The pernicious cycle of vlus in brazil: Epidemiology, pathogeny and auxiliary healing methods

Venous leg ulcers (VLUs) represent the most advanced stage of chronic venous insufficiency. Despite the large body of knowledge available regarding the risk factors and aetiopathogeny of the condition, patients referred to public health care systems in developing countries often do not receive adequate diagnosis or early treatment, leading to clinical evolution and disease recurrence. This review collates updated information about the epidemiology, risk factors, aetiopathogeny, diagnosis, ulcer healing methods and determinant factors of the pernicious cycle of VLUs in developing countries, with a focus on the Brazilian setting.

Interface gráfica no contexto de teoria dos jogos sob a forma de Java Apples

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Uma estruturação para o ensino de didática da física na formação inicial de professores: contribuições da pesquisa na área

Pós-graduação em Educação para a Ciência - FC

A conversão de registros de representações semióticas no estudo de sistemas de equações algébricas lineares

Este trabalho consiste na proposta de uma sequencia didática para o ensino de Sistemas de Equações Algébricas Lineares na qual estabelecemos uma conexão entre o Método da Substituição e o buscando a conversão de registros de representação. O objetivo da proposta foi verificar se os alunos conseguem realizar a conexão entre os dois métodos desenvolvendo a conversão do método da substituição no Método do escalonamento caracterizando assim, o aprendizado do objeto matemático estudado, segundo a teoria de registros de representação semiótica de Raimund Duval. A pesquisa foi realizada com alunos do ensino médio em uma escola da rede pública estadual da cidade de Belém e os resultados apontaram para o estabelecimento de uma conexão entre os dois métodos empregados no processo de resolução de sistemas.

A constituição das disciplinas de metodologia do ensino de língua portuguesa (MELP) em dois cursos de licenciatura em Letras da região metropolitana de Belém

A presente pesquisa desenvolve uma discussão acerca da formação inicial de professores de Licenciatura em Letras - Português. A crise pela qual passa a educação no Brasil hoje afeta a universidade brasileira e tem reflexos diretos sobre a qualidade da educação básica, na medida em que deveria constituir centro de formação, reflexão e produção de conhecimento para a escola. Os problemas que a universidade encara, especificamente no tocante às licenciaturas, têm raízes muito mais complexas do que a formulação de metas quantitativas para a formação inicial de professores ou para a alocação de recursos financeiros. Logo, é importante (e necessário) que se conheça melhor a constituição dos cursos de licenciatura que estão formando os professores contemporâneos. A pesquisa proposta tem como objetivo investigar, em duas instituições de ensino superior da região metropolitana de Belém-PA (uma pública e uma privada), a constituição das “disciplinas” de Metodologia do Ensino de Língua Portuguesa, denominadas como MELP. O quadro teórico que norteia este trabalho é o da Análise do Discurso de linha francesa, de maneira particular os conceitos de Função Enunciativa, Formação Discursiva e Disciplina, apresentados por Michel Foucault em suas obras Arqueologia do Saber (1987) e A Ordem do Discurso (1996). Analisamos dados coletados em pesquisa documental (Projeto Pedagógico do Curso, Ementas, Planos de ensino e Material didático) e pesquisa de campo (observação em sala de aula, anotações de alunos e diário de campo), com o intuito de verificar quais elementos de disciplinas, no sentido foucaultiano (FOUCAULT, 1996), se fazem presentes na constituição das atividades curriculares de MELP desses Cursos de Licenciatura em Letras. Os dados de duas disciplinas foram analisados a fim de identificar que objetos, métodos, proposições, definições/conceitos são reconhecidos e de que maneira se relacionam. Os resultados mostram um cenário bem diverso quanto à organização das atividades de prática de ensino e estágio supervisionado nos dois cursos no que tange a) à distribuição da carga horária no currículo; b) à articulação de objetos, métodos, conceitos e proposições de disciplinas variadas e c) ao próprio papel do aluno de Letras. O desafio que se apresenta é constituir as MELP a partir de um processo disciplinar de produção de saberes.

Translation and cultural adaptation for Brazil of the Developing Nurses' Thinking model

OBJETIVOS:traduzir e adaptar culturalmente para a língua portuguesa do Brasil o modelo Developing Nurses' Thinking, utilizado como estratégia ao ensino do raciocínio clínico.MÉTODO:a tradução e adaptação cultural foi realizada por meio de tradução inicial, síntese das traduções, retrotradução, avaliação por comitê de especialistas e pré-teste com 33 estudantes de graduação em enfermagem.RESULTADOS:as etapas de tradução inicial, síntese das traduções e retrotradução foram realizadas a contento, havendo a necessidade de pequenos ajustes. Na avaliação pelo comitê de especialistas da versão traduzida, todos os itens obtiveram concordância superior a 80% na primeira rodada de avaliação e no pré-teste com os estudantes. O modelo mostrou-se adequado à sua finalidade.CONCLUSÃO:recomenda-se o uso do modelo como uma estratégia complementar ao ensino do raciocínio diagnóstico, visando a formação de enfermeiros mais conscientes sobre a tarefa diagnóstica e a importância da segurança do paciente.

Predictive factors of post-discharge surgical site infections among patients from a teaching hospital

Introduction Surgical site infections (SSIs) often manifest after patients are discharged and are missed by hospital-based surveillance. Methods We conducted a case-reference study nested in a prospective cohort of patients from six surgical specialties in a teaching hospital. The factors related to SSI were compared for cases identified during the hospital stay and after discharge. Results Among 3,427 patients, 222 (6.4%) acquired an SSI. In 138 of these patients, the onset of the SSI occurred after discharge. Neurological surgery and the use of steroids were independently associated with a greater likelihood of SSI diagnosis during the hospital stay. Conclusions Our results support the idea of a specialty-based strategy for post-discharge SSI surveillance.

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.

Ecological competition and the incidence of Acinetobacter baumannii bloodstream infections in a teaching hospital in Southeastern Brazil

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

Pediatric Perioperative Cardiac Arrest and Mortality: A Study From a Tertiary Teaching Hospital

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Intraoperative and Anesthesia-Related Cardiac Arrest and Its Mortality in Older Patients: A 15-Year Survey in a Tertiary Teaching Hospital

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A emergência do pluralismo teórico-metodológico na alfabetização: em busca de uma prática pedagógica para formar escritores

This qualitative research was performed with the goal of investigating the contributions of theoretical and methodological perspectives in the alphabetization process, aiming to train proficient writers of texts with communicative function. Hence, such were the goals established for this research: giving a retrospective look on the synthetic and analytic methods of teaching literacy; verifying the possibilities and limits of theoretical and methodological approaches of acquiring the ability to write and identifying the teachers’ ideas concerning basic concepts (such as literacy, text and textual genres) imbued in the teaching of writing; and establishing which activities they develop in the course of teaching whether the pedagogical practices of the teacher observed contributed to the formation of students who were capable of producing significant texts of diverse genres, suitable to the objectives, to the readers, and to the context of the circulation of texts. The research was done in a public elementary school, in a 2nd grade class of the city of Jaú. Subjects of the research were four teachers and twenty-eight children. For this work, two instruments were used for data collecting: a questionnaire and direct observation, registered in research diaries. Among the observations made were that, although there are many studies on literacy, the practices actually adopted in class are empirical in nature and do not contribute to the process of developing individual writing or reading skills at all; rather, it is only valued the ability of establishing relations between phonemes and graphemes; literacy teachers do not have adequate knowledge of concepts of literacy, teaching, text and textual genres, valuing only one methodological theory and disregarding other contributions on the field of text production

Multidisciplinary approach in the teaching of dental sculpture and anatomy

The purpose of the Dental Sculpture and Anatomy discipline is to introduce undergraduate students to the study of the anatomic and morphological characteristics of permanent and primary human dentition, through classes, books and cognitive and psychomotor activities. This discipline supports the teaching of specific knowledge necessary for a more extensive education, involving interdisciplinarity as a means of knowledge exchange among several areas of dentistry, to achieve comprehensive professional education. Students must recognize the dental morphology from samples of preserved teeth, and reproduce the morphology through three-dimensional models made of stone or wax blocks. In this article, the authors describe the process for producing teeth collars and macro dental models made of stone, their importance and benefits of utilization. The purpose of the study was to encourage the teaching of Dental Sculpture and Anatomy toundergraduate students of the Bauru School of Dentistry, University of Sao Paulo, through activities that would associate theory, practice and the development of manual skills.

Detection of oxacillin resistance in Staphylococcus aureus isolated from the neonatal and pediatric units of a brazilian teaching hospital

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

Genetic determinants of methicillin resistance and virulence among Staphylococcus aureus isolates recovered from clinical and surveillance cultures in a Brazilian teaching hospital

Aims. To quantify the presence of SCCmec types and virulence genes among Staphylococcus aureus colonizing and infecting patients from a teaching hospital. Methods. We analyzed 225 and 84 S. aureus isolates recovered from surveillance and clinical cultures, respectively. Strains were studied for the presence and type of SCCmec, as well as for several virulence genes. Univariate and multivariable analysis were performed in order to identify predictors of invasiveness (defined as isolation from clinical cultures). Results. The presence of SCCmec types III (OR, 2.19, 95% CI, 1.08-4.45) and IV (OR, 5.28 95% CI, 1.35-20.63) and of genes coding for exfoliative toxin B (etb, OR, 6.38, 95% CI, 1.48-27.46) and Panton-Valentine leukocidin (pvl, OR, 2.38, 95% CI, 1.16-4.86) was independently associated with invasiveness. Conclusions. SCCmec types III and IV and virulence genes are associated with greater invasiveness of S. aureus. Patients colonized with methicillin-resistant S. aureus, as well as with strains harboring etb or pvl, may be prone to develop invasive disease. Infection-preventing strategies should be more intensively applied to this group.