Repercussões hemodinâmicas do posicionamento em litotomia exagerada para histerectomia vaginal em paciente cardiopata: relato de caso

JUSTIFICATIVA E OBJETIVOS: A técnica de histerectomia vaginal possibilita menor tempo operatório e o uso do bloqueio do neuro-eixo, com os benefícios de melhor analgesia pós-operatória e menor resposta sistêmica ao procedimento cirúrgico. O objetivo deste relato foi descrever as alterações hemodinâmicas decorrentes do posicionamento em litotomia exagerada em paciente cardiopata. RELATO do CASO: Paciente de 33 anos, G0P0A0, com história de sangramento uterino anormal e anemia. A ultra-sonografia evidenciava útero miomatoso com volume estimado de 420 cm³. Ela era portadora de trombofilia e miocardiopatia dilatada, com passado de dois acidentes vasculares encefálicos isquêmicos e dois infartos agudos do miocárdio. Foi monitorizada com pressão arterial invasiva e cateter de artéria pulmonar com medida de débito cardíaco contínuo. Realizada raquianestesia com bupivacaína hiperbárica e morfina. A paciente foi posicionada em litotomia exagerada sendo realizada histerectomia total pela técnica de Heaney e salpingectomia bilateral. Como intercorrência intra-operatória apresentou diminuição do índice cardíaco e aumento das pressões de câmaras direitas após o posicionamento, necessitando do uso de dobutamina. CONCLUSÕES: O posicionamento em litotomia exagerada pode ocasionar alterações hemodinâmicas que devem ser consideradas na escolha da técnica cirúrgica.

Darcy Ribeiro e a América Latina: um pensamento em busca da identidade e da autonomia latino-americanas

Pós-graduação em História - FCHS

Mito e performance na Olímpica I de Píndaro

Pós-graduação em Estudos Literários - FCLAR

Açúcar amargo: condições de vida e trabalho das famílias de cortadores de cana, atendidas pela Política Pública de Assistência Social no município de Pitangueiras-SP

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

El ingenioso caballero Darcy Ribeiro: a trajetória de um intelectual andante na cultura política utópica do Brasil e da América Latina

Pós-graduação em História - FCHS

Avaliação dos impactos das propagandas políticas Amigos da Escola no âmbito escolar

Pós-graduação em Educação - FFC

Reformas educacionais e avaliação: mecanismos de regulação docente

Our main concern was to investigate the forms and rationalities implicit in the social regulation/autonomy of the management processes of learning, historically established in the 1971 through 2002 educational reforms, via assessment guidelines of school performance in the state of São Paulo. We used a socio-historical approach, relying on speeches and official documents as our primary source and on studies and research work about teacher assessment and performance as secondary sources. As central categories we considered continuity and rupture in the patterns and mechanisms of social regulation/autonomy of educational work. The results help to clarify how educational policies, instituted in contexts of social reproduction/transformation, influence the management of educational processes within the school.

Mental health of the elderly: perceptions related to aging

To understand the elderly's perception of their current condition. Methodology. Study undertaken in 2012 using the qualitative method of Minayo and the thematic analysis according to Bardin's suggestions. Data were collected through semi-structured interviews that took place in the homes of the elderly people. The guiding question was: At this point in your life, how do you feel? Tell me. Results. The elderly who were satisfied stated that this was due to the good relationship with their family, spouse, to the fact of having autonomy and respect from the society. Those who were shown to be dissatisfied reported lack of family support, physical limitations imposed by age and the presence of illnesses as the main causes. Conclusion. The adult population requires the use of care technologies that cover all the stages of life, including old age. Nursing professionals should be prepared for the increasing care demand of these people.

Conscientizar para o bem-estar animal: posse responsável

The community awareness on responsible ownership associated with public policies is key to the promotion of animal welfare. Most cities have a large population of dogs and cats wandering causing serious health problems and abuse. This project aimed to guide and inform the population aimed at animal welfare with the simple and direct approach to issues related to responsible ownership, management, nature conservation and zoonoses. The methodology developed to approach the project in two modules: the I and II, along public and private Elementary and High Schools in Araçatuba. Module I (Mod.I) is basedon the use of puppet theater and musicals, considering the target audience children 3-10 years and the second module (Mod 2) consists of presentations of lectures by undergraduate and graduate course of Veterinary Medicine FMVA UNESP campus Araçatuba, being the target audience of High School teenagers. Data collection proceeded by questionnaires, with questions regarding the care and practices to pets. The results revealed that there is a lack of information about animal welfare practice.

