117 resultados para Orientations


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OBJECTIVE: To determine whether the addition of discharge standard illustrated cards improves understanding of patients in the emergency room. METHODS: We conducted a prospective, randomized, interventional study with 228 patients discharged from the emergency department. All patients were interviewed and tested for the level of understanding of discharge instructions. Some of them received the intervention, with the standard cards, and another did not, constituting the control group. RESULTS: The average of followed discharge guidelines of the group that received the cards was higher than the control group, with statistical significance (p=0.009). When segregated by age, the group between 16 and 35 years of both sexes had the best average of followed guidelines, statistically, than the average of the control group (p=0.01). The difference between the mean orientations between the control group and the card for patients undergoing procedures was statistically significant (p=0.02); as for the stratification according to the number of procedures, the significance increases when that is equal to 1 (p=0.001) and decreased the more procedures were carried out. CONCLUSION: The introduction of discharge standard orientation cards was associated with improvement in the understanding of patients. Without replacing the verbal directions, which establishes dialogue and doctor-patient bonding, cards appear as auxiliary elements, facilitating understanding and care guidelines.

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Pós-graduação em Educação para a Ciência - FC

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

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

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This paper aims to contribute to the three-dimensional generalization of numerical prediction of crack propagation through the formulation of finite elements with embedded discontinuities. The analysis of crack propagation in two-dimensional problems yields lines of discontinuity that can be tracked in a relatively simple way through the sequential construction of straight line segments oriented according to the direction of failure within each finite element in the solid. In three-dimensional analysis, the construction of the discontinuity path is more complex because it requires the creation of plane surfaces within each element, which must be continuous between the elements. In the method proposed by Chaves (2003) the crack is determined by solving a problem analogous to the heat conduction problem, established from local failure orientations, based on the stress state of the mechanical problem. To minimize the computational effort, in this paper a new strategy is proposed whereby the analysis for tracking the discontinuity path is restricted to the domain formed by some elements near the crack surface that develops along the loading process. The proposed methodology is validated by performing three-dimensional analyses of basic problems of experimental fractures and comparing their results with those reported in the literature.

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Este trabalho configura-se numa proposição de estudo de caso, que procurou discutir e orientar a prática pedagógica de alunos da educação especial, com vistas ao seu desenvolvimento acadêmico. Foi realizado no decorrer de um ano letivo, numa unidade escolar de uma rede municipal de ensino do oeste paulista. Contou com a participação de professores do ensino comum, da educação especial, gestores da escola e fez parte de um conjunto de ações desenvolvidas no projeto de extensão universitária, numa proposição conjunta entre universidade e escola. Num primeiro momento foram realizadas observações do cotidiano escolar de um aluno com transtorno global do desenvolvimento, autismo, e de uma aluna com duplo diagnóstico, paralisia cerebral e autismo, associada à coleta de informações sobre as trajetórias educacionais e os diagnósticos clínicos. Com base nessas informações efetivaram-se intervenções psicoeducacionais com os alunos e professoras especialistas e aplicou-se a Escala de Comportamento Adaptativo Vineland. De modo geral, identificou-se um padrão restrito de aprendizagens funcionais e comportamentos interacionas nos casos observados. Ao final da proposta questionou-se qual a contribuição das práticas pedagógicas, ofertadas na sala de aula comum, para o desenvolvimento educacional dos alunos em questão. As análises foram compartilhadas com os profissionais da escola e com os respectivos familiares, e direcionamentos foram apontados a favor da manutenção no ensino comum ou ao encaminhamento à escola especial.

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The organization of the inclusive education is a slow and complex process, which has the necessity of investments in supports for all the scholar team. Aiming at spreading one of the actions carried out for the promotion of the inclusive educational practices in a municipal education system in a western city in the state of São Paulo, this paperwork has the objective of presenting an elaborated manual of orientations for the implementation of the individual curricular adaptations (ACIs) for students who demand special educational necessities (NEEs). The material was constituted on the basis of three data sets: 1) tabulation of the evaluations of the curricular adaptations already made; 2) the literature review; 3) analysis of the themes which have emerged during case discussion meetings mediated by the researchers with teachers from the Specialized Pedagogical Support Service (SAPE), with teachers and administrators from the common education system and the technical-pedagogical team. The final version of the manual contemplates the theoretical-operational aspects about the themes: flexibility and curricular adequation, inclusive education, definitions of NEEs, how SAPE works; and it finishes with a model proposal of ACI. It is expected that the spreading of this material can subside new curricular propositions for students with deficiency that are very distant from the academic level expected for the current scholar year.

