Abstract: Malnutrition in heart failure (HF) is frequent and associated with a worse prognosis. Due to differences in investment and the profile of those assisted, the objective of this study was to evaluate the frequency of malnutrition in hospitalized patients with HF and its association with clinical outcomes in the public and private health systems. Methodology: A cross-sectional study, with 247 volunteers hospitalized with HF in three public hospitals and one private hospital in Aracaju, SE, Brazil. A subjective global nutritional assessment (SGA) and mini nutritional assessment (MNA) were performed. Results: Sample with 72.5% users of the public health system and 75.3% with malnutrition (public = 74.9%; private = 76.5%; p = 0.793). Regardless of the healthcare system, hospital stay ( 〉 14 days) was longer (p = 0.020) among those with malnutrition (48.4%) than well-nourished patients (29.5%). Malnutrition in the public system had higher mortality (7.5%; 5.8%; p 〈 0.001) and hospital transfer rate (21.1%; 0.0%; p 〈 0.001) than those in the private system. Death after discharge was observed only in the public system (p = 0.039). Conclusion: Malnutrition was frequent in both systems and was associated with longer hospital stays and, in the public hospital, in-hospital death and transfers.

Abstract: Background: “The effective treatment of Heart Failure (HF) involves care with food intake. Recently, the Ministry of Health created the Brazilian Cardioprotective Diet and its dietary index, BALANCE, which assesses adherence to the standard’s recommendations”. Methods: This observational prospective study is part of the Congestive Heart Failure Registry (VICTIM-CHF) of Aracaju/SE. Observations and data collection took place from April 2018 to February 2021. Sociodemographic and clinical aspects and food consumption were evaluated. Food intake was determined using the food frequency questionnaire. Foods were categorized using the BALANCE dietary index into green, yellow, blue and red food groups. The BALANCE dietary index was obtained using median and interquartile ranges, scores of the Mann–Whitney U test, and associations between clinical variables and the index, through linear regression. Results: Participants included 240 patients with HF (61.12 ± 1.06 years), who were assisted by the Unified Health System (67.5%). Individuals with a partner showed greater adherence to the green food group recommendations (0.09; 0.00–0.17). The lowest adherence to recommendations regarding the blue food group was observed in individuals with excess weight, who had a higher consumption of foods rich in animal protein (0.54; 0.38–0.78). As for the red food group (ultra-processed foods) the highest adherence was observed by patients with diabetes mellitus (0.41; 0.05–0.77). The greatest adherence to the yellow food group, and a higher score, was observed in patients with the smallest left ventricular systolic diameter (LVSD). Conclusions: Being married was directly associated with the consumption of foods in the green group, while being overweight and having diabetes were inversely associated with adherence to the blue and red food groups, respectively. Greater adherence to the yellow food group recommendations was inversely associated with less change in the DSFVE.

Abstract: Background: The high rates of hospitalization and mortality caused by Heart Failure (HF) have attracted the attention of health sectors around the world. Dietary patterns that involve food combinations and preparations with synergistic or antagonistic effects of different dietary components can influence the worsening and negative outcomes of this disease. Objectives: To describe the dietary patterns of patients hospitalized for HF decompensation and associate them with demographic, economic, and clinical factors, and the type of care provided in Sergipe. Materials and Methods: Cross-sectional study that is part of the Congestive Heart Failure Registry (VICTIM-CHF)” of Aracaju/SE. Prospective data collection took place with all patients hospitalized between April 2018 and February 2021 in cardiology referral hospitals, 2 public and 1 private. The data collected were sociodemographic, clinical, lifestyle, anthropometric and food consumption variables. Daily dietary intake was estimated by applying a semiquantitative food frequency questionnaire. The extraction of dietary patterns, by exploratory factor analysis, was performed after grouping the foods according to the nutritional value and form of preparation into 34 groups. To assess the association between the factorial scores for adherence to the standards and the variables studied, the Mann-Whitney U test was applied. Linear regressions were also performed, considering the dietary pattern (one for each pattern) as a dependent variable. Results: The study included 240 patients hospitalized for HF decompensation, most of them elderly (mean age 61.12 ± 1.06 years), male (52.08%) and attended by the Unified Health System—SUS (67.5%). Three dietary patterns were identified, labeled “traditional” (typical foods of the Brazilian northeastern population added to ultra-processed foods), “Mediterranean” (foods recommended by the Mediterranean diet) and “dual” (healthy foods combined with fast and easy-to-prepare foods like snacks, bread, sweets and desserts). Adherence to the “traditional” pattern was greater among men (p 〈 0.031) and non-diabetics (p 〈 0.003). The “Mediterranean” was more consumed by the elderly (p 〈 0.001), with partners (p = 0.001) and a lower income (p 〈 0.001), assisted by the SUS (p 〈 0.001) and without hypertension (p = 0,04). The “dual” diet pattern had greater adherence by the elderly (p 〈 0.001), self-declared non-black (p = 0.012), with higher income (p 〈 0.001), assisted in the private sector (p 〈 0.001) and with less impaired functional capacity (p = 0.037). It was also observed that being female (p = 0.031) and being older reduced the average scores of performing the “traditional” pattern (p = 0.002). Regarding the type of service, being from the public service reduced the average scores for adhering to the “dual” pattern (p = 0.008). Conclusions: Three dietary patterns representative of the population were found, called traditional, Mediterranean and dual, which were associated with demographic, economic and clinical factors. Thus, these standards must be considered in the development of nutritional strategies and recommendations in order to increase adherence to diets that are more protective against cardiovascular diseases.

