Práticas educativas e integralidade na saúde da família: um estudo etnográfico

Primary Health Care, especially in the family health strategy, it is expected that the joint assistance and actions of health promotion. The Ministry of health (BRAZIL, 2007) defines health education as an eyeshadow strategy of prevention and health promotion, based on reflective practices, which allow the user to their condition of historical, social and political subject, under the vision of an expanded clinic on the part of health professionals. In this sense, there are guidelines for it professionals to develop educational activities and that they can interfere in the health/disease process of the population, with a view to the development of autonomy of the subject. This research had as objective to understand in the light of the integrality of the care, as is the production of health education practices, within the framework of the family health strategy from ethnographic study in a family health unit (USF). The location of the research was the unit of USF Felipe Camarão II in West Health District, in the city of Natal, RN, Brazil, selected from preliminary mapping of educational practices deployed in units of health of the family of this municipality, based on criteria such as time-to-deployment of USF and sustainability of existing actions. Immersion in the field consisted of participant observation with journaling, held during the period of August 2012 to January 2013, in which she accompanied team work processes in clinical-welfare actions on the USF, in households and in educational activities of group character. The results presented in ethnographic description were analyzed based on the axes proposed by Ayres (2009) for identification of integrality in health practices:the axis of the needs; the axis of the purposes; the joint axis; and the axis of the interactionsThe evidence described from observation point the presence of each axle up health education practices developed by the teams, even incipient form, namely: articulation and appreciation of knowledge and practices of popular culture with local initiatives (Pastoril do Peixe Boi Encantado, Auto de Natal e Grupo Terapia e Arte); Clinical integration with health promotion actions and coordination of multidisciplinary knowledge, with professional-user link (course for pregnant women). However, a few challenges were identified to be faced in order to move forward in these practices in integral care: the need to break with the fragmentation of actions; strengthening teamwork; need for greater sustainability policy of collective actions; intersectoral work aimed at a better role of the State in the face of the health-disease process, adding to the action of individuals.The analysis produced from observation of the processes experienced indicates the need for a better recognition of local managers that actions similar to those that occur in the USF Felipe Camarão II enable advances in completeness as allows inclusion of actors involved in the processes of health work, and stimulate participation and shared responsibility in the fight for health-disease situations

Detecção e recuperação de falhas para a máquina de redução de grafos PEWS-AM

Web services are software units that allow access to one or more resources, supporting the deployment of business processes in the Web. They use well-defined interfaces, using web standard protocols, making possible the communication between entities implemented on different platforms. Due to these features, Web services can be integrated as services compositions to form more robust loose coupling applications. Web services are subject to failures, unwanted situations that may compromise the business process partially or completely. Failures can occur both in the design of compositions as in the execution of compositions. As a result, it is essential to create mechanisms to make the implementation of service compositions more robust and to treat failures. Specifically, we propose the support for fault recovery in service compositions described in PEWS language and executed on PEWS-AM, an graph reduction machine. To support recovery failure on PEWS-AM, we extend the PEWS language specification and adapted the rules of translation and reduction of graphs for this machine. These contributions were made both in the model of abstract machine as at the implementation level

Urgent Endovascular Treatment of Thoraco-abdominal Aneurysms Using a Sandwich Technique and Chimney Grafts - A Technical Description

Introduction: So far the only endovascular option to treat patients with thoraco abdominal aortic aneurysms is the deployment of branched grafts. We describe a technique consisting of the deployment of standard off-the- shelf grafts to treat urgent cases.Material and Methods: The sandwich technique consists of the deployment of ViaBahn chimney grafts in combination with standard thoracic and abdominal aortic stent grafts. The chimney grafts are deployed using a transbrachial and transaxillary access. These coaxial grafts are placed inside the thoracic tube graft. After deployment of the infrarenal bifurcated abdominal graft a bridging stent-a short tube graft is positioned inside the thoracic graft further stabilizing the chimney grafts.Results: 5 patients with symptomatic thoraco abdominal aneurysms were treated. There was one Type I endoleak that resolved after 2 months. In all patients 3 stentgrafts had to be used When possible all visceral and renal branches were revascularized. A total number of 17 arteries were reconnected with covered branches. During follow up we lost one target vessel the right renal artery.Conclusion: The sandwich technique in combination with chimney grafts permits a total endovascular exclusion of thoraco abdominal aortic aneurysms. In all cases off-the shelf products and grafts could be used. The number of patients treated so far is still too small to draw further more robust conclusions with regard to long term performance and durability. (C) 2010 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.

