CHALLENGES OF MANAGEMENT AND CARE IN NORMAL BIRTH CENTERS: QUALITATIVE STUDY WITH OBSTETRIC NURSES

Objective: To understand obstetric nurses' challenges in managing work and care in normal birth centers.Method: A qualitative study was carried out in normal birth centers in Ceará, Brazil. Thirteen nurses and obstetric care coordinators were interviewed between April and July 2020. The thematic categories were organized in Nvivo 12 Pro® software and discussed using the theoretical-philosophical framework of the Sociology of Professions.Results: care practices, such as comfort massages, are carried out in conjunction with elements of work management, such as the sizing of the nursing team. It emerged that there are important skills for acting as autonomy and leadership of the nursing team, but elements such as fragile trust and interaction limit the full development of activities.Final considerations: there are challenges for management and care in normal birth centers, such as consolidating autonomy and building trust with the health team

DESAFIOS DA GESTÃO E CUIDADO EM CENTROS DE PARTO NORMAL: ESTUDO QUALITATIVO COM ENFERMEIROS OBSTETRAS

Objetivo: compreender os desafios para a gestão do trabalho e do cuidado em centros de parto normal por enfermeiras obstétricas.Método: estudo qualitativo realizado em centros de parto normal no Ceará, Brasil. Participaram 13 enfermeiros e coordenadores da assistência obstétrica, por entrevista, no período de abril a julho de 2020. As categorias temáticas foram organizadas no Software Nvivo 12 Pro® e discutidas com referencial teórico-filosófico da Sociologia das Profissões.Resultados: práticas de cuidado, como massagens de conforto, são realizadas associadas aos elementos da gestão do trabalho, como o dimensionamento da equipe de Enfermagem. Evidenciou-se que há habilidades importantes para atuar como autonomia e liderança da equipe de Enfermagem, mas elementos como a frágil confiança e a interação limitam o pleno desenvolvimento das atividades.Considerações finais: existem desafios para a gestão e o cuidado nos centros de parto normal, como a consolidação de autonomia e construção de confiança com a equipe de saúde

RETOS DEL MANEJO Y ATENCIÓN EN LOS CENTROS DE PARTO NORMAL: ESTUDIO CUALITATIVO CON ENFERMEROS OBSTÉTRICOS

Objetivo: Comprender los desafíos para la gestión del trabajo y la atención en los centros de parto normal por parte de las enfermeras obstétricas.Método: estudio cualitativo realizado en centros de parto normal de Ceará, Brasil. Un total de 13 enfermeros y coordinadores de atención obstétrica participaron en entrevistas de abril a julio de 2020. Las categorías temáticas se organizaron en el Software Nvivo 12 Pro® y se discutieron con el marco teórico-filosófico de la Sociología de las Profesiones.Resultados: las prácticas de cuidado, como los masajes de confort, se realizan asociadas a elementos de la gestión del trabajo, como el dimensionamiento del equipo de enfermería. Se evidenció que existen habilidades importantes para actuar como autonomía y liderazgo del equipo de enfermería, pero elementos como la confianza frágil y la interacción limitan el desarrollo pleno de las actividades.Consideraciones finales: existen desafíos para el manejo y la atención en los centros de parto normales, como la consolidación de la autonomía y la construcción de confianza con el equipo de salud

COMPETÊNCIAS DA PSICOPEDAGOGIA NOS PROCESSOS DE ENSINO-APRENDIZAGEM NAS ESCOLAS: UMA REVISÃO DA LITERATURA

Psychopedagogy is a science dedicated to understanding learning difficulties, reflecting and intervening on issues related to cognitive, psychomotor and affective development. For this reason, this integrative literature review aims to highlight the positive impacts that psychopedagogy can provide to the individual. A search was carried out in the electronic virtual databases Google Academic and Scielo, adopting the descriptor: “Learning” associated with the terms “Psychopedagogy” and “Teaching”. As inclusion criteria, studies that cover the topic were included. (Competences of Psychopedagogy in the lives of students) or related topics, published in Portuguese or English, in the period between 2014 and 2024 (last 10 years). As an exclusion criterion, studies that were repeated in the databases and those that were not presented in the format of a scientific article. Therefore, it is concluded that the school needs to look not only at theoretical, methodological and technical training, but also focus on development and value training, with transversal skills and attitudes that preserve life.A psicopedagogia é uma ciência que se dedica a compreender as dificuldades na aprendizagem, refletir e intervir sobre questões relacionadas ao desenvolvimento cognitivo, psicomotor e afetivo. Por esse motivo, a presente revisão integrativa da literatura tem por objetivo destacar quais são os impactos positivos que a psicopedagogia pode proporcionar ao indivíduo. Foi realizada uma pesquisa nas bases de dados virtual eletrônicas Google acadêmico e Scielo, adotando-se o descritor: “Aprendizagem” associando-se aos termos “Psicopedagogia” e “Ensino". Como critérios de inclusão, incluíram-se estudos que contemplem o tema (Competências da Psicopedagogia na vida dos escolares) ou temas afins, publicados nos idiomas português ou inglês, no período compreendido entre 2014 e 2024 (últimos 10 anos). Como critério de exclusão, foram excluídos estudos repetidos nas bases de dados e os que não se apresentem em formato de artigo científico. Portanto, conclui-se que a escola precisa olhar não apenas para a formação teórica, metodológica e técnica, mas também focar no desenvolvimento e formação valorativa, com habilidades e atitudes transversais que preservem a vida