Abstract: (1) Background: Quality of life (QOL) is used as a health indicator to assess the effectiveness and impact of therapies in certain groups of patients. This study aimed to analyze the QOL of patients with acute coronary syndrome (ACS) who received medical treatment by a public or private health care system. (2) Methods: This observational, prospective, longitudinal study was carried out in four referral hospitals providing cardiology services in Sergipe, Brazil. QoL was evaluated using the Medical Outcomes Study 36-Item Short-Form Health Survey. The volunteers were divided into two groups (public or private health care group) according to the type of health care provided. Multiple linear regression models were used to evaluate QoL at 180 days after ACS. (3) Results: A total of 581 patients were eligible, including 44.1% and 55.9% for public and private health care, respectively. At 180 days after ACS, the public health care group had lower QoL scores for all domains (functional capacity, physical aspects, pain, general health status, vitality, social condition, emotional profile, and health) (p 〈 0.05) than the private group. The highest QoL level was associated with male sex (p 〈 0.05) and adherence to physical activity (p ≤ 0.003) for all assessed domains. (4) Conclusions: This shows that social factors and health status disparities influence QoL after ACS in Sergipe.

Abstract: The 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.

Abstract: 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., S yncerus 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.

Abstract: Chest pain is a major cause of medical evaluation at emergency department (ED) and demands observation to exclude the diagnosis of acute myocardial infarction (AMI). High-sensitivity cardiac troponin assays used as isolated measure and by 0- and 1-h algorithms are accepted as a rule-in/rule-out strategy, but there is a lack of validation in specific populations. Methods and results The IN-HOspital Program to systematizE Chest Pain Protocol (IN-HOPE study) is a multicentre study that prospectively included patients admitted to the ED due to suspected symptoms of AMI at 16 sites in Brazil. Medical decisions of all patients followed the standard approach of 0 h/3 h protocol, but, in addition, blood samples were also collected at 0 and 1 h and sent to a central laboratory (core lab) to measure high-sensitivity cardiac troponin T (hs-cTnT). To assess the theoretical performance of 0 h/1 h algorithm, troponin & lt; 12 ng/L with a delta & lt; 3 was considered rule-out while a value ≥ 52 or a delta ≥ 5 was considered a rule-in criterion (the remaining were considered as observation group). The main objective of the study was to assess, in a population managed by the 0 h/3 h protocol, the accuracy of 0 h/1 h algorithm overall and in groups with a higher probability of AMI. All patients were followed up for 30 days, and potential events were adjudicated. In addition to the prospective cohort, a retrospective analysis was performed assessing all patients with hs-cTnT measured during the year of 2021 but not included in the prospective cohort, regardless of the indication of the test. A total of 5.497 patients were included (583 in the prospective and 4.914 in the retrospective analysis). The prospective cohort had a mean age of 57.3 (± 14.8) and 45.6% of females with a mean HEART score of 4.0 ± 2.2. By the core lab analysis, 74.4% would be eligible for a rule-out approach (45.3% of them with a HEART score & gt; 3) while 7.3% would fit the rule-in criteria. In this rule-out group, the negative predictive value for index AMI was 100% (99.1–100) overall and regardless of clinical scores. At 30 days, no death or AMI occurred in the rule-out group of both 0/1 and 0/3 h algorithms while 52.4% of the patients in the rule-in group (0 h/1 h) were considered as AMI by adjudication. In the observation group (grey zone) of 0 h/1 h algorithm, GRACE discriminated the risk of these patients better than HEART score. In the retrospective analysis, 1.091 patients had a troponin value of & lt;5 ng/L and there were no cardiovascular deaths at 30 days in this group. Among all 4.914 patients, the 30-day risk of AMI or cardiovascular death increased according to the level of troponin: 0% in the group & lt; 5 ng/L, 0.6% between 5 and 14 ng/L, 2.2% between 14 and 42 ng/L, 6.3% between 42 and 90 ng/L, and 7.7% in the level ≥ 90 ng/L. Conclusion In this large multicentre study, a 0 h/1 h algorithm had the potential to classify as rule-in or rule-out in almost 80% of the patients. The rule-out protocol had high negative predictive value regardless of clinical risk scores. Categories of levels of hs-cTn T also showed good accuracy in discriminating risk of the patients with a very favourable prognosis for cardiovascular death in the group with value & lt; 5 ng/L. ClinicalTrials.gov NCT04756362

