Baby walker use: injuries and developmental delay behind practicality / Uso de andador infantil: lesões e atraso no desenvolvimento por trás da praticidade

Study and investigate scientific articles and clinical studies on the main injuries related to baby walkers such as concussion, intracranial hemorrhage and fractures of the skull and cervical spine among children aged 4 to 15 months, in addition to their impact on child development covering several countries. Evaluate and analyze the differing opinions on the subject

GINÁSTICA RÍTMICA NA EDUCAÇÃO FÍSICA ESCOLAR

O Estágio Supervisionado III se configura como um processo dinâmico em aprendizagem dentro de situações reais de forma que o aluno possa conhecer, compreender e aplicar, na realidade escolhida, a união da teoria com a prática da Educação Física na Escola, sendo este no Ensino Médio. E para esta modalidade fora escolhido o conteúdo da ginástica rítmica devido a sua gama de atuação enquanto instrumento pedagógico, contudo ela ainda é vista sob forte caráter técnico e de rendimento sendo pouco ou quase nunca tratada no ambiente escolar

O uso de corticoides no tratamento da sepse em crianças / The use of corticosteroids in the treatment of sepsis in children

O artigo em questão busca definir se existe nefício no iso de corticoides no tratamento da sepse na pediatria. Foi feita uma revisão da literatura e selecionados quatro artidos como base. O primeiro artigo afirma que os corticoides provavelmente reduzem ligeiramente a mortalidade em 28 dias, porém a longo prazo podem resultar em pouca ou nenhuma diferença, mas reduziram o tempo de internação hospitalar. O segundo artigo mostra um tempo de reversão do choque menor estatisticamente significante entre pacientes que receberam corticoiesteroides no início do tratamento, em comparação com os que receberam mais para o fim do tratamento, no entanto a mortalidade não foi diferente nos dois grupos. O artigo de número três, mostra que na literatura o benefício da mortalidade é controverso, sendo que a maior parte da literatura não mostra efeitos. O artigo 4 mostra uma redução do tempo de permanência na UTI quando foi utilizado um longo curso de corticoides. De modo geral foi visto que existe benefício no uso do corticoide no tratamento da sepse e do choque séptico em crianças, quando tem um longo curso de uso em baixa dosagem, o que pode reduzir a mortalidade e reduzir o tempo de internação hospitalar. Objetivo: Analisar a existência de benefício ao uso de corticoides no tratamento da sepse em crianças. Como objetivo secundário, discutirá a existência ou não de influência da corticoterapia na redução do tempo de recuperação e na mortalidade da criança com sepse. 

The validity and reliability of the Portuguese versions of three tools used to diagnose delirium in critically ill patients

OBJECTIVES: The objectives of this study are to compare the sensitivity and specificity of three diagnostic tools for delirium (the Intensive Care Delirium Screening Checklist, the Confusion Assessment Method for Intensive Care Units and the Confusion Assessment Method for Intensive Care Units Flowsheet) in a mixed population of critically ill patients, and to validate the Brazilian Portuguese Confusion Assessment Method for Intensive Care Units. METHODS: The study was conducted in four intensive care units in Brazil. Patients were screened for delirium by a psychiatrist or neurologist using the Diagnostic and Statistical Manual of Mental Disorders. Patients were subsequently screened by an intensivist using Portuguese translations of the three tools. RESULTS: One hundred and nineteen patients were evaluated and 38.6% were diagnosed with delirium by the reference rater. The Confusion Assessment Method for Intensive Care Units had a sensitivity of 72.5% and a specificity of 96.2%; the Confusion Assessment Method for Intensive Care Units Flowsheet had a sensitivity of 72.5% and a specificity of 96.2%; the Intensive Care Delirium Screening Checklist had a sensitivity of 96.0% and a specificity of 72.4%. There was strong agreement between the Confusion Assessment Method for Intensive Care Units and the Confusion Assessment Method for Intensive Care Units Flowsheet (kappa coefficient = 0.96) CONCLUSION: All three instruments are effective diagnostic tools in critically ill intensive care unit patients. In addition, the Brazilian Portuguese version of the Confusion Assessment Method for Intensive Care Units is a valid and reliable instrument for the assessment of delirium among critically ill patients

MAMMALS IN PORTUGAL : A data set of terrestrial, volant, and marine mammal occurrences in P ortugal

Mammals are threatened worldwide, with 26% of all species being includedin the IUCN threatened categories. This overall pattern is primarily associatedwith habitat loss or degradation, and human persecution for terrestrial mam-mals, and pollution, open net fishing, climate change, and prey depletion formarine mammals. Mammals play a key role in maintaining ecosystems func-tionality and resilience, and therefore information on their distribution is cru-cial to delineate and support conservation actions. MAMMALS INPORTUGAL is a publicly available data set compiling unpublishedgeoreferenced occurrence records of 92 terrestrial, volant, and marine mam-mals in mainland Portugal and archipelagos of the Azores and Madeira thatincludes 105,026 data entries between 1873 and 2021 (72% of the data occur-ring in 2000 and 2021). The methods used to collect the data were: live obser-vations/captures (43%), sign surveys (35%), camera trapping (16%),bioacoustics surveys (4%) and radiotracking, and inquiries that represent lessthan 1% of the records. The data set includes 13 types of records: (1) burrowsjsoil moundsjtunnel, (2) capture, (3) colony, (4) dead animaljhairjskullsjjaws, (5) genetic confirmation, (6) inquiries, (7) observation of live animal (8),observation in shelters, (9) photo trappingjvideo, (10) predators dietjpelletsjpine cones/nuts, (11) scatjtrackjditch, (12) telemetry and (13) vocalizationjecholocation. The spatial uncertainty of most records ranges between 0 and100 m (76%). Rodentia (n=31,573) has the highest number of records followedby Chiroptera (n=18,857), Carnivora (n=18,594), Lagomorpha (n=17,496),Cetartiodactyla (n=11,568) and Eulipotyphla (n=7008). The data setincludes records of species classified by the IUCN as threatened(e.g.,Oryctolagus cuniculus[n=12,159],Monachus monachus[n=1,512],andLynx pardinus[n=197]). We believe that this data set may stimulate thepublication of other European countries data sets that would certainly contrib-ute to ecology and conservation-related research, and therefore assisting onthe development of more accurate and tailored conservation managementstrategies for each species. There are no copyright restrictions; please cite thisdata paper when the data are used in publications.info:eu-repo/semantics/publishedVersio

