Assessment of the Triage System in a Pediatric Emergency Department. A pilot study on critical code

Introduction. In Italy, triage involves assigning a priority color code to patients arriving at the hospital Emergency Department: red (very critical), yellow (moderately critical), green (not very critical), and white (not critical). Methods. This study was aimed at assessing the triage system in the Emergency Department of ?Giannina Gaslini? Children? s Hospital in Genoa, Italy. The authors examined 130 triage forms assigning a yellow code in 2003, in order to determine whether they had been correctly filled in with regard to the detection of vital parameters, identification of main symptoms and color code assignment. Results. Results showed that vital signs were recorded in 94% of patients, main symptoms were identified in 97%, and a yel- low code was assigned according to hospital guidelines in 84%. The percentage of underestimation (3.2%) was higher than that reported in the literature (2%). Conclusions. The study shows the need to improve compliance with the guidelines and to evaluate green and white codes

Diagnoses and proposals for integrated management of solid wastes of the Coastal, Limnology and Marine Studies Center (CECLIMAR) of the Institute of Biosciences, Federal University of Rio Grande do Sul, Brazil

Nas últimas décadas a geração de resíduos foi incrementando-se de maneira alarmante. O objetivo principal deste trabalho foi realizar um diagnóstico da situação dos resíduos sólidos do Centro de Estudos Costeiros, Limnológicos e Marinhos (CECLIMAR) do Instituto de Biociências da Universidade Federal do Rio Grande do Sul (UFRGS), elaborando propostas para melhorar sua gestão. Realizou-se um estudo descritivo, iniciando-se a tarefa com a pesquisa bibliográfica sobre a temática abordada e dados específicos sobre a instituição. Qualificaram-se e quantificaram-se os resíduos do Ceclimar, também foram realizadas entrevistas escritas procurando identificar os problemas específicos que o pessoal considerava como os mais importantes. O CECLIMAR com mais de 30 anos de serviço, está organizado em quatro áreas, com uma pessoa responsável por cada uma delas. Atualmente trabalham 39 pessoas e estudam 163 alunos; já apresenta um plano de gerenciamento de seus aspectos ambientais, porém não tem consolidado um plano de resíduos. Das cinco categorias estabelecidas pela legislação vigente (ANVISA RDC 306/04 e Resolução CONAMA 357/05), a instituição estudada produz quatro delas (A, B, D, E), sendo a mais abundante em quantidade os resíduos de classe D (tipo domiciliários), dentro deles os do tipo orgânico compostável (3.22 kg.dia-1) e entre os recicláveis (5.055 kg.dia-1) predominaram os plásticos (61%) e papéis/papelão (25%). Em função dos problemas específicos percebidos pelas pessoas entrevistadas (n=25), os três considerados mais importantes foram: Consumo de água, Resíduos gerados e a Conservação e Manutenção dos espaços verdes, nesta ordem de importância. É preciso trabalhar na melhoria do sistema implementado, construindo uma área para disposição dos diversos resíduos, capacitando o pessoal para fazer a correta segregação e manipulação dos resíduos. Além disso, é fundamental prever ações que concretamente diminuam o consumo e geração dos resíduos. Fazer isso é imprescindível para aperfeiçoar o Sistema de Gestão Ambiental já em implantação.In recent decades, waste generation has increased alarmingly. The main objective of this study was to diagnose the situation of solid waste in the Coastal, Limnology and Marine Studies Center (CECLIMAR) of the Bioscience Institute at the Federal University of Rio Grande do Sul (UFRGS) by elaborating proposals to improve waste management. A descriptive study was carried out, starting the task with bibliographical research on the topic addressed and specific data about the institution. CECLIMAR waste was classified and quantified, and written interviews were also conducted to identify the specific problems that the staff considered to be the most important. CECLIMAR with more than 30 years of service, is organized in four areas, with one person responsible for each one of them. The institution currently employs thirty-nine people and receives one hundred and sixty-three students. It already has a plan for the management of its environmental aspects, but has not consolidated a solid waste plan. Of the five waste categories established by the current legislation (ANVISA RDC 306/04 and CONAMA Resolution 357/05), the institution produces four of them (A, B, D and E), the most abundant of which is class D residues (household type). The class D wastes produced include compostable organic waste (3,220 kg.day-1) and recyclables (5,055 kg.day-1), which consist predominately of plastic (61%) and paper / paperboard (25%). Of the specific problems of the institution, as perceived by the people interviewed (n = 25), the three considered most important were water consumption, waste generation, and preservation of green areas. It is necessary to improve the system in place, build an area for residue disposal, and enable the staff to do the correct segregation and handling of waste. Moreover, it is essential to take actions that specifically reduce consumption and waste generation, in order to improve the implemented system.Asociación de Universidades Grupo Montevide

Diagnoses and proposals for integrated management of solid wastes of the Coastal, Limnology and Marine Studies Center (CECLIMAR) of the Institute of Biosciences, Federal University of Rio Grande do Sul, Brazil

Nas últimas décadas a geração de resíduos foi incrementando-se de maneira alarmante. O objetivo principal deste trabalho foi realizar um diagnóstico da situação dos resíduos sólidos do Centro de Estudos Costeiros, Limnológicos e Marinhos (CECLIMAR) do Instituto de Biociências da Universidade Federal do Rio Grande do Sul (UFRGS), elaborando propostas para melhorar sua gestão. Realizou-se um estudo descritivo, iniciando-se a tarefa com a pesquisa bibliográfica sobre a temática abordada e dados específicos sobre a instituição. Qualificaram-se e quantificaram-se os resíduos do Ceclimar, também foram realizadas entrevistas escritas procurando identificar os problemas específicos que o pessoal considerava como os mais importantes. O CECLIMAR com mais de 30 anos de serviço, está organizado em quatro áreas, com uma pessoa responsável por cada uma delas. Atualmente trabalham 39 pessoas e estudam 163 alunos; já apresenta um plano de gerenciamento de seus aspectos ambientais, porém não tem consolidado um plano de resíduos. Das cinco categorias estabelecidas pela legislação vigente (ANVISA RDC 306/04 e Resolução CONAMA 357/05), a instituição estudada produz quatro delas (A, B, D, E), sendo a mais abundante em quantidade os resíduos de classe D (tipo domiciliários), dentro deles os do tipo orgânico compostável (3.22 kg.dia-1) e entre os recicláveis (5.055 kg.dia-1) predominaram os plásticos (61%) e papéis/papelão (25%). Em função dos problemas específicos percebidos pelas pessoas entrevistadas (n=25), os três considerados mais importantes foram: Consumo de água, Resíduos gerados e a Conservação e Manutenção dos espaços verdes, nesta ordem de importância. É preciso trabalhar na melhoria do sistema implementado, construindo uma área para disposição dos diversos resíduos, capacitando o pessoal para fazer a correta segregação e manipulação dos resíduos. Além disso, é fundamental prever ações que concretamente diminuam o consumo e geração dos resíduos. Fazer isso é imprescindível para aperfeiçoar o Sistema de Gestão Ambiental já em implantação.In recent decades, waste generation has increased alarmingly. The main objective of this study was to diagnose the situation of solid waste in the Coastal, Limnology and Marine Studies Center (CECLIMAR) of the Bioscience Institute at the Federal University of Rio Grande do Sul (UFRGS) by elaborating proposals to improve waste management. A descriptive study was carried out, starting the task with bibliographical research on the topic addressed and specific data about the institution. CECLIMAR waste was classified and quantified, and written interviews were also conducted to identify the specific problems that the staff considered to be the most important. CECLIMAR with more than 30 years of service, is organized in four areas, with one person responsible for each one of them. The institution currently employs thirty-nine people and receives one hundred and sixty-three students. It already has a plan for the management of its environmental aspects, but has not consolidated a solid waste plan. Of the five waste categories established by the current legislation (ANVISA RDC 306/04 and CONAMA Resolution 357/05), the institution produces four of them (A, B, D and E), the most abundant of which is class D residues (household type). The class D wastes produced include compostable organic waste (3,220 kg.day-1) and recyclables (5,055 kg.day-1), which consist predominately of plastic (61%) and paper / paperboard (25%). Of the specific problems of the institution, as perceived by the people interviewed (n = 25), the three considered most important were water consumption, waste generation, and preservation of green areas. It is necessary to improve the system in place, build an area for residue disposal, and enable the staff to do the correct segregation and handling of waste. Moreover, it is essential to take actions that specifically reduce consumption and waste generation, in order to improve the implemented system.Asociación de Universidades Grupo Montevide

Diagnoses and proposals for integrated management of solid wastes of the Coastal, Limnology and Marine Studies Center (CECLIMAR) of the Institute of Biosciences, Federal University of Rio Grande do Sul, Brazil

