106 resultados para atendimento em urgência
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Objetivou-se compreender como o idoso percebe o atendimento na atenção básica.Métodos: Trata-se de estudo qualitativo. Resultados: A análise possibilitou o emergir do tema central: A dualidade na percepção do atendimento na Atenção Básica, que foi analisada a partir de duas subcategorias. Revelou haver controvérsia na percepção do atendimento recebido, emergindo aspectos positivos e negativos. Os discursos pontuam demanda de ações individualizadas de cuidado, embora algumas vezes necessitem de cuidados complexos em saúde, não demandam cuidado em rede integrada. Conclusão: O estudo revela que, embora possa haver integralidade nas ações de uma equipe bem articulada, o cuidado integral à saúde poderá ser alcançado em rede, integrado em todos os espaços organizacionais do sistema de saúde, beneficiando, assim, os sujeitos dessas ações.
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Análise dos atendimentos do SAMU 192: componente móvel da Rede de Atenção às Urgências e Emergências
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Pós-graduação em Enfermagem (mestrado profissional) - FMB
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Pós-graduação em Medicina Veterinária - FCAV
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Pós-graduação em Psicologia - FCLAS
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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O Autismo Infantil é um Transtorno Global do Desenvolvimento que se caracteriza pela presença de comprometimentos severos nas áreas de comunicação, interação social recíproca, interesses e comportamentos. Este trabalho teve como objetivos analisar o atendimento realizado com indivíduos autistas em uma instituição e verificar como a Terapia Ocupacional pode contribuir na atenção voltada aos alunos. A pesquisa foi realizada através da observação e registro em diário de campo das atividades realizadas por cinco indivíduos com Autismo em uma associação específica de Autismo e Transtornos no Desenvolvimento. Também foi realizada entrevista com os profissionais que atuam na instituição. No diário de campo, nota-se a prevalência das atividades pedagógicas. Por outro lado, observa-se escassez de atividades funcionais, de atividades básicas e instrumentais de vida diária, e de atividades direcionadas à comunicação e interação. Nas entrevistas, foi possível constatar que existe interesse dos profissionais na implantação do serviço de Terapia Ocupacional. Considerando as possibilidades de atuação da Terapia Ocupacional junto às crianças e jovens com autismo, conclui-se que a implantação desse setor nessa associação poderia trazer inúmeros benefícios para os usuários e equipe de profissionais da instituição.
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This research aims to investigate the possible causes for the dropout of participants under instruction in distance courses. Data gathered from the Specialization Course in Specialized Educational Support Services - SES, sponsored by the Department for Continuing Education, Literacy and Diversity of the Ministry of Education - SECAD / MEC - and the Open University of Brazil – OUB, will be analyzed. The objective of the course is to graduate teachers who work in classrooms equipped with multifunctional resources in regular schools to give specialized educational support for students with special educational needs marked by disabilities, global development disorders and high abilities/highly gifted students. In order to analyze dropout data in the first semester of the ongoing course, a sample of 1349 participants enrolled in the distance course was considered; 216 of these had their enrollment cancelled on request or because they stopped accessing the Virtual Learning Environment - VLE / Teleduc Platform showing no interest in the course. However, the information below aims to present and discuss only the tabulated data of the 98 participants who requested to have their enrollment officially cancelled by submitting the online dropout term. The findings showed the main reasons for dropping out were personal problems, lack of time to commit to an ongoing distance course, difficulty using ICT and the tools available in the VLE. The research also highlighted the importance of developing digital inclusion initiatives as well as on-site supporting poles as a way to soften the barriers of technological accessibility and the dropout rate in this kind of courses.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Currently the Brazilian construction market is growing like gangbusters and every day grows its competition. With this Brazilian scenario, the government is supporting the construction companies and offering resources for real estate projects. To acquire resources Caixa Econômica Federal requirements you must meet in planning the work, as the development of budgets, timelines and memorials. This study aimed to planning a work according to the requirements of Caixa Econômica Federal, which was done with the aid of two softwares . First the methods and tools that are used to perform a planning were discussed. Then, based on the theory and observing the requirements of the financing bank budgets, memorials and schedules with the help of software were performed. At the end of the project, it was possible to observe the importance of using theoretical methods and software to facilitate and improve the timelines and budgets made , and thus the planning itself, which every day becomes more common in construction companies, because with the increase of competition and market requirements, is critical to reducing the loss and time, thus maintaining customer satisfaction and company
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The self-evaluation is increasingly necessary in a competitive environment, and a way for companies to self-evaluate is through your budget. Knowing the importance of this budgetary process, this study aimed to observe and analyze the developing process of a zero-based budgeting (ZBB) highlighting its best practices and difficulties and propose recommendations for other companies in general. This goal was achieved through a case study in an area responsible for the budgeting process in the customer services department from a white-goods company. Also was required to review the literature regarding the customer services area, waste reduction, cost management, budgets in general and the zero-based budgeting. After reviewing the literature and the study, we can highlight good practices and difficulties observed in the studied company, and also propose recommendations on how to develop a zero-based budget and evidence what plans, analyzes and justifications are essential in a good budget process execution
