O PAPEL DA ATENÇÃO PRIMÁRIA A SAÚDE NA IDENTIFICAÇÃO DE ABUSO SEXUAL NA INFÂNCIA

OBJECTIVE: To emphasize the role of primary health care in the identification of child sexual abuse. METHOD: The present study consists of a review of the integrative literature, stipulated through 6 methodological steps that were followed in an orderly manner to carry out the study, namely: definition of the guiding question, sampling in the literature, data collection, critical analysis of the included studies, discussion of the results and presentation of the integrative review.  The filter used for the searches was with the descriptors; (Primary Health Care) AND (Child Sexual Abuse) AND (Health Care). RESULTS:The final sample consisted of 7 studies that resulted in the following category for discussion: Need for professional training in the care of abused children. CONCLUSION: It was possible to conclude that it is extremely important to develop training activities for professionals who are part of primary health care and who have direct contact with children and adolescents.OBJETIVO: Enfatizar o papel da atenção primária a saúde na identificação de abuso sexual na infancia. MÉTODO: O presente trabalho consiste em uma revisão de literatura integrativa, estipuladas através de 6 etapas metodológicas que foram seguidas ordenadamente para a realização do estudo,  sendo elas: definição da pergunta norteadora, amostragem na literatura, coleta de dados, análise crítica dos estudos incluídos, discussão dos resultados e apresentação da revisão integrativa. O filtro utilizado para as buscas foi com os descritores; (Atenção Primária a Saúde) AND (Abuso Sexual na Infância) AND (Atenção a Saúde). RESULTADOS: A amostra final foi constituída por 7 estudos que resultaram na seguinte categoria para discussão:  Necessidade de capacitação profissional frente ao cuidado com crianças violentadas: CONCLUSÃO: Foi possível concluir que é de extrema importância que sejam desenvolvidas atividades de capacitação para os profissionais que fazem parte da atenção primária à saúde,  e que têm contato direto com crianças e adolescentes

PANORAMA DA MORBIMORTALIDADE INFANTIL POR DESNUTRIÇÃO NO BRASIL

This article aims to analyze epidemiological data on hospitalizations for child malnutrition in Brazil, from 2018 to 2023. The data was filtered through the Hospital Information System (SIH), available at the SUS Information Technology Department (DATASUS) , to deepen the research, variables such as regions, year of service, age group and gender were selected. 25,266 hospitalizations for child malnutrition were identified in Brazil in the period from 2018 to 2023, the year 2022 had the highest prevalence among the others with 5,569 hospitalizations. There was also relevance in the Northeast region with 9,787, males with 12,779, and an age group less than one year old with 15,725 hospitalizations, which characterizes an alert for public health. From this perspective, it is mandatory that strategies are drawn up to reduce hospitalizations due to Child Malnutrition, encouraging childcare monitoring to monitor the integral and continuous development of children. In this way, we participate intensely in minimizing malnutrition and avoiding injuries such as deaths in this age group.Este artigo tem por objetivo analisar os dados epidemiológicos das internações por desnutrição infantil no Brasil, no recorte temporal de 2018 a 2023. Os dados foram filtrados por meio do Sistema  de  Informações  Hospitalares  (SIH), disponível  no  Departamento  de  Informática  do  SUS  (DATASUS), para aprofundar a pesquisa foram selecionados variáveis como regiões, ano de atendimento, faixa etária e sexo. Foram identificados 25.266 internações por desnutrição infantil no brasil no período de 2018  a 2023,  o ano de 2022 apresentou a maior prevalência entre os demais com 5.569 internações. Houve também, uma relevância na região Nordeste com 9.787, sexo masculino com 12.779, e uma faixa etária menor que um ano com 15.725 internações, o que caracteriza um alerta para a saúde publica. Nessa perspectiva, é imprescindível que estratégias sejam traçadas para redução das internações por Desnutrição Infantil, incentivo ao acompanhamento da puericultura para acompanhar o desenvolvimento integral e contínuo das crianças. Dessa forma, atuando intensamente na minimização da desnutrição e evitando os agravos como óbitos dessa faixa etária

