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)

Influência do Luar nas Atividades de Emergência e Retorno ao Abrigo do Morcego Hematófago Desmodus rotundus (Chiroptera, Phyllostomidae) no Sudeste do Brasil: subtitulo

The common vampire bat Desmodus rotundus has as main food source blood of medium and large sizes mammals, but sporadically is observed feeding on birds, causing occasionally excessive bleeding and economic losses. Due to this D. rotundus is one of the most studied species of bats in the Americas. Once known that the lunar clarity might influence the nocturnal activities of the common vampire bats, the present study was carried out to know the behavior and schedules of emergencies and returns of bats to the shelter, its social behavior at the shelter´s entrance, especially of the dominant male, and the size and composition of the colony in different moon phases. The colony was composed by 105 individuals (65 females and 40 males) harboring in a hollow-tree of Farm Edgardia in Botucatu Municipality, State of São Paulo. Through the eight filming sessions, two for each moon phase, it was possible to observe that the distribution of emergences and returns to the shelter thought the night followed a specific pattern for each moon phase. The greatest number of emerging bats occurred in periods in which the moon was not born yet and the largest number of returns just before moon has been reached its maximum level in the sky. Therefore, the time period that bats are staying outside the shelter seems to be directly influenced by lunar light. This factor can influence the social activity of the colony and, in particular, the dominant male, who remains still on tree’s trunk, near the entrance of the shelter with greater frequency during periods of low moon light

Síndromes Paraneoplásicas em Pequenos Animais

Paraneoplastic syndromes are being increasingly recognized in dogs and cats in veterinary medicine as they often are oncological emergencies and may help in early diagnosis of primary neoplasm, performing a more effective treatment, which usually is the removal of the tumor, and thereby improving the quality of life of the animal and perhaps prognosis. The syndrome is caused by the tumor through the production of substances such as hormones and cytokines that are released into circulation and are responsible for the appearance of distant signals from the primary neoplasm. These syndromes can involve multiple systems of the body, among them we mention: the hematology, the dermatologist, the neurologist, endocrine and musculoskeletal

Jogo baseado em simulação de vida artificial

The market of digital games have grown in the last years, becoming popular between many ages, the number of smartphones and tablets users have also showed a recent increase, including the ones using Android as operational system. The main objective of a digital game is the ludic activity but also it can be used as a tool to education, learning and even simulation. This work proposes the development of a game for smartphones or tablet running on Android operational system, this game will simulate living beings in an environment, each one with different behaviors, based in the concepts of artificial live, cellular automata and emergence. This way simulating the behavior of a living being community with a computational base in artificial live and following concepts of game design. The game can represent visually some characteristics of living beings, as well behaviors and interactions between them, in a very simple way. The game can be upgraded in the future to represent better living beings using more details to the simulation of these

Avaliação do pico pré-ovulatório de LH em ovelhas da raça Santa Inês superestimuladas nos períodos de ciclicidade, transição e anestro

Pós-graduação em Medicina Veterinária - FCAV

Suicidalidade em pacientes com transtorno de pânico e agorafogia: prevalência e fatores associados

Pós-graduação em Saúde Coletiva - FMB

Estudo hodológico e neuroquímico das aferências da região noradrenérgica A5 aos neurônios da raiz coclear

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

O papel do NGAL urinário como preditor diagnóstico e prognóstico da lesão aguda associada a sepse em pacientes admitidos na emergência clínica

Pós-graduação em Fisiopatologia em Clínica Médica - FMB

Medicalização em um serviço público de Saúde Mental: um estudo sobre a prescrição de psicofármacos

News of the fifth version of Diagnostic and Statistical Manual of Mental Disorders (DSM-5) bringing an enlarged listing of diagnostic possibilities has fomented discussion concerning the tendency, recognizable in contemporary psychiatric practices, of including ordinary suffering of everyday life in psychiatric diagnosis and submit same to psychopharmacological treatment. The present paper brings to this discussion data obtained from field research about the prescription of psychopharmacs in the psychiatric care of a public mental health service. The results reveal that the psychiatry of the service keeps practically all of its users under prescription, and that medical discharge is extremely rare. The paper organizes elements critical to this practice and concludes that due to its inadequacy as to the objectives of promotion of personalized care concerned with autonomy and citizenship, present in the current national guidelines for public policies in mental health.

