PROTAGONIZAÇÃO DO ACADÊMICO DE ENFERMAGEM NO PROCESSO DE EDUCAÇÃO EM SAÚDE NA ATENÇÃO PRIMÁRIA: UM ESTUDO REFLEXIVO

Primary health care is characterized by a set of actions related to comprehensive and integral health, based on the guidelines and principles of the Unified Health System (First Contact, Longitudinality, Integrality and Coordination), which covers the promotion and protection of health, prevention of aggravation, diagnosis and treatment, with the aim of providing humanized care. The present study is characterized by reflecting on the importance of the nursing student in the process of education and health in primary care, and also by contextualizing the teaching and learning process of undergraduate students for their training. Having your data collected electronically by the Virtual Health Library (BVS), in the databases: Latin American and Caribbean Literature on Health Sciences (LILACS), Nursing Database (BDENF), Scientific Electronic Library Online (SCIELO). It is concluded that primary health care (PHC) is the first contact that the population has with health systems and that its purpose is to understand the complexity of each case, whether individual or in groups, and thus direct the patient for adequate care, allowing students to be inserted in the reality of their future workplace, allowing a broader and more humanized view of the patient, and accompanying the routine of the nursing team, also allowing academics to see the qualities and the shortcomings of the unified health system, and they, as academics, can start thinking right now to solve eventual problems and generate changes in society.La atención primaria de salud se caracteriza por conjunto de acciones relacionadas con la salud integral e integral, sustentadas en los lineamientos y principios del Sistema Único de Salud (Primer Contacto, Longitudinalidad, Integralidad y Coordinación), que abarca la promoción y protección de salud, la prevención de agravamiento, diagnóstico y tratamiento, con objetivo de brindar una atención humanizada. El presente estudio se caracteriza por reflexionar sobre la importancia del estudiante de enfermería en el proceso de educación y salud en la atención primaria, así como por contextualizar el proceso de enseñanza y aprendizaje de los estudiantes de pregrado para su formación. Tener sus datos recopilados electrónicamente por la Biblioteca Virtual en Salud (BVS), en las bases de datos: Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS), Base de Datos de Enfermería (BDENF), Biblioteca Científica Electrónica en Línea (SCIELO). Se concluye que la Atención Primaria de Salud (APS) es el primer contacto que tiene la población con los sistemas de salud y que su finalidad es comprender la complejidad de cada caso, ya sea individual o grupal, y así orientar al paciente. cuidado, permitiendo que los estudiantes se inserten en la realidad de su futuro lugar de trabajo, permitiendo una visión más amplia y humanizada del paciente, y acompañando la rutina del equipo de enfermería, permitiendo también a los académicos ver las cualidades y deficiencias del sistema único de salud, y ellos, como académicos, pueden empezar a pensar ahora mismo para solucionar eventuales problemas y generar cambios en  sociedad.A atenção primária á saúde é caracterizada por um conjunto de ações relacionadas a uma saúde abrangente e integral, pautada em diretrizes e princípios do Sistema Único de Saúde (Primeiro Contato, Longitudinalidade, Integralidade e Coordenação), que abrange a promoção e proteção da saúde, prevenção de agravamento, diagnóstico e tratamento, com o objetivo de fornecer um atendimento humanizado. O presente estudo se caracteriza por refletir sobre a importância do acadêmico de enfermagem no processo de educação e saúde na atenção primária e ainda, contextualizar sobre o processo ensino e aprendizagem do graduando para sua formação. Tendo os seus dados coletados através de meio eletrônico pela Biblioteca Virtual de Saúde (BVS), nas bases de dados: Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Base de Dados de Enfermagem (BDENF), Scientific Eletronic Library Online (SCIELO). Conclui-se que a atenção primária à saúde (APS) é o primeiro contato que a população tem com os sistemas de saúde e que possui como finalidade entender a complexidade de cada caso sejam eles individuais ou em grupo, e assim direcionar o paciente para o atendimento adequado, permitindo que os estudantes estejam inseridos na realidade do seu futuro local de trabalho permitindo uma visão mais ampla e humanizada em relação ao paciente, e acompanhar a rotina da equipe de enfermagem permitindo também que os acadêmicos enxerguem as qualidades e os defeitos do sistema único de saúde, e eles como acadêmicos possam começar a pensar desde já para solucionar eventuais problemas e gerar mudanças na sociedade

