Caracterização da demanda do pronto socorro do Hospital das Clínicas da Faculdade de Medicina de Botucatu - UNESP

The demand for health services can be understood as an application needs the user has. The inability to use the outpatient services and limited supply of these make it possible for users to browse sites that focus attention on a greater possibility of entry doors, in which first-aid centers and hospital emergency match this profile, distorting the flow of patients in the network through an inverse demand of the movement hierarchy. Added to this, the burden of care in these services results in overcrowding and poor quality of care. Evaluate the demand of the visits occurred in the Emergency Room of the Hospital of the Medical School of Botucatu / UNESP (PS - HC - FMB / UNESP) during June-July 2010. A transversal, descriptive and retrospective. For data collection sheet was used in the proposed Service unit and the data it was filled out the form with the necessary items for the search. Made an exploratory analysis and frequency distributions for categorical variables of the form. Females predominated (56%) and aged 61 years or older with 30%. 96.5% were owned by DRS VI, and 62.5% of Botucatu. The attendance by the physician on duty and corresponded to 57.7% among the 23 medical specialties, Gastric (7.0%), Cardiology (4.5%), Medical (4.4%), urology (4.2%) and Pulmonology (4.1%) were the ones that stood out. The medical procedures performed that stood out were X-ray (46.4%) and electrocardiogram (ECG) (42.3%) and in most specialty care occurred, only the daily consultation with the patient. It was possible to characterize, so the demand for PS - HC - FMB / UNESP for the period June- July 2010, The predominance of the elderly shows that come along with aging diseases and addictions, causing a greater need for health services. Moreover, this study showed that the high number of visits is related to both the daily demands that the tertiary hospital has the same transformation... (Complete abstract click electronic access below)

Atualidades no tratamento da laminite em equinos

Laminitis is still a major cause of lameness in horses, causing damage to many interested in it. It has been long studied, but there are several points that are not yet fully understood. Doubts about its pathogenesis end up extending at the treatments. Just as there are several theories that attempt to explain the mechanisms of its development, also appear treatments that are sometimes contradictory and inconsistent. Mostly times, laminitis is a consequence of another disease process that occurs systemically in the body. Among them are the main grain overload and processes that cause the animal to the table of endotoxemia, strangled colic, metritis with retained placenta and pleuropneumonia. The proposed treatments include the use of anti-inflammatory drugs, cryotherapy, use of vasodilators and correction of Starling forces, and other measures to support the frog. The stall should be bedded deeply with sand or other material that provides support to the frog

Estudo da propagação de trinca por fadiga sob carregamento de amplitude variável

For engineering projects that require high reliability levels, is often not enough know only physical and chemical material properties. It’s necessary understand the failure mode of these materials in operation to ensure security level in the project and establish more stringent criteria in the analysis of structural integrity. Due to this need, aircraft industry has been using aluminum alloys in their designs and projects. “Currently more than 70% of aircraft structures are built of high strength aluminum alloys among which stand out 7075-T6 and 2024-T3 alloys, which are considered basics for being used in the new alloys development.” (PASTOUKHOV & VOORWALD, 1995). Some years ago ALCOA develops Al 2524 alloy that has emerged as refinement of Al 2024 (Al, Cu. Mg) alloy, with purpose of improve fracture toughness and fatigue resistance on structural components. The present research addresses testing of fatigue crack propagation under variable amplitude loading for Al 2024 alloy, observing the interaction effects from application of overhead blocks and plastic zone at the crack tip and makes an analysis of fracture surface images

Diferenciação hemogasimétrica, hemoconcentradora e da glicemia em testes de exaustão muscular usando cinco, quatro ou três exercícios

