24 research outputs found

    O LEGISLATIVO E O GERENCIALISMO NA GESTÃO DE PESSOAS DA ADMINISTRAÇÃO PÚBLICA

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    As políticas de gestão de pessoas no serviço público podem ser consideradas matérias essencialmente abordadas durante todo o período histórico da Administração Pública. Além disso, há de se considerar que o Poder Executivo, ao promover suas ações, deve observá-las de forma vinculada às Leis. Nesse sentido, este artigo objetiva identificar na legislação federal que trata do tema políticas de gestão de pessoas, elementos que ratifiquem a perspectiva relacionada à Nova Gestão Pública, a partir da promulgação da Constituição Federal de 1988. Para isso, faz uma pesquisa bibliográfica, com uma abordagem qualitativa,sobre os arranjos legais que tratam e disciplinam o tema. Conclui que hálegislações promulgadas na perspectiva de colocar em prática o modelo gerencial, possibilitando melhoria no desenvolvimento do servidor e na qualidade da prestação do seu serviço.Palavras-chave: Administração pública, políticas de gestão de pessoas, administração pública gerencial

    ATLANTIC EPIPHYTES: a data set of vascular and non-vascular epiphyte plants and lichens from the Atlantic Forest

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    Epiphytes are hyper-diverse and one of the frequently undervalued life forms in plant surveys and biodiversity inventories. Epiphytes of the Atlantic Forest, one of the most endangered ecosystems in the world, have high endemism and radiated recently in the Pliocene. We aimed to (1) compile an extensive Atlantic Forest data set on vascular, non-vascular plants (including hemiepiphytes), and lichen epiphyte species occurrence and abundance; (2) describe the epiphyte distribution in the Atlantic Forest, in order to indicate future sampling efforts. Our work presents the first epiphyte data set with information on abundance and occurrence of epiphyte phorophyte species. All data compiled here come from three main sources provided by the authors: published sources (comprising peer-reviewed articles, books, and theses), unpublished data, and herbarium data. We compiled a data set composed of 2,095 species, from 89,270 holo/hemiepiphyte records, in the Atlantic Forest of Brazil, Argentina, Paraguay, and Uruguay, recorded from 1824 to early 2018. Most of the records were from qualitative data (occurrence only, 88%), well distributed throughout the Atlantic Forest. For quantitative records, the most common sampling method was individual trees (71%), followed by plot sampling (19%), and transect sampling (10%). Angiosperms (81%) were the most frequently registered group, and Bromeliaceae and Orchidaceae were the families with the greatest number of records (27,272 and 21,945, respectively). Ferns and Lycophytes presented fewer records than Angiosperms, and Polypodiaceae were the most recorded family, and more concentrated in the Southern and Southeastern regions. Data on non-vascular plants and lichens were scarce, with a few disjunct records concentrated in the Northeastern region of the Atlantic Forest. For all non-vascular plant records, Lejeuneaceae, a family of liverworts, was the most recorded family. We hope that our effort to organize scattered epiphyte data help advance the knowledge of epiphyte ecology, as well as our understanding of macroecological and biogeographical patterns in the Atlantic Forest. No copyright restrictions are associated with the data set. Please cite this Ecology Data Paper if the data are used in publication and teaching events. © 2019 The Authors. Ecology © 2019 The Ecological Society of Americ

    Edge effects on beetle assemblages in an Atlantic forest fragment and pasture in Sergipe, Brazil

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    The advancement of agricultural frontiers and pastures has contributed to the fragmentation of the forest, and these fragments are affected by disturbances of varying degrees of intensity that influence the local fauna and flora. The objective of this work was to analyze how do the magnitude and extent of edge effects and seasonality chance to richness and abundance of beetle. The experiment was conducted in an area containing forest, border and pasture belonging to the Federal Institute of Sergipe. A total of 1,173 specimens from 16 species were collected. The border areas showed a greater richness and abundance of species characterized by being an area of intermediate disturbance, while the anthropic area (pasture) presented the lowest abundance and abundance of Coleoptera and a greater variety of pest beetles, suggesting that the occurrence of some species of pest beetles may be an indication of degraded areas. The abundance and richness of the coleoptera community decreased in the rainy season. Small distances between the pasture, the edge of the forest fragment and the interior of this fragment seem to be crucial to determine the structure of the beetle community, reinforcing attention to the conservation of habitats for its development.O avanço das fronteiras agrícolas e das pastagens contribuiu para a fragmentação da mata, e estes fragmentos são afetados por distúrbios de diferentes graus de intensidade que influenciam a fauna e a flora local. O objetivo deste trabalho foi analisar como a magnitude e extensão do efeito de borda e a sazonalidade influencia na riqueza e abundância de besouros. O experimento foi conduzido em uma área contendo mata, borda e pastagem pertencente ao Instituto Federal de Sergipe. Foram coletados 1.173 espécimes pertencentes a 16 espécies.As áreas de borda se destacaram apresentando maior riqueza e abundância de espécies caracterizada por ser uma área de distúrbio intermediário, enquanto que a área antropizada (pastagem) apresentou a menor riqueza e abundância de Coleópteros e maior variedade de besouros pragas, sugerindo que a ocorrência de algumas espécies de besouros-praga pode ser uma indicação de áreas degradadas. A abundância e riqueza da comunidade de coleópteros diminuíram na estação chuvosa. Pequenas distâncias entre o pasto, a borda do fragmento florestal e o interior deste fragmento parecem ser cruciais para determinar a estrutura da comunidade de besouros, reforçando a atenção à conservação de habitats para seu desenvolvimento

    O LEGISLATIVO E O GERENCIALISMO NA GESTÃO DE PESSOAS DA ADMINISTRAÇÃO PÚBLICA

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    As políticas de gestão de pessoas no serviço público podem ser consideradas matérias essencialmente abordadas durante todo o período histórico da Administração Pública. Além disso, há de se considerar que o Poder Executivo, ao promover suas ações, deve observá-las de forma vinculada às Leis. Nesse sentido, este artigo objetiva identificar na legislação federal que trata do tema políticas de gestão de pessoas, elementos que ratifiquem a perspectiva relacionada à Nova Gestão Pública, a partir da promulgação da Constituição Federal de 1988. Para isso, faz uma pesquisa bibliográfica, com uma abordagem qualitativa,sobre os arranjos legais que tratam e disciplinam o tema. Conclui que hálegislações promulgadas na perspectiva de colocar em prática o modelo gerencial, possibilitando melhoria no desenvolvimento do servidor e na qualidade da prestação do seu serviço.Palavras-chave: Administração pública, políticas de gestão de pessoas, administração pública gerencial

    ALGUNS ASPECTOS SOBRE A INFLUÊNCIA DOS BISFOSFONATOS NA OSTEONECROSE APÓS A INSTALAÇÃO DE IMPLANTES DENTÁRIOS: REVISÃO DE LITERATURA

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    <p>Os bisfosfonatos são análogos sintéticos do pirofosfato inorgânico, que se ligam avidamente ao osso e são internalizados pelos osteoclastos para inibir o processo de reabsorção. Sendo eles utilizados para o tratamento de diversas doenças ósseas como a osteoporose, neoplasias malignas com metástases ósseas, hipercalcemia maligna, mieloma múltiplo entre outros. Os medicamentos associados aos bisfosfonatos de uso intraoral apresentam poucas reações adversas, como a intolerância gastrointestinal, úlceras e erosões esofágicas, falência renal, cefaléia e a osteonecrose dos maxilares. Quando utilizado por via intravenosa os efeitos adversos tendem a ser mais intensos. O objetivo desse trabalho é realizar uma revisão narrativa da literatura sobre os aspectos relacionados à osteonecrose dos maxilares potencializada pelo uso de bisfosfonatos e o insucesso no prognóstico de implantes dentários nesse grupo de pacientes. O presente estudo se trata de uma revisão narrativa da literatura, que considera artigos de revisão, relato de caso clínico, monografias e capítulos de livros publicados nas bases de dados Lilacs, Scielo e Google Acadêmico. Pode-se considerar que a prevenção é a melhor forma de se evitar o desenvolvimento dessa reação adversa ao uso do medicamento, de modo que um contato entre o médico, dentista e o paciente é fundamental para se realizar a prevenção de forma segura reduzindo riscos à saúde do paciente, de modo que o tratamento reabilitador precisa ser avaliado individualmente em cada paciente</p&gt

    Monitoring the Establishment of VOC Gamma in Minas Gerais, Brazil: A Retrospective Epidemiological and Genomic Surveillance Study