CONTRIBUIÇÕES DA ENFERMAGEM NOS CUIDADOS PALIATIVOS DO PACIENTE ONCOLÓGICO PEDIÁTRICO: UM ESTUDO REFLEXIVO

The nursing team plays an important role in the care of pediatric cancer patients. Therefore, nurses need to be prepared to take care of the child. This is a descriptive, qualitative study of the reflexive analysis type, elaborated from a literature review on the "contributions of nursing in palliative care of pediatric cancer patients". Thus, the review was carried out in a non-systematic way, with random search of the material in the databases of the virtual health library and Google Scholar. These interpretations were guided by the understanding of the theme in the context of clinical nursing care subsidized by readings, reflections and discussions of the authors, based on three themes: Oncological concepts; Oncology nursing care in pediatric palliative care; Systematization of nursing care for terminal oncologic children. It is concluded that nursing is of paramount importance in the care of pediatric cancer terminal patients. The relationship of nurses with the patient and family in this process is necessary, not only with the objective of eliminating or preventing the pain and suffering of that child, but also to promote quality of life, even though the whole environment is aware that the measures can be palliative and that, in some cases, death is inevitable.El equipo de enfermería juega un papel importante en la atención de pacientes pediátricos con cáncer. Por lo tanto, las enfermeras deben estar preparadas para cuidar al niño. Se trata de un estudio descriptivo, cualitativo del tipo de análisis reflexivo, elaborado a partir de una revisión bibliográfica sobre las "contribuciones de la enfermería en cuidados paliativos de pacientes con cáncer pediátrico". Así, la revisión se realizó de forma no sistemática, con búsqueda aleatoria del material en las bases de datos de la biblioteca virtual de salud y Google Scholar. Estas interpretaciones fueron guiadas por la comprensión del tema en el contexto de la atención clínica de enfermería subsidiada por lecturas, reflexiones y discusiones de los autores, a partir de tres temas: Conceptos oncológicos; Cuidados de enfermería oncológica en cuidados paliativos pediátricos; Sistematización de la atención de enfermería para niños oncológicos terminales. Se concluye que la enfermería es de suma importancia en la atención de pacientes terminales con cáncer pediátrico. La relación de las enfermeras con el paciente y la familia en este proceso es necesaria, no solo con el objetivo de eliminar o prevenir el dolor y el sufrimiento de ese niño, sino también para promover la calidad de vida, a pesar de que todo el entorno es consciente de que las medidas pueden ser paliativas y que, en algunos casos, la muerte es inevitable.A equipe de enfermagem desempenha um papel importante no cuidado ao paciente oncológico pediátrico. Diante disso, o enfermeiro precisa estar preparado para cuidar da criança. Trata-se de um estudo descritivo, qualitativo do tipo análise reflexiva, elaborado a partir revisão da literatura sobre as “contribuições da enfermagem nos cuidados paliativos do paciente oncológico pediátrico”. Desse modo, a revisão foi realizada de forma não sistemática, com busca aleatória do material nas bases de dados da biblioteca virtual de saúde e Google Acadêmico. Estas interpretações foram dirigidas pela compreensão do tema no contexto do cuidado clínico de Enfermagem subsidiado por leituras, reflexões e discussões dos autores, pautado por três temáticas: Conceitos oncológicos; Assistência da enfermagem oncológica nos cuidados paliativos pediátricos; Sistematização da assistência de enfermagem a criança oncológica terminal. Conclui-se que a enfermagem é    de suma importância na assistência ao paciente terminal oncológico pediátrico. O relacionamento dos enfermeiros com o paciente e com a família nesse processo é necessário, não apenas com o objetivo de eliminar ou prevenir a dor e sofrimento daquela criança, mas também para promover a qualidade de vida, mesmo estando todo o meio consciente de que as medidas podem ser paliativas e que, em alguns casos, a morte é inevitável.

