The Edict of Telepinu and Hittite Royal Succession

Pesquisa descritiva e exploratória sobre os riscos ocupacionais a que estão expostos os trabalhadores de enfermagem em uma Unidade de Terapia Intensiva, localizada em um Hospital Municipal do interior do Estado do Rio de Janeiro. Objetivos: identificar os principais riscos ocupacionais a que estão expostos os profissionais de enfermagem; sugerir mudanças que visassem à minimização dos riscos encontrados. Método: coleta deu-se através da observação, e sua análise foi realizada à luz do referencial teórico que norteou o estudo. Resultados: os principais riscos biológicos envolvem a exposição dos trabalhadores a fluidos corporais, a gotículas e aerossóis; e estão relacionados ao descarte inapropriado do material e à sujidade do ambiente. Os riscos de acidentes referem-se ao contato com materiais perfurocortantes e a estrutura física inadequada. Conclusão: existem inúmeros riscos no setor que colocam em perigo a vida dos trabalhadores e que medidas emergenciais devem ser tomadas

OCCUPATIONAL RISKS IN AN INTENSIVE CARE UNIT WITHIN THE STATE OF RIO DE JANEIRO

Pesquisa descritiva e exploratória sobre os riscos ocupacionais a que estão expostos os trabalhadores de enfermagem em uma Unidade de Terapia Intensiva, localizada em um Hospital Municipal do interior do Estado do Rio de Janeiro. Objetivos: identificar os principais riscos ocupacionais a que estão expostos os profissionais de enfermagem; sugerir mudanças que visassem à minimização dos riscos encontrados. Método: coleta deu-se através da observação, e sua análise foi realizada à luz do referencial teórico que norteou o estudo. Resultados: os principais riscos biológicos envolvem a exposição dos trabalhadores a fluidos corporais, a gotículas e aerossóis; e estão relacionados ao descarte inapropriado do material e à sujidade do ambiente. Os riscos de acidentes referem-se ao contato com materiais perfurocortantes e a estrutura física inadequada. Conclusão: existem inúmeros riscos no setor que colocam em perigo a vida dos trabalhadores e que medidas emergenciais devem ser tomadas.

Quando chega o fim? uma revisão narrativa sobre terminalidade do período escolar para alunos deficientes mentais

The process of inclusion of disabled students is possibly one of the biggest dilemmas faced by professionals in the field of education today. It is necessary to create different educational or assistive devices, due to the termination of the school term, precisely so that future opportunities may be real, and not designed as an exclusionary practice. This article aims to present and understand the concept of specific terminality, allowing reflection on the education of disabled persons. This is a qualitative study, which used the technique of narrative review and methodological contributions. The results indicate the need of effective school termination, which enables social inclusion of disabled people.O processo de inclusão de alunos deficientes possivelmente é um dos maiores impasses enfrentados pelos profissionais da área da educação, na atualidade. Faz-se necessária a criação de diferentes dispositivos educativos ou assistenciais, em face da terminalidade do período escolar, justamente para que as oportunidades futuras possam ser reais, e não concebidas como prática excludente. Este artigo objetivou apresentar e compreender o conceito de terminalidade específica, possibilitando reflexão sobre o processo educativo de pessoas deficientes. Trata-se de um estudo qualitativo, o qual utilizou a técnica de revisão narrativa como aporte metodológico. Os resultados apontam a necessidade da efetivação da terminalidade escolar, que possibilita a inclusão social de pessoas deficientes.El proceso de inclusión de alumnos deficientes posiblemente es uno de los mayores impases enfrentados por los profesionales del área de la educación, en la actualidad. Se hace necesaria la creación de diferentes dispositivos educativos o asistenciales, en faz del fin del período escolar, justamente para que las oportunidades futuras puedan ser reales, y no concebidas como práctica excluyente. Este artículo objetivó presentar y comprender el concepto de fin específico, posibilitando ponderación sobre el proceso educativo de personas deficientes. Se trata de un estudio cualitativo, lo cual utilizó la técnica de revisión narrativa como aporte metodológico. Los resultados apuntan la necesidad de la efectuación del fin escolar, que posibilita la inclusión social de personas deficientes

