224 resultados para sobrecarga horária
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Model Study: An experimental study Introduction: Chronic Kidney Disease (CKD) refers to a syndromic diagnosis which leads to a progressive and irreversible loss of renal function. A hemodialysis patient may have limitations in functional capacity, pulmonary function and respiratory musclular strength impacting in quality of life. Objective: To evaluate the effects of an exercise program on pulmonary function, functional capacity, quality of life and pain in patients undergoing hemodialysis. Methodology: The study included 28 patients of both genders, women and men aged between 40 and 60 years undergoing dialysis at the Kidney Institute, Santa Casa de Misericordia in Presidente Prudente-SP. Primary outcomes included respiratory muscular strength measurements assessed by manovacuometry. The functional capacity was evaluated by a six minute walking test. A life quality questionnaire was applied to evaluate quality of life (SF36-KDQOL). Lung function was evaluated by spirometry. Pain was assessed by a visual analogue scale. The exercise program consisted of training 3 times a week for 40 minutes on hemodialysis during eight weeks. At the end of the program all patients were reassessed. Results: There was no significant difference in the values of FVC and FEV1 before and after the exercise program as well as the index Tiffenau. The value of post MIP was significantly higher than the value obtained in the pre program. For variable MEP no significant difference was found. Functional capacity evaluations showed that there were no significant differences (p> 0.05). The evaluation of quality of life, about the domains of specific areas of CKD showed statistical significance when comparing the list of symptoms and problems with overloading of renal disease and professional role. Indicators related to pain were significantly reduced after the program (P <0.05). Discussion: A chronic kidney patient faces complex situations of physical, social and financial aspects. Although no statistically significant results were found in all variables, the study corroborates to others found in the literature, which suggests that an exercise program can be positive for this population. Conclusion: Although lung capacity and functional capacity did not submit changes to the end of the study, reduced levels of pain, fatigue and dyspnea suggest improvement in functional performance after exercise programs.
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The purpose of this article is to reflect on the movement of professionalization of teaching, emphasizing the importance given to vocational training (initial and continuing) in this context. The research is qualitative in that it sought in the testimonies of eight physical education teachers, the São Paulo public state educacional, to elucidate the reflections from the literature review. It was found that although the social and political discourses glimpse the teacher as the main agent of social transformation, this possibility still presents far for this group, especially in view of the heavy workload and poor remuneration, hindering investment in training. It was concluded that this group is immersed in speeches ambiguous and contradictory processes, characterizing a movement of professionalization and concomitant deprofessionalization in teaching.
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Stress relates to the broad and generalized body's responses to various environmental, physical and social situations. It is the force that drives the emotions and motives (desires), but is also the cause of the wear and tear of human existence. This study aims to investigate the stressors in administrative technical servers Univ. Estadual Paulista - UNESP, Bauru, as well as on companies providing service within the perimeter of the campus. Was used as a methodology, literature and field research, a questionnaire was applied in order to reach those goals. The profiles of employees who participated in the survey were: both sexes, adults, young people with different educational levels, varying levels of marital and socioeconomic status. The main stressors mentioned by the employees were: workload, dissatisfaction in the workplace, pressure boss or colleagues, as they bring consequences, fatigue or drowsiness, affecting the work environment and mostly family. Physical symptoms of stress are fatigue, difficulty relaxing and headache, and backache. And the psychological symptoms are verbalized concern, agitation, aggression, dissatisfaction, and forgetfulness and feeling of lack of time. It was concluded that these factors negatively affect the quality of life in the work of these employees, interfering with your work, family and socio-emotional life.
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This study aimed at understanding the role played by nurses in managing a team in the Family Health Strategy (ESF) in relation to competences and skills practiced and developed in their everyday work and the difficulties found to perform their duties based on these professionals’ perceptions. Data were collected by means of focus groups with seven nurses in 2006 and then submitted to content analysis, which disclosed five themes: The context of the coordination of multidisciplinary teams in the Family Health Strategy, factors involved in the daily work in the ESF, conflicts experienced in the interface between teamwork and central coordination in the ESF, difficulties of the population towards the new model of care coordinated by the nurse, the perceived competence to exercise leadership in coordinating multidisciplinary teams. Results showed work overload, overlapping of tasks and lack of training. These professionals have been evaluated according to the logic of their work organization by productivity and not by the quality of their actions. Hence, they feel devalued professionally. They pointed out technical and scientific knowledge as an important competence attached to relational practices. There is a need to create formal opportunities to discuss the major difficulties found by the nurses managing multiprofessional teams when experiencing such management.
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This work presents an analysis of the pattern variation of the sky conditions in Botucatu/SP. The classification was based on the clarness index KT. It was used in the classification a database of global solar irradiance in the horizontal, measured at Radiometric Station of UNESP in Botucatu (latitude 22.85°S, longitude 48.43°W, altitude 786 m) from 1996 to 2005. We analyzed the variations in frequency, during the photoperiod and over the year, of the sky conditions: I - Cloudy (KT < 0.35); II - party cloudy with dominance for the diffuse (0.35 < 0.55 < KT)) III - party cloudy with dominance for the clear (0.55 < KT < 0.65) and IV - clear (KT > 0.65). The frequency of sky conditions I and II are higher during the rainy season of the year and in hours close to sunrise and sunset. And it is lower during the dry season an in hours near noon, in wich there is a predominance of sky conditions III and IV. The monthly hourly frequency of sky condition I ranged from 46,91% of the photoperiod in January to 25.27% in August. And the frequency monthly daily ranged from nine days in January to three days in August. To the sky condition IV, the frequency monthly hourly ranged from 38.81% of the photoperiod in August to 18.17% im January. And the frequency monthly daily ranged from 17 days in August to three days in January.
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Pós-graduação em Enfermagem - FMB
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Pós-graduação em Enfermagem - FMB
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Pós-graduação em Enfermagem - FMB
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Pós-graduação em Serviço Social - FCHS
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Pós-graduação em Fisiopatologia em Clínica Médica - FMB
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Pós-graduação em Doenças Tropicais - FMB