107 resultados para Propriedade intensiva
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Neste trabalho, propomo-nos analisar o emprego de neologismos constituídos por meio de prefixos intensivos num corpus de vocabulário da publicidade (revistas informativas Isto É, Manchete, Veja e Visão), analisadas de julho de 1976 a junho de 1977).
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Este texto apresenta um recorte de um estudo mais amplo que teve como preocupação inicial a relação entre nominalização e transitividade em língua portuguesa. Tendo como suporte teórico a Teoria das Operações Enunciativas de A. Culioli (1990, 1999a, 1999b), caminhamos de uma análise estática e descritiva de língua, na qual essas questões têm visibilidade, para um estudo que levasse em consideração a articulação entre linguagem e línguas naturais. Esse segundo enfoque diluiu a especificidade dessas duas questões gramaticais e as direcionou para espaços de reflexão mais abstratos e comuns a qualquer problema gramatical tais como causalidade, propriedade diferencial e construção de domínios nocionais.
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Pós-graduação em Enfermagem (mestrado profissional) - 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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Pós-graduação em Enfermagem - FMB
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Health care waste (HCW) is the type of waste that results from activities performed in health care services during care provision to humans or animals. Presently, according to RDC 306/04, issued in 2004 by Anvisa, and Resolution no. 358/05, by CONAMA, waste groups have the following classification: Group A (biological waste), Group B (chemical waste), Group C (waste containing radionucleotides), Group D (common waste) and Group E (piercing and cutting waste). In Brazil, 149 tons of wastes are collected every day, and HCW corresponds to approximately 1% to 3 % of that total. An efficient way to adequately manage HCW is through the Health Care Waste Management Plan (HCWMP), and it is possible to reduce the risk posed by certain materials in addition to ensuring disposal in an ecologically correct and economical fashion. According to the Pan-American Health Organization (PAHO), the management process enables health care establishments to adequately manage waste. Hence, there is greater control and reduction in the health risks caused by infectious or special waste, in addition to facilitated recycling, treatment, storage, transport and final disposal of solid hospital waste in an environmentally safe fashion. To evaluate the management of HCW of Groups A and D from the Intensive Care Unit of the University Emergency Hospital - FMB - UNESP in the city of Botucatu according to the guidelines presently in force. The waste flow was followed up, and during four random days in the month of September 2011, waste was quantified by estimating daily and monthly values, according to its classification. : In 2011, the University hospital has produced an average of 57,676.8 kg/month of biological and common waste. By adding Groups A and D, during the four days, approximately 209.8 Kg of waste (202.2 Kg of Group A and 7.6 Kg of Group D) were produced in the establishment under study, which... (Complete abstract click electronic access below)
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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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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 consuming of the natural resources in the agricultural sector does not represent only one external factor of the productive process, but also it implies in a bigger cost for the production, justified for this environmental degradation. In view of the necessity of evaluating the sustainment of the agricultural businesses, the use of performance indicators if makes of extreme importance. The measurement of the support through environmentalindicators is one of the most accepted forms of performing the evaluation of one given agricultural activity. In this context, the Base System for Eco-certification of Agricultural Businesses (Eco-cert Rural) developed by the Embrapa Environment at Jaguariúna/SP, has for purpose to present a method of evaluation of the agricultural businesses, not only of the point of view of the ecological performance, as well as considering the social, economic and organizational aspects. Through the analysis of the performance of the activity and the regularization of the disconformities found, it makes possible the eco-certification of the activities in the varied existing protocols, offering technologies designed to the sustainable development of the agricultural businesses. Using Eco-cert.Rural, this work evaluated the contribution of the use of mechanized harvest in sugar cane handling, front to the traditional system of manual harvest, using the fire. In the Sugar Cane Activity General Performance Index, Agrícola Rio Claro scored 2,08 of a maximum of 15. Amongst all the indicators, those wich reached performance worse had been related to the Use of Energy and the Income, by increasing fossil fuel consumptiom, and implying income concentration due to resignations of rural workers. However, the improvements on the environment quality by supressing manual harvest through fire are very significant. Beyond the great reduction in...(Complete abstract click electronic access below)