Total Endovascular Debranching of the Aortic Arch

Background: Significant morbidity and mortality are related to conventional aortic replacement surgery. Endovascular debranching techniques, fenestrated or branched endografts are time consuming and costly.Objective: We alternatively propose to use endovascular approach with parallel grafts for debranching of aortic arch.Methods: Under general anesthesia, 12 F sheaths were inserted in the femoral, axillary and common carotid arteries for vascular accesses. ViaBahn grafts 10 - 15 cm in length were placed into the aortic arch from right common carotid, left common carotid and left axillary arteries, until the tip of each graft reached into the ascending aorta. Through one femoral artery, the aortic stent-graft was positioned and delivered. Soon after, the parallel grafts were sequentially delivered. Self-spanding Wallstents(R) were used for parallel grafts reinforcement. Ballooning was routinely used for parallel grafts and rarely for aortic graft.Results: This technique was used in 2 cases. The first one was a lady with 72 years old, with an aortic retrograde dissection from left subclavian artery and involving remaining arch branches. Through right common carotid artery a stent-graft was placed in the ascending aorta and through the left common carotid artery a ViaBahn was inserted parallel to the former. A thoracic endograft then covered all the aortic arch dissection extending into the ascending aorta close to the sinu-tubular junction. The second case was a 82 year old male patient with a 7 cm aortic arch aneurysm. Through both common carotid arteries ViaBahn grafts were introduced and positioned into the ascending aorta. Soon after, the deployment of the thoracic stent graft covered all parallel grafts of the aortic arch, excluding the aneurysm. Both cases did not have neurologic or cardiac complications and were discharged 10 days after the procedure.Conclusions: This technique may be a good minimal invasive off-the-shelf technical option for aortic arch "debranching". More data and further improvements are required before this promising technique can be widely advocated. (C) 2011 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.

A total laparoscopic technique for endovascular thoracic stent graft deployment

Background: Limitations of endovascular thoracic aneurym treatment include small, tortuous, or severely calcified iliac Back, arteries. We present our experience with a total laparoscopic access to deploy thoracic endografts.Methods. A total laparoscopic left retrocolic approach was used in all cases. A Dacron conduit was laparoscopically sutured to either the iliac artery or to the aorta directly. The endograft was inserted through this conduit. After graft deployment, the Dacron prosthesis was tunneled to the groin and anastomosed with the femoral artery.Results. The laparoscopic procedure could successfully be performed in 11 patients. In six cases, the aorta was used as all access and in five patients, the iliac arteries were preferred. In one of these cases, the right iliac artery, was used for deployment of the endograft. After successful aorto- or ileo-femoral bypass grafting, all patients had an improvement of their ankle brachial index postoperatively. The mean operative time was almost four hours, including laparoscopy, laparoscopic anastomosis, endograft deployment, and femoral artery anastomosis or profundaplasty.Conclusion: Totally laparoscopic assisted graft implantation in aorta or iliac arteries provides a safe and effective access for the endovascular delivery system. However, further evaluation and long follow-up are necessary to ensure the potential advantages of this technique. It is a less invasive option to overcome access-related problems with thoracic endograft deployment, giving the patient the advantage of a totally minimal invasive procedure. (J Vasc Surg 2010;51:504-8.)

