ABSTRACT Purpose To identify how Brazilian Sign Language (Libras) training is being conducted in undergraduate health care courses at Higher Education Institutions. Methods This is a descriptive and cross-sectional study, developed using secondary data taken from the Ministry of Education electronic database. The curriculum and pedagogical design of all undergraduate health care courses at Brazilian Higher Education Institutions (HEIs) were analyzed, aiming to identify and characterize the Libras discipline. Results 5317 courses were found and, from these, 2293 (43.1%) offered Libras, 16.7% as mandatory and the majority (83.3%) as optional. Regarding the period offered, there was no pattern, ranging from the first to the tenth. Regarding the workload for the discipline, among the 2077 courses that provided this information, 11.1% offered the discipline with a workload of up to 20 hours, 49.4% with a workload between 21 and 40 hours, 29.9% between 41 and 60 hours, and 9.1% between 61 and 80 hours. Only 0.5% of the courses devoted more than 80 hours to teaching Libras. On average, undergraduate courses in public HEIs (N = 217) devoted 53.1 hours to teaching Libras, while private HEI courses (N = 1860) dedicated 45.8 hours. Conclusion There is evidence of weakness in training programs for health professionals regarding teaching Libras, which directly reflects in comprehensive care for the deaf.
RESUMO Objetivos Identificar como é a formação de profissionais da saúde quanto à Língua Brasileira de Sinais (Libras). Métodos Trata-se de estudo descritivo e transversal, desenvolvido com dados secundários, coletados no banco de dados eletrônico do Ministério da Educação. Foram analisados a grade curricular e o projeto pedagógico de todos os cursos de graduação na área da saúde em Instituições de Ensino Superior (IES) brasileiras, procurando-se identificar e caracterizar a disciplina de Libras. Resultados Foram localizados 5317 cursos e, destes, 2293 (43,1%) ofereciam disciplina de Libras, sendo 16,7% como disciplina obrigatória e a maioria (83,3%) como optativa. Em relação ao período ofertado, não houve um padrão, variando desde o primeiro até o décimo. Quanto à carga horária destinada à disciplina, dentre os 2077 cursos que disponibilizavam essa informação, 11,1% ofertavam a disciplina com carga horária de até 20 horas, 49,4% com carga horária entre 21 e 40 horas, 29,9% entre 41 e 60 horas, 9,1% entre 61 e 80 horas. Apenas 0,5% dos cursos destinavam mais que 80 horas para o ensino de Libras. Em média, os cursos de graduação em IES públicas (N=217) dedicavam 53,1 horas ao ensino de Libras, enquanto os cursos de IES privadas (N=1860) dedicavam 45,8 horas. Conclusão Há evidências de fragilidade na formação dos profissionais de saúde quanto ao ensino da Libras, o que reflete diretamente no atendimento integral dos surdos.
OBJECTIVES: We designed a cohort study to describe characteristics and outcomes of patients with coronavirus disease (COVID-19) admitted to the intensive care unit (ICU) in the largest public hospital in Sao Paulo, Brazil, as Latin America becomes the epicenter of the pandemic. METHODS: This is the protocol for a study being conducted at an academic hospital in Brazil with 300 adult ICU beds dedicated to COVID-19 patients. We will include adult patients admitted to the ICU with suspected or confirmed COVID-19 during the study period. The main outcome is ICU survival at 28 days. Data will be collected prospectively and retrospectively by trained investigators from the hospital’s electronic medical records, using an electronic data capture tool. We will collect data on demographics, comorbidities, severity of disease, and laboratorial test results at admission. Information on the need for advanced life support and ventilator parameters will be collected during ICU stay. Patients will be followed up for 28 days in the ICU and 60 days in the hospital. We will plot Kaplan-Meier curves to estimate ICU and hospital survival and perform survival analysis using the Cox proportional hazards model to identify the main risk factors for mortality. ClinicalTrials.gov: NCT04378582. RESULTS: We expect to include a large sample of patients with COVID-19 admitted to the ICU and to be able to provide data on admission characteristics, use of advanced life support, ICU survival at 28 days, and hospital survival at 60 days. CONCLUSIONS: This study will provide epidemiological data about critically ill patients with COVID-19 in Brazil, which could inform health policy and resource allocation in low- and middle-income countries.
Abstract Herein, we studied the occurrence of insect galls from natural vegetation around the Itambé Cave, Altinópolis, SP, Brazil. A sampling effort of 7.5 hours resulted in 41 gall morphotypes on 21 host plant species from 14 families. The richest families of host plants in morphotypes were Fabaceae (N = 11), Euphorbiaceae (N = 7), and Malpighiaceae (N = 5). Copaifera langsdorffii Desf. (N = 8), Croton floribundus Spreng. (N = 7), Diplopterys pubipetala (A. Juss.) W.R. Anderson & C.C. Davis (N = 5), and Bauhinia holophylla (Bong.) Steud. (N = 4) were the super host plant species. Among the gall makers obtained, cecidomyiids were reared in 81% of cases and Hemiptera (Diaspididae), Hymenoptera (Eurytomidae), Coleoptera (Apion sp./Apionidae), and Lepidoptera in 4.5% of cases, each. The parasitoids belong to the Chalcidoidea superfamily (Hymenoptera). One new species of Camptoneuromyiia (Cecidomyiidae) was found in Smilax oblongifolia Pohl ex Griseb. (Smilacaceae) as inquiline and a new species of Lestodiplosis in Diplopterys pubipetala (Malpighiaceae) was a predator. We also present the first register of Bauhinia holophylla as host plants of Cecidomyiidae. We also present the first register of Bauhinia holophylla as host plants of Cecidomyiidae, and we expand the occurrence of Rochadiplosis tibouchinae Tavares, Lopesia spinosa Maia and Couridiplosis vena Maia to São Paulo State. The results of this paper are a continuation of the description of gall morphotypes from the vegetation in Northeastern São Paulo State, and they also increase knowledge about the diversity of host plant and gall-maker associations in the Neotropical region.