Using online databases to produce comprehensive accounts of the vascular plants from the Brazilian protected areas: The Parque Nacional do Itatiaia as a case study

Brazil is one of the most biodiverse countries in the world, with about 37,000 species of land plants. Part of this biodiversity is within protected areas. The development of online databases in the last years greatly improved the available biodiversity data. However, the existing databases do not provide information about the protected areas in which individual plant species occur. The lack of such information is a crucial gap for conservation actions. This study aimed to show how the information captured from online databases, cleaned by a protocol and verified by taxonomists allowed us to obtain a comprehensive list of the vascular plant species from the "Parque Nacional do Itatiaia", the first national park founded in Brazil. All existing records in the online database JABOT (15,100 vouchers) were downloaded, resulting in 11,783 vouchers identified at the species level. Overall, we documented 2,316 species belonging to 176 families and 837 genera of vascular plants in the "Parque Nacional do Itatiaia". Considering the whole vascular flora, 2,238 species are native and 78 are non-native.The "Parque Nacional do Itatiaia" houses 13% of the angiosperm and 37% of the fern species known from the Brazilian Atlantic Forest. Amongst these species, 82 have been cited as threatened, following IUCN categories (CR, EN or VU), seven are data deficient (DD) and 15 have been classified as a conservation priority, because they are only known from a single specimen collected before 1969

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

Search for the Z boson decay to ττμμ\tau\tau\mu\mu in proton-proton collisions at s\sqrt{s} = 13 TeV

International audienceThe first search for the Z boson decay to $\tau\tau\mu\mu$ at the CERN LHC is presented, based on data collected by the CMS experiment at the LHC in proton-proton collisions at a center-of-mass energy of 13 TeV and corresponding to an integrated luminosity of 138 fb$^{-1}$. The data are compatible with the predicted background. For the first time, an upper limit at the 95% confidence level of 6.9 times the standard model expectation is placed on the ratio of the Z $\to$ $\tau\tau\mu\mu$ to Z $\to$ 4$\mu$ branching fractions. Limits are also placed on the six flavor-conserving four-lepton effective-field-theory operators involving two muons and two tau leptons, for the first time testing all such operators

Searches for Higgs boson production through decays of heavy resonances

The discovery of the Higgs boson has led to new possible signatures for heavy resonance searches at the LHC. Since then, search channels including at least one Higgs boson plus another particle have formed an important part of the program of new physics searches. In this report, the status of these searches by the CMS Collaboration is reviewed. Searches are discussed for resonances decaying to two Higgs bosons, a Higgs and a vector boson, or a Higgs boson and another new resonance, with proton-proton collision data collected at $\sqrt{s}=$ 13 TeV in the years 2016-2018. A combination of the results of these searches is presented together with constraints on different beyond-the-standard model scenarios, including scenarios with extended Higgs sectors, heavy vector bosons and extra dimensions. Studies are shown for the first time by CMS on the validity of the narrow-width approximation in searches for the resonant production of a pair of Higgs bosons. The potential for a discovery at the High Luminosity LHC is also discussed.The discovery of the Higgs boson has led to new possible signatures for heavy resonance searches at the LHC. Since then, search channels including at least one Higgs boson plus another particle have formed an important part of the program of new physics searches. In this report, the status of these searches by the CMS Collaboration is reviewed. Searches are discussed for resonances decaying to two Higgs bosons, a Higgs and a vector boson, or a Higgs boson and another new resonance, with proton-proton collision data collected at $\sqrt{s}$ = 13 TeV in the years 2016-2018. A combination of the results of these searches is presented together with constraints on different beyond-the-standard model scenarios, including scenarios with extended Higgs sectors, heavy vector bosons and extra dimensions. Studies are shown for the first time by CMS on the validity of the narrow-width approximation in searches for the resonant production of a pair of Higgs bosons. The potential for a discovery at the High Luminosity LHC is also discussed

