CANDIDATURAS INDEPENDENTES: POSSIBILIDADE E PERSPECTIVAS DIANTE DO CONTEXTO JURÍDICO BRASILEIRO

Diante da relevância atribuída aos partidos políticos, a Constituição de 1988 determina que a filiação partidária é requisito de elegibilidade, nos termos da lei, de modo que apenas o indivíduo filiado a uma agremiação partidária poderá participar das eleições. Lado outro, a Convenção Americana de Direitos Humanos, incorporada ao sistema normativo brasileiro pelo Decreto n° 678/1992, com status supralegal, enfatiza que a lei pode regular o exercício dos direitos e oportunidades exclusivamente por motivos de idade, nacionalidade, residência, idioma, instrução, capacidade civil ou mental, ou condenação em processo penal, não estabelecendo, prima facie, a filiação partidária como condição de elegibilidade. Percebe-se, assim, um conflito aparente de normas, encontrando-se múltiplas soluções para tanto. Utilizando-se do método de revisão narrativa de literatura, este trabalho busca examinar a possibilidade de candidaturas independentes no Brasil, à luz do atual ordenamento jurídico brasileiro e da teoria da margem de apreciação nacional, expondo também as perspectivas da temática, diante da atuação do Supremo Tribunal Federal nessa questão. Conclui-se que, havendo movimento em favor das candidaturas independentes na sociedade, deve-se demandá-las do Legislativo, não do Judiciário, e que a ingerência do Judiciário em questões essencialmente políticas aponta para o risco de reversão da deliberação pelo Congresso Nacional

Dermatologia na Ilha do Corvo Açores

Concerning the premium «dermatologist from the Heart» awarded by the Fondation La Roche Posay in 2014, we put into practice the winning project "Corvo Island Dermatology". The project’s main objective was to perform a screening of the skin in an area of the country with difficult geographical accessibility to specialized health care. The island has a single doctor, a general practitioner - Dr. José Pinto Faustino. The screening was performed for 5 days, between 13 and 18 July 2015 in the Health Unit of Corvo. There were attended 120 people living on the island that were observed by 2 participant dermatologists. No skin diseases with statistical significance were detected.No âmbito do prémio «dermatologist from the Heart» atribuído pela Fondation La Roche Posay no ano de 2014, pusemos em prática o projecto vencedor «Dermatologia na ilha do Corvo». Este projecto teve como objectivo principal efectuar um rastreio da pele numa zona do país com difícil acessibilidade geográfica a cuidados de saúde especializados. A ilha dispõe de um único médico em funções- Dr. José Pinto Faustino. O rastreio efectuou-se durante 5 dias, entre 13 e 18 de Julho de 2015 na Unidade de Saúde da Ilha do Corvo. Compareceram 120 pessoas residentes na ilha que foram observadas pelos 2 dermatologistas participantes. Não foram detectadas doenças da pele com relevância estatística

Sistematização da assistência de enfermagem frente à violência sexual infantojuvenil: revisão narrativa da literatura / Systematization of nursing care in the face of child and adolescent sexual violence: narrative literature review

O abuso infantil expressa-se como uma participação não consentida da criança em atividades sexuais, quando a mesma não possui desenvolvimento físico/mental, e se designa em múltiplas atividades como pornografia, incesto, manipulação das partes íntimas, estupro, assédio, prostituição ou qualquer outro tipo de imoralidade. Diante da complexidade do abuso sexual de menores, a Sistematização da Assistência de Enfermagem (SAE) apresenta-se como estratégia essencial na prestação de cuidados a infantis e seus familiares. Objetivo: Descrever a importância da utilização da Sistematização da Assistência de Enfermagem diante do abuso sexual infantil. Metodologia: Trata-se de uma revisão narrativa da literatura, na qual se buscou artigos nas bases de dados Scientific Electronic Library Online (SCIELO), Biblioteca Virtual em Saúde (BVS) e sites como o do Ministério da Saúde e Sistemas de Informação em Saúde, utilizando os seguintes descritores: Violência sexual infantil; Sistematização da Assistência de Enfermagem; Enfermagem. Resultados: A Sistematização da Assistência de Enfermagem é um importante instrumento que auxilia o profissional de enfermagem a ofertar um cuidado holístico, visando diagnosticar se a criança está vivenciando maus-tratos físicos, psicológicos e abusos sexuais. Além disso, a SAE colabora para que o enfermeiro desempenhe seu papel de reduzir os agravos de violência sexual em infantis e promover um atendimento humanizado, que perpasse os limites da unidade de saúde, dando liberdade de atuação profissional na individualidade e coletividade. Conclusão: Portanto, é imprescindível que o enfermeiro esteja sempre atento aos possíveis casos de violência sexual de menores em sua unidade de saúde, além de estar preparado para utilizar a Sistematização da Assistência de Enfermagem, a fim de ofertar um cuidado holístico as crianças vítimas de violência sexual e auxiliar as mesmas a lidar com seus traumas, inseguranças e angustias

Impact of COVID‐19 on professional nursing practice environments and patient safety culture

Aim: To analyse the impact of COVID-19 on professional nursing practice environments and patient safety culture. Background: The relationship between work environments and patient safety has been internationally recognized. In 2020, the pandemic imposed enormous challenges, yet the impact on these variables remains unknown. Method: This is a quantitative observational study, conducted in a Portuguese hospital, with 403 registered nurses. A self-completion questionnaire was used. Results: The impact on the Structure and Outcome components of nursing professional practice environments was positive. Although the Process component remained favourable to quality of care, a negative trend was confirmed in almost all dimensions. The results regarding safety culture showed weaknesses; ‘teamwork within units’ was the only dimension that maintained a positive culture. Conclusion: Positive responses regarding patient safety were significantly associated with the quality of the nursing professional practice environment. The need to invest in all dimensions of safety culture emerges to promote positive professional environments. Implications for nursing management: Improving professional nursing practice environments can be achieved through managers’ investment in the participation and involvement of nurses in the policies and functioning of institutions, as well as promoting an open, fair and participatory safety culture that encourages reporting events and provides adequate support for professionals.info:eu-repo/semantics/publishedVersio

RECUPERAÇÃO ESTÉTICA DE DENTES ANTERIORES COM CLAREAMENTO NÃO VITAL E FACETA DIRETA

Dentes anteriores escurecidos comprometem a estética do sorriso

A practical clinical score

Copyright © 2022 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.INTRODUCTION AND OBJECTIVES: Obstructive coronary artery disease (CAD) remains the most common etiology of heart failure with reduced ejection fraction (HFrEF). However, there is controversy whether invasive coronary angiography (ICA) should be used initially to exclude CAD in patients presenting with new-onset HFrEF of unknown etiology. Our study aimed to develop a clinical score to quantify the risk of obstructive CAD in these patients. METHODS: We performed a cross-sectional observational study of 452 consecutive patients presenting with new-onset HFrEF of unknown etiology undergoing elective ICA in one academic center, between January 2005 and December 2019. Independent predictors for obstructive CAD were identified. A risk score was developed using multivariate logistic regression of designated variables. The accuracy and discriminative power of the predictive model were assessed. RESULTS: A total of 109 patients (24.1%) presented obstructive CAD. Six independent predictors were identified and included in the score: male gender (2 points), diabetes (1 point), dyslipidemia (1 point), smoking (1 point), peripheral arterial disease (1 point), and regional wall motion abnormalities (3 points). Patients with a score ≤3 had less than 15% predicted probability of obstructive CAD. Our score showed good discriminative power (C-statistic 0.872; 95% CI 0.834-0.909: p<0.001) and calibration (p=0.333 from the goodness-of-fit test). CONCLUSIONS: A simple clinical score showed the ability to predict the risk of obstructive CAD in patients presenting with new-onset HFrEF of unknown etiology and may guide the clinician in selecting the most appropriate diagnostic modality for the assessment of obstructive CAD.proofepub_ahead_of_prin

Thrombus aspiration in patients with ST-elevation myocardial infarction: results of a national registry of interventional cardiology

BACKGROUND: We aimed to evaluate the impact of thrombus aspiration (TA) during primary percutaneous coronary intervention (P-PCI) in 'real-world' settings. METHODS: We performed a retrospective study, using data from the National Registry of Interventional Cardiology (RNCI 2006-2012, Portugal) with ST-elevation myocardial infarction (STEMI) patients treated with P-PCI. The primary outcome, in-hospital mortality, was analysed through adjusted odds ratio (aOR) and 95% confidence intervals (95%CI). RESULTS: We assessed data for 9458 STEMI patients that undergone P-PCI (35% treated with TA). The risk of in-hospital mortality with TA (aOR 0.93, 95%CI:0.54-1.60) was not significantly decreased. After matching patients through the propensity score, TA reduced significantly the risk of in-hospital mortality (OR 0.58, 95%CI:0.35-0.98; 3500 patients). CONCLUSIONS: The whole cohort data does not support the routine use of TA in P-PCI, but the results of the propensity-score matched cohort suggests that the use of selective TA may improve the short-term risks of STEMI..info:eu-repo/semantics/publishedVersio

