Influência das variáveis térmicas sobre os espaçamentos dendríticos terciários durante a solidificação direcional horizontal da liga Al-6%Cu

A liga Al-6%Cu foi solidificada direcionalmente sob condições transitórias de extração de calor e microestruturas dendríticas, variáveis térmicas de solidificação, ou seja, velocidade de deslocamento da isoterma líquidus (V_L), taxa de resfriamento (T_R) e gradiente de temperatura à frente da isoterma liquidus (G_L) foram caracterizadas, determinadas experimentalmente e correlacionadas com os espaçamentos dentríticos terciários (λ₃). Para tanto, foi projetado, construído e aferido um dispositivo de solidificação direcional horizontal. Os resultados encontrados mostram que leis de potência -1,1 e -0,55 caracterizam a variação dos espaçamentos terciários com a velocidade de deslocamento da isoterma liquidus (V_L) e a taxa de resfriamento (T_R), respectivamente. Finalmente, é realizado um estudo comparativo entre os resultados obtidos neste trabalho e aqueles publicados na literatura para ligas Al-Cu solidificadas direcionalmente sob condições transientes de fluxo de calor nos sistemas verticais ascendente e descendente.

Cuidados no final da vida: análise do processo de trabalho na Atenção Primária

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Modelos de atenção primária em Botucatu-SP: condições de trabalho e os significados de integridade apresentados por trabalhadores das unidades básicas de saúde

Pós-graduação em Saúde Coletiva - FMB

Centralidade urbana e comércio informal: os novos espaços de consumo no centro de Anápolis-GO

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Relação entre toxicidade urêmica, anemia e perda auditiva neurossensorial em indivíduos com doença renal crônica: um estudo prospectivo

Pós-graduação em Bases Gerais da Cirurgia - FMB

Clinical and psychological repercussions of videolaparoscopic tubal ligation: observational, single cohort, retrospective study

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

Gênese de solos coesos do leste maranhense: relação solo-paisagem

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

Importance of physical therapy in the family health strategy: integrative review

Objective: to analyze the importance of physical therapy in the Family Health Strategy (FHS). Methodology: integrative literature review, guided by the research question << What is the importance of physical therapy in the FHS? >>. The survey was conducted in the Virtual Health Library and in the website Google Scholar in November and December 2012. The inclusion criteria were: fully available scientific study, published between 2007 and 2012, with free access, and having at least one of the DeCS selected in the title. Results: we found out that the importance of physical therapist’s action at the FHS has been recognized both by professionals included in the teams and users of health care units, showing that, by means of the physical therapist’s preventive and clinical action, the costs and demands in the tertiary care can be reduced. Conclusion: the population and the professionals recognize the physical therapist’s positive impact on the FHS.

Cuidado ao paciente idoso hospitalizado: implicações para a equipe de enfermagem

The Brazilian population is ageing rapidly, and chronic diseases have increased. Due to deficient health care services, the diagnosis and treatment of such diseases occur in the tertiary level, which increases costs and reduces the possibilities of early diagnoses. In view of the elderly population‟s increase and of the great demand at hospitalization units, it is important to learn about the difficulties and facilities faced by nursing teams when giving care to hospitalized individuals. In order to reach the objectives, a cross-sectional, prospective, descriptive, analytical and qualitative study was performed with basis on Bardin‟s Content Analysis. Among the difficulties were patients‟ limitations, dependence level, behaviors and habits, interference from companions, feeling of abandonment, perception of needs, dealing with suffering and lack of time for adequate care. As to facilities, acceptance of the disease, adherence to treatment, collaboration, trust in the team, and older patients‟ politeness were reported, which shows that passiveness is an important indicator in caring for the elderly. Older individuals suffer the outcomes of certain physical, psychological and mental deficits. When facing disease conditions, they require special care, including hospitalization and greater attention. The nursing team provides daily care and follows patients‟ development; however, its members are still not knowledgeable enough about the ageing process. This contributes to increase prejudice and erroneous stereotypes about older persons. Therefore, not understanding such process compromises the full care to be provided to older patients. This leads team members to accelerate the care provision process in order to meet the daily work demand, thus compromising older patients‟ autonomy and making them more dependent on the team, whereas the process should follow the opposite path