Em trabalho anterior, observou-se que diferentes grupamentos musculares submetidos ao teste de exaustão (TE) com pesos respondem semelhantemente com hemoconcentração, acidose e aumento da glicemia, entretanto, com variações grupomuscular dependentes. Nesse estudo, é comparado o efeito do impacto provocado pelo TE envolvendo, conjuntamente, 5, 4 ou 3 exercícios por meio da análise desses marcadores bioquímicos. Foram estudados 21 indivíduos do sexo masculino (20-32 anos) voluntários, familiarizados com treinamento em musculação, estratificados em três grupos de acordo com o número de exercícios: grupo 5 ( n= 6) 5 exercícios (Extensão do cotovelo, desenvolvimento pela frente, supino reto, levantamento terra e agachamento), grupo 4 (n= 7) 4 exercícios (Supino reto, rosca direta com barra, agachamento hack, tríceps no pulley), grupo 3 (n= 8) 3 exercícios (Agachamento hack, supino reto, rosca direta ) . Todos foram submetidos à sobrecarga inicial de 80% de uma repetição máxima (1RM), até a exaustão, em seguida, com auxílio externo e sem interrupção do exercício, a carga foi reduzida em 20% do peso, até a impossibilidade de continuidade de realização do exercício com a carga mínima (20% de 1RM). O sangue coletado em veia cubital antes (At) e imediatamente após (Ap) o TE foi analisado para indicadores hemogasimétricos (pH, pO2, pCO2, HCO- 3), hemoconcentração (Ht) e glicemia. O efeito do TE sobre cada variável (At/Ap) foi avaliado comparando-se os grupos por meio de ANOVA-medidas repetidas para significância de p=0,05. Houve significância (p<0,05) na elevação do Ht, glicose e pO2 e redução do pH, PCO2 e HCO- 3, Entretanto houve diferença significativa entre os grupos apenas em relação ao HCO- 3, no qual este apresentou maior variação no G4 em relação ao demais. Assim, esses marcadores sistêmicos respondem a exaustão muscular de modo semelhante ao envolvimento de 3,4 ou 5 grupamentos musculares

Mapeamento do processo de originação de etanol em uma empresa do setor de distribuição de combustíveis

The market segment of fuel distribution composes an important role in the development of Brazil’s industry and economy. However, it is a sector with intense competitiveness, especially in relation to ethanol. The search for competitive advantage and greater strength to the business are, therefore, of high relevance in this context, in which the concepts of Business Process Management has become more visible. Process Mapping, one of these concepts, has proven “TO BE”a strategic tool for companies which believe in flattening the structure and in the potential benefits that the improvement of its processes can provide. Thus, this work aims to map the process of Ethanol Origination of a company engaged in the distribution of this and other fuel products, and other niche markets. It was understood and designed the macro-process aforementioned and identified failures in subprocess related to it. After applying the method to select priority problems, using risk assessment criteria, five subprocess were identified to receive special action, which consisted in seeking improvements with those involved in the process, in representing its current and ideal models and in defining each department’s responsibilities for the activities in the subprocess proposed form. Thus, it is expected to mitigate mainly two negative effects found in the business: employee’s work overload and company's financial exposure

Atividade física e sintomas depressivos em cuidadores de idosos com demência de Alzheimer

The Alzheimer's dementia (AD) is a chronic, neurodegenerative and progressive disorder, characterized by cognitive decline, affecting brain functions like memory, reasoning and communication, occurrence of behavioral disturbances and difficulty in performing activities of daily living (ADLs). These conditions lead to patient’s dependence, which can cause depressive symptoms in caregivers, due to physical and mental burden caused by of the difficulties of the act of caring. Whereupon, it became necessary to find strategies to improve the caregivers’ quality of life. An interesting hypothesis is that physical activity can be considered a non-pharmacological alternative in reducing depressive symptoms, being an important factor for maintaining the physical and mental well-being of the general population, especially on positive changes in mood and social interaction. This study aimed to analyze the effects of a physical activity protocol on depressive symptoms and burden of caregivers of patients with AD. This experimental study, of longitudinal character, comprised a sample of 19 caregivers, of both genders, divided into two groups: a) intervention group – IG (10 caregivers who participated in a physical activity protocol) and b) control group – CG (9 caregivers who didn’t participate in the physical activity protocol). This protocol, which worked the components of functional ability and social interaction of participants, was held three times a week, being 48 sessions of 60 minutes each, for 16 weeks. Data collect was performed at pre and post-intervention for both groups. The assessment instruments used were: a) Zarit Burden Interview, b) Hospital Anxiety and Depression Scale (HAD) and c) battery of motor tests of the American Alliance for Health Physical Education Recreation and Dance (AAHPERD). Nonparametric statistics was used, with intra-group comparison by Wilcoxon test... (Complete abstract click electronic access below)

Articulação temporomandibular: anatomia, dinâmica e disfunções temporomandibulares

This study gathered some of the most relevant researches already undertaken regarding the Temporomandibular Joint, presenting descriptions of its anatomy and dynamics, and relating them to the main aspects of joint dysfunctions. Literature recognizes that the Temporomandibular Joint, responsible for lower jaw movements, comprehends the skull base and the jaw bone. Its anatomy and dynamics are of great importance in order to understand the functions of Stomatognathic System as well as to study Temporomandibular Joint Dysfunction. The elements that compose this synovial joint and the bilateral characteristic confer eminent importance to the ATM before the skeleton head, the ability to perform broad movements and high complexity in its operation. It is accepted that the overload of one anatomical structure from the TMJ or other components of the Stomatognathic System leads to Temporomandibular Joint Dysfunctions. These disorders have different etiologies, ranging from malocclusion to emotional stress, and various forms of treatment, which are related in this study

Efeito de intervenções não farmacológicas nos níveis de estresse em cuidadores de pacientes com doença de Alzheimer: uma revisão sistemática

Beside aging process comes the incidence of dementia and, among them Alzheimer's disease (AD) accounts for approximately 60% of cases. This disease is characterized as a neuropathology with unknown etiology that causes cognitive deficits and behavioral disorders. Caring for patients with AD can cause an overload, both physical and psychological, which can cause high levels of stress on the primary caregiver. It is necessary that the caregiver also receives attention and develop activities that promote health benefits, while providing moments of distraction from the task of caring. Nonpharmacological interventions may be favorable for improving health with consequent decreased on the levels of stress. The objective of this study was to conduct a systematic review of scientific papers that aimed to verify the effect of nonpharmacological interventions on stress levels in caregivers of patients with AD. To contamplate this goal was accomplished a systematic search in the following databases: Biological Abstracts, PsycINFO, PubMed/Medline, Web of Science, LILACS and SciELO. The following keywords and Boolean operators was used: “caregivers” OR “family” and “nonpharmacological interventions” OR “support groups” OR “therapies” AND “Alzheimer's disease” OR “Alzheimer's dementia” OR “Alzheimer” OR “elderly” AND “stress”. There were found 3studies that met inclusion criteria adopted for the present work, and none showed significant results for the variable stress. It is not possible to affirm, according to the studies, that nonpharmacologial interventions programs for caregivers of patients with AD are effective to influence and to control the stress. However, studies show benefits for other variables such as self-efficacy and confidence in relation to care... (Complete abstract click electronic access below)

Análise da dinâmica do uso da terra e sua interferência em enchentes na área urbana do município de Americana (SP)

Due to an intense process of population growth and urban density in Americana (SP), mainly due to the development of the local textile industry after 1970, there was, concomitant to the occupation of the margin of rivers and streams, soil sealing that increased the level of superficial runoff, triggering frequent floods. Based on the analysis of these processes we investigate the conditions of one densely urbanized area of the county, the Córrego do Parque, in three time series, 1977, 1996 and 2008. Taking as the starting the characterization and spatial distribution of landscape physiography, we prepared thematic letters and synthetic maps digital scale 1:10,000 from photointerpretation of aeroframes. The thematic maps were produced by scanning with subsequent edition using the software Auto-Cad Map. Checking the data and of geographic coordinates with GPS (Global Positioning System). Regarding land use classes, we used the description of the Soil Conservation Service (1975) which allowed us to get the Curve Number parameter, which will be used in hydrologic modeling for verification of flooding (Tucci, 1989). For the process of hydrologic modeling, we used models based on Methodology Object Oriented Modeling Applied to Water Resource Systems, Viegas Filho (1999), using the computer program called IPHS1, which uses models of the Soil Conservation Service (SCS , 2004), for conversion of rainfall-runoff and the spread of excessive rain. The results indicate that increased waterproofing generated by the change in use and occupation over the past decades promoted the increased surface runoff and drainage system overload, increasing the intensity of floods

