874 resultados para Monitoramento de medicamentos
Resumo:
Heavy metals are present in industrial waste. These metals can generate a large environmental impact contaminating water, soil and plants. The chemical action of heavy metals has attracted environmental interest. In this context, this study aimed to test t he performance of electrochemical technologies for removing and quantifying heavy metals. First ly , the electroanalytical technique of stripping voltammetry with glassy carbon electrode (GC) was standardized in order to use this method for the quantificatio n of metals during their removal by electrocoagulation process (EC). A nalytical curves were evaluated to obtain reliability of the determin ation and quantification of Cd 2+ and Pb 2+ separately or in a mixture. Meanwhile , EC process was developed using an el ectrochemical cell in a continuous flow (EFC) for removing Pb 2+ and Cd 2+ . The se experiments were performed using Al parallel plates with 10 cm of diameter ( 63.5 cm 2 ) . The optimization of conditions for removing Pb 2+ and Cd 2+ , dissolved in 2 L of solution at 151 L h - 1 , were studied by applying different values of current for 30 min. Cd 2+ and Pb 2+ concentrations were monitored during electrolysis using stripping voltammetry. The results showed that the removal of Pb 2 + was effective when the EC pro cess is used, obtaining removals of 98% in 30 min. This behavior is dependent on the applied current, which implies an increase in power consumption. From the results also verified that the stripping voltammetry technique is quite reliable deter mining Pb 2+ concentration , when compared with the measurements obtained by atomic absorption method (AA). In view of this, t he second objective of this study was to evaluate the removal of Cd 2+ and Pb 2+ (mixture solution) by EC . Removal efficiency increasing current was confirmed when 93% and 100% of Cd 2+ and Pb 2+ was removed after 30 min . The increase in the current promotes the oxidation of sacrificial electrodes, and consequently increased amount of coagulant, which influences the removal of heavy metals in solution. Adsortive voltammetry is a fast, reliable, economical and simple way to determine Cd 2+ and Pb 2+ during their removal. I t is more economical than those normally used, which require the use of toxic and expensive reagents. Our results demonstrated the potential use of electroanalytical techniques to monitor the course of environmental interventions. Thus, the application of the two techniques associated can be a reliable way to monitor environmental impacts due to the pollution of aquatic ecosystems by heavy metals.
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We propose a mechatronic system for monitoring water quality in rivers, lakes, dams and sea, able to perform the acquisition, processing and presentation of data via the web in real time, in order to facilitate analysis quickly and needs by interested communities. The hardware architecture and software monitoring system has been developed so that it can be generic, that is, supporting different applications. Nevertheless, as a validation of the proposed system, we built a prototype that operates embarked on an autonomous robotic sailboat, a responsible platform for collecting the data in multiple predefined points from a ground station with a planning system navigation. This final application combines the advantages of autonomy of a robotic sailboat with the need for fast and accurate monitoring of water quality, in addition to the use of an autonomous robotic sailboat unmanned facilitate the development of other research in this area.
Resumo:
The Benzylpenicillin (PENG) have been as the active ingredient in veterinary medicinal products, to increase productivity, due to its therapeutic properties. However, one of unfortunate quality and used indiscriminately, resulting in residues in foods exposed to human consumption, especially in milk that is essential to the diet of children and the ageing. Thus, it is indispensable to develop new methods able to detect this waste food, at levels that are toxic to human health, in order to contribute to the food security of consumers and collaborate with regulatory agencies in an efficient inspection. In this work, were developed methods for the quality control of veterinary drugs based on Benzylpenicillin (PENG) that are used in livestock production. Additionally, were validated methodologies for identifying and quantifying the antibiotic residues in milk bovine and caprine. For this, the analytical control was performed two steps. At first, the groups of samples of medicinal products I, II, III, IV and V, individually, were characterized by medium infrared spectroscopy (4000 – 600 cm-1). Besides, 37 samples, distributed in these groups, were analyzed by spectroscopy in the ultraviolet and near infrared region (UV VIS NIR) and Ultra Fast Liquid Chromatograph coupled to linear arrangement photodiodes (UFLC-DAD). The results of the characterization indicated similarities, between PENG and reference standard samples, primarily in regions of 1818 to 1724 cm-1 of ν C=O that shows primary amides features of PENG. The method by UFLC-DAD presented R on 0.9991. LOD of 7.384 × 10-4 μg mL-1. LOQ of 2.049 × 10-3 μg mL-1. The analysis shows that 62.16% the samples presented purity ≥ 81.21%. The method by spectroscopy in the UV VIS NIR presented medium error ≤ 8 – 12% between the reference and experimental criteria, indicating is a secure choice for rapid determination of PENG. In the second stage, was acquiring a method for the extraction and isolation of PENG by the addition of buffer McIlvaine, used for precipitation of proteins total, at pH 4.0. The results showed excellent recovery values PENG, being close to 92.05% of samples of bovine milk (method 1). While samples of milk goats (method 2) the recovery of PENG were 95.83%. The methods for UFLC-DAD have been validated in accordance with the maximum residue limit (LMR) of 4 μg Kg-1 standardized by CAC/GL16. Validation of the method 1 indicated R by 0.9975. LOD of 7.246 × 10-4 μg mL-1. LOQ de 2.196 × 10-3 μg mL-1. The application of the method 1 showed that 12% the samples presented concentration of residues of PENG > LMR. The method 2 indicated R by 0.9995. LOD 8.251 × 10-4 μg mL-1. LOQ de 2.5270 × 10-3 μg mL-1. The application of the method showed that 15% of the samples were above the tolerable. The comparative analysis between the methods pointed better validation for LCP samples, because the reduction of the matrix effect, on this account the tcalculs < ttable, caused by the increase of recovery of the PENG. In this mode, all the operations developed to deliver simplicity, speed, selectivity, reduced analysis time and reagent use and toxic solvents, particularly if compared to the established methodologies.