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Brazil has about 12 % of a life´s essential resource: the superficial fresh water of the planet. However, today it is possible to observe the bad management of this resource, generating serious consequences on the quality that results in the loss of the use´s availability. In this scenario, the catchment of rainwater for undrinkable use is an alternative that has been broadly studied for the scientific community. When planning a system of rainwater catchment, the sizing of the required volume of the tank that will keep the water has a fundamental importance for the project, seeing that the supersizing of the tank can bring high costs and the undersizing can bring shortage in the water supply. This paper used a methodology based on two concepts: the harvesting efficiencies and the attending efficiencies of the system. This method takes as principle that exist a perfect demand that minimize the repayment time, condition that happened when the efficiencies are equal. Brazilian’s cities with different weathers and different rainfalls where chosen to simulate the attending for different demands for a typical residence. The data where parameterized according to the roof area and the number of residents, that way is possible that a future conference can be easily done and it also ensure results closer to the reality. The results showed that cities with a lower period of drought, even those with high level of rainfall on the raining mouths, have lower potential of water supply. The cities where the rainfall is more constant and also more high, even small roofs areas and small tank´s volumes – about half of the size compare to the cities with less propitious conditions – can generate high levels of water saving. With an eye to promote the environmental sustainability, the investment on projects for the catchment of rainwater is a good alternative
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The discussions about the energy rationalization are gaining more and more space on the everyday of engineers and other professionals in the field of energy. A greater focus is being tied to commercial buildings, because they are one of the biggest responsible for the high energetic expenditure according to the National Energetic Balance, especially by the use of air conditioners for the people’s thermal comfort. Such finding made INMETRO to develop a building labeling procedure through th National Program of Electric Energy Conservation in Buildings; by means of this systematic, the built areas are classified by levels that go from A(the best) to E(the worst), taking into account envelopment, illumination system and air conditioning. A bonus process based on water rationalization, use of renewable energy sources, cogeneration systems or technical innovations, allows the classification to be changed up to one level. A study made exactly on a commercial building, the building of Foundation for Technological and Scientific Development located inside of the College of Engineering of Guaratinguetá, sought to identify technical/economic alternatives for the building certification and appealed to the bonus based on water rationalization. The present study is based on analysis of deploying a cogeneration system formed by internal combustion engine and an absorption refrigeration system as bonus alternative, so that the costs are analyzed regarding energy consumption and use of the motor. With the calculations and results, the viability of the building to receive a bonus from INMETRO through its National Program for Energy Conservation in Buildings is studied and concluded from this study whether or not you can get a better level of energy efficiency for the building in question... (Complete abstract click electronic access below)
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Accidents represent a major public health problem as they are frequent, preventable, and account for high morbidity and mortality rates. Children are the most vulnerable to accidents due to their inherent characteristics, and as a result of their physical, sensorial, psychomotor and cognitive limitations, which will only develop with time. Watchfulness and careful attention are of paramount importance, especially as children develop locomotor skills that are accompanied by curiosity about their surroundings. Child accidents, particularly those that could have been avoided, are the accidents most commonly seen in emergency and urgency departments. Urgency and emergency departments are the greatest allies in the attention to pediatric accidents as they offer adequate, immediate and specific high complexity care to patients at risk, viewing their vital stabilization. Investigating the causes and consequences of this insult is essential to establish a diagnosis and to contribute for the adoption of measures of prevention, control, and assistance. To identify the epidemiologic characteristics of the accidents involving children that received care at the pediatric emergency department of Botucatu Medical School Hospital and required hospitalization. This quantitative, retrospective, descriptiveanalytic epidemiologic study included all children aged 0-14 years who had had an accident and were seen at the Pediatric Emergency Department of Botucatu Medical School Hospital of São Paulo State University/UNESP between January 1/2008 and December 31/2009. A total of 227 medical charts were reviewed and 178 (78.4%) patients were included in this study. Of these, 116 (65.1%) were males and 62 (34.8%) were females. Children aged 5 - 9 years (38.9%) were the most affected, followed by those aged 10 - 14 years (37.5%). Fractures occurred in 138 (77.5%) of the cases, followed by foreign bodies... (Complete abstract click electronic access below)