O processo de enfermagem e classificação internacional para a prática de enfermagem (CIPE®): Potencialidades na atenção primária / The nursing process and international classification for nursing practice (CIPE®): Potentialities in primary care

Objetivo: Elencar evidências científicas sobre as potencialidades da aplicação da CIPE® na Atenção Primária à Saúde, considerando o Processo de Enfermagem como instrumento metodológico de trabalho do enfermeiro. Método: Revisão integrativa, norteada pelo seguinte questionamento: Considerando o processo de enfermagem, quais as potencialidades da CIPE® para melhoria do processo de cuidar na APS? Realizada nas bases: LILACS, MEDLINE, BDENF e IBECS, sendo selecionados artigos dos últimos 10 anos, nos idiomas: português, inglês e espanhol. Resultados: Foram incluídos 09 estudos, dos quais emergiram quatro categorias temáticas: Padronização da linguagem de enfermagem, acesso e comunicação; Contribuição da CIPE® para assistência de enfermagem a grupos específicos; Possibilidade de construção e Implantação de subconjuntos terminológicos; CIPE® na organização do Processo de Trabalho do Enfermeiro na APS. Tais categorias revelam as potencialidades da CIPE® na APS. Conclusões: Foi possível identificar seu potencial na APS, pela organização do processo de trabalho do profissional viabilizando uma assistência integral e sistematizada. Ressalta-se a necessidade de mais estudos originais que apliquem a CIPE® na prática e avaliem metodologicamente os resultados  no trabalho do enfermeiro

Construção do plano de parto no acompanhamento do pré-natal de risco habitual: uma revisão integrativa

Pesquisar a construção do Plano de parto no acompanhamento do pré-natal em gestantes atendidas na Atenção Primaria a saúde

Atuação do enfermeiro no atendimento domiciliar ao paciente idoso: revisão integrativa

O tema tem por objetivo  falar  sobre  a  atuação do enfermeiro na assistência domiciliar prestada ao paciente idoso. Utilizou-se a revisão integrativa onde foram selecionadas 18 publicações revisão integrativa por meio de consulta às bases de dados BVS, SciELO. De 38 artigos. Foram incluídos estudos em espanhol, inglês e português, não delimitando data de publicação. Após a leitura minuciosa destas, foi possível identificar três categorias: Gestão do processo de cuidar; Educação à saúde dos familiares cuidadores; Processo de trabalho do enfermeiro no contexto da equipe de saúde. A partir dos resultados obtidos fica evidente a necessidade  do  enfermeiro  de  reconhecer  e  atender o idoso de  forma  integral no contexto do seu domicilio, considerando, também, a promoção à saúde, tendo neste aspecto a importância na atuação do enfermeiro(a) no atendimento domiciliar neste período de vida é muito  importante  para  promover um envelhecimento bem-sucedido

New records and detailed distribution and abundance of selected arthropod species collected between 1999 and 2011 in Azorean native forests.

Of the total 286 species identified, 81% were captured between 1999 and 2000, a period during which only 39% of all the samples were collected. On average, arthropod richness for each island increased by 10% during the time frame of these projects. The classes Arachnida, Chilopoda and Diplopoda represent the most remarkable cases of new island records, with more than 30% of the records being novelties. This study stresses the need to expand the approaches applied in these projects to other habitats in the Azores, and more importantly to other less surveyed taxonomic groups (e.g. Diptera and Hymenoptera). These steps are fundamental for getting a more accurate assessment of biodiversity in the archipelago

Testing a global standard for quantifying species recovery and assessing conservation impact.

Recognizing the imperative to evaluate species recovery and conservation impact, in 2012 the International Union for Conservation of Nature (IUCN) called for development of a "Green List of Species" (now the IUCN Green Status of Species). A draft Green Status framework for assessing species' progress toward recovery, published in 2018, proposed 2 separate but interlinked components: a standardized method (i.e., measurement against benchmarks of species' viability, functionality, and preimpact distribution) to determine current species recovery status (herein species recovery score) and application of that method to estimate past and potential future impacts of conservation based on 4 metrics (conservation legacy, conservation dependence, conservation gain, and recovery potential). We tested the framework with 181 species representing diverse taxa, life histories, biomes, and IUCN Red List categories (extinction risk). Based on the observed distribution of species' recovery scores, we propose the following species recovery categories: fully recovered, slightly depleted, moderately depleted, largely depleted, critically depleted, extinct in the wild, and indeterminate. Fifty-nine percent of tested species were considered largely or critically depleted. Although there was a negative relationship between extinction risk and species recovery score, variation was considerable. Some species in lower risk categories were assessed as farther from recovery than those at higher risk. This emphasizes that species recovery is conceptually different from extinction risk and reinforces the utility of the IUCN Green Status of Species to more fully understand species conservation status. Although extinction risk did not predict conservation legacy, conservation dependence, or conservation gain, it was positively correlated with recovery potential. Only 1.7% of tested species were categorized as zero across all 4 of these conservation impact metrics, indicating that conservation has, or will, play a role in improving or maintaining species status for the vast majority of these species. Based on our results, we devised an updated assessment framework that introduces the option of using a dynamic baseline to assess future impacts of conservation over the short term to avoid misleading results which were generated in a small number of cases, and redefines short term as 10 years to better align with conservation planning. These changes are reflected in the IUCN Green Status of Species Standard