Cultivo de algas marinhas como desenvolvimento de comunidades costeiras

In northeastern Brazil, the extraction of agar has increased considerably in recent decades mainly using macroalgae of the genus Gracilaria. The pressure of the harvest of seaweed of this genus has compromised the sustainability of this natural resource. Given the current framework of decline in production of algae in the state of Rio Grande do Norte, it is necessary the deployment of crops that will assist in the development of coastal areas. This research aimed to develop studies on growth, productivity, efficiency and quality of agar of G. birdiae so as to provide subsidies for crops on commercial scale. The study was carried out in dry and rainy periods using rafts of cultivation. Algal biomass and the physical and chemical parameters of water were measured every fifteen days. In laboratory, the resistance and quality of agar were analyzed. The relative growth rate (TCR) was determined by the formula: RGR = ln (final weight / weight initial). 100 / interval time of sampling. During the study, environmental factors as salinity and temperature remained relatively constant (around 35 PSU and 28°C, respectively). The mean values of biomass ranged around 1952.67 ± 576g in the rainy period and 1925.67 ± 450g in the dry period, and they presented no significant variations. The maximum value of growth (TCR) was recorded in the dry season (7.45%.day-1), with an average over the study of 4.35%.day-1. The yield of agar ranged from 22% to 15%, and its resistance ranged from 850 to 650g. cm². The average obtained for the two periods was approximately 750 g cm². These results demonstrate the great potential of Gracilaria birdiae for mariculture can be used as an sustainable activity for coastal communities

Estudoda sismicidade na região de Sobral - CE em 2008

The town of Sobral is located at the northwest part of the Ceará State, 250 km away from its capital, Fortaleza. In January 2008, an intense seismic activity began near Sobral with one event with magnitude 4,2mb on May 21. Since the start of its seismic activity, all events were recorded by the SBBR station (located on EMBRAPA Caprinos Farm), which operates in the region since August 2007. After this event, monitoring the seismic activity was carried out with the deployment of a local three component digital seismographic network, from June 5, 2008 until September 24. Initially, this network was composed of six seismographic stations. Later additional five stations were deployed until August 26 2008. This local network detected approximately 2,800 earthquakes. In this study we analyzed 581 earthquakes recorded by at least three stations for hypocentral and focal mechanism determination, and to contribute to a better explanation of the seismicity which in this region. To determine the hypocenters, we used a half-space model, with vP = 6,00 km/s and vP/vS = 1,71. From the hypocentral determination, it was revealed an active seismic zone with depth ranging between 1 and 8 km, 6 km long in E - W direction. The determination of fault planes and focal mechanism was obtained using the programs FPFIT and PLAN, which allowed comparison between their respective results in order to obtain more accurate results. A set of 24 earthquakes were selected to determine fault using PLAN planes and focal mechanisms using FPFIT. With the aid of detailed map of hypocenters this set, it was possible to identify three structures. Therefore, the set of 24 earthquakes were divided into three subsets. The type of mechanism was predominantly strike-slip with a dextral direction. Although the region has two tectonic structures near the site of the study area: the Café- Ipueiras Fault (normal fault) and the Sobral-Pedro II Lineament (dextral strike-slip fault) it was not possible to correlate the seismicity founded with those structures

O circuito espacial da produção petrolífera no rio Grande do Norte

Our study refers to the state of Rio Grande do Norte against the deployment of oil activity in their territory. In this sense the aim of this work was to analyze the presence of the loop space of the oil production system linked to objects and actions on the Rio Grande do Norte territory. From the so-called "oil shock", an event that caused global developments in several countries, Petróleo Brasileiro S/A (PETROBRAS) increased investments in drilling geological basins in Brazil. In the year 1973 was drilled in the sea area well which led to commercial production of oil and gas in Rio Grande do Norte. From that point on were added in some parts of the Potiguar territory, large systems of coupled objects to actions caused by several agents. In this context, geographic situations have been reorganized due to an unprecedented space circuit production accompanied by a new circle of cooperation. In the state happen all instances of the circuit: the production, distribution and consumption. In light of the theory of the geographical area seek to direct our thoughts to the operation of these bodies, and they are linked to material and immaterial flows multiscales. This perspective allows us to think the territory of Rio Grande do Norte entered into a new territorial division of labor characterized by specialization regional production. Oil activity was implemented in the territory of Rio Grande do Norte at a time marked by productive restructuring of various economic sectors. The oil sector has been acting increasingly linked the scientific and informational, with a view to increasing productivity. The presence of this circuit demanded the territory, specifically the Mossoró, an organizational structure that is different from the vast system nationally integrated private commercial corporations to small corporations, all of them relating directly or indirectly to PETROBRAS. The flows between companies whose headquarters are located in distant states and even countries have generated a continuous movement of goods, people, information and ideas, which is also causing new materialities in the territory

