PROTAGONISMO DO ENFERMEIRO NO PROCESSO DE CICATRIZAÇÃO DAS FERIDAS CRÔNICAS: UM ENSAIO DA LITERATURA

Introduction: Chronic wounds are a type of lesion that has its healing process stagnated for a period of six weeks or more, despite adequate treatment. Objectives: to understand the role of nurses in the assessment and treatment of chronic wounds and to describe their performance in the face of the systematization of nursing care in the care process. Methodology: This is a literature search with a qualitative approach. The data were collected in a virtual database. For this purpose, the Virtual Health Library (VHL) was used, in the following information base: LILACS; BDENF and MEDLINE in the period from March to April 2021. After the association of all descriptors, 85 articles were found, 70 were excluded and 15 articles were selected. Results and Discussion: After reflective reading and repetition of the themes developed in the articles found, two categories emerged: the role of the nurse in the assessment and treatment of chronic wounds and the role of the nurse in the systematization of nursing care in the care process. Conclusion: It is concluded that it is of great relevance that the dermatologist nurse has theoretical and scientific knowledge about chronic wounds for implementation in practice and, thus, to meet the demands arising from the patient, considering that, care for the patient with a chronic wound needs to be holistically targeted.Introducción: Las heridas crónicas son un tipo de lesión que tiene su proceso de cicatrización estancado por un período de seis semanas o más, a pesar de un tratamiento adecuado. Objetivos: comprender el papel del enfermero en la evaluación y tratamiento de las heridas crónicas y describir su desempeño frente a la sistematización del cuidado de enfermería en el proceso asistencial. Metodología: Se trata de una búsqueda bibliográfica con enfoque cualitativo. Los datos se recopilaron en una base de datos virtual. Para ello se utilizó la Biblioteca Virtual en Salud (BVS), en la siguiente base de información: LILACS; BDENF y MEDLINE en el período de marzo a abril de 2021. Tras la asociación de todos los descriptores, se encontraron 85 artículos, se excluyeron 70 y se seleccionaron 15 artículos. Resultados y Discusión: Luego de la lectura reflexiva y repetición de los temas desarrollados en los artículos encontrados, surgieron dos categorías: el rol del enfermero en la evaluación y tratamiento de las heridas crónicas y el rol del enfermero en la sistematización del cuidado de enfermería en el cuidado. proceso. Conclusión: Se concluye que es de gran relevancia que el enfermero dermatólogo cuente con conocimientos teóricos y científicos sobre las heridas crónicas para su implementación en la práctica y, así, atender las demandas que surjan del paciente, considerando que, el cuidado del paciente con una enfermedad crónica. La herida debe ser dirigida de manera integral.Introdução: As feridas crônicas constituem-se um tipo de lesão que tem seu processo de cicatrização estagnado por um período de seis semanas ou mais, apesar do tratamento adequado. Objetivos: compreender o protagonismo do enfermeiro frente à avaliação e tratamento de feridas crônicas e descrever a sua atuação diante a sistematização da assistência de enfermagem no processo do cuidado. Metodologia: Trata-se de uma pesquisa bibliográfica de abordagem qualitativa. Os dados foram coletados em base de dados virtuais. Para tal utilizou-se a Biblioteca Virtual de Saúde (BVS), na seguinte base de informação: LILACS; BDENF e MEDLINE no período de março e abril de 2021. Após a associação de todos os descritores foram encontrados 85 artigos, excluídos 70 e selecionados 15 artigos. Resultados e Discussão: Posterior à leitura reflexiva e repetição das temáticas desenvolvidas nos artigos encontrados, emergiram duas categorias: Protagonismo do enfermeiro frente à avaliação e tratamento de feridas crônicas e Atuação do enfermeiro frente a Sistematização da Assistência de Enfermagem no processo do cuidado. Conclusão: Conclui-se que é de grande relevância que o enfermeiro dermatologista tenha conhecimento teórico-cientifico sobre as feridas crônicas para implementação na prática e assim, atender as demandas advindas do paciente, tendo em vista que, o cuidado com o paciente com ferida crônica precisa ser direcionado de forma holística. &nbsp

Prevalência de HPV no sul do Brasil

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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

The Eleventh and Twelfth Data Releases of the Sloan Digital Sky Survey: Final Data from SDSS-III

The third generation of the Sloan Digital Sky Survey (SDSS-III) took data from 2008 to 2014 using the original SDSS wide-field imager, the original and an upgraded multi-object fiber-fed optical spectrograph, a new near-infrared high-resolution spectrograph, and a novel optical interferometer. All of the data from SDSS-III are now made public. In particular, this paper describes Data Release 11 (DR11) including all data acquired through 2013 July, and Data Release 12 (DR12) adding data acquired through 2014 July (including all data included in previous data releases), marking the end of SDSS-III observing. Relative to our previous public release (DR10), DR12 adds one million new spectra of galaxies and quasars from the Baryon Oscillation Spectroscopic Survey (BOSS) over an additional 3000 deg2 of sky, more than triples the number of H-band spectra of stars as part of the Apache Point Observatory (APO) Galactic Evolution Experiment (APOGEE), and includes repeated accurate radial velocity measurements of 5500 stars from the Multi-object APO Radial Velocity Exoplanet Large-area Survey (MARVELS). The APOGEE outputs now include the measured abundances of 15 different elements for each star. In total, SDSS-III added 5200 deg2 of ugriz imaging; 155,520 spectra of 138,099 stars as part of the Sloan Exploration of Galactic Understanding and Evolution 2 (SEGUE-2) survey; 2,497,484 BOSS spectra of 1,372,737 galaxies, 294,512 quasars, and 247,216 stars over 9376 deg2; 618,080 APOGEE spectra of 156,593 stars; and 197,040 MARVELS spectra of 5513 stars. Since its first light in 1998, SDSS has imaged over 1/3 of the Celestial sphere in five bands and obtained over five million astronomical spectra. \ua9 2015. The American Astronomical Society