Mapas topográficos: metadados e as regras de catalogação para o acesso eficiente à informação geográfica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Extended Daily Dialysis in Acute Kidney Injury Patients: Metabolic and Fluid Control and Risk Factors for Death

Intermittent hemodialysis (IHD) and continuous renal replacement therapies (CRRT) are used as Acute Kidney Injury (AKI) therapy and have certain advantages and disadvantages. Extended daily dialysis (EDD) has emerged as an alternative to CRRT in the management of hemodynamically unstable AKI patients, mainly in developed countries.Objectives: We hypothesized that EDD is a safe option for AKI treatment and aimed to describe metabolic and fluid control of AKI patients undergoing EDD and identify complications and risk factors associated with death.Study Selection: This is an observational and retrospective study describing introduction of EDD at our institution. A total of 231 hemodynamically unstable AKI patients (noradrenalin dose between 0.3 and 1.0 ucg/kg/min) were assigned to 1367 EDD session. EDD consisted of 6-8 h of HD 6 days a week, with blood flow of 200 ml/min, dialysate flows of 300 ml/min.Data Synthesis: Mean age was 60.6 +/- 15.8 years, 97.4% of patients were in the intensive care unit, and sepsis was the main etiology of AKI (76.2). BUN and creatinine levels stabilized after four sessions at around 38 and 2.4 mg/dl, respectively. Fluid balance decreased progressively and stabilized around zero after five sessions. Weekly delivered Kt/V was 5.94 +/- 0.7. Hypotension and filter clotting occurred in 47.5 and 12.4% of treatment session, respectively. Regarding AKI outcome, 22.5% of patients presented renal function recovery, 5.6% of patients remained on dialysis after 30 days, and 71.9% of patients died. Age and focus abdominal sepsis were identified as risk factors for death. Urine output and negative fluid balance were identified as protective factors.Conclusions: EDD is effective for AKI patients, allowing adequate metabolic and fluid control. Age, focus abdominal sepsis, and lower urine output as well as positive fluid balance after two EDD sessions were associated significantly with death.

Plant iononne diagnosis using sound balances: case study with mango (Mangifera Indica)

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

Condições bacteriológicas da superfície das poltronas hematológicas par hemodiálise

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Uso dos periódicos do Portal CAPES pelos Programas de Pós-graduação da Faculdade de Odontologia de Araraquara - UNESP - no período de 2000 a 2005

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

Utilização de sistema de informação geográfica na avaliação do uso da terra em Botucatu (SP)

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

Inclusão escolar do aluno com deficiência física: contribuições da Terapia Ocupacional

The inclusive school consists of a school that thoroughly attends the diversity and, therefore, students with special educational needs, including the ones with physical dysfunction. The objective of this study was to identify the difficulties of a teacher in the process of school inclusion of the student with physical dysfunction in order to adapt learning resources, having adequate school furniture and to guide the teacher in specific situations. A teacher of early childhood education participated in this study. For data collection two half-structuralized interviews were used. The first obtained information concerning the teacher’s difficulties due to the motor aspects of the student with difficulty to access the curriculum. The second interview gathered information about the teacher’s perception of the partnership between the occupational therapist and the teacher in the perspective of the inclusive education. The data analysis of the first interview and the student case-study allowed elaborating occupational therapy strategies to minimize these difficulties.After elaborating the strategies, a second interview was performed. The data of this interview showed that based on the analysis and adequacy of the interaction between a person’s functional demands, the task and the environment, make it possible for the student to overcome satisfactorily the inherent challenges of the educational context, and detached the importance of the partnership of the teacher and occupational therapist in the whole process. It concludes that the pupil incapacity would not have manifested if there was an adequate environment to receive him.

Análise comparativa de um documento de adequação curricular

From the ideologies of inclusive education, the development and adoption of new organizational practices in the school curriculum are noted. In this sense, the work presented here aims to report part of implementation and development process of a individual instrument of curricular adaptation (ACI), to students with special educational needs, especially disabilities, or strong disabilities evidences, who were enrolled in mainstream school. This research aim is to present and to analysis comparatively the structure and use of a didactic-pedagogical curricular adequacy tool, employed by the Department of Education City teachers from a city of Sao Paulo. Two different groups of teachers who worked with students with special educational needs participated in this study, the first (G-1) has had contact with the instrument, and the second (G-2) unknown the instrument. The data collection procedure was the application of a questionnaire consisting of 11 multiple choice questions to the sample. It was noted the document evaluation was positive for most participants from G-1, and participants in G-2 show interest in adopting an instrument to facilitate the teacher activity in organization of education process with special educational needs students. In this way, it’s possible concludes that the instrument analyzed ACI was considered by both teachers groups with a useful pedagogical procedure, able to guide them to elimination of procedural barriers to access to the curriculum towards the realization of an inclusive school.

livros infantis adequados para uma criança com deficiência visual: a experiência de bolsistas PIBID da FFC/UNESP/Marília

This article tells the experience of some scholarship holders of Subproject PIBID Pedagogy Literacy FFC, who have developed, between its activities: planning, analysis, confection and adequacy of books of infantile histories so that they can be read and better understood for a child with visual deficiency. The idea arose from the fact that the school in which the pupil is enrolled does not have in its collection such resources. The books followed the criteria of adequacy and present in the literature of specific preparation area and the results pointed to the schoolgirl showed interest and motivation to run the task to read the stories with the adjustments that are made.

Analysis of renal function after on and off pump coronary artery bypass grafting

Cardiopulmonary bypass (CPB) is often associated with renal dysfunction, as measured by plasma creatinine levels and hemodialysis rates. Aim. To compare creatinine clearance (CrCl), estimated with the Cockroft and Gault formula, between patients undergoing off-pump coronary artery bypass grafting (OPCAB) versus on-pump CABG (on-CAB). Material and methods. Between April 2008 and April 2009, 119 patients underwent coronary bypass graft surgery. Fifty-eight (58) of these patients underwent OPCAB while 61 had on-CAB. Creatinine clearance, plasma creatinine levels, and clinical outcome were compared between the groups. A creatinine clearance value of 50 mL/minute was accepted as the lowest limit of normal renal function. Results. There were two hospital deaths caused by sepses after pulmonary infection. Creatinine clearance (Preoperative OPCAB 73,64±33,72 x on-CAB 75,70±34,30mL/min; discharge OPCAB 75,73±35,07 x on-CAB 79,07±34,71 mL/ min; p=0,609), and creatinine levels (Preoperative OPCAB 1,04±0,38 x on-CAB 1,13±0,53 mg/dL; discharge OPCAB 1,12±0,79 x on-CAB 1,04±0,29mg/dL; p=0,407) did not show statistically inter-group differences. Conclusion. Deterioration in renal function is associated with higher rates of postoperative complications. No significant difference in CrCl could be demonstrated between the groups.

Efeito da aldosterona e da espironolactona na hipertrofia ventricular esquerda em pacientes com doença renal crônica em hemodiálise

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

CHARACTERIZATION OF THE BRAZPD II COHORT AND DESCRIPTION OF TRENDS IN PERITONEAL DIALYSIS OUTCOME ACROSS TIME PERIODS

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Transmission Expansion Planning Via a Constructive Heuristic Algorithm in Restructured Electricity Industry

The transmission expansion planning problem in modern power systems is a large-scale, mixed-integer, nonlinear and non-convex problem. this paper presents a new mathematical model and a constructive heuristic algorithm (CHA) for solving transmission expansion planning problem under new environment of electricity restructuring. CHA finds an acceptable solution in an iterative process, where in each step a circuit is chosen using a sensitivity index and added to the system. The proposed model consider multiple generation scenarios therefore the methodology finds high quality solution in which it allows the power system operate adequacy in an environment with multiple generators scenarios. Case studies and simulation results using test systems show possibility of using Constructive heuristic algorithm in an open access system.

Planejamento do projeto de adequação de segurança de máquinas numa multinacional produtora de absorventes descartáveis

Currently, more and more processing activities within companies are seen as projects. Project management, as a theory, is well developed and is accepted today in the market as a required competency for organizations. Various methods and techniques have been developed covering all aspects of a project, from conception to final delivery of the products produced by the same. The overall objective of the study is to report the experience of developing the project planning for the machine safety adequacy in robotic cells pallet manufacturers, demonstrating the importance of knowledge in the area of project management for the productive sector, and focusing on the difficulties encountered in particular project. Thus was developed the scope management by a team composed of different areas of engineering, and implementation strategy of the project was chosen from the tool BVOA, with the possible subsequent definition of the project schedule. Furthermore, the risk planning was analyzed using FMECA tool that predicts and mitigates potential failures. It is concluded that the constant and direct relationship between the different stakeholders generates more efficient results, reaching the demands of the project. The definition of alternatives for implementation enabled the viability of the project, and the study of failures was positive to enrich the analysis of planning

Falência renal aguda em pequenos animais

The pets, mostly dogs and cats are susceptible to a variety of situations that can lead to acute kidney failure, such as infection and intoxication, besides other common causes such as dehydration or other pre-existing diseases. The abrupt decrease in renal function in these animals characterizes a severe clinical condition and requires specialized veterinary medical care since it increases the death. Early diagnosis is an important factor for the survival of these animals and so is the appropriate treatment. New technologies on diagnosis and treatment of serious diseases in veterinary medicine have made acute renal failure successfully reversed by hemodialysis in cases where conventional therapy may not be effective. In cases like that, hemodialysis treatment may be the only chance of survival for the animals, which makes this therapy more and more important and necessary, especially in referral centers of veterinary assistance