Os reflexos de Bolonha e a América Latina: problemas e desafios

O artigo descreve o Processo de Bolonha, apresenta um histórico de sua evolução e analisa os progressos e dificuldades em sua implementação. Menção detalhada é feita sobre objeções apresentadas ao processo em si e à sua aplicação sem crítica, em outras regiões do mundo. As reformas provocadas por Bolonha envolvem desde os regimes jurídicos das instituições e da carreira docente até o financiamento público e um novo sistema de acreditação. Os autores notam ser grande, na Europa, a apatia entre os professores e protestos estudantis são vigorosos, mas limitados a aspectos de natureza corporativa. Destacam o conceito de competências e o fato de este se concentrar nos aspectos laborais com vistas à inserção no mercado atual, sem dar a atenção necessária à formação para a cidadania. A concepção de educação como bem público é abandonada em favor da mercantilização. Concluem recordando que, na América Latina, há, desde a Reforma de Córdoba, uma ideia clara sobre a necessidade de se manter a qualidade e pertinência, esta necessariamente vinculada à busca da solução dos grandes problemas da sociedade.

Incidência de parada cardíaca e mortalidade pediátrica durante a anestesia em hospital universitário de atendimento terciário no período de 2005 a 2010

Pós-graduação em Cirurgia Veterinária - FCAV

Incidência de parada cardíaca e mortalidade em pacientes geriátricos durante a anestesia em hospital universitário de atendimento terciário no período de 15 anos

Pós-graduação em Anestesiologia - FMB

Cachaceiro e raparigueiro, desmantelado e largadão!: uma contribuição aos estudos sobre homens e masculinidades na região nordeste do Brasil

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A política antipobreza no governo Lula: uma análise do discurso

Pós-graduação em Estudos Linguísticos - IBILCE

Apontamentos sobre bibliotecas em escolas do campo no Estado do Paraná

This paper presents the partial results of an investigation about school libraries in countryside schools of the public educational system in the state of Parana. The work is based on reflections about the literature related to the theme and the analysis of this reality. It aims at characterizing the subjects of the countryside school, the physical space, materials and common practices at the school libraries. The work describes the influence of the aspects aforementioned on the existence, planning and development of activities, also describing their contribution to the formation process of school subjects. The investigation also performs a descriptive field research, employing direct observation and the application of a survey in 425 countryside schools, considering a total number of 2120 schools in the Parana school system. The survey obtained a return rate of 83% from representatives of public countryside schools in Parana. The results indicated that the schools need a project for reading and writing, in which the library would be engaged. The paper argues that state and the university should contribute to the formation of the professionals of the institution and that the school library should be open to the community, acting both as a service provider and a stimulator of writing and reading practices. The investigation concludes that it is necessary to 'occupy the libraries of the countryside schools', understanding them not only as a communication spot, but also as a place for knowledge production. Furthermore, the authors suggest the library materials should be produced locally and that the state should turn this practice into a public policy.

Intraoperative Cardiac Arrest and Mortality in Trauma Patients. A 14-Yr Survey from a Brazilian Tertiary Teaching Hospital

Background: Little information on the factors influencing intraoperative cardiac arrest and its outcomes in trauma patients is available. This survey evaluated the associated factors and outcomes of intraoperative cardiac arrest in trauma patients in a Brazilian teaching hospital between 1996 and 2009.Methods: Cardiac arrest during anesthesia in trauma patients was identified from an anesthesia database. The data collected included patient demographics, ASA physical status classification, anesthesia provider information, type of surgery, surgical areas and outcome. All intraoperative cardiac arrests and deaths in trauma patients were reviewed and grouped by associated factors and also analyzed as totally anesthesia-related, partially anesthesia-related, totally surgery-related or totally trauma patient condition-related.Findings: Fifty-one cardiac arrests and 42 deaths occurred during anesthesia in trauma patients. They were associated with male patients (P<0.001) and young adults (18-35 years) (P = 0.04) with ASA physical status IV or V (P<0.001) undergoing gastroenterological or multiclinical surgeries (P<0.001). Motor vehicle crashes and violence were the main causes of trauma (P<0.001). Uncontrolled hemorrhage or head injury were the most significant associated factors of intraoperative cardiac arrest and mortality (P<0.001). All cardiac arrests and deaths reported were totally related to trauma patient condition.Conclusions: Intraoperative cardiac arrest and mortality incidence was highest in male trauma patients at a younger age with poor clinical condition, mainly related to uncontrolled hemorrhage and head injury, resulted from motor vehicle accidents and violence.

Tornar-se pai na adolescência: vivências e representações

Pós-graduação em Saúde Coletiva - FMB

The mean corpuscular volume and hydroxyurea in brazilian patients with sickle cell anemia: a surrogate marker of compliance

The suppression of erythropoiesis by Hydroxyurea (HU) therapy is associated with increase in mean corpuscular volume, in addition to the increase in Hb F. Monitoring the mean corpuscular volume values and the presence of macrocytosis are effective tools of adherence to the treatment with HU in patients with sickle cell anemia. The aim of this study is to monitor the mean corpuscular volume values after starting treatment with HU to determine if macrocytosis can be used as a surrogate marker of compliance with therapy. We conducted a prospective cohort study over one year with measurements of blood counts and mean corpuscular volume after starting therapy with HU in 95 patients with sickle cell anemia who were regularly followed in our ambulatory outpatient unit. In one-year of successful use of HU the mean value of the mean corpuscular volume increased significantly. The Andersen and Gill model demonstrated that the increase of one unit of MCV implies a 5% reduction in the risk of visiting the emergency room. Monitoring mean corpuscular volume values after prescribing HU alerts the provider of noncompliance in order to counsel the patient in question for better adherence to the use of HU that could improve the quality of care and to reduce morbidity and the frequency of acute pain crises and associated healthcare costs.

Análise da implementação do balanced scorecard em uma fornecedora de tecnologia da informação

Many companies have invested substantial resources in recent years in implementing the Balanced Scorecard, a strategic management tool that embraces not only financial perspectives, but also three other perspectives that create an overall and long-term vision of the company. The purpose of this article is to analyze, through interviews and action research, the implementation of the Balanced Scorecard in a provider of information technology and suitability for the company area Alliances and Channels, identifying determinants factors that exist in the literature and contributing to a greater understanding around this strategic management tool. The study shows that the implementation of the company was not successful, but the area of Alliances and Channels suit tool in order to find good results and two new determinants, other than those existing in the literature, were found

O engavetamento de modelos de ensino superior dentro da universidade pública

This paper explores the contradictions between models conflicting today in Brazilian universities. The conglomeration of isolated institutions, integrated and multifunctional university and university-enterprise, service provider. This last model attempts to integrate higher education institutions to supply chains dominated by capital. Public universities were designed to provide innovative services and train staff researchers for such activity. The training of skilled workforce would be fundamentally task of private universities. But in any case, the onus would be on this training students. This model has been driven from the 1990s, with "instruction manuals" of the World Bank, and in 2000, with the IMF recommendations and, in the case of Latin American universities, Fundación Universia, sponsored by the Santander Bank. The question remains: the university will be able to organize the productive forces which have around research goals and staff training for independent development.

Muito além dos muros

The art of dealing with the similar goes beyond simply contact a service provider to the recipient of the service , after the mouth is only part of the individual. The design PET - Saúde provides the academic experience of exploring the world beyond the walls of the college, which is simply phenomenal. This is the best way to form the dental professional with a humanist , critical and reflective view . Providing students the opportunity to encounter the reality of payphones and develop the general skills of the dentist , as communication with other professionals , experiencing multiprofessionality and transdisciplinarity , important in health promotion . During visits to municipalities were executed activities of health care with prevention and rehabilitation . Even against a background of lack of resources , lack of certain materials , common clinical presentation not prevented the carrying out of procedures and care . This experience is essential because it helps in decision making and establishment of costeffectiveness in their professional careers , based not only on scientific evidence , but also the needs of a given population . Therefore , the experience of participating in the PET allows the complete formation of the academic , also marked the Humanities and Social Sciences . Therefore, going beyond the walls of the college provides a comprehensive and humane view of the patient , which is no longer restricted to just one sick " part " , because it may have its context understood and integrated into the vision of each petiano .

Desenvolvimento de uma aplicação para suporte ao t-learning

Pós-graduação em Televisão Digital: Informação e Conhecimento - FAAC

Longer immediate recovery time after anesthesia increases risk of respiratory complications after laparotomy for bariatric surgery: a randomized clinical trial and a cohort study

We compared the effects of two anesthesia protocols in both immediate recovery time (IRT) and postoperative respiratory complications (PRCs) after laparotomy for bariatric surgery, and we determined the association between the longer IRT and the increase of PRC incidence. We conducted the study in two stages: (i) in a randomized controlled trial (RCT), patients received either intervention (sevoflurane-remifentanil-rocuronium-ropivacaine) or control protocol (isoflurane-sufentanil-atracurium-levobupivacaine). All patients received general anesthesia plus continuous epidural anesthesia and analgesia. Treatment was masked for all, except the provider anesthesiologist. We defined IRT as time since anesthetics discontinuation until tracheal extubation. Primary outcomes were IRT and PRCs incidence within 15 days after surgery. We also analyzed post-anesthesia care unit (PACU) and hospital length of stays; (ii) after the end of the RCT, we used the available data in an extension cohort study to investigate IRT > 20 min as exposure factor for PRCs. Control protocol (n = 152) resulted in longer IRT (30.4 ± 7.9 vs 18.2 ± 9.6 min; p < 0.0001), higher incidence of PRCs (6.58 vs 2.5 %; p = 0.048), and longer PACU and hospital stays than intervention protocol (n = 200); PRC relative risk (RR) = 2.6. Patients with IRT > 20 min (n = 190) presented higher incidence of PRCs (7.37 vs 0.62 %; p < 0.0001); RR = 12.06. Intervention protocol, with short-acting anesthetics, was more beneficial and safe compared to control protocol, with long-acting drugs, regarding the reduction of IRT, PRCs, and PACU and hospital stays for laparotomy in bariatric patients. We identified a 4.5-fold increase in the relative risk of PRCs when morbid obese patients are exposed to an IRT > 20 min.

As demandas do corpo: os saberes e os fazeres dos professores das academias

Many professionals of Physical Education are included in the academies environment, very important space for dissemination of physical activity and increasingly attended by the population, due to the practicality of offering various activities in one location. This feature is essential in today's world, as people have less and less time to devote to body care. In pursuit of various goals, such as weight loss, lean mass gain (hypertrophy), aesthetics, health and leisure, attendees expect to reach them through the work of physical education professional. It is expected that this be prepared to meet the most varied demands and goals, so that students are satisfied with the service and obtain the desired results. The academy works as a means, a provider of space that provides tools for the teacher meet the needs of students; now this student has the role of establishing goals and engage in the search results. This study aimed to increase knowledge of the resources provided by the professionals of the academies in service to their customers