Proceso de Enfermería: la didáctica del instrumento tecnológico de la enfermera

Objective: To clarify and disseminate the development and structural characteristics of the Nursing Process, based on the American model from the American Nurses Association (ANA). Methods: It is an exploratory study of the bibliographic type, in which literary research was carried out, covering reading, interpretation and synthesis of publications of the last decade.  Results: The stages of the Nursing Process, the Clinical Practice's Bifocal Model, the diagnostic categories, the related factors, the defining characteristics and the collaborative problems were listed and analyzed.  Conclusions: The realization of this activity requires political awareness of what is actually specific activity of the nurse and for this it becomes urgent to rescue the historical-social context in which Nursing developed and how it was disciplined through historical periods, remaining today submissive against the dialectics in the health system.Objetivo: Aclarar y difundir las características estructurales y de desarrollo del Proceso de Enfermería, teniendo como base el modelo norteamericano originario de la American Nurses Association (ANA).  Metodología: Se trata de un estudio exploratorio del tipo bibliográfico, en el que se realizó una investigación literaria, abarcando la lectura, interpretación y síntesis de publicaciones de la última década. Resultados: Se analizaron los pasos del Proceso de Enfermería, el Modelo Bifocal de la Práctica Clínica, las categorías diagnósticas, los factores relacionados, las características definidoras y los problemas colaborativos. Conclusiones: La realización de esta actividad requiere conciencia política de lo que es realmente una actividad específica de la enfermera y para ello se vuelve urgente el rescate del contexto histórico-social en que la Enfermería se desarrolló y como la misma fue disciplinada a través de los periodos históricos, permaneciendo aún hoy dócil ante las dialécticas en el sistema sanitario

Proceso de Enfermería: la didáctica del instrumento tecnológico de la enfermera

Objective: To clarify and disseminate the development and structural characteristics of the Nursing Process, based on the American model from the American Nurses Association (ANA). Methods: It is an exploratory study of the bibliographic type, in which literary research was carried out, covering reading, interpretation and synthesis of publications of the last decade.  Results: The stages of the Nursing Process, the Clinical Practice's Bifocal Model, the diagnostic categories, the related factors, the defining characteristics and the collaborative problems were listed and analyzed.  Conclusions: The realization of this activity requires political awareness of what is actually specific activity of the nurse and for this it becomes urgent to rescue the historical-social context in which Nursing developed and how it was disciplined through historical periods, remaining today submissive against the dialectics in the health system.Objetivo: Aclarar y difundir las características estructurales y de desarrollo del Proceso de Enfermería, teniendo como base el modelo norteamericano originario de la American Nurses Association (ANA).  Metodología: Se trata de un estudio exploratorio del tipo bibliográfico, en el que se realizó una investigación literaria, abarcando la lectura, interpretación y síntesis de publicaciones de la última década. Resultados: Se analizaron los pasos del Proceso de Enfermería, el Modelo Bifocal de la Práctica Clínica, las categorías diagnósticas, los factores relacionados, las características definidoras y los problemas colaborativos. Conclusiones: La realización de esta actividad requiere conciencia política de lo que es realmente una actividad específica de la enfermera y para ello se vuelve urgente el rescate del contexto histórico-social en que la Enfermería se desarrolló y como la misma fue disciplinada a través de los periodos históricos, permaneciendo aún hoy dócil ante las dialécticas en el sistema sanitario

Antithrombotic Treatment for Stroke Prevention in Cervical Artery Dissection: The STOP-CAD Study.

