Gerenciamento dos resíduos de serviços de saúde da Unidade de Terapia Intensiva do Pronto Socorro do Hospital das Clínicas da Faculdade de Medicina de Botucatu – UNESP

Health care waste (HCW) is the type of waste that results from activities performed in health care services during care provision to humans or animals. Presently, according to RDC 306/04, issued in 2004 by Anvisa, and Resolution no. 358/05, by CONAMA, waste groups have the following classification: Group A (biological waste), Group B (chemical waste), Group C (waste containing radionucleotides), Group D (common waste) and Group E (piercing and cutting waste). In Brazil, 149 tons of wastes are collected every day, and HCW corresponds to approximately 1% to 3 % of that total. An efficient way to adequately manage HCW is through the Health Care Waste Management Plan (HCWMP), and it is possible to reduce the risk posed by certain materials in addition to ensuring disposal in an ecologically correct and economical fashion. According to the Pan-American Health Organization (PAHO), the management process enables health care establishments to adequately manage waste. Hence, there is greater control and reduction in the health risks caused by infectious or special waste, in addition to facilitated recycling, treatment, storage, transport and final disposal of solid hospital waste in an environmentally safe fashion. To evaluate the management of HCW of Groups A and D from the Intensive Care Unit of the University Emergency Hospital - FMB - UNESP in the city of Botucatu according to the guidelines presently in force. The waste flow was followed up, and during four random days in the month of September 2011, waste was quantified by estimating daily and monthly values, according to its classification. : In 2011, the University hospital has produced an average of 57,676.8 kg/month of biological and common waste. By adding Groups A and D, during the four days, approximately 209.8 Kg of waste (202.2 Kg of Group A and 7.6 Kg of Group D) were produced in the establishment under study, which... (Complete abstract click electronic access below)

Qualidade de vida em mulheres com ausência ou presença de terapia de reposição hormonal

The objective of this study was to evaluate the quality of life (QL) of a group of menopausal women in the presence or absence of hormone replacement therapy (HRT). It consists of a cross-sectional analytical study involving women from the School Health Center - Unity Village Farmers' and Town Railway on the city of Botucatu. Participants were divided into two related groups of studies: run HRT and do not realize. We used the SF 36 and QRS, and a questionnaire to characterize the study population. No differences were seen when comparing the groups with regard to age, age at menarche and menopause. It was observed that 92% were white women and who have studied up to primary education (p = 0.0209), and those who had a partner (p = 0.0055), were the most reported changes in QL. The most frequent comorbidities were hypertension and diabetes, which is significantly more important in women without HRT. The account of the lower of QL was expressed by 28% of the sample, and the population obtained in MRS score more negative (p, 0.05). The correlation of the eight components of the SF36 and the MRS, with the presence or absence of TRH showed no significant differences. The concept of quality of life and evaluation of it is subjective and individual. However they can notice changes in QL, evidenced by instruments. One can see that menopause is not necessarily accompanied by changes in QL, however, when expressed, tend to be perceived more negatively. Despite the lower level of social and low education and women interviewed have QL as good. There is a need for studies to improve a more real relationship between HRT and QL

Revista Nise: revista customizada para a o projeto Terapia e Arte (Tear)

O objetivo deste Trabalho de Conclusão de Curso é divulgar experiências bem sucedidas no campo de atenção psicossocial através de uma revista customizada desenvolvida para o Projeto Tear “Terapia e Arte”, da cidade de Guarulhos, segunda cidade mais populosa do estado de São Paulo. Mais do que levar credibilidade e, consequentemente, visibilidade às práticas desenvolvidas por eles, o produto tem a intenção de colocar em reflexão a questão da inclusão social pelo trabalho e pela arte, as principais atividades do organismo, e explanar a respeito dos avanços das diretrizes da Reforma Psiquiátrica às quais o Projeto Tear está alinhado. Por meio de entrevistas, pesquisas e vivência in loco, buscou-se por em prática as técnicas jornalísticas aprendidas ao longo do curso de graduação e levar ao leitor série de reportagens de forma clara e diversificada, que contribuam para a propagação do tema e para o exercício de um jornalismo com compromisso ético e cidadão

Contribuição da amplitude de movimento articular do joelho na marcha de crianças com paralisia cerebral espástica

