Tecnologia educacional: avaliação de um web site sobre Escala de Pessoal de Enfermagem

O uso da tecnologia de informática é uma realidade em todas as áreas do conhecimento humano, nos dias atuais. A incorporação tecnológica se faz nos serviços e no ensino, nos diferentes processos de trabalho do enfermeiro. Este estudo teve como objetivo avaliar um site desenvolvido sobre o tema Escala de Pessoal de Enfermagem, relevante na gestão de recursos humanos em saúde. A metodologia envolveu pesquisa quantitativa com docentes da área de administração em enfermagem, e alunos das oito Universidades Públicas do estado de São Paulo que formam enfermeiros. Entre os principais resultados, apontamos que 85% dos avaliadores consideraram o site excelente ou satisfatório. Além disso, foram analisados os comentários enviados por e-mail e as autoras fazem uma auto-avaliação. O site foi considerado de utilidade tanto para a prática profissional (81,7% entre excelente e satisfatório) como para o ensino (84,6% entre excelente e satisfatório).

Extrait des archives de Bourgueil, par Gaignières.

Gaignières.

Giavarino

Échelle(s) : Scala de Passi Geometrici, 150 [= 8,7 cm]

Discovering the campus together: a mobile and computer-based learning experience

One of the most relevant difficulties faced by first-year undergraduate students is to settle into the educational environment of universities. This paper presents a case study that proposes a computer-assisted collaborative experience designed to help students in their transition from high school to university. This is done by facilitating their first contact with the campus and its services, the university community, methodologies and activities. The experience combines individual and collaborative activities, conducted in and out of the classroom, structured following the Jigsaw Collaborative Learning Flow Pattern. A specific environment including portable technologies with network and computer applications has been developed to support and facilitate the orchestration of a flow of learning activities into a single integrated learning setting. The result is a Computer-Supported Collaborative Blended Learning scenario, which has been evaluated with first-year university students of the degrees of Software and Audiovisual Engineering within the subject Introduction to Information and Communications Technologies. The findings reveal that the scenario improves significantly students’ interest in their studies and their understanding about the campus and services provided. The environment is also an innovative approach to successfully support the heterogeneous activities conducted by both teachers and students during the scenario. This paper introduces the goals and context of the case study, describes how the technology was employed to conduct the learning scenario, the evaluation methods and the main results of the experience.

Neonatal Minimally Invasive Surgery for Congenital Diaphragmatic Hernias: a multicenter study using thoracoscopy or laparoscopy.

BACKGROUND: Minimally invasive surgery (MIS) for late-presenting congenital diaphragmatic hernia (CDH) has been described previously, but few neonatal cases of CDH have been reported. This study aimed to report the multicenter experience of these rare cases and to compare the laparoscopic and thoracoscopic approaches. METHODS: Using MIS procedures, 30 patients (16 boys and 14 girls) from nine centers underwent surgery for CDH within the first month of life, 26 before day 5. Only one patient had associated malformations. There were 10 preterm patients (32-36 weeks of gestational age). Their weight at birth ranged from 1,800 to 3,800 g, with three patients weighing less than 2,600 g. Of the 30 patients, 18 were intubated at birth. RESULTS: The MIS procedures were performed in 18 cases by a thoracoscopic approach and in 12 cases by a laparoscopic approach. No severe complication was observed. For 20 patients, reduction of the intrathoracic contents was achieved easily with 15 thoracoscopies and 5 laparoscopies. In six cases, the reduction was difficult, proving to be impossible for the four remaining patients: one treated with thoracoscopy and three with laparoscopy. The reasons for the inability to reduce the thoracic contents were difficulty of liver mobilization (1 left CDH and 2 right CDH) and the presence of a dilated stomach in the thorax. Reductions were easier for cases of wide diaphragmatic defects using thoracoscopy. There were 10 conversions (5 laparoscopies and 5 thoracoscopies). The reported reasons for conversion were inability to reduce (n = 4), need for a patch (n = 5), lack of adequate vision (n = 4), narrow working space (n = 1), associated bowel malrotation (n = 1), and an anesthetic problem (n = 1). Five defects were too large for direct closure and had to be closed with a patch. Four required conversion, with one performed through video-assisted thoracic surgery. The recurrences were detected after two primer thoracoscopic closures, one of which was managed by successful reoperation using thoracoscopy. CONCLUSIONS: In the neonatal period, CDH can be safely closed using MIS procedures. The overall success rate in this study was 67%. The indication for MIS is not related to weeks of gestational age, to weight at birth (if >2,600 g), or to the extent of the immediate neonatal care. Patients with no associated anomaly who are hemodynamically stabilized can benefit from MIS procedures. Reduction of the herniated organs is easier using thoracoscopy. Right CDH, liver lobe herniation, and the need for a patch closure are the most frequent reasons for conversion.

Diabetes mellitus tipo 1: evidências da literatura para seu manejo adequado, na perspectiva de crianças

O estudo objetivou identificar as evidências disponíveis, na literatura, que abordem, na perspectiva de crianças, os fatores relevantes para o adequado manejo do diabetes mellitus tipo 1. Realizou-se uma revisão integrativa, nas bases de dados PubMed, CINAHL, LILACS, CUIDEN e PsycINFO, com as palavras-chave diabetes mellitus tipo 1, criança, prevenção e controle, fatores desencadeantes, emergências, autocuidado, aprendizagem e educação em saúde, no período de 1998 a 2008. Dos artigos levantados, selecionaram-se 19, e sua análise permitiu a identificação das categorias: vivendo com o diabetes; autocuidado e perfil glicêmico; atuação da família, amigos e profissionais de saúde; e escola. As evidências apontam que a criança aprecia o apoio recebido por seus familiares os quais têm relação direta com o preparo para o autocuidado. Outros membros externos à sua rede também são valorizados. A escola é um espaço que merece atenção, bem como a experiência particular de cada criança e a educação em saúde.

Tao antin'Imano : vieille chanson ; Arie faly aho leitsy : [chanson moderne pour la Circoncision] / Hirran'ny tanoran'ny ntaolo mpilaloa ao Fenoarivo [chants ancestraux chantés par un groupe de musiciens de Fenoarivo]

[Traditions. Afrique. Madagascar]

Conquiste della Serenissima Republica di Venetia nella Moreasotto il comando del doge Francesco Morosini / Descritte, e dedicate all illustrissimo et eccellentissimo signore il signore Domenico Contarini, ... ; Alla Santità di N. S. Innocenzo XII ; Dal Padre Cosmografo Coronelli

Échelle(s) : [Echelles diverses]

Hellas seu Graecia Universa / autore J. Laurenbergio

Échelle(s) : [1:2 110 000 ca] Milliaria Italica Communia 80 = [7 cm]

Hellas seu Graecia Universa / autore J. Laurenbergio

Échelle(s) : [1:2 110 000 ca] Milliaria Italica Communia 80 = [7 cm]

Hellas seu Graecia Universa / autore J. Laurenbergio

Échelle(s) : [1:2 110 000 ca] Milliaria Italica Communia 80 = [7 cm]

Achaiae nova & accurata descriptio / autore I. Laurenbergio

Échelle(s) : [1:1 000 000 ca] Mil. Germ. 7 [= 4,8 cm], Mil. Gall. 9 [= 4,6 cm], Mil. Ital. 28 [= 4,8 cm], Stadia 250 [= 4,5 cm] (d'après échelles graphiques).

Attica, Megarica, Corinthiaca, Boeotia, Phocis, Locri / Ex clarissimi D.T. Velii M.D. Delineatione

Échelle(s) : [1:563 000 environ]

Peloponnesus, sive Morea / Auth. I. Laurenbergio

Échelle(s) : [1:1 000 000 ca] Mil. Germ. 8 [= 5,5 cm], Mil. Gall. 10 [= 5,2 cm], Mil. Ital. 30 [= 5,5 cm], Stadia 300 [= 5,5 cm] (d'après échelles graphiques)