Mal-estar docente na escolarização: reflexões a partir do relatório escolar.

Compreendendo o mal-estar como consequência dos conflitos inevitáveis entre o individual e o coletivo (Freud, 1930/1995), o presente trabalho tem como proposta contribuir para a investigação do mal-estar e sua expressão em professores. Partindo do entendimento que a expressão do mal-estar se constitui em um crivo de compreensão para o descontentamento frente às exigências da cultura sobre o sujeito, pergunta-se como o mal-estarse apresenta referido à relação professor-aluno. O estudo surgiu a partir da experiência de um grupo de pesquisa feito em parceria entre as faculdades de Educação da UFRJ e da UFF e também o Instituto de Psiquiatria da UFRJ com o SPIA, Serviço de Psiquiatria da Infância e Adolescência, que objetivou questionar como o mal-estar é vivenciado pelos diversos agentes envolvidos no processo educacional. Neste trabalho, especificamente, através de uma análise documental da escrita do relatório escolar, temos como objeto odiscurso de educadores através de 12 relatórios escolares encaminhados aos pais e/ou à saúde mental. O estudo compreende que o mal-estar como ferramenta teórico-conceitual para pensar o relatório, contribui para uma reflexão sobre possíveis atravessamentos subjetivos no cotidiano de educadores e alunos

Do the european data portal datasets in the categories government and public sector, transport and education, culture and sport meet the data on the web best practices?

This work resulted in the creation of datasets which is available at https://doi.org/10.34622/datarepositorium/N2P0NK, as per the CC0—“Public Domain Dedication” License, accessed on 6 August 2021.The European Data Portal is one of the worldwide initiatives that aggregates and make open data available. This is a case study with a qualitative approach that aims to determine to what extent the datasets from the Government and Public Sector, Transport, and Education, Culture and Sport categories published on the portal meet the Data on the Web Best Practices (W3C). With the datasets sorted by last modified and filtered by the ratings Excellent and Good+, we analyzed 50 different datasets from each category. The analysis revealed that the Government and Transport categories have the best-rated datasets, followed by Transportation and, lastly, Education. This analysis revealed that the Government and Transport categories have the best-rated datasets and Education the least. The most observed BPs were: BP1, BP2, BP4, BP5, BP10, BP11, BP12, BP13C, BP16, BP17, BP19, BP29, and BP34, while the least observed were: BP3, BP7H, BP7C, BP13H, BP14, BP15, BP21, BP32, and BP35. These results fill a gap in the literature on the quality of the data made available by this portal and provide insights for European data managers on which best practices are most observed and which ones need more attention

Gender Category Study: Perspectives Of Nursing Interns In Public Health

Introduction: The dialog with learning process about gender category is one of the ways, in nursing, to recognize needs produced by population through social control. It may be linked by formative mechanisms, aiming the qualification of academic knowledge and practical internship activities. Objective: We explore the learning experience from the approximation with gender category and its implications to the care provided by nurses in Primary Care. Methods: This is a descriptive study, critic-reflexive, of experience report type, systematized from the experience with gender category in health, and designed under two reflective axes: 1 – Operationalization of Supervised Curricular Internship; and 2 - Conceptualizing gender: perspectives for nursing care. Results: There were a theoretical enrichment about gender category in overcoming the biases found during the formation process, demystifying normative patterns built around gender and sexuality, becoming necessary to conceptual comprehension in nursing care context, in nurse’s action in Primary Care, in the current social scenario of health-disease process from identity questions, recognizing subjects’ expression through their subjectivity. Conclusion: Making the nursing students’ knowledge about the theme possible has demonstrated to be an operationalization of necessary tools to implement a more qualified assistance in Public Health. Keywords: Gender; Nursing; Public Health

COVID-19 outcomes in people living with HIV: Peering through the waves

Objective: To evaluate clinical characteristics and outcomes of COVID-19 patients infected with HIV, and to compare with a paired sample without HIV infection. Methods: This is a substudy of a Brazilian multicentric cohort that comprised two periods (2020 and 2021). Data was obtained through the retrospective review of medical records. Primary outcomes were admission to the intensive care unit, invasive mechanical ventilation, and death. Patients with HIV and controls were matched for age, sex, number of comorbidities, and hospital of origin using the technique of propensity score matching (up to 4:1). They were compared using the Chi-Square or Fisher's Exact tests for categorical variables and the Wilcoxon for numerical variables. Results: Throughout the study, 17,101 COVID-19 patients were hospitalized, and 130 (0.76%) of those were infected with HIV. The median age was 54 (IQR: 43.0;64.0) years in 2020 and 53 (IQR: 46.0;63.5) years in 2021, with a predominance of females in both periods. People Living with HIV (PLHIV) and their controls showed similar prevalence for admission to the ICU and invasive mechanical ventilation requirement in the two periods, with no significant differences. In 2020, in-hospital mortality was higher in the PLHIV compared to the controls (27.9% vs. 17.7%; p = 0.049), but there was no difference in mortality between groups in 2021 (25.0% vs. 25.1%; p > 0.999). Conclusions: Our results reiterate that PLHIV were at higher risk of COVID-19 mortality in the early stages of the pandemic, however, this finding did not sustain in 2021, when the mortality rate is similar to the control group

As particularidades clínicas da otite média: Clinical features of otitis media

A otite média é um processo inflamatório de evolução abrupta, acompanhado pelo quadro clínico típico de inflamação na orelha média, sendo sua incidência prevalente em crianças, culminando em leves repercussões clínicas, mas que deve ser adequadamente diagnosticada e tratada. Este evento clínico pode ser agudo, subagudo ou crônico com aparições típicas, evolução e manejo clínico diferenciados. O seguinte artigo é uma revisão narrativa de literatura que visa analisar a respeito das principais particularidades clínicas da Otite Média. Diante das informações coletadas, pode se elucidar que a otite média é o fator causal para implicações negativas e antibioticoterapia em crianças, logo é essencial medidas para diagnose precoce para evitar repercussões na saúde destes

Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial

Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure <= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt