Perioperative fluid therapy: a statement from the international fluid optimization group

Perioperative fluid therapy remains a highly debated topic. Its purpose is to maintain or restore effective circulating blood volume during the immediate perioperative period. Maintaining effective circulating blood volume and pressure are key components of assuring adequate organ perfusion while avoiding the risks associated with either organ hypo- or hyperperfusion. Relative to perioperative fluid therapy, three inescapable conclusions exist: overhydration is bad, underhydration is bad, and what we assume about the fluid status of our patients may be incorrect. There is wide variability of practice, both between individuals and institutions. The aims of this paper are to clearly define the risks and benefits of fluid choices within the perioperative space, to describe current evidence-based methodologies for their administration, and ultimately to reduce the variability with which perioperative fluids are administered. Based on the abovementioned acknowledgements, a group of 72 researchers, well known within the field of fluid resuscitation, were invited, via email, to attend a meeting that was held in Chicago in 2011 to discuss perioperative fluid therapy. From the 72 invitees, 14 researchers representing 7 countries attended, and thus, the international Fluid Optimization Group (FOG) came into existence. These researches, working collaboratively, have reviewed the data from 162 different fluid resuscitation papers including both operative and intensive care unit populations. This manuscript is the result of 3 years of evidence-based, discussions, analysis, and synthesis of the currently known risks and benefits of individual fluids and the best methods for administering them. The results of this review paper provide an overview of the components of an effective perioperative fluid administration plan and address both the physiologic principles and outcomes of fluid administration. We recommend that both perioperative fluid choice and therapy be individualized. Patients should receive fluid therapy guided by predefined physiologic targets. Specifically, fluids should be administered when patients require augmentation of their perfusion and are also volume responsive. This paper provides a general approach to fluid therapy and practical recommendations.

Avaliação da eficácia do tratamento da cessação do tabagismo iniciado durante internação hospitalar em pacientes com doença cardiológica ou respiratória agudizada

Pós-graduação em Fisiopatologia em Clínica Médica - FMB

Fonte: corpo, água e luz

Pós-graduação em Artes - IA

Um estudo sobre a função exponencial

Pós-graduação em Matemática em Rede Nacional - IBILCE

Utilização de turfa para remoção de metais potencialmente tóxicos de uma empresa recicladora de plásticos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Análise sobre a importância do gerenciamento de resíduos de construção e demolição na universidade

With the growth of settlements and the consequent rise in civilian buildings, there was a need to allocate appropriately the waste arising from construction and demolition. Failure to meet the standards set about building waste generate social, economic and environmental impacts of remediation difficult. This study aimed to attend the importance of holding management programs involving the waste of construction and demolition at the University by the resulting environmental, economic and social benefits, and analysis of the main stages of Waste Management of Construction and Demolition, whose based on the National Solid Waste Policy, as well as verification of the importance of implementing these steps in the design of works, assisting in future studies of this type of waste and the problems accompanying the University

Estratégia saúde da família e adolescência: as necessidades de cuidados e recursos utilizados em saúde mental

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Pemphigus vulgaris in adolescence: a case report

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Percepção de pacientes HIV-positivos de um centro de referência em relação a tratamento de saúde

Introduction: health professionals, in many cases, have defensive and exclusionary practices, patterns of prejudice and discrimination in response to HIVpositive patients. Objective: to verify the perception of patients seropositives from a reference center for STD/HIV/aids in relation to health care. Methods: there were interviews with questions related to discriminatory attitudes suffered, access and health care. Results: 130 individuals participated in the survey, from which 30 (23.1%) reported events of discrimination suffered outside the center of reference, predominantly from surgeon-dentists and 112 (86.2%) believed to have the same access and health care as other citizens. 62 (47.7%) treated with the dental center of reference, of which 56 (90.3%) felt good being treated in a dental unit only for HIV positive and six (9.7%) were indifferent, believed to be more exposed, or have a bias to attend dental seropositive individuals. Conclusion: it is concluded that many patients have already been discriminated against outside the reference center. However, most of them have a positive feeling towards the treatment received at a specifi c place for treating HIV-positive patients, due to the feeling of being welcome at that place due to the humanization and access to health care.

A interferência da prática de aulas de yoga - presencial e virtual - nos estados de ânimo de seus praticantes

Pós-graduação em Desenvolvimento Humano e Tecnologias - IBRC

Análise do chute de bola parada em indivíduos não praticantes de futebol

In the soccer game, the player needs to be ready to attend the outlined requirements in differents extrategic moments. The fundamentals of soccer optimize their participation in a game, however, a correct execution of the movements can ensure their efficiency. From those fundamentals, we highlight the kick executed with the lower limbs characterized mainly by being an appeal of offensive played moving or stopped. Therefore, the objective of this review was to evaluate the kick's ability in the non- practitioners of this modality. Through a descripitive search, the objective followed by the protocol proposed by Mor-Cristian in 1979 was reached. The sample consisted of 48 individuals from both sexes, aged between 19 and 43 years old, students of Physics’ Education of a private University in the State of São Paulo - Brazil. The average of target 01 was 15.92 points, target 02 was 3.83, target 03 showed an average of 4.75 points and the target 04 had the average of 10.33. From the results we can observe that the target 01 have received the highest score over the other arcs. We conclude that the lower arches shown to be more likely to hit compared to the upper arches as being individuals who do not practice soccer.

As etapas da carreira docente e o processo de formação continuada de professores de Educação Física

In this research, qualitative, aimed to analyze the meanings assigned by Physical Education teachers to the relationship between continuing education and professional development stages. Semi-structured interviews were conducted with eight state public school teachers of Bauru/SP. The data were analyzed following the theory referential of HUBERMAN (2000), relatively to the concept of professional life cycles, and found that as well as other factors of the teaching career, on the extent of continuing education teachers also have different needs at each moment professional. In summary concluded: the early stage to teaching, they seek activities to improve pedagogical practice; stabilization phase: to solve problems in the educational context and to disseminate the academic content between teachers; diversifi cation phase: to provide a basis to work new content and to make constant updates according to educational innovations; serenity/exit: they feel the need to attend training activities in different spaces of the school.

Aprendizagem significativa do conceito de ressonância

In this research work we verified the interaction between teacher and students through the use of reading an alternative text, the use of an experimental activity demonstration and presentation of videos involving the concept of resonance in a room on the 3rd year of teaching medium, led to meaningful learning of that concept. The instruments for the creation of data were based on audio and video records, taken during the lecture and the written evaluations performed by the students two weeks later. The results showed that this interaction, mediated by the use of these resources, led to meaningful learning of the concept of resonance. It was also possible to observe the students' motivation to participate actively in class.

Da formação acadêmica à atuação em educação física adaptada: a preparação do profissional de educação física para o contexto inclusivo escolar

This study examines the knowledge of the physical education teacher’s relation with inclusion of handicapped people in their classes. Thus, data were collected through a semi-structured questionnaire administered in 23 teachers of Physical Education. The main difficulties to the implementation of inclusion concerned basically to the lack of applied knowledge. As suggestions, were highlighted: the need for guidance by a multidisciplinary team; continuing education; upgrades in infrastructure and appropriate teaching resources; previous experience of teaching students with disabilities were also related. The data allowed the identification of elements needed to accomplish the inclusive educational physical education purpose and the need of professional prepare to attend the inclusive quests.

Rúgbi na escola?!... perspectivas de uma proposta diversificada, pautada na pedagogia do esporte para a educação física escolar do ensino fundamental

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)