Nas últimas décadas a geração de resíduos foi incrementando-se de maneira alarmante. O objetivo principal deste trabalho foi realizar um diagnóstico da situação dos resíduos sólidos do Centro de Estudos Costeiros, Limnológicos e Marinhos (CECLIMAR) do Instituto de Biociências da Universidade Federal do Rio Grande do Sul (UFRGS), elaborando propostas para melhorar sua gestão. Realizou-se um estudo descritivo, iniciando-se a tarefa com a pesquisa bibliográfica sobre a temática abordada e dados específicos sobre a instituição. Qualificaram-se e quantificaram-se os resíduos do Ceclimar, também foram realizadas entrevistas escritas procurando identificar os problemas específicos que o pessoal considerava como os mais importantes. O CECLIMAR com mais de 30 anos de serviço, está organizado em quatro áreas, com uma pessoa responsável por cada uma delas. Atualmente trabalham 39 pessoas e estudam 163 alunos; já apresenta um plano de gerenciamento de seus aspectos ambientais, porém não tem consolidado um plano de resíduos. Das cinco categorias estabelecidas pela legislação vigente (ANVISA RDC 306/04 e Resolução CONAMA 357/05), a instituição estudada produz quatro delas (A, B, D, E), sendo a mais abundante em quantidade os resíduos de classe D (tipo domiciliários), dentro deles os do tipo orgânico compostável (3.22 kg.dia-1) e entre os recicláveis (5.055 kg.dia-1) predominaram os plásticos (61%) e papéis/papelão (25%). Em função dos problemas específicos percebidos pelas pessoas entrevistadas (n=25), os três considerados mais importantes foram: Consumo de água, Resíduos gerados e a Conservação e Manutenção dos espaços verdes, nesta ordem de importância. É preciso trabalhar na melhoria do sistema implementado, construindo uma área para disposição dos diversos resíduos, capacitando o pessoal para fazer a correta segregação e manipulação dos resíduos. Além disso, é fundamental prever ações que concretamente diminuam o consumo e geração dos resíduos. Fazer isso é imprescindível para aperfeiçoar o Sistema de Gestão Ambiental já em implantação.In recent decades, waste generation has increased alarmingly. The main objective of this study was to diagnose the situation of solid waste in the Coastal, Limnology and Marine Studies Center (CECLIMAR) of the Bioscience Institute at the Federal University of Rio Grande do Sul (UFRGS) by elaborating proposals to improve waste management. A descriptive study was carried out, starting the task with bibliographical research on the topic addressed and specific data about the institution. CECLIMAR waste was classified and quantified, and written interviews were also conducted to identify the specific problems that the staff considered to be the most important. CECLIMAR with more than 30 years of service, is organized in four areas, with one person responsible for each one of them. The institution currently employs thirty-nine people and receives one hundred and sixty-three students. It already has a plan for the management of its environmental aspects, but has not consolidated a solid waste plan. Of the five waste categories established by the current legislation (ANVISA RDC 306/04 and CONAMA Resolution 357/05), the institution produces four of them (A, B, D and E), the most abundant of which is class D residues (household type). The class D wastes produced include compostable organic waste (3,220 kg.day-1) and recyclables (5,055 kg.day-1), which consist predominately of plastic (61%) and paper / paperboard (25%). Of the specific problems of the institution, as perceived by the people interviewed (n = 25), the three considered most important were water consumption, waste generation, and preservation of green areas. It is necessary to improve the system in place, build an area for residue disposal, and enable the staff to do the correct segregation and handling of waste. Moreover, it is essential to take actions that specifically reduce consumption and waste generation, in order to improve the implemented system.Asociación de Universidades Grupo Montevide

Riverhood: political ecologies of socionature commoning and translocal struggles for water justice

Mega-damming, pollution and depletion endanger rivers worldwide. Meanwhile, modernist imaginaries of ordering ‘unruly waters and humans’ have become cornerstones of hydraulic-bureaucratic and capitalist development. They separate hydro/social worlds, sideline river-commons cultures, and deepen socio-environmental injustices. But myriad new water justice movements (NWJMs) proliferate: rooted, disruptive, transdisciplinary, multi-scalar coalitions that deploy alternative river–society ontologies, bridge South–North divides, and translate river-enlivening practices from local to global and vice-versa. This paper's framework conceptualizes ‘riverhood’ to engage with NWJMs and river commoning initiatives. We suggest four interrelated ontologies, situating river socionatures as arenas of material, social and symbolic co-production: ‘river-as-ecosociety’, ‘river-as-territory’, ‘river-as-subject’, and ‘river-as-movement’

Insights into protein-ionic liquid interactions aiming at macromolecule delivery systems

Over the last few years, researchers have started to explore a particular class of compounds defined as ionic liquids (ILs) in attempts to use their unique characteristics. Since ILs have a very low vapor pressure, these fascinating compounds hold great potential as high performance chemicals for several applications in the (bio)pharmaceutical industry. In general, and unlike common organic solvents with comparable polarities, ILs are quite compatible with enzymes (enhancing their structural and chemical stability) and other proteins, since they can promote higher selectivities, faster reaction rates and greater enzyme stabilities in biocatalytic reactions providing, at the same time, a path for the structural and functional stabilization of protein entities. ILs appear to enhance the delivery of macromolecules, particularly protein entities, and their interactions with ILs will be tackled in detail in this review paper.Project funding by Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP, São Paulo, Brazil) (FAPESP Refs. No. 2016/08884-3 (Project PneumoPhageColor) and 2016/12234-4 (Project TransAppIL)) is hereby gratefully acknowledged. Funding by Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP Ref. No. 2016/16641-3) in the form of an MSc fellowship granted to Liliam Harada is hereby gratefully acknowledged. This work also received support from CNPq, National Council for Scientific and Technological Development, Brazil, in the form of Research Productivity (PQ) fellowships granted to Victor M. Balcão (Refs. No. 306113/2014-7 and 308208/2017-0).info:eu-repo/semantics/publishedVersio

The short version of the Sexual Distress Scale (SDS-3): Measurement invariance across countries, gender identities, and sexual orientations

© 2024 The Author(s). Published by Elsevier B.V. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International License (CC BY-NC), https://creativecommons.org/licenses/by-nc/4.0/Background The three-item Sexual Distress Scale (SDS-3) has been frequently used to assess distress related to sexuality in public health surveys and research on sexual wellbeing. However, its psychometric properties and measurement invariance across cultural, gender and sexual subgroups have not yet been examined. This multinational study aimed to validate the SDS-3 and test its psychometric properties, including measurement invariance across language, country, gender identity, and sexual orientation groups. Methods We used global survey data from 82,243 individuals (Mean age=32.39 years; 40.3 % men, 57.0 % women, 2.8 % non-binary, and 0.6 % other genders) participating in the International Sexual Survey (ISS; https://internationalsexsurvey.org/) across 42 countries and 26 languages. Participants completed the SDS-3, as well as questions regarding sociodemographic characteristics, including gender identity and sexual orientation. Results Confirmatory factor analysis (CFA) supported a unidimensional factor structure for the SDS-3, and multi-group CFA (MGCFA) suggested that this factor structure was invariant across countries, languages, gender identities, and sexual orientations. Cronbach's α for the unidimensional score was 0.83 (range between 0.76 and 0.89), and McDonald's ω was 0.84 (range between 0.76 and 0.90). Participants who did not experience sexual problems had significantly lower SDS-3 total scores (M = 2.99; SD=2.54) compared to those who reported sexual problems (M = 5.60; SD=3.00), with a large effect size (Cohen's d = 1.01 [95 % CI=-1.03, -0.98]; p < 0.001). Conclusion The SDS-3 has a unidimensional factor structure and appears to be valid and reliable for measuring sexual distress among individuals from different countries, gender identities, and sexual orientations.Peer reviewe

Psychometric properties of the Alcohol Use Disorders Identification Test (AUDIT) across cross-cultural subgroups, genders, and sexual orientations: Findings from the International Sex Survey (ISS)

Introduction. Despite being a widely used screening questionnaire, there is no consensus on the most appropriate measurement model for the Alcohol Use Disorders Identification Test (AUDIT). Furthermore, there have been limited studies on its measurement invariance across cross-cultural subgroups, genders, and sexual orientations. Aims. The present study aimed to examine the fit of different measurement models for the AUDIT and its measurement invariance across a wide range of subgroups by country, language, gender, and sexual orientation. Methods. Responses concerning past-year alcohol use from the participants of the cross-sectional International Sex Survey were considered (N = 62,943; Mage: 32.73; SD = 12.59). Confirmatory factor analysis, as well as measurement invariance tests were performed for 21 countries, 14 languages, three genders, and four sexual-orientation subgroups that met the minimum sample size requirement for inclusion in these analyses. Results. A two-factor model with factors describing ‘alcohol use’ (items 1–3) and ‘alcohol problems’ (items 4–10) showed the best model fit across countries, languages, genders, and sexual orientations. For the former two, scalar and latent mean levels of invariance were reached considering different criteria. For gender and sexual orientation, a latent mean level of invariance was reached. Conclusions. In line with the two-factor model, the calculation of separate alcohol-use and alcohol-problem scores is recommended when using the AUDIT. The high levels of measurement invariance achieved for the AUDIT support its use in cross-cultural research, capable also of meaningful comparisons among genders and sexual orientations