Carga de trabalho de enfermagem e infecções relacionadas à assistência à saúde na unidade de terapia intensiva

In recent decades, the search for quality care has been widely discussed by the institutions and health professionals. In this context, it is the nurse coordinator of the process of providing nursing staff, reflecting the commitment to quality of care. In this process, it is the appearance of Infections Related to health care and its potential association with the workload in nursing as a valuable indicator of quality of care. Thus, this research contributes to studies to characterize the demand of nursing work to promote a safe healthcare practice. This study aimed to identify the association of nursing workload with the number of cases of Ventilator-Associated Pneumonia, urinary tract infection and central venous catheter infection in the intensive care unit. This is a quantitative research approach, descriptive, cross-sectional and prospective, held at Unimed Hospital in Natal-RN. The study population consisted of all patients treated in the Intensive Care Unit, Hospital for a period of 90 consecutive days in 2011. The convenience sample was compostapelos patients admitted to the ICU during the period of data collection, a total sample of 286 patients. To perform the data analysis software were used: Statistica 6.0, SPPS (Statistical Package for Social Sciences) version 17.0 (2004) and Excel 2007. In the descriptive analysis, we used Measures of Central Tendency and Measures of Dispersion or Variability and the use of nonparametric tests. Of the 286 patients, 88 were from the ICU and 198 ICU II II. Males predominated in the ICU I (51.1%) and female ICU II (57.6%) patients in the ICU I were aged 61-80 years (39.8%) followed by greater than 80 years (39.8%). In the ICU II, most of the patients were aged 61-80 years (38.9%) and then from 41 to 60 years (24.2%). In relation to the class of TISS inlet predominant class II in the two ICUs (59.1%), followed by Class III also in the two units (34.6%). Most patients (70.6%) out of the ICUs belonging to class II TISS. In the ICU I, the average number of forms of the TISS 28 was 6, has in ICU II this value drops to 3.2 forms. The overall mean was 19.9 TISS points in ICU patients I and ICU II.the 17 points in the average hours required to provide adequate nursing care to patients in the ICU I found that is 10 , 7 hours, and the ICU II 9.2 hours. It was found that the time provided by the nursing staff were higher in ICU II, with an average of 19 hours available for nurses in this sector. In the ICU I, which showed higher need of available hours, it was found that the mean value of 12.7 available hours. It was found that only 2.4% of patients had these units Ventilator-Associated Pneumonia, 1.0% were infected central venous catheter and 1.4% of patients had urinary tract infection. Infection associated with health care occurs, on average, on the tenth day of hospitalization. In the ICU II, this average value extends to the twelfth day with an excess of 2.7 hours of nursing care while in ICU I value decays to the ninth day of hospitalization with a deficiency of 12-hour assistance. It is concluded that patients generally showed a need for classification of semi-intensive care and has been assisted in their need to load. As for his association with the Related Infections Health will assist this analysis could not be performed due to the small number of notifications in this period. It is suggested further study how other factors related to infections me a longer period of analysis

Controle inteligente de pressão para uma rede sem reservatório de abastecimento urbano de água

The sanitation companies from Brazil has a great challenge for the XXI century: seek to mitigate the rate of physical waste (water, chemicals and electricity) and financial waste caused by inefficient operating systems drinking water supply, considering that currently we already face, in some cases, the scarcity of water resources. The supply systems are increasingly complex as they seek to minimize waste and at the same time better serve the growing number of users. However, this technological change is to reduce the complexity of the challenges posed by the need to include users with higher quality and efficiency in services. A major challenge for companies of water supplies is to provide a good quality service contemplating reducing expenditure on electricity. In this situation we developed a research by a method that seeks to control the pressure of the distribution systems that do not have the tank in your setup and the water comes out of the well directly to the distribution system. The method of pressure control (intelligent control) uses fuzzy logic to eliminate the waste of electricity and the leaks from the production of pumps that inject directly into the distribution system, which causes waste of energy when the consumption of households is reduced causing the saturation of the distribution system. This study was conducted at Green Club II condominium, located in the city of Parnamirim, state of Rio Grande do Norte, in order to study the pressure behavior of the output of the pump that injects water directly into the distribution system. The study was only possible because of the need we had to find a solution to some leaks in the existing distribution system and the extensions of the respective condominium residences, which sparked interest in developing a job in order to carry out the experiments contained in this research

Herdabilidade dos teores de fibra alimentar e rendimento de grãos em populações de feijoeiro

O objetivo deste trabalho foi determinar a herdabilidade e o ganho na seleção para teor de fibra alimentar (solúvel, insolúvel e total) e para rendimento de grãos, em populações resultantes de cinco diferentes cruzamentos, além de identificar a população mais adequada, considerando-se as diferentes frações da fibra. Os cruzamentos entre os genitores CNFP 8100, FT 96-1282, Varre-Sai e Valente foram realizados em casa de vegetação. As populações obtidas (genitores, F1 e F2) foram avaliadas em campo, durante a primavera/verão de 2003/2004, em delineamento de blocos ao acaso. Diferenças significativas foram obtidas para fibra alimentar total; não foi detectada variabilidade genética para as frações da fibra - solúvel e insolúvel - e para rendimento de grãos nas populações. Correlação fenotípica positiva foi encontrada entre fibra insolúvel e fibra alimentar total. A seleção de plantas F2, em populações segregantes desenvolvidas a partir da combinação Valente x Varre-Sai, pode ser efetiva no desenvolvimento de germoplasma de feijão com maior teor de fibra alimentar total, em virtude da alta herdabilidade e maior ganho por seleção obtidos.

Formação de professores: o computador como recurso para o processo de alfabetização

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A formação de professores de uma escola da rede pública estadual em serviço para o trabalho com projetos utilizando as tecnologias de informação e comunicação

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

O gestor no processo de formação de professores para o uso de meios digitais na construção de uma escola de qualidade

Pós-graduação em Educação - FCT

Programa de educação continuada – Informática Educacional na Diretoria de Ensino, região de Presidente Prudente: concepção do modelo de formação

Pós-graduação em Educação - FCT

A formação de educadores em serviço no contexto escolar: mídias digitais e projetos de trabalho

Pós-graduação em Educação - FCT

O Paraguai de Roa Bastos: história e crítica social

Pós-graduação em História - FCLAS

Os manuscritos do Mar Morto e a gênese do cristianismo

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Água de soluções alternativas: estudo da diversidade de espécies fúngicas

Pós-graduação em Microbiologia - IBILCE

Trabalho de campo como contribuição para a disciplina geografia no ensino fundamental: uma leitura em documentos oficiais

Pós-graduação em Geografia - IGCE

Informática e democratização do ensino: o uso de computadores na rede pública do município de Araraquara

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação ultra-sonográfica da acupuntura na involução uterina em cadelas

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Representações sociais sobre educação especial e deficiência: o ponto de vista de alunos deficientes e professores especializados

Pós-graduação em Educação - FFC