Seguimento nutricional de pacientes após episódios de lesão renal aguda e identificação de fatores de riscos nuricionais para o óbito tardio

Pós-graduação em Fisiopatologia em Clínica Médica - FMB

Effect of community-based physical exercise interventions carried out in primary helath care on plasma inflammatory biomarkers and cardiorespiratory fitness

Pós-graduação em Ciências da Motricidade - IBRC

Circunferência da cintura ou abdominal? uma revisão crítica dos referenciais metodológicos

Embora haja consenso sobre a validade e facilidade do uso da antropometria na classificação da obesidade abdominal, ainda não existe consenso sobre a nomenclatura da medida e os sítios anatômicos para sua obtenção. Desta forma, o objetivo deste estudo foi analisar de forma crítica o uso da circunferência da cintura ou abdominal em adultos para aferição da obesidade abdominal. Foi realizada uma revisão sistemática a partir de busca em bases de dados indexadas MEDLINE (PubMed) e Scientific Eletronic Library Online (SciELO). Foram revisados artigos publicados no período compreendido entre 2003 e 2009. Quanto à nomenclatura, apesar dos National Institutes Health tratarem circunferência da cintura e abdominal como sinônimos, os pesquisadores internacionais, tem preferido o uso do termo circunferência da cintura. Quanto ao sítio anatômico para a medida, falta ainda consenso entre os pesquisadores e orientação da International Diabetes Federation (IDF). Considerando que os atuais pontos de corte para as populações de origem européia foram elaborados a partir dos sítios anatômicos estabelecidos pela OMS 1989, torna-se razoável a adoção desta referência. Sobre os pontos de corte, a proposta da IDF representa resultado de um consenso internacional e avalizado pela Sociedade Brasileira de Cardiologia.

Promoção e avaliação da atitude de Vigilância Nutricional na Atenção Básica à Saúde de municípios das bacias Piracicaba-Capivari

Considering the importance of food and nutritional surveillance as part of a community's basic health care, our objective was to expose and discuss the educational experience of eleven municipalities of the state of São Paulo geared to build an attitude of nutritional security. The accounts were made in the form of workshops with the contribution of basic health care workers of each municipality, based on daily field worksheets and followed by an evaluation process, which used a semi-structured questionnaire. The results were classified into four categories. The methodology, based on the actual participation in the workshops was considered adequate, although some exposure and removal of personal inhibitions were necessary. These barriers were left behind with the aid of group dynamic exercises. Among the themes treated, anthropometry was highlighted because of insufficient technical know-how and standardization. An attitude towards nutritional surveillance was recognized by the health-care professionals as an important basis for the nutritional practice in order to attain food and nutritional security.

Estilo de vida e saúde de um grupo de idosos de Franca, SP

The increase of elderly population in Brazil and all around the world shows the need of reviewing the health cares in order to get a better quality of life. Objective: To evaluate lifestyle and health care of elderly participants of UNATI, Franca, SP. Methods: Sixty elderlies answered a questions about socio-economic issues, health care, food consumption habits and lifestyle, after, they were submitted to anthropometric and laboratory tests. Results: There was a prevalence of women (85%), aged between 60-69 years old (60%), up to high school (60%), retired (65%), income up to 5 minimum wage (73.4%). Most seniors assessed medical care (65%) were in use of long-term medicines (78.3%), they reported to control blood pressure (80%) and to not smoke (100%). About 71.7% people believed to have a healthy diet, 97% took meals at home, 85% chose and prepared their own food, 65% had 5-6 meals/day, 63% drank 1L of water/day, 90% had bowel function and 43.3% practices a regular physical activity. Only 13.3% have done hormone replacement therapy, 18.3% take dietary supplements and 21.7% drink alcoholic drinks. The participants presented a BMI of 27.49 ± 4.5kg/m², prevalence of overweight and eutrophy, which values decreased with age. Leg circumference (LC) (36.27 ± 3.84 cm), Arm circumference (AC) (31.39 ± 4.08 cm) and triceps skinfolds (TS) (20.58±7.54mm) values were suit in most cases (96.7, 85 and 83.3%, respectively). Serum total cholesterol values were 198.53 ± 35.2mg/dL, 55% were considered optimum. About 63.3% and 68.3% of the elderlies, respectively, presented a high density lipoproteins (HDL) (53.58± 10.9mg/dL) and triglycerides (TG) (143.97 ± 92.37mg/dL) according to the recommendation and 51.7% of the elderlies had normal glycemia, 38.3% had risk and 10% showed high blood glucose, indicating diabetes. Conclusion: Many elderlies had body mass index (BMI) above normal, indicating overweight or obesity, but the participants can be considered healthy because of AC, LC and TS values, diet habits, health care and lifestyle.

Simulação do conforto térmico do pedestre no ambiente urbano

This paper presents a pilot study carried out for an urban ergonomic investigation, considering the pedestrian point of view in relation to the thermal comfort. Therefore, a thermal evaluation of an urban fraction is performed, by applying simulations in the ENVI-met model, associated with the application of the BOTworld software.

Cuidado com o Cuidador! uma análise da tarefa

The home care is a growing activity in homes around the world. Many benefits are related to the practice, but the health risks involving the caregiver is the issue of this analysis. Through field interviews and in loco evaluation is raised a previous scope of this peculiar and complex task.

