RESUMO Objetivo: apresentar a concepção e implantação do Modelo de Gestão de Altas do Complexo Hospital de Clínicas da Universidade Federal do Paraná. Método: relato de experiência ocorrido entre 2017 e 2020, sobre a concepção e implantação do modelo de Gestão de Altas com apoio do modelo lógico. Resultados: continuidade do cuidado e gerenciamento de caso são operacionalizados por uma equipe exclusiva de enfermeiras de ligação que gerenciam e contrarreferenciam os cuidados para a atenção primária e outros pontos da rede de assistência à saúde. Conclusão: a gestão de altas se consolidou como uma estratégia gerencial que integra a rede de atenção à saúde, evita descontinuidades da assistência, promove segurança aos pacientes e familiares, além de otimização de leitos, e ainda insere na agenda da atenção primária os pacientes complexos. Contribui para a continuidade do cuidado e representa evidência de um novo campo de atuação do Enfermeiro.

ABSTRACT Objective: to present the conception and implementation of the Discharge Management Model of the Clinics Hospital Complex of the Federal University of Paraná. Method: experience report occurred between 2017 and 2020, about the design and implementation of the Discharge Management model with support of the logic model. Results: continuity of care and case management are operationalized by a dedicated team of liaison nurses who manage and counter-reference care to primary care and other points in the health care network. Conclusion: discharge management has been consolidated as a managerial strategy that integrates the health care network, avoids discontinuities in care, promotes patient and family safety, and optimizes beds, and inserts complex patients into the primary care agenda. It contributes to the continuity of care and represents evidence of a new field of work for nurses.

RESUMEN Objetivo: presentar la concepción e implementación del Modelo de Gestión de Alta del Complejo Hospitalario de Clínicas de la Universidad Federal de Paraná. Método: informe de experiencia ocurrida entre 2017 y 2020, sobre el diseño e implementación del modelo de Gestión del Alta con apoyo del modelo lógico. Resultados: la continuidad de los cuidados y la gestión de los casos son operados por un equipo exclusivo de enfermeras de enlace que gestionan y contra revierten los cuidados a la atención primaria y a otros puntos de la red sanitaria. Conclusión: la gestión de altas se consolida como una estrategia gerencial que integra la red de atención a la salud, evita las discontinuidades de la asistencia, promueve la seguridad de los pacientes y los familiares, además de la optimización de las camas, y aún inserta en la agenda de la atención primaria a los pacientes complejos. Contribuye a la continuidad de los cuidados y representa la evidencia de un nuevo campo de trabajo para las enfermeras.

ABSTRACT The Aptian-Albian paleoichthyofauna in Brazil and Africa is quite diverse, yet their geographic patterns still require accounts. This work consists of a panbiogeographical analysis of paleoichthyofauna from Aptian-Albian through track analysis. Geographic coordinates were obtained and converted into paleocoordinates. Individual Tracks (ITs) and Generalized Tracks (GTs) were built with the aid of ArcView GIS v3.2 program using Trazos2004 extension. As a result, four GTs and tree Biogeographic Nodes (A, B and C) had been identified. GTs 1 and 2 shows two different faunas. GT3 indicates similarity between Brazil and Africa paleoichthyofauna suggesting the break-up of Gondwana as the event that separated it. GT4 represents a probable local seaway produced by transgressions. In the Node A a unique fauna was found indicating the presence of a third biota with its own characteristics. Node B is associated with the break-up of the supercontinent Gondwana. Node C was related to fauna exchange promoted by marine ingression and epicontinental seas that occurred during Aptian-Albian. We concluded that there is a relationship between the distributional patterns of biota and events such as the break-up of Gondwana, the formation of Atlantic Ocean and eustatic movements that affected South America and Africa.

