Clínica Psicodinâmica do Trabalho: a prática em diversos contextos de trabalho

This study aims to present clinical practice under various work contexts, recently held from North to South of Brazil. The psychodynamic clinic of labour is characterized by the analysis of mental processes mobilized by the meeting between the subject and the impositions generated by the work organization five clinical practices are presented that are developed in laboratories of labor psychodynamics at the University of Brasilia (DF), Federal University of Amazonas and Federal University of Rio Grande do Sul, Brazil. These practices provide a systematic methodology in labour clinic resulting in unique practices depending on the sociocultural and institutional reality of each studied category. The reported experiences show the demand diversity and the importance of the clinic listening of work suffering. The reports show that the distance between the prescribed and the true rules which triggers the suffering is also the researchers' tasks, requiring mobilization and creation of suitable alternatives in each reality. It also indicates the need for future studies to articulate other fields that contribute to deepen the use of listening devices. It seems a powerful reference for psychoanalysis. This articulation contributes to suffering's analytical listening and supports a construction proposal of an Analytical Clinic of Labour

Clínica Psicodinâmica do Trabalho: a prática em diversos contextos de trabalho

O objetivo deste estudo é apresentar práticas clínicas, em diversos contextos de trabalho, realizadas recentemente de norte a sul do Brasil. A clínica psicodinâmica do trabalho caracteriza-se pela análise dos processos psíquicos mobilizados pelo encontro entre o sujeito e as imposições geradas pela organização do trabalho. São apresentadas cinco práticas clínicas desenvolvidas nos Laboratórios de Psicodinâmica do Trabalho da Universidade de Brasília e da Universidade Federal do Amazonas da Universidade Federal do Rio Grande do Sul. São práticas que sistematizam a metodologia em clínica do trabalho, apresentando especificidades e singularidades, a depender da realidade sociocultural e institucional de cada categoria estudada. As experiências relatadas evidenciam a diversidade de demandas e a importância da escuta clínica do sofrimento no trabalho. Os relatos evidenciam que a distância entre o prescrito e o real, que desencadeia o sofrimento, também está presente no fazer dos pesquisadores, demandando mobilização e criação de alternativas adequadas a cada realidade. Ainda, indica como perspectiva para futuros estudos, a necessidade de articular outros campos que contribuam para aprofundar o uso dos dispositivos de escuta. Apresenta-se como um referencial potente para essa referência a psicanálise. Essa articulação contribui para uma escuta analítica do sofrimento e sustenta uma proposta de construção de uma Clínica Analítica do Trabalho.Palavras-chave: Clínica do trabalho; psicodinâmica do trabalho; espaço de discussãoABSTRACTThis study aims to present clinical practice under various work contexts, recently held from North to South of Brazil. The psychodynamic clinic of labour is characterized by the analysis of mental processes mobilized by the meeting between the subject and the impositions generated by the work organization five clinical practices are presented that are developed in laboratories of labor psychodynamics at the University of Brasilia (DF), Federal University of Amazonas and Federal University of Rio Grande do Sul, Brazil. These practices provide a systematic methodology in labour clinic resulting in unique practices depending on the sociocultural and institutional reality of each studied category. The reported experiences show the demand diversity and the importance of the clinic listening of work suffering. The reports show that the distance between the prescribed and the true rules which triggers the suffering is also the researchers' tasks, requiring mobilization and creation of suitable alternatives in each reality. It also indicates the need for future studies to articulate other fields that contribute to deepen the use of listening devices. It seems a powerful reference for psychoanalysis. This articulation contributes to suffering's analytical listening and supports a construction proposal of an Analytical Clinic of Labour.Keywords: Labour Clinic; labour psychodynamics; discussion spac

Clínica Psicodinâmica do Trabalho: a prática em diversos contextos de trabalho

This study aims to present clinical practice under various work contexts, recently held from North to South of Brazil. The psychodynamic clinic of labour is characterized by the analysis of mental processes mobilized by the meeting between the subject and the impositions generated by the work organization five clinical practices are presented that are developed in laboratories of labor psychodynamics at the University of Brasilia (DF), Federal University of Amazonas and Federal University of Rio Grande do Sul, Brazil. These practices provide a systematic methodology in labour clinic resulting in unique practices depending on the sociocultural and institutional reality of each studied category. The reported experiences show the demand diversity and the importance of the clinic listening of work suffering. The reports show that the distance between the prescribed and the true rules which triggers the suffering is also the researchers' tasks, requiring mobilization and creation of suitable alternatives in each reality. It also indicates the need for future studies to articulate other fields that contribute to deepen the use of listening devices. It seems a powerful reference for psychoanalysis. This articulation contributes to suffering's analytical listening and supports a construction proposal of an Analytical Clinic of Labour

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

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

Comparative analysis of vitamin A and iron content in food according to different food composition tables and nutritional evaluation software programs

The objective of this study was to analyze retinol equivalent and iron content in different food composition tables and nutritional evaluation software programs. A literature search was conduct to identify tables and software available in Brazil containing information about retinol equivalent and iron content that are currently used by nutritionists. Ten tables and five software programs were selected for this study. The methodology used to present the retinol equivalent and iron content was evaluated and no pattern to obtain such content was found in the tables and software programs analyzed. Only one of the tables had enough information for the calculation of retinol equivalents; this table is recommended to all Latin America As for the iron content, three of the tables analyzed stand out and therefore should be used; two of them are based on national foods and the other is recommended for use in all Latin America countries. None of the software programs evaluated use the conversion factors suggested by IVACG to assess the vitamin A content in foods. Special attention should be given to the content of iron provided in the software programs since they use tables as international sources and fortified foods

Respostas de lactato, esforço percebido, frequência cardíaca, triptofano, prolactina e ácidos graxos à série de natação na velocidade crítica

O estudo avaliou, na intensidade de 100% da velocidade crítica (VC), o comportamento de concentração de lactato sanguíneo ([LA]), esforço percebido (EP), frequência cardíaca (FC), concentrações plasmáticas de triptofano [TRP], de prolactina ([PRL]) e de ácidos graxos livres ([AGL]). Catorze nadadores realizaram dois protocolos distintos: 1) repetições de 200 e 400 m, em máxima intensidade (V200 e V400) para a determinação da VC; 2) série VC (repetições de 400 m), com intervalos de 40 s. Os principais resultados foram: (1) [TRP] e [AGL] não apresentaram diferenças entre repouso e exaustão (p > 0,05); (2) aumento da [PRL], da [LA], da FC e do EP (p < 0,05) ao longo da série VC. Assim o aumento da [PRL] pode indicar manifestação de fadiga central na intensidade correspondente à VC