ESPECIFICIDADES NO CUIDADO AO NEONATO COM FISSURA LABIOPALATINA DURANTE O ALEITAMENTO MATERNO

OBJECTIVE: To emphasize and describe the need for specific care in the care of newborns with cleft lip and palate during breastfeeding. METHOD: The present work consists of an integrative literature review, in this sense, 6 methodological steps were stipulated that were followed in order to carry out the study, the filter used for the searches were with the descriptors: Neonate, Breastfeeding and Cleft Palate. RESULTS: The final sample consisted of 8 studies that resulted in the following categories for discussion: The role of the health professional in supporting breastfeeding and Specific care when breastfeeding babies with cleft palates. CONCLUSION: It was possible to conclude that it is extremely important that the nursing mother is advised on specific care when breastfeeding a baby with a cleft, taking into account the difficulties presented during breastfeeding.OBJETIVO: Enfatizar e descrever a necessidade de cuidados específicos no cuidado ao neonato com fissura labiopalatina durante o aleitamento materno. MÉTODO: O presente trabalho consiste em uma revisão de literatura integrativa, neste sentido, foram estipuladas 6 etapas metodológicas que foram seguidas ordenadamente para a realização do estudo, o filtro utilizado para as buscas foram com os descritores:  Neonato, Aleitamento Materno e Fissura Palatina. RESULTADOS: A amostra final foi constituída por 8 estudos que resultaram nas seguintes categorias para discussão:  O papel do profissional de saúde no apoio ao aleitamento materno e Cuidados específicos no aleitamento de bebês com fenda palatina. CONCLUSÃO: Foi possível concluir que é de extrema importância que a lactante seja orientada sobre os cuidados específicos durante a amamentação do bebê com fissura, levando em consideração as dificuldades apresentadas durante o aleitamento

Síndromes anêmicas: uma abordagem fisiopatológica sobre as principais considerações clínicas / Anemic syndromes: a pathophysiological approach to key clinical considerations

O seguinte artigo é uma revisão narrativa de literatura fundamentada nas plataformas do SciELO, LILACS, Pubmed, Google Acadêmico e Brazilian Journal of Health Review no período de janeiro a março de 2022. Atualmente, a anemia é algo que não é investigado sobre a sua etiologia e  sujeita a negligência, muitos pacientes são vítimas dos riscos de hemotransfusão e até privados de tratarem doenças que seriam possivelmente de manejo mais simples se detectadas precocemente. O seguinte artigo objetivou descrever as principais considerações sobre as síndrome anêmicas, em especial em sua  fisiopatologia e implicações clínicas. A temática de síndromes anêmicas é um tema complexo, que possui várias etiologias, apresentações clínicas, sintomatologias e meios diagnósticos. A terapêutica é focada em investigar o fator etiológico de base e simultaneamente tratar as implicações e aliviar o quadro clínico. Logo, o estudo em questão narra de modo detalhado a fisiopatologia da anemia e aborda as principais síndromes anêmicas para a clínica médica.

Sensitivity of South American tropical forests to an extreme climate anomaly

The tropical forest carbon sink is known to be drought sensitive, but it is unclear which forests are the most vulnerable to extreme events. Forests with hotter and drier baseline conditions may be protected by prior adaptation, or more vulnerable because they operate closer to physiological limits. Here we report that forests in drier South American climates experienced the greatest impacts of the 2015–2016 El Niño, indicating greater vulnerability to extreme temperatures and drought. The long-term, ground-measured tree-by-tree responses of 123 forest plots across tropical South America show that the biomass carbon sink ceased during the event with carbon balance becoming indistinguishable from zero (−0.02 ± 0.37 Mg C ha −1 per year). However, intact tropical South American forests overall were no more sensitive to the extreme 2015–2016 El Niño than to previous less intense events, remaining a key defence against climate change as long as they are protected

Catálogo Taxonômico da Fauna do Brasil: setting the baseline knowledge on the animal diversity in Brazil