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Monumento Natural Regional do Algar do Carvão (Ilha Terceira) : Biodiversidade e Geodiversidade

Copyright © 2004 Instituto Açoriano de Cultura.O Algar do Carvão está situado na parte central da ilha Terceira e é a cavidade vulcânica mais conhecida do Arquipélago dos Açores (cf. Borges et al., 1992 e Costa et al., 2002). O cone vulcânico onde se desenvolve esta impressionante conduta localiza-se no interior da Caldeira de Guilherme Moniz, a cotas aproximadas de 550 metros. A partir da cidade de Angra do Heroísmo, chega-se ao Algar do Carvão percorrendo uma distância de cerca de 14,7 km, passando pela Via Rápida e Caminho do Cabrito. [da Introdução

Volcanic Caves: Priorities for Conserving the Azorean Endemic Troglobiont Species

Azorean lava-tubes and volcanic pits adequately sampled for arthropod fauna were evaluated for species diversity and rarity. An iterative partial multiple regression analysis was performed to produce a multi-criteria index (Importance Value for Cave Conservation, IV-CC) incorporating arthropod species diversity indices but also including indices qualifying cave geological and management features (e.g., the diversity of geological structures, threats, accessibility). Additionally, we calculated complementarity solutions (irreplaceability and Fraction-of-Spare measures) for each cave with different targets per species, i.e., the minimum number of caves needed for each species to be represented either once or twice. Our results clearly show that to preserve all troglobiont arthropods endemic to the Azores, it is crucial to protect several caves per island. As many as 10 and 15 caves are needed to include one or two occurrences, respectively, per species

New records and detailed distribution and abundance of selected arthropod species collected between 1999 and 2011 in Azorean native forests

In this contribution we present detailed distribution and abundance data for arthropod species identified during the BALA – Biodiversity of Arthropods from the Laurisilva of the Azores (1999-2004) and BALA2 projects (2010-2011) from 18 native forest fragments in seven of the nine Azorean islands (all excluding Graciosa and Corvo islands, which have no native forest left).Of the total 286 species identified, 81% were captured between 1999 and 2000, a period during which only 39% of all the samples were collected. On average, arthropod richness for each island increased by 10% during the time frame of these projects. The classes Arachnida, Chilopoda and Diplopoda represent the most remarkable cases of new island records, with more than 30% of the records being novelties. This study stresses the need to expand the approaches applied in these projects to other habitats in the Azores, and more importantly to other less surveyed taxonomic groups (e.g. Diptera and Hymenoptera). These steps are fundamental for getting a more accurate assessment of biodiversity in the archipelago

New records and detailed distribution and abundance of selected arthropod species collected between 1999 and 2011 in Azorean native forests

In this contribution we present detailed distribution and abundance data for arthropod species identified during the BALA – Biodiversity of Arthropods from the Laurisilva of the Azores (1999-2004) and BALA2 projects (2010-2011) from 18 native forest fragments in seven of the nine Azorean islands (all excluding Graciosa and Corvo islands, which have no native forest left).Of the total 286 species identified, 81% were captured between 1999 and 2000, a period during which only 39% of all the samples were collected. On average, arthropod richness for each island increased by 10% during the time frame of these projects. The classes Arachnida, Chilopoda and Diplopoda represent the most remarkable cases of new island records, with more than 30% of the records being novelties. This study stresses the need to expand the approaches applied in these projects to other habitats in the Azores, and more importantly to other less surveyed taxonomic groups (e.g. Diptera and Hymenoptera). These steps are fundamental for getting a more accurate assessment of biodiversity in the archipelago