Mensuração do volume atrial esquerdo pelo método biplanar de Simpson em cães portadores da doença mixomatosa da válvula mitral

Pós-graduação em Medicina Veterinária - FCAV

Planejamento e controle da produção: reestruturação no layout de apertadeiras eletrônicas em uma linha de produção do ramo de autopeças

In industrial plants, there is a department responsible for planning the use of productive resources to find the best possible way to set out plans in strategic, tactical and operational levels. This department is known as PCP or PPCP, which means Planning and Production Control and Planning, Programming and Production Control, respectively. This work presents the use of some of the tools from this department, in particular the Aggregate Production Planning, to propose a new layout of electronic nutrunners for an auto parts industry output line. Through some process indicators analyzes, was identified some productivity losses. The higher loss rate occurred by the electronic nutrunners breaking, and so this work was focused in these devices. Some premises were adopted for the use of electronic nut runners, setting an ideal cycle time for the operation of the production line and making calculations to define the minimum amount of electronic nutrunners to find the production demand without damaging the equipment. With this work we observed that a relevant factor for the constant breaks of electronic nutrunners is because these are working with overload, in other words, the amount of installed equipment is not enough to supply the demand without failures

Influência do exercício físico no remodelamento cardíaco de ratos espontaneamente hipertensos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Qualidade de vida de crianças e adolescentes com epilepsia no município de Maringá

Pós-graduação em Saúde Coletiva - FMB

Antidepressivo modula o comportamento e a expressão gênica das cadeias de miosina, serca2 e fosfolambam em ratos com insuficiência aórtica?

Introduction: Aortic insufficiency (AoI), a volume overload, is characterized by the diastolic reflux of blood from the regurgitating aorta to the left ventricle. This effect results from malfunctioning aortic cusps. The main cause of AoI in developing countries is rheumatic fever, including Brazil, and valvar degeneration in developed countries. There is a strong association between cardiovascular diseases and depression. Selective serotonin reuptake inhibitors (SSRI) are one of the most prescribed antidepressants in the world. Previous studies of our laboratory showed that the utilization of a SSRI, paroxetine, improved cardiac function in rats with sub-chronic AoI and reduced the daily ingestion of hypertonic sodium (NaCl 0,3M). Cardiovascular diseases can determine behavior changes like increase of anxiety, and it is yet unknown if AoI would determine anxiety or anhedonia, incapacity of obtaining pleasure through physical or sensorial experiences. A possible target for SSRI action could be a change in the expression of enzyme isoforms that collaborate in the contractile function of the heart muscle, like the heavy chains of myosine, the sarcoplasmatic reticulum Ca2+/ATPase (SERCA) and its regulator protein, phospholamban (PLB). Objectives: Evaluation of behavior parameters for anxiety and anhedonia state and genic expression of a-myosine, b-myosine, SERCA2a and PLB in the heart tissue of rats with subchronic AoI that received treatment with an SSRI (paroxetine) for 4 weeks. Methods: Surgery to induce AoI was performed on male Wistar rats, anxiety was evaluated by the elevated plus-maze (EPM) and state of anhedonia was tested by ingestion of 2% sucrose solution. After euthanasia the heart tissue was collected and total RNA was extracted to be analyzed by the RT-qPCR method. Results: Heart fractional shortening was preserved in rats with AoI that were treated compared to rats with AoI that were not treated. There was no statistically ...

Aspectos das Condições e Organização do Trabalho na Ocorrência de Acidentes entre Profissionais da Enfermagem

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)