Análise da efetividade do transplante renal na qualidade de vida dos receptores no estado do Rio Grande do Norte

This study was developed with the aim of analyzing the effectiveness of renal transplantation on quality of life of kidney recipients in the Rio Grande do Norte State. This is a descriptive study with longitudinal design, panel type with quantitative approach to data analysis. The Quality of Life (QoL) of chronic disease kidney patients before and after kidney transplantation was assessed by the WHOQOL-bref, The population consisted of patients in pre and post-renal transplantation, the sample had 63 patients older than 18 years. The study was conducted after approval by the Research Ethics Committee of the Onofre Lopes University Hospital, Federal University of Rio Grande do Norte, No. CAAE 0008.0.294.000-10. Data collection was performed at a referral center for renal transplantation in Rio Grande do Norte, from May 2010 to May 2013. Data were analyzed using descriptive statistics and presented in tables and graphs. For statistical analyzes, Microsoft Excel XP and SPSS 15.0 software were used. The tests used were simple variance (ANOVA), t-test, Mann-Whitney and Wilcoxon test to compare means, and Spearman correlations. P values <0.05 were considered significant. The demographic data showed a predominance of people between 18 and 45 years (68.2%) with a mean age of 39.9 years (SD 12.2), male (63.5%), married (58.7%), with children (51.0%). Regarding the education level was observed that 49.2% of participants had completed primary school, and most did not engage in any work activity (90.4%) during the study period. Hemodialysis was the predominant renal replacement therapy (96.8%) and the average waiting time for execution of transplantation was 1.9 years (SD 1.9). Comparison of QoL before and after transplantation showed significant differences in all areas analyzed, demonstrating that kidney transplantation had a positive impact on QoL in chronic renal patients undergoing kidney transplantation. Sociodemographic factors did not influence the quality of life in this group of patients, indicating that transplantation was the main factor to explain the improvement in quality of life. Thus, the alternative hypothesis of the study was accept, that there is a significant difference in quality of life before and after kidney transplant. It is expected that the results of this study may contribute to the development of strategies to encourage organ donation and kidney transplantation process

O processo de cuidar do enfermeiro em unidade de terapia intensiva: uma análise dos conhecimentos utilizados

Care has always been present in the history of humanity and in contemporary nursing it is considered to be a fundamental characteristic. In the Intensive Care Unit (ICU), care occurs within an environment that is known for its stressful factors, technological equipment, social isolation and discomfort. Whilst the reality of nursing practice in ICU demonstrates the lack of planned and systematized care, there is an indication that the professionals working in this setting utilize some type of knowledge. Based on that premise, in this study we aim to identify the knowledge that the nurses use in providing care in the ICU. We believe that the identification and characterization of this knowledge, and how it presents itself in practice, requires a reflective analysis process. Therefore, we utilized a qualitative perspective and Kim´s (1999) investigative methodology of reflective inquiry that is based on the precepts of Action Science proposed by Argyris et al. (1985). The study was conducted with 8 intensive care nurses of a public hospital. Data were collected by means of non-participative observation of the nursing care actions and a semi-structured interview conducted within the reflective mode that focused on the nurses practice in the ICU. The results enabled us no only to detect that the nurses utilized knowledge and patterns of knowledge acquired or constructed, but to identify them as: scientific, philosophic, religious, empirical, personal, ethical, and esthetic knowledge. The predominance of the scientific knowledge in the care process suggests that these nurses hold an acquired scientific substance that they utilize to provide specialized care directed toward critical treatment. The conception of this reality surpasses the theoretical limits, the techniques, and the known facts, and denotes the need for a reflective process in action to aide in the comprehension of the knowledge involved in the construction of excellent care

Análise de desempenho de sistemas de comunicação sem-fio para monitoramento de unidade de produção de poços petrolíferos terrestres

The greater part of monitoring onshore Oil and Gas environment currently are based on wireless solutions. However, these solutions have a technological configuration that are out-of-date, mainly because analog radios and inefficient communication topologies are used. On the other hand, solutions based in digital radios can provide more efficient solutions related to energy consumption, security and fault tolerance. Thus, this paper evaluated if the Wireless Sensor Network, communication technology based on digital radios, are adequate to monitoring Oil and Gas onshore wells. Percent of packets transmitted with successful, energy consumption, communication delay and routing techniques applied to a mesh topology will be used as metrics to validate the proposal in the different routing techniques through network simulation tool NS-2

Análise distribuição da carga hidráulica e vazão na unidade operacional de um sistema de irrigação localizada

The different combination possibilities of emission uniformity and field slope within the operational unities of localized irrigation systems favor the occurence of some configurations in the irrigation system, and consequently different hydraulic head distributions, discharge and system management. After the system has been implanted, it is necessary to verify pressure and discharge distribution in the operational unit. This work objective was to verify pressure and discharge uniformity on derivation line and lateral lines with micro sprinkle in data gotten from operational research. The results allow to check that despite analyzed declivity; the higher the emission uniformity calculated for the line of derivation in the project is, the higher its pressure uniformity is. Previously the results of discharge in the emitters of the operational unit showed a constant variation entering the point of higher discharge and lower discharge, even though differently from the three tested irrigation blades.