Extrato de lobeira afeta o crescimento micelial e severidade da mancha de curvularia no milho

Curvularia spot, caused by the fungus Curvularia spp. have emerged as a major disease in maize. The objective of this work was to evaluate the fungitoxic action of the extract of lobeira leaves (Solanum lycocarpum A. St.-Hil), in the control of the fungus Curvularia spp, the causal agent of Curvularia stain in corn. The efficiency in inhibiting mycelial growth was tested in culture medium with diluted and diffused extracts, in two concentrations (pure and diluted extract) in five doses (0, 10, 20, 30, 40 and 50 µL) in a 2 x factorial scheme 5 x 2. The potential of controlling the disease severity in maize plants was also evaluated in a 2 x 5 factorial scheme, two concentrations (neat and diluted) and five doses. Both experiments were installed in a completely randomized design with three replications. The lobeira leaf extract is efficient in mycelial control and in the severity of the disease caused by the fungus Curvularia spp. in corn. In an in vitro test, the extract promoted a decrease in mycelial growth both when it was used diluted in the medium and when it was used diffusely. For the in vivo test, the extract at doses of 20 µL decreases the percentage of disease severity in corn leaves and does not cause significant mortality in corn plants.A mancha de curvulária, causada pelo fungo Curvularia spp. têm se destacado como uma doença importante no milho. Nesse trabalho objetivou-se avaliar a ação fungitóxica do extrato de folhas de lobeira (Solanum lycocarpum A. St.-Hil), no controle do fungo Curvularia spp na cultura do milho. A eficiência na inibição do crescimento micelial foi testada em meio de cultura com extratos diluídos e difundidos, em duas concentrações (extrato puro e diluído) em cinco doses (0, 10, 20, 30, 40 e 50 µL) em esquema fatorial 2 × 5 × 2. Avaliou-se também o potencial do controle da severidade da doença nas plantas de milho em esquema fatorial 2 × 5, duas concentrações (puro e diluído) e as cinco doses. Ambos os experimentos foram instalados em delineamento inteiramente casualizados com três repetições. O extrato da folha de lobeira é eficiente no controle micelial e na severidade da doença ocasionada pelo fungo Curvularia spp. em milho. Em teste in vitro o extrato promoveu a diminuição do crescimento micelial tanto quanto foi usado diluído ao meio como também quando foi usado difundido. Para o teste in vivo, o extrato nas doses 20 µL diminui a percentagem de severidade da doença nas folhas de milho e não provoca mortalidade significativa das plantas de milho

The COVID-19 Pandemic and Professional Nursing Practice in the Context of Hospitals

The COVID-19 pandemic has imposed challenges to health systems and institutions, which had to quickly create conditions to meet the growing health needs of the population. Thus, this study aimed to assess the impact of COVID-19 on professional nursing practice environments and to identify the variables that affected their quality. Quantitative, observational study, conducted in 16 Portuguese hospitals, with 1575 nurses. Data were collected using a questionnaire and participants responded to two different moments in time: the pre-pandemic period and after the fourth critical period of COVID-19. The pandemic had a positive impact on the Structure and Outcome components, and a negative trend in the Process component. The variables associated with the qualification of the components and their dimensions were predominantly: work context, the exercise of functions in areas of assistance to COVID-19 patients, length of professional experience and length of experience in the service. The investment in professional practice environments impacted the improvement of organizational factors, supporting the development of nurses’ work towards the quality of care. However, it is necessary to invest in nurses’ participation, involvement and professional qualifications, which are aspects strongly dependent on the institutions’ management strategiesinfo:eu-repo/semantics/publishedVersio

The COVID-19 pandemic and professional nursing practice in the context of hospitals

The COVID-19 pandemic has imposed challenges to health systems and institutions, which had to quickly create conditions to meet the growing health needs of the population. Thus, this study aimed to assess the impact of COVID-19 on professional nursing practice environments and to identify the variables that affected their quality. Quantitative, observational study, conducted in 16 Portuguese hospitals, with 1575 nurses. Data were collected using a questionnaire and participants responded to two different moments in time: the pre-pandemic period and after the fourth critical period of COVID-19. The pandemic had a positive impact on the Structure and Outcome components, and a negative trend in the Process component. The variables associated with the qualification of the components and their dimensions were predominantly: work context, the exercise of functions in areas of assistance to COVID-19 patients, length of professional experience and length of experience in the service. The investment in professional practice environments impacted the improvement of organizational factors, supporting the development of nurses’ work towards the quality of care. However, it is necessary to invest in nurses’ participation, involvement and professional qualifications, which are aspects strongly dependent on the institutions’ management strategies.info:eu-repo/semantics/publishedVersio