Resumo:
The Benzylpenicillin (PENG) have been as the active ingredient in veterinary medicinal products, to increase productivity, due to its therapeutic properties. However, one of unfortunate quality and used indiscriminately, resulting in residues in foods exposed to human consumption, especially in milk that is essential to the diet of children and the ageing. Thus, it is indispensable to develop new methods able to detect this waste food, at levels that are toxic to human health, in order to contribute to the food security of consumers and collaborate with regulatory agencies in an efficient inspection. In this work, were developed methods for the quality control of veterinary drugs based on Benzylpenicillin (PENG) that are used in livestock production. Additionally, were validated methodologies for identifying and quantifying the antibiotic residues in milk bovine and caprine. For this, the analytical control was performed two steps. At first, the groups of samples of medicinal products I, II, III, IV and V, individually, were characterized by medium infrared spectroscopy (4000 – 600 cm-1). Besides, 37 samples, distributed in these groups, were analyzed by spectroscopy in the ultraviolet and near infrared region (UV VIS NIR) and Ultra Fast Liquid Chromatograph coupled to linear arrangement photodiodes (UFLC-DAD). The results of the characterization indicated similarities, between PENG and reference standard samples, primarily in regions of 1818 to 1724 cm-1 of ν C=O that shows primary amides features of PENG. The method by UFLC-DAD presented R on 0.9991. LOD of 7.384 × 10-4 μg mL-1. LOQ of 2.049 × 10-3 μg mL-1. The analysis shows that 62.16% the samples presented purity ≥ 81.21%. The method by spectroscopy in the UV VIS NIR presented medium error ≤ 8 – 12% between the reference and experimental criteria, indicating is a secure choice for rapid determination of PENG. In the second stage, was acquiring a method for the extraction and isolation of PENG by the addition of buffer McIlvaine, used for precipitation of proteins total, at pH 4.0. The results showed excellent recovery values PENG, being close to 92.05% of samples of bovine milk (method 1). While samples of milk goats (method 2) the recovery of PENG were 95.83%. The methods for UFLC-DAD have been validated in accordance with the maximum residue limit (LMR) of 4 μg Kg-1 standardized by CAC/GL16. Validation of the method 1 indicated R by 0.9975. LOD of 7.246 × 10-4 μg mL-1. LOQ de 2.196 × 10-3 μg mL-1. The application of the method 1 showed that 12% the samples presented concentration of residues of PENG > LMR. The method 2 indicated R by 0.9995. LOD 8.251 × 10-4 μg mL-1. LOQ de 2.5270 × 10-3 μg mL-1. The application of the method showed that 15% of the samples were above the tolerable. The comparative analysis between the methods pointed better validation for LCP samples, because the reduction of the matrix effect, on this account the tcalculs < ttable, caused by the increase of recovery of the PENG. In this mode, all the operations developed to deliver simplicity, speed, selectivity, reduced analysis time and reagent use and toxic solvents, particularly if compared to the established methodologies.
