Humanização da assistência ao paciente crítico: revisão integrativa da literatura

This study aimed at analyzing the scientific production on health care humanization in intensive-care and emergency units based on publications in national journals. Therefore, this is an integrative review of the national literature. The online database Literatura Latino-Americana do Caribe em Ciências da Saúde - Literature in the Health Sciences in Latin America and the Caribbean (LILACS) based on the Health Virtual Library (BVS) platform was used to select articles. The final sample in this review consisted of 21 articles. The presentation of results and data discussion was descriptively performed and divided into three themes: communication with relatives and the team, caregiver humanization and, finally, the difficulties faced to implement humanization. As regards communication, it is seen by the authors as a fundamental strategy to ensure quality in intensive care, and it is placed as a central axis in the humanization policy. Concerning caregiver humanization, the physical and mental overload resulting from the work process in these units are factors that interfere with personal relations between team members as well as with that between team members and patients. Among the difficulties faced for implementing humanized care for critical patients are the units’s physical and organizational structures, technology and health care professionals’ education, which is centered on the biomedical model. It was concluded that communication is considered to be fundamental for humanization of the care provided to critical patients, since it allows for the development of a network of meanings between patients, the team, families and the establishment. In order to implement care with humanized actions in urgency and emergency sectors, particularly in ICUs, it is necessary to change organizational culture and value health care professionals

Controle de Qualidade em Raios X Odontológico Periapical

The purpose of this work is to provide quality control requirements and security in dental x-rays in order to obtain good quality image which allows the correct diagnosis, which reduces the dose to the patient, mainly due to the repetition of tests, and decreasing cost. The requirements apply to related activities to quality control and procedures using ionizing radiation for diagnostic imaging in dentistry by evaluating a minimum set of parameters to be tested or verified. Quality control follows the Ordinance No. 453 of the Ministry of Health of 06.01.1998, SS Resolution No. 625 of 12.14.1994 and Resolution No. 64 of the Health Surveillance Center – Department of Health of Sao Paulo and National Health Surveillance Agency – Ministry of Health of Brazil. This study was conducted in the city of Marilia, Sao Paulo, along with the Company P&R Consulting and Medical Physics, in a dental clinic of the University UNIMAR in the x-ray equipment used on that site. The physical parameters of the device were tested with the aid of ionization chambers to measure rates of radiation, electrometer to measure rates of time, kV and doses, radiographic films and positioning devices. Finally, this work demonstrates the need and importance of quality control, which one ensures the proper use of x-ray machines, maintaining efficiency and at the same time it reduces the risks to the patient, to the dentist and to the general public

Web Service para geração de VRS no contexto de posicionamento GPS

Internet is fully inserted in contemporary society, specially in relation to entertainment services and trading. Its reach has transposed the traditional desktop computer models coming to mobile devices like cell phones and GPS receivers. Likewise, the scientific community takes its benefits, both for publication of studies and for communication between clusters processing information, such as at LHC, located in Switzerland. Concerning geodetic positioning, researches in the area present the concept of Virtual Reference Stations - VRS, in which is necessary a communication way between the real reference stations and a central system as well as between central system and a service requester. In this work, we analyze the current solutions for generation of VRS with regard to data delivery for the service requester and present a solution based on Web Services as an alternative to the model being developed by Spatial Geodesy Study Group – GEGE/FCT/UNESP. Comparing solutions, it was verified the potential of Web Services to aid in researches of geodetic positioning using VRS. Using such technology, it is obtained interoperability, providing greater flexibility to develop client applications, both development carried out by researchers of the university or by any person or enterprise wishing to use the service

Participação da família no tratamento de paciente em diálise peritoneal

Dramatic changes occur in the lives of patients on peritoneal dialysis and his family life, changing lifestyle, professional and social activities. Considering the important role of family in treatment, is crucial for nurses to know how these families perceive their role as caregivers and their difficulties and needs, in the process of peritoneal dialysis. The approach chosen for the study was the phenomenological method, based on Merleau-Ponty, who proposes to understand the human experience, from the description of those who lived it. The study findings show that in the beginning of treatment, family members, feel impacted with the disease severity and eager to become responsible for maintenance treatment, fearing not match the expectations.Guided by staff, appear confident in taking care and deal with the difficulties and complications of treatment, supported by professionals. However, resent the great changes in their social activities and work, his life turns out to be quite limited, due to the dedication to a sick family member. Many feel overwhelmed because they are not supported by other family members. Some envision a future outlook for renal transplant, others seem skeptical, given the long waiting list, especially when advanced age of the sick family member. These results suggest the need for individualized attention to family caregivers, and to encourage the family to organize itself and develop a joint work. In this sense, the design of health care, taking care with the focus of the family, it seems highly appropriate in preparing the plan of family orientation, this is defined as a dynamic unity, which, working in harmony, can contribute positively in the treatment of health a sick member

Extensometria: estudo das microdeformações ao redor de três implantes de hexágono interno, com posicionamento linear, sob a influência da fundição de coifas plásticas e usinadas

