81 resultados para Unidade de transferência de dados
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Pós-graduação em Saúde Coletiva - FMB
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Objetivo: Analisar os desfechos aumento/diminuição da pressão intracraniana e/ou queda da pressão de perfusão cerebral, proporcionados pela fisioterapia respiratória em pacientes graves assistidos em unidade de terapia intensiva. Métodos: Por meio de uma revisão sistemática da literatura, foram selecionados ensaios clínicos publicados entre 2002 e 2012. A busca envolveu as bases de dados LILACS, SciELO, MedLine e PEDro, usando os descritores physical therapy, physiotherapy, respiratory therapy e randomized controlled trials em cruzamento com o descritor intracranial pressure. Resultados: Foram incluídos 5 estudos, que somaram 164 pacientes, com média de idade entre 25 e 65 anos, e que indicaram que as manobras de fisioterapia respiratória aumentaram significativamente a pressão intracraniana, sem alterar a pressão de perfusão cerebral. Os artigos abordaram as técnicas de vibração, vibrocompressão, tapotagem, drenagem postural, além da manobra de aspiração intratraqueal. Todos os pacientes estavam sob ventilação mecânica invasiva. Conclusão: A fisioterapia respiratória promove aumento da pressão intracraniana. Os estudos sugerem que não há repercussões hemodinâmicas e respiratórias a curto prazo ou alteração da pressão de perfusão cerebral. Entretanto, não há estudos que avaliem desfechos clínicos e que assegurem a segurança das manobras.
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There can be several indicators of violence in society. However, in no other health unit such violence acquires visibility as in emergency. This study aimed to examine whether there is divergence between the history of medical consultation and diagnosis of physical aggressions in the emergency unit. A cross-sectional study was conducted in an emergency unit in the city of Araçatuba, state of São Paulo, Brazil, based on medical records, considering data on patients, lesions, history, diagnosis and treatment. Out of 133,537 visits, only 153 were recorded as physical aggressions, and 161 informed violence in the history of the consultation; 59.6% were male, 60.6% were between 20 and 44 years old. Excoriations, pain and injury predominated. There were no associations between state violence in the diagnosis and the characteristics of patients and visits (schedule, routing, gender, age). The conclusion is that in most cases violence reported in the history of the consultation was not mentioned in the diagnosis of injuries. The characteristics of care and patients were not related to the fact that professionals diagnosed the case as violence.
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The object of this work was to study the dynamics of evaporation in the Itumbiara reservoir, located in Central Brazil, using MODIS-derived water surface temperature (product MOD11A1) and meteorological data acquired over the water surface. The evaporation rates were derived from latent heat flux, estimated through a mass transfer model. The estimates were carried out for the period between 1/1/2010 and 31/12/2010. The results showed that evaporation rate tends to increase from January to September and then decrease from September to December. The evaporation rate reached values near 20 mm day-1 in Itumbiara reservoir during the dry season in 2010. The mean evaporation rate for the wet season was 3.66 mm day-1 and 8.25 mm day-1 for the dry season. The total water volume evaporated from Itumbiara reservoir during 2010 was estimated at about 1.7 billion m³ (2,300 mm) which represents 10% of total reservoir volume. The results suggest that advection is the main transport mechanism which drives the evaporation in Itumbiara. The convective processes contribute secondarily to evaporation in Itumbiara reservoir.
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Pós-graduação em Psicologia do Desenvolvimento e Aprendizagem - FC
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Pós-graduação em Agronomia (Energia na Agricultura) - FCA
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Pós-graduação em Engenharia Mecânica - FEG
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The article deals, initially, from a theoretical point of view, the concept of function in the perspective of Vygotsky (2001), and functional equivalence from the point of view of Smith (1989) and articulates them with the letter funcion in the construction of words in discursive statements. Taking as reference these concepts, it was analysed writings of a student in early literacy at a school in a countryside city in the state of São Paulo, in a situation of writing letters of personal correspondence, whose data were collected in 2009 in order to determine which letters are chosen by the student and why they are chosen to record the speech. The concept of function in Vygotsky and the functional equivalence of Smith (1989) used for the analysis of corpus, revealed that the student’s decisions are characterized by diversity sources and criteria, and rely mainly on the basis that a letter can have the constitution of the word, in the process of enunciation, regardless of their phonetic correspondence. The letter, used as a basis, would lose its status as strictly technical element to achieve the status of a unit of sense since is a constituent part of discourse.
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Pós-graduação em Engenharia Civil e Ambiental - FEB
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Due to the complexity and instability of clinical conditions of ICU patients, the drug therapy applied in this type of environment requires a combination of several prescribed drugs, which is a favorable condition for drug interaction, toxic synergism and possible iatrogenia. In the possible universe of ICU occurrences, this study aimed at identifying and evaluating the incidence of adverse events in drug therapy at the Intensive Care Therapy Service (SETI) in wards I and II. It is a cross-sectional, descriptive, prospective and quantitative study conducted from August to September, 2011 in the Intensive Care Service of the Botucatu School of Medicine University Hospital - UNESP. The population consisted of fifteen clinical nurses, including those in the Improvement and Volunteer Internship Programs, who contributed to the investigation after signing an informed consent form and according to approval by the Research Ethics Committee number 10711/CE - FMB. The data were entered on a form and analyzed. Results showed that, on average, 8.9% of events/day occurred, and the highest frequency was observed on August 04, 2011. 63% and 22% were respectively observed in the morning and afternoon shifts, and 15% in the night shift. 48% of these were due to administration time errors, followed by drug prescription and dispensation errors, with percentages of 22% and 18%, respectively. Antibiotics showed the highest frequency of adverse events - 18%, which was followed by 13% for anticoagulant, 11% for antiemetic and 10% for antiulcerative drugs. As regards the occurrence of adverse events related to hospitalization time, the highest frequency occurred in patients who were hospitalized for 10 days. Concerning the ratio between reported events and the number of items in the prescription, the highest frequency of events was related to prescriptions with 20 items... (Complete abstract click electronic access below)
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The increasing degradation of the environment and the depletion of natural resources, caused by indiscriminate production practices, by current and unlimited human needs and also misconceptions that natural resources are inexhaustible, make current and future environment situation, a constant concern of national and world leaders. With the purpose to confront these issues and to qualify the cities on the environmental situation in the state of São Paulo, the Department of the Environment created, in 2007, the Program “Município VerdeAzul. This paper aims to the study this program of Unit Water Resources Management Pontal Paranapanema through specific analysis of data representing the efficiency of the program directives and a comparative study between two cities unit with discrepant scores and a survey of the possible causes of obtaining low scores for municipalities participating in the project. For such a method was used that consisted of a bibliographical survey related to the main environmental liabilities Brazilians... (Complete abstract click electronic access below)
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A Pediatric Intensive care Unit (PICU) is an environment where care is provided to seriously ill children. Hospitalization is regarded as an unpleasant experience that requires adaptation and routine change. To assess the opinion of relatives of children hospitalized at a PICU concerning tie breakage and/or separation between children and their families. It is a descriptive, cross-sectional, quantitative study. A structured interview was conducted with the families of hospitalized children from July to September, 2010. The data were statistically analyzed. RESULTS: Twenty relatives were interviewed, 80% of whom believed that children’s behavior changes when they are present in the unit, and 85% considered the visitation time established to be sufficient. All the respondents reported to be satisfied about the care provided. The feelings prevailing in 50% of the relatives were fear and hope. Change in the family’s union after hospitalization occurred in 85% of the families. The most fearful aspect concerning the ICU is the equipment (25%), and the most worrisome, as regards personal life, is the separation from other children (65%). Health care professionals must pay more attention to relatives by including them in their health care plan so that the health care team and the family, who are essential in children’s recovery, can interact in a congenial fashion. It is also necessary to improve the knowledge related to that subject so that the health care team and families can work together towards children’s recovery
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The burn is among the leading causes of morbidity and mortality in our society. It shows a great complexity and is hard to treat. Beyond the physical suffering, the burned patient is affected by psychological distress, requiring a high level of knowledge for assistance planning. The Professional Practice Law No. 7498 establishes the nurse as in charge of the client, as leader of the nursing team and as responsable for the management of physical and human resources. The nurse has autonomy to design the quantitative and qualitative picture of the nursing staff and should use the methodologies for their suitability to the real levels of assistance needed. Material resources represent 15 to 25% of total expenditures at health organizations. Therefore, to maintain the care level, nurses must determine the needs, considering the quantitative, qualitative and financial aspects. The study aimed the survey of the human and material resources necessary for nursing care to patients in a Burns Treatment Unit and identify its epidemiological profile and its nursing diagnoses. We collected the data from medical records of hospitalized between July and August, and the nursing diagnoses were classified through the Taxonomy II proposed by the North American Nursing Diagnosis Association (NANDA). The design of the picture of nurses followed the parameters of COFEN Resolution nº 293/2004. We apply the Fugulin's Patients Classification System to establish levels of the required care. The institution's Cost Center provided a spreadsheet with the purchased items, subsequently classified into ABC. Most hospitalized patients were men, aged between 20 and 50. There was a predominance of patiences with minor burned and the most common type of burn was due to fire. The average residence time was 28.71 days, and 88% of the patients were discharged... (Complete abstract click electronic access below)