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This paper is about a case study of using solar energy and wind energy in a farm. For this purpose were collected from the property, such as water consumption and amount of residents. So, we estimate how many conventional panels or PET bottle panels and boiler needed to supply the farm with warm water. It also calculates the amount of photovoltaic panels and the main accessories for converting solar energy into electrical energy. For the pumping of water using photovoltaic panels is dismissed and dimensioned to be a watermill
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A ocupação inconsequente do território e a aplicação de técnicas agropastoris altamente degradantes ao meio ambiente, no Estado de São Paulo, culminaram em uma diminuição da cobertura vegetal nativa preservada de apenas 14% da cobertura original. Nesse cenário, o Novo Código Florestal, de 1964, regulamentava a proteção das chamadas Áreas de Preservação Permanente e a aplicação da área de Reserva Legal, que consistia em uma porcentagem da área total da propriedade rural destinada à preservação para a manutenção da biodiversidade local. Com a função de guiar as propostas de recuperação das áreas degradadas e de preservação dos remanescentes nativos, um Programa de Adequação Ambiental foi desenvolvido no presente estudo. Seu objetivo é adequar uma pequena propriedade rural, localizada no município de São Carlos – SP, às leis ambientais, com a finalidade de torná-la o mais ecologicamente sustentável possível. Com o auxilio de imagens de satélite disponíveis gratuitamente na internet e programas de SIG (ArcGis, Stitch Maps), o Programa de Adequação Ambiental da Estância 4R avaliou os usos e ocupações da propriedade, indicando que mais da metade da propriedade (35 ha) são destinados à criação de gado de corte e quase todo o restante (20 ha) está arrendado para o cultivo de cana-de-açúcar, e sugeriu propostas de restauração da área de Reserva Legal, cuja área deve ser de 12 ha, bem como sua localização, ao sul da propriedade. Como ação de restauração, foi proposto o consórcio de espécies arbóreas nativas com linhas de plantio de café de sombra, em um sistema de plantio conhecido como Agroflorestal
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The goal of this study is to characterize the clinical outline of patients in postoperative of bariatric surgery attended in an Intensive Care Unit and identify the nursing diagnosis presented by these patients in accordance to Taxonomy II of North American Nursing Diagnosis Association (NANDA). This is a transversal, descriptive and prospective study that was desenvolved at the Intensive Care Unit of the Clinical Hospital of Botucatu Medical School – UNESP. The population was composed by all the patients who were submitted to the bariatric surgery and were attended at the Intensive Care Unit in the period between June and August of 2010, totalizing 13 patients. The data were collected based on the Nursing History that is composed by the Anamnesis, Physical Examination and Complementary Exams. The results were worked out: a) among the 13 patients studied, 10 are women (76,9%) and 3 men (23,1%); the majority is between 30 and 40 years old; 11 people of 13 are morbid obese, which means that they have Body Mass Index higher than 40 kg/m2; b) It was identified 22 nursing diagnosis and 14 of these were found in 100% of the patients. They belong to the dominions of Activity/Rest, Comfort, Elimination and Changing, Security and Protection, Functions and Relationships. Therefore, in relation to the factors, it was conclude that nursing diagnosis help nurses to understand the unsettled human answers or the risks to disturbance in an individual way, which contributes to plan specific interventions to these patients. It was possible to verify that the stage of the nursing diagnosis that is part of the nursing process should be executed by the nurses systematically, because it has been realized by the nurses’ clinical idea, but not in a systematical way
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Presently, the dying process and death most often occur in hospitals and, particularly, in Intensive Care Units (ICU), where patients’ lives are prolonged thanks to advanced technological devices and highly efficient medicines. To learn about the opinion of health care professionals working at a Pediatric Intensive Care Unit in relation to the dying process and dying. This is a descriptive quantitative study. A questionnaire was applied to the unit’s staff members from June to August, 2011. Data were statistically analyzed. Twenty-five professionals answered the questionnaire, and 72% faced death as a natural life process. 60% felt compassion, but that feeling did not interfere with how they cared for patients. Concerning their professional training, 52% reported not to have received any concerning patients’ caregivers in the dying process or death; therefore, they experienced such situation when they were already working, and 76% reported to be interested in updating courses on that theme. Further discussion about this topic during academic education is necessary. It is also necessary to provide health care professionals with specialization courses, debates and experience exchange so that they can better understand and deal with their feelings and limitations in face of death and thus give better care to patients and relate to patients’ families during the dying process of a loved one