Nursing Activities Score: avaliação da carga de trabalho de enfermagem em unidade de terapia intensiva adulto

The sizing of nursing human resources is an essential management tool to meet the needs of the patients and the institution. Regarding to the Intensive Care Unit, where the most critical patients are treated and the most advanced life-support equipments are used, requiring a high number of skilled workers, the use of specific indicators to measure the workload of the team becomes necessary. The Nursing Activities Score is a validated instrument for measuring nursing workload in the Intensive Care Unit that has demonstrated effectiveness. It is a cross-sectional study with the primary objective of assessing the workload of nursing staff in an adult Intensive Care Unit through the application of the Nursing Activities Score. The study was conducted in a private hospital specialized in the treatment of patients with cancer, which is located in the city of Natal (Rio Grande do Norte – Brazil). The study was approved by the Research Ethics Committee of the hospital (Protocol number 558.799; CAAE 24966013.7.0000.5293). For data collection, a form of sociodemographic characteristics of the patients was used; the Nursing Activities Score was used to identify the workload of nursing staff; and the instrument of Perroca, which classifies patients and provides data related to the their need for nursing care, was also used. The collected data were analyzed using a statistical package. The categorical variables were described by absolute and relative frequency, while the number by median and interquartile range. Considering the inferential approach, the Spearman test, the Wald chi-square, Kruskal Wallis and Mann-Whitney test were used. The statistically significant variables were those with p values <0.05. The evaluation of the overall averages of NAS, considering the first 15 days of hospitalization, was performed by the analysis of Generalized Estimating Equations (GEE), with adjust for the variable length of hospitalization. The sample consisted of 40 patients, in the period of June to August 2014. The results showed a mean age of 62,1 years (±23,4) with a female predominance (57,5%). The most frequent type of treatment was clinical (60,0%), observing an average stay of 6,9 days (±6,5). Considering the origin, most patients (35%) came from the Surgical Center. There was a mortality rate of 27,5%. 277 measures of NAS score and Perroca were performed, and the averages of 69,8% (±24,1) and 22,7% (±4.2) were obtained, respectively. There was an association between clinical outcome and value of the Nursing Activities Score in 24 hours (p <0.001), and between the degree of dependency of patients and nursing workload (rp 0,653, p<0,001). The achieved workload of the nursing staff, in the analyzed period, was presented high, showing that hospitalized patients required a high demand for care. These findings create subsidies for sizing of staff and allocation of human resources in the sector, in order to achieve greater safety and patient satisfaction as a result of intensive care, as well as an environment conducive to quality of life for the professionals

No cotidiano da escola: o pensar e agir de jovens e adultos

The necessity of the view of the Youth and Adults Education (EJA) subjects beyond of their academic failures becomes imperative for a reconfiguration of this teaching modality. Thus, the compromise of this study is to go into these subjects‘ universe, give them a voice and, therefore, understand, in general, the web of relationships between these subjects and the school. It is understood that it is not possible to figure out the means attributed by the subjects without consideration, as an essential element, the social context in which such means has been built. For the development of this study, the methodology adopted was the ethnographic research. The procedures used for the data construction were the participative observation, the semi-structured interviews with a focal group, and the individualized semi-structured interviews. For the understanding of the data constructed in the field, the content analysis technique was used, which reach the expectations of an interpretative analysis. The observation occurred mainly in the classrooms, on a public school, located in a City of Natal/RN. The interviews were taken with a sample of eight students, males and females, with 25 to 60 year-olds. Such interviews highlight that for the young adult students, the school is much more than a place to learn. They realize such space as enabler of social interaction, as well as the possibility of rising through new professional horizons and, therefore achieve a social mobility. For the older students, mainly among women, the return to the school benches brings into the learning discourse, the desire of making new friends, having moments of meeting, chatting and relaxation, finally, to forget the problems of the day by day. The school quotidian observation allows a better understanding of the action of the subjects in relationship with the school practices. Finally, it can be affirmed that seeking for the school has not only the intention to recover the time lost in the childhood. Learning remains as a secondary goal. It does not matter whether they will be retained or promoted to the next level at the end of the academic year, what really matters is to be in school.

O sujeito-colagem da estética contemporânea – antimoda jovem na UFRN

Assuming the body as a space of communication and production of subjectivity, we investigate, through the perspective of the contemporary youth at UFRN, the complexity surrounding the act of adorning the body as an act of communication, more precisely a visual communication, filled with symbolism and personality. Using the metaporic method, we seek to follow the communicational act, resulting from the relationship between these unique individuals at UFRN, their adornments and clothing, as an act that produces meaning. Through these narratives and singular expression, observed in these adorned / dressed bodys, we were able to identify seven categories that outlines the collage-individual that we present here: Aesthetic inconsistency and frequent change of style, gender X clothes, spaces regulated by a dominant aesthetic, symbolic connection with garments and / or accessories, the building an authorial image through various aesthetic references, moment of aesthetic rupture with socially established standards, and, parts of the body whose modification or acceptance reflects aesthetic ruptures.

Análise do comportamento e crescimento do camarão branco Litopenaeus vannamei (Boone, 1931) em diferentes substratos inconsolidados

The aim of this study was to test the sediment preference of L. vannamei shrimp. It was observed shrimp visit frequency, swimming and burying behaviour at different sediment compositions for 24h. Juvenile (0.93 ± 0.29g) and sub-adult shrimps (10.0 ± 1.18g) were obtained from the aquaculture station at Universidade Federal Rural do Semi-Árido UFERSA, and held in a plastic tank (water volume 500 L) supplied with aerated water and kept at constant temperature, pH, and salinity. Shrimp was fed by commercial shrimp dry food. The experimental substrates were composed by A: medium sand + thick sand + very thick sand + gravel; B: very fine sand + fine sand; and C: silt + clay. Thus, six different substrate combinations were tested: A, B, C, A+B, A+C, B+C. To test preference, it was used a cylindrical tank (40 l) divided into six differently substrate compartments. A single shrimp was introduced each tank and the frequency at which this shrimp visited each compartment was recorded over a 24h study period. It was tested 54 shrimp (18 sub-adult males, 18 subadult females and 18 juveniles). For each trial, sediment and water were changed to avoid pheromones and residues influence. Shrimp were weighted and sub-adults were divided by sex: males present petasma and females present thelycum. Data were collected on the experimental day at 19:30; 20:30; 00:30; 1:30; 05:30; 06:30; 13:30 and 14:30 h. At each time point, shrimp were observed for 20-min periods, in which we noted down which compartment the shrimp was occupying at 2-min intervals. Thus, for each period we had eleven observations (88 observations per day). For observations at night, it was used dim red light that did not affect shrimp behaviour. At each 20-min period, it was observed visit frequency in each substrate, if shrimp was burred or not or if it was swimming. There was not significant difference between light and dark burry activity for females. Swimming activity was significantly higher at night, mainly at 00:30 and 01:30 h. All L. vannamei shrimp showed preference for sediment B. This animal presents cyclic activity, spends the day light period buried and swims at night