Infecção no período puerperal: implicações para a enfermagem

A enfermagem é uma profissão voltada para o cuidado das pessoas nas diferentes fases da vida, o ato de cuidar é a essência no fazer da enfermeira, e, possui uma inquietação com o conjunto de prioridade de pesquisa em seu meio. Neste sentido, a saúde materna considerada um indicador sensível à qualidade de vida de uma população é uma delas. O presente estudo é uma revisão integrativa da literatura que teve como objetivo descrever as infecções mais frequentes que a mulher está exposta durante o período puerperal, investigadas em publicações nacional e internacional da área da saúde, além de identificar o nível de evidência cientifica de cada artigo. Para a seleção dos estudos foram utilizadas três bases de dados, ScienceDirect, Pubmed e Lilacs. O recorte temporal foi de 2009 a 2013 e, a amostra foi composta por 19 artigos, relacionado à infecção puerperal. Os dados foram coletados da segunda quinzena de setembro à primeira de outubro. A análise dos estudos permitiu identificar que mais da metade das publicações foi no Brasil. Dois estudos identificaram enfermeiros como autores. A maioria dos periódicos de veiculação dos estudos era da área medica. Doze estudos apresentaram delineamento não experimental, três eram estudo de caso e quatro apresentaram delineamento experimental. As principais infecções puerperais encontradas foram a endometrite, a infecção urinária, a infecção do sítio cirúrgico, a sepse puerperal, a mastite, a cervicite. Os resultados mostraram que são necessárias mais pesquisas com delineamento experimental, principalmente no que tange a área da enfermagem. A avaliação rigorosa da puérpera no pós-parto, a adequada conduta para prevenção da infecção puerperal e/ou manejo das intervenções no cuidado da paciente com morbidade infecciosa, alicerçam ações indispensáveis da enfermeira na obtenção de um atendimento de enfermagem mais seguro, de qualidade, que promova o protagonismo da mulher nesta etapa importante de sua vida e lhe proporcione autonomia em relação aos seus direitos sexuais e reprodutivos contribuindo para a redução da mortalidade materna.

O amor no spinozismo e a política do comum

No plano de imanência de Spinoza, o amor é afeto expressivo de uma diferença que marca o trânsito a estados de maior perfeição ou realidade. A partir da compreensão do princípio de univocidade, a imanência se expressa na produção de diferenças. O amor de Deus serve como guia para a vida política conduzida pela razão. Não um Deus personalizado, mas como nome da potência (potentia). Se a multidão compreende adequadamente sua própria essência como direito ou potência natural de resistir à dominação e de se auto-organizar em liberdade, o amor surge como força vital de constituição do comum e leva à invenção de formas cada vez mais aperfeiçoadas de vida. A democracia emerge, por sua vez, como o mais natural dos regimes políticos, porque é o que mais convém com a natureza dos homens guiados pela razão. Assim, nas redes e nas ruas a multidão exercita a liberdade quando promove encontros alegres entre as singularidades que a compõem. Ao lado de um conhecimento adequado para a produção de graus maiores de liberdade, surge uma espécie de amor da multidão por sua própria essência ou potência, ou seja, a afirmação em si mesma da diferença, da abertura e da multiplicidade. Aqui, os afetos passivos que são promovidos pelas relações de dominação, como o medo, o ódio e a esperança, devem ceder lugar aos afetos ativos do amor à liberdade necessária para diferir-se. A alegria da multidão, enfim, deriva de sua potência ativa de criar formas de vida comum a partir da composição de singularidades múltiplas. No seio da produção biopolítica contemporânea, surgem novos horizontes para o combate de resistência e criação conjunta contra as formas de vida submetidas à servidão. Seguindo principalmente a linhagem spinozista de Antonio Negri e Gilles Deleuze, explora-se aqui as condições da experiência real que determinam a possibilidade de uma ética política do amor na contemporaneidade.

O movimento humano e sua interface com o letramento

O movimento humano, que é o tema dessa tese, teve e tem um papel extraordinário na história do homem no planeta, e na sua própria história de vida. Essa pesquisa, que situa-se em um campo epistemológico comum à Educação e à Educação Física, tem o objetivo geral de definir o papel do movimento humano no processo de letramento, com vistas à formação do licenciado em Educação Física. Para isso, lança mão de uma metodologia que se utiliza da pesquisa científica de base teórico-conceitual, valendo-se do método de investigação de caráter qualitativo e teórico, para sua construção. Como estratégia para o seu desenvolvimento, opto por uma construção singular onde já na introdução discuto e defino os conceitos básicos que darão suporte à tese, por isso essa parte toma um encorpamento maior em volume e importância. Os capítulos são construídos em formato de artigos que, ao mesmo tempo em que se encerram em si mesmos, eles conduzem na direção do objetivo maior da tese, o que se torna claro na conclusão geral da tese onde construo as amarras entre os temas que foram discutidos. Assim, ao investigar o movimento humano, a partir de sua ação para o desenvolvimento cognitivo do sujeito, com o objetivo de dar sustentação à teoria que afirma existirem interfaces entre movimento humano e letramento, foi possível debater vários assuntos ligados ao corpo, à cultura, aos modos de pensamento, à Educação Física e, logicamente ao movimento humano e ao letramento. Finalmente essa pesquisa conclui a existência de uma ligação direta entre movimento humano e desenvolvimento cognitivo do sujeito, o que leva também a possuir interfaces claras e objetivas entre o movimento humano com o processo de letramento, na medida em que a essência do letramento é ser um processo de desenvolvimento cognitivo constante, instalado em uma determinada cultura. Finalmente, visto como um objetivo interdisciplinar, o letramento se apresenta como um tema que também deve ser considerado e buscado pelo professor de Educação Física escolar, se tornando assim um agente de letramento na escola

Diálogos sobre a prática: Um estudo com base em Theodor Adorno

A presente pesquisa tem como objeto de estudo os conceitos referentes à palavra prática, valorizados no campo da formação de professores, presentes em algumas obras acadêmicas da década de 80, que tiveram forte influência sobre a formação do sujeito pesquisador enquanto aluno do curso Normal e de Pedagogia; e nos resultados atuais de estudos e pesquisas relacionadas ao ensinar e ao aprender, presentes nos anais de 2010 do Encontro Nacional de Didática e Prática de Ensino (ENDIPE). Tem como objetivo investigar as aplicações conceituais referente à palavra prática no campo da formação de professores a luz dos princípios filosóficos de Theodor Adorno, que utiliza como instrumentos de análise a Autorreflexão e a Dialética não objetivada na contradição, categorias de cunho metodológico desta dissertação, a partir das seguintes questões: Quais são as aplicações conceituais referentes à palavra prática valorizadas no campo da formação de professores?; Estas aplicações conceituais se caracterizam, segundo ADORNO, como práticas autorrefletidas? Contudo, esta é uma pesquisa exploratória de cunho conceitual realizada a partir de produções acadêmicas (livros e resultados de pesquisas) nos dois períodos acima citados, com base nos princípios filosóficos da dialética em ADORNO, destacando a essência conceitual referente a prática e suas aplicações valorizadas no campo da formação de professores.

An extended computational model of the circulatory system for designing ventricular assist devices.

An extended computational model of the circulatory system has been developed to predict blood flow in the presence of ventricular assist devices (VADs). A novel VAD, placed in the descending aorta, intended to offload the left ventricle (LV) and augment renal perfusion is being studied. For this application, a better understanding of the global hemodynamic response of the VAD, in essence an electrically driven pump, and the cardiovascular system is necessary. To meet this need, a model has been established as a nonlinear, lumped-parameter electrical analog, and simulated results under different states [healthy, congestive heart failure (CHF), and postinsertion of VAD] are presented. The systemic circulation is separated into five compartments and the descending aorta is composed of three components to accurately yield the system response of each section before and after the insertion of the VAD. Delays in valve closing time and blood inertia in the aorta were introduced to deliver a more realistic model. Pump governing equations and optimization are based on fundamental theories of turbomachines and can serve as a practical initial design point for rotary blood pumps. The model's results closely mimic established parameters for the circulatory system and confirm the feasibility of the intra-aortic VAD concept. This computational model can be linked with models of the pump motor to provide a valuable tool for innovative VAD design.

