997 resultados para nursing grand rounds


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This paper presents the results of a comparative study of three series of samples collected in the area near the Bassam channel before, six and twenty months after its opening in September 1987. Observed effects are the decrease in the abundance and the modification of the benthic macrofauna composition. These effects appeared to be definitive, without recovery of the most abundant species Corbula trigona. Most differences noted in the population structure are due to the increase of the salinity and at a least degree to the modification of the nature of the sediment.

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The present paper deals with the variations of the dissolved oxygen content off Grand Bassam (11 miles east of Abidjan, Côte d'Ivoire), during nearly five years (March 1966 to September 1970). Although we find in general the low oxygen values near the bottom, the dissolved oxygen content is at its absolute minimum during the upwelling. There is a good correlation between the Secchi depth and the depth of the well ventilated layer. About 10% of surface irradiance is found at the layer where the dissolved oxygen content equals 80% of the oxygen content found at surface.

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Trata-se de um estudo qualitativo, cujo objeto é a prática da enfermeira obstétrica no módulo acolhimento do Programa Cegonha Carioca. Os objetivos são: descrever as estratégias da gestão pública para a implantação do módulo acolhimento do Programa Cegonha Carioca e discutir a prática da enfermeira obstétrica no módulo acolhimento do Programa Cegonha Carioca. O estudo apóia-se nas noções de práxis, senso comum e bom senso. O método de análise utilizado foi a hermenêutica dialética. Foram realizadas entrevistas semiestruturadas no período de janeiro a março de 2013. Os entrevistados foram três gerentes da Superintendência de Hospitais Pediátricos e Maternidades, responsáveis pelo processo de elaboração e implantação do Programa Cegonha Carioca; treze enfermeiras obstétricas que atuavam no módulo acolhimento do Programa Cegonha Carioca, totalizando dezesseis entrevistas realizadas. Após a análise dos dados, emergiram duas categorias principais: A implantação do módulo acolhimento do Programa Cegonha Carioca e A prática da enfermeira obstétrica no módulo acolhimento do Programa Cegonha Carioca. Os resultados apontaram que havia um contexto político favorável a implantação do Programa Cegonha Carioca e que o fator desencadeador para esta implantação foi um caso de óbito fetal ocorrido no município do Rio de Janeiro e que teve uma grande repercussão midiática. As estratégias utilizadas pela gestão pública para a implantação do módulo acolhimento foram: a vinculação do pré-natal à maternidade de referência; a reorganização das emergências obstétricas municipais e a inserção da enfermeira obstétrica no módulo acolhimento. A partir da inserção das enfermeiras obstétricas nas emergências das maternidades municipais, foram identificadas como práticas das mesmas no módulo acolhimento: acolhimento, classificação de risco, pós-acolhimento e visita à maternidade. Percebe-se que a prática da enfermeira obstétrica no módulo acolhimento é uma práxis reiterativa e que apesar de ser pautada na humanização, sofre forte influência do modelo biomédico hegemônico.

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The effect of decreasing frost frequency on desert vegetation was documented in Grand Canyon by replication of historical photographs. Although views by numerous photographers of Grand Canyon have been examined, 400 Robert Brewster Stanton and Franklin A. Nims views taken in the winter of 1889-1890 provide the best information on recent plant distribution. In Grand Canyon, where grazing is limited by the rugged topography, vegetation dynamics are controlled by climate and by demographic processes such as seed productivity, recruitment, longevity and mortality. The replicated photographs show distribution and abundance of several species were limited by severe frost before 1889. Two of these, brittlebush (Encelia farinosa) and barrel cactus (Ferocactus cylindraceus), have clearly expanded their ranges up-canyon and have increased their densities at sites where they were present in 1890. In 1890, brittlebush was present in warm microhabitats that provided refugia from frost damage. Views showing desert vegetation in 1923 indicate that Encelia expanded rapidly to near its current distribution between 1890 and 1923, whereas the expansion of Ferocactus occurred more slowly. The higher frequency of frost was probably related to an anomalous increase in winter storms between 1878 (and possibly 1862) and 1891 in the southwestern United States.

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An experiment was conducted to evaluate the effects of control of carbon/nitrogen ratio (C/N ratio) by addition of low cost carbohydrate to the water column on water quality and pond ecology in freshwater prawn Macrobrachium rosenbergii post-larvae nursing system. In this experiment, two level of dietary protein 20% and 35% without carbohydrate addition (‘P20' and ‘P35') and with carbohydrate addition (‘P20+CH' and ‘P35+CH') were compared in small ponds of 40 m² area stocked with 20 post-larvae (0.021 ± 0.001g) per m² . Maize flour was used as low cost carbohydrate and applied to the water column followed by the first feeding during the day. The addition of carbohydrate significantly reduced (p< 0.05) ammonia-nitrogen (NH sub(3)-N) and nitrite-nitrogen (NO sub(2) - N) of water in P20 + CH and P35 + CH treatments. It significantly increased (p< 0.05) the total heterotrophic bacteria (THB) population both in water and sediment. Fifty nine genera of plankton were identified belonging to the Bacillariophyceae (11), Chlorophyceae (21), Cyanophyceae (7), Dinophyceae (1), Rotifera (7) and Crustacea (9) without any significant difference (p>0.05) of total phytoplankton and zooplankton among the treatments. Survival rate of prawn was significantly lowest (p<0.05) in P20 and no significant difference (p>0.05) was observed between P20+CH and P35 treatments. Control of C/N ratio by the addition of low-cost carbohydrate to the pond water column benefited the freshwater prawn nursing practices in three ways (1) increased heterotrophic bacterial growth supplying bacterial protein augment the prawn post-larvae growth performances, (2) reduced demand for supplemental feed protein and subsequent reduction in feed cost and (3) reduced toxic NH sub(3)-N and NO sub(2)-N levels in pond nursing system.

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A diverse group of experts proposed the 9 grand challenges outlined in this booklet. This expert task force was assembled by the ASCE TCCIT Data Sensing and Analysis (DSA) Committee and endorsed by the TRB AFH10(1) Construction IT joint subcommittee at the request of their membership. The task force did not rank the challenges selected, nor did it endorse particular approaches to meeting them. Rather than attempt to include every important goal for data sensing and analysis, the panel chose opportunities that were both achievable and sustainable to help people and the planet thrive. The panel’s conclusions were reviewed by several subject-matter experts. The DSA is offering an opportunity to comment on the challenges by contacting the task force chair via email at becerik@usc.edu.