Medidas contraceptivas e de proteção da transmissão do HIV por mulheres com HIV/Aids

OBJETIVO: Atualmente, entre as mulheres, a relação sexual é a forma de transmissão que mais tem contribuído para a feminização da epidemia de HIV/Aids. Na busca constante de se estabelecer padrões mais adequados de orientação para saúde, investigou-se o uso de medidas contraceptivas, que também sirvam de proteção da transmissão do HIV, entre mulheres portadoras de HIV/Aids. MÉTODOS: Estudo exploratório desenvolvido em um serviço público ambulatorial de um hospital universitário, referência aos portadores de HIV/Aids da região centro-sul do Estado de São Paulo, no período de cinco meses (2000 a 2001). Foram estudadas 73 mulheres portadoras da infecção pelo HIV, ou com Aids. Os dados foram obtidos por meio de um formulário que investigava a caracterização sociodemográfica, as formas de anticoncepção utilizada e a situação sorológica do parceiro sexual. Os dados foram analisados descritivamente e os conteúdos das respostas abertas, agrupados em temas. Foi aplicado o teste exato de Fisher para análise de algumas variáveis, em nível de 5%. Para a análise de conteúdo utilizou-se a proposta de Bardin. RESULTADOS: A maioria das mulheres estava em fase de vida reprodutiva, eram casadas e foram contaminadas quase exclusivamente por meio da relação heterossexual. Entre elas, 35,4% referiam parceiro sexual discordante quanto à sorologia anti-HIV, e 13,7% utilizavam formas inadequadas de anticoncepção que também não protegiam da transmissão do HIV. CONCLUSÕES: Os resultados alertam para a necessidade de ações educativas continuadas quanto a experiências sexuais mais seguras entre portadoras de HIV/Aids, para que elas possam discutir com seus parceiros outras formas de exercerem sua sexualidade, sendo capazes de estabelecer opção contraceptiva mais consciente, de maneira a zelar pela sua saúde, do parceiro e até do concepto.

Reações comunicativas dos alunos de enfermagem frente ao primeiro estágio curricular

Este estudo tem como objetivo descrever as reações que os alunos de enfermagem apresentaram quando do seu primeiro estágio curricular. É um estudo transversal e de campo, e o tratamento dos dados foi realizado com base no método de análise de conteúdo. Os resultados descrevem o campo de estágio, o relacionamento com a equipe da enfermaria, com os pacientes e com o docente durante este período. Nas conclusões, podemos afirmar que o estresse e as contradições vivenciadas no primeiro estágio são parte do crescimento e aprendizado do aluno. O professor é maior responsável por determinar o tipo de interação que haverá entre ele e o aluno, cabendo-lhe ouvir, incentivar e capacitar-se para apoiar os alunos nas experiências iniciais da prática, para que o primeiro estágio seja um fator motivador ao aluno.

Representações de estudantes universitários sobre alunos cotistas: confronto de valores

A inclusão da política de cotas, nas universidades brasileiras, é recente. Apesar da adesão de várias instituições de ensino, esse tipo de política tem gerado posições contraditórias. Este estudo teve como objetivo investigar quais valores estão mais presentes na avaliação que universitários fazem a respeito de supostos usuários das cotas. Na pesquisa, foram aplicados diferentes tipos de questionários em 403 estudantes de uma universidade pública paulista, os quais objetivaram verificar se suas representações sobre esse tema variavam conforme as possibilidades de ingresso na universidade, a saber: vestibular simples, cursinhos para alunos carentes e cotas e, conforme os públicos-alvo enfocados, negros ou alunos de escolas públicas. Como método de análise, foi utilizado o programa ALCESTE e, como recurso complementar, a análise de conteúdo. Os resultados demonstraram que há uma rejeição às políticas relacionadas às cotas, uma vez que estas foram percebidas como mais ameaçadoras do que aquelas referentes ao vestibular e ao cursinho gratuito. Na grande parte das respostas dadas pelos alunos, fica evidente o conflito de valores: mérito versus igualdade compensatória. O vestibular, baseado apenas no mérito, é representado como o sistema mais justo para ingresso de alunos de escola pública e, principalmente de negros, na universidade. Valores como justiça, igualdade, esforço próprio, sobre os quais a maioria dos universitários respalda suas respostas contrárias às cotas, estão sendo questionados pelas políticas de ação afirmativa, o que indica que enfrentá-los é o grande desafio posto a essas políticas.

Carbon isotope analysis in apple nectar beverages

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

A implementação da sistematização da assistência de enfermagem no serviço de saúde hospitalar do Brasil

Trata-se de uma pesquisa bibliográfica que objetivou analisar como tem ocorrido a implantação da Sistematização da Assistência de Enfermagem no serviço de saúde hospitalar do Brasil no período de 1986 a 2005. Utilizou-se como fonte de busca as bases de consulta LILACS, BDENF e SciELO. Foram incluídos 30 artigos (15 relatos de experiência, 14 pesquisas de campo e uma reflexão teórica), tendo como critério a implementação da Sistematização da Assistência de Enfermagem no Brasil, na área hospitalar. Realizou-se a análise de conteúdo, modalidade temática. Na análise dos artigos se percebe que a finalidade de implantar a sistematização é organizar o cuidado a partir da adoção de um método sistemático, proporcionando ao enfermeiro a (re)definição da sua ação. Dependendo da escolha do referencial teórico de gestão e das estratégias utilizadas, isso se reflete sobre as condições de trabalho e o modo de agir, havendo interferência no processo de implantação.

Fault analysis in four-wire distribution networks

The neutral wire in most existing power flow and fault analysis software is usually merged into phase wires using Kron's reduction method. In some applications, such as fault analysis, fault location, power quality studies, safety analysis, loss analysis etc., knowledge of the neutral wire and ground currents and voltages could be of particular interest. A general short-circuit analysis algorithm for three-phase four-wire distribution networks, based on the hybrid compensation method, is presented. In this novel use of the technique, the neutral wire and assumed ground conductor are explicitly represented. A generalised fault analysis method is applied to the distribution network for conditions with and without embedded generation. Results obtained from several case studies on medium- and low-voltage test networks with unbalanced loads, for isolated and multi-grounded neutral scenarios, are presented and discussed. Simulation results show the effects of neutrals and system grounding on the operation of the distribution feeders.

Morphological analysis of pits formed on Al 2024-T3 in chloride aqueous solution

It has been used a new image analysis method, based on segmentation by shape parameters, for pits morphology examination from Al 2024 aluminum-copper alloy in chloride aqueous solution. Corrosion behavior of this alloys in naturally aerated 3.5% NaCl solution has been investigated through open circuit potential measurements. Afterwards, pits have been characterized by image analysis taking density and size measurements right from corroded surfaces. Morphological investigation has been conducted for profiles, cut orthogonally from mean surface planes, and observed through light microscopy. Image analysis data could demonstrate that pits are wider than deep, evoluting for conical, quasi-conical or irregular shapes. Most pits have presented a quasi-conical morphology, but the wider ones have evoluted to an irregular shape influenced by sub-surface microstructure. Image analysis based on shape segmentation could enhance the differences on morphological behavior. (C) 2004 Elsevier B.V. All rights reserved.

Purification, crystallization and preliminary X-ray analysis of haemoglobin I from the armoured catfish Liposarcus anisitsi

Liposarcus anisitsi is an armoured catfish that presents accessorial air oxygenation through a modified stomach, which allows this species to survive in waters with very low oxygen content. Analysis of its haemolysate has shown the presence of four haemoglobins; this work focuses on the main component, haemoglobin I. It has been crystallized in two different forms and X-ray diffraction data have been collected to 2.77 and 2.86 Angstrom resolution using synchrotron radiation. Crystals were determined to belong to the space groups C2 and P2(1) and preliminary structural analysis revealed the presence of one tetramer in the asymmetric unit in both crystal forms. The structure was determined using a standard molecular-replacement technique.

The asynchronous motor one-dimensional analysis

An application of the linear machine one-dimensional analysis method to the modeling of a conventional asynchronous induction motor, considered as a particular case of linear and sectorial machines, is described. A mathematical model for the calculation of the propulsive force developed by this motor, taking into account the transversal edge effect, is derived from the application of the one-dimensional theory and presented in this paper. As an application example, an induction motor is analyzed by means of the one-dimensional theory.

An image processing method for morphology characterization and pitting corrosion evaluation

A digital image processing and analysis method has been developed to classify shape and evaluate size and morphology parameters of corrosion pits. This method seems to be effective to analyze surfaces with low or high degree of pitting formation. Theoretical geometry data have been compared against experimental data obtained for titanium and aluminum alloys subjected to different corrosion tests. (C) 2002 Elsevier B.V. B.V. All rights reserved.

Thermoeconomic analysis of a cogeneration system of a university campus

In this paper, a thermoeconomic analysis method based on the First and the Second Law of Thermodynamics and applied to analyse the replacement of an equipment of a cogeneration system is presented. The cogeneration system consists of a gas turbine linked to a waste boiler. The electrical demand of the campus is approximately 9 MW but the cogen system generates approximately one third of the university requirement as well as 1.764 kg/s of saturated steam (at 0.861 MPa), approximately, from a single fuel source. The energy-economic study showed that the best system, based on pay-back period and based on the maximum savings (in 10 years), was the system that used the gas turbine M1T-06 of Kawasaki Heavy Industries and the system that used the gas turbine CCS7 of Hitachi Zosen, respectively. The exergy-economic study showed that the best system, which has the lowest EMC, was the system that used the gas turbine ASE50 of Allied Signal. © 2002 Elsevier Science Ltd. All rights reserved.

Candida albicans inactivation and cell membrane integrity damage by microwave irradiation

In indicating the microwave irradiation for disinfecting dentures it is necessary to see how this procedure influences Candida albicans integrity and viability. The aim of this study was to evaluate the ability of microwaves to inactivate C. albicans and damage cell membrane integrity. Two 200-ml C. albicans (ATCC 10231) suspensions were obtained. A sterile denture was placed in a beaker containing the Experimental (ES) or the Control suspension (CS). ES was microwaved at 650 W for 6 min. Suspensions were optically counted using methylene blue dye uptake as indicative of membrane-damaged cells; spread on Agar Sabouraud dextrose (ASD) for viability assay; or spectrophotometrically measured at 550 nm. Cell-free solutions were submitted to content analyses of protein (Bradford and Pyrogallol red methods); Ca++ (Cresolftaleine complexone method); DNA (spectrophotometer measurements at 260 nm) and K + (selective electrode technique). Data were analysed by Student's t- or Wilcoxon z-tests (α = 0.05). All ES cells demonstrated cell membrane damage. Viable cells were non-existent in the ES ASD plates. No significant difference in optical density between ES and CS was observed (P = 0.272). ES cells released significantly high protein (P < 0.001, Bradford; P = 0.005, Pyrogallol red), K+ (P < 0.001), Ca++ (P = 0.012) and DNA (P = 0.046) contents. Microwaves inactivated C. albicans and damaged cell membrane integrity. © 2007 The Authors.

Evaluación de las metodologías de enseñanza-aprendizaje de la bioética en las facultades de odontología Brasileñas

Introduction. Bioethics is present in Dentistry and other health areas, as scientific research that results on profession progress, as in proper clinical attendance. The study consists on valuation of teaching-learning methods of Bioethical on Brazilian Dental Schools. Materials and methods. Data collect occurred by semi-structured questioners send by e-mail and correspondence. It was realized descriptive analysis of quantitative answers, and for qualitative answers, it was used content analysis, by categorical analysis technique in according to Bardin. Results. Among 182 Dental Schools actives in Brazil, only 57 (31.3%) showed bioethical discipline in its curricular grid. It was observed the discipline is teaching on theoretical form (77.8%). Principal forms of evaluation are: writing prove (100%) and seminaries (75%). Just 6.4% of professors use bibliographic references about bioethical faced to Odontology specifically. The majority of interviewed person (74.2%) considered that bioethics is related on the direct and indirect form with all others disciplines. In relation to importance of Bioethical on dental surgeon formation, 64.7% emphasized it in professional-patient relation. Conclusion. The Bioethics show teaching and practice method of conserver evaluation, and so, it's necessary others methods directed to reflection of actual problems in odontology area that contribute significantly on integral formation of dental surgeon. © Viguera Editores SL 2009.

Gestión del conocimiento en la educación ambiental : Estudio de casoen el programa de educación ambiental de la universidad de São Paulo Brasil

The objective of this study was to analyze and to describe the process of knowledge creation in an environmental education program. The research can be defined as a case study, because a thorough study of the characteristics of an environmental education program at a public university in Brazil was carried out. The study had a descriptive character; it observed, ordered and recorded data and behavior, explaining and interpreting facts without manipulating them, using a method of qualitative data collection, the interview. The method of data analysis used was content analysis. At the end good practices for environmental education programs are suggested.

Avaliação de usuários da atenção básica sobre a implantação de protocolo de assistência integral odontológica

Objective: To evaluate the perception of basic attention healthcare users as to the implantation of the Integral Dental Assistance Protocol (PAIO, in Portuguese) and the effect of this program on the oral health condition, oral hygiene, access to and resolubility of the service, in a public basic health unit of João Pessoa-PB. Method: The sample was composed of 32 volunteers, for whom a sixphase intervention was programed: diagnosis of dental needs; resolution of urgencies; restorative interventions; application of promotional measures; evaluation of the health level obtained; and periodic follow-up visits. Data were collected by means of a semistructured interview and a questionnaire, applied before and after PAIO implantation. The interviews were transcribed and analyzed according to the content analysis technique. The effect of PAIO implantation was evaluated by using an increasing scoring system ranging from 1 to 10. The Wilcoxon test was applied with a confidence level of 95%. Results: For the participants that attended the PAIO (n=20), the program contributed to improve oral health condition (100%) and knowledge (100%). The users reported satisfaction (n=12) and had a positive evaluation (n=12), achieved by means of the improvement of oral health condition (n=8), faster and easier access to treatment (n=7), scheduling of dental appoints and warrant of being treated (n=6), welcoming (n=5), motivation for oral care (n=5), and perspective of continuity of PAIO (n=6). The initial evaluation of the users received scores between 5.7 and 7.6. After PAIO implantation, the users' perception was improved (p<0.01), with scores between 9.6 and 9.9. Conclusion: According to the users, the implantation of PAIO contributed to the qualification of health service and oral health care, being a favorable aspect to increase the access to and resolubility of the service.