O ENFERMEIRO NO PROGRAMA DE INTERNAÇÃO DOMICILIAR: A VISÃO DO USUÁRIO E DA FAMÍLIA

The objective of the study was to identify the Nurse's performance together with the users of the Program of Home Internment (PHI). An approach of descriptive, exploratory, and qualitative nature was used. Data were collected through a semi-structured interview. The sample was constituted of ten users that had received care from the Program of Home Internment of a municipal district of the interior of Rio Grande do Sul, Brazil. The study made possible a theoretical-practice approach in relation to the program, indicating that the users identify the Nurse in contrast to the other members of the health care team. The main activities that relate to the Nurse are technical care and orientation actions. For the users it is important that the Nurse is identified on first contact with the patient, as this is one of the prerogatives in establishing a continuous and detailed support regarding care and in the interviewees’ opinion the key for the success of the program.El estudio tuvo como objetivo identificar la actuación del Enfermero junto a los usuarios del Programa de Internación Domiciliaria (PID). Fue utilizado un abordaje de naturaleza descriptiva, exploratoria y cualitativa. Los datos fueron colectados por medio de una entrevista semi-estructurada. La muestra se constituyó de diez usuarios que habían sido atendidos por el Programa de Internación Domiciliaria de un municipio del interior de Río Grande do Sul. El estudio posibilitó una aproximación teórica-práctica en relación al programa, indicando que los usuarios identifican al Enfermero en contraste con los demás componentes del equipo de salud. Las principales actividades que relacionan al Enfermero son acciones de cuidado técnico y de orientación. Para los usuarios es importante que el Enfermero se identifique nada más contactar con el paciente, siendo esta una de las prerrogativas para establecer un soporte continuo y detallado con respecto a los cuidados y en la opinión de los entrevistados punto clave del éxito del programa.O estudo teve como objetivo identificar a atuação do Enfermeiro com os usuários do Programa de Internação Domiciliar (PID). Foi utilizada uma abordagem de natureza descritiva, exploratória e de análise qualitativa. Os dados foram coletados através de entrevista semi-estruturada. A amostra constituiu-se de dez usuários que haviam sido assistidos pelo Programa de Internação Domiciliar de um município do interior do Rio Grande do Sul. O estudo possibilitou uma aproximação teórico-prática em relação ao programa, indicando que os usuários identificam o Enfermeiro em contraste aos demais componentes da equipe de saúde. As principais atividades que relacionam ao Enfermeiro são ações de cuidado técnico e de orientação. Para os usuários é importante que o Enfermeiro se identifique assim que contatar com o paciente, sendo esta uma das prerrogativas para estabelecer um suporte contínuo e detalhado com relação aos cuidados e na opinião dos entrevistados ponto chave de êxito do programa

Wanted dead or alive : high diversity of macroinvertebrates associated with living and ’dead’ Posidonia oceanica matte

The Mediterranean endemic seagrass Posidonia oceanica forms beds characterised by a dense leaf canopy and a thick root-rhizome ‘matte’. Death of P. oceanica shoots leads to exposure of the underlying matte, which can persist for many years, and is termed ‘dead’ matte. Traditionally, dead matte has been regarded as a degraded habitat. To test whether this assumption was true, the motile macroinvertebrates of adjacent living (with shoots) and dead (without shoots) matte of P. oceanica were sampled in four different plots located at the same depth (5–6 m) in Mellieha Bay, Malta (central Mediterranean). The total number of species and abundance were significantly higher (ANOVA; P<0.05 and P<0.01, respectively) in the dead matte than in living P. oceanica matte, despite the presence of the foliar canopy in the latter. Multivariate analysis (MDS) clearly showed two main groups of assemblages, corresponding to the two matte types. The amphipods Leptocheirus guttatus and Maera grossimana, and the polychaete Nereis rava contributed most to the dissimilarity between the two different matte types. Several unique properties of the dead matte contributing to the unexpected higher number of species and abundance of motile macroinvertebrates associated with this habitat are discussed. The findings have important implications for the conservation of bare P. oceanica matte, which has been generally viewed as a habitat of low ecological value.peer-reviewe