Forças manuais e o design de produtos: uma revisão

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

Processo de medição de desempenho em micro e pequenas empresas de um arranjo produtivo local

The local productive arrangements (LPA) are organizational mechanisms that enable the continuous performance of small businesses in production processes and business management models. To promote continuous improvement is essential that companies make decisions based on data that reflects business’ performance (performance measurement) and promote the cluster performance. This way, the aim of this article is to describe the performance measurement process that will support the corporate management of Micro and Small enterprises (SME) of a Local Productive Arrangement in Maringá, State of Paraná, Brazil. To develop this paper, the bibliographic search and action research methods were used. The field research was developed from the cooperation project (PROJVEST) conducted at the LPA, which goal is to deploy improvement actions in project’s participating companies. Metrics and performance indicators constructed from the diagnosis in the areas of Production, Quality and Ergonomics in companies will be presented. Among the main results, can be pointed out that the performance management of LPA is promoting the introduction of corporate management practices in SMEs, stimulating business cooperation, the continuous innovation in manufacturing processes and product quality and business processes.

Postura de trabalho relacionada com as dores na coluna vertebral em trabalhadores de uma indústria de alimentos: estudo de caso

This study has as main objective to identify the complains occurrences about pain in the spine segments, that are related to work standing posture, adopted by the collaborators in the production section of a food industry, in the city of Marília São Paulo state. A descriptive research and studying case was made, using 30 employees as a sample. It was used as methodological procedure, a questionnaire to obtain information on professional and personal data, posture to remain standing, the most uncomfortable postures in the work environment (signed by the form of Ranney, 2000) and pain (pointed out by Corllet and Manenica Diagram, 1980). It was also used the Nordic questionnaire (Kuorioka et al.,1986), validated in the Brazilian culture by Barros e Alexandre (2003) and adapted for the study, the direct evaluation and, a direct observation was made in the production work, a posture analysis using the OWAS Method. It was noticed that the posture of standing up is adopted during work, and 73.3% of the people that was interviewed said that they felt tired in consequence of this posture, especially when associated with trunk twists, trunk inclination and elevation of their arms above their heads. Most complains regarding pain through their bodies, by Corllet e Manenica (1980) pointed to the lumbar region, followed in the dorsal area and legs and in the neck area, shoulders and right thigh. The adapted Nordic questionnaire reveled the lumbar area, in 10 interviewed people (33.3%) as the area mostaffected by musculoskeletal symptoms, next in the dorsal area, with five people interviewed (16.7%) and one of them (3.3%) felt pain in the cervical area, none reported pain in the hips area. The postural analysis was applied using OWAS method, and it was identified the postures that demanded more effort in the four levels of musculoskeletal injuries. As conclusion, the standing up posture and the asymmetric and incorrect movements are related to pain in the spine, mostly in the lumbar area.

Reconhecimento da perda de eficácia de protetor intra-auricular

Among the harmful health agents, it is given to the noise, one of the most present in urban and social environments. There are efficient measures to control the noise and the auricular Individual Protection Equipment (IPEa) is the most used. It has been observed the shortage in the comfortable and functional individual auditory protection products, related to durability, face to the efficiency right of the equipment. The main objective of this study was to recognize if there is effectiveness loss toward the used time on the Auditory Equipment, intra-auricular Individual Protection, of foam (3M), model 1110. It has been verified that the equipments suffer efficiency alteration according to the time of use, and the material consuming initiates reliable loss, mainly in audible frequencies going up to 100Hz, and from 16 days for sonorous pressure suffered started in 101dB 20Hz. For sonorous pressure suffered from 107dB to 20Hz, the reliable loss for the usage was of 8 days. The IPEas do not lose effectiveness on important attenuation by the daily use in frequencies from 1KHz until 20KHz. It has been concluded that there is effectiveness loss, according to the daily and frequent use of the IPEa studied.

Características da interface dos sites de notícias: um estudo do design e da usabilidade de jornais impressos e eletrônicos

The paper presents an ergonomic analysis of reading usability of electronic journals and the comparison with newspapers. As a method, it was adopted an evaluation of the user perception, from a printed questionnaire applied to a group of 41 people. Overall, the results indicate that on the analyzed newspapers there is need for greater care concerning the aspects of visual representation, involving more design application, usability, ergonomics, technology and communication.

Projeto: de médico e louco, todo mundo tem um pouco - algumas considerações sobre TOC´s e Design de Moda

Identify the needs of different target audiences and solve them with the application of principles and elements of design in fashion products, the objectives of the project were "from a doctor and crazy, everyone has a few" from the academics of Fashion Design UNIPAR / Cianorte. To Avoid clichés, educate the community and yourself about OCD´s, syndromes, phobias and quirks, maximized the positive balance of the project.

Conformidade ergonômica dos controles no posto de trabalho do operador de trator: estudo de caso NH 7630

This article discusses an ergonomic analysis of the controls used by tractor operators, covering their positions in relation to the casing of your job. Was performed an assessment of the controls of the job of a model NH 7630 tractor average power of 74 kW (100 CV), using the norms of the ABNT. With this screening could detect the positive and negative. Then was accomplished an analytical study of the controls. Evaluation results show that some controls of tractors have errors evaluated in relation to NBR/ ISO 6682.

Comparativo ergonômico de duas metododologias para aquisição de coordenadas tridimensionais do posto de trabalho do operador de trato

This research aimed to the comparison between two methods for obtaining three-dimensional coordinates of the controls of the upper limbs of the job of the tractor operator. The methods used were based on NBR / NM / ISO 5353 - Road machines, tractors and agricultural and forestry machinery – Reference point of the seat. The first method used follows the principles recommended by the standard NBR/NM/ISO/5353 The second method is an adaptation of this standard with the introduction of a laser measuring equipment developed by Silva (2009). The results were compared statistically to evaluate differences between the methodological processes involved. In this research, data was collected thought a brand new tractor Massey Ferguson model MF 292, awarded by the dealership from Londrina. The results have shown a considerable variation between the traditional measurement process and the laser measuring. It must be considered that this variation can be used to calibrate the tractor controls positioning, therefore the tractor is not in accordance to ABNT.