Implantação do Serviço de Avaliação Pré-Anestésica em Hospital Universitário: dificuldades e resultados

JUSTIFICATIVA E OBJETIVOS: A avaliação pré-operatória é a chave principal para um bom preparo pré-operatório e manuseio intra-operatório. Quando realizada em nível ambulatorial permite uma análise melhor, possibilitando investigações adicionais, melhorando a qualidade do preparo e diminuindo os custos hospitalares. O objetivo deste estudo foi analisar a implantação e o desenvolvimento do Serviço de Avaliação Pré-Anestésica (SAPAN) em Hospital Universitário, verificando quais foram as dificuldades e os resultados positivos encontrados. MÉTODO: Foram avaliados os dados relativos aos pacientes atendidos no ambulatório do SAPAN, pelos médicos em especialização com supervisão de um docente, nos primeiros nove meses de instalação. A consulta era feita seguindo uma ficha padronizada. Ao término, os pacientes eram liberados para o procedimento cirúrgico ou encaminhados para consulta com outros especialistas para controle de doenças específicas. Analisou-se o número de pacientes avaliados e o número de procedimentos cirúrgicos eletivos realizados nesse período e as diversas especialidades cirúrgicas, porcentagem de pacientes com intervenção cirúrgica suspensa por necessidade de controle de doenças, e as especialidades clínicas mais solicitadas. RESULTADOS: Realizaram-se 913 consultas ambulatoriais e 5.409 intervenções cirúrgicas eletivas. Várias clínicas não encaminharam seus pacientes para a avaliação. Por necessidade clínica, 11,9% dos pacientes tiveram o procedimento cirúrgico suspenso, e as clínicas envolvidas foram cardiologia (43,08%), pneumologia (25,74%), hematologia (21,65%) e endocrinologia (9,52%). CONCLUSÕES: Embora grande parte dos pacientes não tenha sido encaminhada pelas especialidades cirúrgicas, os dados iniciais do SAPAN permitiram demonstrar os benefícios de um serviço de preparo ambulatorial dos pacientes.

El área de gestión de la información y del conocimiento como frente de investigación en la Ciencia de la Información brasileña: análisis de la producción científica en el período 2000-2009

The management of information and knowledge has been one of the areas of expertise of the fastest growing Brazilian information science. The purpose of this work is to observe how this research front structure from the point of view of the subjects that compose and intellectual frameworks which supports. For this we have analyzed the content of scientific production published in four majo r national journals of the discipline: Ciência da Informação, DataGramaZero, Perspectivas em Ciência da Informação and Transinformação over 2000-2009. The methodology is based on co-occurrence analysis of keywords of articles and co-citation analysis of authors. For the representation and interpretation of the results are used to social network analysis (SNA). We conclude that both information management and knowledge management are closely linked areas within topics including approaches but no consensus answer from the point of view of intellectual frameworks referenced.

Atendimento Educacional Especializado: análise do índice de evasão de professores em curso de pós-graduação, na modalidade a distância

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.

Passageiros de terceira classe: o transporte de emigrantes na história econômica da Navigazione Generale Italiana

From the 1860s, the Italian emigration reached many entily, becoming on national problem and a source of revenue for shipping companies operating in the Atlantic. In Italy, the resources were fundamental in financing the replacement of the old sailboats by more modern steamers. Established in 1881, the Navigazione Generale Italiana (NGI) had not scoped to carry passengers. It acted in trade of goods conjugated with postal services widely subsidized by the state. By incorporating that transported immigrants, in a concentration process that would transform it in the largest shipping company in Italy, the NGI opened the thriving business of emigration to the Americas. Based on reports and Balance Exercises Financial of the company between the years 1881 and 1915, papers relating to merchant shipping and emigration legislation (laws of 1888 and 1901), this paper aims to present some results of research on the importance trafficking of Italian emigrants Navigazione Generale Italiana for marking the specialization process of its fleet this kind of service.

Mobilidade do capital e estratégias territoriais: perfil produtivo e a dinâmica espacial da atividade industrial em Taubaté-SP

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