Debriefing na simulação clínica em enfermagem: uma análise a partir da teoria da aprendizagem experiencial

Objetivo: Compreender o significado do processo de debriefing realizado nas atividades de simulação clínica em um curso de enfermagem, a partir da Teoria da Aprendizagem Experiencial de Kolb.Método: Qualitativo do tipo estudo de caso, realizado num curso de enfermagem de uma Universidade do Sul do Brasil, de março a junho de 2018. Para a coleta de dados, utilizou-se a pesquisa documental, a entrevista baseada no Instrumento de Estilo de Aprendizagem de Kolb, com 29 participantes, e a observação direta de oito cenas de debriefing. Para análise, utilizaram-se as unidades integradas de análise obtidas a partir da construção de explanação.Resultados: Os dados documentais e o Inventário contribuíram para o entendimento da simulação clínica e o debriefing foi categorizado em quatro modos de aprendizagem.Conclusão: A simulação clínica como metodologia de aprendizagem experiencial relaciona a experiência, a percepção, a cognição e o comportamento com elementos identificados no debriefing pelos estudantes. Palavras-chave: Enfermagem. Simulação. Equipamentos e provisões. Aprendizagem. Aprendizagem baseada em problemas. Educação em enfermagem

Acolhimento aos familiares das vítimas da Boate Kiss no Foro...

Objetivo: relatar a experiência vivenciada pelo professor e estudantes no acolhimento às famílias e sobreviventes da tragédia de Santa Maria no julgamento da Boate Kiss, o qual ocorreu no Fórum central de Porto Alegre, Rio Grande do Sul. Método: relato de experiência embasado na Teoria Nursing as Caring de Anne Boykin e Savina Schoenhofer. Participaram das ações do projeto de extensão três estudantes de enfermagem e um professor. Os relatos foram gravados em áudio e vídeo e transcritos para análise e discussão posteriormente. Para análise e descrição da experiência, utilizou-se a análise de conteúdo proposta por Bardin. Resultados e discussão: O acolhimento às famílias e sobreviventes da tragédia que vitimou 242 pessoas foi realizado numa tenda montada ao lado do Fórum Central de Porto Alegre destinado para atendimento e suporte aos familiares. Os estudantes de enfermagem ofereceram acolhimento, escuta ativa e solidária às mães, pais e demais familiares das vítimas durante os dias de realização do julgamento. Considerações finais: a experiência vivida contribuiu para amenizar o sofrimento das famílias e dos sobreviventes atendidos pelos estudantes de enfermagem. Os relatos pessoais dos participantes denotam a importância de ações solidárias como essa na complementação da formação, com vistas ao desenvolvimento do pensamento crítico e holístico, cuidado humano e solidário

Impact of the COVID-19 Health Crisis on Key Populations at Higher Risk for, or Living With, HIV or Hepatitis C Virus and People Working With These Populations: Multicountry Community-Based Research Study Protocol (EPIC Program)

Background Information concerning the impact of the COVID-19 health crisis on populations most affected by HIV and hepatitis C virus (HCV; or key populations [KP]), and those working with these populations in community settings, is limited. Community-based organizations working in the field of HIV and viral hepatitis are well placed to identify and meet the new needs of KP owing to the health crisis. Objective This study aims to describe the development and implementation of an exploratory and descriptive multicountry, community-based research program, EPIC (Enquêtes Pour évaluer l’Impact de la crise sanitaire covid en milieu Communautaire), within an international network of community-based organizations involved in the response to HIV and viral hepatitis. The EPIC program aimed to study the impact of the COVID-19 health crisis on KP or people living with HIV or HCV and people working with these populations at the community level (community health workers [CHWs]) and to identify the key innovations and adaptations in HIV and HCV services. Methods A general protocol and study documents were developed and shared within the Coalition PLUS network. The protocol had a built-in flexibility that allowed participating organizations to adapt the study to local needs in terms of the target population and specific themes of interest. Data were collected using surveys or interviews. Results From July 2020 to May 2022, a total of 79 organizations participated in the EPIC program. Across 32 countries, 118 studies were conducted: 66 quantitative (n=12,060 among KP or people living with HIV or people living with HCV and n=811 among CHWs) and 52 qualitative (n=766 among KP or people living with HIV or people living with HCV and n=136 among CHWs). Conclusions The results of the EPIC program will provide data to describe the impact of the health crisis on KP and CHWs and identify their emerging needs. Documentation of innovative solutions that were put into place in this context may help improve the provision of services after COVID-19 and for future health crises.info:eu-repo/semantics/publishedVersio

