A FORMAÇÃO DO ENFERMEIRO PARA A ASSISTÊNCIA DE PORTADORES DE NECESSIDADES ESPECIAIS, COM PARALISIA CEREBRAL, SUBMETIDOS À INTERNAÇÃO DOMICILIAR

This is an end of course work that has as its subject nurse training in the home care of special needs patients, particularly, of patients with cerebral paralysis. Its aim is to sensitize the nurse to the peculiarities of Attention Services at home and for patients with cerebral palsy. To direct the course of this work, we present as a study the problem of the identification of the main necessities of the patients with cerebral palsy in Attention Services at home. The general objective of this research will be to describe the training process of specialist nurses in home care and the specific objectives will be: To identify the main requirements of patients with special needs and cerebral palsy, and to describe how nurses are prepared for this type of care of patients and their family. It was opted to carry out a bibliographical research, contemplating a qualitative focus, of explorative nature, descriptive and explanatory, resulting in the following thematic categories: The perception of the importance of "being a nurse in home care" and the relevance of the knowledge of the needs of patients with cerebral palsy and their family, in regards to home internment. From its development, it was possible to perceive that the academic focus given to this type of service and to this type of patient is limited, and that a specific specialization for the peculiarities of the service of home care and the peculiarities of a patient with cerebral palsy is still restricted. We conclude that greater assessment and study of the service of home care, as well as the patient with cerebral palsy, is necessary. As much during study as after graduation because this is a service in expansion and the patient needs complete care. We hope that this study contributes to a greater interest in the subject, facilitating the assistance of patients in home care, particularly those with special needs.Este es un trabajo de finalización de curso, que tiene como tema la formación de enfermeras en la atención domiciliaria con una necesidad especial, más concretamente, para el cliente con parálisis cerebral; quiere aumentar la sensibilización, especialmente a la enfermera acerca de las peculiaridades del Servicio de Atención a domicilio y al paciente con parálisis cerebral. Para dirigir el progreso de este trabajo, se presenta como problema el estudio de la identificación de las principales necesidades presentadas por el cliente con parálisis cerebral en el servicio de cuidados en el hogar. El objetivo general de esta investigación es describir el proceso de formación de la enfermera especialista en cuidados en el hogar y los objetivos específicos: identificar las principales necesidades de la atención al cliente con necesidades especiales, con parálisis cerebral; describir cómo las enfermeras están preparadas para este tipo de asistencia a estos clientes y de su familia. Nuestra opción es realizar una búsqueda bibliográfica, se contempla un enfoque cualitativo, el carácter exploratorio, descriptivo y explicativo, por lo que en las siguientes categorías temáticas: La percepción de la importancia de "ser calificadas enfermeras en la atención a domicilio" y la importancia del conocimiento de las necesidades del cliente y de la familia del neuropata, frente al episodio de hospitalización en domicilio. A partir de su desarrollo, es posible percibir que el enfoque académico dispensado a este tipo de servicio y a ese tipo de cliente es limitada, y que está todavía limitada una especialización especifica tanto para las peculiaridades del servicio de atención domiciliaria, como las peculiaridades de un paciente neuropata. Llegamos a la conclusión de que necesitamos una mayor valoración y estudio del servicio de atención domiciliaria, así como a los clientes con parálisis cerebral, tanto durante como en la postgraduación, por el hecho de que este es un servicio en expansión y el cliente es un usuario que necesita toda la atención. Esperamos que este estudio contribuya a un mayor interés en el tema, facilitar la asistencia de los clientes sometidos a atención domiciliaria, especialmente los que tienen necesidades especiales.Trata-se de um trabalho de conclusão de curso, que tem como tema a formação do enfermeiro no atendimento domiciliar ao portador de necessidade especial, mais especificamente, ao cliente com paralisia cerebral, pretende sensibilizar, em especial ao enfermeiro quanto às peculiaridades do serviço de atendimento domiciliar e do paciente com paralisia cerebral. Para direcionar o andamento deste trabalho, apresentamos como problema de estudo a identificação das principais necessidades apresentadas pelo cliente com paralisia cerebral no serviço de atendimento domiciliar. O objetivo geral desta pesquisa foi descrever o processo de formação do enfermeiro especialista em atendimento domiciliar e os objetivos específicos: identificar as principais necessidades assistenciais do cliente portador de necessidades especiais com paralisia cerebral; descrever como o enfermeiro é preparado para essa assistência a esses clientes e sua família. Optou-se por realizar uma pesquisa bibliográfica, contemplando-se uma abordagem qualitativa, de natureza exploratória, descritiva e explicativa, resultando nas seguintes categorias temáticas: A percepção da importância do “ser enfermeiro capacitado em home care” e A relevância do conhecimento das necessidades do cliente e da família do neuropata, frente ao episodio de internação domiciliar. A partir do seu desenvolvimento, foi possível perceber que a abordagem acadêmica dispensada a esse tipo de serviço e a esse tipo de cliente é restrita, e que ainda é restrita também uma especialização especifica, tanto para as peculiaridades do serviço de atendimento domiciliar, como às peculiaridades de um paciente neuropata. Concluímos que é necessário maior valorização e estudo quanto ao serviço de atendimento domiciliar, assim como também ao cliente com paralisia cerebral, tanto no intra como na pós-graduação, pelo fato de que este é um serviço em expansão e esse cliente é um usuário em potencial, por ser um cliente que necessita de atenção integral. Desejamos que este estudo contribua de forma a impulsionar um maior interesse sobre o tema, facilitando a assistência de clientes submetidos à internação domiciliar, em especial àqueles que possuem necessidades especiais

Contribution of microscopy for understanding the mechanism of action against trypanosomatids

Transmission electron microscopy (TEM) has proved to be a useful tool to study the ultrastructural alterations and the target organelles of new antitrypanosomatid drugs. Thus, it has been observed that sesquiterpene lactones induce diverse ultrastructural alterations in both T. cruzi and Leishmania spp., such as cytoplasmic vacuolization, appearance of multilamellar structures, condensation of nuclear DNA, and, in some cases, an important accumulation of lipid vacuoles. This accumulation could be related to apoptotic events. Some of the sesquiterpene lactones (e.g., psilostachyin) have also been demonstrated to cause an intense mitochondrial swelling accompanied by a visible kinetoplast deformation as well as the appearance of multivesicular bodies. This mitochondrial swelling could be related to the generation of oxidative stress and associated to alterations in the ergosterol metabolism. The appearance of multilamellar structures and multiple kinetoplasts and flagella induced by the sesquiterpene lactone psilostachyin C indicates that this compound would act at the parasite cell cycle level, in an intermediate stage between kinetoplast segregation and nuclear division. In turn, the diterpene lactone icetexane has proved to induce the external membrane budding on T. cruzi together with an apparent disorganization of the pericellar cytoskeleton. Thus, ultrastructural TEM studies allow elucidating the possible mechanisms and the subsequent identification of molecular targets for the action of natural compounds on trypanosomatids.Fil: Lozano, Esteban Sebastián. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mendoza. Instituto de Medicina y Biología Experimental de Cuyo; ArgentinaFil: Spina Zapata, Renata María. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mendoza. Instituto de Histología y Embriología de Mendoza Dr. Mario H. Burgos. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Instituto de Histología y Embriología de Mendoza Dr. Mario H. Burgos; ArgentinaFil: Barrera, Patricia Andrea. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mendoza. Instituto de Histología y Embriología de Mendoza Dr. Mario H. Burgos. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Instituto de Histología y Embriología de Mendoza Dr. Mario H. Burgos; ArgentinaFil: Tonn, Carlos Eugenio. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - San Luis. Instituto de Investigaciones en Tecnología Química. Universidad Nacional de San Luis. Facultad de Química, Bioquímica y Farmacia. Instituto de Investigaciones en Tecnología Química; ArgentinaFil: Sosa Escudero, Miguel Angel. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mendoza. Instituto de Histología y Embriología de Mendoza Dr. Mario H. Burgos. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Instituto de Histología y Embriología de Mendoza Dr. Mario H. Burgos; Argentin