Otoliths-composed gelatin/sodium alginate scaffolds for bone regeneration

Evidence that otoliths, mineral-rich limestone concrescences present in the inner ear of bone fishes, can accelerate bone formation in vivo has been previously reported. The goal of this work was the development, characterization, and evaluation of the cytocompatibility of otoliths-incorporated sodium alginate and gelatin scaffolds. Cynoscion acoupaderived otoliths were characterized by X-ray fluorescence spectrometry (FRX), particle size, free lime, and weight loss by calcination. Furthermore, otoliths were incorporated into sodium alginate (ALG/OTL-s) or gelatin (GEL/OTL-s) scaffolds, previously developed by freeze-drying. Then, the scaffolds were characterized by thermogravimetric analysis (TGA/DTG), differential scanning calorimetry (DSC), infrared spectroscopy with Fourier transform (FTIR), swelling tests, and scanning electron microscopy (SEM). Cytotoxicity assays were run against J774.G8 macrophages and MC3T3-E1 osteoblasts. Data obtained from TGA/DTG, DSC, and FTIR analyses confirmed the interaction between otoliths and the polymeric scaffolds. SEM showed the homogeneous porous 3D structure rich in otolith micro-fragments in both scaffolds. Swelling of the GEL/OTL-s (63.54±3.0%) was greater than of ALG/OTL-s (13.36±9.9%) (p0.05) and significantly higher than that treated with Triton-X (p0.05). However, by 48 h, only ALG/OTL-s showed growth similar to control (p>0.05), whereas GEL/OTL showed a significantly lower growth index (p<0.05). In conclusion, the physicochemical profiles suggest proper interaction between the otoliths and the two developed polymeric 3D scaffolds. Moreover, both materials showed cytocompatibility with J774.G8 macrophages but the growth of MC3T3-E1 osteoblasts was higher when exposed to ALG/OTL-s. These data suggest that sodium alginate/otoliths scaffolds are potential biomaterials to be used in bone regeneration applications.We would like to thank the National Council for Scientific and Technological Development (CNPq) and the Foundation for Research and Technological Innovation Support of the State of Sergipe for the financial support in this study. EMBS acknowledges the sponsorship of the projects M-ERA-NET-0004/2015-PAIRED and UIDB/04469/2020 (strategic fund), received support from the Portuguese Science and Technology Foundation, Ministry of Science and Education (FCT/MEC) through national funds, and was co-financed by FEDER, under the Partnership Agreement PT2020.info:eu-repo/semantics/publishedVersio

O uso da tomografia computadorizada de feixe cônico como um método eficaz para avaliação de fraturas radiculares: Uma revisão da literatura

&nbsp; The occurrence of dental fractures is characterized by the rupture of dental tissue, resulting in a visible line of discontinuity that can manifest itself in different orientations. The objective of this study is to seek an answer, through the literature, whether cone beam computed tomography (CBCT) can be used to diagnose root fractures (RF). To answer this question, an extensive literature review was carried out using electronic databases. Search terms included “cone beam computed tomography,” “endodontics,” “root fracture,” and their corresponding English equivalents. Only articles relevant to the topic and published between 2015 and 2024 were selected. The results indicate that CBCT is the most effective imaging technique for detecting RF, with an ideal size, producing ideal results. However, it is essential that the Dental Surgeon (DC) acquires knowledge about the examination process to accurately interpret the results and determine when it is necessary to request a CT scan.&nbsp; A ocorrência de fraturas dentárias é caracterizada pela ruptura do tecido dentário, resultando em uma linha visível de descontinuidade que pode se manifestar em diversas orientações. O objetivo deste estudo é buscar responder, por meio da literatura, se a&nbsp; tomografia computadorizada de feixe cônico (TCFC) pode ser utilizada para o diagnóstico de fraturas radiculares (FR). Para responder a esta questão, foi realizada uma extensa revisão da literatura utilizando bases de dados eletrônicos. Os termos de pesquisa incluíram “tomografia computadorizada de feixe cônico”, “endodontia”, “fratura radicular” e seus equivalentes em inglês correspondente. Foram selecionados apenas artigos relevantes ao tema e publicados entre 2015 e 2024. Os resultados indicam que o TCFC é a técnica de imagem mais eficaz para detectar FR, com um tamanho ideal, produzindo resultados ideais. Porém, é fundamental que o Cirurgião-Dentista (CD) adquira conhecimento sobre o processo do exame para interpretar com precisão os resultados e determinar quando é necessário solicitar uma tomografia computadorizada

Erratum to: The study of cardiovascular risk in adolescents – ERICA: rationale, design and sample characteristics of a national survey examining cardiovascular risk factor profile in Brazilian adolescents

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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