The limited temporal completeness and taxonomic accuracy of species lists, made available in a traditional manner in scientific publications, has always represented a problem. These lists are invariably limited to a few taxonomic groups and do not represent up-to-date knowledge of all species and classifications. In this context, the Brazilian megadiverse fauna is no exception, and the Catálogo Taxonômico da Fauna do Brasil (CTFB) (http://fauna.jbrj.gov.br/), made public in 2015, represents a database on biodiversity anchored on a list of valid and expertly recognized scientific names of animals in Brazil. The CTFB is updated in near real time by a team of more than 800 specialists. By January 1, 2024, the CTFB compiled 133,691 nominal species, with 125,138 that were considered valid. Most of the valid species were arthropods (82.3%, with more than 102,000 species) and chordates (7.69%, with over 11,000 species). These taxa were followed by a cluster composed of Mollusca (3,567 species), Platyhelminthes (2,292 species), Annelida (1,833 species), and Nematoda (1,447 species). All remaining groups had less than 1,000 species reported in Brazil, with Cnidaria (831 species), Porifera (628 species), Rotifera (606 species), and Bryozoa (520 species) representing those with more than 500 species. Analysis of the CTFB database can facilitate and direct efforts towards the discovery of new species in Brazil, but it is also fundamental in providing the best available list of valid nominal species to users, including those in science, health, conservation efforts, and any initiative involving animals. The importance of the CTFB is evidenced by the elevated number of citations in the scientific literature in diverse areas of biology, law, anthropology, education, forensic science, and veterinary science, among others

Sensitivity of South American tropical forests to an extreme climate anomaly

NERC Knowledge Exchange Fellowship (NE/V018760/1) to E.N.H.C.The tropical forest carbon sink is known to be drought sensitive, but it is unclear which forests are the most vulnerable to extreme events. Forests with hotter and drier baseline conditions may be protected by prior adaptation, or more vulnerable because they operate closer to physiological limits. Here we report that forests in drier South American climates experienced the greatest impacts of the 2015–2016 El Niño, indicating greater vulnerability to extreme temperatures and drought. The long-term, ground-measured tree-by-tree responses of 123 forest plots across tropical South America show that the biomass carbon sink ceased during the event with carbon balance becoming indistinguishable from zero (−0.02 ± 0.37 Mg C ha−1 per year). However, intact tropical South American forests overall were no more sensitive to the extreme 2015–2016 El Niño than to previous less intense events, remaining a key defence against climate change as long as they are protected.Publisher PDFPeer reviewe

Sensitivity of South American tropical forests to an extreme climate anomaly

Abstract: The tropical forest carbon sink is known to be drought sensitive, but it is unclear which forests are the most vulnerable to extreme events. Forests with hotter and drier baseline conditions may be protected by prior adaptation, or more vulnerable because they operate closer to physiological limits. Here we report that forests in drier South American climates experienced the greatest impacts of the 2015–2016 El Niño, indicating greater vulnerability to extreme temperatures and drought. The long-term, ground-measured tree-by-tree responses of 123 forest plots across tropical South America show that the biomass carbon sink ceased during the event with carbon balance becoming indistinguishable from zero (−0.02 ± 0.37 Mg C ha−1 per year). However, intact tropical South American forests overall were no more sensitive to the extreme 2015–2016 El Niño than to previous less intense events, remaining a key defence against climate change as long as they are protected

