999 resultados para Atendimento itinerante
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Pós-graduação em Cirurgia Veterinária - FCAV
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Pós-graduação em Anestesiologia - FMB
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OBJECTIVE: To evaluate gasometric differences of severe trauma patients requiring intubation in prehospital care. METHODS: Patients requiring airway management were submitted to collection of arterial blood samples at the beginning of pre-hospital care and at arrival at the Emergency Room. We analyzed: Glasgow Coma Scale, respiratory rate, arterial pH, arterial partial pressure of CO2 (PaCO2), arterial partial pressure of O2 (PaO2), base excess (BE), hemoglobin O2 saturation (SpO2) and the relation of PaO2 and inspired O2 (PaO2/FiO2). RESULTS: There was statistical significance of the mean differences between the data collected at the site of the accident and at the entrance of the ER as for respiratory rate (p = 0.0181), Glasgow Coma Scale (p = 0.0084), PaO2 (p <0.0001) and SpO2 (p = 0.0018). CONCLUSION: tracheal intubation changes the parameters PaO2 and SpO2. There was no difference in metabolic parameters (pH, bicarbonate and base excess). In the analysis of blood gas parameters between survivors and non-survivors there was statistical difference between PaO2, hemoglobin oxygen saturation and base excess.
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This study aimed to analyze how the families of cancer patients perceived the treatment provided at a specialist public outpatient clinic, using Bardin's method of Content Analysis. Seven families consisting of fourteen family members were interviewed. They underlined doctor-patient relationship, judging it to be impersonal and superficial, resulting in a lack of security and trust. Families try to to participate but feel undervalued and excluded from the care. Necessary information that they are not given is sought in the media, while comfort is achieved through religious or spiritual practices. Health care training must encourage professionals to view the family as a unit of care, aligning training to different modes of health care.
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Objetivou-se compreender como o idoso percebe o atendimento na atenção básica.Métodos: Trata-se de estudo qualitativo. Resultados: A análise possibilitou o emergir do tema central: A dualidade na percepção do atendimento na Atenção Básica, que foi analisada a partir de duas subcategorias. Revelou haver controvérsia na percepção do atendimento recebido, emergindo aspectos positivos e negativos. Os discursos pontuam demanda de ações individualizadas de cuidado, embora algumas vezes necessitem de cuidados complexos em saúde, não demandam cuidado em rede integrada. Conclusão: O estudo revela que, embora possa haver integralidade nas ações de uma equipe bem articulada, o cuidado integral à saúde poderá ser alcançado em rede, integrado em todos os espaços organizacionais do sistema de saúde, beneficiando, assim, os sujeitos dessas ações.
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Pós-graduação em Medicina Veterinária - FCAV
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Pós-graduação em Psicologia - FCLAS
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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O Autismo Infantil é um Transtorno Global do Desenvolvimento que se caracteriza pela presença de comprometimentos severos nas áreas de comunicação, interação social recíproca, interesses e comportamentos. Este trabalho teve como objetivos analisar o atendimento realizado com indivíduos autistas em uma instituição e verificar como a Terapia Ocupacional pode contribuir na atenção voltada aos alunos. A pesquisa foi realizada através da observação e registro em diário de campo das atividades realizadas por cinco indivíduos com Autismo em uma associação específica de Autismo e Transtornos no Desenvolvimento. Também foi realizada entrevista com os profissionais que atuam na instituição. No diário de campo, nota-se a prevalência das atividades pedagógicas. Por outro lado, observa-se escassez de atividades funcionais, de atividades básicas e instrumentais de vida diária, e de atividades direcionadas à comunicação e interação. Nas entrevistas, foi possível constatar que existe interesse dos profissionais na implantação do serviço de Terapia Ocupacional. Considerando as possibilidades de atuação da Terapia Ocupacional junto às crianças e jovens com autismo, conclui-se que a implantação desse setor nessa associação poderia trazer inúmeros benefícios para os usuários e equipe de profissionais da instituição.
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This research aims to investigate the possible causes for the dropout of participants under instruction in distance courses. Data gathered from the Specialization Course in Specialized Educational Support Services - SES, sponsored by the Department for Continuing Education, Literacy and Diversity of the Ministry of Education - SECAD / MEC - and the Open University of Brazil – OUB, will be analyzed. The objective of the course is to graduate teachers who work in classrooms equipped with multifunctional resources in regular schools to give specialized educational support for students with special educational needs marked by disabilities, global development disorders and high abilities/highly gifted students. In order to analyze dropout data in the first semester of the ongoing course, a sample of 1349 participants enrolled in the distance course was considered; 216 of these had their enrollment cancelled on request or because they stopped accessing the Virtual Learning Environment - VLE / Teleduc Platform showing no interest in the course. However, the information below aims to present and discuss only the tabulated data of the 98 participants who requested to have their enrollment officially cancelled by submitting the online dropout term. The findings showed the main reasons for dropping out were personal problems, lack of time to commit to an ongoing distance course, difficulty using ICT and the tools available in the VLE. The research also highlighted the importance of developing digital inclusion initiatives as well as on-site supporting poles as a way to soften the barriers of technological accessibility and the dropout rate in this kind of courses.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Currently the Brazilian construction market is growing like gangbusters and every day grows its competition. With this Brazilian scenario, the government is supporting the construction companies and offering resources for real estate projects. To acquire resources Caixa Econômica Federal requirements you must meet in planning the work, as the development of budgets, timelines and memorials. This study aimed to planning a work according to the requirements of Caixa Econômica Federal, which was done with the aid of two softwares . First the methods and tools that are used to perform a planning were discussed. Then, based on the theory and observing the requirements of the financing bank budgets, memorials and schedules with the help of software were performed. At the end of the project, it was possible to observe the importance of using theoretical methods and software to facilitate and improve the timelines and budgets made , and thus the planning itself, which every day becomes more common in construction companies, because with the increase of competition and market requirements, is critical to reducing the loss and time, thus maintaining customer satisfaction and company
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The self-evaluation is increasingly necessary in a competitive environment, and a way for companies to self-evaluate is through your budget. Knowing the importance of this budgetary process, this study aimed to observe and analyze the developing process of a zero-based budgeting (ZBB) highlighting its best practices and difficulties and propose recommendations for other companies in general. This goal was achieved through a case study in an area responsible for the budgeting process in the customer services department from a white-goods company. Also was required to review the literature regarding the customer services area, waste reduction, cost management, budgets in general and the zero-based budgeting. After reviewing the literature and the study, we can highlight good practices and difficulties observed in the studied company, and also propose recommendations on how to develop a zero-based budget and evidence what plans, analyzes and justifications are essential in a good budget process execution
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This final paper is a reflection on mobile service of urgency by raising the main difficulties encountered by organizations, and seeking innovative solutions through new technological features like smartphones, tablets application and cloud computing to develop a scalable system and globalized, based on geolocation that is able to overcome this difficulty being accessible to the whole population