52 resultados para Pat Burnes
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Pós-graduação em Biologia Animal - IBILCE
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Pós-graduação em Microbiologia - IBILCE
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Pós-graduação em Agronomia (Proteção de Plantas) - FCA
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Pós-graduação em Ciências Biológicas (Zoologia) - IBRC
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INTRODUCTION: During mechanical ventilation (MV), the airways may accumulate secretions. Patients are submitted to Respiratory Therapy (RT) and tracheal aspiration when in MV, alone or associated, to eliminate these secretions. OBJECTIVE: The objective was to compare the effects of different protocols of bronchial hygiene in blood pressure, heart rate, oxygen saturation and respiratory rate of patients undergoing MV. MATERIALS AND METHODS: We conducted a prospective, randomized, controlled crossover, with intentional non-probabilistic sample in the Medical School Hospital of Marília. We included patients in invasive MV who were submitted to three different bronchial hygiene protocols: PP - physiotherapy protocol (manual chest compression and manual hyperinflation); AP - aspiration protocol; and PP + AP. Respiratory rate, systolic blood pressure (SBP), diastolic blood pressure (DBP), oxygen saturation and heart rate were evaluated in three moments: before (M1), immediately after (M2) and 30 minutes after (M3) for each protocol. The differences among protocols and times were assessed using ANOVA and post hoc Student Newman-Keus (p < 0.05). RESULTS: We studied eighteen 71.2 ± 13.9 year-old patients with 15.1 ± 17.7 days of MV. There were no differences among protocols. There was a significant decreasing in SBP (p = 0.0261) and DBP (p = 0.0119) from M2 to M3 in the aspiration protocol. CONCLUSION: There was a decrease of blood pressure on MV patients after 30 minutes of aspiration and no change in the other variables, and there was no difference among protocols.
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Pós-graduação em Agronomia (Agricultura) - FCA
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Within the current context of environmental degradation, primarily caused by unsustainable pat terns of production and consumption (AGENDA 21, 1992), the Protected Areas (PAs) are considered internationally as one of the most successful measures for the conservat ion of biodiversity, according to the Union for the Conservation of Nature (IUCN). The city of Rio Claro (Sao Paulo, Brazi l ) has a significant conservation area in both environmental aspects as historical and cultural, the State Forest 'Edmundo Navarro de Andrade' (FEENA). Beyond the conservation measures, there is a need to develop environmental education that encourages community participation and appreciation in the unit 's maintenance and protection, as well as provide moments of reflection that could conduct perceptual changes, behavioral, attitudinal and evaluative on relations between human beings and their environment . This work brings the proposal to create an interpretive trail in the area of public use of FEENA to contribute to the Unit Management Plan in order to make it an Environmental Education tool. To prepare the planning of the interpretive trail, a deep bibliographic and cartographic review was performed on the subject. It was applied questionnaires in order to know the visitors better and map the features of public visitation, as well as map the visitor preferences about how they would like to receive information on the area and expose field studies in the track site. The trail was traced taking into account the environmental and social aspects, we propose a track suspended above the ground, in order to affect as little as possible and to include the area in the context of PAs people with reduced mobility and visually impaired