999 resultados para Uso Racional de Medicamentos
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O objetivo desse trabalho é analisar a eficiência do RDC em comparação com a lei 8666.93,(LGL) na ótica do uso racional dos recursos orçamentários, tempo licitatório e o pessoal empregado. O trabalho procurou definir as principais inovações previstas no Regime para efetiva comparação com a LGL. Com base na coleta de dados realizada na INFRAERO, buscaram-se subsídios para verificar resultados que apontem para eventuais ganhos de eficiência. Por fim, depois se colocam aspectos fora do campo jurídico que contribuem para a eficiência das contratações públicas, dentre eles, a observância dos aspectos econômicos na licitação. Através dessa percepção, procura-se lançar bases para um relacionamento mais coerente não só com as necessidades do mundo público, mas também os anseios do mundo privado, com fins ao real alcance da eficiência.
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O documento evidencia que o setor agropecuário brasileiro não só tem plenas condições de reduzir sua pegada de carbono, como pode tornar-se o principal setor na mitigação de emissões. E, ainda, reforça a urgente necessidade de expansão do Plano de Agricultura de Baixa Emissão de Carbono (Plano ABC), que permite o uso racional dos recursos naturais e insumos produtivos
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Tuberculosis is an ancient disease that remains a serious problem of Public Health, requiring a pressing attention. Advances in the knowledge and technology available to control it has not been sufficient to significantly impact on morbidity and mortality, especially in developing countries. To enable patient compliance with TB treatment, preventing the abandonment of this to ensure the correct use of medicines has been suggested the DOTS (Directly Observed Treatment - Short course) or directly Observable Short Course Treatment. This study focuses on the incorporation of two technical components of the DOTS strategy at the Family Health, namely, active search for respiratoy symptoms and Supervisioned Treatment (ST). The West Sanitary District was considered best suited to be the focus of study because it is assumed that those sites that were better structured would provide better information about the situation of the strategy in the municipality. Its purpose is to analyze the organization of DOTS as the active search for respiratory symptoms and Directly Observed Therapy in Health Teams Family belonging to a Health District in the city of Natal, Brazil. An exploratory descriptive study with a quantitative approach which involved health professionals from 11 units of Family Health, West Sanitary District, Natal, Rio Grande do Norte. We interviewed 62 professionals on the professional category, their involvement in the DOTS strategy, managers' contributions to the sustainability of the strategy, actions Search for symptomatic diagnosis and supervised treatment of TB cases and difficulties and facilities for the sustainability of the DOTS strategy. It is concluded that the actions taken by the professionals of the FHS West Health District are organized in more supervised treatment, a fact noted in their perceptions about DOTS
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This work addresses biodiesel by transesterification from the use of waste frying oil as a possible technological alternative for both reducing greenhouse gas emissions and by presenting themselves as an environmental call to designate a rational use of oil when no longer played in the environment to become renewable energy. It has proposed location of a residual oil and fat treatment plant to produce biodiesel, using models of Location and Routing for the improvement of routes. To achieve the goal, questionnaires were administered in establishments that use oil or vegetable fat in their productive activities in order to quantify the residue, to analyze actions and environmental perception of people who work directly with the residue on the destination you are being given to oil and fat used. It has indicated using of two single setup location, the method of Center of Gravity and the model of Ardalan, a geographical point that minimizes the costs of transporting waste to the treatment plant. Actions have been proposed for the improvement of collection routes this residue using the Routing Method of Scanning, as an illustration. The results demonstrated the lack of knowledge of the people who deal directly with large amounts of waste, on the environmental impacts caused by their incorrect disposal. The models used were uniform since point out to neighborhoods in similar regions. The neighborhoods of Lagoa Nova / Morro Branco (Ardalan) and Nova Descoberta (Center of Gravity) as ideal for the installation of treatment plant. However, it is suggested to be tested other models that take into account new variables than those used (supply of waste and the distance between points). The routing through the method of scanning has shown that it is possible, in a simple way to optimize routes in order to reduce distances and therefore the logistics costs in the collection of such waste. Introducing a route as a test to gather the twenty largest oil suppliers used in sample frying, using as a main factor time 8 hour of working shift every day
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Every day, water scarcity becomes a more serious problem and, directly affects global society. Studies are directed in order to raise awareness of the rational use of this natural asset that is essential to our survival. Only 0.007% of the water available in the world have easy access and can be consumed by humans, it can be found in rivers, lakes, etc... To better take advantage of the water used in homes and small businesses, reuse projects are often implemented, resulting in savings for customers of water utilities. The reuse projects involve several areas of engineering, like Environmental, Chemical, Electrical and Computer Engineering. The last two are responsible for the control of the process, which aims to make gray water (soapy water), and clear blue water (rain water), ideal for consumption, or for use in watering gardens, flushing, among others applications. Water has several features that should be taken into consideration when it comes to working its reuse. Some of the features are, turbidity, temperature, electrical conductivity and, pH. In this document there is a proposal to control the pH (potential Hydrogen) through a microcontroller, using the fuzzy logic as strategy of control. The controller was developed in the fuzzy toolbox of Matlab®
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The pineapple crop are high potential for economic expression and social, but problems with productivity and management of production costs can be solved in order to ensure the sustainability of the farming system. The objective of this study was determine the cost of production and profitability of the pineapple's cultivation Pearl in Cassilandia-MS, under application of potassium doses fertilizer. The treatments consisted of the following doses of potassium (K2O): 0, 200, 400, 600, 800 kg ha(-1), used as a commercial source of potassium chloride (60% K2O). Were determined by estimating the effective operational cost (EOC), total operating cost (TOC), gross (RB), operating profitability (LO), profitability index (%), productivity of balance and equilibrium price. It was found that all treatments had operating profitability and positive profitability index. Potassium fertilization with 200 kg ha(-1) gave an average productivity of 50416.58 kg ha(-1), and also promoted the highest operating profit of R$ 9,108.97, the profit margin of 36.13% and best benefit cost (R$ 1.57).
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In the last decades there was a concentrate effort of researchers in the search for options to the problem of the continuity of city development and environmental preservation. The recycling and reuse of materials in industry have been considerate as the best option to sustainable development. One of the relevant aspects in this case refers to the rational use of electrical energy. At this point, the role of engineering is to conceive new processes and materials, with the objective of reducing energy consumption and maintaining, at the same time the benefits of the technology. In this context, the objective of the present research is to analyze quantitatively the thermal behavior of walls constructed with concrete blocks which composition aggregates the expanded polystyrene (EPS) reused in the shape of flakes and in the shape of a board, resulting in a “light concrete”. Experiments were conducted, systematically, with a wall (considerate as a standard) constructed with blocks of ordinary concrete; two walls constructed with blocks of light concrete, distinct by the proportion of EPS/sand; a wall of ceramic bricks (“eight holes” type) and a wall with ordinary blocks of cement, in a way to obtain a comparative analysis of the thermal behavior of the systems. Others tests conducted with the blocks were: stress analysis and thermal properties analysis (ρ, cp e k). Based on the results, it was possible to establish quantitative relationship between the concentration (density) of EPS in the constructive elements and the decreasing of the heat transfer rate, that also changes the others thermal