Assistência de enfermagem voltada à segurança do paciente em uma maternidade de alto risco de um hospital estadual no Município da Serra, Espírito Santo, Brasil

The aim was to report the experience of applying nursing care focused on patient safety in a maternity hospital. For this, we carried out the application of the project in two segments, the first segment being destined to a presentation about the project and punctuating the objective. The second segment of the project aims to offer training participants, patients and their companions a booklet that contains the correct techniques and procedures based on recent literature and articulated with the institution's recommendations. After applying the study, it was possible to notice that all participants correctly answered question A regarding nursing notes, however, 27% of professionals incorrectly answered question B regarding the MEWS scale, which denotes a deficiency in classifying, Accurately score and measure a patient's MEWS scale. The booklet was received with good salvos by the professionals. This project contributed to ensure that the patient and companion are aware of the risks of care and their care, in addition to meeting the institution's demand.Objetivou-se relatar a experiencia da aplicação da assistência de enfermagem voltada à segurança do paciente em uma maternidade. Para isso, realizamos a aplicação do projeto em dois segmentos, sendo o primeiro segmento destinado a uma apresentação sobre o projeto e pontuando o objetivo. O segundo segmento do projeto visa ofertar aos participantes do treinamento, e aos pacientes e seus acompanhantes uma cartilha que contenha as técnicas e procedimentos corretos pela literatura recente e articulada com as recomendações da própria instituição. Após a aplicação do estudo, foi possível perceber que todos os participantes responderam corretamente à questão A referente anotação de enfermagem, no entanto, 27% profissionais responderam de forma incorreta a questão B referente a escala de MEWS, o que denota uma deficiência em classificar, pontuar e aferir com precisão a escala de MEWS de um paciente. A cartilha foi recebida com boas salvas pelos profissionais. Este projeto contribuiu para garantir que paciente e acompanhante conheçam os riscos assistências e seus cuidado, além de sanar a demanda da instituição

Bentonites Modified with Phosphomolybdic Heteropolyacid (HPMo) for Biowaste to Biofuel Production

Two bentonites from Paraíba (Northeastern Brazil) were impregnated with heteropoly phosphomolybdic H3PMo12O40 (HPMo). The materials produced were characterized by various techniques such as N2 adsorption-desorption (specific surface area, SSA), Fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), Thermogravimetric analysis (TGA/DTG), Scanning Electron Microscopy (SEM) equipped with Dispersive Energy X-ray spectroscopy (EDS), ultraviolet-visible spectroscopy (UV-vis), acid-base titration analysis. The catalytic activity of these materials was tested in the esterification of a waste from palm oil deodorization and the main results obtained (about 93.3% of conversion) indicated that these materials have potential to act as heterogeneous solid acid catalysts. The prepared materials exhibited satisfactory catalytic performance even after a very simple recycling process in three reuse cycles, without significant loss of their activities

Assessment of risk scores to predict mortality of COVID-19 patients admitted to the intensive care unit

ObjectivesTo assess the ABC2-SPH score in predicting COVID-19 in-hospital mortality, during intensive care unit (ICU) admission, and to compare its performance with other scores (SOFA, SAPS-3, NEWS2, 4C Mortality Score, SOARS, CURB-65, modified CHA2DS2-VASc, and a novel severity score).Materials and methodsConsecutive patients (≥ 18 years) with laboratory-confirmed COVID-19 admitted to ICUs of 25 hospitals, located in 17 Brazilian cities, from October 2020 to March 2022, were included. Overall performance of the scores was evaluated using the Brier score. ABC2-SPH was used as the reference score, and comparisons between ABC2-SPH and the other scores were performed by using the Bonferroni method of correction. The primary outcome was in-hospital mortality.ResultsABC2-SPH had an area under the curve of 0.716 (95% CI 0.693–0.738), significantly higher than CURB-65, SOFA, NEWS2, SOARS, and modified CHA2DS2-VASc scores. There was no statistically significant difference between ABC2-SPH and SAPS-3, 4C Mortality Score, and the novel severity score.ConclusionABC2-SPH was superior to other risk scores, but it still did not demonstrate an excellent predictive ability for mortality in critically ill COVID-19 patients. Our results indicate the need to develop a new score, for this subset of patients

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

TEOR DE ETANOL ANIDRO DE DIFERENTES PROCEDÊNCIAS NA REGIÃO DE RONDONÓPOLIS-MT

No Brasil a gasolina é segundo combustível mais consumido, ficando apenas atrás do óleo diesel, sua composição final é influenciada por diversos fatores como a origem do petróleo, e os processos de produção. Os hidrocarbonetos presentes na gasolina pertencem principalmente a cadeias de 4 a 12 átomos de carbono, com pontos de ebulição variando de 30 ºC a 215 ºC, ao ser adicionado solventes provocará alterações nas propriedades físico-químicas da gasolina, este trabalho teve como objetivo a realização de ensaios para averiguar os teores de etanol anidro na gasolina tipo C de diferentes procedências na região de Rondonópolis-MT usando como base para o desenvolvimento dos ensaios a NBR 13992  no período de outubro a Dezembro de 2016 foram coletadas 4 amostras 1000ml de gasolina tipo C de procedência diferentes. Os valores obtidos para as procedências A e B estão dentro das exigências das normas da ANP na resolução ANP Nº 30 de 26/06/2015 onde estabelece os teores de 24 a 26 % de etanol anidro e os valores das procedências C e D não estão de acordo com as normas da ANP segundo os resultados obtidos pela a pesquisa

Efficient esterification of eugenol using a microwave-activated waste kaolin

Abstract: Eugenyl acetate has been investigated because of its beneficial bioactive antioxidant, antimicrobial and potential properties against the development of Aedes aegypti larvae. Here, we report, for the first time, the use of a catalyst prepared from flint kaolin with microwave irradiation for the acetylation of eugenol. A few kinetic parameters were evaluated in the experiments used for eugenol ester synthesis. High conversions (98%) were obtained after 1 h of reaction. The prepared material shows good activity (over 90%) even after 4 cycles of use. Therefore, the use of microwave radiation made it possible to prepare a catalyst in a very short time using a low-cost industrial by-product as a raw material that proved to be highly active, in addition to the additional advantage of being reusable, which would reduce possible environmental impacts caused by its disposal in the environment. Graphic abstract: [Figure not available: see fulltext.]. © 2020, Akadémiai Kiadó, Budapest, Hungary

Bentonites modified with phosphomolybdic heteropolyacid (HPMo) for biowaste to biofuel production

Two bentonites from Paraíba (Northeastern Brazil) were impregnated with heteropoly phosphomolybdic H 3 PMo 12 O 40 (HPMo). The materials produced were characterized by various techniques such as N 2 adsorption-desorption (specific surface area, SSA), Fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), Thermogravimetric analysis (TGA/DTG), Scanning Electron Microscopy (SEM) equipped with Dispersive Energy X-ray spectroscopy (EDS), ultraviolet-visible spectroscopy (UV-vis), acid-base titration analysis. The catalytic activity of these materials was tested in the esterification of a waste from palm oil deodorization and the main results obtained (about 93.3% of conversion) indicated that these materials have potential to act as heterogeneous solid acid catalysts. The prepared materials exhibited satisfactory catalytic performance even after a very simple recycling process in three reuse cycles, without significant loss of their activities. © 2019 by the authors