Search for the Z boson decay to ττμμ\tau\tau\mu\mu in proton-proton collisions at s\sqrt{s} = 13 TeV

International audienceThe first search for the Z boson decay to $\tau\tau\mu\mu$ at the CERN LHC is presented, based on data collected by the CMS experiment at the LHC in proton-proton collisions at a center-of-mass energy of 13 TeV and corresponding to an integrated luminosity of 138 fb$^{-1}$. The data are compatible with the predicted background. For the first time, an upper limit at the 95% confidence level of 6.9 times the standard model expectation is placed on the ratio of the Z $\to$ $\tau\tau\mu\mu$ to Z $\to$ 4$\mu$ branching fractions. Limits are also placed on the six flavor-conserving four-lepton effective-field-theory operators involving two muons and two tau leptons, for the first time testing all such operators

Search for long-lived heavy neutrinos in the decays of B mesons produced in proton-proton collisions at s= \sqrt{s} = 13 TeV

A search for long-lived heavy neutrinos (N) in the decays of B mesons produced in proton-proton collisions at $\sqrt{s} =$ 13 TeV is presented. The data sample corresponds to an integrated luminosity of 41.6 fb$^{-1}$ collected in 2018 by the CMS experiment at the CERN LHC, using a dedicated data stream that enhances the number of recorded events containing B mesons. The search probes heavy neutrinos with masses in the range 1 $< m_\mathrm{N} <$ 3 GeV and decay lengths in the range 10$^{-2}$ $< c\tau_{\mathrm{N}} <$ 10$^{4}$ mm, where $\tau_\mathrm{N}$ is the N proper mean lifetime. Signal events are defined by the signature B $\to \ell_{\mathrm{B}}$NX; N $\to \ell^{\pm} \pi^{\mp}$, where the leptons $\ell_{\mathrm{B}}$ and $\ell$ can be either a muon or an electron, provided that at least one of them is a muon. The hadronic recoil system, X, is treated inclusively and is not reconstructed. No significant excess of events over the standard model background is observed in any of the $\ell^{\pm}\pi^{\mp}$ invariant mass distributions. Limits at 95% confidence level on the sum of the squares of the mixing amplitudes between heavy and light neutrinos, $|V_\mathrm{N}|^2$, and on $c\tau_{\mathrm{N}}$ are obtained in different mixing scenarios for both Majorana and Dirac-like N particles. The most stringent upper limit $|V_\mathrm{N}|^2 <$ 2.0 $\times$ 10$^{-5}$ is obtained at $m_\mathrm{N}=$ 1.95 GeV for the Majorana case where N mixes exclusively with muon neutrinos. The limits on $|V_\mathrm{N}|^2$ for masses 1 $< m_\mathrm{N} <$ 1.7 GeV are the most stringent from a collider experiment to date.A search for long-lived heavy neutrinos (N) in the decays of \PB mesons produced in proton-proton collisions at $\sqrt{s}$ = 13 TeV is presented. The data sample corresponds to an integrated luminosity of 41.6 fb$^{-1}$ collected in 2018 by the CMS experiment at the CERN LHC, using a dedicated data stream that enhances the number of recorded events containing B mesons. The search probes heavy neutrinos with masses in the range 1 $\lt$$m_\mathrm{N}$$\lt$ 3 GeV and decay lengths in the range 10$^{-2}$$\lt$$c\tau$$\lt$ 10$^{4}$ mm, where $\tau_\mathrm{N}$ is the N proper mean lifetime. Signal events are defined by the signature B $\to$$\ell_\mathrm{B}$NX; N $\to$$\ell^{\pm} \pi^{\mp}$, where the leptons $\ell_\mathrm{B}$ and $\ell$ can be either a muon or an electron, provided that at least one of them is a muon. The hadronic recoil system, X, is treated inclusively and is not reconstructed. No significant excess of events over the standard model background is observed in any of the $\ell^{\pm}\pi^{\mp}$ invariant mass distributions. Limits at 95% confidence level on the sum of the squares of the mixing amplitudes between heavy and light neutrinos, $\vert V_\mathrm{N}\vert^2$, and on $c\tau$ are obtained in different mixing scenarios for both Majorana and Dirac-like N particles. The most stringent upper limit $\vert V_\mathrm{N}\vert^2$ $\lt$ 2.0$\times$10$^{-5}$ is obtained at $m_\mathrm{N}$ = 1.95 GeV for the Majorana case where N mixes exclusively with muon neutrinos. The limits on $\vert V_\mathrm{N}\vert^2$ for masses 1 $\lt$ $m_\mathrm{N}$ $\lt$ 1.7 GeV are the most stringent from a collider experiment to date