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    Since its first identification in Brazil, the variant of concern (VOC) Gamma has been associated with increased infection and transmission rates, hospitalizations, and deaths. Minas Gerais (MG), the second-largest populated Brazilian state with more than 20 million inhabitants, observed a peak of cases and deaths in March–April 2021. We conducted a surveillance study in 1240 COVID-19-positive samples from 305 municipalities distributed across MG’s 28 Regional Health Units (RHU) between 1 March to 27 April 2021. The most common variant was the VOC Gamma (71.2%), followed by the variant of interest (VOI) zeta (12.4%) and VOC alpha (9.6%). Although the predominance of Gamma was found in most of the RHUs, clusters of Zeta and Alpha variants were observed. One Alpha-clustered RHU has a history of high human mobility from countries with Alpha predominance. Other less frequent lineages, such as P.4, P.5, and P.7, were also identified. With our genomic characterization approach, we estimated the introduction of Gamma on 7 January 2021, at RHU Belo Horizonte. Differences in mortality between the Zeta, Gamma and Alpha variants were not observed. We reinforce the importance of vaccination programs to prevent severe cases and deaths during transmission peaks

    Development and validation of the MMCD score to predict kidney replacement therapy in COVID-19 patients

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    Abstract Background Acute kidney injury (AKI) is frequently associated with COVID-19, and the need for kidney replacement therapy (KRT) is considered an indicator of disease severity. This study aimed to develop a prognostic score for predicting the need for KRT in hospitalised COVID-19 patients, and to assess the incidence of AKI and KRT requirement. Methods This study is part of a multicentre cohort, the Brazilian COVID-19 Registry. A total of 5212 adult COVID-19 patients were included between March/2020 and September/2020. Variable selection was performed using generalised additive models (GAM), and least absolute shrinkage and selection operator (LASSO) regression was used for score derivation. Accuracy was assessed using the area under the receiver operating characteristic curve (AUC-ROC). Results The median age of the model-derivation cohort was 59 (IQR 47–70) years, 54.5% were men, 34.3% required ICU admission, 20.9% evolved with AKI, 9.3% required KRT, and 15.1% died during hospitalisation. The temporal validation cohort had similar age, sex, ICU admission, AKI, required KRT distribution and in-hospital mortality. The geographic validation cohort had similar age and sex; however, this cohort had higher rates of ICU admission, AKI, need for KRT and in-hospital mortality. Four predictors of the need for KRT were identified using GAM: need for mechanical ventilation, male sex, higher creatinine at hospital presentation and diabetes. The MMCD score had excellent discrimination in derivation (AUROC 0.929, 95% CI 0.918–0.939) and validation (temporal AUROC 0.927, 95% CI 0.911–0.941; geographic AUROC 0.819, 95% CI 0.792–0.845) cohorts and good overall performance (Brier score: 0.057, 0.056 and 0.122, respectively). The score is implemented in a freely available online risk calculator ( https://www.mmcdscore.com/ ). Conclusions The use of the MMCD score to predict the need for KRT may assist healthcare workers in identifying hospitalised COVID-19 patients who may require more intensive monitoring, and can be useful for resource allocation

    Clinical characteristics and outcomes of hospital-manifested COVID-19 among Brazilians

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    ABSTRACT: Objectives: To analyze the clinical characteristics and outcomes of admitted patients with the hospital- versus community-manifested COVID-19 and to evaluate the risk factors related to mortality in the first population. Methods: This retrospective cohort included consecutive adult patients with COVID-19, hospitalized between March and September 2020. The demographic data, clinical characteristics, and outcomes were extracted from medical records. Patients with hospital-manifested COVID-19 (study group) and those with community-manifested COVID-19 (control group) were matched by the propensity score model. Logistic regression models were used to verify the risk factors for mortality in the study group. Results: Among 7,710 hospitalized patients who had COVID-19, 7.2% developed symptoms while admitted for other reasons. Patients with hospital-manifested COVID-19 had a higher prevalence of cancer (19.2% vs 10.8%) and alcoholism (8.8% vs 2.8%) than patients with community-manifested COVID-19 and also had a higher rate of intensive care unit requirement (45.1% vs 35.2%), sepsis (23.8% vs 14.5%), and death (35.8% vs 22.5%) (P <0.05 for all). The factors independently associated with increased mortality in the study group were increasing age, male sex, number of comorbidities, and cancer. Conclusion: Hospital-manifested COVID-19 was associated with increased mortality. Increasing age, male sex, number of comorbidities, and cancer were independent predictors of mortality among those with hospital-manifested COVID-19 disease
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