999 resultados para Atendimento hospitalar


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The discussions about the energy rationalization are gaining more and more space on the everyday of engineers and other professionals in the field of energy. A greater focus is being tied to commercial buildings, because they are one of the biggest responsible for the high energetic expenditure according to the National Energetic Balance, especially by the use of air conditioners for the people’s thermal comfort. Such finding made INMETRO to develop a building labeling procedure through th National Program of Electric Energy Conservation in Buildings; by means of this systematic, the built areas are classified by levels that go from A(the best) to E(the worst), taking into account envelopment, illumination system and air conditioning. A bonus process based on water rationalization, use of renewable energy sources, cogeneration systems or technical innovations, allows the classification to be changed up to one level. A study made exactly on a commercial building, the building of Foundation for Technological and Scientific Development located inside of the College of Engineering of Guaratinguetá, sought to identify technical/economic alternatives for the building certification and appealed to the bonus based on water rationalization. The present study is based on analysis of deploying a cogeneration system formed by internal combustion engine and an absorption refrigeration system as bonus alternative, so that the costs are analyzed regarding energy consumption and use of the motor. With the calculations and results, the viability of the building to receive a bonus from INMETRO through its National Program for Energy Conservation in Buildings is studied and concluded from this study whether or not you can get a better level of energy efficiency for the building in question... (Complete abstract click electronic access below)

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The Hypertension Arterial Gestationis is a of largest complications to the pregnant women, a time that is associated with to high risk of morbimortalidade fetal and maternal ;the term If referred the levels pressure equal or above of 140mmhg to the pressure systolic and of 90mmhg to the pressure diastolic (1).Hypertension in pregnancy can be classified into gestational hypertension, chronic hypertension, preeclampsia and eclampsia(3). This study aimed to calculate and analyze the cost of care of newborns of hypertensive mothers hospitalized in rooming, nursery and the neonatal intensive care unit (Neonatal UTI). It’s a study of exploratory, descriptive and quantitative data analysis, in newborns of mothers with hypertension, who underwent prenatal care in HCFMB, from January 1 to 31 in December 2010. The data analysis showed that the cost of care for newborn in rooming was R$ 38.62 for the control group and groups of hypertensive mothers were R$ 19.93 to R$ 37.38. The costs of care to the newborn in the nursery were R$ 1,781.81 for the control group and groups of hypertensive mothers were R$ 680.03 to 7544.10. The costs for the newborn who Neonatal UTI were R$ 7,468.60 for the control group and groups of hypertensive mothers were R$ 5,228.02 to R $ 18,372.75. The total costs of care for newborn in rooming, nursery and Neonatal UTI were R$ 916.15 for the control group, R$ 1,385.98 for the HAC group, R$ 327.23 for the group HAS, R$ 3,896.57 for the group of preeclampsia and R$ 6,326.54 for the group of eclampsia. Considerations It can be concluded that the costs of mothers with preeclampsia and eclampsia were higher, being conditions with increased risk of maternal-fetal morbidity / mortality, requiring care in intensive care unit and longer stay in hospital

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Um dos problemas enfrentados pelas cidades brasileiras, e que atinge inclusive as de pequeno porte, refere-se à questão hospitalar. A falta de adequação de espaços e equipamentos tem causado grandes problemas à qualidade de vida da população. A melhoria das condições hospitalares nas cidades tem como consequência o aumento na qualidade de vida urbana; e esta, por sua vez está relacionada à adoção de medidas específicas a adequação hospitalar ás normas técnicas vigentes. O objetivo desse trabalho é realizar uma proposta projetual de requalificação espacial do Hospital Municipal de Ribeirão Branco (SP), incorporando uma visão sobre todos os aspectos necessários para o desenvolvimento correto de um programa hospitalar. Este trabalho de conclusão de curso visa dar condições confortáveis e autônomas de acesso a todos os usuários dessa unidade de saúde, além de melhor suas condições funcionais, em termos de programa hospitalar. Além disso, a proposta buscará inserir o Hospital num contexto tecnológico mais recente, para atualizar e potencializar a eficiência dos tratamentos

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The aim of this study is to investigate the significance of educational practices aimed at children in non formal education, in this case, specifically, the hospital context. The chosen methodology is part of an investigation conducted in two phases. In the first phase was carried out a theoretical stage, scientifically based studies guided by an historical-cultural and Sociology of Childhood, enabling placement on the particularities of children, the playfulness and the positioning of Pedagogy in the hospital. After this theoretical study was performed the second phase, with the completion of an empirical study with a research and intervention in a hospital playroom, in a public hospital considered a regional center in the northwestern city of São Paulo. The methodological procedures adopted for this empirical study were participant observation, interviews, action research and a questionnaire. Participant observation and action research are conducted within the brinquetodeca in five meetings with about 15 children, interviews were conducted with three family members and the questionnaire was applied to a healthcare professional. Among the results we can mention the following findings: a confirmation of the necessity of work in the hospital directing playful adaptations for the preservation and development of children's learning, and recent publications are scarce about the Hospital Education and underscore the need for the professional practice of education in non-school, the educational activities carried out reveals the possibilities of offering the child the continuation of their educational activities involving the playful and educational, the international and national literature on educational practices in the hospital allow to check ...(Complete abstract click electronic access below)

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This paper proposes a mechanical device to adapt a simple model of hospital bed used in the Emergency Department at Santa Casa of Guaratinguetá, allowing the bed’s height adjustment with electromechanical drive. This adaptation aims to introduce improvements in the routine work of nurses and reduce ergonomic problems stemming from repetitive strain during the transfer of patients to stretchers and wheelchairs, as well as providing more comfort to the bedridden patient. The device is mainly composed of: an electric induction motor used to drive the engine, a steel spindle with square thread, which allows axial displacement of the bed, a transmission system with pulleys and belt, which transmits power supplied by the motor to the spindle. The mechanism allows the height of the bed is regulated between 400 and 800 mm. The estimated implementation cost of this proposal is lower than the acquisition cost of a commercial hospital bed with the same features, which confirms the feasibility of the proposed solution

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In hospitals, health professionals may face different situations and problems. By following them, it is remarkable that one of the difficulties is related to the support provided by the facilities to carry out their work. This also affects the quality of treatment offered to patients. One of the points of improvement that could be studied is hospital beds. The Fawler's simplest hospital bed type, used in most Brazilian public hospitals, is designed with an ergonomic average height that offers a default position for analysis and treatment of patients. There is no possibility of adjusting the height of those beds, and hence there is a limitation in this regard since that height is fixed, but the physical structures of the workers and patients may vary widely and there may be a conflict when there are people too large or small involved in this process. Beyond that, studies by experts show that beds with height adjustment decreases the muscular effort and improve the movement quality of the spine of nursing staff, reducing the force on certain vertebrae and also the ergonomic risk. Of course, patient comfort is also affected accordingly. As the beds made with height adjustment are very expensive, this study aims to design a device to adapt the not adjustable beds. The project must be viable from an economic and mechanic standpoint, being able to adapt both old and new simplest Fawler hospital bed models, since their dimensions are similar. The final result shows that it is possible to adapt such beds using the designed concept at a viable cost. Furthermore, this concept could be applied in other bed types or objects that have hollow feet

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Increasingly competitive markets have driven the search for companies in many different ways to win and keep customers. The service level is basically the performance of companies in fulfilling the orders made, or how companies demonstrate to their clients efforts in their behalf. This work aims to solve the difficulties faced by a multinational company present in Brazil, in the distribution of its products in the category Ice Cream in order to improve the service level of their customers. Review the logistics network and concepts related to the distribution system of products is one of several ways to achieve this goal, as well as the use of IT and tools to assist in planning and programming of the physical distribution of products. In this study we used the concept of direct distribution system called Transit Point (TP). The TP provides at the same time, a strategy of rapid response, flexibility, low transportation costs and no inventory. A router - software capable of simulating the actual conditions experienced in the daily distribution - was used to assist in calculations. Results showed reductions of up to 47.5% in transportation costs and better conditions were provided in the distribution of products, positively impacting on service levels and in the maintenance of products quality, with a reduction of 1.6% of the total costs involve

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Worldwide, growth is seen in the elderly population, which has prompted the use oftechnologies of care that include all stages of life and for that use, it is necessary toprepare professionals to meet this growing demand population. This work aims to understand how old people feel by their condition and identify how old people perceive this treatment in the Family Health Unit. The research is characterized asqualitative and Minayo second analysis was used Bardin. After, thematicinterviews, it was possible to appreciate the topics: Good, dissatisfaction through the life and likes / dislikes of the service unit. This work can be seen that the elderlywho were well, allied to good living with this family, with spouses, autonomy, respect they encounter in society. And when compared with those who have a complaint, we find that lack of family and age restrictions and diseases are the main complaints

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This work is a study on the Technical Service Library and Documentation Prof. Carlos Alberto de Buarque Borges , on the Faculdade de Engenharia de Guaratinguetá , regarding to the service user , aiming to detect and analyze the current problems and suggesting improvements that could result in optimization of care and increased quality of services. For this, was chosen the methodology of Business Processes Modeling, which enabled the detailing of the processes implemented in the library and the identification the critical points , as low investment and short number of employees, which made possible suggest ways to improve the quality of service to users, as awareness campaigns and the implementation of an system to input the literature needed for each course

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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The progressive growth of the population and the increase of sewage generated has demanded of society and public policies that, besides the collection network deployment is carried out the treatment and proper disposal of treated sewage in all brazilian municipalities. The aim of this study was to monitor and evaluate the work of implementation of a Sewage Treatment Plant (STP) in Guaratinguetá city of São Paulo state, to identify the compliance with legal requirements and the NBR 12,209/2011. The construction of this ETE met all the requirements of NBR 12209/2011 and benefited a large portion of population with the sewage treatment. Based on the results of this assessment it was concluded that the construction of a STP is relatively simple, differing only on the legal requirements related to the location, area for the construction and materials used in the work. The knowledge generated in this study will assist the public policies in the implementation of STPs in municipalities that do not yet have this basic sanitation