininity. The breast loss interferes either in the organic and emotional history of women. Conclusion: Several biopsychosocial and spiritual changes in the lives of mastectomized women were observed. Feelings such as worthlessness decrease of vanity, body shame and fear of dying made these women appreciate their lives with more intensity. They sought for strength to continue living and overcoming their fears and difficulties mainly through the support of their families and religion.Keywords: Woman's Health. Mastectomy. Breast cancer

Cuidado humanizado em UTI: Desafios na visão dos profissionais de saúde

Objective: To investigate the difficulties faced to the care humanization from the viewpoint of ICU health professionals. Method: Data collection was performed on January 2012, by means of a semi-structured questionnaire, in the ICU of a public institution from the city of Imperatriz/MA/Brazil. The qualitative analysis was conducted according to Minayo. Results: Professionals have defined care humanization as having respect for the patient and watch it as a whole through a holistic gaze. The pointed difficulties were: work overload, low income, scarce resources, lack of continuing education and the relationship with family members. The interviewees believe that a humanized care significantly contributes to the recovery of the critical patient. Conclusion: It is necessary having an increased commitment of the managers and the stakeholders to overcome existing challenges and, thus, providing a more humane and warm care to the users.Objetivo: Investigar as dificuldades enfrentadas para a humanização do cuidado na visão dos profissionais de saúde da UTI. Método: A coleta de dados foi realizada em janeiro/2012, por meio de questionário semiestruturado, na UTI de uma instituição pública de Imperatriz/MA. A análise qualitativa foi realizada de acordo com Minayo. Resultados: Os profissionais definiram humanização da assistência como ter respeito ao paciente e assisti-lo como um todo através de um olhar holístico. As dificuldades apontadas foram: sobrecarga de trabalho, baixa remuneração, falta de recursos, falta de educação continuada e o relacionamento com os familiares. Os entrevistados acreditam que o cuidado humanizado contribui de maneira significativa na recuperação do paciente crítico. Conclusão: É necessário um maior comprometimento dos gestores e de todos os envolvidos para vencer os desafios existentes e, dessa forma, proporcionar um cuidado mais humano e acolhedor aos usuários.Objetivo: Investigar las dificultades para la humanización de la atención en vista de los profesionales de la salud de la UCI. Método: Larecolección de datos se realizo em en janeiro/2012 a través de cuestionario semi-estructurado en la UCI de una institución pública de la Imperatriz / MA. El análisis cualitativo se realizó según Minayo. Resultados: Los profesionales han definido una atención de calidad cómo tener respeto por el paciente y verlo em su totalidade a través de una mirada holística. Las dificultades mencionadas fueron: trabajo excesivo, los bajos salarios, la falta de recursos, la falta de educación continua y las relaciones con los miembros de la familia. Los encuestados creen que el cuidado humanizado contribuye de manera significativa en la recuperación de los pacientes críticos. Conclusión: Requiere un mayor compromiso de los directivos y todos los involucrados para superar los retos existentes y proporcionar así una atención más humana y amigable para los usuarios

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