Guidelines for the conservation and restoration of seagrasses in the United States and adjacent waters

Seagrass ecosystems are protected under the federal "no-net-loss" policy for wetlands and form one of the most productive plant communities on the planet, performing important ecological functions. Seagrass beds have been recognized as a valuable resource critical to the health and function of coastal waters. Greater awareness and public education, however, is essential for conservation of this resource. Tremendous losses of this habitat have occurred as a result of development within the coastal zone. Disturbances usually kill seagrasses rapidly, and recovery is often comparatively slow. Mitigation to compensate for destruction of existing habitat usually follows when the agent of loss and responsible party are known. Compensation assumes that ecosystems can be made to order and, in essence, trades existing functional habitat for the promise of replacement habitat. While ~lant ingse agrass is not technically complex, there is no easy way to meet the goal of maintaining or increasing seagrass acreage. Rather, the entire process of planning, planting and monitoring requires attention to detail and does not lend itself to oversimplification.

Spring-to-Spring Balancing as Energy-Free Adjustment Method in Gravity Equilibrators

Generally, adjustment of gravity equilibrator to a new payload requires energy, e.g. to increase the pre-load of the balancing spring. A novel way of energy-free adjustment of gravity equilibrators is possible by introducing the concept of a storage spring. The storage spring supplies or stores the energy necessary to adjust the balancer spring of the gravity equilibrator. In essence the storage spring mechanism maintains a constant potential energy within the spring mechanism; energy is exchanged between the storage and balancer spring when needed. Various conceptual designs using both zero-free-length springs and regular extension springs are proposed. Two models were manufactured demonstrating the practical embodiments and functionality.

How to avoid the problems of target-setting

Purpose: Advocates and critics of target-setting in the workplace seem unable to reach beyond their own well-entrenched battle lines. While the advocates of goal-directed behaviour point to what they see as demonstrable advantages, the critics of target-setting highlight equally demonstrable disadvantages. Indeed, the academic literature on this topic is currently mired in controversy, with neither side seemingly capable of envisaging a better way forward. This paper seeks to break the current deadlock and move thinking forward in this important aspect of performance measurement and management by outlining a new, more fruitful approach, based on both theory and practical experience. Design/methodology/approach: The topic was approached in three phases: assembling and reading key academic and other literature on the subject of target-setting and goal-directed behaviour, with a view to understanding, in depth, the arguments advanced by the advocates and critics of target-setting; comparing these published arguments with one's own experiential findings, in order to bring the essence of disagreement into much sharper focus; and then bringing to bear the academic and practical experience to identify the essential elements of a new, more fruitful approach offering all the benefits of goal-directed behaviour with none of the typical disadvantages of target-setting. Findings: The research led to three key findings: the advocates of goal-directed behaviour and critics of target-setting each make valid points, as seen from their own current perspectives; the likelihood of these two communities, left to themselves, ever reaching a new synthesis, seems vanishingly small (with leading thinkers in the goal-directed behaviour community already acknowledging this); and, between the three authors, it was discovered that their unusual combination of academic study and practical experience enabled them to see things differently. Hence, they would like to share their new thinking more widely. Research limitations/implications: The authors fully accept that their paper is informed by extensive practical experience and, as yet, there have been no opportunities to test their findings, conclusions and recommendations through rigorous academic research. However, they hope that the paper will move thinking forward in this arena, thereby informing future academic research. Practical implications: The authors hope that the practical implications of the paper will be significant, as it outlines a novel way for organisations to capture the benefits of goal-directed behaviour with none of the disadvantages typically associated with target-setting. Social implications: Given that increased efficiency and effectiveness in the management of organisations would be good for society, the authors think the paper has interesting social implications. Originality/value: Leading thinkers in the field of goal-directed behaviour, such as Locke and Latham, and leading critics of target-setting, such as Ordóñez et al. continue to argue with one another - much like, at the turn of the nineteenth century, proponents of the "wave theory of light" and proponents of the "particle theory of light" were similarly at loggerheads. Just as this furious scientific debate was ultimately resolved by Taylor's experiment, showing that light could behave both as a particle and wave at the same time, the authors believe that the paper demonstrates that goal-directed behaviour and target-setting can successfully co-exist. © Emerald Group Publishing Limited.

Comparative electrophoretic patterns of lactase dehydrogenase and malate dehydrogenase in five Lake Victoria cichlid species

Biochemical techniques designed to compare species on the basis of protein differences were started by NUTTALL (1904) who used immunological methods to compare the serum of humans with that of other primates. Since then more refined techniques have led to better results at the protein level in taxonomy, The analyses of proteins are considered to be the simplest indirect approach to understanding the structure and function of the genetic material, deoxyribonucleic acid (DNA). Interest in these analyses arises because of the close relationship between protein structure and gene structure. Thus by comparing the properties of homologous proteins from different taxa one is in essence comparins their genes (GORMAN er al., 1971). It is now an established fact that genetic information coded in molecules of DNA is translated through a series of reactions in the structure of proteins which form the principal morphological units of the animal body at the molecular level of organization (SIBLEY, 1952). A convenient method of comparing molecular differences between species is to measure the electrophoretic mobility of proteins in a starch gel medium (ASPINWALL and TSUYUKI, 1968) or acrylamide gel (RAYMOND and WEINTRAUB, 1959; BOUCK and BALL, 1968). Proteins with enzymatic properties can be compared on the basis of catalytic activity in the presence or absence of inhibitors (KAPLAN et al., 1959); BAILEY et al., t 1970). A combination of gel electrophoresis and histochemical enzyme detection techniques (HUNTER and MARKERT, 1957) makes it possible to combine electrophoretic mobility anti catalytic activity comparison, Enzyme patterns exhibited in starch gel or acrylamide gel have been used to classify different species. BOUCK and BALL (1968)working with lactate dehydrogenase in species of Trout found that each Trout species had LDH pattern characterbtic of that species. ASPINIWALL and TSUYUKI (1968) used muscle protein electrophoretic patterns to identify hybrid fishes. TSUYUKI and ROBERTS (1963) and TSUYUKI et al. (1964-65) found that myogen protein patterns in fishes were species specific. The myogen patterns within one family were remarkably parallel with the existing morphometric classification and these patterns constituted a single criterion by which the fishes could be identified. The fish used in these investigations were collected from shallow waters (10 metres) of Lake Victoria in two areas, Jinja and Kisumu, using gillnets and beach-seines. The study included ten specimens of each of the following specIes: (l) Haplochromis michaeli (2) Haploehromis obems (3) Astatoreochromis ulluaudi (4) Tilapia zillii and (5) Tilapia nilotica.

Construction of nonparametric Bayesian models from parametric Bayes equations

We consider the general problem of constructing nonparametric Bayesian models on infinite-dimensional random objects, such as functions, infinite graphs or infinite permutations. The problem has generated much interest in machine learning, where it is treated heuristically, but has not been studied in full generality in non-parametric Bayesian statistics, which tends to focus on models over probability distributions. Our approach applies a standard tool of stochastic process theory, the construction of stochastic processes from their finite-dimensional marginal distributions. The main contribution of the paper is a generalization of the classic Kolmogorov extension theorem to conditional probabilities. This extension allows a rigorous construction of nonparametric Bayesian models from systems of finite-dimensional, parametric Bayes equations. Using this approach, we show (i) how existence of a conjugate posterior for the nonparametric model can be guaranteed by choosing conjugate finite-dimensional models in the construction, (ii) how the mapping to the posterior parameters of the nonparametric model can be explicitly determined, and (iii) that the construction of conjugate models in essence requires the finite-dimensional models to be in the exponential family. As an application of our constructive framework, we derive a model on infinite permutations, the nonparametric Bayesian analogue of a model recently proposed for the analysis of rank data.