The objective of this in vitro study was quantify the micro strain development around the internal hexagon implants, varying the type of prosthetic coping. For This reason, three implants of internal hexagon were inserted into one polyurethane block in line placement. Microunit abutments were screwed onto the implants. Tangentially the implants were bonded the strain gauges, two to the center implant. Ten structures, each one containing three copings were cast in Co-Cr alloy, that were divided into groups in the first group, plastic copings were used, and in the second group machined copings were used. The superstructure’s occlusal screws were tightened onto Microunit abutments with 10 Ncm torque, the magnitude of micro strain was recorded. The mean values of each strain gauge of each plastic copings were 363,37 ± 237,66 and the machined copings were 338,12 ± 223,01. The data were analyzed statistically by t- Student test. No statistically significant difference was found between the prosthetic copings (p= 0,867). It was concluded that to internal hexagon implants in line placement, the type of copings presented similar magnitude of micro strain after prosthetic occlusal screw was tightened

Associação entre posicionamento do aluno na sala de aula e desempenho escolar

This research was aimed at analyzing whether there is an association between the positioning of the pupil in the classroom and his academic performance, as well as to diagnose the main factors underlying the association. Thus, this study analyzed 4 Elementary School II institutions of both public and private educational systems, in Botucatu, São Paulo, Brazil during a school year bimester. To register the positions students were seated, 29 similar classes (containing 6 rows x 6 columns) were investigated, each one with around 30 students, which resulted in a sampling of 859 students. For the questionnaire application, which objective was to verify the main reason for students’ seat choice, the same 29 classes were investigated. However, the sampling number was reduced to 692 students. In turn, for the collection of school performance and absence percentage of each student for the bimester in question, teachers’ evaluation books were used. As a result, it was found that the lower the percentage of the student's absences, the greater is their performance at school, and the greater their performance at school is, the closer up front to the board they are seated. Finally, the closer up to the board they are seated, the more their motivation and interest in learning increase. Therefore, there is an association between the position of a student in the classroom and his or her academic performance, where the association is conditioned by the motivation and interest in learning

Consciência literária e posicionamento político no processo de composição de The Voyage Out, de Virginia Woolf

In this article, a discussion about the implications and developments in the relation between Literature and Politics is proposed in order to demystify generalized critical opinions in literary studies. To do this, articulations between theory and practice are made, based on Virginia Woolf’s composition process of her first novel, pointing out the author’s artistic ability and political consciousness.

Métrica para definição de pontos estáveis utilizando-se da Análise de Robustez no posicionamento por ponto preciso

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

O efeito da musicoterapia na qualidade de vida e nos sintomas depressivos do paciente em hemodiálise

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Desperdício de dieta enteral em UTI: análise de modo de falhas e efeitos de danos ao paciente grave

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Um estudo em cardiopatas submetidos à revascularização do miocárdio: ansiedade e depressão

Pós-graduação em Psicologia do Desenvolvimento e Aprendizagem - FC

A importância das classes socias na relação médico-paciente: adesão ao pré-natal

This article is focused in the understanding of how can social classes influence in prenatal, throughout the patient medical relationship as well as the many aspects surrounding. In the first chapter, reflected about the adherence to prenatal and considerations in gestational period when dealing with public health treatment offer by SUS. Next chapter, patient medical relationship is addressed as a relationship classes, over questioning how this relationship use to be in front of disadvantaged extracts, focused in prenatal. In the third chapter, the patient medical relationship is analyzed throughout the patient vision, pointing the many factors that can induce the success of a therapeutic. In the last chapter, there are reflections about whereby health professionals upgrading, as well as the improve of basic health care networks are necessary to a larger prenatal adherence.

Schwartz-Jampel Syndrome: a paediatric dentistry approach

Schwartz-Jampel syndrome (SJS) is a rare recessive disorder characterized mainly by myotonia. As the clinical signs and symptoms are manifested in the oromaxillofacial region, paediatric dentists may be first choice of parents that seek information and assistance to their children. A female patient diagnosed with SJS was brought to our clinic for dental treatment with main complain of difficulty on oral hygiene and mastication due to tooth crowding. The treatment included preventive measures, extraction of a supernumerary tooth and the maxillary primary second molars. Furthermore, the patient was referred to orthodontic treatment for correction of tooth crowding. When dealing with children with confirmed diagnosis of SSJ, paediatric dentists should be understand the need of planning the dental treatment considering the characteristics and possible complications associated with the syndrome in order to reduce the risks to patients, especially when surgical procedures are necessary.

Avaliação em modelos digitais das modificações ocorridas em modelos de gesso em função do posicionamento da moldeira

The objective of this study was to assess if the positioning of the impression tray could cause plaster casts distortion during gypsum setting time. fifteen pairs of master models were cast with alginate impression material and immediately poured with gypsum. impressions were allowed to set with the tray in the not inverted position (group a) or in the inverted position (group b). the plaster models were digitized using a laser scanner (3shape r-700, 3shape a/s). tooth size measurements and distances were obtained using o3d software (widialabs, brasil) measurement tools. data were analyzed by paired t test and linear regression with 5% significance. most measurements of both groups were similar, except for the lower intermolar distance. it was not possible to corroborate the presence of distortions owing to the position of the impression tray during gypsum setting time.