Abstract: APRESENTAÇÃOEste 15º volume de resumos, o 5º publicado como Suplemento da Revista Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo, dos Trabalhos de Conclusão do Curso (TCC) de Graduação em Enfermagem das 29ª e 30ª turmas de alunos, finalizados respectivamente nos meses de junho e dezembro de 2018, foi organizado em três grandes linhas de pesquisa.A primeira linha, Cuidar em Enfermagem, inclui estudos, sobre diferentes aspectos da assistência de enfermagem, nas áreas da Saúde do Adulto e do Idoso, Saúde da Mulher e Saúde da Criança e do Adolescente, inseridos nos níveis de atenção: básica, média e de alta complexidade.A segunda linha de pesquisa, Trabalho e Educação em Enfermagem, inclui dentre outros, estudos sobre conhecimentos, atitudes, qualidade de vida, acidentes e condições de trabalho dos enfermeiros, alunos e profissionais de saúde.A terceira linha de pesquisa, Estudos Experimentais, inclui estudos desenvolvidos na área de ciências básicas. As Organizadoras Profa. Dra. Maria do Carmo Querido Avelar - Diretora do Curso de Graduação em EnfermagemProfª. Me. Luciana Gonzaga dos Santos Cardoso - Departamento de Fundamentos no Processo de Cuidar em EnfermagemProfª. Me. Camila Waters - Departamento de Enfermagem na Saúde do Adulto e do IdosoProfª. Drª. Luciana Soares da Costa Santos - Departamento de Enfermagem na Saúde do Adulto e do IdosoRESUMOSCUIDAR EM ENFERMAGEM NA SAÚDE DO ADULTO E DO IDOSO Ações de enfermagem ao doador adulto de órgãos e tecidos - Camila Alves de Sousa, Acacia Maria Lima de Oliveira DevezasAssistência de enfermagem às pessoas com transtornos mentais e uso de drogas ilícitas - Patricia Ferreira Damasceno, Luciane Regio MartinsAvaliação da qualidade de vida em pacientes oncológicos pós internação em UTI - Kamila Sthephannis Cruz Rocha, Luciana Soares Costa SantosComportamento dos idosos durante de terapia medicamentosa - Ana Paula Correia Marques, Rosemeire dos Santos VieiraIdosos infectados por HIV: perspectivas atuais sobre conhecimento da infecção e métodos preventivos - Rita de Cassia Ribeiro da Silva, Rosemeire dos Santos VieiraIncidência de dor em pacientes cirúrgicos: Pesquisa de Campo - Julianie Bartolomeu Nunes, Marcele Pescuma Capeletti Padula, Magda Aparecida dos Santos SilvaInterações alimento-droga em idosos na prática do enfermeiro: pesquisa bibliográfica - Lilian Vanessa de Angeli, Aparecida dos Santos NoiaIntervenções de enfermagem a pacientes críticos adultos submetidos a grandes cirurgias abdominais eletivas com risco para injúria renal aguda - Marcella Bianco Ermini, Graziela Ramos Barbosa de Souza, Aparecida Santos NoiaPerfil epidemiológico, clínico e desfecho dos pacientes submetidos a neurocirurgia para ressecção de tumores cerebrais primários ou secundários -Aline Couto Cavalheiro, Camila WatersPerfil epidemiológico e assistência de enfermagem a pacientes com aneurisma cerebral: uma pesquisa bibliográfica - Thamires da Silva Godeguez, Camila WatersProtocolo assistencial baseado no referencial teórico de Wanda de Aguiar Horta a pacientes em estado de coma na Unidade de Terapia Intensiva - Hellen Cristina Freitas Moreira, Graziela Ramos Barbosa de Souza e Janete Hatsuko KomessuCUIDAR EM ENFERMAGEM NA SAÚDE DA MULHERDireito a assistência humanizada ao binômio mãe-filho no alojamento conjunto - Marcia Sena Santos, Janete