Psychology, the United Health System (SUS) and the Ambulatory Care Information System (SIA): innovations, propositions and misdirections

Desde as primeiras incursões de psicólogos no sistema público de saúde discute-se a adeqüabilidade de seus padrões de atuação que, atualmente, redundam numa atenção curativa, individual e ineficiente. Contudo, ressalta-se a interferência das deliberações, orientações e exigências do Sistema Único de Saúde na figura do Sistema de Informações Ambulatoriais (SIA/SUS) que fornece uma lista de procedimentos a serem desenvolvidos pelos psicólogos. Este estudo analisou estatísticas dos procedimentos realizados pela Psicologia em Natal/RN, disponíveis no SIA/SUS, com o objetivo de dimensionar como sua estrutura influencia a manutenção dos modelos de atuação. Os dados revelam uma permanência de ações compartimentalizadas, cuja maior proporção abrange os quadros mórbidos. A dificuldade para o desenvolvimento de ações diferentes ou obriga os profissionais a registrarem-nas de forma distorcida, ou os resigna aos atendimentos previstos. Na Psicologia, o sistema de informações restringe atividades que poderiam configurar um modelo de atuação condizente com os ideais da reforma sanitária.Palavras-chave: Psicologia; Saúde Pública; Sistema de Informações Ambulatoriais.  The adequability of Psychology patterns of intervention have been discussed since the first incursions of psychologists on the Public Health System, that have a redundant health care, individual and inefficient. However, the interference on deliberations, orientations and exigencies of the Brazilian United Health System’s Ambulatory Care Information System (SIA/SUS), that provides psychologists with a set of procedures has been overlooked. This study analised the reports of psychological procedures in Natal/RN, available at SIA/SUS, aiming to verify how its structure influences the maintenance of models of professional practice. Data suggest a permanence of compartmentalized actions, specially in morbid occurrences. Constraints to the development of innovative actions has led psychology professionals either to record them in a disguised format or to persist in using traditional procedures. It is our conclusion that, in what concerns Psychology, the information system constrains the development of a model of professional practice more in agreement with the sanitation reform ideals.   Keywords: Psychology; Public Health; Ambulatory Care Information System

A Psicologia, o Sistema Único de Saúde e o Sistema de Informações Ambulatoriais: inovações, propostas e desvirtuamentos

Desde as primeiras incursões de psicólogos no sistema público de saúde discute-se a adeqüabilidade de seus padrões de atuação que, atualmente, redundam numa atenção curativa, individual e ineficiente. Contudo, ressalta-se a interferência das deliberações, orientações e exigências do Sistema Único de Saúde na figura do Sistema de Informações Ambulatoriais (SIA/SUS) que fornece uma lista de procedimentos a serem desenvolvidos pelos psicólogos. Este estudo analisou estatísticas dos procedimentos realizados pela Psicologia em Natal/RN, disponíveis no SIA/SUS, com o objetivo de dimensionar como sua estrutura influencia a manutenção dos modelos de atuação. Os dados revelam uma permanência de ações compartimentalizadas, cuja maior proporção abrange os quadros mórbidos. A dificuldade para o desenvolvimento de ações diferentes ou obriga os profissionais a registrarem-nas de forma distorcida, ou os resigna aos atendimentos previstos. Na Psicologia, o sistema de informações restringe atividades que poderiam configurar um modelo de atuação condizente com os ideais da reforma sanitária. Palavras-chave: Psicologia; Saúde Pública; Sistema de Informações Ambulatoriais

NEOTROPICAL CARNIVORES: a data set on carnivore distribution in the Neotropics

Mammalian carnivores are considered a key group in maintaining ecological health and can indicate potential ecological integrity in landscapes where they occur. Carnivores also hold high conservation value and their habitat requirements can guide management and conservation plans. The order Carnivora has 84 species from 8 families in the Neotropical region: Canidae; Felidae; Mephitidae; Mustelidae; Otariidae; Phocidae; Procyonidae; and Ursidae. Herein, we include published and unpublished data on native terrestrial Neotropical carnivores (Canidae; Felidae; Mephitidae; Mustelidae; Procyonidae; and Ursidae). NEOTROPICAL CARNIVORES is a publicly available data set that includes 99,605 data entries from 35,511 unique georeferenced coordinates. Detection/non-detection and quantitative data were obtained from 1818 to 2018 by researchers, governmental agencies, non-governmental organizations, and private consultants. Data were collected using several methods including camera trapping, museum collections, roadkill, line transect, and opportunistic records. Literature (peer-reviewed and grey literature) from Portuguese, Spanish and English were incorporated in this compilation. Most of the data set consists of detection data entries (n = 79,343; 79.7%) but also includes non-detection data (n = 20,262; 20.3%). Of those, 43.3% also include count data (n = 43,151). The information available in NEOTROPICAL CARNIVORES will contribute to macroecological, ecological, and conservation questions in multiple spatio-temporal perspectives. As carnivores play key roles in trophic interactions, a better understanding of their distribution and habitat requirements are essential to establish conservation management plans and safeguard the future ecological health of Neotropical ecosystems. Our data paper, combined with other large-scale data sets, has great potential to clarify species distribution and related ecological processes within the Neotropics. There are no copyright restrictions and no restriction for using data from this data paper, as long as the data paper is cited as the source of the information used. We also request that users inform us of how they intend to use the data

NEOTROPICAL XENARTHRANS: a data set of occurrence of xenarthran species in the Neotropics

Xenarthrans—anteaters, sloths, and armadillos—have essential functions for ecosystem maintenance, such as insect control and nutrient cycling, playing key roles as ecosystem engineers. Because of habitat loss and fragmentation, hunting pressure, and conflicts with domestic dogs, these species have been threatened locally, regionally, or even across their full distribution ranges. The Neotropics harbor 21 species of armadillos, 10 anteaters, and 6 sloths. Our data set includes the families Chlamyphoridae (13), Dasypodidae (7), Myrmecophagidae (3), Bradypodidae (4), and Megalonychidae (2). We have no occurrence data on Dasypus pilosus (Dasypodidae). Regarding Cyclopedidae, until recently, only one species was recognized, but new genetic studies have revealed that the group is represented by seven species. In this data paper, we compiled a total of 42,528 records of 31 species, represented by occurrence and quantitative data, totaling 24,847 unique georeferenced records. The geographic range is from the southern United States, Mexico, and Caribbean countries at the northern portion of the Neotropics, to the austral distribution in Argentina, Paraguay, Chile, and Uruguay. Regarding anteaters, Myrmecophaga tridactyla has the most records (n = 5,941), and Cyclopes sp. have the fewest (n = 240). The armadillo species with the most data is Dasypus novemcinctus (n = 11,588), and the fewest data are recorded for Calyptophractus retusus (n = 33). With regard to sloth species, Bradypus variegatus has the most records (n = 962), and Bradypus pygmaeus has the fewest (n = 12). Our main objective with Neotropical Xenarthrans is to make occurrence and quantitative data available to facilitate more ecological research, particularly if we integrate the xenarthran data with other data sets of Neotropical Series that will become available very soon (i.e., Neotropical Carnivores, Neotropical Invasive Mammals, and Neotropical Hunters and Dogs). Therefore, studies on trophic cascades, hunting pressure, habitat loss, fragmentation effects, species invasion, and climate change effects will be possible with the Neotropical Xenarthrans data set. Please cite this data paper when using its data in publications. We also request that researchers and teachers inform us of how they are using these data