properties of the material, as was proved. It was observed that the walls of light concrete presents better thermal behavior compared with the other two constructive systems world wide used. Based in the results of the investigation, there was shown the viability of the use of EPS as aggregate (raw material) in the composition of the concrete, with the objective of the fabrication of blocks to non-structural masonry that works as a thermal insulation in buildings. A direct consequence of this result is the possibility of reduction of the consume of the electrical energy used to climatization of buildings. Other aspect of the investigation that must be pointed was the reuse of the EPS as a raw material to civil construction, with a clear benefit to reducing of environmental problems
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Brazil, one of the largest agricultural producers in the world, has managed in recent years to significantly improve its production. However, in response to this advance in the agro-industrial sector, the generation of agro-industrial residues has also increased. New technological alternatives have to be implemented in order to bring economic and rational use of this material and drying is one of the possible choices. Considering the great importance that bioactive compounds present for food science and technology, this research aims to evaluate the air-drying process of acerola residue in a tray convective drier under controlled temperature (60, 70 e 80ºC), air velocity (4.0, 5.0 e 6.0 m/s) and material width (0.5, 0.62 e 0.75 cm) by applying an experimental planning 23 + 3. Based on that, the impact on physical-chemical characteristics, color, bioactive compounds concentration and antioxidant activity of dried acerola waste was evaluated, having the in natura and freeze dried waste as control groups. Dried acerola residue presented natural pigments, mainly carotenoids (143.68 - 68.29 mg/g) and anthocyanins (290.92 - 90.11 mg/100 g), which explain the red and yellow instrumental color parameters observed. The acerola residue powder is also rich in phenolic compounds (3261.11 -2692.60 mgGAEeq/100g), proanthocyanidins (61.33-58.46 eq/100g), ascorbic acid (389.44 739.29 mg/100 g) and DPPH antioxidant activity (20.91 24.72 μg Trolox eq/g). Results show decreased concentration of phenolic compounds, anthocyanins, carotenoids, proanthocyanidins and ascorbic acid caused by the air-drying process. However, even after the observed drying losses, the acerola residue powder can be considered a high value food ingredient, considering the high bioactive compounds concentration found in the final product, as well as the colorimetric characterization and microbiological stability of the dried powder
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The study that resulted in this dissertation was developed at OU RNCE PETROBRAS, in Natal, which implemented a project of rational use and reuse of water, including use of wastewater from a Sewage Treatment Plant (STP) already in place, diluted with water from own wells for irrigation of green area of the building complex corporate enterprise. Establish a methodology that can serve as guidelines for future projects controlled reuse of water like this was the objective of this research. Been proposed, implemented and evaluated three instruments of sanitary and environmental control: 1) adaptation of sewage treatment plant and quality control of the treated effluent 2) analysis of soil-nutrient interaction in the irrigated area, 3) knowledge of the local hydrogeology, especially with regard to the direction of flow of the aquifer and location of collection wells of Companhia de Águas e Esgotos do Rio Grande do Norte (CAERN) situated in the surroundings. These instruments have proven sufficient and appropriate to ensure the levels of sanitary and environmental control proposed and studied, which were: a) control of water quality off the STP and the output of the irrigation reservoir, b) control of water quality sub surface soil and assessment of progress on soil composition, c) assessment of water quality in the aquifer. For this, we must: 1) establishing the monitoring plan of the STP and its effluent quality sampling points and defining the parameters of analysis, improve the functioning of that identifying the adequacy of flow and screening as the main factors of operational control, and increase the efficiency of the station to a relatively low cost, using additional filters, 2) propose, implement and adapt simple collectors to assess the quality of water percolating into the soil of the irrigated area, 3) determine the direction of groundwater flow in the area study and select the wells for monitoring of the aquifer.
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The behavior of bullfrogs reared in captivity must be well understood to support management practices that use efficient feeding regimes. In general, bullfrogs reared in captivity have normal pigmentation, but to develop an enhanced product, some studies have investigated the introduction of albino individuals in frog farms. The present study characterized the behavior of both pigmented and albino bullfrogs reared in captivity. In an initial experiment, 48 bullfrogs (70.5 ± 25.6 g) housed in small stalls were fed once a day at random times. Frogs were filmed and the images showed that both the pigmented and albino varieties behaved similarly: food intake was more frequent at dawn followed by light periods; moving and resting in dry areas may be associated to feeding events; frogs appeared to anticipate feeding time and to rest in the water more frequently in periods other than feeding time; daylight is the recommended period for feeding both pigmented and albino frogs. In a second experiment, 72 albino bullfrogs were fed at fixed times (10 a.m. or 4 p.m.) in small stalls. An initial weight of 23.8 ± 7.6 g was considered to evaluate frog performance, and after the animals reached 60.0 ± 20.0 g, they were filmed for behavior analyses. Food intake varied as a function of feeding time, and frogs were more likely to eat during the early hours of the day and immediately after receiving fresh food. Frogs fed only in the afternoon changed their behavior. Food supplied twice a day stimulated the albino frogs to eat at different times, but did not increase growth. Although fresh food stimulated feeding behavior, food intake was more frequent at dawn. Food supplied at this time of day should therefore be further investigated. The results did not indicate a more suitable feeding time (10 a.m. or 4 p.m.) for albino bullfrogs, or any advantage in using two feedings per day. The results provide xvi important information about bullfrogs in terms of food supply regime and activity preferences throughout the day. This novel information will contribute to future studies in this area
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One of the most important problems in the elderly is a nutritional deficiency. Several physiological changes and the use of multiple drugs interfere with appetite, food intake and absorption of nutrients, which can lead to the risk and malnutrition in the elderly, especially among institutionalized. The present study aimed to evaluate the prevalence of malnutrition and risk for malnutrition and its associated factors in institutionalized elderly. The same can be characterized by the type individual, observational and cross-sectional. Obtaining the sample was through the records of individuals of long-stay institutions for the elderly in the city of Natal, RN. The elderly were evaluated through the Mini Nutritional Assessment (MNA) and triceps skinfold (TSF) and each senior or caregiver answered a questionnaire about information like type and dietary restrictions, accessibility to food, use of alcohol and tobacco, practice physical activity and appetite. Variables such as age, gender, education, marital status, time that the elderly living in the institution, the reason for the institutionalization and comorbidities were taken from the records of each senior. The frequency of food consumption of various food groups was assessed from the questionnaire frequency of feeding study Health, Wellbeing and Aging (HWA). Data were presented as means and standard deviations, absolute and relative frequencies. To analyze the frequency of consumption, there was a factor analysis with extraction of factors from the principal components analysis with varimax rotation. A bivariate analysis was performed using the chi-square and the magnitude of the effect observed by prevalence ratio (95% CI). The Poisson regression assessed the net effect of independent variables on the two outcomes, considering a significance level of 5%. We studied twelve Homes for the Aged totaling 381 seniors eligible for the study. The prevalence of risk of malnutrition was 46.1% (45.9 to 46.2) and malnutrition was 31.4% (31.2 to 31.5). The risk of malnutrition was significantly associated with the presence of urinary incontinence (RP = 1.444, 1.113 to 1.874) was associated with malnutrition and lack of appetite (RP = 1.757, 1.246 to 2.476), the fact that the individuals do not have access to food outside the institution (RP = 0.565, 0.337 to 0.946), low water consumption (RP = 1.646, 1.101 to 2.459) and dementia (PR = 1.537, 1.072 to 2.204). The high prevalence of malnutrition and risk of malnutrition in the study suggests that we should pay attention to information related to eating habits and the presence of comorbidities, as these can influence the nutritional status of this population
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OBJETIVO: caracterizar fenotipicamente leveduras isoladas do conteúdo vaginal de 223 mulheres adultas, sintomáticas (S) e assintomáticas (A) para vulvovaginite, e determinar os indicadores clínicos que possivelmente levam ao surgimento de sinais e sintomas relacionados ao acometimento da mucosa por essa patologia. MÉTODOS: inicialmente foi aplicado um questionário, com questões abertas e fechadas, sobre dados clínicos epidemiológicos. Logo, ocorreu o diagnóstico micológico com semeadura em meio Chrom Agar Candida, identificação micromorfológica e bioquímica. Métodos específicos para detecção de fatores de virulência, proteinase e fosfolipase foram empregados. A análise estatística das variáveis foi estabelecida utilizando os testes χ2 e χ2 de Pearson. RESULTADOS: Candida albicans foi a espécie mais prevalente (87%, S e 67%, A), seguida de Candida glabrata (4%, S e 17%, A). O número de mulheres que referiram adoção de anticoncepcionais foi mais alto entre as sintomáticas, 77%. Nos dois grupos estudados, em torno de 87% apresentaram ciclos menstruais regulares, 57% das mulheres eram casadas com idade entre 30 a 40 anos. em relação a práticas sexuais, houve para parte das pacientes, concomitância entre os hábitos, anal, oral e vaginal. em relação à fosfolipase, apenas Candida albicans produziu este fator de virulência em 37,5%. A proteinase foi detectada em Candida albicans, Candida glabrata e Candida parapsilosis. Esse último fator de virulência esteve associado, principalmente, a isolados de pacientes sintomáticas. CONCLUSÕES: a colonização e infecção da mucosa vaginal por levedura é real com diversas espécies de Candida presentes. No entanto, Candida albicans se destaca como espécie prevalente em mucosa vaginal de mulheres adultas. Fica evidente a emergência de espécies de Candida não albicans, algumas com resistência intrínseca aos azólicos, tais como Candida glabrata, Candida parapsilosis, Candida tropicalis, e Candida guillermondii, o que pode ser explicado pelo uso inadequado de medicamentos e tratamento empírico.
