Orientações de alta: cartões padronizados ajudam na compreensão dos pacientes do pronto socorro?

OBJECTIVE: To determine whether the addition of discharge standard illustrated cards improves understanding of patients in the emergency room. METHODS: We conducted a prospective, randomized, interventional study with 228 patients discharged from the emergency department. All patients were interviewed and tested for the level of understanding of discharge instructions. Some of them received the intervention, with the standard cards, and another did not, constituting the control group. RESULTS: The average of followed discharge guidelines of the group that received the cards was higher than the control group, with statistical significance (p=0.009). When segregated by age, the group between 16 and 35 years of both sexes had the best average of followed guidelines, statistically, than the average of the control group (p=0.01). The difference between the mean orientations between the control group and the card for patients undergoing procedures was statistically significant (p=0.02); as for the stratification according to the number of procedures, the significance increases when that is equal to 1 (p=0.001) and decreased the more procedures were carried out. CONCLUSION: The introduction of discharge standard orientation cards was associated with improvement in the understanding of patients. Without replacing the verbal directions, which establishes dialogue and doctor-patient bonding, cards appear as auxiliary elements, facilitating understanding and care guidelines.

Contributions of the old urban homegardens for food production and consumption in Rio Claro, Southeastern Brazil

Urban homegardens are green areas of households within the city limits and they have the potential to provide families with a cheap alternative for diet improvement, and to complement the income of the families who sell cultivated products. This research analyzes the contributions of old urban homegardens on food consumption and household economy. Data related to homegardens composition were collected by interviews and by collecting cultivated plants. Diets were assessed through a retrospective method (last 24 hours food recall) and administered every two months, during a year, to include seasonal variations. The diet of the sampled population was found to be dependent on certain foods, indicating a narrow food niche (Levins index = 25.9; Levins standardized index = 0.23). Variations in interviewees' diet are related to the consumption of fruits and vegetables, which are partly supplied by homegardens. Spices and teas consumed were obtained from homegardens, revealing its importance in food consumption and health. Among the 98 species found in homegardens, only 38% appeared in the interviewees' diet, indicating an under-exploitation of these homegardens. Our study found that the main role of homegardens is to supply variation in the diet, contributing to the consumption of different types of products.

Reconhecendo a sobrecarga e a qualidade de vida de cuidadores familiares de idosos frágeis

OBJECTIVE: This study aimed to analyze the correlation between the levels of functional dependence of elderly living in the community, the burden related to care and the perception of quality of life in familiar caregivers. METHODS: This is an observational, descriptive and analytical study, using non probabilistic sampling selected by convenience in the period from December 2008 to May 2009, in the urban area of Curitiba and Colombo, state of Paraná, Brazil. Interviews were applied to caregivers, using demographic inquiry, functional evaluation of the aged, burden interview (Zarit-Burden-Interview) and quality of life instrument (WHOQOL-Bref). Spearman, Mann-Whitney and Kruskal Wallis coefficients were used to analyze the correlations between instruments and socio-demographic variables. Bivariate analyses identified which variables correlate with burden, and the most significant were included in a multiple linear regression. RESULTS: Forty-five caregivers were interviewed, mostly women (91.11%) with high educational level attending dependent elderly (66.77%). Moderate/severe burden was perceived in 75.55% of the sample. We found correlation between dependence, more severe burden in caregivers (r=-0.281, p=0.013) and worse perception of quality of life. The multiple linear regression identified strong association between burden related to care and psychological domain from WHOQOL-bref and time as caregiver (R²=0.58, p<0.001). CONCLUSION: In a sample of familiar caregivers, we identified correlations between lower burden related to care and better quality of life perceptions, as well as higher disability and less satisfactory quality of life perceptions.

Atendimento antirrábico humano pós-exposição: proposta de intervenção e estudo da percepção do comportamento de cães e gatos envolvidos nos agravos

Pós-graduação em Medicina Veterinária - FCAV

Conhecimentos e práticas dos agentes comunitários de saúde na promoção do aleitamento materno

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Estudo da variação da porcentagem e da estimativa de geração de gás metano para o aterro sanitário do município de Rio Claro - SP

Increased demand for energy and the search for alternative energy sources are remarkable and current facts. The management of domestic solid waste is also part of the issue in view of the possibility of power generation in existing landfills, which could provide financial autonomy to the system of waste management and improve the environmental balance of landfills in Brazil, currently only used for final solids disposal. Landfill gas is a viable alternative energy source has been tested in landfills in the World and in Brazil. Thus, the research aimed to evaluate the percentage of methane (CH4) present in three sinks of gases from a landfill in the municipality of Rio Claro – SP (Brazil), and to estimate the potential methane generation over its life through the application of a mathematical model. As a result it was found that in general the percentage of methane present in the gases is significant, between 50 and 62%. It was also noted that waste with disposal time between 8 and 12 months already are in the methanogenic stage. Finally, there was a tendency to increase the generation of methane in the transition periods of rain and drought

Diagnóstico da gestão e do gerenciamento dos resíduos eletroeletrônicos gerados no campus da Faculdade de Engenharia de Guaratinguetá/Unesp

Currently, in Brazil, the quantity and quality of new types of wastes, discarded without criteria in urban areas, has been responsible for considerable impacts on public health and the environment. According to a report prepared by the Institute of Applied Economic Research (IPEA), the country loses about U.S. $ 8 billion annually, due lack of waste recycling, which go directly into landfills or dumps. Among these solid wastes are waste electrical and electronic equipment (WEEE), whose characteristics are complex, by having in its composition substances of high value-added and other health hazards which require different treatment of household waste. Aiming to fill the gap in Brazilian environmental legislation, on 02/08/2010, was sanctioned the National Policy Solid Waste (Law No. 12,305), already regulated on 23/12/2010 (Decree No 7404), whose based on the following principles:reduction of waste generation and toxicity of shared responsibility, proper planning management, social inclusion of waste pickers and sustainable production and consumption. Given the above, this work presented here, aims generally present a diagnosis of the current situation of electronic waste generated in the Faculty of Engineering, Campus Guaratinguetá, FEG / UNESP, to provide data for management and management of these waste, based on sustainability, the economic losses and minimizing environmental impacts and public health related to the flow and the improper disposal of these wastes

Resistividade elétrica em aterro sanitário e relações com a produção de biogás

The landfill biogas can be an alternative energetic resource as a fuel to electrical energy generators, although, there are not too many techniques to prospect the gas. Usually, landfills receive home waste, which in most are constituted by organic matter whose degradation by anaerobic activity produces the biogas. Geophysics is an important tool in environmental studies and the electrorresistivity, an important method employed in contaminated areas by slurry or necroslurry, including a monitoring for each contaminator flow. The electrorresistivity has not too much application in finding biogas. For this work, two biogas drains in Rio Claro-SP landfill were selected: one whose waste disposition correspond to the initial activities in the landfill and another drain whose disposition started more recently. The result consists in a higher biogas production if compared to the biogas from the older drain. The present paper consists in a monitoring along one year, with dates collection in each fifteen days. These dates were tabled in Excel 2010 program and graphics of resistivity x depth were generated. Hereafter, most variable resistivity values depth were chosen, to further graphics pluviosity x resistivity generation in Grapher 8 program and the biogas output (m³/h) in monitoring period. The use of pluviosity parameter can be justified by its influence above resistivity. The results show that there is a horizon with possibly biogas accumulation. Lastly, the method was effective, although, for any application of geophysical methods, the knowledge about its limitations is necessary; in this case the influence of pluviosity and also that the measurements were made in one single point, it will not show any side variation

Análise comparativa entre a produção de biogás em aterro controlado e variações no potencial elétrico natural por meio de perfilagem geofísica

This work aims to analyze data from a Natural Electric Potential landfill type ditch located in Cordeirópolis (SP). The procedure measures initially involved the assembly and installation of an apparatus cables, sensors and drain geophysical measurements and flow rate of biogas in a ditch later filled by solid waste. Biogas is a product of degradation of organic matter in waste by the action of microorganisms in an anaerobic environment. Its features high methane content in the gas potentially usable as fuel in energy generation systems or steam. The study area is characterized by clayey soil composition change from the diabase sill correlated to the event Serra Geral Formation siltstones overlapping Tatuí with groundwater level site around 50m. The cables were installed vertically in parallel with drain gas manifold, which allowed the collection of data by the technique geophysical logging every 15 days over a period of eight months. For data analysis we used four parameters in the study, the closing time of the ditch, natural electric potential, the flow velocity of biogas and rain. With the tabulated data plots were constructed for each collection day showing values in the range of the cable is in contact with waste (200 cm - 400 cm) and range of the cable in contact with the soil (600 cm - 800 cm). Subsequently graphs were generated with the period of eight months to analyze the data tabulated. A statistical correlation data, which show the influence of rainfall on the production of biogas. The results were satisfactory and demonstrated the feasibility of the research method in studies for the feasibility analysis for the capture of biogas energy

Implementação de microrredes residenciais em corrente contínua através da microgeração

This paper discusses the importance of energy efficiency and the use of alternative energy sources, facing to the increasing energy demand and the concomitant economic, social and environmental restrictions imposed by society. In this work, alternative sources are illustrated by photovoltaic, micro turbines and fuel cells microgeneration systems. Energy efficiency is presented by direct current microgrids because its uses excludes the conversions of direct current (DC) to alternating current (AC) losses made with the intention of injecting energy into the electric grid and then the inverse conversion, AC to DC, in order to feed residential loads. The object of this paper is to analyze a case study and evaluates the costs and technical feasibility of a Project that combines a DC microgrid and a microgeneration system

Cooperviva: análise das possibilidades e limites do trabalho dos catadores de resíduos recicláveis de Rio Claro (SP)

The issue of waste, historically, has been getting worse as a result of the world´s population increase and in order to meet their needs the consumption of natural resources and the generation has been constantly increasing, especially in large urban centers. The people involved in the collection of recyclable solid waste, called from now on as collectors, are responsible for about 90% of the waste sent to recycling industry in Brazil. Apart from having a role in the economy, the collectors have specific knowledge and skills necessary to identify, collect, sort and sell these wastes. This study aims to examine the possibilities and limits of COOPERVIVA – Cooperativa de Trabalho dos Catadores de Material Reaproveitável de Rio Claro - as an instrument of the municipal solid waste management system, and its experience as a recyclable waste collectors cooperative. The methodological procedures of this study rely on the literature research on the experiences of cooperative and the management of municipal solid waste. In addition to this review of the literature, fortnightly visits to the cooperative were held in order to experience their daily activities, and testimonies of the cooperative members were collected as well as documents and reports produced by COOPERVIVA. The results of this analysis are considerations of the limitations of the cooperative and recommendations aimed at maximizing their potential as a tool of the domestic solid waste management system of and as a recyclable waste collectors cooperative. Among other things it can be concluded that the urban selective collection of waste challenges the community to the reinvention of life and the relationships each individual with the planet.

Caracterização hidroquímica do sistema aquífero Tubarão no município de Americana/SP

The growing interest in the use of groundwater resources is directly related to the economic advantages that the groundwater exploitation offers when compared to surface waters. This happens especially in large urban centers, such as the city of Americana / SP, where the rivers are increasingly contaminated by household and industrial waste. Therefore, this study aimed to characterize the Tubarão Aquifer System, in the city of Americana, to identify and evaluate the spatial distribution of different hydrogeochemical facies as well as understand the rock-fluid interaction through the construction of a conceptual hydrogeochemical model. This study was made based on the recognition of the possible chemical reactions that print the chemical characteristics of groundwater in the area. To do the job, there were two water sampling campaigns of all deep wells used by the City of Americana public water supply. From the results of hydrochemical, classification of water was made by Piper and Stiff diagrams as well as geostatistical data using cluster analysis of principal components. Based on information from the profiles obtained from the survey SIAGAS as well as in geological profiles provided by the city of Americana, we sought to detail the subsurface geology of the Subgroup Itararé in the city of Americana. The results obtained allowed the identification of three hydrochemical types in the study area: Bicarbonated calcium-sodium (1), bicarbonate sodium (2) and sodium chloride (3). The waters have bicarbonate alkaline pH to alkaline and can be considered weakly saline, with electrical conductivity values of around 161 mS / cm. Samples classified as sodium bicarbonate average of 174.99 mS / cm. The pH values ranging from 6.74 to 7.99, averaging 7.52. For the group of waters classified as sodium chloride, conductivity average is 164.32 mS / cm and pH values ranging... (Complete abstract click electronic access below)

Proposta de uma automação residencial para um anteprojeto de uma instalação eletrica

The human social organization has undergone major changes in recent years. The technological and digital revolutions accelerated the process of dissemination and evolution of the knowledge in all sciences, from social studies to nanotechnology. This process led to many advances that have enabled the emergence of new markets. Among these new markets, residential automation shows to be a market of great potential, seeking to meet the needs of residents, in order to make their daily practice and as fast as the rhythm of present life requests. To perform this task the residence stops being a passive place and becomes an active and controllable system, where actions may occur without the need for direct human interaction. The aim of this work is designing the electrical installation of a residence seeking better use of energy and show the technology diversity involving intelligent houses

Mapeamento de áreas susceptíveis para implantação de aterro sanitário no município de Rio Claro, SP

The inadequate disposal of municipal waste is one of the biggest environmental problems. The lack of long public politics makes this problem a challenge to their administrators. Finding a place for the disposal of waste is an easy task and the present work looks forward to a better understanding about the concepts involved in order to choose favorable areas for the development of sanitary landfills, minimizing environmental impacts. In this line of thought several areas in Rio Claro`s region were evaluated according to the environmental terms. The areas which were classified as good or almost good will have a more elaborated study such as field works, evaluation and understanding of the concepts analyzed so that there aren’t any waste of money, work, social and environmental waste in the area. These areas were analyzed according to secondary data such as geological and pedological formation and primary studies such as the assumption of the reality as showed in the map will be made in order to acquire better results.

Um estudo de novos paradigmas na realização de projetos de instalação elétrica residencial (automação)

Through awareness of new trends of consumption of the population with regard to housing, comfort, entertainment, security and sustainability, it was crafted a work that set out to study and develop the concept of home automation and how it will revolutionize the electrical installation projects and energy savings. A pre-wiring project, taking into account, basically, the installed load, is presented as a basis for comparison. The protocols for communication between intelligent devices in an automation environment, used in the work, are the X-10, LonWorks and UPnP. The home network is studied and divided into subsystems, for a better understanding, which are the lighting, audio, video and multimedia system, security, air conditioning and central vacuum system, and the idea of integrated design and system integrator is introduced, showing the change necessity in the design philosophy of electrical installations. The main means of energy savings in an automated home, such as dimerization, master off and smart meters are presented and, finally, it was concluded that there is a need to structure electrical installation projects more comprehensive with regard to home automation, in order to become more efficient and useful to users