Urgência subjetiva na Psicanálise e Enfermagem: revisão integrativa

Objetivo: descrever as características das produções científicas relativas a urgência subjetiva e identificar as produções científicas que relacionem urgência subjetiva, psicanálise e enfermagem. Método: Foi realizada uma revisão integrativa de literatura, nas bases de dados: LILACS, SCIELO, (MEDLINE) PUBMED, CINAHL PSYCINFO, PEPSIC, Web of Science, SCOPUS, BDENF e BVS. O recorte temporal foi de 2010 a 2020.  Foram incluídos artigos nos idiomas português, inglês e espanhol. Resultados: Foram selecionados 14 artigos. Constatou que a maioria das publicações foram na região sudeste, os profissionais que mais produziram sobre o tema foram psicólogos e com formação em psicanálise. Evidenciou- se que é ausente a produção e publicação sobre urgência subjetiva por enfermeiros independente de formação em psicanálise. A urgência subjetiva é um tema abordado no campo da Psicanálise sob os referenciais de Freud e Lacan. O estudo teve como categoria a Experiência do Sujeito, Reconhecimento e Intervenção da Urgência Subjetiva.  Conclusão: conclui-se que a urgência subjetiva na esfera da produção científica da enfermagem mostra-se ainda frágil, o que também pode refletir que no âmbito da atuação desse profissional a urgência subjetiva é ausente como referência clínica.

THE MULTIDISCIPLINARY TREATMENT OF THE PATIENT WITH ORAL CANCER: a literature review.

The objective of this article is to carry out a survey of the current medical literature on the relationship between interdisciplinarity in the care of patients with oral cancer. A search was performed on the Google Scholar database using the keywords “Oral cancer, Multidisciplinary treatment, Dentistry, Medicine, Nursing, Physiotherapy, Nutrition”. Articles with more than 20 years of publication or that did not fit the scope of the research were excluded. In all, 17 articles that fit the search patterns were selected. It is concluded that multi and interdisciplinary treatment is the best option for the treatment of patients with oral cancer.The objective of this article is to carry out a survey of the current medical literature on the relationship between interdisciplinarity in the care of patients with oral cancer. A search was performed on the Google Scholar database using the keywords “Oral cancer, Multidisciplinary treatment, Dentistry, Medicine, Nursing, Physiotherapy, Nutrition”. Articles with more than 20 years of publication or that did not fit the scope of the research were excluded. In all, 17 articles that fit the search patterns were selected. It is concluded that multi and interdisciplinary treatment is the best option for the treatment of patients with oral cancer

A ESCASSEZ QUE NUTRE A DOENÇA: DESDOBRAMENTOS DA INSEGURANÇA ALIMENTAR NA SAÚDE GLOBAL

The systematic and lasting lack of regular access to quality food in sufficient quantities to sustain a healthy existence is an extremely important problem. Food and nutrition, as fundamental pillars for the promotion and preservation of health, play a crucial role in ensuring the integral development and quality of life of individuals integrated into a society. This research explores the consequences of food insecurity on global health, highlighting the underlying factors, their manifestations and the cascading effects that can perpetuate the cycle of disease. This is an integrative literature review, through a search in the Virtual Health Library (VHL), using the Health Sciences Descriptors (DeCS): "Food Insecurity" and "Social Vulnerability", crossed with the Boolean operator "AND". Inclusion criteria: articles related to the theme, freely available, in full text, in Portuguese, published in the last five years (2018-2023). And as exclusion criteria: articles that did not address the theme, repeated in the aforementioned database, as well as abstracts, course completion works, dissertations and theses. The results show that food insecurity contributes to malnutrition, exacerbating nutritional deficiencies and increasing vulnerability to infectious diseases, especially in already susceptible populations. The analysis also highlights distinct geographical patterns, with conflict-affected areas showing higher levels of food insecurity and adverse health consequences. Therefore, an integrated approach is essential to tackle food insecurity and its impacts on global health. Promoting sustainable food systems, reducing structural inequalities and global collaboration emerge as crucial elements to overcome the interconnected challenges. This study highlights the urgency of comprehensive interventions to mitigate the adverse effects of food insecurity and promote health on a global scale.A ausência sistemática e duradoura de acesso regular a alimentos de qualidade em quantidades suficientes para sustentar uma existência saudável constitui uma problemática de extrema relevância. A alimentação e nutrição, enquanto pilares fundamentais para a promoção e preservação da saúde, desempenham um papel crucial no asseguramento do desenvolvimento integral e da qualidade de vida dos indivíduos integrados em uma sociedade. Esta pesquisa explora os desdobramentos da insegurança alimentar na saúde global, destacando os fatores subjacentes, suas manifestações e os efeitos em cascata que podem perpetuar o ciclo da doença. Trata-se de uma revisão integrativa de literatura, mediante a busca na Biblioteca Virtual em Saúde (BVS), pelos Descritores em Ciências da Saúde (DeCS): “Insegurança Alimentar” e “Vulnerabilidade Social”, em cruzamento com o operador booleano “AND”. Como critérios de inclusão: artigos relacionados à temática, disponíveis gratuitamente, em texto completo, em português, publicados nos últimos cinco anos (2018-2023). E como critérios de exclusão: artigos que não abordassem a temática, repetidos na base supracitada, além de resumos, trabalhos de conclusão de curso, dissertações e teses. Os resultados revelam que a insegurança alimentar contribui para a desnutrição, exacerbando deficiências nutricionais e aumentando a vulnerabilidade a doenças infecciosas, especialmente em populações já suscetíveis. A análise também destaca padrões geográficos distintos, com áreas afetadas por conflitos apresentando níveis mais elevados de insegurança alimentar e consequências adversas para a saúde. Portanto, a abordagem integrada é essencial para enfrentar a insegurança alimentar e seus impactos na saúde global. A promoção de sistemas alimentares sustentáveis, a redução de desigualdades estruturais e a colaboração global emergem como elementos cruciais para superar os desafios interconectados. Este estudo destaca a urgência de intervenções abrangentes para mitigar os efeitos adversos da insegurança alimentar e promover a saúde em escala global

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