The retrieval of structured design knowledge

Design rationale is an effective way of capturing knowledge, since it records the issues addressed, the options considered, and the arguments used when specific decisions are made during the design process. Design rationale is generally captured by identifying elements and their dependencies, i.e. in a structured way. Current retrieval methods focus mainly on either the classification of rationale or on keyword-based searches of records. Keyword-based retrieval is reasonably effective as the information in design rationale records is mainly described using text. However, most of the current keyword-based retrieval methods discard the implicit structures of these records, resulting either in poor precision of retrieval or in isolated pieces of information that are difficult to understand. This ongoing research aims to go beyond keyword-based retrieval by developing methods and tools to facilitate the provision of useful design knowledge in new design projects. Our first step is to understand the structured information derived from the relationship between lumps of text held in different nodes in the design rationale captured via a software tool currently used in industry, and study how this information can be utilised to improve retrieval performance. Specifically, methods for utilising various structured information are developed and implemented on a prototype keyword-based retrieval system developed in our earlier work. The implementation and evaluation of these methods shows that the structured information can be utilised in a number of ways, such as filtering the results and providing more complete information. This allows the retrieval system to present results that are easy to understand, and which closely match designers' queries. Like design rationale, other methods for representing design knowledge also in essence involve structured information and thus the methods proposed can be generalised to be adapted and applied for the retrieval of other kinds of design knowledge. Copyright © 2002-2012 The Design Society. All rights reserved.

Macro - A tool to support distributed MDO

This paper addresses a new way for handling distributed design know as the Macro concept. It is based round the assumption that future design teams will become more distributed in nature as industry exploits the Internet and other integrated communication and data exchange systems. The paper notes that this concept is part of an attack on the problems associated with the total process of Distribute Multi-Disciplinary design and Optimisation. The concepts rely on the creation of distributed self-building and self-organising teams made up from members who are globally distributed. The paper describes both the approach adopted and its implementation in a prototype software system operating over the Internet. In essence the work presented is describing a novel method for implementing a distributed design process which is far from complete but which is producing challenging ideas. © 2000 by Cranfield University.

UbiDM: A new paradigm for product design and manufacturing via ubiquitous computing technology

Since ubiquitous technology was introduced in the early 1980s, it has rapidly developed, and been applied to various domains mainly for the improvement of human life. In this article, the authors propose that ubiquitous computing technology can be effectively used for the design and manufacturing of a product by proposing a new paradigm, called UbiDM (Design and Manufacture via Ubiquitous Computing Technology). The key aspect of UbiDM is the utilisation of the entire product lifecycle information obtained via ubiquitous computing technology for the design and manufacture of the product. The new paradigm can solve many of the problems that have not been properly handled by previous manufacturing paradigms. Specifically, it will address the concept of UbiDM by the following aspects: (1) why there is a need for UbiDM; (2) the essence of UbiDM; (3) enabling technologies; (4) application area; (5) worldwide RD status; and (6) the societal impacts of UbiDM.

Progress in the evaluation of transgenic fish for possible ecological risk and its containment strategies

Genetically improved transgenic fish possess many beneficial economic traits; however, the commercial aquaculture of transgenic fish has not been performed till date. One of the major reasons for this is the possible ecological risk associated with the escape or release of the transgenic fish. Using a growth hormone transgenic fish with rapid growth characteristics as a subject, this paper analyzes the following: the essence of the potential ecological risks posed by transgenic fish; ecological risk in the current situation due to transgenic fish via one-factor phenotypic and fitness analysis, and mathematical model deduction. Then, it expounds new ideas and the latest findings using an artificially simulated ecosystem for the evaluation of the ecological risks posed by transgenic fish. Further, the study comments on the strategies and principles of controlling these ecological risks by using a triplold approach. Based on these results, we propose that ecological risk evaluation and prevention strategies are indispensable important components and should be accompanied with breeding research in order to provide enlightments for transgenic fish breeding, evaluation of the ecological risks posed by transgenic fish, and development of containment strategies against the risks.

Reconstructing the interaction between dark matter and holographic dark energy

We reconstruct the interaction rate between dark matter and the holographic dark energy with the parametrized equation of states and the future event horizon as the infrared cutoff length. It is shown that the observational constraints from the 192 type Ia Supernovae (SnIa) and baryon acoustic oscillation (BAO) measurement permit the negative interaction in the wide region. Moreover, the usual phenomenological descriptions cannot describe the reconstructed interaction well for many cases. The other possible interaction is also discussed.