Search for long-lived heavy neutrinos in the decays of B mesons produced in proton-proton collisions at s\sqrt{s} = 13 TeV

International audienceA search for long-lived heavy neutrinos (N) in the decays of \PB mesons produced in proton-proton collisions at $\sqrt{s}$ = 13 TeV is presented. The data sample corresponds to an integrated luminosity of 41.6 fb$^{-1}$ collected in 2018 by the CMS experiment at the CERN LHC, using a dedicated data stream that enhances the number of recorded events containing B mesons. The search probes heavy neutrinos with masses in the range 1 $\lt$$m_\mathrm{N}$$\lt$ 3 GeV and decay lengths in the range 10$^{-2}$$\lt$$c\tau$$\lt$ 10$^{4}$ mm, where $\tau_\mathrm{N}$ is the N proper mean lifetime. Signal events are defined by the signature B $\to$$\ell_\mathrm{B}$NX; N $\to$$\ell^{\pm} \pi^{\mp}$, where the leptons $\ell_\mathrm{B}$ and $\ell$ can be either a muon or an electron, provided that at least one of them is a muon. The hadronic recoil system, X, is treated inclusively and is not reconstructed. No significant excess of events over the standard model background is observed in any of the $\ell^{\pm}\pi^{\mp}$ invariant mass distributions. Limits at 95% confidence level on the sum of the squares of the mixing amplitudes between heavy and light neutrinos, $\vert V_\mathrm{N}\vert^2$, and on $c\tau$ are obtained in different mixing scenarios for both Majorana and Dirac-like N particles. The most stringent upper limit $\vert V_\mathrm{N}\vert^2$ $\lt$ 2.0$\times$10$^{-5}$ is obtained at $m_\mathrm{N}$ = 1.95 GeV for the Majorana case where N mixes exclusively with muon neutrinos. The limits on $\vert V_\mathrm{N}\vert^2$ for masses 1 $\lt$ $m_\mathrm{N}$ $\lt$ 1.7 GeV are the most stringent from a collider experiment to date

Searches for pair-produced multijet resonances using data scouting in proton-proton collisions at s\sqrt{s} = 13 TeV

International audienceSearches for pair-produced multijet signatures using data corresponding to an integrated luminosity of 128 fb$^{-1}$ of proton-proton collisions at $\sqrt{s}$ = 13 TeV are presented. A data scouting technique is employed to record events with low jet scalar transverse momentum sum values. The electroweak production of particles predicted in $R$-parity violating supersymmetric models is probed for the first time with fully hadronic final states. This is the first search for prompt hadronically decaying mass-degenerate higgsinos, and extends current exclusions on $R$-parity violating top squarks and gluinos