Sistematização da assistência de enfermagem a pacientes com distúrbios depressivos/ Systematization of nursing care for patients with depressive disorders

A depressão é um transtorno de saúde mental caracterizado por tristeza profunda, ansiedade e medo. Considerada problema de saúde pública, sendo a quarta doença a gerar mais custos em leitos hospitalares no Brasil. Existem fatores de risco que predispõe o aparecimento dessa patologia, como traumas na infância, grau elevado de estresse e fatores genéticos, podendo prejudicar até mesmo as atividades cotidianas do individuo. O objetivo desse trabalho foi enfatizar a sistematização da assistência de enfermagem a pacientes diagnosticados com depressão. Através de revisão sistemática da literatura cientifica, objetivando temas da área da saúde, onde foram encontrados 40 artigos, e selecionado 21 artigos científicos, com maior relevância em seus dados, no período de 2009 a 2019. Onde foi observado que o enfermeiro tem o papel fundamental na reabilitação do paciente: sistematizando, individualizando, administrando e assumindo o papel de prestador do cuidado de enfermagem junto à equipe, garantindo a precisão e coesão na assistência ao paciente. Através da ferramenta SAE dispõe ao enfermeiro avaliar o paciente de maneira holística promovendo sua recuperação e inserção na sociedade

Hipercapnia permissiva em neonatologia na prevenção da displasia broncopulmonar: revisão sistemática.

Objective: To analyze the effects of permissive hypercapnia in reducing lung injury and the development of BPD in newborns in the Neonatal Intensive Care Unit. Methodology: This is a systematic review, using Pubmed, Electronic Library Online (Scielo) and Lilacs databases. Being articles and literature described in English, Portuguese and Spanish. Result: This study identified that most authors obtained benefits related to the use of permissive hypercapnia in the short term, in the duration of the use of mechanical ventilation and oxygen supplementation, however, the potential benefits of exposing children to hypercapnia do not seem to be improve pulmonary outcome and in some studies outcomes are accompanied by neurological sequelae. Conclusion: The evidence of efficacy for the prevention of BPD is inconclusive in relation to conventional ventilation, the current concept that maintaining PaCO2 levels between 45-55 mmHg in high-risk NBs is safe and inconsistent, requiring further randomized studies and clinical trials that demonstrate benefits without presenting greater risks.Objetivo: Analisar os efeitos da hipercapnia permissiva na redução de lesão pulmonar e desenvolvimento da DBP no Recém-Nascido em Unidade de Terapia Intensiva Neonatal. Metodologia: Trata-se de uma revisão sistemática, utilizando as bases de dados Pubmed, Electronic Library Online (Scielo) e Lilacs. Sendo artigos e literaturas descritos em Inglês, Português e Espanhol. Resultados: Este estudo identificou, que em sua maioria os autores obtiveram benefícios relacionados ao uso da hipercapnia permissiva à curto prazo, no tempo de duração ao uso da ventilação mecânica e suplementação de Oxigênio, contudo, os benefícios potenciais de expor crianças a hipercapnia não parecem melhorar o desfecho pulmonar e em alguns estudos os desfechos são acompanhados por sequelas neurológicas. Conclusão: As evidências da eficácia para a prevenção da DBP são inconclusivas em relação à ventilação convencional, o conceito atual de que mantendo os níveis de PaCO2 entre 45-55 mmHg em RNs de alto risco são seguros e inconsistente, necessitando de mais estudos randomizados e ensaios clínicos que demonstrem benefícios sem apresentar maiores riscos

IMPACTO DOS TRANSTORNOS PSICÓTICOS NA QUALIDADE DE VIDA DOS PACIENTES E SEUS FAMILIARES.

Psychotic disorders represent moments of intense mental turbulence, in which the border between reality and imagination becomes disconcertingly blurred. These episodes, often characteristic of various psychiatric disorders, such as schizophrenia, bipolar disorder and schizoaffective disorder, are notable for the presence of symptoms such as hallucinations, delusions and disorganization of thought. This study aims to provide up-to-date, evidence-based information about the symptoms, causes and treatments of psychotic episodes. In order to enrich the understanding of this topic, an integrative literature review was carried out, which focuses on the analysis and discussion of the methods, results and discoveries present in publications related to a specific topic. To select the studies, online platforms such as Google Sholar, SciELO (Scientific Electronic Library Online), and Virtual Health Library (VHL) were consulted. The inclusion criteria were: articles that addressed the proposed topic, published between 2017 and 2023, that were available free of charge, and in Portuguese. For the exclusion criteria, articles that did not address the topic, were not available for free and outside the period described were discarded. During data analysis, 7 articles were incorporated to enrich and support the study. Psychotic disorders form an intricate category of mental illnesses that exert a significant influence on the lives of those affected. In this context, schizophrenia, bipolar disorder with psychotic characteristics and schizoaffective disorder stand out. A thorough understanding of the adverse impact of these episodes and the search for appropriate interventions are essential to improve the quality of life of affected individuals.Os transtornos psicóticos representam momentos de intensa turbulência mental, nos quais a fronteira entre a realidade e a imaginação se torna indistinta de forma desconcertante. Esses episódios, frequentemente característicos de diversos transtornos psiquiátricos, como a esquizofrenia, o transtorno bipolar e o transtorno esquizoafetivo, são notáveis pela presença de sintomas como alucinações, delírios e desorganização do pensamento. Este estudo visa fornecer informações atualizadas e fundamentadas em evidências acerca dos sintomas, causas e tratamentos dos surtos psicóticos. A fim de enriquecer a compreensão dessa temática,  foi realizado uma revisão integrativa de literatura a qual se concentra na análise e discussão dos métodos, resultados e descobertas presentes em publicações relacionadas a um tema específico. Para seleção dos estudo foram consultados plataformas on-line como Google sholar, SciELO (Scientific Electronic Library Online), e  Biblioteca virtual de saúde (BVS). Foram elencados como critérios de inclusão: artigos que abordassem o tema proposto, publicados no período de 2017 a 2023, que estivessem disponíveis de forma gratuita, e em português. Para os critérios de exclusão foram descartados artigos que não abordasse a temática, que não estivesse disponíveis gratuitamente e fora do período descrito. Durante a análise dos dados, foram incorporados 07 artigos para enriquecer e fundamentar o estudo. Os transtornos psicóticos formam uma categoria intricada de doenças mentais que exercem uma influência significativa na vida das pessoas afetadas. Destacam-se, nesse contexto, a esquizofrenia, o transtorno bipolar com características psicóticas e o transtorno esquizoafetivo. Uma compreensão aprofundada do impacto adverso desses episódios e a busca por intervenções adequadas são essenciais para aprimorar a qualidade de vida dos indivíduos afetados

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

Optimasi Portofolio Resiko Menggunakan Model Markowitz MVO Dikaitkan dengan Keterbatasan Manusia dalam Memprediksi Masa Depan dalam Perspektif Al-Qur`an

Risk portfolio on modern finance has become increasingly technical, requiring the use of sophisticated mathematical tools in both research and practice. Since companies cannot insure themselves completely against risk, as human incompetence in predicting the future precisely that written in Al-Quran surah Luqman verse 34, they have to manage it to yield an optimal portfolio. The objective here is to minimize the variance among all portfolios, or alternatively, to maximize expected return among all portfolios that has at least a certain expected return. Furthermore, this study focuses on optimizing risk portfolio so called Markowitz MVO (Mean-Variance Optimization). Some theoretical frameworks for analysis are arithmetic mean, geometric mean, variance, covariance, linear programming, and quadratic programming. Moreover, finding a minimum variance portfolio produces a convex quadratic programming, that is minimizing the objective function ðð¥with constraintsð ð 𥠥 ðandð´ð¥ = ð. The outcome of this research is the solution of optimal risk portofolio in some investments that could be finished smoothly using MATLAB R2007b software together with its graphic analysis

Penilaian Kinerja Keuangan Koperasi di Kabupaten Pelalawan

This paper describe development and financial performance of cooperative in District Pelalawan among 2007 - 2008. Studies on primary and secondary cooperative in 12 sub-districts. Method in this stady use performance measuring of productivity, efficiency, growth, liquidity, and solvability of cooperative. Productivity of cooperative in Pelalawan was highly but efficiency still low. Profit and income were highly, even liquidity of cooperative very high, and solvability was good

Differential cross section measurements for the production of a W boson in association with jets in proton–proton collisions at √s = 7 TeV

Measurements are reported of differential cross sections for the production of a W boson, which decays into a muon and a neutrino, in association with jets, as a function of several variables, including the transverse momenta (pT) and pseudorapidities of the four leading jets, the scalar sum of jet transverse momenta (HT), and the difference in azimuthal angle between the directions of each jet and the muon. The data sample of pp collisions at a centre-of-mass energy of 7 TeV was collected with the CMS detector at the LHC and corresponds to an integrated luminosity of 5.0 fb[superscript −1]. The measured cross sections are compared to predictions from Monte Carlo generators, MadGraph + pythia and sherpa, and to next-to-leading-order calculations from BlackHat + sherpa. The differential cross sections are found to be in agreement with the predictions, apart from the pT distributions of the leading jets at high pT values, the distributions of the HT at high-HT and low jet multiplicity, and the distribution of the difference in azimuthal angle between the leading jet and the muon at low values.United States. Dept. of EnergyNational Science Foundation (U.S.)Alfred P. Sloan Foundatio

Juxtaposing BTE and ATE – on the role of the European insurance industry in funding civil litigation

One of the ways in which legal services are financed, and indeed shaped, is through private insurance arrangement. Two contrasting types of legal expenses insurance contracts (LEI) seem to dominate in Europe: before the event (BTE) and after the event (ATE) legal expenses insurance. Notwithstanding institutional differences between different legal systems, BTE and ATE insurance arrangements may be instrumental if government policy is geared towards strengthening a market-oriented system of financing access to justice for individuals and business. At the same time, emphasizing the role of a private industry as a keeper of the gates to justice raises issues of accountability and transparency, not readily reconcilable with demands of competition. Moreover, multiple actors (clients, lawyers, courts, insurers) are involved, causing behavioural dynamics which are not easily predicted or influenced. Against this background, this paper looks into BTE and ATE arrangements by analysing the particularities of BTE and ATE arrangements currently available in some European jurisdictions and by painting a picture of their respective markets and legal contexts. This allows for some reflection on the performance of BTE and ATE providers as both financiers and keepers. Two issues emerge from the analysis that are worthy of some further reflection. Firstly, there is the problematic long-term sustainability of some ATE products. Secondly, the challenges faced by policymakers that would like to nudge consumers into voluntarily taking out BTE LEI

Search for stop and higgsino production using diphoton Higgs boson decays

Results are presented of a search for a "natural" supersymmetry scenario with gauge mediated symmetry breaking. It is assumed that only the supersymmetric partners of the top-quark (stop) and the Higgs boson (higgsino) are accessible. Events are examined in which there are two photons forming a Higgs boson candidate, and at least two b-quark jets. In 19.7 inverse femtobarns of proton-proton collision data at sqrt(s) = 8 TeV, recorded in the CMS experiment, no evidence of a signal is found and lower limits at the 95% confidence level are set, excluding the stop mass below 360 to 410 GeV, depending on the higgsino mass