Segurança do doente crítico: transição de cuidados, na passagem de turno de enfermagem

Os momentos de transição de cuidados de saúde ocorrem numa base diária em todas as instituições prestadoras de cuidados de saúde, sendo responsáveis por uma parte significativa do tempo de trabalho dos profissionais de saúde, momentos e processos por vezes negligenciados e subvalorizados, apesar de serem considerados críticos para a segurança do doente. Pretende-se, com o presente relatório, detalhar as etapas de uma intervenção cujo objetivo primário foi introduzir uma abordagem semiestruturada nos momentos de passagem de turno numa Unidade de Cuidados Intensivos, avaliar a conformidade do seu uso, através da observação, e a perceção da equipa da Enfermagem sobre os ganhos decorrentes desta abordagem. Pretende-se ainda analisar e refletir de forma crítica o processo de aquisição e desenvolvimento de competências de Enfermeiro especialista em Enfermagem Médico- Cirúrgica, na vertente da Pessoa em Situação Crítica bem como as competências de Mestre em Enfermagem; ABSTRACT: Critical patient safety: transition of care in the nursing handover The handover/handoff process takes place on a daily basis in all health care institutions, accounting for a significant portion of the work time of health professionals, moments and processes that are sometimes neglected and undervalued, although they are considered critical to patient safety. This report intends to detail the stages of an intervention whose the primary objective was to introduce a semi-structured approach in the handover/handoff moments in an Intensive Care Unit, to evaluate the conformity of its use through observation and also evaluate the perception of the Nursing team about the gains from this approach. It is also intended to analyze and critically reflect the process of acquisition and development of skills of Specialist Nurse in Medical-Surgical Nursing, in the scope of the Person in Critical Situation as well as the competencies of Master in Nursing

ERGONOMIC ANALYSIS OF PRUNING TREES IN CONFLICT WITH POWER LINES

Ergonomic analysis of pruning trees in conflict with power lines. Pruning trees in conflict with power lines is associated with several ergonomic risks due to postural issues and exposure to environmental conditions, such as noise and vibration in work activities. Additionally, there are life-threatening risks from falls or contact with power lines. The objective of this work was to apply the Ergonomic Workplace Analysis (EWA) method and assess the exposure of workers involved in pruning of trees conflicting with power lines to noise and vibration. The survey was conducted considering outsourced employees that provide services to an electric utility company in the state of Bahia, Brazil. The results obtained through EWA showed a regular risk rate, with concerning aspects, such as verbal communication (dialogue among workers regarding technical/operational issues), irregular posture of back, arms, and shoulders, high attention demand, and activity limitations. Quantitative analysis showed 84.9 dB (A-weighted) for noise and 2.440 m s-2 for vibration, both close to the action level. The pole saw vibration reached 3.703 m s-2, exceeding the tolerance limit. The importance of breaks, at-work exercises, and training is emphasized as ergonomic measures. A rotation system should be implemented in tree pruning activities to reduce exposure to vibration

Photography-based taxonomy is inadequate, unnecessary, and potentially harmful for biological sciences

The question whether taxonomic descriptions naming new animal species without type specimen(s) deposited in collections should be accepted for publication by scientific journals and allowed by the Code has already been discussed in Zootaxa (Dubois & Nemésio 2007; Donegan 2008, 2009; Nemésio 2009a–b; Dubois 2009; Gentile & Snell 2009; Minelli 2009; Cianferoni & Bartolozzi 2016; Amorim et al. 2016). This question was again raised in a letter supported by 35 signatories published in the journal Nature (Pape et al. 2016) on 15 September 2016. On 25 September 2016, the following rebuttal (strictly limited to 300 words as per the editorial rules of Nature) was submitted to Nature, which on 18 October 2016 refused to publish it. As we think this problem is a very important one for zoological taxonomy, this text is published here exactly as submitted to Nature, followed by the list of the 493 taxonomists and collection-based researchers who signed it in the short time span from 20 September to 6 October 2016

Floristic survey of vascular plants of a poorly known area in the Brazilian Atlantic Forest (Flona do Rio Preto, Espírito Santo)

The Atlantic Forest is one of the most threatened biomes in the world. Despite that, this biome still includes many areas that are poorly known floristically, including several protected areas, such as the "Floresta Nacional do Rio Preto" ("Flona do Rio Preto"), located in the Brazilian State of Espírito Santo. This study used a published vascular plant species list for this protected area from the "Catálogo de Plantas das Unidades de Conservação do Brasil" as the basis to synthesise the species richness, endemism, conservation and new species occurrences found in the "Flona do Rio Preto".The published list of vascular plants was based on field expeditions conducted between 2018 and 2020 and data obtained from herbarium collections available in online databases. Overall, 722 species were documented for the "Flona do Rio Preto", 711 of which are native to Brazil and 349 are endemic to the Atlantic Forest. In addition, 60 species are geographically disjunct between the Atlantic and the Amazon Forests. Most of the documented species are woody and more than 50% of these are trees. Twenty-three species are threatened (CR, EN and VU), while five are Data Deficient (DD). Thirty-two species are new records for the State of Espírito Santo. Our results expand the knowledge of the flora of the Atlantic Forest and provide support for the development of new conservation policies for this protected area

NEOTROPICAL ALIEN MAMMALS: a data set of occurrence and abundance of alien mammals in the Neotropics

Biological invasion is one of the main threats to native biodiversity. For a species to become invasive, it must be voluntarily or involuntarily introduced by humans into a nonnative habitat. Mammals were among first taxa to be introduced worldwide for game, meat, and labor, yet the number of species introduced in the Neotropics remains unknown. In this data set, we make available occurrence and abundance data on mammal species that (1) transposed a geographical barrier and (2) were voluntarily or involuntarily introduced by humans into the Neotropics. Our data set is composed of 73,738 historical and current georeferenced records on alien mammal species of which around 96% correspond to occurrence data on 77 species belonging to eight orders and 26 families. Data cover 26 continental countries in the Neotropics, ranging from Mexico and its frontier regions (southern Florida and coastal-central Florida in the southeast United States) to Argentina, Paraguay, Chile, and Uruguay, and the 13 countries of Caribbean islands. Our data set also includes neotropical species (e.g., Callithrix sp., Myocastor coypus, Nasua nasua) considered alien in particular areas of Neotropics. The most numerous species in terms of records are from Bos sp. (n = 37,782), Sus scrofa (n = 6,730), and Canis familiaris (n = 10,084); 17 species were represented by only one record (e.g., Syncerus caffer, Cervus timorensis, Cervus unicolor, Canis latrans). Primates have the highest number of species in the data set (n = 20 species), partly because of uncertainties regarding taxonomic identification of the genera Callithrix, which includes the species Callithrix aurita, Callithrix flaviceps, Callithrix geoffroyi, Callithrix jacchus, Callithrix kuhlii, Callithrix penicillata, and their hybrids. This unique data set will be a valuable source of information on invasion risk assessments, biodiversity redistribution and conservation-related research. There are no copyright restrictions. Please cite this data paper when using the data in publications. We also request that researchers and teachers inform us on how they are using the data

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

Núcleos de Ensino da Unesp: artigos 2008

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq