Atuação do enfermeiro no atendimento pré-hospitalar de emergência

The aim was to describe the role of nurses in pre-hospital care. This is an integrative literature review, carried out through a survey of works on the subject, including: articles, books, manuals, laws and ordinances, theses, and dissertations from the last 13 years. The works were read in full, and after textual analysis, four categories emerged, according to their characteristics and contents: history of pre-hospital care, legal aspects, nurses' role in PHC, PHC teaching in nursing. It was possible to notice that, even though PHC is an area still under development in Brazil, nurses are present and active. It is important to emphasize that emergency nursing, in the country and in the world, needs to be permanently discussed, as the performance of some procedures by nurses faces legal obstacles.Objetivou-se descrever a atuação do enfermeiro no atendimento pré-hospitalar. Trata-se de revisão integrativa da literatura, realizada por meio de levantamento de obras sobre a temática sendo: artigos, livros, manuais, leis e portarias, teses e dissertações dos últimos 13 anos. As obras foram lidas na íntegra, e após a análise textual, emergiram quatro categorias, de acordo com as características e conteúdos: história do atendimento pré-hospitalar, aspectos legais, atuação do enfermeiro no APH, ensino de APH na enfermagem. Foi possível notar que, mesmo o APH sendo uma área ainda em desenvolvimento no Brasil, o enfermeiro se faz presente e atuante. É importante ressaltar que a enfermagem de urgência, no país e no mundo, precisa ser permanentemente discutida, pois a realização de alguns procedimentos pelos enfermeiros encontra entraves legais

CUIDADOS DE ENFERMAGEM NO ATENDIMENTO ÀS VÍTIMAS DE PICADAS ESCORPIÔNICAS NA ATENÇÃO PRIMÁRIA À SAÚDE

Objetivo: avaliar conhecimentos e práticas dos profissionais de enfermagem na atenção primária.Método: estudo exploratório-descritivo, com abordagem qualitativa, desenvolvido de fevereiro amarço de 2018, com 20 enfermeiros de Unidades de Saúde da Família, da Paraíba, Brasil, por meiode entrevista semiestruturada, submetida à técnica de análise temática.Resultados: verificou-se que os enfermeiros não desenvolvem uma assistência sistematizada, maspontual, com base nos sinais e sintomas do quadro leve, e transferem ao serviço de referência aresponsabilidade pelo atendimento ao caso, por desconhecimento das condutas estabelecidaspara o acidentado. Ademais, 19 enfermeiros não realizam ações educativas para a prevenção dosacidentes e repassam a responsabilidade ao sistema de vigilância em saúde.Conclusão: são necessárias a implementação de programas de treinamentos, a elaboração deProcedimento Operacional Padrão e a realização de educação em saúde para os profissionais, afim de melhorar a assistência às vítimas de picadas escorpiônicas.Objective: To evaluate the knowledge and practices of nursing professionals in primary care.Method: An exploratory-descriptive study with a qualitative approach developed fromFebruary to March 2018 with 20 nurses from Family Health Units in Paraiba, Brazil, throughsemi-structured interviews, submitted to the thematic analysis technique.Results: It was verified that the nurses do not develop systematized care, but a punctualone, based on the signs and symptoms of the mild condition, and transfer the responsibilityfor handling the case to the reference service, due to lack of knowledge of the guidelineestablished for the victim. In addition, 19 nurses do not carry out educational actions toprevent accidents and pass on the responsibility to the health surveillance system.Conclusion: The implementation of training programs, the elaboration of the StandardOperating Procedure, and the provision of health education for the professionals are necessaryin order to improve the care provided to victims of scorpion bites.Objetivo: evaluar los conocimientos y las prácticas de los profesionales de enfermería en laatención primaria.Método: estudio exploratorio-descriptivo con enfoque cualitativo, desarrollado de febrero amarzo de 2018 con 20 enfermeros de Unidades de Salud de la Familia de Paraíba, Brasil, pormedio de entrevistas semiestructuradas, sometidas a la técnica del análisis temático.Resultados: se verificó que los enfermeros no ofrecen asistencia sistematizada, sino más bienpuntual, en función de las señales y de los síntomas del cuadro leve, y que transfieren alservicio de referencia la responsabilidad de manejar el caso por desconocer las conductasestablecidas para atender a la víctima. Además, 19 enfermeros no realizan ninguna accióneducativa para prevenir los accidentes, además de transferir la responsabilidad al sistema devigilancia de la salud.Conclusión: es necesario implementar programas de capacitación, elaborar un ProcedimientoOperativo Estándar, y realizar acciones de educación en salud para los profesionales, a fin demejorar la asistencia que se presta a las víctimas de picaduras de escorpión

Diagnosis, Prognosis and Treatment of Canine Cutaneous and Subcutaneous Mast Cell Tumors

Mast cell tumors (MCTs) are hematopoietic neoplasms composed of mast cells. It is highly common in dogs and is extremely important in the veterinary oncology field. It represents the third most common tumor subtype, and is the most common malignant skin tumor in dogs, corresponding to 11% of skin cancer cases. The objective of this critical review was to present the report of the 2nd Consensus meeting on the Diagnosis, Prognosis, and Treatment of Canine Cutaneous and Subcutaneous Mast Cell Tumors, which was organized by the Brazilian Association of Veterinary Oncology (ABROVET) in August 2021. The most recent information on cutaneous and subcutaneous mast cell tumors in dogs is presented and discussed

Da Palavra à Imagem: sobre o programa decorativo de Affonso Taunay para o Museu Paulista

O presente artigo analisa a decoraçÃo interna do Museu Paulista, criada e implementada por Affonso d'Escagnolle Taunay durante sua gestÃo como diretor daquela instituiçÃo, procurando compreender as estratégias utilizadas por ele para traduzir suas convicções teóricas em uma linguagem visual convincente. A autora analisa ainda os vínculos do projeto proposto por Taunay com a vasta tradiçÃo de ciclos decorativos europeus e, mais especificamente, com os projetos de construçÃo de uma identidade nacional através da pintura, defendida por alguns artistas ligados à Academia de Belas Artes durante o século XIX

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio

Health-related quality of life in patients with type 1 diabetes mellitus in the different geographical regions of Brazil : data from the Brazilian Type 1 Diabetes Study Group

Background: In type 1 diabetes mellitus (T1DM) management, enhancing health-related quality of life (HRQoL) is as important as good metabolic control and prevention of secondary complications. This study aims to evaluate possible regional differences in HRQoL, demographic features and clinical characteristics of patients with T1DM in Brazil, a country of continental proportions, as well as investigate which variables could influence the HRQoL of these individuals and contribute to these regional disparities. Methods: This was a retrospective, cross-sectional, multicenter study performed by the Brazilian Type 1 Diabetes Study Group (BrazDiab1SG), by analyzing EuroQol scores from 3005 participants with T1DM, in 28 public clinics, among all geographical regions of Brazil. Data on demography, economic status, chronic complications, glycemic control and lipid profile were also collected. Results: We have found that the North-Northeast region presents a higher index in the assessment of the overall health status (EQ-VAS) compared to the Southeast (74.6 ± 30 and 70.4 ± 19, respectively; p < 0.05). In addition, North- Northeast presented a lower frequency of self-reported anxiety-depression compared to all regions of the country (North-Northeast: 1.53 ± 0.6; Southeast: 1.65 ± 0.7; South: 1.72 ± 0.7; Midwest: 1.67 ± 0.7; p < 0.05). These findings could not be entirely explained by the HbA1c levels or the other variables examined. Conclusions: Our study points to the existence of additional factors not yet evaluated that could be determinant in the HRQoL of people with T1DM and contribute to these regional disparities

Cuidados biomédicos de saúde em Angola e na Companhia de Diamantes de Angola, c. 1910-1970

Pretende-se caracterizar a prestação de cuidados biomédicos em Angola durante a atividade da Companhia de Diamantes de Angola. Uma análise comparativa de políticas e práticas de saúde pública de vários atores coloniais, como os serviços de saúde da Companhia, sua congénere do Estado e outras empresas coloniais, revelará diferenças de investimento na saúde, isto é, instalações e pessoal de saúde, e tratamentos. Este escrutínio bem como as condições de vida iluminarão o carácter idiossincrático e central dos serviços de saúde da Companhia em termos de morbimortalidade em Angola, e a centralidade destes para as representações de um império cuidador

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost