Saúde mental e adoecimento psíquico: O papel das instituições de ensino superior frente à prevenção, orientação e cuidados com a saúde mental de seus discentes

This research aims to understand the role of HEI managers in promoting mental health care for their students. To develop this article, the bibliographical approach method was used. Bibliographical research seeks to solve a problem, through the investigation of published theoretical references, which makes it possible to collect information to analyze and discuss the various scientific contributions regarding the researched object. College students are facing an increasing number of challenges in their personal and academic lives, and many are dealing with mental health disorders such as anxiety, depression, and stress. In this sense, the role of Institutions in caring for students' mental health is fundamental to ensuring that students have access to quality services and can have good academic and personal performance.Esta investigación tiene como objetivo comprender el papel de los directivos de las IES en la promoción de la atención de la salud mental de sus estudiantes. Para desarrollar este artículo se utilizó el método de enfoque bibliográfico. La investigación bibliográfica busca resolver un problema, a través de la investigación de referencias teóricas publicadas, que posibilite recolectar información para analizar y discutir los diversos aportes científicos respecto del objeto investigado. Los estudiantes universitarios enfrentan un número cada vez mayor de desafíos en su vida personal y académica, y muchos enfrentan trastornos de salud mental como ansiedad, depresión y estrés. En este sentido, el papel de las Instituciones en el cuidado de la salud mental de los estudiantes es fundamental para garantizar que los estudiantes tengan acceso a servicios de calidad y puedan tener un buen desempeño académico y personal.Esta pesquisa tem como objetivo compreender o papel dos gestores de IES frente à promoção de cuidados com a saúde mental de seus discentes. Para o desenvolvimento deste artigo foi utilizado o método de abordagem bibliográfica. A pesquisa bibliográfica busca a solução de um problema, mediante a investigação de referenciais teóricos publicados, o que possibilita o levantamento de informações para analisar e discutir as diversas contribuições científicas acerca do objeto pesquisado. Os estudantes universitários estão enfrentando um número crescente de desafios em suas vidas pessoais e acadêmicas, e muitos estão lidando com transtornos mentais como ansiedade, depressão e estresse. Nesse sentido, o papel das Instituições frente aos cuidados da saúde mental dos discentes é fundamental para garantir que os estudantes tenham acesso a serviços de qualidade e possam ter um bom desempenho acadêmico e pessoal.

A simple position operator for periodic systems

International audienceWe present a position operator that is compatible with periodic boundary conditions (PBC). It is a one-body operator that can be applied in calculations of correlated materials by simply replacing the traditional position vector by the new definition. We show that it satisfies important fundamental as well as practical constraints. To illustrate the usefulness of the PBC position operator we apply it to the localization tensor, a key quantity that is able to differentiate metallic from insulating states. In particular, we show that the localization tensor given in terms of the PBC position operator yields the correct expression in the thermodynamic limit. Moreover, we show that it correctly distinguishes between finite precursors of metals and insulators