Individuals with spastic cerebral palsy show muscle weakness, difficulties in the control of agonist and antagonist muscles, decreased range of motion and tonus and sensibility alterations, especially in knee joint. These problems can interfere on the performance of functional activities such gait. The aim of this study was to analyze the contribution of knee range of motion on gait of hemiplegic and diplegic children considering their asymmetries. Twelve children, 6 hemiplegics e 6 diplegics from 7 to 12 years of age (age average= 9,5 ± 1,93) took part. Spasticity was assessed by the Ashworth’s Modified Scale and the passive knee range of motion by an eletrogoniometer. The task was to walk on a walkway of 8m long, in their preferred speed, in 6 attempts, been 3 on right and 3 on left sagital planes. Eigth passive markers were bilaterally fixed for the kinematic record. Orthogonally to the walkway, two digital camcorders were assembled on the sagital plane. The fotogrametric procedures were performed by the Dvideow 6.3 software. The Matlab 7.0.1 software was used to filter and to calculate the dependent variables. The U test of Mann- Whitney found differences to the cerebral palsy type for knee extension/hiperextension (U = - 2.943; p= 0.003), knee relative angle at heel contact (U = - 5.992; p= 0.001) and knee range during stride (U = - 4.099; p= 0.001). The Wilcoxon’s test revealed differences according to the asymmetries for the hemiplegics only for the knee relative angle at heel contact (T= - 2.635; p<0.008). The contributions of passive knee range of motion, revealed by the Spearman correlations, for the more afected limb of the diplegics, showed that the knee extension/hiperextension interfere on the cadence, stride duration and step width; the knee relative angle at heel contact change the stride length and duration and cadence; and the...(Complete abstract click electronic access below)

Clínica psicomotora

A proposta de uma clínica psicomotora visa ser um espaço que busca criar condições para que a criança se desenvolva em todos os aspectos necessários ao seu bom desenvolvimento físico, motor, cognitivo, emocional e intelectual. A impossibilidade de ação corporal provocada pela ocorrência de uma dificuldade relacionada à psicomotricidade interfere negativamente no desenvolvimento infantil, impedindo a criança de vivenciar situações próprias do mundo infantil. O desenvolvimento de uma criança depende, de forma significativa, do movimento e da sua relação com o mundo externo, pois é através da expressão corporal, por meio de seus movimentos que o ser humano recebe e transmite informações e manifestações de seus vários sistemas biológicos.

Mudanças nos livros didáticos do aluno e do professor: o 1º ano das séries iniciais e o movimento da matemática moderna

Este trabalho visa explorar o ensino da matemática por meio da análise de livros didáticos do aluno e do professor entre as décadas de 1960 e 1980, focando o 1º ano do ensino primário, atual fundamental I. Iniciamos por uma revisão bibliográfica sobre o contexto histórico, desde a introdução do livro na sociedade até a utilização do mesmo para o ensino na área da matemática. A pesquisa tentará retratar brevemente, a história da educação e da educação matemática no Brasil, as diferentes concepções de ensino da época em questão, ou seja, entre as décadas de 1960 e 1980, onde houve o ápice e o declínio do Movimento da Matemática Moderna. Por fim, este trabalho buscará explorar de maneira panorâmica, se ocorreram mudanças nos conteúdos no ensino da matemática por meio da análise de livros didáticos do aluno e do professor no 1º ano das séries iniciais e relatar quais foram essas mudanças. Utilizar-se-á como metodologia a análise de livros didáticos como um objeto pertencente à história cultural, com um enfoque na análise sócio-histórica, na análise formal ou discursiva e, finalmente, interpretação/ reinterpretação.

Ideais sem fronteiras: o movimento estudantil no Brasil, Chile e Argentina

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Desenvolvimento de experiências de acionamento e controle do movimento angular de motores de indução trifásico

This paper aims to show practical and effectiveexperiencesfor lessons Industrial Automation Laboratory taught inundergraduate degreein ElectricalEngineering from the University Júlio MesquitaFilho - UNESP, Guaratinguetá. Experiments carriedsimulatecontrol and drive systems of electric three phase induction motors (MIT)widely usedinindustries. The experiments simulate a manufacturing environment where there isa need to control the activation and continuous operation ofelectricmotors. Seven experimentsthat simulatethe firing of electrical motors through a controlsystem, a driver along with asimulator loads coupled to the electric motor was developed. Experiments usinga Programmable Logic Controller (PLC) as acontroller,an inverter frequencyasdriver, and MagneticBrake, as simulatorengine loads . The experiments were divided accordingto the speed reference signal used fordrivingand operating the electric motor: digital and analog. The first five experiments performing the drive control and operation of the electric motor via digital signals. The sixth and seventh experiments using an analog signal as a reference speed for the electric motor

