Imagens sociais de famílias com filhos em acolhimento e em contexto familiar: um estudo entre Brasil e Portugal

A literatura indica que as famílias de crianças e jovens em acolhimento institucional podem ser estigmatizadas socialmente, gerando um impacto negativo no seu bem-estar, na construção da sua identidade e no sucesso da intervenção familiar. No entanto, poucos estudos investigam empiricamente esta imagem social. Este estudo teve como objetivo analisar a imagem social das famílias de crianças e jovens em diferentes contextos em Portugal e no Brasil. Uma amostra de 378 participantes (176 portugueses e 202 brasileiros) foi solicitada a indicar cinco atributos de famílias de crianças e jovens em acolhimento institucional e outros cinco atributos de famílias de crianças e jovens em contexto familiar, de estatutos socioeconômicos baixo e médio. Os dados indicam que em ambos os países existe um predomínio de atributos negativos associados às famílias de crianças e jovens em acolhimento institucional e de estatuto socioeconômico baixo, e um predomínio de atributos positivos associados às famílias em contexto familiar de estatuto socioeconômico médio. Destaca-se a necessidade de intervenções, especialmente com profissionais que atuam junto a essa população, para conscientização sobre essas imagens sociais.info:eu-repo/semantics/publishedVersio

Essential earth observation variables for high-level multi-scale indicators and policies

Several holistic approaches are based on the description of socio-ecological systems to address the sustainability challenge. Essential Variables (EVs) have the potential to support these approaches by describing the status of the Earth system through monitoring and modeling. The different classes of EVs can be organized along the environmental policy framework of Drivers, Pressures, States, Impacts and Responses. The EV concept represents an opportunity to strengthen monitoring systems by providing observations to seize the fundamental dimensions of the Earth system The Group on Earth Observation (GEO) is a partnership of 113 nations and 134 participating organizations in 2021 that are dedicated to making Earth Observation (EO) data available globally to inform about the state of the environment and enable data-driven decision processes. GEO is building the Global Earth Observation System of Systems, a set of coordinated and independent EO, information and processing systems that interoperate to provide access to EO for users in the public and private sectors. The progresses made in the development of various classes of EVs are described with their main policy targets, Internet links and key references The paper reviews the literature on EVs and describes the main contributions of the EU GEOEssential project to integrate EVs within the work plan of GEO in order to better address selected environmental policies and the SDGs. A new GEO-EVs community has been set to discuss about the current status of the EVs, exchange knowledge, experiences and assess the gaps to be solved in their communities of providers and users. A set of four traits characterizing an EV was put forward to describe the entire socio-ecological system of planet Earth: Essentiality, Evolvability, Unambiguity, and Feasibility. A workflow from the identification of EO data sources to the final visualization of SDG 15.3.1 indicators on land degradation is demonstrated, spanning through the use of different EVs, the definition of the knowledge base on this indicator, the implementation of the workflow in the VLab (a cloud-based processing infrastructure), the presentation of the outputs on a dedicated dashboard and the corresponding narrative through a story map. The concept of EV started in the climate sphere and spread to other domains of the earth system but less so in socio-economic activities. More work is therefore needed to converge on a common definition and criteria in order to complete the implementation of EVs in all GEO focus areas. EVs should screen the entire Earth's social-ecological system, providing a trusted and long-term foundation for interdisciplinary approaches such as ecological footprinting, planetary boundaries, disaster risk reduction, and nexus frameworks, as well as many other policy frameworks such as the SDG

A review of the trunk surface metrics used as Scoliosis and other deformities evaluation indices