Sensitivity of South American tropical forests to an extreme climate anomaly

Funder: A Moore Foundation grant, Royal Society Global Challenges grant (Sensitivity of Tropical Forest Ecosystem Services to Climate Changes), CNPq grants (441282/2016-4, 403764/2012-2 and 558244/2009-2), FAPEAM grants 1600/2006, 465/2010 and PPFOR 147/2015, CNPq grants 473308/2009-6 and 558320/2009-0. European Research Council (ERC Advanced Grant 291585 – ‘T-FORCES’), the Gordon and Betty Moore Foundation (#1656 ‘RAINFOR’, and ‘MonANPeru’), the European Union’s Fifth, Sixth and Seventh Framework Programme (EVK2-CT-1999-00023 – ‘CARBONSINK-LBA’, 283080 – ‘GEOCARBON’, 282664 – ‘AMAZALERT), the Natural Environment Research Council (NE/ D005590/1 – ‘TROBIT’, NE/F005806/1 – ‘AMAZONICA’, E/M0022021/1 - ‘PPFOR’), several NERC Urgency and New Investigators Grants, the NERC/State of São Paulo Research Foundation (FAPESP) consortium grants ‘BIO-RED’ (NE/N012542/1), ‘ECOFOR’ (NE/K016431/1, 2012/51872-5, 2012/51509-8), ‘ARBOLES’ (NE/S011811/1, FAPESP 2018/15001-6), ‘SEOSAW’ (NE/P008755/1), ‘SECO’ (NE/T01279X/1), Brazilian National Research Council (PELD/CNPq 403710/2012-0), the Royal Society (University Research Fellowships and Global challenges Awards) (ICA/R1/180100 - ‘FORAMA’), the National Geographic Society, US National Science Foundation (DEB 1754647) and Colombia’s Colciencias. We thank the National Council for Science and Technology Development of Brazil (CNPq) for support to the Cerrado/Amazonia Transition Long-Term Ecology Project (PELD/441244/2016-5), the PPBio Phytogeography of Amazonia/Cerrado Transition Project (CNPq/PPBio/457602/2012-0), PELD-RAS (CNPq, Process 441659/2016-0), RESFLORA (Process 420254/2018-8), Synergize (Process 442354/2019-3), the Empresa Brasileira de Pesquisa Agropecuária – Embrapa (SEG: 02.08.06.005.00), the Fundação de Amparo à Pesquisa do Estado de São Paulo – FAPESP (2012/51509-8 and 2012/51872-5), the Goiás Research Foundation (FAPEG/PELD: 2017/10267000329) the EcoSpace Project (CNPq 459941/2014-3) and several PVE and Productivity Grants. We also thank the “Investissement d’Avenir” program (CEBA, ref. ANR-10LABX-25-01), the São Paulo Research Foundation (FAPESP 03/12595-7) and the Sustainable Landscapes Brazil Project (through Brazilian Agricultural Research Corporation (EMBRAPA), the US Forest Service, USAID, and the US Department of State) for supporting plot inventories in the Atlantic Forest sites in Sao Paulo, Brazil. L.E.O.C.A. was supported by CNPq (processes 305054/2016-3 and 442371/2019-5). We thank to the National Council for Technological and Scientific Development (CNPq) for the financial support of the PELD project (441244/2016-5, 441572/2020-0) and FAPEMAT (0346321/2021). NE/B503384/1, NE/N012542/1 - ‘BIO-RED’, ERC Advanced Grant 291585 - ‘T-FORCES’, NE/F005806/1 - ‘AMAZONICA’, NE/N004655/1 - ‘TREMOR’, NERC New Investigators Awards, the Gordon and Betty Moore Foundation (‘RAINFOR’, ‘MonANPeru’), ERC Starter Grant 758873 -‘TreeMort’, EU Framework 6, a Royal Society University Research Fellowship, and a Leverhulme Trust Research Fellowship.The tropical forest carbon sink is known to be drought sensitive, but it is unclear which forests are the most vulnerable to extreme events. Forests with hotter and drier baseline conditions may be protected by prior adaptation, or more vulnerable because they operate closer to physiological limits. Here we report that forests in drier South American climates experienced the greatest impacts of the 2015–2016 El Niño, indicating greater vulnerability to extreme temperatures and drought. The long-term, ground-measured tree-by-tree responses of 123 forest plots across tropical South America show that the biomass carbon sink ceased during the event with carbon balance becoming indistinguishable from zero (−0.02 ± 0.37 Mg C ha−1 per year). However, intact tropical South American forests overall were no more sensitive to the extreme 2015–2016 El Niño than to previous less intense events, remaining a key defence against climate change as long as they are protected