Clinical judgment performance of undergraduate Nursing students

Objetivo: avaliar o desempenho referido sobre julgamento clínico por estudantes de graduação em enfermagem. Método: estudo transversal, com a aplicação da Lasater Clinical Judgment Rubric-Brazilian Version em 166 estudantes da graduação em enfermagem de uma universidade pública do Brasil. Os dados foram analisados de forma descritiva e analítica (comparando o nível de julgamento clínico entre estudantes dos grupos iniciante, intermediário e concluinte). Aplicaram-se os testes: Qui-quadrado, Exato de Fisher e Kruskal-Wallis, e adotou-se p-valor 0,05. A confiabilidade do instrumento global (alpha de Cronbach) foi de 0,786. Resultados: dos 166 estudantes, 65,7% se avaliaram como proficientes em relação ao desempenho referido sobre julgamento clínico. Das 11 dimensões da rubrica (observação focada, reconhecimento de desvios dos padrões esperados, busca por informações, priorização dos dados, compreensão dos dados, atuação calma e confiante, comunicação clara, intervenção bem planejada/flexibilidade, habilidade técnica, avaliação/autoanálise e comprometimento com o aperfeiçoamento), apenas quatro não apresentaram diferenças significativas entre os grupos (p<0,05): observação focada, busca por informações, priorização dos dados, atuação calma e confiante. Conclusão: O desempenho referido sobre julgamento clínico como proficiente foi apontado por 65,7% estudantes e foi verificada diferença estatística significante, em sete dimensões, entre os iniciantes, intermediários e concluintes, compatível com a evolução da aprendizagem.Objetivo: evaluar la capacidad referida de juicio clínico de estudiantes de licenciatura en enfermería. Método: estudio transversal con aplicación de la Lasater Clinical Judgment Rubric-Brazilian Version en 166 estudiantes de licenciatura en enfermería de una universidad pública de Brasil. Los datos se analizaron de forma descriptiva y analítica (comparando el nivel de juicio clínico entre los estudiantes de los grupos principiante, intermedio y avanzado). Se aplicaron las pruebas: Chi-cuadrado, Exacta de Fisher y Kruskal-Wallis, y se adoptó un p-valor de 0,05. La confiabilidad del instrumento global (alfa de Cronbach) fue de 0,786. Resultados: de los 166 estudiantes, el 65,7% se evaluó como competente en relación con la capacidad referida de juicio clínico. De las 11 dimensiones de la rúbrica (observación enfocada, reconocimiento de desviaciones de los estándares esperados, búsqueda de información, priorización de datos, comprensión de datos, desempeño tranquilo y seguro, comunicación clara, intervención bien planificada/flexibilidad, habilidad técnica, evaluación/autoanálisis y compromiso con la mejora), solo cuatro no mostraron diferencias significativas entre grupos (p<0,05): observación enfocada, búsqueda de información, priorización de datos, desempeño tranquilo y seguro. Conclusión: el 65,7% de los estudiantes consideró que poseía juicio clínico competente y hubo una diferencia estadísticamente significativa, en siete dimensiones, entre principiantes, intermedios y avanzados, compatible con la evolución del aprendizaje.Objective: to evaluate the reported performance regarding clinical judgment by undergraduate Nursing students. Method: a cross-sectional study with the application of the Lasater Clinical Judgment Rubric-Brazilian Version in 166 undergraduate Nursing students from a Brazilian public university. The data were analyzed descriptively and analytically (by comparing the level of clinical judgment among students from the initial, intermediate, and concluding groups). The following tests were applied: Chi-square, Fisher’s Exact and Kruskal-Wallis, and a p-value of 0.05 was adopted. The reliability of the global instrument (Cronbach’s alpha) was 0.786. Results: of the 166 students, 65.7% evaluated themselves as proficient in relation to the reported performance on clinical judgment. Of the rubric’s 11 dimensions (focused observation, recognizing deviations from expected patterns, information seeking, prioritizing data, making sense of data, calm and confident manner, clear communication, well-planned intervention/flexibility, being skillful, evaluation/self-analysis, and commitment to improvement), only four groups did not present significant differences among them (p<0.05): focused observation, information seeking, prioritizing data, and calm and confident manner. Conclusion: the performance on clinical judgment reported as proficient was pointed out by 65.7% of the students and a significant statistical difference was verified in seven dimensions, among beginners, intermediate, and concluding students, compatible with the evolution of learning

Clinical outcomes after vena cava thrombectomy for renal cell carcinoma with venous extension – institutional experience