Eventos adversos em terapia medicamentosa em Unidade de Terapia Intensiva - UTI

Due to the complexity and instability of clinical conditions of ICU patients, the drug therapy applied in this type of environment requires a combination of several prescribed drugs, which is a favorable condition for drug interaction, toxic synergism and possible iatrogenia. In the possible universe of ICU occurrences, this study aimed at identifying and evaluating the incidence of adverse events in drug therapy at the Intensive Care Therapy Service (SETI) in wards I and II. It is a cross-sectional, descriptive, prospective and quantitative study conducted from August to September, 2011 in the Intensive Care Service of the Botucatu School of Medicine University Hospital - UNESP. The population consisted of fifteen clinical nurses, including those in the Improvement and Volunteer Internship Programs, who contributed to the investigation after signing an informed consent form and according to approval by the Research Ethics Committee number 10711/CE - FMB. The data were entered on a form and analyzed. Results showed that, on average, 8.9% of events/day occurred, and the highest frequency was observed on August 04, 2011. 63% and 22% were respectively observed in the morning and afternoon shifts, and 15% in the night shift. 48% of these were due to administration time errors, followed by drug prescription and dispensation errors, with percentages of 22% and 18%, respectively. Antibiotics showed the highest frequency of adverse events - 18%, which was followed by 13% for anticoagulant, 11% for antiemetic and 10% for antiulcerative drugs. As regards the occurrence of adverse events related to hospitalization time, the highest frequency occurred in patients who were hospitalized for 10 days. Concerning the ratio between reported events and the number of items in the prescription, the highest frequency of events was related to prescriptions with 20 items... (Complete abstract click electronic access below)

Opinião de familiares sobre a internação de crianças em uma Unidade de Terapia Intensiva Pediátrica

A Pediatric Intensive care Unit (PICU) is an environment where care is provided to seriously ill children. Hospitalization is regarded as an unpleasant experience that requires adaptation and routine change. To assess the opinion of relatives of children hospitalized at a PICU concerning tie breakage and/or separation between children and their families. It is a descriptive, cross-sectional, quantitative study. A structured interview was conducted with the families of hospitalized children from July to September, 2010. The data were statistically analyzed. RESULTS: Twenty relatives were interviewed, 80% of whom believed that children’s behavior changes when they are present in the unit, and 85% considered the visitation time established to be sufficient. All the respondents reported to be satisfied about the care provided. The feelings prevailing in 50% of the relatives were fear and hope. Change in the family’s union after hospitalization occurred in 85% of the families. The most fearful aspect concerning the ICU is the equipment (25%), and the most worrisome, as regards personal life, is the separation from other children (65%). Health care professionals must pay more attention to relatives by including them in their health care plan so that the health care team and the family, who are essential in children’s recovery, can interact in a congenial fashion. It is also necessary to improve the knowledge related to that subject so that the health care team and families can work together towards children’s recovery

A aglomeração urbana de Piracicaba: uma análise da integração funcional entre os municípios sob a ótica do movimento pendular

The growth area of cities has resulted in a phenomenon of conurbation (or expressing tendency). This correspond to a combine of two or more urban cores, there are formations of conurbations. In this way, there are the formations of urban concentrations and can achieve the step metropolitan or not metropolitan. Besides, this kind of expansion generates many social and environmental problems related about habitation, rubbish, drain, and others. Piracicaba, a city in expansion, recently, shows evidences of conurbation not metropolitan around itself. Like this, the paulista government, at June, 26 of 2012, institutionalized the Urban Concentration of Piracicaba, a regional unity, intending the administration along with 22 cities. However, for this fact, must be taken into account functional integration among urban centers, because the number of municipalities are presented to compose a urban concentration of level not metropolitan. It has checked along this research, according with proposition about 22 cities. Thus, the objective of this research is identify and analyze the functional integration among participating municipalities through the commuting, in other words, the spatial displacement of people, important factor to be taken into account when defining urban concentration. Considering the displacement routine people, the commuting, also aimed identify the flow of public transport intercity travel among the cities of Piracicaba Regional Unity. Then, analyze the criteria used for establish the Piracicaba Regional Unity, if it was considered technical character or if it was prioritized the political character. To conduct this research, it was done the literature review related to the theme and data collection related lines of intercity transportation and often travel with ARTESP and companies responsible for it service

O movimento Escola Nova e o discurso sobre a autonomia do professor

This research has the objective of identifying the possible influences of the Movement entitled “New School” on discussions of the autonomy of the teacher. Understanding the importance of the Movement in relation to changes of concepts about teaching and the work of the teacher, this study seeks to identify, through bibliographic research, the beginnings of the idea of teacher autonomy in the discussions of “new school” education, especially in reference to the possibility of teachers choosing their work methods. This work will also identify connections between those discussions and more recent discussions about teacher professionalism, which emphasize teacher autonomy. In this sense, it was possible to identify the development of this issue of professional competencies. The study also analyzes the application of the concept of autonomy on Brazilian soil between the end of the 19th century and the beginning of the 20th century as well as its current use. The research thus explores the concept of Teacher Autonomy in various historical settings

Movimento bandeirante e desenvolvimento moral: uma relação possível ?

A Federação de Bandeirantes do Brasil, ou Movimento Bandeirante, é uma instituição de educação não formal criada na Inglaterra, em 1909 por Robert Baden-Powell que chegou ao Brasil em 1919, onde foi expandida por Jerônima Mesquita, sendo adaptada a realidade brasileira. A instituição tem como missão “Ajudar crianças, adolescentes e jovens a desenvolverem seu potencial máximo como responsáveis cidadãos do mundo” (FEDERAÇÃO DE BANDEIRANTES DO BRASIL, 2001, p. 4) através de atividades baseadas na metodologia desenvolvida pelo fundador onde o “aprender fazendo” é base estrutural das mesmas, com regras e valores próprios, além do material didático criado por seus membros voluntários. Nesta perspectiva, este trabalho pretende analisar um dos grandes objetivos gerais, ou Áreas do Programa, que servem como apoio às ações Bandeirantes, com a finalidade de verificar se os princípios e virtudes subjacentes ao Movimento Bandeirante proporcionam a construção da autonomia moral, comparando com o referencial teórico de Jean Piaget e sua teoria do desenvolvimento moral. O estudo será realizado através de uma abordagem qualitativa, utilizando como ferramenta a análise de conteúdo. Para tanto será necessário analisar o material bibliográfico da Federação de Bandeirantes do Brasil e textos do fundador do Bandeirantismo e Escotismo, Baden-Powell, para relacioná-los com teóricos de educação moral

Susceptibilidade do Staphylococcus aureus à terapia fotodinâmica (PDT)

A terapia fotodinâmica (PDT), de maneira simplificada pode ser aplicada utilizando um fotossensibilizador (FS) e uma fonte de luz com comprimento de onda específico, que combinados na presença do oxigênio produzem espécies citotóxicas que causam o dano celular. O objetivo deste estudo piloto foi verificar a susceptibilidade de Staphylococcus aureus (ATCC 25923) à PDT, empregando diferentes concentrações de azul de metileno. As amostras desta bactéria foram sensibilizadas com azul de metileno nas concentrações de 6,25 μg/mL; 12,5 μg/mL; 25,0 μg/mL; 50,0 μg/mL; 100,0 μg/mL e 200,0 μg/mL e expostas à luz LED vermelha (660nm) por 20 minutos. Após o tratamento de todos os grupos estudados a fração de sobrevivência foi calculada pela contagem das unidades formadoras de colônia (UFC). O resultado deste estudo mostrou que o fotossensibilizador no escuro foi tóxico (dark toxicity) nas concentrações de 100 e 200 μg/mL. Já no grupo onde utilizamos apenas a luz, não houve redução bacteriana significativa. Entretanto, o uso combinado do AM e da luz LED (Grupo PDT) mostrou que todas as concentrações testadas causaram uma redução significativa de S aureus. Desta forma concluímos que a terapia fotodinâmica antimicrobiana pode ser um tratamento alternativo para redução de Staphylococcus aureus.

O movimento de inclinação lateral associado ao uso de calços na escoliose idiopática

INTRODUCTION: Scoliosis is a three-dimensional deformity and it can be influenced by the use of shoe lifts and lateral inclination in order to correct postural asymmetries. OBJECTIVE: To verify the effect of the use of the shoe lifts (lower and high) unilateral (right and left) during the movement of lateral inclination (right and left) for an evaluation of the postural angles in patients with idiopathic scoliosis. METHODS: A control group with ten participants without scoliosis and an experimental group with 10 participants with idiopathic scoliosis of double curves (thoracic right and lumbar to the left). Ten reflexive markers were fixed in the spine to determine the postural angles (alpha 1=T2T4-T4T6, alpha 2=T6T8-T8T10, alpha 3=T10T12-T12L2 and alpha 4=L2L4-L4S1)... (Complete abstract click electronic access below)