Nicotine dependence and levels of depression and anxiety in smokers in the process of smoking cessation

Background: Depression and anxiety are psychiatric disorders that are related to tobacco use and associated with dependence, the process of cessation, lapses and relapses after quitting smoking. Objective: To analyze the association of nicotine dependence with the level of anxiety and depression in patients who are in the process of smoking cessation. Methods: Cross-sectional study conducted with patients who sought the smoking cessation program in Cuiabá/MT. All the smokers enrolled from May to August 2012, participated in this study. Four instruments were applied: Socio-demographic Questionnaire, Fagerstrom test, Beck Anxiety Inventory and Beck Depression Inventory. Following bivariate analysis, using the crude prevalence ratio, with level of significance lower than 5% (p < 0.05), having as variable outcome the nicotine dependence >= 5 (Fagerstrom). The associations with p < 0.20 were selected for robust Multiple Poisson Regression (RPa). Results: Associations of Fagerstrom >= 5 with the male sex (RP = 1.15 CI 95% 1.03-1.28); number of cigarettes/day (RP = 1,33; CI 95% 1.19-1.48); and moderate/severe level of depression (RP = 1.15; CI 95% 1.04-1.28) were found. In the final model (RPa), the following variables remained associated: male gender (RPa 1.12; CI 95% 1.01-1.24), number of cigarettes/day (RPa 1.28; CI 95% 1.15-1.43) and high level of depression (RPa 1.12; CI 95% 1.01-1.23). Discussion: High level of nicotine dependence was associated significantly with the level of depression, emphasizing the association between smoking and psychiatric comorbidities.

Estudo comportamental das aferências do núcleo ventral do corpo trapezóide ao primeiro núcleo do circuito neural do reflexo auditivo de sobressalto: núcleo da raiz coclear

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Ataque de jacaré a pescador no Pantanal de Mato Grosso (Brasil): relato de caso

Contexto: O manuscrito descreve o ataque não provocado de um jacaré-do-Pantanal a um pescador. Ataques por jacarés são pouco relatados e a espécie do Pantanal raramente causa acidentes. Descrição do caso: A vítima foi mordida na mão direita quando limpava peixes nas margens do rio Paraguai, por um jacaré de cerca de 1,5 m que saiu debaixo da vegetação aquática. O paciente apresentou dor, secreção purulenta e febre e procurou auxílio médico, apresentando ferimentos perfurocontusos e perfurocortantes e fratura-arrancamento no segundo metacarpiano direito. Após cinco dias de internação, houve significativa regressão do processo inflamatório, quando obteve alta hospitalar para posterior acompanhamento ambulatorial. Discussão: Os acidentes por jacarés podem ser muito graves, devido à dentição e à potência das mandíbulas desses répteis. Embora algumas espécies amazônicas possam predar seres humanos, o jacaré-do-Pantanal não causa mortes, mas mesmo espécimes de pequeno tamanho podem causar lesões graves e infecção secundária importante, como observado no caso. Conclusões: Devido ao potencial traumático e capacidade de inoculação de micro-organismos, as mordidas de jacarés devem ser encaradas como ferimentos de alto risco pelas equipes de saúde.

As interfaces da convivência da família em uma unidade de pronto socorro

The aim was to describe the positive and negative aspects in a family communication at an emergency care unit. This is a descriptive research with a qualitative approach. The sample consisted of 20 family members / caregivers of patients admitted to the emergency room of a university hospital. Data collection was carried out through semi-structured interviews applied during the period of May-June 2011. Data analysis was performed using the methodological framework of the Collective Subject Discourse which resulted in four themes: Lack of information compromising the family/health professional ties; The ideal model of information provided by the professional regarding the condition of the hospitalized relative; Assessment of information provided about hospital routines; and The role of the relative/companion. Therefore, for the patient and his family, communication is presented as a tool on the care given with the function of transmitting safety, respect and guidance. However when it is incomplete, it becomes a potential form of stress and dissatisfaction.

Influência de gênero e do ciclo estral no reflexo auditivo de sobressalto em ratos Wistar

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