Hatsuko KomessuFissuras de mamilo: orientações de enfermagem no pré-natal e puerpério - Beatriz Chagas Rodrigues de Almeida, Lenir Honorio Soares, Livia Keismanas de AvilaPolíticas de enfrentamento a violência doméstica de gênero e a responsabilidade da enfermagem - Ana Yumi Chiba Ribeiro, Maria Fernanda TerraVacinação no pré-natal: conhecimento das gestantes - Izabella Gobbo, Livia Keismanas de Avila  CUIDAR EM ENFERMAGEM NA SAÚDE DA CRIANÇA E DO ADOLESCENTEAssistência de enfermagem ao paciente pediátrico, com cateter central por inserção periférica (CCIP): proposta de um manual - Evelin Tikuma, Acacia Maria Lima de Oliveira DevezasAvaliação do desenvolvimento infantil na atenção primária - Fabiana da Silva, Rosemeire dos Santos VieiraConcepções dos pais acerca da doença oncológica e do tratamento quimioterápico de seus filhos - Veronica Leticia da Silva Vulczak, Fernanda Machado Silva RodriguesEspiritualidade e crenças religiosas dos pais com filhos internados na Unidade de Terapia Intensiva Neonatal - Nathalia Aparecida Alves de Souza, Luciana Soares Costa SantosEstratégias familiares na manutenção de vínculo com crianças em desmame precoce - Julianye Cristhine Trombim Reis, Livia Keismanas de AvilaSintomas e eventos adversos do tratamento antineoplásico infantojuvenil: a perspectiva dos pais - Carolina Fonseca Alencar, Marcele Pescuma Capeletti Padula, Fernanda Machado Silva RodriguesTRABALHO E EDUCAÇÃO EM ENFERMAGEMA humanização na Assistência de Enfermagem a pacientes terminais em Unidade de Terapia Intensiva - Maria Daiana de Sousa, Janete Hatsuko KomessuAs estratégias de enfrentamento do estresse ocupacional dos trabalhadores de enfermagem no ambiente hospitalar - Rafaella Cristina de Souza, Silmar Maria da Silva, Maria Lucia Alves de Sousa CostaA importância e aplicabilidade da consulta de enfermagem: revisão bibliográfica - Zoraide Matos de Almeida, Cell Regina da Silva NocaAspectos relevantes na atuação dos profissionais de enfermagem na passagem de plantão - Sheila dos Reis Nogueira, Acacia Maria Lima de Oliveira DevezasAtendimento Pré-Hospitalar: atuação do Enfermeiro - Tayane Ferreira Oliveira, Maria Lucia Alves de Sousa CostaAtribuições da(o) enfermeira(o) no atendimento de usuários com comportamento suicida em um setor de emergência - Bruna Smera Pereira, Juliana Elena Ruiz, Maria Fernanda TerraConhecimento do enfermeiro sobre Delirium e complicações para o paciente em Unidades de Terapia Intensiva - Rafaela Alexandre de Souza, Luciana Soares Costa SantosConhecimentos sobre identidade de gênero e orientação sexual, e sua relação com a garantia do direito à saúde segundo graduandos de enfermagem - Luiz Felipe Zani, Maria Fernanda TerraEquipe de enfermagem, ocorrência e prevenção de acidentes de trabalho com material biológico: pesquisa bibliográfica - Clelia Maria Vieira Herculano Sales, Acacia Maria Lima de Oliveira DevezasESTUDOS EXPERIMENTAISDesacoplamento da sintase de óxido nítrico em células endoteliais de rato induzido por concentrações elevadas do extrato aquoso da Euterpe oleracea Mart (açaí) - Juliana Pereira Tavares de Melo, Fabiana Henrique Machado de Melo, Maria Thereza GamberiniInvestigação do efeito de Synadenium grantii na migração de células tumorais de mama - Julia Salles Oliveira, Maria Marta Martins, Maria Thereza Gamberini, Wagner Ricardo Montor