Construção de um aplicativo com o Nursing Activities Score: instrumento para gerenciamento da assistência de enfermagem na UTI

Pós-graduação em Enfermagem (mestrado profissional) - FMB

A constitucionalidade da norma antielisiva no direito tributário brasileiro

Estudo que objetiva demonstrar a constitucionalidade da norma geral antielisiva introduzida no Direito Brasileiro com a alteração do artigo 116, parágrafo único, do Código Tributário Nacional, levando em consideração a atualidade e a interpretação que deve ser realizada em um contexto que necessita observar a Constituição Federal de 1988, com as diversas previsões de direitos sociais. A norma traz à tona a questão do individual frente ao social, da liberdade frente à igualdade, a busca da verdade material sem violação de direitos. Faz-se abordagem do intérprete e a interpretação das normas e princípios, a necessidade da aplicação do princípio da proporcionalidade, com a busca da verdade material e da justiça fiscal sem violação de direitos e garantias fundamentais da pessoa, em especial do contribuinte. Apresentação necessária para desmistificar argumentos positivistas que propositadamente esquecem os fundamentos constitucionais previstos nos artigos 1° e 3° da Constituição Federal de 1988. Paradigmas e preconceitos foram afastados para reconhecer o sentido da norma antielisiva no direito brasileiro. A demonstração da diferença de elisão e evasão fiscal tornou-se indispensável para posteriormente afastar as pedras do caminho, que eram as alegações de inconstitucionalidade da norma antielisão no Brasil, por possível afronta à legalidade e à liberdade. Argumentos foram utilizados com base na Constituição Federal e com o auxílio nas previsões do Novo Código Civil brasileiro. Após a demonstração da constitucionalidade partiu-se para firmar, dentro do contexto, qual o conteúdo do artigo 116, parágrafo único, do CTN, apresentando, ao final, sugestão de procedimentos a serem seguidos para a aplicação da antielisão no Direito brasileiro. Foi realizada pesquisa doutrinária com incursões em leis e na jurisprudência. Propositadamente não foi realizada comparação com legislação estrangeira, fixando como âmbito de estudo, exclusivamente, a aplicação da norma no Brasil.

Validação do questionário Baecke modificado para idosos e proposta de valores normativos

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Anticoagulant treatment for subsegmental pulmonary embolism

BackgroundAcute pulmonary embolism (PE) is a common cause of death, accounting for 50,000 to 200,000 deaths annually. It is the third most common cause of mortality among the cardiovascular diseases, after coronary artery disease and stroke.The advent of multi-detector computed tomographic pulmonary angiography (CTPA) has allowed better assessment of PE regarding visualisation of the peripheral pulmonary arteries, increasing its rate of diagnosis. More cases of peripheral PEs, such as isolated subsegmental PE (SSPE) and incidental PE, have thereby been identified. These two conditions are usually found in patients with few or none of the classic PE symptoms such as haemoptysis or pleuritic pain, acute dyspnoea or circulatory collapse. However, in patients with reduced cardio-pulmonary (C/P) reserve the classic PE symptoms can be found with isolated SSPEs. Incidental SSPE is found casually in asymptomatic patients, usually by diagnostic imaging performed for other reasons (for example routine CT for cancer staging in oncologic patients).Traditionally, all PEs are anticoagulated in a similar manner independent of the location, number and size of the thrombi. It has been suggested that many patients with SSPE may be treated without benefit, increasing adverse events by possible unnecessary use of anticoagulants.Patients with isolated SSPE or incidental PE may have a more benign clinical presentation compared with those with proximal PEs. However, the clinical significance in patients and their prognosis have to be studied to evaluate whether anticoagulation therapy is required.ObjectivesTo assess the effectiveness and safety of anticoagulation therapy versus no intervention in patients with isolated subsegmental pulmonary embolism (SSPE) or incidental SSPE.Search methodsThe Cochrane Peripheral Vascular Diseases Group Trials Search Co-ordinator searched the Specialised Register (last searched October 2013) and CENTRAL (2013, Issue 9). MEDLINE, EMBASE, LILACS and clinical trials databases were also searched (October 2013).Selection criteriaRandomised controlled trials of anticoagulation therapy versus no intervention in patients with SSPE or incidental SSPE.Data collection and analysisTwo review authors inspected all citations to ensure reliable selection. We planned for two review authors to independently extract data and to assess the methodological quality of identified trials using the criteria recommended in the Cochrane Handbook for Systematic Reviews of Interventions.Main resultsNo studies were identified that met the inclusion criteria.Authors' conclusionsThere is no randomised controlled trial evidence for the effectiveness and safety of anticoagulation therapy versus no intervention in patients with isolated subsegmental pulmonary embolism (SSPE) or incidental SSPE, and therefore we can not draw any conclusions. Well-conducted research is required before informed practice decisions can be made.

A observação da estrutura textual de livros e sua contribuição para a catalogação de assuntos em bibliotecas universitárias da UNESP

The indexing is a kind of description whose aim is to establish concepts expressed in a document and representing them according to a documentary language. There are elements that can contribute to a more complete selection of terms that will represent the document, like the observation of its textual structure and the context where the indexing professional acts. The analysis of the book textual structure can be carried out in a way that facilitates the indexing, as the professional can foresee the parts of the text where he localizes and identifies the more representative terms of the textual content. In such a way, it is intended to comprehend and inquire, with the applying of Verbal Protocol, the use that São Paulo libraries indexers do from the textual structure during the determination of subjects in such a way as to obtain the disclosure of their procedures, difficulties and restrictions through the externalization of thoughts during the recording of the indexing task. From the data analysis, it was possible to find out that the right hand page, the back of the title page, the chapters and other parts of the book s structure provided the greater number of terms, becoming the most important ones for the indexing task.

A mediação da informação aliada ao uso das tecnologias da informação e comunicação em uma biblioteca escolar

Introduction: This paper presents preliminary results of the research project "Information access: actions and strategies of the Chamber of Deputies to meet 12.527/2011 Law”. Finally some considerations about the implementation of the Law within the Chamber of Deputies are presented. Objectives: Discuss the matter of public information access after the new Brazilian information access law and his relationship between the theories information policy, information regime and informational state. Methodology: Bibliographic research about several theoretical topics related to information access were raised, for example: the concept of information, information policy, informational state, information regime, electronic government and information asymmetry. Results: The preliminaries data shows a convergence of information policies from many countries, for example, Finland, Canada and South Africa, to a same point, which indicates an increase of transparency and a bigger active disclosure of information public. Conclusion: In Brazilian case, in the relationship between State and citizen, the new information access law means a materialization paradigm change or the concretization de other information regime. The sanction of this law can be interpreted as another step to increase the transparency and the affirmation of democratic relationship between State and society.

Sintomas e condutas vocais na perspectiva de educadores atuantes no ensino fundamental

The objective of the present study was to identify previous and current vocal symptoms and to verify the behaviors ahead of the symptoms. Moreover, the gotten relations between the professional profile and data had been searched. 78 teachers had participated of the research, being two men and 76 women. Questionnaire was applied. In this questionnaire was elaborated on the basis of previous research and it contained questions on vocal health. The results to indicate that were evidenced one high (48%) frequency of the teachers had makes intense use of the voice at least has ten years. This study it allowed to conclude that it is necessary to modify the focus of interventions directed toward these professionals therefore has some factors in the work routine that intervene with its general and vocal health. Therefore interventions in the individual field are only insufficient to decide the problem.

Disseminação da informação em empresas de capital aberto e os processos de mediação da informação

Corporate governance can be understood as management mechanisms that through external and internal controls are going to reduce the distance between minority stakeholders and the control power of the company. In that context, the information management, the information mediation and the information dissemination is very necessary, because the establishment of the good communication, quick, clear and voluntary, in order to establish a confidence climate in the relation of the company with the society, creditors, and collaborators especially with investors. In Brazil, the model created by the stock exchange of São Paulo called of new market , brings in his additional conduct rules purpose to them required by the Brazilian legislation and possessed like base the equity in the handling between part, the transparency in the disclosure of information and responsibility in the installment count. This article presents some considerations about the model of information management and accountability based on legal criteria, in additional standards of information disclosure, and the information mediation process relationship the corporate governança in the business environment.

Variabilidade da frequência cardíaca como recurso em fisioterapia: análise de periódicos nacionais

INTRODUCTION: The autonomic nervous system (ANS) could be investigated in a noninvasive way by the heart rate variability analysis (HRV) which has contributed to several health areas such as physiotherapy. OBJECTIVE: To gather information regarding the use of HRV on physiotherapy aims at providing an update of the findings for the area on journals of national circulation. MATERIALS AND METHODS: The journals of national circulation classified as greater than B2 or B2 and with free access and complete texts in some internet sites were searched on 21 area WebQualis resulting on selection of Revista Brasileira de Fisioterapia, Fisioterapia e Pesquisa and Fisioterapia em Movimento using the keywords: autonomic nervous system, sympathetic nervous system, physiotherapy and heart rate variability. RESULTS: The search resulted in 19 articles being 17 clinical trials and two case reports. CONCLUSION: The HRV has been used as a resource of interventions evaluation, as pathological conditions common to clinical practice investigation and to physiological conditions interpretation in physiotherapy. The HRV is principally used to the cardiorespiratory specialty of physiotherapy.

Comparação da aptidão física em idosos submetidos a diferentes intervenções de exercício físico

Introduction: The elderly population has increased, and the aging process is responsible for physical and metabolic changes in the body. For the elderly remain independent, with a better quality of life, preventing and treating diseases responsible for this increased of mortality should remain physically active. Objective: To investigate the influence of two types of exercise intervention on physical fitness and physical activity levels in older practitioners of Rio Claro-SP. Method: The study included 18 older adults with mean age 65.8 years (± 2.88) divided into two groups, Program in Physical Exercises Health Unit (PEFUS, n = 9) and Adapted Volleyball (n = 9). Classes of PEFUS were held twice a week lasting 60 min with strength, aerobic endurance, agility, coordination and balance exercises. Classes of Volleyball Adapted were performed 2 times per week lasting 120 minutes, divided into volleyball fundamental exercises and game. For evaluation of physical skills (strength, agility, coordination and flexibility), was performed the AAHPERD test battery. All participants were assessed at the baseline and after 3 months of interventions. The statistical analysis used was the repeated measures ANOVA, through the SPSS version 17.0 and significance level p <0.05. Result: After the interventions there was an increase of leisure time from 362.2 ± 214.9 min / week and 16.7 ± 28.3 min / week to 541.7 ± 137.2 and 44.4 ± 44.8 min / week to Adapted Volleyball and PEFUS, respectively. The variable coordination showed significant improvements after the interventions, decreasing from 12.1 ± 0.7 to 10.8 ± 0.5 sec for Volleyball Adapted and from 14.8 ± 0.9 to 12.1 ± 0, 9 sec for PEFUS (p <0.05). For the variable strength it was observed a group-moment interaction (p <0.05). Conclusion: The interventions showed positive results... (Complete abstract click electronic access below)

Selo PROCEL edifica - edifícios comerciais, de serviços e públicos

This paper presents a study on the labeling Procel Build, an action plan for energy efficiency in buildings which aims to build the foundations necessary to rationalize energy consumption in buildings in Brazil (PROCEL, 2009a, p. 5), ie Procel builds aims to ensure the construction of the building that has a low energy expenditure, but still provide a comfortable environment. In this research, it is also shown how the labels are obtained, which may be general or partial. The reader will find further explanation of the three aspects of a building, and they Envelopment, Lighting system and Air Conditioning System Finally, we present the advantages and challenges of system builds procel, showing the need for greater investment and disclosure of elements that contribute to the implementation of sustainable buildings in Brazil

Desenvolvimento da malha urbana de Guaratinguetá e propostas de intervenção

The work consists of the historical city of Guaratinguetá, as well as data on their quality of life, economic development and population, transportation in Brazil and the transportation system of the city serving as a basis to support the development of the urban network. The urban fabric of the city was raised with plants of the city in different years, documents obtained by the Museum and Hall of Frei Galvão Guaratinguetá well to check the form of land use and growth drivers of the city over time. We studied also the main access roads to the city by focusing on an approach that has been the subject of a proposed urban intervention. A direct interview was performed and recorded with one of those responsible for planning the urban fabric of the city in order to gather information on the historical development, the future possibilities of interventions in the urban as well as problems encountered and other curiosities. Through the study it was observed that the urban grid Guaratinguetá developing a planned since 1970 and that the highlights of most cities in the Paraíba Valley. The work is grounded in concepts of sustainable city and also in quantitative and qualitative data from sectors responsible

Conhecimento dos profissionais de enfermagem sobre o Projeto Hospitais Sentinela em um hospital do interior paulista

This study aimed to assess knowledge of nursing professionals (nurses, technicians and nursing assistants) on the Project Sentinel Hospitals in a state hospital in the interior of and identify the occurrence of under-reporting of hospital products and the reasons that prevented the team to notify them. This is a study of a descriptive and exploratory, held in a public hospital in the interior of which serves only patients of the Unified Health System (SUS). The study sample consisted of 245 nurses. Data analysis revealed that the majority of nurses and nursing assistants refers knowledge about Project Sentinel Hospitals. In relation to the Practical nurses less than half know Hospitals Project Sentry. Knowledge of the four spheres of Hospitals Project Sentinel is higher among nurses. Among the practical nurses and nursing assistants prevailing knowledge in the area of Pharmacovigilance. The nurses have more knowledge about the process of notification and are major notifiers. Technicians and nursing assistants are those who have greater interest in learning content as a whole Hospitals Project Sentry. The nurses were the professionals who witnessed the most under-and under-reporting associated with the fear, lack of knowledge on the subject, insecurity and lack of time. It can be concluded that the study identified the knowledge of nurses on Project Sentinel Hospitals and the procedure for notification of technical defects and adverse events related to health products as well as identify the presence of under-reporting among professionals. In addition, the study shows the importance and need for greater disclosure of the activities developed by Project Sentinel Hospitals among nursing professionals through meetings, lectures, brochures, among other outlets

Exercício físico e funções cognitivas em pacientes com doença de Alzheimer: associação com BDNF e APOE

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

O pequi no noticiário: análise dos resultados de uma pesquisa na busca do site Folha de S. Paulo

Among the fruit species of the Brazilian Cerrado, the pequi is much popular in regions where it is extracted. Often it used in typical dishes, on the industry medicinal, cosmetic and handmade, also it studied its potential to produce fuel. Thus, this article sought to ponder about the disclosure of this fruit in the press, by means of the search system's site Folha de S. Paulo and applying content analysis, proposed by Bardin, beyond bibliography and documentary research. The justification for this research is that the pequi is a fruit of great importance in the economy and sustainable, yet little is spoken about it in the mainstream media. The result is that, by the analysis, little is said about the pequi media and its focus, is principally, cultural journalism, in culinary.