Contextualização deposicional da formação Rio Claro no município de Paulínia/SP empregando simulações estocásticas

The Rio Claro Formation, Tertiary-Quaternary age, is composed of unconsolidated sediments deposited by fluvial systems. In Paulínia (SP) region geological studies comprising sedimentological, structural and geomorphological aspects indicate that the Rio Claro Formation is constituted by deposits of a meandering fluvial system. Data from SPT drillings were used to obtain sedimentary textural information in order to generate stochastic stratigraphic models. Particle size analysis was carried with the core samples which resulted in the distinction of five litofacies, three of which can be grouped into only one mudstone unit. The other two facies represent channel belt facies, being clayey sands and medium to coarse sands. Geostatistical modeling of the stratigraphic architecture followed together with correlation of analogue outcrop data and conceptual models for this type of depositional system. 100 models were generated with the SPT drillings and 50 models were generated with data from an analogue outcrop, which allowed constraining of both simulation sets to the depositional model given for the region. T-PROGS methodology has good applicability in simulating stratigraphic frameworks and its inherent limitations may be approached with parallel studies, such as stochastic modeling of analogue outcrops or geophysical methods

Cogeração de energia com motores de combustão interna

The tertiary sector is largely responsible for the growth of electricity consumption in Brazil. The large commercial and public buildings, hypermarkets and shopping centers stand out as major consumers of electricity for lighting, power and thermal energy. Brazil presents significant potential for the deployment of small cogeneration plants, especially in the tertiary sector. Allied to this, the possibility of natural gas supply and the growing demands in favor of maintaining and preserving the environment favor the implementation of cogeneration plants. In this context, this paper presents a technical and economic analysis of installing a cogeneration plant using internal combustion engine with natural gas in a mall

Hipotireoidismo em cães: aspectos gerais

Hypothyroidism is a common endocrine disorder in dogs caused by insufficient production and secretion of thyroid hormones. Most affected dogs have primary hypothyroidism that results from lymphocytic thyroiditis, idiopathic thyroid atrophy, or more rarely, neoplastic destruction. Secondary hypothyroidism resulting from inadequate secretion of thyrotropin (thyroid-stimulating hormone –TSH) from the pituitary gland is less commonly recognized. Tertiary hypothyroidism resulting from a deficiency of hypothalamic thyrotropin-releasing hormone (TRH) has not been documented in dogs. The diagnosis of hypothyroidism in dogs is made on the basis of clinical findings, results of routine laboratory and thyroid gland function tests and response to thyroid hormone replacement. Unfortunately, these tests have high sensitivity, but low specificity, for use in the diagnosis of hypothyroidism. Thyroid hormone supplementation is indicated for the treatment of confirmed hypothyroidism and for the diagnoses of the disease through clinical response to trial therapy

Morfologia e distribuição dos estágios larvais de representantes da família Porcellanidae Haworth (Crustacea: Decapoda: Anomura) obtidas no nêuston da região de Ubatuba, SP

O presente projeto visa um estudo morfológico de formas planctônicas iniciais de crustáceos decápodos da família Porcellanidae. Os representantes da família Porcellanidae são bons indicadores da diversidade e complexidade das estruturas litorais, quando em relações simbióticas. E possuem também grande importância na cadeia trófica, sendo a base alimentar de muitos peixes de interesse econômico. Seu desenvolvimento larval conta com um estágio pré-zoea, dois estágios zoea e um estágio glaucothoe. O estágio de pré-zoea tem curta duração, comumente de 5 minutos a 5 horas, sendo coberto por uma cutícula embrionária. Os estágios de zoea são facilmente reconhecidos pelos grandes espinhos rostral e posterior da carapaça. O estágio de glaucothoe apresenta todos os somitos e apêndices presentes no caranguejo adulto, com redução somente no número de pleópodos. Para o estudo foram utilizadas as amostras da coleção do NEBECC (Núcleo de Estudo de Biologia, Ecologia e Cultivo de Crustáceos) feitas para o projeto “Morfologia dos estágios iniciais do desenvolvimento de Crustáceos Decápodos Pleocyemata, do litoral norte paulista” aprovado pela FAPESP (proc. 04/15194-6). Estas amostras foram triadas em estereomicroscópio e, separadas as larvas por região (inshore e offshore) e estágios larvais. Os estágios de larvais foram desenhados e análisados com ênfase nos maxilipedes secundário e terciário e no télson. Os resultados foram analisados estatisticamente por métodos não-paramétricos, apresentando uma homogeneidade na distribuição dos estágios larvais tanto inshore quanto offshore

Resultados das intervenções educativas em farmacovigilância: uma revisão sistemática

A notificação espontânea por profissionais da saúde é o principal método de avaliação do risco/benefício da utilização de medicamentos, pois permite a análise da frequência, gravidade e expectativa dos eventos adversos a medicamentos (EAMs). No entanto, a principal limitação deste método é a subnotificação dos casos, causando grandes impactos na saúde pública, tais como gastos desnecessários para as instituições e diminuição da segurança do paciente. A fim de identificar técnicas de intervenção educativa efetivas no incentivo à notificação espontânea por profissionais da saúde nos diferentes níveis de atenção, realizou-se revisão sistemática nas bases de dados PUBMED, PAHO, LILACS e EMBASE no período de novembro de 2011 a janeiro de 2012, com posterior atualização em março de 2013, por meio da utilização de descritores científicos em farmacovigilância, buscando-se identificar estudos originais que avaliaram o impacto da intervenção educativa desenvolvida. Pela estratégia elaborada, foram identificados 101 artigos, dos quais 16 contemplaram os critérios de inclusão. A maioria dos estudos inclusos foram conduzidos na Europa (14), e a maioria das intervenções foi destinada ao nível terciário de atenção à saúde (11) e principalmente aos médicos (12). As técnicas efetivas de intervenção educativa identificadas foram multifacetadas, resultando no aumento do número absoluto, porcentagem ou taxa de notificação espontânea, além de melhorar a qualidade dos relatos de reações adversas a medicamentos (RAM): graves, inesperadas, relacionadas a medicamentos novos e com alta causalidade. Ademais, faz-se necessária educação permanente dos profissionais para maior adesão à farmacovigilância e contribuição para o gerenciamento de riscos

Avaliação da qualidade da atenção ao parto nos colegiados de gestão regional Cuesta Botucatu e Vale do Jurumirim

The humanization of childbirth implies the understanding of this event as an important experience, and requires the redefinition of human relationships from the review of the assistance project, the understanding of pregnant women condition and human rights. To evaluate child birth assistance using a score that was developed by Botucatu Cuesta Regional Management and Jurumirim Valley Collegiates. This is an epidemiological, descriptive study that is inserted in the field of evaluation of services, programs or health projects. The data has been obtained by direct observation of deliveries, emphasizing the humane care. Results: Approximately one third of the women gave birth in a tertiary hospital (34.1%) and it was their first babies (33%).24.8% of the women received prenatal care in high-risk services. 67.1% of the births were normal, and 84.7% had no companions in the delivery room. In 47.1% of the cases the delivery was performed by obstetrician who used anesthesia in 44.7% and episiotomy in 48.2% of the deliveries. More than half of the newborns were attended by the pediatrician in the delivery room and had a delivery graph completed. Although the present study shows that 67.1% of the births were normal, caesarean rate can be considered excessive, as the WHO points out that c-sections above 15% are unlikely to be justifiable. It is important to emphasize that the Ministry of Health has to have a commitment with all women to promote safe motherhood, even in cases when the pregnancy involves a risk for both the mother and the fetus. It is noteworthy that the created score allowed us to assess variables related to the humanization of childbirth and only average and quite similar situations among the three services were evidenced. We hope that with this study, managers and professionals that work in this area can be subsidized in order to offer effective humane assistance and quality service in the delivery