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Pós-graduação em Direito - FCHS

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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OBJECTIVE: to evaluate the structure, process and results of the Capillary Blood Glucose Self-monitoring Program in a Brazilian city. METHOD: epidemiological, cross-sectional study. The methodological framework of Donabedian was used to construct indicators of structure, process and outcome. A random sample (n = 288) of users enrolled and 96 health professionals who worked in the program was studied. Two questionnaires were used that were constructed for this study, one for professionals and one for users, both containing data for the evaluation of structure, process and outcome. Anthropometric measures and laboratory results were collected by consulting the patients' health records. The analysis involved descriptive statistics. RESULTS: most of the professionals were not qualified to work in the program and were not knowledgeable about the set of criteria for patient registration. None of the patients received complete and correct orientations about the program and the percentage with skills to perform conducts autonomously was 10%. As regards the result indicators, 86.4% of the patients and 81.3% of the professionals evaluated the program positively. CONCLUSION: the evaluation indicators designed revealed that one of the main objectives of the program, self-care skills, has not been achieved.

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The erosion is a natural process of detachment, transport and deposition of soil and rock particles from one place to another. Human activities with no previous planning may accelerate this process, causing several damages to the environment and to society. In order to control the acceleration of these erosion processes caused by humans, prevention and improvement initiatives emerge. Regarding works which interfere directly in some of the natural resources, these initiatives must respect the intrinsic physical properties of the area of interest, if they aim to obtain effective results. Based on this scenario, this work proposes a few methods of accelerated linear erosion prevention, control and recovery in a specific area of the municipal district of Ipeúna (SP). For that matter, this study is based on a method of physiographic compartmentalization of the area, considering and integrating soil, relief, geology and the use and land cover properties of the study area. Plus, a flowchart with general orientations regarding management of eroded areas was produced, focused on the control and recovery of linear erosion. The result demonstrates the importance of careful erosion control, respecting the physical properties of each physiographic unit. The vegetative and mechanical conservationists methods, and the discipline of water flow, have found wide applicability in the study area.

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This work has as its aims to offer a general view on the teaching of logics in the basic education by means of different materials on the theme. There are highlighted considerations on academic works in the area of math education that claims the teaching of logics on basic education as a means of developing the reason and promote the learning. It is done a bibliographic review on works that approach the theory of formal logics that presents different ways of working the teaching of logics. The curricular proposition of São Paulo State for the Math area is analyzed and its characteristics are discussed. The learning evaluation in a large federal scale for the teaching of middle and basic education are detailed in its matrix of references and content approached in its editions searching the evidences of a logical reasoning worth. A portal M3 Multimedia math is presented in activities in video format for the teaching of logics. After an analyze of the references where the focus was related to the learning of Math by means of an approaching where logics acts as a tool. It is possible to consider that there is a relevant number of researches and publishing in the area of Math education that approaches the concepts of formal logics. There is also evidences of a changing in National and State orientations for a basic education that reflects in its didactics resources and evaluations in a large scale. Even though, we can face difficulties on implementation of these proposes that is pointed out by constant critics by teachers concerning the changes in the resources and cited evaluations by the resistance of a considerable percentage of teachers to adopt the didactics materials distributed by the State and by the low performance of students in Public Schools in tests of learning

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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This article reports on the diversity and the linguistic variations in e-mails and chat interactions in teletandem interactions. Based on the interface of foreign language acquisition and sociolinguistics, its focus is on linguistic variants under the perspective of the social variations of language, especially regarding standard and non-standard norms of the Portuguese language in a teletandem context. Sociolinguistics offers us resources for the analysis and understanding that we intend to provide about teletandem interactions. We also mention the Teletandem Brasil project, its ideas and theoretical orientations, and also analyze data collected. The findings show that the variations in foreign students´ written production, who are also Portuguese learners, come from fluctuations between the standard and non-standard norms because students still do not have complete communicative competence in the target language.