Lógica gerencial no trabalho prescrito do psicólogo organizacional na esfera federal

This empirical study analyzes how the managerial logic manifests itself in the prescribed work of the organizational and work psychologist who works in the management of people in the Brazilian federal public service. Prescribed work is a concept of Psychodynamics of Work (PDT), analyzed here in dialogue with managerialism – a management model associated with the precariousness of work. Through the document analysis, the content of 13 public tenders held between 2012 and the first half of 2022 (data collection date)’s job description of public notices which included a specific vacancy for organizational and work psychologist in federal agencies was categorized and analyzed. The analysis demonstrates the presence of managerialism in the design of activities, in a performance with an adaptive bias, in the performance of technical-administrative activities, in areas that, to some extent, deviate from traditional practices – such as health, quality of life, and safety at work. The findings differ from other studies, demonstrating that, in prescribed work, the activity migrates from traditional practices, in addition to investigating, in a critical perspective, the possible ethical-political role of the psychologist.Este estudo empírico analisa como a lógica gerencial se manifesta no trabalho prescrito do psicólogo organizacional e do trabalho que atua na gestão de pessoas do serviço público federal brasileiro. O trabalho prescrito é um conceito da Psicodinâmica do Trabalho (PDT), aqui analisado em diálogo com o gerencialismo – modelo de gestão associado à precarização do trabalho. Por meio da análise documental, foi categorizado e analisado o conteúdo da descrição de função de editais dos 13 concursos públicos realizados entre 2012 e o 1º semestre de 2022 (data da coleta de dados), que incluíam vaga específica de psicologia organizacional e do trabalho (POT) em autarquias federais. A análise demonstra a presença do gerencialismo no desenho das atividades, em uma atuação com viés adaptativo, no desempenho de atividades técnico-administrativas, em áreas que, em alguma medida, fogem das práticas tradicionais – como saúde, qualidade de vida e segurança no trabalho. Os achados divergem de outros estudos, demonstrando que, no trabalho prescrito, a atividade migra das práticas tradicionais, além de investigar, numa perspectiva crítica, a eventual atuação ético-política do psicólogo

Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial

Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure <= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt

Avaliar até cessar: o desafio de alcançar efetividade na capacitação, analisada por meio de uma avaliação alinhada às disposições da (nova) Política Nacional de Desenvolvimento de Pessoas

Propõe plano de ação para avaliar o resultado das ações de desenvolvimento de um órgão público de modo a assegurar que a necessidade de capacitação foi (ainda que parcialmente) atendida após a realização de uma dessas ações.31 páginasGestão de PessoasGovernançaInovação e Tecnologias na Educaçã

Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial

Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure <= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.13Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt

Growing knowledge: an overview of Seed Plant diversity in Brazil

Abstract An updated inventory of Brazilian seed plants is presented and offers important insights into the country's biodiversity. This work started in 2010, with the publication of the Plants and Fungi Catalogue, and has been updated since by more than 430 specialists working online. Brazil is home to 32,086 native Angiosperms and 23 native Gymnosperms, showing an increase of 3% in its species richness in relation to 2010. The Amazon Rainforest is the richest Brazilian biome for Gymnosperms, while the Atlantic Rainforest is the richest one for Angiosperms. There was a considerable increment in the number of species and endemism rates for biomes, except for the Amazon that showed a decrease of 2.5% of recorded endemics. However, well over half of Brazillian seed plant species (57.4%) is endemic to this territory. The proportion of life-forms varies among different biomes: trees are more expressive in the Amazon and Atlantic Rainforest biomes while herbs predominate in the Pampa, and lianas are more expressive in the Amazon, Atlantic Rainforest, and Pantanal. This compilation serves not only to quantify Brazilian biodiversity, but also to highlight areas where there information is lacking and to provide a framework for the challenge faced in conserving Brazil's unique and diverse flora