Resumo:
The Amyotrophic Lateral Sclerosis (ALS) is a neurodegenerative disease characterized by progressive muscle weakness that leads the patient to death, usually due to respiratory complications. Thus, as the disease progresses the patient will require noninvasive ventilation (NIV) and constant monitoring. This paper presents a distributed architecture for homecare monitoring of nocturnal NIV in patients with ALS. The implementation of this architecture used single board computers and mobile devices placed in patient’s homes, to display alert messages for caregivers and a web server for remote monitoring by the healthcare staff. The architecture used a software based on fuzzy logic and computer vision to capture data from a mechanical ventilator screen and generate alert messages with instructions for caregivers. The monitoring was performed on 29 patients for 7 con-tinuous hours daily during 5 days generating a total of 126000 samples for each variable monitored at a sampling rate of one sample per second. The system was evaluated regarding the rate of hits for character recognition and its correction through an algorithm for the detection and correction of errors. Furthermore, a healthcare team evaluated regarding the time intervals at which the alert messages were generated and the correctness of such messages. Thus, the system showed an average hit rate of 98.72%, and in the worst case 98.39%. As for the message to be generated, the system also agreed 100% to the overall assessment, and there was disagreement in only 2 cases with one of the physician evaluators.
Resumo:
The Amyotrophic Lateral Sclerosis (ALS) is a neurodegenerative disease characterized by progressive muscle weakness that leads the patient to death, usually due to respiratory complications. Thus, as the disease progresses the patient will require noninvasive ventilation (NIV) and constant monitoring. This paper presents a distributed architecture for homecare monitoring of nocturnal NIV in patients with ALS. The implementation of this architecture used single board computers and mobile devices placed in patient’s homes, to display alert messages for caregivers and a web server for remote monitoring by the healthcare staff. The architecture used a software based on fuzzy logic and computer vision to capture data from a mechanical ventilator screen and generate alert messages with instructions for caregivers. The monitoring was performed on 29 patients for 7 con-tinuous hours daily during 5 days generating a total of 126000 samples for each variable monitored at a sampling rate of one sample per second. The system was evaluated regarding the rate of hits for character recognition and its correction through an algorithm for the detection and correction of errors. Furthermore, a healthcare team evaluated regarding the time intervals at which the alert messages were generated and the correctness of such messages. Thus, the system showed an average hit rate of 98.72%, and in the worst case 98.39%. As for the message to be generated, the system also agreed 100% to the overall assessment, and there was disagreement in only 2 cases with one of the physician evaluators.
Resumo:
O papel do enfermeiro como prescritor vem se ampliando em muitos países nos últimos anos, em diferentes situações e amplitudes de ação, se configurando como prática avançada na enfermagem. No Brasil, a prescrição de medicamentos por enfermeiros está prevista na Lei do Exercício Profissional desde 1986, e permite a esse profissional, a prescrição de medicamentos estabelecidos em programas de saúde pública. Esse estudo tem como objetivo geral analisar as determinações e perspectivas da prescrição de medicamentos por enfermeiros nos protocolos da Estratégia Saúde da Família. Os objetivos específicos são: apreender a atual situação internacional da prescrição de medicamentos por enfermeiros em comparação a essa prática no Brasil identificando semelhanças e diferenças; identificar os contornos legais e normativos da prescrição de medicamentos por enfermeiros no Brasil apontando sua história, tendências e desafios; caracterizar o modelo de prescrição de medicamentos por enfermeiros nos protocolos de Atenção Primária à Saúde no Brasil; investigar possíveis lacunas entre formação, capacitação, autoavaliação e prática da prescrição de medicamentos na Atenção Primária à Saúde na perspectiva do enfermeiro. Trata-se de Estudo de Caso Exemplar com abordagem qualitativa através de Revisão Bibliográfica, Análise Documental e Grupo Focal com enfermeiros. A análise dos dados deu-se por meio da Análise de Conteúdo e Análise Qualitativa de Conteúdo. Os resultados revelam que a categoria da enfermagem contribuiu para a legalização da prescrição, porém não para a sua legitimação; na Atenção Primária à Saúde, essa atribuição está consolidada por meio de protocolos e legislação, embora sem estratégia clara de acompanhamento pelo Ministério da Saúde; observa-se resistência em algumas normatizações dentro do setor saúde. Quanto aos protocolos, observou-se não há exigência de pré-requisitos na maioria deles; há possibilidade de diagnóstico pelo enfermeiro na gravidez, nutrição infantil e doenças sexualmente transmissíveis; observou-se variados graus de autonomia; amplo grupo de medicamentos prescritos por enfermeiros. Dos 37 participantes do Grupo Focal, 97,3% eram do sexo feminino; 54% formados há menos de 10 anos, 27% entre 10 e 20 anos, 16,2% há mais de 20 anos; 83,8% com especialização em Saúde Pública. Todos os enfermeiros relataram insuficiência da disciplina de farmacologia para instrumentalizar a prática prescritiva. Destacou-se a necessidade de pós-graduação; a importância da experiência clínica; falta de discussões e capacitação. Apenas alguns se autoavaliaram como competentes para prescrever, outros revelam medo de reação adversa a medicamentos. Conclui-se que há tendência da prescrição de medicamento por enfermeiros permanecer apenas na legalidade e o principal desafio é alcançar a legitimidade. Confirma-se uma prática prescritiva sem requisitos, diversidade de orientações induzindo a multiplicidade de ações que pode afetar a qualidade da prescrição. Há lacunas entre formação, capacitações e exigências cotidianas da prescrição de medicamentos por enfermeiros na Atenção Primária à Saúde. No Brasil se faz premente pesquisa para avaliar o impacto, a qualidade e a segurança da prescrição de medicamentos por enfermeiros. A experiência internacional sugere também que essa prescrição deve ser apoiada pelo coletivo de enfermeiros, com robusto plano de capacitação nacional, além de governança e apoio local.
Resumo:
The substantial increase in the number of applications offered through the computer networks, as well as in the volume of traffic forwarded through the network, have hampered to assure adequate service level to users. The Quality of Service (QoS) offer, honoring specified parameters in Service Level Agreements (SLA), established between the service providers and their clients, composes a traditional and extensive computer networks’ research area. Several schemes proposals for the provision of QoS were presented in the last three decades, but the acting scope of these proposals is always limited due to some factors, including the limited development of the network hardware and software, generally belonging to a single manufacturer. The advent of Software Defined Networking (SDN), along with the maturation of its main materialization, the OpenFlow protocol, allowed the decoupling between network hardware and software, through an architecture which provides a control plane and a data plane. This eases the computer networks scenario, allowing that new abstractions are applied in the hardware composing the data plane, through the development of new software pieces which are executed in the control plane. This dissertation investigates the QoS offer through the use and extension of the SDN architecture. Based on the proposal of two new modules, one to perform the data plane monitoring, SDNMon, and the second, MP-ROUTING, developed to determine the use of multiple paths in the forwarding of data referring to a flow, we demonstrated in this work that some QoS metrics specified in the SLAs, such as bandwidth, can be honored. Both modules were implemented and evaluated through a prototype. The evaluation results referring to several aspects of both proposed modules are presented in this dissertation, showing the obtained accuracy of the monitoring module SDNMon and the QoS gains due to the utilization of multiple paths defined by the MP-Routing, when forwarding data flow through the SDN.
Resumo:
The number of overweight people has increased in the last few years. Factors such as attention to diet and changes in lifestyle are crucial in the prevention and control of obesity and diseases related to it. Experts believe that such actions are most effective when initiated during childhood, and that children raised in an environment that encourages physical activity ultimately become healthier adults. However, to arouse and maintain interest in such activities represent a major challenge, which are initially perceived as repetitive and boring, and, thus, soon abandoned. Computer games, traditionally seen as stimulants to a sedentary lifestyle are changing this perception using non-conventional controls that require constant movement of the player. Applications that combine the playfulness of such games to physical activity through devices, like Microsoft Kinect, might become interesting tools in this scenario, by using the familiarity of Natural User Interfaces along with the challenge and the fun of video games, in order to make attractive exercise routines for schoolchildren. The project carried out consists of an exergame composed of several activities designed and implemented with the participation of a Physical Educator, aimed at children between eight and ten years old, whose performance and progress can be remotely monitored by a professional via web interface. The application arising from this work was accompanied by tests with a group of graduating Physical Education students from the University of Rio Verde GO, and subsequently validated through questionnaires whose results are shown on this work.
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El concepto de seguridad en el uso de los medicamentos ha experimentado importantes cambios en los últimos años. La complejidad en el sistema de utilización de los mismos es cada vez mayor, lo que supone un incremento de posibles errores. Un elevado porcentaje de estos errores son prevenibles y la concienciación del personal sanitario desempeña un papel fundamental en la promoción de prácticas de seguridad efectivas que contribuyan a disminuir su incidencia. Se denominan “medicamentos de alto riesgo” aquellos que cuando se utilizan incorrectamente presentan un gran riesgo de causar daños graves o incluso mortales a los pacientes. Por ello, los medicamentos de alto riesgo son objetivo prioritario de las recomendaciones de mejora de la seguridad clínica desarrolladas por organismos expertos en seguridad del paciente. Los sedantes moderados, los opiáceos y los agonistas adrenérgicos para administración intravenosa, todos ellos utilizados en el manejo de pacientes ingresados en Unidades de Medicina Intensiva, están incluidos en la relación de medicamentos de alto riesgo del Institute for Safe Medication Practices (ISMP). La estandarización de los medicamentos de alto riesgo se encuentra entre las prácticas seguras que se recomienda implantar en los hospitales de forma prioritaria. Se aconseja implantar prácticas específicas dirigidas a mejorar la seguridad que consisten fundamentalmente en simplificar y estandarizar procedimientos. La utilización de protocolos y la centralización de la preparación de mezclas intravenosas de este tipo de medicamentos en el Servicio de Farmacia (SF), se encuentran entre estas medidas. Por otro lado, las Unidades de Vigilancia Intensiva son un entorno de trabajo complejo donde el riesgo de que se produzca un error de medicación es cercano al 10% por día, siendo los pacientes críticos particularmente sensibles a sus consecuencias. Considerando este contexto, está justificado el desarrollo de un proyecto orientado a fomentar la elaboración y uso de protocolos de medicamentos de alto riesgo que ayuden a disminuir la variabilidad de la práctica clínica en el manejo del paciente crítico, aumentando así la seguridad en su utilización...
Resumo:
Esta pesquisa nasce da problemática existente no design gráfico das embalagens de medicamentos. Existem vários tipos de medicamentos, para doenças diferentes, de laboratórios diferentes, mas com embalagens muito semelhantes o que, por vezes, dificulta a sua identificação. Pretende-se assim, criar um design mais eficaz que permita uma relação entre o utente e os medicamentos mais acessível, possibilitando uma rápida e correcta identificação do medicamento. Em Portugal calcula-se que actualmente existam cerca de 1874933 indivíduos com idade igual ou superior a 65 anos de idade, prevendo-se atingir os 3357045 em 2060. Estes são os valores que reflectem um país envelhecido. A utilização de medicamentos, apesar de não ser exclusiva, é feita na grande maioria pela população envelhecida. Este grupo de indivíduos sente mais dificuldade em identificar os seus medicamentos pois, com o passar do tempo, vão perdendo a sua autonomia devido à perda de algumas das suas capacidades físicas e psicológicas. A utilização de medicação é essencial, mas nem sempre é uma tarefa fácil. Existem cerca de meio milhão de indivíduos analfabetos em Portugal e muitas destas pessoas vivem sozinhas, o que potencia a utilização erradas das medicações, ou até mesmo a associação de medicamentos que conciliados são prejudiciais para a saúde. Sendo esta uma situação preocupante, para este trabalho tem como principal objectivo a investigação e o desenvolvimento de um projecto de melhoria para as embalagens de medicamentos, o que permitirá uma maior segurança e autonomia a este público. Pretende-se assim desenvolver um método de fácil identificação, criar símbolos representativos dos diferentes tipos de medicamentos. Para isso serão estudadas as dificuldades dos idosos quanto à visão e identificação da sua medicação. Serão tratados ainda temas como a teoria da cor, Pictogramas, Semiótica e Tipografia, de modo a criar uma simbologia simples e eficaz.
Resumo:
O incumprimento na ingestão da medicação é um dos principais fatores para o insucesso no tratamento de diversas doenças e uma das principais dificuldades para controlar enfermidades crónicas [1], cardiovasculares [1, 3, 4] e psiquiátricas [4] que necessitam de uma ingestão correta e constante dos medicamentos. Estas tomas irregulares acabam por provocar desperdícios e gastos adicionais em tratamentos complementares e mais exames para análise do atual estado da doença [5]. De forma a prevenir falhas de adesão à terapêutica, foram desenvolvidos diversos equipamentos que ajudam os pacientes a gerir a sua medicação diária. No entanto estes dispositivos apresentam ainda algumas limitações, nomeadamente, ao permitirem apenas um utilizador e necessitarem da preparação prévia das tomas. Ao longo deste projeto foi desenvolvido um sistema de dispensa automática de medicamentos, assim como a plataforma de controlo através de um dispositivo móvel Android. As principais vantagens deste equipamento são o seu funcionamento em modo multiutilizador e a combinação automática de medicamentos para cumprir as tomas prescritas pelo médico. O dispositivo desenvolvido e a sua utilização foi validado durante 5 dias no Centro Clínico-Académico do Hospital de Braga recorrendo a utentes de várias faixas etárias, bem como em casa de 2 participantes num caso de estudo. O sistema de dispensa automático de medicamentos foi testado em ambos os perfis de utilizadores: utente e cuidador. Foram criados registos de novos utentes e efetuadas várias dispensas de medicamentos de forma a testar a fiabilidade do dispositivo para utilização em contexto real. Os resultados destes testes permitiram comprovar a funcionalidade e fiabilidade do sistema desenvolvido.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Dissertação (Mestrado)