Sistema Nacional de Juventude : uma gestão conectada e interativa

This work aims to answer questions related to the guarantee of the construction of a bridge capable of uniting government officials, managers, congressmen, private companies, youth movements, non-governmental organizations, public bodies, educational, research institutions and members of civil society. In the introduction, a brief overview of the history of public policies is outlined, as a way of contextualizing the social place of young people in Contemporary Brazil, as well as the characteristics of youth groups from indicators such as education, employment, income, leisure, digital presence, news consumption, vulnerability to violence, among others. In the other chapters, the National Youth System and related subjects are presented.Este trabalho se propõe a responder questões relativas a garantia da construção de uma ponte capaz de unir governantes, gestores, congressistas, empresas privadas, movimentos juvenis, Organizações Não-Governamentais, órgãos públicos, instituições de ensino, de pesquisa e membros da sociedade civil. Na introdução, um breve panorama da história das políticas públicas é delineado, como forma de contextualizar o lugar social do jovem no Brasil contemporâneo, assim como as características dos grupos juvenis a partir de indicadores como escolaridade, emprego, renda, lazer, presença digital, consumo de notícias, vulnerabilidade à violência, entre outros. Nos demais capítulos, apresenta-se o Sistema Nacional de Juventude e assuntos correlatos

Estratégias para implementação do Ecossistema para informação do Sistema Nacional de Juventude

Esta obra é um produto do Projeto de Pesquisa sobre o Estudo para Sistematização e Desenvolvimento do Sistema Nacional de Juventude (Sinajuve).As opiniões emitidas nesta publicação são de exclusiva e inteira responsabilidade dos autores, não exprimindo, necessariamente, o ponto de vista do Instituto Brasileiro de Informação em Ciência e Tecnologia ou do Ministério da Ciência, Tecnologia e Inovações.This book represents the final result of the research project signed between the Secretaria Nacional de Juventude (SNJ), then linked to the Secretaria Geral da Presidência da República, and the Instituto Brasileiro de Informação em Ciência e Tecnologia (Ibict). In this way, it brings together the main results obtained in the various studies carried out within the scope of proposing strategies for putting this system into execution, constituting one of the lines of support to the SNJ.O presente livro representa o resultado final do projeto de pesquisa firmado entre a Secretaria Nacional de Juventude (SNJ), então vinculada à Secretaria Geral da Presidência da República, e o Instituto Brasileiro de Informação em Ciência e Tecnologia (Ibict).Dessa forma, reúne os principais resultados obtidos nos diversos estudos efetuados no âmbito da proposição de estratégias para a colocação desse sistema em execução, constituindo uma das linhas de apoio à SNJ

Geoeconomic variations in epidemiology, ventilation management, and outcomes in invasively ventilated intensive care unit patients without acute respiratory distress syndrome: a pooled analysis of four observational studies

Background: Geoeconomic variations in epidemiology, the practice of ventilation, and outcome in invasively ventilated intensive care unit (ICU) patients without acute respiratory distress syndrome (ARDS) remain unexplored. In this analysis we aim to address these gaps using individual patient data of four large observational studies. Methods: In this pooled analysis we harmonised individual patient data from the ERICC, LUNG SAFE, PRoVENT, and PRoVENT-iMiC prospective observational studies, which were conducted from June, 2011, to December, 2018, in 534 ICUs in 54 countries. We used the 2016 World Bank classification to define two geoeconomic regions: middle-income countries (MICs) and high-income countries (HICs). ARDS was defined according to the Berlin criteria. Descriptive statistics were used to compare patients in MICs versus HICs. The primary outcome was the use of low tidal volume ventilation (LTVV) for the first 3 days of mechanical ventilation. Secondary outcomes were key ventilation parameters (tidal volume size, positive end-expiratory pressure, fraction of inspired oxygen, peak pressure, plateau pressure, driving pressure, and respiratory rate), patient characteristics, the risk for and actual development of acute respiratory distress syndrome after the first day of ventilation, duration of ventilation, ICU length of stay, and ICU mortality. Findings: Of the 7608 patients included in the original studies, this analysis included 3852 patients without ARDS, of whom 2345 were from MICs and 1507 were from HICs. Patients in MICs were younger, shorter and with a slightly lower body-mass index, more often had diabetes and active cancer, but less often chronic obstructive pulmonary disease and heart failure than patients from HICs. Sequential organ failure assessment scores were similar in MICs and HICs. Use of LTVV in MICs and HICs was comparable (42·4% vs 44·2%; absolute difference -1·69 [-9·58 to 6·11] p=0·67; data available in 3174 [82%] of 3852 patients). The median applied positive end expiratory pressure was lower in MICs than in HICs (5 [IQR 5-8] vs 6 [5-8] cm H2O; p=0·0011). ICU mortality was higher in MICs than in HICs (30·5% vs 19·9%; p=0·0004; adjusted effect 16·41% [95% CI 9·52-23·52]; p<0·0001) and was inversely associated with gross domestic product (adjusted odds ratio for a US$10 000 increase per capita 0·80 [95% CI 0·75-0·86]; p<0·0001). Interpretation: Despite similar disease severity and ventilation management, ICU mortality in patients without ARDS is higher in MICs than in HICs, with a strong association with country-level economic status