A IMPORTÂNCIA DA EQUIPE MULTIDISCIPLINAR NA REABILITAÇÃO DE PACIENTES CRÍTICOS: AVALIANDO A COLABORAÇÃO ENTRE PROFISSIONAIS DE SAÚDE NA REABILITAÇÃO DE PACIENTES DE UTI

The rehabilitation of critically ill patients in the Intensive Care Unit (ICU) requires a multidisciplinary approach, bringing together intensivist physicians, physiotherapists, nurses, psychologists, occupational therapists, and speech therapists. This collaboration is essential to provide holistic care, going beyond medical treatment. Coordination led by intensivist physicians, along with physiotherapists, nurses, and mental health professionals, plays a crucial role in early mobilization, preserving muscle and respiratory function, psychosocial assessment, and patient reintegration. Effective communication among these professionals is vital to optimize outcomes, reduce complications, and improve the patient's quality of life. This integrated approach not only enhances the patient experience but also reduces ICU stay duration, lowers mortality rates, and promotes quicker recovery post-discharge. The combined efforts of the multidisciplinary team highlight the importance of a holistic approach, integrating psychological, spiritual, and familial aspects. Efficient communication humanizes care and prevents hospital errors. Collaboration among healthcare professionals, focusing on a multidisciplinary approach, is crucial to providing a comprehensive and high-quality care plan for critically ill patients in the ICU, representing a significant advancement in healthcare services for this group.A reabilitação de pacientes críticos na Unidade de Terapia Intensiva (UTI) exige uma abordagem multidisciplinar, unindo médicos intensivistas, fisioterapeutas, enfermeiros, psicólogos, terapeutas ocupacionais e fonoaudiólogos. Essa colaboração é essencial para oferecer cuidados holísticos, indo além do tratamento médico. A coordenação liderada pelos médicos intensivistas, junto aos fisioterapeutas, enfermeiros e profissionais de saúde mental, desempenha papel crucial na mobilização precoce, preservação da função muscular e respiratória, avaliação psicossocial e reintegração do paciente. A comunicação eficaz entre esses profissionais é vital para otimizar os resultados, reduzir complicações e melhorar a qualidade de vida do paciente. Essa abordagem integrada não só melhora a experiência do paciente, mas também reduz o tempo de internação na UTI, diminui a taxa de mortalidade e promove uma recuperação mais rápida após a alta. A atuação conjunta da equipe multidisciplinar destaca a importância da abordagem holística, integrando aspectos psicológicos, espirituais e familiares. A comunicação eficiente humaniza o cuidado e evita erros hospitalares. A colaboração entre os profissionais de saúde, com foco na abordagem multidisciplinar, é crucial para proporcionar um plano de cuidados completo e de alta qualidade aos pacientes críticos na UTI, representando um avanço significativo nos serviços de saúde para esse grupo

ECOVILA COMO ALTERNATIVA DE ORGANIZAÇÃO SOCIOAMBIENTAL SUSTENTÁVEL: UMA AVALIAÇÃO DE PIRACANGA, BAHIA

A existência de práticas supostamente sustentáveis nas ecovilas constitui pressuposto básico desta pesquisa. As ecovilas, atualmente espalhadas em inúmeros países, nos vários continentes, apresentam-se como alternativas de organização socioambiental sustentável. Entretanto, são raros os estudos que avaliam de forma sistemática em que medida as ecovilas são organizações socioambientais sustentáveis. Este trabalho resulta de uma pesquisa que avalia o nível de sustentabilidade ambiental nas dimensões social, econômica e dos componentes naturais da Ecovila de Piracanga, no município de Maraú, Bahia. Foram identificados diferentes níveis de sustentabilidade ambiental da comunidade, entre as dimensões indicadas, mediante dados obtidos por entrevistas com 32 dos 92 residentes locais, bem como formulados questionamentos em torno da sustentabilidade da ecovila estudada, e sugerido aperfeiçoamento nos indicadores sociais e econômicos visando contribuir para o aperfeiçoamento da proposta, sem deixar de reconhecer que, apesar das fragilidades, trata-se de uma alternativa que aponta soluções ambientalmente inovadoras, aplicáveis em diferentes contextos

Ecofeminismo e comunidade sustentável

O movimento de ecovilas representa uma alternativa de organização social de baixo impacto sobre os componentes naturais e de novos valores condizentes com o bem-estar de vida social. O movimento ecofeminista, por sua vez, sustenta que a defesa do meio ambiente constitui parte essencial do movimento feminista. Esta pesquisa investiga se, na organização e dinâmica da ecovila, os princípios do ecofeminismo estão presentes e se contribuem para a sustentabilidade ambiental da comunidade nas dimensões social, econômica e dos componentes naturais. Para efetuar esta avaliação, tomou-se como base empírica a Ecovila de Piracanga, localizada no município de Maraú, litoral sul da Bahia, Brasil. Os resultados sustentam o pressuposto de que o ecofeminismo tem estreita relação com a sustentabilidade do meio ambiente, em nível local, e apontam para a possibilidade de soluções inovadoras no relacionamento entre sociedade e naturez

O AUTOCONCEITO DE HOMENS GAYS NO MUNICÍPIO DO RIO DE JANEIRO

O objetivo da presente pesquisa foi analisar a percepção que homens gays tem de si nas relações sociais e afetivas no município do Rio de Janeiro. Tendo a cidade como analisador do processo de perceber-se, significar-se e ver-se em relação a situações vivenciadas em seu ambiente social, analisamos a forma que se percebem no trânsito pela cidade, além de identificar as formas de violências vividas e percebidas por estes a partir de suas relações familiares, de amizades, sociais. A pesquisa de cunho qualitativo utilizou a técnica de entrevistas semiestruturadas, com 10 participantes de 18 a 25 anos. As principais categorias analisadas para discutir a percepção que homens gays têm de si nas relações sociais e afetivas no município do Rio de Janeiro foram: família, amigos, religião, a cidade do Rio de Janeiro e seus mapas (bairros, regiões, territórios LGBTT ou não), a figura do gay/ homossexual, preconceitos. A análise das entrevistas indicou caminhos possíveis no campo de pesquisa em questão que possam contribuir com a produção nacional. Foram elas: A forma como os jovens homossexuais se expressa em vários lugares da cidade do Rio de Janeiro, dando voz às suas opiniões, refletindo a maneira como a sociedade machista influência e interfere na construção da auto-imagem do homem homossexual

Interaction Design, user experience & Urban Creativity scientific journal : screens and beyond

info:eu-repo/semantics/publishedVersio

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

Prospective observational cohort study on grading the severity of postoperative complications in global surgery research

Background The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs). Methods This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs. Results A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59). Conclusion Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally

The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis

© 2017 British Journal of Anaesthesia Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32–0.77); P\u3c0.01], but no difference in complication rates [OR 1.02 (0.88–1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62–0.92); P\u3c0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61–0.88); P\u3c0.01; I2=89%). Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine