Divergências entre histórico da consulta e diagnóstico médico de agressões físicas registradas nos prontuários de uma unidade de urgência e emergência

There can be several indicators of violence in society. However, in no other health unit such violence acquires visibility as in emergency. This study aimed to examine whether there is divergence between the history of medical consultation and diagnosis of physical aggressions in the emergency unit. A cross-sectional study was conducted in an emergency unit in the city of Araçatuba, state of São Paulo, Brazil, based on medical records, considering data on patients, lesions, history, diagnosis and treatment. Out of 133,537 visits, only 153 were recorded as physical aggressions, and 161 informed violence in the history of the consultation; 59.6% were male, 60.6% were between 20 and 44 years old. Excoriations, pain and injury predominated. There were no associations between state violence in the diagnosis and the characteristics of patients and visits (schedule, routing, gender, age). The conclusion is that in most cases violence reported in the history of the consultation was not mentioned in the diagnosis of injuries. The characteristics of care and patients were not related to the fact that professionals diagnosed the case as violence.

Adolescentes em semiliberdade: consumo de álcool e outras drogas e atendimento em uma unidade do interior do estado de São Paulo

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Percepção de mães sobre vínculo e separação de seus bebês em uma unidade prisional feminina na cidade de São Paulo-SP

Pós-graduação em Psicologia do Desenvolvimento e Aprendizagem - FC

Desenvolvimento e aplicação da instrumentação virtual na unidade móvel de ensaios na barra de tração - UMEB

Pós-graduação em Agronomia (Energia na Agricultura) - FCA

Escolhas de letras nas primeiras escritas infantis: função e unidade no discurso

The article deals, initially, from a theoretical point of view, the concept of function in the perspective of Vygotsky (2001), and functional equivalence from the point of view of Smith (1989) and articulates them with the letter funcion in the construction of words in discursive statements. Taking as reference these concepts, it was analysed writings of a student in early literacy at a school in a countryside city in the state of São Paulo, in a situation of writing letters of personal correspondence, whose data were collected in 2009 in order to determine which letters are chosen by the student and why they are chosen to record the speech. The concept of function in Vygotsky and the functional equivalence of Smith (1989) used for the analysis of corpus, revealed that the student’s decisions are characterized by diversity sources and criteria, and rely mainly on the basis that a letter can have the constitution of the word, in the process of enunciation, regardless of their phonetic correspondence. The letter, used as a basis, would lose its status as strictly technical element to achieve the status of a unit of sense since is a constituent part of discourse.

Avaliação quantitativa do uso dos recursos hídricos em unidade de conservação e entorno: estudo de caso do Parque Estadual da Serra do Mar

Pós-graduação em Engenharia Civil e Ambiental - FEB

Unidade da Pinacoteca de São Paulo de Botucatu

O antigo edifício do Fórum e Cadeia, de autoria do arquiteto Ramos de Azevedo, aparece no cenário do município de Botucatu como um importante elemento do imaginário social urbano e de forte valor arquitetônico e histórico. É possível perceber a presença de marcos e lugares que revelam uma leitura da arquitetura no centro histórico da cidade, inspirada no Ecletismo, e que compõem um conjunto de edifícios de interesse cultural neste espaço urbano. Este trabalho elabora uma análise detalhada da paisagem antiga e atual e quais são os registros histórico/culturais materializados no contexto urbano central de Botucatu e propõe adequar o edifício às novas funções urbanas contemporâneas, com o propósito de preservar o antigo Fórum de Botucatu e recuperar esta herança para cidade e seu valor patrimonial

Gerenciamento dos resíduos de serviços de saúde da Unidade de Terapia Intensiva do Pronto Socorro do Hospital das Clínicas da Faculdade de Medicina de Botucatu – UNESP

Health care waste (HCW) is the type of waste that results from activities performed in health care services during care provision to humans or animals. Presently, according to RDC 306/04, issued in 2004 by Anvisa, and Resolution no. 358/05, by CONAMA, waste groups have the following classification: Group A (biological waste), Group B (chemical waste), Group C (waste containing radionucleotides), Group D (common waste) and Group E (piercing and cutting waste). In Brazil, 149 tons of wastes are collected every day, and HCW corresponds to approximately 1% to 3 % of that total. An efficient way to adequately manage HCW is through the Health Care Waste Management Plan (HCWMP), and it is possible to reduce the risk posed by certain materials in addition to ensuring disposal in an ecologically correct and economical fashion. According to the Pan-American Health Organization (PAHO), the management process enables health care establishments to adequately manage waste. Hence, there is greater control and reduction in the health risks caused by infectious or special waste, in addition to facilitated recycling, treatment, storage, transport and final disposal of solid hospital waste in an environmentally safe fashion. To evaluate the management of HCW of Groups A and D from the Intensive Care Unit of the University Emergency Hospital - FMB - UNESP in the city of Botucatu according to the guidelines presently in force. The waste flow was followed up, and during four random days in the month of September 2011, waste was quantified by estimating daily and monthly values, according to its classification. : In 2011, the University hospital has produced an average of 57,676.8 kg/month of biological and common waste. By adding Groups A and D, during the four days, approximately 209.8 Kg of waste (202.2 Kg of Group A and 7.6 Kg of Group D) were produced in the establishment under study, which... (Complete abstract click electronic access below)

Unidade Móvel de Orientação de AVD

Este trabalho apresenta um equipamento móvel, destinado ao uso de pessoas com deficiência e seus cuidadores, denominado Unidade Móvel de Orientação de AVD. Esta Unidade consiste em levar orientações às famílias, relacionadas às práticas diárias das pessoas com deficiência, abordando as modalidades de higiene pessoal, vestuário, alimentação e locomoção. Por intermédio da correta prática nas atividades básicas diárias, particular de cada um, espera-se promover a maior autonomia das pessoas com deficiência, a fim de torná-las mais independentes e melhorar sua autoestima. Com a autonomia adquirida conjuntamente à autoestima, o indivíduo se torna apto a enfrentar maiores barreiras que anteriormente não conseguia. São apresentados as configurações técnicas da Unidade que permitem seu adequado uso, bem como sua locomoção, já que é destinada a atender diferentes áreas

Eventos adversos em terapia medicamentosa em Unidade de Terapia Intensiva - UTI

Due to the complexity and instability of clinical conditions of ICU patients, the drug therapy applied in this type of environment requires a combination of several prescribed drugs, which is a favorable condition for drug interaction, toxic synergism and possible iatrogenia. In the possible universe of ICU occurrences, this study aimed at identifying and evaluating the incidence of adverse events in drug therapy at the Intensive Care Therapy Service (SETI) in wards I and II. It is a cross-sectional, descriptive, prospective and quantitative study conducted from August to September, 2011 in the Intensive Care Service of the Botucatu School of Medicine University Hospital - UNESP. The population consisted of fifteen clinical nurses, including those in the Improvement and Volunteer Internship Programs, who contributed to the investigation after signing an informed consent form and according to approval by the Research Ethics Committee number 10711/CE - FMB. The data were entered on a form and analyzed. Results showed that, on average, 8.9% of events/day occurred, and the highest frequency was observed on August 04, 2011. 63% and 22% were respectively observed in the morning and afternoon shifts, and 15% in the night shift. 48% of these were due to administration time errors, followed by drug prescription and dispensation errors, with percentages of 22% and 18%, respectively. Antibiotics showed the highest frequency of adverse events - 18%, which was followed by 13% for anticoagulant, 11% for antiemetic and 10% for antiulcerative drugs. As regards the occurrence of adverse events related to hospitalization time, the highest frequency occurred in patients who were hospitalized for 10 days. Concerning the ratio between reported events and the number of items in the prescription, the highest frequency of events was related to prescriptions with 20 items... (Complete abstract click electronic access below)

Análise do Programa Município VerdeAzul na Unidade de Gerenciamento de Recursos Hidricos do Pontal do Paranapanema

The increasing degradation of the environment and the depletion of natural resources, caused by indiscriminate production practices, by current and unlimited human needs and also misconceptions that natural resources are inexhaustible, make current and future environment situation, a constant concern of national and world leaders. With the purpose to confront these issues and to qualify the cities on the environmental situation in the state of São Paulo, the Department of the Environment created, in 2007, the Program “Município VerdeAzul. This paper aims to the study this program of Unit Water Resources Management Pontal Paranapanema through specific analysis of data representing the efficiency of the program directives and a comparative study between two cities unit with discrepant scores and a survey of the possible causes of obtaining low scores for municipalities participating in the project. For such a method was used that consisted of a bibliographical survey related to the main environmental liabilities Brazilians... (Complete abstract click electronic access below)

Opinião de familiares sobre a internação de crianças em uma Unidade de Terapia Intensiva Pediátrica

A Pediatric Intensive care Unit (PICU) is an environment where care is provided to seriously ill children. Hospitalization is regarded as an unpleasant experience that requires adaptation and routine change. To assess the opinion of relatives of children hospitalized at a PICU concerning tie breakage and/or separation between children and their families. It is a descriptive, cross-sectional, quantitative study. A structured interview was conducted with the families of hospitalized children from July to September, 2010. The data were statistically analyzed. RESULTS: Twenty relatives were interviewed, 80% of whom believed that children’s behavior changes when they are present in the unit, and 85% considered the visitation time established to be sufficient. All the respondents reported to be satisfied about the care provided. The feelings prevailing in 50% of the relatives were fear and hope. Change in the family’s union after hospitalization occurred in 85% of the families. The most fearful aspect concerning the ICU is the equipment (25%), and the most worrisome, as regards personal life, is the separation from other children (65%). Health care professionals must pay more attention to relatives by including them in their health care plan so that the health care team and the family, who are essential in children’s recovery, can interact in a congenial fashion. It is also necessary to improve the knowledge related to that subject so that the health care team and families can work together towards children’s recovery

Recursos humanos e materiais na assistência de enfermagem a pacientes de uma unidade de tratamento de queimaduras

The burn is among the leading causes of morbidity and mortality in our society. It shows a great complexity and is hard to treat. Beyond the physical suffering, the burned patient is affected by psychological distress, requiring a high level of knowledge for assistance planning. The Professional Practice Law No. 7498 establishes the nurse as in charge of the client, as leader of the nursing team and as responsable for the management of physical and human resources. The nurse has autonomy to design the quantitative and qualitative picture of the nursing staff and should use the methodologies for their suitability to the real levels of assistance needed. Material resources represent 15 to 25% of total expenditures at health organizations. Therefore, to maintain the care level, nurses must determine the needs, considering the quantitative, qualitative and financial aspects. The study aimed the survey of the human and material resources necessary for nursing care to patients in a Burns Treatment Unit and identify its epidemiological profile and its nursing diagnoses. We collected the data from medical records of hospitalized between July and August, and the nursing diagnoses were classified through the Taxonomy II proposed by the North American Nursing Diagnosis Association (NANDA). The design of the picture of nurses followed the parameters of COFEN Resolution nº 293/2004. We apply the Fugulin's Patients Classification System to establish levels of the required care. The institution's Cost Center provided a spreadsheet with the purchased items, subsequently classified into ABC. Most hospitalized patients were men, aged between 20 and 50. There was a predominance of patiences with minor burned and the most common type of burn was due to fire. The average residence time was 28.71 days, and 88% of the patients were discharged... (Complete abstract click electronic access below)

Estudo sobre eficiência energética em uma unidade industrial

This work contemplates an opportunities study of the rational use of energy in an industrial unity from the demand analysis and electrical energy consumption. Through a guide of energy analysis it was described how to find the main problems that create energy wastes in an industry, showing the ways so the production processes avoid such wastes and start to use energy in a more sensible e efficient way. It was also studied, the technical e economical viability of possible interventions to be implemented in terms of energy conservation and of possible demand supply alternatives

Análise da viabilidade de motorização elétrica do soprador no ciclo regenerativo da unidade de craqueamento catalítico fluidizado em uma refinaria

One of the biggest environmental problems of today is the climate change. Experts affirm that this global warming is related to the greenhouse effect. Its causes are directly related to human activity, especially the use of fossil fuels. In this context, companies around the world are challenged to improve energy efficiency in order to reduce the environmental impact and work toward the so-called tripod of sustainable development that focuses on the social, economic and environmental aspects of a business strategy. The first step a company can make in this regard is to conduct an inventory of emissions of greenhouse gases (GHGs). The reduction of GHG emissions in a refinery can be achieved by replacing steam turbines with electric motors to drive big machines, this reduction is achieved by relieving the steam consumption for electric power available or purchased. An important aspect associated with the reduction of GHG emissions is the best performance of the Energy Intensity Index (ERI). The objective of this study was to analyze the feasibility of the blower motorization in the regenerative cycle of a fluidized catalytic cracking unit at a specific refinery. For development work, two methods were used, the initial screening and optimization scenarios with the help of software Butyl. The results indicate that after a certain cost of natural gas this substitution becomes favorable. In addition, there is a large reduction of CO2 emissions avoided by burning fuel