O ano de 2019 marcou a estruturação das bases para uma profunda reforma na Atenção Primária à Saúde (APS) do Brasil. Os desafios enfrentados através dessa reforma foram a falta de priorização política real da APS, o financiamento insuficiente da APS e focado na estrutura de serviços, os obstáculos ao acesso de primeiro contato, a escassez de profissionais qualificados, a necessidade de maior informatização da APS e a ausência de integração de dados clínicos, a fragilidade clínica e necessidade de ampliação do escopo profissional e a falta de informação de qualidade para tomada de decisão clínica e gerencial. Com ações direcionadas a cada um desses desafios, a Secretaria de Atenção Primária à Saúde do Ministério da Saúde criou estratégias sistêmicas e integradas entre si que representam mudanças estruturantes e investimentos em governança clínica para transformar a APS brasileira, garantindo mais e melhor saúde para a população, com mecanismos transparentes e técnicos para seu financiamento, organização, oferta, monitoramento e avaliação.

Blends of ultra-high molecular weight polyethylene (UHMWPE) and different contents (0, 10, 20 and 30 wt%) of linear low-density polyethylene (LLDPE) with and without maleic anhydridegrafted LLDPE (LLDPE-g-MA) were prepared by melt blending and aging resistance, thermal and mechanical properties were evaluated. The degree of crystallinity increases with the content of LLDPE in the blends. On the other hand, the addition of compatibilizer agent modifies the crystallinity and the crystallite size. Non-compatibilized blends have excellent impact resistance properties and the addition of LLDPE-g-MA aids processing but decrease the impact resistance of the blends. Thermal and mechanical properties were greatly affected by thermal and water aging. The thermal aging leads to an increase in the degree of crystallinity and consequent a decrease in impact resistance.

Ultra high molecular weight polyethylene (UHMWPE)/linear low density polyethylene (LLDPE) blend‐based carbon nanotubes nanocomposites with different contents of LLDPE are prepared using a high speed homogenizer. Samples of the materials are thermally treated to understand the correlation between the degree of crystallinity of the treated samples and their impact resistance. Promising results are obtained for the nanocomposite with 10 wt% of LLDPE that shows similar behavior to neat UHMWPE, with the advantage of this nanocomposite being produced by conventional thermoplastic processing methods.

No abstract

No abstract

This qualitative descriptive exploratory case study aimed to investigate the perception of critical care nurses of their work and workload while caring for elderly patients in an intensive care unit. Eight Registered Nurses from an adult intensive care unit in a Brazilian University Hospital were interviewed, and the data collected were analyzed according to the content analysis. The findings show that nurses carry out some activities differently when patients are elderly. Still, they do not score it as additional activities in the Nursing Activities Score used for evaluating their nursing workload. They also recognized that the Nursing Activities Score does not reflect the real-time spend on the care of an elderly patient. This research may be noteworthy to nurses or organizations looking forward to enhancing their health care for elderly patients in critical care and improving the way nursing workload measurements acknowledging elderly patient needs.

No abstract