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JUSTIFICATIVA E OBJETIVOS: A indução da anestesia por meio da técnica de seqüência rápida é utilizada, principalmente, para proteger as vias aéreas, quando há risco de aspiração do conteúdo gástrico. O objetivo deste artigo é revisar a técnica e os diferentes protocolos que buscam o uso racional dos fármacos disponíveis, visando condições ideais de intubação traqueal, sem aumentar o risco de aspiração do conteúdo gástrico ou de outras complicações. CONTEÚDO: Apresenta uma revisão da técnica da indução com seqüência rápida, enfatizando o uso racional dos hipnóticos, opióides e bloqueadores neuromusculares (BNM), para reduzir o período entre a perda da consciência e o correto posicionamento do tubo traqueal, ou seja, diminuir o período de maior risco para aspiração e ainda manter excelentes condições de intubação traqueal. CONCLUSÕES: A intubação traqueal após indução anestésica por meio da técnica de seqüência rápida está indicada naqueles pacientes, com risco de aspiração gástrica, em que não há suspeita de intubação traqueal difícil. A indicação correta da técnica, sua aplicação criteriosa e a utilização racional das drogas disponíveis podem promover condições excelentes de intubação, com curto período de latência, rápido retorno da consciência e da respiração espontânea, caso haja falha na intubação traqueal.
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Estudos fenológicos de longa duração em florestas tropicais são raros. Foi realizado o acompanhamento fenológico de Dipteryx odorata, no período de 1974 à 2000, em duas áreas de floresta amazônica: a Reserva Florestal Ducke (RFD) e Estação Experimental de Silvicultura Tropical (EEST). O objetivo foi observar os padrões fenológicos nas duas áreas, verificar a regularidade da floração e frutificação num período de 27 anos e a influência dos fatores climáticos nestes eventos. Foram marcados cinco indivíduos na RFD e cinco na EEST e observados quanto à produção de flores, frutos imaturos e maduros. A floração e a produção de frutos imaturos apresentaram padrão irregular nas duas áreas observadas, variando quanto a época de ocorrência e a duração entre anos e estações, mas apresentaram freqüência de ocorrência similar nos 27 anos observados. Para a fenofase frutos maduros este padrão foi diferente, com intervalos de até três anos sem ocorrência de frutos maduros, na RFD e de sete anos na EEST. Conclui-se que a freqüência de ocorrência das fenofases de floração e frutos imaturos foi anual e a de frutos maduros supra-anual, todas com padrão irregular e duração de intermediária a prolongada. Ocorreu variação de um a três anos entre episódios de floração e frutos imaturos e de um a sete anos entre episódios de frutos maduros, não ficando evidente, nesta análise, a influência dos fatores climáticos nos padrões observados. Sugere-se o uso racional dos produtos derivados de Dipteryx odorata, o cumaru, especialmente quanto à exploração de seus frutos e o desenvolvimento de mais estudos de longa duração, fundamentais para entender os padrões fenológicos reprodutivos e de oferta de recursos em florestas tropicais.
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Incluye Bibliografía