Análise de investimentos para implantação de unidade industrial de pequeno porte de refrigerantes de acerola

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Análise clínica e laboratorial da sepse com hemocultura positiva em recém-nascidos internados em Unidade de Terapia Intensiva Neonatal durante 5 anos

Pós-graduação em Pediatria - FMB

Análise de decisão sobre o aproveitamento do palhiço da cana-de-açúcar, posto na unidade industrial, para fins de cogeração

Pós-graduação em Agronomia (Energia na Agricultura) - FCA

Análise dos comportamentos de aproximação e retraimento de pré-termos de risco evidenciados em uma unidade de terapia intensiva neonatal

Os cuidados em neonatologia têm se intensificado nos últimos anos no que tange as condições de prematuridade e do baixo peso ao nascimento, especialmente em relação à saúde, crescimento e desenvolvimento das crianças submetidas a esta condição de risco. Um dos pontos relevantes das pesquisas em neonatologia condiz à observação comportamental dos sinais emitidos pelo funcionamento do organismo do prematuro, que possivelmente revelam o nível de organização ou de desorganização do seu organismo como um todo, tornando possível predizer futuros déficits. Desde 1978, uma pesquisadora americana, Heidelise Als, juntamente com um grupo de colaboradores, iniciaram diversas pesquisas sobre o comportamento e assistência ao prematuro de baixo peso, as quais enfatizam uma prática diferenciada de cuidados para o desenvolvimento utilizando como base a Teoria Síncrono Ativa do Desenvolvimento (TSAD), que permitiu o registro e elaboração de cuidados individualizados para promoção do desenvolvimento de bebês prematuro, refletindo em ganhos para um desenvolvimento efetivo das diferentes funções do organismo, em particular as áreas cognitivo-motora e comportamental. Desta forma, o presente estudo tem como objetivo quantificar os comportamentos que são mais evidentes no contexto de uma UTIN, e quais os mecanismos ambientais que favorecem a manifestação dos mesmos, a fim de traçar os cuidados para o desenvolvimento de acordo com a realidade apresentada na UTIN. A pesquisa foi planejada a partir de um pré-projeto, o qual possibilitou o registro em 19 amostras de crianças para 30 sessões de observação, sendo desenvolvida no período de abril à julho de 2005. A coleta de dados foi realizada em bebês prematuros com baixo peso ao nascimento e com idade gestacional entre 26 a 37 semanas. A mesma utilizou um etograma padrão, baseado na observação comportamental de H. Als, assinalando os eventos ambientais que promoviam determinados comportamentos. A observação foi realizada em um período de 15 minutos por sujeito de cada sessão. Os dados tabulados resultaram em: dados gerais, que constituem as variáveis maternas e dos bebês, e dados específicos, referindo os comportamentos e as interferências ambientais observados. Os dados gerais mantiveram a similaridade com outras pesquisas, apontando as condições sociais desfavoráveis e a predisposição materna a infecções como possíveis fatores predisponentes ao parto prematuro, assim como a situação de prematuridade como agravante da condição de saúde e bem-estar do bebê. Entre os dados específicos, foi possível registrar uma prevalência dos comportamentos de retraimento, que revelam a desorganização do bebê, mediante aos excessos de interferências ambientais, como ruído, manipulação e luminosidade, muito comuns em UTIN. Mediante estes fatos, sugerimos nesta pesquisa as possíveis soluções para amenizar o excesso de manifestações comportamentais desorganizadoras, buscando priorizar os cuidados para o desenvolvimento por meio de práticas utilizadas por H. Als e sua equipe.

Trabalho em equipe na atenção primária à saúde: o processo grupal como unidade de análise da dialética cooperação-trabalho coletivo

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Análise do Programa Município VerdeAzul na Unidade de Gerenciamento de Recursos Hidricos do Pontal do Paranapanema

The increasing degradation of the environment and the depletion of natural resources, caused by indiscriminate production practices, by current and unlimited human needs and also misconceptions that natural resources are inexhaustible, make current and future environment situation, a constant concern of national and world leaders. With the purpose to confront these issues and to qualify the cities on the environmental situation in the state of São Paulo, the Department of the Environment created, in 2007, the Program “Município VerdeAzul. This paper aims to the study this program of Unit Water Resources Management Pontal Paranapanema through specific analysis of data representing the efficiency of the program directives and a comparative study between two cities unit with discrepant scores and a survey of the possible causes of obtaining low scores for municipalities participating in the project. For such a method was used that consisted of a bibliographical survey related to the main environmental liabilities Brazilians... (Complete abstract click electronic access below)

Análise da viabilidade de motorização elétrica do soprador no ciclo regenerativo da unidade de craqueamento catalítico fluidizado em uma refinaria

One of the biggest environmental problems of today is the climate change. Experts affirm that this global warming is related to the greenhouse effect. Its causes are directly related to human activity, especially the use of fossil fuels. In this context, companies around the world are challenged to improve energy efficiency in order to reduce the environmental impact and work toward the so-called tripod of sustainable development that focuses on the social, economic and environmental aspects of a business strategy. The first step a company can make in this regard is to conduct an inventory of emissions of greenhouse gases (GHGs). The reduction of GHG emissions in a refinery can be achieved by replacing steam turbines with electric motors to drive big machines, this reduction is achieved by relieving the steam consumption for electric power available or purchased. An important aspect associated with the reduction of GHG emissions is the best performance of the Energy Intensity Index (ERI). The objective of this study was to analyze the feasibility of the blower motorization in the regenerative cycle of a fluidized catalytic cracking unit at a specific refinery. For development work, two methods were used, the initial screening and optimization scenarios with the help of software Butyl. The results indicate that after a certain cost of natural gas this substitution becomes favorable. In addition, there is a large reduction of CO2 emissions avoided by burning fuel

Análise de matérias primas e solução comercial empregada na perfusão e no transporte de órgãos destinados ao transplante

A solução HTK (histidina, triptofano e cetoglutarato) foi especialmente desenvolvida para preservar a heterogeneidade morfológica e bioquímica dos órgãos destinados ao transplante. Contém exclusivamente substâncias existentes no organismo tais como cloretos de sódio, potássio e magnésio, histidina, triptofano, manitol e cetoglutarato de potássio. Sua composição promove a inibição de todos os processos de ativação muscular, nervosa ou endócrina nas estruturas estimuláveis das membranas. Nos compêndios oficiais encontram-se métodos de análise qualitativa e quantitativa para matérias primas. Análises das matérias primas foram realizadas nos Laboratórios de Controle de Qualidade da faculdade de Farmácia e Laboratório de Eletroanalitica (NDcom) do Instituto de Química aplicando os métodos preconizados nos códigos oficiais. Os resultados obtidos com as matérias primas foram satisfatórios e confiáveis. Os mesmos métodos não possibilitaram a análise da Solução HTK acabada como proposto inicialmente. Esses métodos não apresentaram sensibilidade suficiente para a determinação das matérias primas empregadas no preparo desta solução, pois estas se encontram em concentrações bastante reduzidas, necessitando métodos mais sensíveis que realizem análise de traços de eletrólitos.

Análise da variabilidade pluvial na Unidade de Gerenciamento de Recursos Hídricos do Paraíba do Sul (UGRHI-2)

The study of variability becomes increasingly important nowadays . Studying the behavior of rainfall before external events is of paramount importance. The region of Vale do Paraíba , it is important to study variability , since the region is influenced by the ocean and constant cold fronts that end causing precipitation during most months of the year . This study aims to analyze the variability in rain UGRHI - 2 by analyzing the interference of ENSO events / Southern Oscillation and the Convergence Zone South Atlantic (SACZ) in the amount and distribution of rainfall. The UGRHI helped were created for distribution and control of water in the state of São Paulo , divided watersheds were avoided so that problems such as poor distribution and water shortages in some areas of the state . To study variability , various software , including Excel , Variowin and R statistical package , the subroutine Climatol were used , with the goal of developing isolines showing the spatial distribution of rainfall anomalies in the years studied also the anomaly index was studied rain (IAC) , noting more effectively the years of positive and negative anomaly , with the purpose of studying the temporal variability of rainfall in the study area.

A análise morfométrica para avaliar a taxa de progressão da fibrose hepática na hepatite C crônica após o transplante renal: uma série de casos

The real role of renal transplantation in hepatic fi brosis progression caused by hepatitis C virus is still unpredictable. Histological evaluation of the liver is the best form to estimate fi brosis evolution, although semiquantitative analysis carries important limitations. Objective: To apply a morphometric quantitative assay on hepatic fi brosis progression in renal recipients with hepatits C. Methods: Thirty patients were initially evaluated, but only seven were included. They underwent the fi rst biopsy near the transplantation date and the second biopsy at least 4 years later. The immunosuppressant therapy adopted in all cases was azatioprine and micofenolate. Fibrosis progression rate (FPR) was calculated before and after the surgery date in each patient according to Metavir score and morphometric analysis. Results: The FPR calculated by Metavir score showed no statistical difference between pre- and post-transplantation (p=0.9). The FPR calculated by the morphometric analysis was 0.58 ± 0.78 before transplantation and 3.0 ± 3.3 after the surgery, with statistical signi- fi cance between these values (p=0.0026). Conclusion: In the sample assessed, the progression of hepatic fi brosis was documented and quantifi ed only by the morphometric analysis, which is as a promising approach to histological evaluation of these patients.

Análise da pressão intra-abdominal em pacientes submetidos à cirurgia abdominal oncológica internados em Unidade de Terapia Intensiva

Pós-graduação em Pesquisa e Desenvolvimento (Biotecnologia Médica) - FMB