Micromechanical Properties of Injection-Molded Starch–Wood Particle Composites

The micromechanical properties of injection molded starch–wood particle composites were investigated as a function of particle content and humidity conditions. The composite materials were characterized by scanning electron microscopy and X-ray diffraction methods. The microhardness of the composites was shown to increase notably with the concentration of the wood particles. In addition,creep behavior under the indenter and temperature dependence were evaluated in terms of the independent contribution of the starch matrix and the wood microparticles to the hardness value. The influence of drying time on the density and weight uptake of the injection-molded composites was highlighted. The results revealed the role of the mechanism of water evaporation, showing that the dependence of water uptake and temperature was greater for the starch–wood composites than for the pure starch sample. Experiments performed during the drying process at 70°C indicated that the wood in the starch composites did not prevent water loss from the samples.Peer reviewe

Mechanical design of the optical modules intended for IceCube-Gen2

IceCube-Gen2 is an expansion of the IceCube neutrino observatory at the South Pole that aims to increase the sensitivity to high-energy neutrinos by an order of magnitude. To this end, about 10,000 new optical modules will be installed, instrumenting a fiducial volume of about 8 km3. Two newly developed optical module types increase IceCube’s current sensitivity per module by a factor of three by integrating 16 and 18 newly developed four-inch PMTs in specially designed 12.5-inch diameter pressure vessels. Both designs use conical silicone gel pads to optically couple the PMTs to the pressure vessel to increase photon collection efficiency. The outside portion of gel pads are pre-cast onto each PMT prior to integration, while the interiors are filled and cast after the PMT assemblies are installed in the pressure vessel via a pushing mechanism. This paper presents both the mechanical design, as well as the performance of prototype modules at high pressure (70 MPa) and low temperature (−40∘C), characteristic of the environment inside the South Pole ice

The next generation neutrino telescope: IceCube-Gen2

The IceCube Neutrino Observatory, a cubic-kilometer-scale neutrino detector at the geographic South Pole, has reached a number of milestones in the field of neutrino astrophysics: the discovery of a high-energy astrophysical neutrino flux, the temporal and directional correlation of neutrinos with a flaring blazar, and a steady emission of neutrinos from the direction of an active galaxy of a Seyfert II type and the Milky Way. The next generation neutrino telescope, IceCube-Gen2, currently under development, will consist of three essential components: an array of about 10,000 optical sensors, embedded within approximately 8 cubic kilometers of ice, for detecting neutrinos with energies of TeV and above, with a sensitivity five times greater than that of IceCube; a surface array with scintillation panels and radio antennas targeting air showers; and buried radio antennas distributed over an area of more than 400 square kilometers to significantly enhance the sensitivity of detecting neutrino sources beyond EeV. This contribution describes the design and status of IceCube-Gen2 and discusses the expected sensitivity from the simulations of the optical, surface, and radio components

Sensitivity of IceCube-Gen2 to measure flavor composition of Astrophysical neutrinos

The observation of an astrophysical neutrino flux in IceCube and its detection capability to separate between the different neutrino flavors has led IceCube to constraint the flavor content of this flux. IceCube-Gen2 is the planned extension of the current IceCube detector, which will be about 8 times larger than the current instrumented volume. In this work, we study the sensitivity of IceCube-Gen2 to the astrophysical neutrino flavor composition and investigate its tau neutrino identification capabilities. We apply the IceCube analysis on a simulated IceCube-Gen2 dataset that mimics the High Energy Starting Event (HESE) classification. Reconstructions are performed using sensors that have 3 times higher quantum efficiency and isotropic angular acceptance compared to the current IceCube optical modules. We present the projected sensitivity for 10 years of data on constraining the flavor ratio of the astrophysical neutrino flux at Earth by IceCube-Gen2