Percepção de mães de prematuro acerca da prematuridade: subsídio para o cuidado de enfermagem em neonatologia

The aim was to describe the perception of mothers of preterm infants about prematurity and to analyze how this perception reflects the nursing care provided. This is a descriptive study with a qualitative approach. The setting was a Neonatal Intensive Care Unit, located in the city of Cabo Frio, in the State of Rio de Janeiro. The subjects were 8 mothers of newborns hospitalized at the institution. The analytical categories from the analysis were: Feelings that guide mothers of premature babies; challenges of mothers of premature babies facing the care of their child; factors that promote better coping by mothers of premature babies in the face of adversities experienced in their daily lives, and the role of nursing in the experience of mothers of premature babies. It was attested that these women go through many emotions, face challenges, and make use of strategies to care for their child. All these aspects, most of the time, go unnoticed by the health team, however, nursing has emerged as an essential element in this difficult trajectory. This study reinforced the idea that the focus of nursing care should be on the assisted subject and not just on the technical part involved in care.Objetivou-se descrever a percepção de mães de prematuros acerca da prematuridade e analisar de que forma esta percepção reflete o cuidado de enfermagem prestado. Trata-se de um estudo descritivo, com abordagem qualitativa. O cenário foi uma Unidade de Terapia Intensiva Neonatal, localizada no município de Cabo Frio, no Estado do Rio de Janeiro. Os sujeitos foram 8 mães de recém-nascidos hospitalizados na instituição. As categorias analíticas provenientes da análise foram: Sentimentos que norteiam as mães de bebês prematuros; desafios de mães de prematuros frente ao cuidado de seu filho; fatores que promovem um melhor enfrentamento das mães de bebês prematuros diante das adversidades vivenciadas em seu cotidiano, e o papel da enfermagem na vivência de mães de bebês prematuros. Foi atestado que estas mulheres passam por muitas emoções, enfrentam desafios e lançam mão de estratégias para o cuidado de seu filho. Todos estes aspectos, na maior parte das vezes, passam despercebidos pela equipe de saúde, no entanto, a enfermagem emergiu como um elemento essencial nessa dura trajetória vivida. Este estudo permitiu reforçar a ideia de que o foco da assistência de enfermagem deve estar no sujeito assistido e não apenas na parte técnica envolvida no cuidar

Percepção de mães de prematuro acerca da prematuridade: subsídio para o cuidado de enfermagem em neonatologia

The aim was to describe the perception of mothers of preterm infants about prematurity and to analyze how this perception reflects the nursing care provided. This is a descriptive study with a qualitative approach. The setting was a Neonatal Intensive Care Unit, located in the city of Cabo Frio, in the State of Rio de Janeiro. The subjects were 8 mothers of newborns hospitalized at the institution. The analytical categories from the analysis were: Feelings that guide mothers of premature babies; challenges of mothers of premature babies facing the care of their child; factors that promote better coping by mothers of premature babies in the face of adversities experienced in their daily lives, and the role of nursing in the experience of mothers of premature babies. It was attested that these women go through many emotions, face challenges, and make use of strategies to care for their child. All these aspects, most of the time, go unnoticed by the health team, however, nursing has emerged as an essential element in this difficult trajectory. This study reinforced the idea that the focus of nursing care should be on the assisted subject and not just on the technical part involved in care.Objetivou-se descrever a percepção de mães de prematuros acerca da prematuridade e analisar de que forma esta percepção reflete o cuidado de enfermagem prestado. Trata-se de um estudo descritivo, com abordagem qualitativa. O cenário foi uma Unidade de Terapia Intensiva Neonatal, localizada no município de Cabo Frio, no Estado do Rio de Janeiro. Os sujeitos foram 8 mães de recém-nascidos hospitalizados na instituição. As categorias analíticas provenientes da análise foram: Sentimentos que norteiam as mães de bebês prematuros; desafios de mães de prematuros frente ao cuidado de seu filho; fatores que promovem um melhor enfrentamento das mães de bebês prematuros diante das adversidades vivenciadas em seu cotidiano, e o papel da enfermagem na vivência de mães de bebês prematuros. Foi atestado que estas mulheres passam por muitas emoções, enfrentam desafios e lançam mão de estratégias para o cuidado de seu filho. Todos estes aspectos, na maior parte das vezes, passam despercebidos pela equipe de saúde, no entanto, a enfermagem emergiu como um elemento essencial nessa dura trajetória vivida. Este estudo permitiu reforçar a ideia de que o foco da assistência de enfermagem deve estar no sujeito assistido e não apenas na parte técnica envolvida no cuidar

SARS-CoV-2 introductions and early dynamics of the epidemic in Portugal

Genomic surveillance of SARS-CoV-2 in Portugal was rapidly implemented by the National Institute of Health in the early stages of the COVID-19 epidemic, in collaboration with more than 50 laboratories distributed nationwide. Methods By applying recent phylodynamic models that allow integration of individual-based travel history, we reconstructed and characterized the spatio-temporal dynamics of SARSCoV-2 introductions and early dissemination in Portugal. Results We detected at least 277 independent SARS-CoV-2 introductions, mostly from European countries (namely the United Kingdom, Spain, France, Italy, and Switzerland), which were consistent with the countries with the highest connectivity with Portugal. Although most introductions were estimated to have occurred during early March 2020, it is likely that SARS-CoV-2 was silently circulating in Portugal throughout February, before the first cases were confirmed. Conclusions Here we conclude that the earlier implementation of measures could have minimized the number of introductions and subsequent virus expansion in Portugal. This study lays the foundation for genomic epidemiology of SARS-CoV-2 in Portugal, and highlights the need for systematic and geographically-representative genomic surveillance.We gratefully acknowledge to Sara Hill and Nuno Faria (University of Oxford) and Joshua Quick and Nick Loman (University of Birmingham) for kindly providing us with the initial sets of Artic Network primers for NGS; Rafael Mamede (MRamirez team, IMM, Lisbon) for developing and sharing a bioinformatics script for sequence curation (https://github.com/rfm-targa/BioinfUtils); Philippe Lemey (KU Leuven) for providing guidance on the implementation of the phylodynamic models; Joshua L. Cherry (National Center for Biotechnology Information, National Library of Medicine, National Institutes of Health) for providing guidance with the subsampling strategies; and all authors, originating and submitting laboratories who have contributed genome data on GISAID (https://www.gisaid.org/) on which part of this research is based. The opinions expressed in this article are those of the authors and do not reflect the view of the National Institutes of Health, the Department of Health and Human Services, or the United States government. This study is co-funded by Fundação para a Ciência e Tecnologia and Agência de Investigação Clínica e Inovação Biomédica (234_596874175) on behalf of the Research 4 COVID-19 call. Some infrastructural resources used in this study come from the GenomePT project (POCI-01-0145-FEDER-022184), supported by COMPETE 2020 - Operational Programme for Competitiveness and Internationalisation (POCI), Lisboa Portugal Regional Operational Programme (Lisboa2020), Algarve Portugal Regional Operational Programme (CRESC Algarve2020), under the PORTUGAL 2020 Partnership Agreement, through the European Regional Development Fund (ERDF), and by Fundação para a Ciência e a Tecnologia (FCT).info:eu-repo/semantics/publishedVersio

Characterisation of microbial attack on archaeological bone

As part of an EU funded project to investigate the factors influencing bone preservation in the archaeological record, more than 250 bones from 41 archaeological sites in five countries spanning four climatic regions were studied for diagenetic alteration. Sites were selected to cover a range of environmental conditions and archaeological contexts. Microscopic and physical (mercury intrusion porosimetry) analyses of these bones revealed that the majority (68%) had suffered microbial attack. Furthermore, significant differences were found between animal and human bone in both the state of preservation and the type of microbial attack present. These differences in preservation might result from differences in early taphonomy of the bones. © 2003 Elsevier Science Ltd. All rights reserved