Imaging-guided chest biopsies: techniques and clinical results

Background This article aims to comprehensively describe indications, contraindications, technical aspects, diagnostic accuracy and complications of percutaneous lung biopsy. Methods Imaging-guided biopsy currently represents one of the predominant methods for obtaining tissue specimens in patients with lung nodules; in many cases treatment protocols are based on histological information; thus, biopsy is frequently performed, when technically feasible, or in case other techniques (such as bronchoscopy with lavage) are inconclusive. Results Although a coaxial system is suitable in any case, two categories of needles can be used: fine-needle aspiration biopsy (FNAB) and core-needle biopsy (CNB), with the latter demonstrated to have a slightly higher overall sensitivity, specificity and accuracy. Conclusion Percutaneous lung biopsy is a safe procedure even though a few complications are possible: pneumothorax, pulmonary haemorrhage and haemoptysis are common complications, while air embolism and seeding are rare, but potentially fatal complications

Image informatics strategies for deciphering neuronal network connectivity

Brain function relies on an intricate network of highly dynamic neuronal connections that rewires dramatically under the impulse of various external cues and pathological conditions. Among the neuronal structures that show morphologi- cal plasticity are neurites, synapses, dendritic spines and even nuclei. This structural remodelling is directly connected with functional changes such as intercellular com- munication and the associated calcium-bursting behaviour. In vitro cultured neu- ronal networks are valuable models for studying these morpho-functional changes. Owing to the automation and standardisation of both image acquisition and image analysis, it has become possible to extract statistically relevant readout from such networks. Here, we focus on the current state-of-the-art in image informatics that enables quantitative microscopic interrogation of neuronal networks. We describe the major correlates of neuronal connectivity and present workflows for analysing them. Finally, we provide an outlook on the challenges that remain to be addressed, and discuss how imaging algorithms can be extended beyond in vitro imaging studies

Bayes Factors for Mixed Models: a Discussion

van Doorn et al. (2021) outlined various questions that arise when conducting Bayesian model comparison for mixed effects models. Seven response articles offered their own perspective on the preferred setup for mixed model comparison, on the most appropriate specification of prior distributions, and on the desirability of default recommendations. This article presents a round-table discussion that aims to clarify outstanding issues, explore common ground, and outline practical considerations for any researcher wishing to conduct a Bayesian mixed effects model comparison

Response of Coastal Fishes to the Gulf of Mexico Oil Disaster

The ecosystem-level impacts of the Deepwater Horizon disaster have been largely unpredictable due to the unique setting and magnitude of this spill. We used a five-year (2006–2010) data set within the oil-affected region to explore acute consequences for early-stage survival of fish species inhabiting seagrass nursery habitat. Although many of these species spawned during spring-summer, and produced larvae vulnerable to oil-polluted water, overall and species-by-species catch rates were high in 2010 after the spill (1,989±220 fishes km-towed−1 [μ ± 1SE]) relative to the previous four years (1,080±43 fishes km-towed−1). Also, several exploited species were characterized by notably higher juvenile catch rates during 2010 following large-scale fisheries closures in the northern Gulf, although overall statistical results for the effects of fishery closures on assemblage-wide CPUE data were ambiguous. We conclude that immediate, catastrophic losses of 2010 cohorts were largely avoided, and that no shifts in species composition occurred following the spill. The potential long-term impacts facing fishes as a result of chronic exposure and delayed, indirect effects now require attention

Measurement of Lifetime and Decay-Width Difference in B0s -> J/psi phi Decays

We measure the mean lifetime, tau=2/(Gamma_L+Gamma_H), and the width difference, DeltaGamma=Gamma_L-Gamma_H, of the light and heavy mass eigenstates of the B0s meson, B0sL and B0sH, in B0s -> J/psi phi decays using 1.7 fb^-1 of data collected with the CDF II detector at the Fermilab Tevatron ppbar collider. Assuming CP conservation, a good approximation for the B0s system in the Standard Model, we obtain DeltaGamma = 0.076^+0.059_-0.063 (stat.) +- 0.006 (syst.) ps^-1 and tau = 1.52 +- 0.04 (stat.) +- 0.02 (syst.) ps, the most precise measurements to date. Our constraints on the weak phase and DeltaGamma are consistent with CP conservation. Dedicated to the memory of our dear friend and colleague, Michael P. Schmid