Mawsoniidae são uma família de peixes actinístios fósseis, conhecidos popularmente como celacanto, os quais são encontrados em paleoambientes continental e marinho. O táxon é considerado monofilético, incluindo cinco gêneros válidos (Axelrodichthys, Chinlea,Diplurus, Mawsonia eParnaibaia) e 11 gêneros com alguma controvérsia taxonômica (Alcoveria, Changxingia,Garnbergia, Heptanema,Indocoelacanthus, Libys,Lualabaea, Megalocoelacanthus,Moenkopia, Rhipis eTrachymetopon). Os gêneros restritos ao Hemisfério Norte (Diplurus e Chinlea) possuem os registros mais antigos (Triássico Superior), enquanto aqueles encontrados no Hemisfério Sul (Mawsonia,Axelrodichthys e Parnaibaia) estendem-se do Jurássico Superior ao Cretáceo Superior, especialmente no Brasil e áfrica. Nós identificamos padrões de distribuição de Mawsoniidae, aplicando o método panbiogeográfico de análise de traços, e obtivemos três traços generalizados (TGs): TG1 (Newark Nordeste) nos estratos do Grupo Newark (Triássico Superior); TG2 (Centro-oeste gondwânico) na Formação Lualaba (Jurássico Superior); e TG3 (Itapecuru-Alcântara-Santana) nas formações Itapecuru-Alcântara-Santana (Cretáceo Inferior). A origem de Mawsoniidae pode ser datada, pelo menos, ao Triássico Superior da Pangeia. Os eventos tectônicos relacionados ao rompimento da Pangeia e Gondwana e a evolução dos oceanos são sugeridos como os eventos vicariantes modelando a distribuição deste táxon ao longo do Mesozoico.

Mawsoniidae are a fossil family of actinistian fish popularly known as coelacanths, which are found in continental and marine paleoenvironments. The taxon is considered monophyletic, including five valid genera (Axelrodichthys, Chinlea,Diplurus, Mawsonia andParnaibaia) and 11 genera with some taxonomical controversy (Alcoveria, Changxingia,Garnbergia, Heptanema,Indocoelacanthus, Libys,Lualabaea, Megalocoelacanthus,Moenkopia, Rhipis andTrachymetopon). The genera restricted to the Northern Hemisphere (Diplurus and Chinlea) possess the oldest records (Late Triassic), whereas those found in the Southern Hemisphere (Mawsonia, Axelrodichthys, andParnaibaia) extend from Late Jurassic to Late Cretaceous, especially in Brazil and Africa. We identified distributional patterns of Mawsoniidae, applying the panbiogeographical method of track analysis, and obtained three generalized tracks (GTs): GT1 (Northeastern Newark) in strata of the Newark Group (Upper Triassic); GT2 (Midwestern Gondwana) in the Lualaba Formation (Upper Jurassic); and GT3 (Itapecuru-Alcântara-Santana) in the Itapecuru-Alcântara-Santana formations (Lower Cretaceous). The origin of Mawsoniidae can be dated to at least Late Triassic of Pangaea. The tectonic events related to the breakup of Pangaea and Gondwana and the evolution of the oceans are suggested as the vicariant events modeling the distribution of this taxon throughout the Mesozoic.

Os Enchodontoidei são peixes teleósteos marinhos extintos, com uma longa amplitude temporal e uma ampla distribuição geográfica. Tendo em vista que não há nenhuma proposta ampla para a filogenia deste táxon, foi realizada uma aná lise de parcimônia com base numa matriz de dados de 87 caracteres, 31 táxons terminais no grupo interno, e três táxons no grupo externo. Como resultado da análise, foram obtidas 93 árvores igualmente parcimoniosas (L = 437 passos; CI = 0,24; RI = 0,49). O consenso de maioria é representado pela seguinte topologia: (Sardinioides + Hemisaurida + (Nardorex + (Atolvorator + (Protostomias + Yabrudichthys ) + (Apateopholis + (Serrilepis + (Halec + Phylactocephalus ) + (Cimolichthys + (Prionolepis + ( (Eurypholis + Saurorhamphus ) + (Enchodus + (Paleolycus + Parenchodus ))))))) + ( (Ichthyotringa + Apateodus ) + (Rharbichthys + (Trachinocephalus + ( (Apuliadercetis + Brazilodercetis ) + (Benthesikyme + (Cyranichthys + Robertichthys ) + (Dercetis + Ophidercetis )) + (Caudadercetis + (Pelargorhynchus + (Nardodercetis + (Rhynchodercetis + (Dercetoides + Hastichthys )))))). O grupo Enchodontoidei não é monofilético. Os Dercetidae formam um clado suportado pela presença de espinhos neurais muito reduzidos e possuem uma nova composição. Os Enchodontidae são um grupo monofilético, devido à presença de escudos no dorso, e Rharbichthys foi excluído do clado. Os Halecidae possuem uma nova composição, com a exclusão de Hemisaurida. Este táxon e Nardorex são Aulopiformes incertae sedis.

