29 research outputs found
AVALIAÇÃO APRECIATIVA DO PROGRAMA DE PÓS-GRADUAÇÃO EM NUTRIÇÃO DA UNIVERSIDADE FEDERAL DE PERNAMBUCO
Contrastando com a visão tradicional existente nos processos de avaliação institucional vigente na educação superior, trabalhou-se com a Investigação Apreciativa (IA). Assim, buscou-se realizar uma avaliação do Programa de Pós-Graduação em Nutrição da Universidade Federal de Pernambuco (PPGN/UFPE), à luz da perspectiva apreciativa. O referencial utilizado distancia-se do modo de avaliação de ordem estrutural, regulatória e competitiva, ao optar pela análise dos pontos fortes do PPGN/UFPE. Foi elaborado um estudo de caso, com ênfase na pesquisa colaborativa, que teve fins descritivos e exploratórios, articulado ao modelo de 5-D (em inglês/português: 1-D Definition/Definição, 2-D Discovery/Descoberta, 3-D Dream/Sonho, 4-D Design/Planejamento e 5-D Destiny/Destino). A coleta e a análise dos dados concentrou-se nos dois primeiros Ds, a partir de múltiplas fontes de evidência. Os resultados indicam que a nucleação e a inserção social explicam a lógica do bom funcionamento do PPGN/UFPE, expressos nas experiências acumuladas, nas grandes realizações e nas tradições vitais desenvolvidas pelo conhecimento agregado de seus integrantes, responsáveis pela excelência alcançada em seu desempenho institucional
A DINÂMICA DO CONHECIMENTO NA CONSTRUÇÃO DE UMA UNIVERSIDADE EMPREENDEDORA: POTENCIALIDADES E FRAGILIDADES OBSERVADAS NA UNIVERSIDADE FEDERAL DE PERNAMBUCO
O presente estudo visa refletir sobre potencialidades e fragilidades para o surgimento de uma Universidade Empreendedora, com base, principalmente, em pesquisas realizadas na Universidade Federal de Pernambuco (UFPE) em 2013 e 2015. Destaca-se aqui a produção e disseminação do conhecimento, a inovação, a sociedade do conhecimento, a gestão e a burocracia como elos estruturadores da relação acadêmica e institucional com o mercado e a sociedade. Aborda-se, para tanto, a dinâmica do conhecimento e sua relevância no contexto da globalização e da atual sociedade, bem como as transformações que afetam o Estado e redefinem o seu papel. A metodologia adota uma abordagem qualitativa com a técnica de estudo de caso, valendo-se de análise de dados, a partir da análise argumentativa de Toulmin (2001) aplicada nas pesquisas supramencionadas. Os achados desta reflexão evidenciam a pertinência e atualidade dos estudos de Henry Etzkowitz (2009), sobre a relação Universidade-Indústria-Governo (hélice tríplice), e Peter Evans (2004), atinente à estrutura de Estado e relação Estado-Sociedade, ao explicarem aspectos importantes do processo de desenvolvimento econômico e social
Updated cardiovascular prevention guideline of the Brazilian Society of Cardiology: 2019
Sem informação113478788
The complete genome sequence of Chromobacterium violaceum reveals remarkable and exploitable bacterial adaptability
Chromobacterium violaceum is one of millions of species of free-living microorganisms that populate the soil and water in the extant areas of tropical biodiversity around the world. Its complete genome sequence reveals (i) extensive alternative pathways for energy generation, (ii) ≈500 ORFs for transport-related proteins, (iii) complex and extensive systems for stress adaptation and motility, and (iv) wide-spread utilization of quorum sensing for control of inducible systems, all of which underpin the versatility and adaptability of the organism. The genome also contains extensive but incomplete arrays of ORFs coding for proteins associated with mammalian pathogenicity, possibly involved in the occasional but often fatal cases of human C. violaceum infection. There is, in addition, a series of previously unknown but important enzymes and secondary metabolites including paraquat-inducible proteins, drug and heavy-metal-resistance proteins, multiple chitinases, and proteins for the detoxification of xenobiotics that may have biotechnological applications
ATLANTIC EPIPHYTES: a data set of vascular and non-vascular epiphyte plants and lichens from the Atlantic Forest
Epiphytes are hyper-diverse and one of the frequently undervalued life forms in plant surveys and biodiversity inventories. Epiphytes of the Atlantic Forest, one of the most endangered ecosystems in the world, have high endemism and radiated recently in the Pliocene. We aimed to (1) compile an extensive Atlantic Forest data set on vascular, non-vascular plants (including hemiepiphytes), and lichen epiphyte species occurrence and abundance; (2) describe the epiphyte distribution in the Atlantic Forest, in order to indicate future sampling efforts. Our work presents the first epiphyte data set with information on abundance and occurrence of epiphyte phorophyte species. All data compiled here come from three main sources provided by the authors: published sources (comprising peer-reviewed articles, books, and theses), unpublished data, and herbarium data. We compiled a data set composed of 2,095 species, from 89,270 holo/hemiepiphyte records, in the Atlantic Forest of Brazil, Argentina, Paraguay, and Uruguay, recorded from 1824 to early 2018. Most of the records were from qualitative data (occurrence only, 88%), well distributed throughout the Atlantic Forest. For quantitative records, the most common sampling method was individual trees (71%), followed by plot sampling (19%), and transect sampling (10%). Angiosperms (81%) were the most frequently registered group, and Bromeliaceae and Orchidaceae were the families with the greatest number of records (27,272 and 21,945, respectively). Ferns and Lycophytes presented fewer records than Angiosperms, and Polypodiaceae were the most recorded family, and more concentrated in the Southern and Southeastern regions. Data on non-vascular plants and lichens were scarce, with a few disjunct records concentrated in the Northeastern region of the Atlantic Forest. For all non-vascular plant records, Lejeuneaceae, a family of liverworts, was the most recorded family. We hope that our effort to organize scattered epiphyte data help advance the knowledge of epiphyte ecology, as well as our understanding of macroecological and biogeographical patterns in the Atlantic Forest. No copyright restrictions are associated with the data set. Please cite this Ecology Data Paper if the data are used in publication and teaching events. © 2019 The Authors. Ecology © 2019 The Ecological Society of Americ
Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
Summary
Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally.
Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies
have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of
the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income
countries globally, and identified factors associated with mortality.
Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to
hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis,
exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a
minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical
status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary
intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause,
in-hospital mortality for all conditions combined and each condition individually, stratified by country income status.
We did a complete case analysis.
Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital
diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal
malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome
countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male.
Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3).
Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income
countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups).
Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome
countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries;
p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients
combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11],
p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20
[1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention
(ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety
checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed
(ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of
parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65
[0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality.
Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome,
middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will
be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger
than 5 years by 2030
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Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021
BACKGROUND Regular, detailed reporting on population health by underlying cause of death is fundamental for public health decision making. Cause-specific estimates of mortality and the subsequent effects on life expectancy worldwide are valuable metrics to gauge progress in reducing mortality rates. These estimates are particularly important following large-scale mortality spikes, such as the COVID-19 pandemic. When systematically analysed, mortality rates and life expectancy allow comparisons of the consequences of causes of death globally and over time, providing a nuanced understanding of the effect of these causes on global populations. METHODS The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 cause-of-death analysis estimated mortality and years of life lost (YLLs) from 288 causes of death by age-sex-location-year in 204 countries and territories and 811 subnational locations for each year from 1990 until 2021. The analysis used 56 604 data sources, including data from vital registration and verbal autopsy as well as surveys, censuses, surveillance systems, and cancer registries, among others. As with previous GBD rounds, cause-specific death rates for most causes were estimated using the Cause of Death Ensemble model-a modelling tool developed for GBD to assess the out-of-sample predictive validity of different statistical models and covariate permutations and combine those results to produce cause-specific mortality estimates-with alternative strategies adapted to model causes with insufficient data, substantial changes in reporting over the study period, or unusual epidemiology. YLLs were computed as the product of the number of deaths for each cause-age-sex-location-year and the standard life expectancy at each age. As part of the modelling process, uncertainty intervals (UIs) were generated using the 2·5th and 97·5th percentiles from a 1000-draw distribution for each metric. We decomposed life expectancy by cause of death, location, and year to show cause-specific effects on life expectancy from 1990 to 2021. We also used the coefficient of variation and the fraction of population affected by 90% of deaths to highlight concentrations of mortality. Findings are reported in counts and age-standardised rates. Methodological improvements for cause-of-death estimates in GBD 2021 include the expansion of under-5-years age group to include four new age groups, enhanced methods to account for stochastic variation of sparse data, and the inclusion of COVID-19 and other pandemic-related mortality-which includes excess mortality associated with the pandemic, excluding COVID-19, lower respiratory infections, measles, malaria, and pertussis. For this analysis, 199 new country-years of vital registration cause-of-death data, 5 country-years of surveillance data, 21 country-years of verbal autopsy data, and 94 country-years of other data types were added to those used in previous GBD rounds. FINDINGS The leading causes of age-standardised deaths globally were the same in 2019 as they were in 1990; in descending order, these were, ischaemic heart disease, stroke, chronic obstructive pulmonary disease, and lower respiratory infections. In 2021, however, COVID-19 replaced stroke as the second-leading age-standardised cause of death, with 94·0 deaths (95% UI 89·2-100·0) per 100 000 population. The COVID-19 pandemic shifted the rankings of the leading five causes, lowering stroke to the third-leading and chronic obstructive pulmonary disease to the fourth-leading position. In 2021, the highest age-standardised death rates from COVID-19 occurred in sub-Saharan Africa (271·0 deaths [250·1-290·7] per 100 000 population) and Latin America and the Caribbean (195·4 deaths [182·1-211·4] per 100 000 population). The lowest age-standardised death rates from COVID-19 were in the high-income super-region (48·1 deaths [47·4-48·8] per 100 000 population) and southeast Asia, east Asia, and Oceania (23·2 deaths [16·3-37·2] per 100 000 population). Globally, life expectancy steadily improved between 1990 and 2019 for 18 of the 22 investigated causes. Decomposition of global and regional life expectancy showed the positive effect that reductions in deaths from enteric infections, lower respiratory infections, stroke, and neonatal deaths, among others have contributed to improved survival over the study period. However, a net reduction of 1·6 years occurred in global life expectancy between 2019 and 2021, primarily due to increased death rates from COVID-19 and other pandemic-related mortality. Life expectancy was highly variable between super-regions over the study period, with southeast Asia, east Asia, and Oceania gaining 8·3 years (6·7-9·9) overall, while having the smallest reduction in life expectancy due to COVID-19 (0·4 years). The largest reduction in life expectancy due to COVID-19 occurred in Latin America and the Caribbean (3·6 years). Additionally, 53 of the 288 causes of death were highly concentrated in locations with less than 50% of the global population as of 2021, and these causes of death became progressively more concentrated since 1990, when only 44 causes showed this pattern. The concentration phenomenon is discussed heuristically with respect to enteric and lower respiratory infections, malaria, HIV/AIDS, neonatal disorders, tuberculosis, and measles. INTERPRETATION Long-standing gains in life expectancy and reductions in many of the leading causes of death have been disrupted by the COVID-19 pandemic, the adverse effects of which were spread unevenly among populations. Despite the pandemic, there has been continued progress in combatting several notable causes of death, leading to improved global life expectancy over the study period. Each of the seven GBD super-regions showed an overall improvement from 1990 and 2021, obscuring the negative effect in the years of the pandemic. Additionally, our findings regarding regional variation in causes of death driving increases in life expectancy hold clear policy utility. Analyses of shifting mortality trends reveal that several causes, once widespread globally, are now increasingly concentrated geographically. These changes in mortality concentration, alongside further investigation of changing risks, interventions, and relevant policy, present an important opportunity to deepen our understanding of mortality-reduction strategies. Examining patterns in mortality concentration might reveal areas where successful public health interventions have been implemented. Translating these successes to locations where certain causes of death remain entrenched can inform policies that work to improve life expectancy for people everywhere. FUNDING Bill & Melinda Gates Foundation
Avaliação apreciativa do Programa de Pós-Graduação em Nutrição da Universidade Federal de Pernambuco
Contrastando com a visão tradicional existente nos processos de avaliação institucional vigente na educação superior, trabalhou-se com a Investigação Apreciativa (IA). Assim, buscou-se realizar uma avaliação do Programa de Pós-Graduação em Nutrição da Universidade Federal de Pernambuco (PPGN/UFPE), à luz da perspectiva apreciativa. O referencial utilizado distancia-se do modo de avaliação de ordem estrutural, regulatória e competitiva, ao optar pela análise dos pontos fortes do PPGN/UFPE. Foi elaborado um estudo de caso, com ênfase na pesquisa colaborativa, que teve fins descritivos e exploratórios, articulado ao modelo de 5-D (em inglês/português: 1-D Definition/Definição, 2-D Discovery/Descoberta, 3-D Dream/Sonho, 4-D Design/Planejamento e 5-D Destiny/Destino). A coleta e a análise dos dados concentrou-se nos dois primeiros Ds, a partir de múltiplas fontes de evidência. Os resultados indicam que a nucleação e a inserção social explicam a lógica do bom funcionamento do PPGN/UFPE, expressos nas experiências acumuladas, nas grandes realizações e nas tradições vitais desenvolvidas pelo conhecimento agregado de seus integrantes, responsáveis pela excelência alcançada em seu desempenho institucional
A DINÂMICA DO CONHECIMENTO NA CONSTRUÇÃO DE UMA UNIVERSIDADE EMPREENDEDORA: POTENCIALIDADES E FRAGILIDADES OBSERVADAS NA UNIVERSIDADE FEDERAL DE PERNAMBUCO
The present study aims to reflect on the potentialities and weaknesses for the emergence of an Entrepreneurial U niversity, based primarily on research conducted at the Universidade Federal de Pernambuco (UFPE) in 2013 and 2015. We set out herein to highlight the production and dissemination of knowledge, innovation, knowledge society, management and bureaucracy as the structural links of the academic and institutional relationship with both the market and society. We therefore address the dynamics of knowledge and its relevance within the context of globalization and current society, as well as the changes that affect the state and redefine its role. The study adopted a qualitative case study methodology, drawing on data analysis using the Toulmin mod el of argumentation (2001) applied to the abovementioned research. The findings of this reflection highlight the relevance and topicality of the studies by Henry Etzkowitz (2009) on the university - industry - government (Triple Helix) relationship, and Peter Evans (2004) regarding state structures and state - society relations, in explaining key aspects in the process of economic and social development
Speed estimation for induction motor using neural networks method
This work presents an alternative approach based on neural network method in order to estimate speed of induction motors, using the measurement of primary variables such as voltage and current. Induction motors are very common in many sectors of the industry and assume an important role in the national energy policy. The nowadays methodologies, which are used in diagnosis, condition monitoring and dimensioning of these motors, are based on measure of the speed variable. However, the direct measure of this variable compromises the system control and starting circuit of an electric machinery, reducing its robustness and increasing the implementation costs. Simulation results and experimental data are presented to validate the proposed approach. © 2003-2012 IEEE