INTRODUCTION: Renal cell carcinoma (RCC) frequently progress to involve the inferior vena cava (IVC) and even the right atrium (RA). Nephrectomy and eradication of the tumour thrombus, can extend survival and prevent symptoms of venous congestion. The authors evaluated the institutional experience of a tertiary center in the surgical management of RCC patients with tumour thrombi invading the IVC. METHODS: Retrospective analysis of a single-center consecutive serie of patients with RCC and IVC tumor thrombi treated with surgery in our department between 2012 and 2021 was carried out. Demographic data, diagnostic and procedural characteristics, clinical outcomes and survival analysis were examined. RESULTS: Of the included 18 patients, 33% (n=6) had smoking history, 78% (n=14) hypertension, 33% (n=6) diabetes and dyslipidaemia. Mean tumour size was 8.78±2.47cm (3-12cm), and 67% (n=12) of the cases were renal clear cell adenocarcinoma. On the basis of the Neves classification for IVC thrombus extension, 39% (n=7) of the patients had level I; 28% (n=5) level II; 17% (n=3) level III and 17% (n=3) level IV. The majority underwent radical nephrectomy, with cavotomy and vena cava thrombus removal followed by lateral venorrhaphy of the vena cava (89%,n=16). In one patient an infra-renal IVC ligation was performed and, in another patient, an IVC interposition with PTFE and a protesic-renal bypass were performed. In level IV, combined open sternotomy and cardiac bypass for RA thrombus control were necessary. Mean total operative time was 3h4min±1h19min and median intraoperative blood loss was 600ml requiring a median blood cells transfusion of 3.5units (0,16) during the hospital stay. Median ICU days was 2 days (0,14) and median hospital stay was 8 days (4,61). The mean preoperative serum creatinine was 1.23+0.38 mg/dL. After surgery, there was a mean decrease of serum creatinine of 0.001 mg/dL (p=.991) (paired T test), confirming the absence of renal impairment. Only one patient required reintervention in the post-operative course for splenectomy. Post- operative complications included one case of pulmonary embolism, pneumonia, acute coronary syndrome and two cases of temporary acute renal lesion. There was no 30-day mortality. Five patients underwent adjuvant chemotherapy. Median follow-up time was 19.5 months (6-46.2 months). The four-year overall survival rate was of 52.4% (figure 1). CONCLUSION: For advanced RCC with tumour thrombus extension into the IVC, despite the expected poor prognosis, nephrectomy and eradication of the entire tumour thrombus, has low morbidity and can prolong patient survival, in line with the presented results

Ingestão diária de água e sua procedência por discentes dos cursos de nutrição e engenharia de alimentos da universidade Federal de Sergipe/Campus São Cristóvão / Daily intake of water and its origin by students of the nutrition and food engineering courses at the Federal university of Sergipe / São Cristóvão Campus

A ingestão de água é fundamental para a sobrevivência dos seres humanos e a sua procedência crucial para não desenvolver doenças. Nesse trabalho, buscou-se conhecer a ingestão diária de água e sua procedência por discentes dos cursos de Nutrição e de Engenharia de Alimentos da Universidade Federal de Sergipe (UFS)/Campus São Cristóvão. Foi realizado um estudo transversal, em março de 2020, sendo levantados os dados socioeconômicos, ingestão diária de água e sua procedência. O estudo foi constituído por 73 indivíduos, sendo 41,1% do curso de engenharia de alimentos e 58,9% do curso de nutrição, a maioria dos discentes apresentam renda familiar per capita de meio a um salário mínimo. Menos da metade (49,3%) realizam atividade física, sendo a maior frequência nos discentes de engenharia de alimentos (69,2%). O maior consumo de água foi verificado dentre os discentes de nutrição (1,8 a 2,1L) quando comparados com os de engenharia (1,2 a 1,6L). A procedência da água da maior parte dos discentes de engenharia de alimentos (46,7%) é de poço e rede pública e nos de nutrição da rede pública (51,2%). A água mineral e filtrada são as mais utilizadas pelos discentes de engenharia de alimentos (46,7%) e nos de nutrição é a água filtrada (51,2%). O estudo mostra que a maioria dos discentes não ingerem a quantidade de água diária recomendada, sejam praticantes de atividade física ou não. A maior parte da água de consumo procede da rede pública e que à nível doméstico a maioria dos discentes filtram a água de beber.

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost