Orientações de alta: cartões padronizados ajudam na compreensão dos pacientes do pronto socorro?

OBJECTIVE: To determine whether the addition of discharge standard illustrated cards improves understanding of patients in the emergency room. METHODS: We conducted a prospective, randomized, interventional study with 228 patients discharged from the emergency department. All patients were interviewed and tested for the level of understanding of discharge instructions. Some of them received the intervention, with the standard cards, and another did not, constituting the control group. RESULTS: The average of followed discharge guidelines of the group that received the cards was higher than the control group, with statistical significance (p=0.009). When segregated by age, the group between 16 and 35 years of both sexes had the best average of followed guidelines, statistically, than the average of the control group (p=0.01). The difference between the mean orientations between the control group and the card for patients undergoing procedures was statistically significant (p=0.02); as for the stratification according to the number of procedures, the significance increases when that is equal to 1 (p=0.001) and decreased the more procedures were carried out. CONCLUSION: The introduction of discharge standard orientation cards was associated with improvement in the understanding of patients. Without replacing the verbal directions, which establishes dialogue and doctor-patient bonding, cards appear as auxiliary elements, facilitating understanding and care guidelines.

Anticorpos policlonais em dietas com alta inclusão de concentrado para bovinos confinados

Among alternatives to replace ionophores, which are classified as antibiotics by some committees, the feeding of polyclonal antibodies have shown an interesting and economically efficient alternative. Recent studies have demonstrated some advantages of adding polyclonal antibodies into high-concentrate diets for feedlot cattle, showed by increased performance and ruminal health, in some cases similar to sodium monensin. However, there are blind spots of this innovated technology that still need to be elucidated, as example, if the dry form of the preparation is inactivated and decreased carcass-dressing percentage. All in all, this review demonstrates the possibility of replacing sodium monensin by this feed additive without negatively impacting animal performance and profit of cattle feeders in Brazil.

Casuística dos exames de diagnóstico por imagem na medicina de animais selvagens - 2009 a 2010

The aim of this study was to retrospectively evaluate in the casuistry on class and systems frequently diagnosed in wild animals that were sent to the FMVZ-UNESP-Botucatu diagnostic imaging service. The class of birds was the most referred to the centers, followed by the mammals and reptiles. The majority of the requested tests were the radiographs and in a minor scale the tomography and ultrasound. Although the birds were the greatest number of animals sent to the service, mammals were the most radiographed for wound control. The most frequently observed system was the musculoskeletal caused by trauma, especially in birds. The radiograph was the most exam initially indicated, then the animal could be forwarded to other imaging modalities, which in wild animals medicine is still limited to research.

Degradação de membrana impermeabilizante de polietileno de alta densidade usada em tanques de armazenamento de vinhaça

High-density polyethylene (HDPE) water-proof membranes are used as coatings in vinasse (leachate from sugar cane) storage tanks. The leachate is pumped into the tanks at temperatures of 80-90 °C. Due to these high temperatures and acidity of the waste, these membranes can be degraded, cracked and then loose the function for which they have been designed. This may cause contamination of the soil and groundwater. This study evaluated the effect of vinasse in HDPE membranes after 4 months of exposure in a controlled environment. An aggressive, alkaline pH liquid (sodium hydroxide) was also used. The objective was to evaluate the membrane resistance in contact with acidic and alkaline residues. Physical and mechanical tests, measurement of the carbon black content and thermo gravimetric analysis (TGA) were used to determine degradation of polymer membranes after chemical immersion. While sodium hydroxide resulted caused only minor changes in the physical properties, vinasse induced a thickness change of 7.8%. With immersion in vinasse, an average decrease in strength and deformability (yield) of 34% and 23.5% were measured, respectively. The stiffness increased by 7.8% (average) and the tear strength decreased by 2.7% (average).

Condições de nascimento de recém-nascidos a termo em município de médio porte do interior paulista

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Diagnóstico visando planejamento ambiental da alta Bacia do Ribeirão Areia Dourada, Marabá Paulista (SP)

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

Análise de aminas aromáticas em amostras de interesse ambiental por cromatografia líquida de alta eficiência acoplada a detectores de arranjo de diodo, eletroquímico e espectrometria de massas: Thiago Mescoloto Lizier. -

Pós-graduação em Química - IQ

Determinação de 'SB' e 'PB' em embalagens de poli(tereftalato) de etileno (PET) por espectrometria de absorção atômica com fonte contínua e de alta resolução em forno de grafite empregando amostragem direta de sólidos

Pós-graduação em Química - IQ

Extração de conhecimento em bases de dados espaciais: algoritmo CHSMST+

Pós-graduação em Ciência da Computação - IBILCE