Mammals in Portugal: a data set of terrestrial, volant, and marine mammal occurrences in Portugal

Mammals are threatened worldwide, with ~26% of all species being included in the IUCN threatened categories. This overall pattern is primarily associated with habitat loss or degradation, and human persecution for terrestrial mammals, and pollution, open net fishing, climate change, and prey depletion for marine mammals. Mammals play a key role in maintaining ecosystems functionality and resilience, and therefore information on their distribution is crucial to delineate and support conservation actions. MAMMALS IN PORTUGAL is a publicly available data set compiling unpublished georeferenced occurrence records of 92 terrestrial, volant, and marine mammals in mainland Portugal and archipelagos of the Azores and Madeira that includes 105,026 data entries between 1873 and 2021 (72% of the data occurring in 2000 and 2021). The methods used to collect the data were: live observations/captures (43%), sign surveys (35%), camera trapping (16%), bioacoustics surveys (4%) and radiotracking, and inquiries that represent less than 1% of the records. The data set includes 13 types of records: (1) burrows | soil mounds | tunnel, (2) capture, (3) colony, (4) dead animal | hair | skulls | jaws, (5) genetic confirmation, (6) inquiries, (7) observation of live animal (8), observation in shelters, (9) photo trapping | video, (10) predators diet | pellets | pine cones/nuts, (11) scat | track | ditch, (12) telemetry and (13) vocalization | echolocation. The spatial uncertainty of most records ranges between 0 and 100 m (76%). Rodentia (n =31,573) has the highest number of records followed by Chiroptera (n = 18,857), Carnivora (n = 18,594), Lagomorpha (n = 17,496), Cetartiodactyla (n = 11,568) and Eulipotyphla (n = 7008). The data set includes records of species classified by the IUCN as threatened (e.g., Oryctolagus cuniculus [n = 12,159], Monachus monachus [n = 1,512], and Lynx pardinus [n = 197]). We believe that this data set may stimulate the publication of other European countries data sets that would certainly contribute to ecology and conservation-related research, and therefore assisting on the development of more accurate and tailored conservation management strategies for each species. There are no copyright restrictions; please cite this data paper when the data are used in publications

Principles of Jesuit leadership in leadership formation: investigations from the history of the Administration - management for innovation and leadership degree.

Este estudo discute a presença dos princípios da liderança jesuítica (autoconsciência, inventividade, amor e heroísmo) na formação de líderes pelo curso de graduação em Administração – Gestão para Inovação e Liderança (GIL) da Universidade do Vale do Rio dos Sinos (UNISINOS). Os dados foram coletados através de entrevistas em profundidade, em agosto de 2014, com três egressos das primeiras turmas do curso (2003, 2004 e 2005). A temática-guia da entrevista foi o percurso da trajetória profissional após a realização do curso. Após a transcrição, os dados empíricos foram analisados, através da Análise de Conteúdo (Richardson, 2011), em relação aos princípios da liderança jesuítica. A análise sugere o alinhamento, expresso nas trajetórias dos entrevistados, entre a formação dos egressos do GIL e os princípios da liderança subjacentes à Companhia de Jesus. Os dados permitiram, ainda, uma reflexão crítica sobre os desafios (i) para formar egressos cuja atuação gere impacto social relevante (ii) bem como para gerir um curso diferenciado, o que contempla desde a formação e a gestão do corpo docente até os aspectos administrativos do curso. This study discusses the principles of Jesuit leadership (self-consciousness, inventiveness, love and heroism) applied in the Administration - management for innovation and leadership degree (GIL), of University of Vale do Rio dos Sinos (UNISINOS). Data were collected through in-depth interviews, in August 2014, with three students, each graduated from one of the years in which the course was held (2003, 2004 and 2005). The interviews focused on the professional trajectory after the course. Data were analyzed through Content Analysis (Richardson, 2011), in relation to the principles of Jesuit leadership. The analysis suggests the alignment between the formation of GIL graduates and the leadership principles Jesuit leadership. The results have raised some challenges to overcome, particularly: (i) to train graduates of relevant professional and social impact; (ii) to qualify the course with competent teachers and managers in Jesuit leadership

El Pueblo : diario republicano de Valencia: El Pueblo : diario republicano de Valencia - Año XXVIII Número 10397 - 1921 marzo 1 (01/03/1921)

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Posição de dormir dos lactentes : orientação é eficaz?

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