Background: Small, randomized trials of cervical artery dissection (CAD) patients showed conflicting results regarding optimal stroke prevention strategies. We aimed to compare outcomes in patients with CAD treated with antiplatelets versus anticoagulation. Methods: This is a multi-center observational retrospective international study (16 countries, 63 sites) that included CAD patients without major trauma. The exposure was antithrombotic treatment type (anticoagulation vs. antiplatelets) and outcomes were subsequent ischemic stroke and major hemorrhage (intracranial or extracranial hemorrhage). We used adjusted Cox regression with Inverse Probability of Treatment Weighting (IPTW) to determine associations between anticoagulation and study outcomes within 30 and 180 days. The main analysis used an "as treated" cross-over approach and only included outcomes occurring on the above treatments. Results: The study included 3,636 patients [402 (11.1%) received exclusively anticoagulation and 2,453 (67.5%) received exclusively antiplatelets]. By day 180, there were 162 new ischemic strokes (4.4%) and 28 major hemorrhages (0.8%); 87.0% of ischemic strokes occurred by day 30. In adjusted Cox regression with IPTW, compared to antiplatelet therapy, anticoagulation was associated with a non-significantly lower risk of subsequent ischemic stroke by day 30 (adjusted HR 0.71 95% CI 0.45-1.12, p=0.145) and by day 180 (adjusted HR 0.80 95% CI 0.28-2.24, p=0.670). Anticoagulation therapy was not associated with a higher risk of major hemorrhage by day 30 (adjusted HR 1.39 95% CI 0.35-5.45, p=0.637) but was by day 180 (adjusted HR 5.56 95% CI 1.53-20.13, p=0.009). In interaction analyses, patients with occlusive dissection had significantly lower ischemic stroke risk with anticoagulation (adjusted HR 0.40 95% CI 0.18-0.88) (Pinteraction=0.009). Conclusions: Our study does not rule out a benefit of anticoagulation in reducing ischemic stroke risk, particularly in patients with occlusive dissection. If anticoagulation is chosen, it seems reasonable to switch to antiplatelet therapy before 180 days to lower the risk of major bleeding. Large prospective studies are needed to validate our findings

ATLANTIC ANTS: a data set of ants in Atlantic Forests of South America

International audienc

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 ALIEN MAMMALS: a data set of occurrence and abundance of alien mammals in the Neotropics

Biological invasion is one of the main threats to native biodiversity. For a species to become invasive, it must be voluntarily or involuntarily introduced by humans into a nonnative habitat. Mammals were among first taxa to be introduced worldwide for game, meat, and labor, yet the number of species introduced in the Neotropics remains unknown. In this data set, we make available occurrence and abundance data on mammal species that (1) transposed a geographical barrier and (2) were voluntarily or involuntarily introduced by humans into the Neotropics. Our data set is composed of 73,738 historical and current georeferenced records on alien mammal species of which around 96% correspond to occurrence data on 77 species belonging to eight orders and 26 families. Data cover 26 continental countries in the Neotropics, ranging from Mexico and its frontier regions (southern Florida and coastal-central Florida in the southeast United States) to Argentina, Paraguay, Chile, and Uruguay, and the 13 countries of Caribbean islands. Our data set also includes neotropical species (e.g., Callithrix sp., Myocastor coypus, Nasua nasua) considered alien in particular areas of Neotropics. The most numerous species in terms of records are from Bos sp. (n = 37,782), Sus scrofa (n = 6,730), and Canis familiaris (n = 10,084); 17 species were represented by only one record (e.g., Syncerus caffer, Cervus timorensis, Cervus unicolor, Canis latrans). Primates have the highest number of species in the data set (n = 20 species), partly because of uncertainties regarding taxonomic identification of the genera Callithrix, which includes the species Callithrix aurita, Callithrix flaviceps, Callithrix geoffroyi, Callithrix jacchus, Callithrix kuhlii, Callithrix penicillata, and their hybrids. This unique data set will be a valuable source of information on invasion risk assessments, biodiversity redistribution and conservation-related research. There are no copyright restrictions. Please cite this data paper when using the data in publications. We also request that researchers and teachers inform us on how they are using the data