Avaliação das medidas de biosegurança na execução da técnica radiografica intrabucal durante procedimentos clínicos e endodônticos / Evaluation of biosafety measures in the execution of the intraoral radiographic technique during clinical and endodontic procedures

O objetivo desse estudo foi avaliar as medidas de biossegurança dos alunos de odontologia da UEPB durante a execução das técnicas radiográficas quando da realização dos procedimentos clínicos e endodônticos. O estudo realizado foi do tipo observacional, transversal, de abordagem quantitativa e a coleta de dados ocorreu a partir da observação das medidas de biossegurança tomadas pelos estudantes durante a aquisição radiográfica no serviço de radiologia do departamento de odontologia da UEPB. Foram analisados 52 alunos dos quais 40,38% não precisaram da ajuda de um supervisor durante o procedimento, 63,46% dos alunos não deram orientações para os seus pacientes antes do exame e nenhum paciente foi acompanhado. Todos os estudantes utilizaram jaleco e sapato fechado branco, 96,15% usaram touca, 25% utilizaram óculos de proteção, 80,77% utilizaram máscara e 94,23% luva. Em relação à proteção do paciente durante a tomada radiográfica, 98,07% utilizou o avental plumbífero e 90,38% usou o protetor de tireoide. Não houve a necessidade de repetição da técnica em 90,38%. Conclui-se que os alunos do curso de Odontologia da Universidade Estadual da Paraíba - Campus I que tiveram as suas condutas de biossegurança durante as tomadas radiográficas analisadas possuem, em geral, boas medidas de biossegurança, apesar de que as mesmas devem ser melhoradas para maior segurança e bem estar dos alunos e dos pacientes.

Health in School Program: From training processes to practice scenarios

Introduction: The Health in School Program (PSE) is an intersectoral policy between the ministries of health and education with the perspective of integral attention (prevention, promotion and attention) to the health of children, adolescents and young people in basic public education, within the framework of schools and basic health units. It has five structural components to be developed by professionals, who need ongoing training to reach their goals and goals.Objective: To analyse the training process of PSE health and education professionals. Methods: Qualitative research, based on the theoretical framework of Paulo Freire, whose epistemological categories were compiled by Ecco (reading of the world, significant themes, dialogue, curiosity and problematization). Collection of data was conducted through an interview with 45 professionals and analysed. Results: The reading of the world in relation to the training was permeated with doubts regarding the work with the adolescents. Regarding the significant themes, they expressed an interest in studying some content for the particularities of this publication. The dialogue was encouraged in the transfer of the information and determinations established by management. As for the curiosity, the professionals pointed out uncertainties about the continuity of the actions of the programme and reported learning needs that were not contemplated. The problematization was not evident in the speeches. Conclusion: There are gaps in the professional formation in the PSE for an action that considers the promotion of health in adolescents. Introdução: O Programa Saúde na Escola (PSE) é  uma política intersetorial entre os ministérios da saúde e da educação com a perspectiva da atenção integral (prevenção, promoção e atenção) à saúde de crianças, adolescentes e jovens do ensino público básico, no âmbito das escolas e unidades básicas de saúde. Possui cinco componentes estruturantes a serem desenvolvidos pelos profissionais, que necessitam de formação permanente para o alcance de seus objetivos e metas. Objetivo: Analisar o processo de formação dos profissionais de saúde e educação do PSE. Método: Pesquisa qualitativa, fundamentada no referencial teórico de Paulo Freire, cujas categorias epistemológicas foram compiladas por Ecco (leitura de mundo, temáticas significativas, diálogo, curiosidade e problematização). Coleta realizada por meio de entrevista com 45 profissionais e analisada a partir do referencial.Resultados: A leitura de mundo em relação à formação apresentou-se permeada de dúvidas para o trabalho com os adolescentes. No tocante às temáticas significativas, manifestaram interesse em estudar alguns conteúdos pelas particularidades deste público. O diálogo foi incitado no repasse das informações e determinações estabelecidas pela gestão. Quanto à curiosidade, os profissionais apontaram incertezas acerca da continuidade das ações do programa, e relataram necessidades de aprendizagem não contempladas. A problematização não foi evidenciada nas falas. Conclusão: Destacam-se lacunas na formação do profissional no PSE para uma atuação que considere a promoção de saúde do adolescente

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost

RUPTURES AT THE URBAN NETWORK AND FACES OF THE LABOR MARKET

The Globalization of the capital is one of the greatest agents propelling the work division. By augmenting the general conditions of production in the diverse scales, it aggregates several new spaces to the circulation and production of goods. This reverberates territorially in the de-concentration of production, reaffirming more and more the need of a technical and territorial of work, as well as a new way of work organization, having in mind the encouragement of productivity. The restructuring of the productive processes provokes many changes at the social reproduction and the organization of the geographic space. In Brazil, specially since the 1980s many places become attractive for the modern production and have been incorporated to the globalized productive circuits of national and multi-national firms of different branches of economics. Among the results, it could be mentioned the economic and territorial restructuring of various natures and magnitudes, bringing about new characteristics to he urban network. At this article, we aim to present, considering the current situation, some of the effects of these processes, materialized in a medium size city and its respective region places at the Brazilian semi-arid zone. We highlight the conformation of the technical and territorial work division by working on the data of formal work

Rupturas na rede urbana e faces do mercado de trabalho Ruptures at the urban network and faces of the labor market

A mundialização do capital é um grande propulsor de divisão do trabalho. Ao potencializar as condições gerais de produção nas diversas escalas, agrega inúmeros novos espaços para a circulação e produção de bens. Isso repercute territorialmente numa desconcentração da produção, reafirmando cada vez mais a necessidade da divisão técnica e territorial do trabalho, bem como de uma nova maneira de organizá-lo, tendo em vista o fomento da produtividade. A reestruturação dos processos produtivos desencadeia mudanças diversas tanto na reprodução social como na organização do espaço geográfico. No Brasil, especialmente desde a década de 1980, muitos lugares tornam-se atrativos à produção moderna e são incorporados aos circuitos produtivos globalizados de empresas nacionais e multinacionais de diferentes ramos da economia. Entre os resultados, teríamos reestruturações econômicas e territoriais de várias naturezas e magnitudes, imprimindo novas características à rede urbana. No presente artigo temos como objetivo apresentar, a luz da conjuntura atual, alguns dos rebatimentos de tais processos materializados numa cidade de porte médio e respectiva região localizada no semiárido brasileiro. O destaque será dado à conformação da divisão técnica e territorial do trabalho, a partir de dados do mercado de trabalho formal.<br>The Globalization of the capital is one of the greatest agents propelling the work division. By augmenting the general conditions of production in the diverse scales, it aggregates several new spaces to the circulation and production of goods. This reverberates territorially in the de-concentration of production, reaffirming more and more the need of a technical and territorial of work, as well as a new way of work organization, having in mind the encouragement of productivity. The restructuring of the productive processes provokes many changes at the social reproduction and the organization of the geographic space. In Brazil, specially since the 1980s many places become attractive for the modern production and have been incorporated to the globalized productive circuits of national and multi-national firms of different branches of economics. Among the results, it could be mentioned the economic and territorial restructuring of various natures and magnitudes, bringing about new characteristics to he urban network. At this article, we aim to present, considering the current situation, some of the effects of these processes, materialized in a medium size city and its respective region places at the Brazilian semi-arid zone. We highlight the conformation of the technical and territorial work division by working on the data of formal work

The impact of the early COVID-19 pandemic on healthcare system resource use and costs in two provinces in Canada: An interrupted time series analysis.

IntroductionThe aim of our study was to assess the initial impact of COVID-19 on total publicly-funded direct healthcare costs and health services use in two Canadian provinces, Ontario and British Columbia (BC).MethodsThis retrospective repeated cross-sectional study used population-based administrative datasets, linked within each province, from January 1, 2018 to December 27, 2020. Interrupted time series analysis was used to estimate changes in the level and trends of weekly resource use and costs, with March 16-22, 2020 as the first pandemic week. Also, in each week of 2020, we identified cases with their first positive SARS-CoV-2 test and estimated their healthcare costs until death or December 27, 2020.ResultsThe resources with the largest level declines (95% confidence interval) in use in the first pandemic week compared to the previous week were physician services [Ontario: -43% (-49%,-37%); BC: -24% (-30%,-19%) (both pConclusionsReduced utilization of healthcare services in the overall population outweighed utilization by COVID-19 patients in 2020. Meeting the needs of all patients across all services is essential to maintain resilient healthcare systems