<p>Abstract</p> <p>Background</p> <p>Although scoliosis is characterized by lateral deviation of the spine, a 3D deformation actually is responsible for geometric and morphologic changes in the trunk and rib cage. In a vast related medical literature, one can find quite a few scoliosis evaluation indices, which are based on back surface data and are generally measured along three planes. Regardless the large number of such indices, the literature is lacking a coherent presentation of the underlying metrics, the involved anatomic surface landmarks, the definition of planes and the definition of the related body axes. In addition, the long list of proposed scoliotic indices is rarely presented in cross-reference to each other. This creates a possibility of misunderstandings and sometimes irrational or even wrong use of these indices by the medical society.</p> <p>Materials and methods</p> <p>It is hoped that the current work contributes in clearing up the issue and gives rise to innovative ideas on how to assess the surface metrics in scoliosis. In particular, this paper presents a thorough study on the scoliosis evaluation indices, proposed by the medical society.</p> <p>Results</p> <p>More specifically, the referred indices are classified, according to the type of asymmetry they measure, according to the plane they refer to, according to the importance, and relevance or the level of scientific consensus they enjoy.</p> <p>Conclusions</p> <p>Surface metrics have very little correlation to Cobb angle measurements. Indices measured on different planes do not correlate to each other. Different indices exhibit quite diverging characteristics in terms of observer-induced errors, accuracy, sensitivity and specificity. Complicated positioning of the patient and ambiguous anatomical landmarks are the major error sources, which cause observer variations. Principles that should be followed when an index is proposed are presented.</p

The ChoCO-W prospective observational global study: Does COVID-19 increase gangrenous cholecystitis?

Background: The incidence of the highly morbid and potentially lethal gangrenous cholecystitis was reportedly increased during the COVID-19 pandemic. The aim of the ChoCO-W study was to compare the clinical findings and outcomes of acute cholecystitis in patients who had COVID-19 disease with those who did not. Methods: Data were prospectively collected over 6&nbsp;months (October 1, 2020, to April 30, 2021) with 1-month follow-up. In October 2020, Delta variant of SARS CoV-2 was isolated for the first time. Demographic and clinical data were analyzed and reported according to the STROBE guidelines. Baseline characteristics and clinical outcomes of patients who had COVID-19 were compared with those who did not. Results: A total of 2893 patients, from 42 countries, 218 centers, involved, with a median age of 61.3 (SD: 17.39) years were prospectively enrolled in this study; 1481 (51%) patients were males. One hundred and eighty (6.9%) patients were COVID-19 positive, while 2412 (93.1%) were negative. Concomitant preexisting diseases including cardiovascular diseases (p &lt; 0.0001), diabetes (p &lt; 0.0001), and severe chronic obstructive airway disease (p = 0.005) were significantly more frequent in the COVID-19 group. Markers of sepsis severity including ARDS (p &lt; 0.0001), PIPAS score (p &lt; 0.0001), WSES sepsis score (p &lt; 0.0001), qSOFA (p &lt; 0.0001), and Tokyo classification of severity of acute cholecystitis (p &lt; 0.0001) were significantly higher in the COVID-19 group. The COVID-19 group had significantly higher postoperative complications (32.2% compared with 11.7%, p &lt; 0.0001), longer mean hospital stay (13.21 compared with 6.51&nbsp;days, p &lt; 0.0001), and mortality rate (13.4% compared with 1.7%, p &lt; 0.0001). The incidence of gangrenous cholecystitis was doubled in the COVID-19 group (40.7% compared with 22.3%). The mean wall thickness of the gallbladder was significantly higher in the COVID-19 group [6.32 (SD: 2.44) mm compared with 5.4 (SD: 3.45) mm; p &lt; 0.0001]. Conclusions: The incidence of gangrenous cholecystitis is higher in COVID patients compared with non-COVID patients admitted to the emergency department with acute cholecystitis. Gangrenous cholecystitis in COVID patients is associated with high-grade Clavien-Dindo postoperative complications, longer hospital stay and higher mortality rate. The open cholecystectomy rate is higher in COVID compared with non -COVID patients. It is recommended to delay the surgical treatment in COVID patients, when it is possible, to decrease morbidity and mortality rates. COVID-19 infection and gangrenous cholecystistis are not absolute contraindications to perform laparoscopic cholecystectomy, in a case by case evaluation, in expert hands. Graphical abstract: [Figure not available: see fulltext.