Determination of diquat by flow injection-chemiluminescence

A simple, economic, sensitive and rapid method for the determination of the pesticide diquat was described. This new method was based on the coupling of flow injection analysis methodology and direct chemiluminescent detection; to the authors' knowledge, this approach had not been used up to now with this pesticide. It was based on its oxidation with ferricyanide in alkaline medium; significant improvements in the analytical signal were achieved by using high temperatures and quinine as sensitiser. Its high throughput (144 h(-1)), together with its low limit of detection (2 ng mL(-1)), achieved without need of preconcentration steps, permitted the reliable quantification of diquat over the linear range of (0.01-0.6) mu g mL(-1) in samples from different origins (river, tap, mineral and ground waters), even in the presence of a 40-fold concentration of paraquat, a pesticide commonly present in the commercial formulations of diquat.López-Paz, JL.; Catalá-Icardo, M.; Antón Garrido, B. (2009). Determination of diquat by flow injection-chemiluminescence. Analytical and Bioanalytical Chemistry. 394(4):1073-1079. doi:10.1007/s00216-009-2609-zS107310793944Hayes WJ Jr, Laws ER Jr (1991) Handbook of pesticide toxicology, Academic Press, San DiegoUS Environmental Protection Agency. http://www.epa.gov/06WDW/contaminants/dw_contamfs/diquat.html (accessed in August 2008)Horwitz W (2000) Official methods of analysis of AOAC International 17th edition. AOAC International, Gaithersburg, MD, USAHara S, Sasaki N, Takase D, Shiotsuka S, Ogata K, Futagami K, Tamura K (2007) Anal Sci 23(5):523–531Rial Otero R, Cancho Grande B, Pérez Lamela C, Simal Gandara J, Aria Estevez M (2006) J Chromatogr Sci 44(9):539–542Aramendia MA, Borau V, Lafont F, Marinas JM, Moreno JM, Porras JM, Urbano FJ (2006) Food Chem 97(1):181–188Nuñez O, Moyano E, Galceran MT (2004) Anal Chim Acta 525(2):183–190Martinez Vidal JL, Belmonte Vega A, Sanchez Lopez FJ, Garrido Frenich AJ (2004) Chromatogr A 1050(2):179–184Lee XP, Kumazawa T, Fujishiro M, Hasegawa C, Arinobu T, Seno H, Sato K (2004) J Mass Spectrom 39(10):1147–1152De Almeida RM, Yonamine M (2007) J Chromatogr B 853(1–2):260–264De Souza D, Machado SAS (2006) Electroanalysis 18(9):862–872De Souza D, Da Silva MRC, Machado SAS (2006) Electroanalysis 18(23):2305–2313Picó Y, Rodriguez R, Manes J (2003) Trends Anal Chem 22(3):133–151Ishiwata T (2004) Bunseki Kagaku 53(8):863–864Carneiro MC, Puignou L, Galcerán MT (2000) Anal Chim Acta 408:263Luque M, Rios A, Valcarcel M (1998) Analyst 123(11):2383–2387Perez Ruiz T, Martínez Lozano C, Tomas V (1991) Int J Environ Anal Chem 44(4):243–252Perez Ruiz T, Martínez Lozano C, Tomas V (1991) Anal Chim Acta 244(1):99–104Townshend A (1990) Analyst 115:495–500López Paz JL, Catalá Icardo M (2008) Anal Chim Acta 625:173–179Pawlicová Z, Sahuquillo I, Catalá Icardo M, García Mateo JV, Martínez Calatayud J (2006) Anal Sci 22:29–34Albert García JR, Catalá Icardo M, Martínez Calatayud J (2006) Talanta 69:608–614Tomlin CDS (1997) The pesticide manual, 11th edn.The British Crop Protection CouncilUKCatalá-Icardo M, Martínez-Calatayud J (2008) Crit Rev Anal Chem 38:118–130Ministerio de Medio Ambiente y Medio Rural y Marino. http://www.marm.es/ (accessed in September 2008)US Environmental Protection Agency. http://www.epa.gov/OGWWDW/contaminants (accessed in October 2008

Report 46: Factors driving extensive spatial and temporal fluctuations in COVID-19 fatality rates in Brazilian hospitals.

The SARS-CoV-2 Gamma variant spread rapidly across Brazil, causing substantial infection and death waves. We use individual-level patient records following hospitalisation with suspected or confirmed COVID-19 to document the extensive shocks in hospital fatality rates that followed Gamma's spread across 14 state capitals, and in which more than half of hospitalised patients died over sustained time periods. We show that extensive fluctuations in COVID-19 in-hospital fatality rates also existed prior to Gamma's detection, and were largely transient after Gamma's detection, subsiding with hospital demand. Using a Bayesian fatality rate model, we find that the geographic and temporal fluctuations in Brazil's COVID-19 in-hospital fatality rates are primarily associated with geographic inequities and shortages in healthcare capacity. We project that approximately half of Brazil's COVID-19 deaths in hospitals could have been avoided without pre-pandemic geographic inequities and without pandemic healthcare pressure. Our results suggest that investments in healthcare resources, healthcare optimization, and pandemic preparedness are critical to minimize population wide mortality and morbidity caused by highly transmissible and deadly pathogens such as SARS-CoV-2, especially in low- and middle-income countries. NOTE: The following manuscript has appeared as 'Report 46 - Factors driving extensive spatial and temporal fluctuations in COVID-19 fatality rates in Brazilian hospitals' at https://spiral.imperial.ac.uk:8443/handle/10044/1/91875 . ONE SENTENCE SUMMARY: COVID-19 in-hospital fatality rates fluctuate dramatically in Brazil, and these fluctuations are primarily associated with geographic inequities and shortages in healthcare capacity

Meiotic chromosomes and nucleolar behavior in testicular cells of the grassland spittlebugs Deois flavopicta, Mahanarva fimbriolata and Notozulia entreriana (Hemiptera, Auchenorrhyncha)

Spittlebugs annually infest pastures and cause severe damage, representing a serious problem for the tropical American beef cattle industry. Spittlebugs are an important biotic constraint to forage production and there is a lack of cytogenetic data for this group of insects. For these reasons, we conducted this work, in which the spermatogenesis and nucleolar behavior of Deois flavopicta, Mahanarva fimbriolata and Notozulia entreriana were studied. The males possessed testes in the shape of a “bunch of grapes”; a variable number of testicular lobes per individual and polyploid nuclei composed of several heteropycnotic bodies. A heteropycnotic area was located in the periphery of the nucleus (prophase I); the chiasmata were terminal or interstitial; metaphases I were circular or linear and anaphase showed late migration of the sex chromosome. The chromosome complement had 2n = 19, except for N. entreriana (2n = 15); the spermatids were round with heteropycnotic material in the center and elongated with conspicuos chromatin. The analysis of testes after silver nitrate staining showed polyploid nuclei with three large and three smaller nucleolar bodies. Early prophase cells had an intensely stained nucleolar body located close to the chromatin and another less evident body located away from the chromatin. The nucleolar bodies disintegrated during diplotene. Silver staining occurred in two autosomes, in terminal and subterminal locations, the latter probably corresponding to the nucleolus organizer regions (NORs). The spermatids were round with a round nucleolar body and silver staining was observed in the medial and posterior region of the elongated part of the spermatid head

Author correction : a global database for metacommunity ecology, integrating species, traits, environment and space

Correction to: Scientific Data https://doi.org/10.1038/s41597-019-0344-7, published online 08 January 202