Percepção dos discentes frente aos problemas encontrados pelo autista e seus familiares na assistência de enfermagem

Rescuing autonomy and social integration of people with autism is an extremely important effort that cuts across multiple health domains, with nurses having a fundamental role in this process. Objective: To analyze the perception of students about the problems faced by autistic people and their families in nursing care. Methods: This is descriptive exploratory research with a quali-quantitative approach, carried out at UNICEPLAC, whose sample consisted of 75 nursing students from the 8th, 9th and 10th semester, data collection was carried out through a questionnaire in February de 2023. Results: After analyzing the results, it was evidenced that 57% of the interviewees might be interested in assisting autistic people, 79% reported having already had contact, 47% have a known person with ASD, 31% think that lack of trained professionals is the greatest difficulty faced, 97% that it is important to address this issue during graduation. We had a tie (49%) in the moderate and challenging options regarding the nurse's difficulty; 29% believe that the importance of the nurse is the humanization of patient care, 75% answered that perhaps they would know how to identify an autistic person; about the autistic characteristics, a large part (30%) believes that it is the difficulty in social interactions. Final considerations: In this study, it was observed that nursing students had a reasonable understanding of autism. Given the prevalence and complexity of ASD, it is important to address ASD at graduation so that nursing students and future professionals have more confidence and knowledge to provide ethical care to this population.Resumo: Resgatar autonomia e integração social das pessoas com autismo é um esforço de extrema importância e transversal a múltiplos domínios da saúde, tendo os enfermeiros um papel fundamental nesse processo. Objetivo: Analisar a percepção dos discentes acerca dos problemas enfrentados pelo autista e seus familiares na assistência de enfermagem. Métodos: Trata-se de uma pesquisa descritiva exploratória com abordagem quali-quantitativa, realizada na UNICEPLAC, cuja amostra composta por 75 graduandos de Enfermagem do 8°, 9° e 10° semestre, a coleta de dados foi realizada através de questionário em fevereiro de 2023. Resultados: Após análise dos resultados evidenciou-se que 57% dos entrevistados talvez tenham interesse em atuar de forma assistencial ao autista, 79% relataram já ter tido contato, 47% tem um conhecido portador do TEA, 31% acham que a falta de profissionais capacitados seja a maior dificuldade enfrentada, 97% que é importante abordar esse assunto durante a graduação. Tivemos um empate (49%) nas opções moderado e desafiador quanto a dificuldade do enfermeiro; 29% acreditam que a importância do enfermeiro seja a humanização na assistência ao paciente, 75% responderam que talvez saberiam identificar um autista; sobre as características autísticas grande parte (30%) acredita que seja a dificuldade nas interações sociais. Considerações finais: Neste estudo, observou-se que os estudantes de enfermagem tinham uma compreensão razoável sobre o autismo. Dada a prevalência e complexidade do TEA, é importante abordar o TEA na graduação para que os estudantes de enfermagem e futuros profissionais tenham mais confiança e conhecimento para prestar cuidados éticos a essa população. Palavras-chave: Transtorno do espectro autista; Assistência de enfermagem; papel do enfermeiro; Dificuldade dos autistas e familiares

Pharmacognostics studies, phytochemicals, antiplasmodic activity and toxicity in Artemia salina of ethanolic extract from Montrichardia linifera (Arruda) Schott, Araceae leaves

O presente trabalho descreve os resultados do estudo farmacognóstico, estudo fitoquímico preliminar, toxicidade em Artemia salina e atividade antiplasmódica contra cepa de Plasmodium falciparum resistente a cloroquina (W2) do extrato etanólico obtido do pó das folhas de Montrichardia linifera (Arruda) Schott, Araceae. Para realização dos estudos farmacognósticos utilizou-se as metodologias descritas na Farmacopéia Brasileira. A prospecção fitoquímica foi realizada pelos métodos descritos por Mattos. No ensaio antiplasmódico foi utilizado o microteste tradicional e no ensaio de Artemia salina. Os resultados obtidos nos estudos farmacognósticos do pó das folhas de M. linifera demonstraram tratar-se de um pó moderadamente grosso, com teores de água e cinzas totais dentro dos limites aceitáveis, baixa densidade (0,324 e 0,339 g/mL), pH próximo de neutro (6,69±0,02). A análise fitoquímica preliminar evidenciou a presença de alcaloides, flavonoides, taninos, triterpenos e esteroides. O extrato etanólico das folhas de M. linifera apresentou moderada atividade antiplasmódica e baixa toxicidade para a Artemia salina

Measuring misclassification of Covid-19 as garbage codes: Results of investigating 1,365 deaths and implications for vital statistics in Brazil.

The purpose of this article is to quantify the amount of misclassification of the Coronavirus Disease-2019 (COVID-19) mortality occurring in hospitals and other health facilities in selected cities in Brazil, discuss potential factors contributing to this misclassification, and consider the implications for vital statistics. Hospital deaths assigned to causes classified as garbage code (GC) COVID-related cases (severe acute respiratory syndrome, pneumonia unspecified, sepsis, respiratory failure and ill-defined causes) were selected in three Brazilian state capitals. Data from medical charts and forensic reports were extracted from standard forms and analyzed by study physicians who re-assigned the underlying cause based on standardized criteria. Descriptive statistical analysis was performed and the potential impact in vital statistics in the country was also evaluated. Among 1,365 investigated deaths due to GC-COVID-related causes, COVID-19 was detected in 17.3% in the age group 0-59 years and 25.5% deaths in 60 years and over. These GCs rose substantially in 2020 in the country and were responsible for 211,611 registered deaths. Applying observed proportions by age, location and specific GC-COVID-related cause to national data, there would be an increase of 37,163 cases in the total of COVID-19 deaths, higher in the elderly. In conclusion, important undercount of deaths from COVID-19 among GC-COVID-related causes was detected in three selected capitals of Brazil. After extrapolating the study results for national GC-COVID-related deaths we infer that the burden of COVID-19 disease in Brazil in official vital statistics was probably under estimated by at least 18% in the country in 2020

Causes of death in children with congenital Zika syndrome in Brazil, 2015 to 2018: A nationwide record linkage study.

BACKGROUND: Children with congenital Zika syndrome (CZS) have severe damage to the peripheral and central nervous system (CNS), greatly increasing the risk of death. However, there is no information on the sequence of the underlying, intermediate, immediate, and contributing causes of deaths among these children. The aims of this study are describe the sequence of events leading to death of children with CZS up to 36 months of age and their probability of dying from a given cause, 2015 to 2018. METHODS AND FINDINGS: In a population-based study, we linked administrative data on live births, deaths, and cases of children with CZS from the SINASC (Live Birth Information System), the SIM (Mortality Information System), and the RESP (Public Health Event Records), respectively. Confirmed and probable cases of CZS were those that met the criteria established by the Brazilian Ministry of Health. The information on causes of death was collected from death certificates (DCs) using the World Health Organization (WHO) DC template. We estimated proportional mortality (PM%) among children with CZS and among children with non-Zika CNS congenital anomalies (CA) by 36 months of age and proportional mortality ratio by cause (PMRc). A total of 403 children with confirmed and probable CZS who died up to 36 months of age were included in the study; 81.9% were younger than 12 months of age. Multiple congenital malformations not classified elsewhere, and septicemia unspecified, with 18 (PM = 4.5%) and 17 (PM = 4.2%) deaths, respectively, were the most attested underlying causes of death. Unspecified septicemia (29 deaths and PM = 11.2%) and newborn respiratory failure (40 deaths and PM = 12.1%) were, respectively, the predominant intermediate and immediate causes of death. Fetuses and newborns affected by the mother's infectious and parasitic diseases, unspecified cerebral palsy, and unspecified severe protein-caloric malnutrition were the underlying causes with the greatest probability of death in children with CZS (PMRc from 10.0 to 17.0) when compared to the group born with non-Zika CNS anomalies. Among the intermediate and immediate causes of death, pneumonitis due to food or vomiting and unspecified seizures (PMRc = 9.5, each) and unspecified bronchopneumonia (PMRc = 5.0) were notable. As contributing causes, fetus and newborn affected by the mother's infectious and parasitic diseases (PMRc = 7.3), unspecified cerebral palsy, and newborn seizures (PMRc = 4.5, each) were more likely to lead to death in children with CZS than in the comparison group. The main limitations of this study were the use of a secondary database without additional clinical information and potential misclassification of cases and controls. CONCLUSION: The sequence of causes and circumstances involved in the deaths of the children with CZS highlights the greater vulnerability of these children to infectious and respiratory conditions compared to children with abnormalities of the CNS not related to Zika

Causes of death in children with congenital Zika syndrome in Brazil, 2015 to 2018: A nationwide record linkage study.

BackgroundChildren with congenital Zika syndrome (CZS) have severe damage to the peripheral and central nervous system (CNS), greatly increasing the risk of death. However, there is no information on the sequence of the underlying, intermediate, immediate, and contributing causes of deaths among these children. The aims of this study are describe the sequence of events leading to death of children with CZS up to 36 months of age and their probability of dying from a given cause, 2015 to 2018.Methods and findingsIn a population-based study, we linked administrative data on live births, deaths, and cases of children with CZS from the SINASC (Live Birth Information System), the SIM (Mortality Information System), and the RESP (Public Health Event Records), respectively. Confirmed and probable cases of CZS were those that met the criteria established by the Brazilian Ministry of Health. The information on causes of death was collected from death certificates (DCs) using the World Health Organization (WHO) DC template. We estimated proportional mortality (PM%) among children with CZS and among children with non-Zika CNS congenital anomalies (CA) by 36 months of age and proportional mortality ratio by cause (PMRc). A total of 403 children with confirmed and probable CZS who died up to 36 months of age were included in the study; 81.9% were younger than 12 months of age. Multiple congenital malformations not classified elsewhere, and septicemia unspecified, with 18 (PM = 4.5%) and 17 (PM = 4.2%) deaths, respectively, were the most attested underlying causes of death. Unspecified septicemia (29 deaths and PM = 11.2%) and newborn respiratory failure (40 deaths and PM = 12.1%) were, respectively, the predominant intermediate and immediate causes of death. Fetuses and newborns affected by the mother's infectious and parasitic diseases, unspecified cerebral palsy, and unspecified severe protein-caloric malnutrition were the underlying causes with the greatest probability of death in children with CZS (PMRc from 10.0 to 17.0) when compared to the group born with non-Zika CNS anomalies. Among the intermediate and immediate causes of death, pneumonitis due to food or vomiting and unspecified seizures (PMRc = 9.5, each) and unspecified bronchopneumonia (PMRc = 5.0) were notable. As contributing causes, fetus and newborn affected by the mother's infectious and parasitic diseases (PMRc = 7.3), unspecified cerebral palsy, and newborn seizures (PMRc = 4.5, each) were more likely to lead to death in children with CZS than in the comparison group. The main limitations of this study were the use of a secondary database without additional clinical information and potential misclassification of cases and controls.ConclusionThe sequence of causes and circumstances involved in the deaths of the children with CZS highlights the greater vulnerability of these children to infectious and respiratory conditions compared to children with abnormalities of the CNS not related to Zika

Brazilian Flora 2020: Leveraging the power of a collaborative scientific network

International audienceThe shortage of reliable primary taxonomic data limits the description of biological taxa and the understanding of biodiversity patterns and processes, complicating biogeographical, ecological, and evolutionary studies. This deficit creates a significant taxonomic impediment to biodiversity research and conservation planning. The taxonomic impediment and the biodiversity crisis are widely recognized, highlighting the urgent need for reliable taxonomic data. Over the past decade, numerous countries worldwide have devoted considerable effort to Target 1 of the Global Strategy for Plant Conservation (GSPC), which called for the preparation of a working list of all known plant species by 2010 and an online world Flora by 2020. Brazil is a megadiverse country, home to more of the world's known plant species than any other country. Despite that, Flora Brasiliensis, concluded in 1906, was the last comprehensive treatment of the Brazilian flora. The lack of accurate estimates of the number of species of algae, fungi, and plants occurring in Brazil contributes to the prevailing taxonomic impediment and delays progress towards the GSPC targets. Over the past 12 years, a legion of taxonomists motivated to meet Target 1 of the GSPC, worked together to gather and integrate knowledge on the algal, plant, and fungal diversity of Brazil. Overall, a team of about 980 taxonomists joined efforts in a highly collaborative project that used cybertaxonomy to prepare an updated Flora of Brazil, showing the power of scientific collaboration to reach ambitious goals. This paper presents an overview of the Brazilian Flora 2020 and provides taxonomic and spatial updates on the algae, fungi, and plants found in one of the world's most biodiverse countries. We further identify collection gaps and summarize future goals that extend beyond 2020. Our results show that Brazil is home to 46,975 native species of algae, fungi, and plants, of which 19,669 are endemic to the country. The data compiled to date suggests that the Atlantic Rainforest might be the most diverse Brazilian domain for all plant groups except gymnosperms, which are most diverse in the Amazon. However, scientific knowledge of Brazilian diversity is still unequally distributed, with the Atlantic Rainforest and the Cerrado being the most intensively sampled and studied biomes in the country. In times of “scientific reductionism”, with botanical and mycological sciences suffering pervasive depreciation in recent decades, the first online Flora of Brazil 2020 significantly enhanced the quality and quantity of taxonomic data available for algae, fungi, and plants from Brazil. This project also made all the information freely available online, providing a firm foundation for future research and for the management, conservation, and sustainable use of the Brazilian funga and flora