Artificial neural networks: A novel approach to analysing the nutritional ecology of a blowfly species, Chrysomya megacephala

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

Adequação do teste de condutividade elétrica para sementes de Pisum sativum subsp. Arvense

A qualidade da semente na produção agrícola é um dos principais fatores a ser considerado na implantação da cultura, de forma que se torna importante a obtenção de informações sobre a germinação e o vigor das sementes, além da necessidade de avaliá-los. Dentro desse contexto, este trabalho teve como objetivo adequar a metodologia do teste de condutividade elétrica para a avaliação da qualidade fisiológica de sementes de Pisum sativum subsp. arvense. Para tanto, foram utilizados dez lotes de sementes da cultivar IAPAR 83, empregando-se períodos de condicionamento de 8, 16, 20, 24 e 28 horas, combinados às temperaturas de 20 e 25°C e volumes de 75 e 250mL de água. Além destes, foram conduzidos os testes de germinação, primeira contagem de germinação e emergência de plântulas. Para ambas as avaliações, foram utilizadas quatro repetições de 50 sementes. Os testes de vigor, assim como o teste de germinação foram sensíveis para avaliar a qualidade das sementes dos diferentes lotes estudados, porém houve variações na ordenação deles quanto ao vigor. O volume de água, o tempo e a temperatura de embebição influenciaram os valores de condutividade elétrica. Concluiu-se que o teste de condutividade elétrica utilizando 250mL de água, na temperatura de 25°C por 24 horas é promissor para a diferenciação de lotes de sementes de P. sativum subsp. arvense.

Damages occurrence and determination of dasineura Sp. (Díptera: Cecidomyiidae) in the pepper cultivars (Capsicum annuum L.) in piracicaba Sp.

The purpose of this study was to evaluate the damage potential of Dasineura sp. (Diptera: Cecidomyiidae) in the pepper cultivars and show its occurrence in Piracicaba, SP. This experiment was carried out from July to November 1998. The occurrence and damages pest in the fruits were determined by weekly evaluations of pepper hybrids, 'Magali R.' larvals were collected from floral buttons and adults were collected from the incubation of buttons in humidity chamber. Healthy and infested fruits were evaluated for damages caused by pest insects. The results indicated that the damages can reach 100% in some periods of evaluation and that the production losses are significantly high with no application of insecticides. The taxonomy study was performed at National Museum of Federal University of Rio de Janeiro (UFRJ). The insect species classification will be the object of study since there is a possibility of observing a specie not described yet.

Citologia do lavado broncoalveolar de eqüinos da polícia militar do distrito federal

The objective of this study was evaluate the airways' cells types from horses of the military police of Federal District. It was used 24 horses, divided into 2 groups of 12: group I - animals in policy activity and group II - animals out of policy activity. At the inspection, physical exam and blood exam, the results agreed with no present clinical pathologies. It was infused 240mL of saline solution in the bronchoalveolar wash. In the bronchoalveolar wash, the group I registered 25.25±7.3 squamous cells, 20.2±5.5 epithelial cells, 22.2±6.23 macrophages and 2.02±5.77 erythrocytes, and in the group II, it was observed 31.0±9.47 squamous cells, 19.0±5.20 epithelial cells, 43.0±13.88 macrophages, 4.0±1.52 eosinophile and 3.0±1.0 erythrocytes. Verifying the occurrence of side effects after the experiment, there was no problem from the used technique.

Self-optimization of dense wireless sensor networks based on simulated annealing

Wireless sensor network (WSN) Is a technology that can be used to monitor and actuate on environments in a non-intrusive way. The main difference from WSN and traditional sensor networks is the low dependability of WSN nodes. In this way, WSN solutions are based on a huge number of cheap tiny nodes that can present faults in hardware, software and wireless communication. The deployment of hundreds of nodes can overcome the low dependability of individual nodes, however this strategy introduces a lot of challenges regarding network management, real-time requirements and self-optimization. In this paper we present a simulated annealing approach that self-optimize large scale WSN. Simulation results indicate that our approach can achieve self-optimization characteristics in a dynamic WSN. © 2012 IEEE.

Rational use of residential digesters for sewage treatment with Carbon Credits

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Development of national statistical systems and the responsibilities of national statistical offices

Includes bibliography