Geografias feministas, academia e militância: reflexões sobre a experiência do coletivo de mulheres da rede Dataluta no Brasil

O coletivo de Mulheres da Rede Dataluta no Brasil nasce como expressão da necessidade de repensarmos tanto os espaços nos quais se faz e constrói geografia (agrária), bem como as estruturas sociais que estão postas e que atravessam a vida das mulheres, inclusive nos espaços acadêmicos. Nesse texto, apontamos os principais desafios que enfrentamos nos contextos em que vivemos, a partir da revisão bibliográfica e compilação de informações via formulário eletrônico. Com uma trajetória conjunta, também compartilhamos as experiências nas quais vivenciamos as violências, as opressões, a misoginia, o androcentrismo e o machismo nas universidades e nas nossas áreas de atuação. Muitas de nós, pesquisadoras, estudantes, professoras, mães ou cuidadoras, temos visto a tríade do patriarcado-racismo-capitalismo. Com o tempo, temos vislumbrando o refúgio numa praxis feminista que se preocupa com os cuidados coletivos entre nós mulheres e nossas corporalidades racializadas e sexualizadas, encontrando possibilidades de transformação na auto-organização e militância

Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial

Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure <= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt

Movimentos socioterritoriais e ODS no campo argentino durante a pandemia

We analyze rural socio-territorial movements’ actions in Argentina, around different issues related to the Sustainable Development Goals (SDG) during COVID-19. Framed in the international cooperation project Socio-territorial Movements in Comparative Perspective, our methodology consists of mapping and analyzing protest actions and initiatives related to agroecology (production, commercialization, education, gender). Despite the restrictions on movement, social movements continued protesting around various issues, among which land and the ethnic issue stand out, with a spatial distribution that does not always respond to regional patterns, sometimes connecting different points of the country or manifesting itself far from the territory of origin. Agroecological initiatives were reconfigured during the pandemic with the virtual modality in education and the growth of fairs and bags in marketing. This territorialization of the movements ultimately reflects the dispute over the development model.Realizamos una primera aproximación a las acciones de los movimientos socioterritoriales rurales en Argentina, en tornoa diferentes temas relacionados con los Objetivos de Desarrollo Sostenible (ODS) durante el COVID-19. Enmarcada enel proyecto de cooperación internacional Movimientos socioterritoriales en perspectiva comparada, nuestra metodología,consiste en el mapeo y análisis de las acciones de protesta e iniciativas vinculadas a la agroecología (producción, comercialización, formación y género). Durante la pandemia, los movimientos continuaron manifestándose en torno a diversos temas, entre los cuales se destaca la tierra y la cuestión étnica, a veces conectando diferentes puntos del país o manifiestandose lejos del territorio de origen. Las iniciativas agroecológicas se reconfiguraron mediante la modalidad virtual en la formación y el crecimiento de ferias y bolsones en la comercialización. Esta territorialización de los movimientos refleja en última instancia un posicionamiento alternativo y/o crítico al modelo de desarrollo hegemónico.Analisamos as ações dos movimentos socioterritoriais rurais na Argentina, em torno de diferentes questões relacionadas aos Objetivos de Desenvolvimento Sustentável (ODS) durante o COVID-19. Enquadrada no projeto de cooperação internacional Movimentos Socioterritoriais em Perspectiva Comparada, nossa metodologia consiste em mapear e analisar ações e iniciativas de protesto relacionadas à agroecologia (produção, comercialização, educação, gênero). Apesar das restrições à circulação, os movimentos vão continuar a manifestar-se em torno de várias questões, entre as quais se destacam a questão fundiária e étnica, com uma distribuição espacial que nem sempre responde a padrões regionais, que por vezes ligam diferentes pontos do mundo. manifesta-se longe do território de origem. As iniciativas agroecológicas se reconfiguraram durante a pandemia com a modalidade virtual na educação e o crescimento das feiras e bolsas na comercialização. Essa territorialização dos movimentos reflete, em última análise, a disputa pelo modelo de desenvolvimento

Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial

Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure <= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.13Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt