Análise quantitativa e qualitativa do nível de conhecimento dos alunos do curso de fisioterapia sobre a atuação do fisioterapeuta em saúde pública

Fisioterapia é a ciência da saúde que estuda, previne e trata os distúrbios cinéticos funcionais em órgãos e sistemas do corpo humano. O objetivo deste estudo é verificar a expectativa dos alunos do primeiro ao quinto semestre de fisioterapia sobre a atuação do fisioterapeuta em saúde pública e a expectativa desses alunos quanto à inserção do profissional de fisioterapia no Programa de Saúde da Família (PSF). Trata-se de estudo realizado na Faculdade Marechal Rondon, com 107 alunos, tendo como critério de exclusão os alunos do sétimo semestre. Foi usado um questionário, contendo onze questões, sendo oito de múltipla escolha e três dissertativas. Os dados passaram por tratamento estatístico, em que foram utilizadas a análise descritiva através do programa Microsoft Excel 2003 e análise do discurso do sujeito coletivo. A respeito da atuação do fisioterapeuta no Sistema Único de Saúde (SUS), 44% dos alunos consideram muito importante, 36% consideraram que o papel do fisioterapeuta no PSF é muito importante, enquanto 24% dos alunos consideram não saber informar quanto à eficácia de seu atendimento. Os alunos consideram importante a atuação do fisioterapeuta no SUS e PSF, mas pouco tem conhecimento sobre a atuação do fisioterapeuta em saúde pública.

Processo educativo: sociedade e natureza. As Geociencias como vetor no processo educativo

This paper presents methodological questions and new ideas related to the Geosciences concepts and its development in association to the Natural Sciences study for Elementary and Basic Schools. Special attention has been focused to the NIMEC', a project responsible for programs to the Natural Sciences progress and global information in the Environmental Education. The geologic environment relationships constitute the demarcator that includes some Environmental Education matter. Interdisciplinary focus seems to be the most adequate way to the necessary community participation. -English summary

Avaliacao da necessidade da dosagem rotineira de hematocrito, hemoglobina, ureia e creatinina sericos durante a avaliacao pre-anestesica

Background and Objectives - There are many questions and opinions about the value of routine preoperative tests as an integral part of the preanesthetic evaluation. Current trends suggest that such tests should be based on detailed clinical and physical evaluation. Since such tests are still routinely performed and questions about their real value still persist, the aim of this study was to assess the value of routine hematocrit (Ht), hemoglobin concentration (Hb), blood urea nitrogen (BUN) and serum creatinine results in patients undergoing elective surgery, to establish when they are needed and aiming at answering such questions. Methods - 1065 patients aged 12 years and above, physical status ASA I, II and III, scheduled for elective surgery were studied. Patients were divided into 7 different age groups with randomized distribution of gender. Ht, Hb, BUN and serum creatinine results, routinely asked by our surgical departments, were observed and analyzed. Variance Analysis was used for each variable, and the Bonferroni Multiple Comparison Test was used to compare group to group. Differences were considered significant when p < 0.05 (5%). Results - For all patients, 4025 laboratory tests were obtained. The number of tests was the same for each group. There were no differences in Ht and Hb values which remained within normal ranges. Considering BUN and serum creatinine, there was a difference between younger and older patients, but the results were normal in all groups. Conclusions - We concluded that mean Ht, Hb, BUN and serum creatinine values in all age groups were all acceptable for surgical patients in general. However, they are barely useful if performed regardless of clinical evaluation. Thus, such preoperative routine tests should be abandoned and the good clinical practice with common sense should prevail in indicating them.

Associacao de opioides lipofilicos a bupivacaina na anestesia peridural. Ha vantagem no aumento da dose do opioide?

Background and Objectives: - The effects of associating lipophilic opioids to local anesthetics in epidural anesthesia are not well defined. There are still questions and controversies about opioid doses to be used and their major effects in the epidural block. This study aimed at evaluating the epidural block effects in humans of the association of different fentanyl and sufentanil doses to bupivacaine with 1:200.000 epinephrine. Methods: - A double-blind randomized study was performed in 94 patients of both genders, physical status ASA I, aged between 18 and 60 years, submitted to lower abdomen, perineal or lower limb surgery. Patients without preanesthetic medication were epidurally injected with 100 mg (20 ml) 0.5% bupivacaine, 0.1 mg (0.1 ml) 1%o epinephrine plus a combination of the following drugs: BUPI Group (15 patients): 2 ml of 0.9% saline solution (SS); FENT50 Group (19 patients): 50 μg (1 ml) fentanyl + 1 ml SS; FENT100 Group (20 patients): 100 μg (2 ml) fentanyl; SUF30 Group (20 patients): 30 μg (0.6 ml) sufentanil + SS (1.4 ml); SUF100 Group (20 patients): 50 μg (1 ml) sufentanil + SS (1 ml). The following parameters were studied: onset of sensory block, analgesic block (onset time) in T12, T10 and T8, analgesic block duration in T10 and T12, motor block degree, consciousness degree, need for supplemental perioperative sedation and analgesia, hypotension, bradycardia and peri and post operative side-effects, analgesia duration, proportion of patients needing supplemental analgesia and evaluation of postoperative pain (pain analog visual scale). Results: Groups were demographically uniform. The addition of fentanyl or sufentanil did not alter major characteristics of perioperative epidural block and has not significantly increased postoperative analgesia duration as compared to the use of bupivacaine only. However, the addition of lipophilic opioids has increased the quality of perioperative anesthetic block, translated into a lesser need for supplemental analgesia (p < 0.02). The increased dose of fentanyl and especially of sufentanil has increased the incidence of perioperative drowsiness (p < 0.001) without significant increase in other side effects. Conclusions: In the conditions and doses used, the addition of lipophilic opioids to bupivacaine and the increased dose of lipophilic opioids have improved anesthetic block quality without changes in the epidural block characteristics or a significant increase in side effects, with the exception of drowsiness mainly caused by sufentanil. However, they were not able to provide a significant increase in postoperative analgesia duration.

Gluon mass generation in the PT-BFM scheme

In this article we study the general structure and special properties of the Schwinger-Dyson equation for the gluon propagator constructed with the pinch technique, together with the question of how to obtain infrared finite solutions, associated with the generation of an effective gluon mass. Exploiting the known all-order correspondence between the pinch technique and the background field method, we demonstrate that, contrary to the standard formulation, the non-perturbative gluon self-energy is transverse order-by-order in the dressed loop expansion, and separately for gluonic and ghost contributions. We next present a comprehensive review of several subtle issues relevant to the search of infrared finite solutions, paying particular attention to the role of the seagull graph in enforcing transversality, the necessity of introducing massless poles in the three-gluon vertex, and the incorporation of the correct renormalization group properties. In addition, we present a method for regulating the seagull-type contributions based on dimensional regularization; its applicability depends crucially on the asymptotic behavior of the solutions in the deep ultraviolet, and in particular on the anomalous dimension of the dynamically generated gluon mass. A linearized version of the truncated Schwinger-Dyson equation is derived, using a vertex that satisfies the required Ward identity and contains massless poles belonging to different Lorentz structures. The resulting integral equation is then solved numerically, the infrared and ultraviolet properties of the obtained solutions are examined in detail, and the allowed range for the effective gluon mass is determined. Various open questions and possible connections with different approaches in the literature are discussed. © SISSA 2006.

Métodos de avaliação da eficácia dos tratamentos para a dor.

Pain is a subjective condition and, thus, difficult to measure. The best tools to assess pain are the pain evaluation questionnaires, which provide either diagnostic, pain evolution or pain intensity information. To provide information which could help differentiate between nociceptive pain and neuropathic pain is one of the most important functions of these questionnaires. The questionnaires can measure pain intensity, quality of life, or sleep quality. Quality of life and sleep are two really important characteristics to assess the pain impact on patients' life. Pain intensity assessing questionnaires combine physical evaluations with questions, providing information either from the patient sensations or clinical assessment of pain manifestations as well as the underlying biological mechanisms (such as hyperalgesia or allodynia). For example, the Pain Detect questionnaire has two parts: the patient form (intuitive, with pictures and easy understandable) and the physician form. Thus, in this questionnaire, subjective information is provided by the patient and the objective one is provided by the physician. Other pain intensity questionnaires are NPSI, DN4, LANSS or StEP. Quality of life questionnaires are versatile (can be used in different pathologies). These questionnaires include functional self-evaluation questions, and other ones associated to physical and mental health. Two of such quality of life questionnaires are SF-36 and NHP. Sleep evaluation questionnaires include quantitative features such as the number of sleep interruptions, sleep latency or sleep duration as well as qualitative characteristics such as rest sensation, mood and dreams. One of the most used sleep evaluation questionnaires is PSQI, which includes patient questions and bed-partner questions, providing information from two points of view. Copyright 2009 Prous Science, S.A.U. or its licensors. All rights reserved.

Um Exerci{dotless acute}cio Filosófico sobre a Pesquisa em Educação Matemática no Brasil

In this research we present a meta-comprehension about the research on Mathematics Education developed in Brazil through an hermeneutical analysis of the texts presented and discussed on the III SIPEM - International Seminar on Mathematics Education occurred on 2006. We present the trends that were identified in the research and emphasize the interrogations, questions and problems they address as well as their scientific, philosophical, and methodological rigor. We present the nucleus of ideas present in Mathematics Education research in Brazil as we transcend the individual production of research, focusing on the references of national and international authors. We conclude that the research analyzed has been clearly designed, introducing conceptions of and ways of working with Mathematics that address issues related to education, society, culture, teaching, learning, and history of Mathematics Education.

Desenvolvimento estético: entre as expectativas do professor e as possibilidades dos alunos

Pós-graduação em Artes - IA

Infografia impressa: a aplicação de tecnologias digitais na construção de estampas artísticas

Pós-graduação em Artes - IA

Análise do perfil socioeconômico e profissional de manipuladores de alimentos participantes de um programa de capacitação em boas práticas de fabricação, no município de Araraquara, SP

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Educação nutricional institucionalizada: conhecimentos e práticas de agentes educacionais e professoras de ensino infantil de 0 a 3 anos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Atuando em novos palcos: diálogos entre o teatro e a educação ambiental

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Os sentidos outorgados por docentes de cursos de licenciatura sobre a educação ambiental como possibilidade para se pensar a formação de professores

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Aspectos formativos da experiência com questões sociocientíficas no ensino de ciências sob uma perspectiva crítica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A Obra Lógica racional, geométrica e analítica (1744) de Manoel de Azevedo Fortes (1660-1749): um estudo das possíveis contribuições para o desenvolvimento educacional luso-brasileiro

Pós-graduação em Educação Matemática - IGCE