Enchodontoidei are extinct marine teleost fishes with a long temporal range and a wide geographic distribution. As there has been no comprehensive phylogenetic study of this taxon, we performed a parsimony analysis using a data matrix with 87 characters, 31 terminal taxa for ingroup, and three taxa for outgroup. The analysis produced 93 equally parsimonious trees (L = 437 steps; CI = 0. 24; RI = 0. 49). The topology of the majority rule consensus tree was: (Sardinioides + Hemisaurida + (Nardorex + (Atolvorator + (Protostomias + Yabrudichthys ) + (Apateopholis + (Serrilepis + (Halec + Phylactocephalus ) + (Cimolichthys + (Prionolepis + ( (Eurypholis + Saurorhamphus ) + (Enchodus + (Paleolycus + Parenchodus ))))))) + ( (Ichthyotringa + Apateodus ) + (Rharbichthys + (Trachinocephalus + ( (Apuliadercetis + Brazilodercetis ) + (Benthesikyme + (Cyranichthys + Robertichthys ) + (Dercetis + Ophidercetis )) + (Caudadercetis + (Pelargorhynchus + (Nardodercetis + (Rhynchodercetis + (Dercetoides + Hastichthys )))))). The group Enchodontoidei is not monophyletic. Dercetidae form a clade supported by the presence of very reduced neural spines and possess a new composition. Enchodontidae are monophyletic by the presence of middorsal scutes, and Rharbichthys was excluded. Halecidae possess a new composition, with the exclusion of Hemisaurida. This taxon and Nardorex are Aulopiformes incertae sedis.

A comparative analysis of the scapulocoracoid and cervico-thoracic synarcual cartilage of juvenile specimens of Rhinoptera brasiliensis Müller & Henle, 1841 and R. bonasus (Mitchill, 1815) was accomplished, in order to identify specific, individual and ontogenetic differences. In the scapulocoracoid, the scapular foramen and the posterodorsal fenestra is larger in R. brasiliensis. The anterior fenestra bridge is thicker and the metacondyle is thinner and longer in R. bonasus. This species also possesses a larger re-entrance between the mesocondyle and the metacondyle, as well as in the fitting region of'the synarcual cartilage, placed close to the scapular process. The individual differences are: posteroventral fenestra with variable diameter independent of the size of the specimens; scapulocoracoids, in some specimens, are more fragile even if they have been kept in the same conservation conditions. In the cervico-thoracic synarcual cartilage, the lateral stay in R. brasiliensis encloses completely the superior portion of the anteroscapular bridge. There are three more prominent condyles beside the suprascapula in R. brasiliensis, R. bonasus, however, shows a protuberance close to the suprascapula, inconspicuous and more distant from the scapular lamina. Several specimens of different size of R. bonasus show a synarcual cartilage wider in ventral view and higher in lateral view. In the majority of specimens, the number of ventral spinal foramina is higher than the dorsal ones in both species. R. bonasus has only one pair of asymmetric basal foramina, whereas R. brasiliensis possesses three or four foramina. Regarding individual differences, at least one specimen of R. bonasus exhibits a single basal foramen.

This paper describes a possible fossil egg proceeding from the Bauru Group, Late Cretaceous of Paraná Basin, Brazil. External morphology, dimensions, texture and shell ornamentation examined under electron microscopy show close resemblance to the Recent podocnemidid chelonian eggs. Association with bony material in the outcrop suggests that it is related to a species of Podocnemis. Computerized tomography reveals a high density outer region corresponding to the shell component layers, and successive layers with decreasing density towards the nucleus. An area of high density in the central region may represent remains of an embryo.