Orientação sobre posse responsável em uma área endêmica para leishmaniose visceral canina

The purpose of this work was to provide guidance to householders in the responsible care of their pets, in a region where canine visceral leishmaniasis is endemic. Questionnaires on responsible ownership and the control of this disease were completed by owners of dogs and cats in the city of Araçatuba, São Paulo State, Brazil, in order to evaluate their level of knowledge. Based on the identified deficiencies, the project team provided the owners of the pets with individual guidance at home, focusing on the most critical issues. Concerning nutrition, 70.45% (62/88) of owners provided pet food only, 27.28% (24/88) administered a mixed diet, and 2.27% (2/88) provided homemade food. Additionally, 78.41% (69/88) did not permit the consumption of raw meat, rare meat, or bones. 9.09% (8/88) of owners allowed their pets to wander the neighborhood alone. Among dogs, 14.77% (13/88) had never been clinically tested by a qualified professional, and 6.82% (6/88) and 15.91% (14/88) had never received any kind of vaccine or vermifuge, respectively. In relation to population control, only 20.45% (18/88) of the dogs had been sterilized. It was also observed that 25% (22/88) of owners had already had canine visceral leishmaniasis seropositive dogs in their homes. 54.55% (12/22) of these owners had referred their pets to veterinary clinics for euthanasia, 22.73% (5/22) had used the services of the city’s animal disease control center, and 18.18% (4/22) had paid for private treatment. Nevertheless, 35.23% (31/88) of the dogs had never been submitted to tests for infection diagnosis. From the results obtained, it could be inferred that the individuals who participated in this study were poorly informed concerning basic pet care, demonstrating a need to implement community awareness campaigns for the responsible ownership of pets.

Arquitectura de la vivienda social en centros históricos. dialogos entre el tiempo del diseño y el tiempo del uso social. edificio Riachuelo, San Pablo, Brasil

El Ayuntamiento de San Pablo, en la gestión de 2001 a 2004, pretendió atender a la demanda de habitación social implementando el Programa Social: “Vivir en el Centro” a través de los proyectos: “Perímetros de Rehabilitación Integrada del Habitat” (PRIH), “Alquiler Social”, “Programa de Arrendamiento Residencial” (PAR), “Bolsa Alquiler”, “Vivienda Transitoria” y “Programa de Intervención en Viviendas Hacinadas”. A través del “Programa de Arrendamiento Residencial” fueron implementados los siguientes edificios: Hotel San Pablo, Riskallah Jorge, Brigadeiro Tobias, Riachuelo, entre otros. En este contexto, el objetivo de la presente investigación es analizar el diálogo existente entre el tiempo del diseño y el tiempo del uso social de la vivienda social del edificio Riachuelo. Métodos: los diálogos entre el tiempo del diseño y el tiempo del uso social de la vivienda fueron realizados a partir de las entrevistas con los autores del proyecto de arquitectura y los residentes del edificio. Para conocer la obra construida fueron consultados los proyectos de arquitectura y se realizaron visitas técnicas al edificio. La investigación contribuye con: i) los estudios de la vivienda social de los programas públicos en centros históricos, ii) la reutilización de edificios y iii) la calidad de los diseños o proyectos de arquitectura.

Eletrocardiograma em cães: revisão

The electrocardiogram (ECG) is an important tool used in the diagnosis of cardiac arrhythmias, since it gives the graphic representation of depolarization and repolarization processes of the cardiac muscle. This study allows recording the electrical activity of myocardial cells and the underlying differences in electric potential: the magnitude of this difference is measured in millivolts (mV), and its duration is measured in seconds. The ECG is indicated when an irregular rhythm is detected during physical examination, such as bradycardias, tachycardias or arrhythmias that are not secondary to breathing, in animals with a history of syncope or weakness, for monitoring the effectiveness of antiarrhythmic therapy, in cases of putative pleural or pericardial effusion, and also in systemic diseases that lead to arrhythmia. For a reliable assessment, the ECG must be evaluated in conjunction with findings from the physical examination and clinical signs of each patient.