945 resultados para Edifícios hospitalares
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Deconstructions, although hardly covered in Civil Engineering courses, are a very important field of study. Due to numerous factors, such as obsolescence, buildings life cycle comes to an end leading to their deactivations. Decommissioning is a process that intends to plan the hole deactivation by providing the cleaning of contaminated areas, avoiding risks to public health, as well as promoting a screening of generated waste, whether dangerous or not, offering their correct disposal or even reuse when possible. Decommissioning must be developed by a plan that covers from the recognition of the area until its releases to other uses. When this procedure is appropriate, attention must be paid to the cost effective of its implementation and to the cleaning standard that the plan intends to reach. The execution of the service allows to reuse the area, becoming productive again
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Este trabajo tiene como objetivo principal oferecer una herramienta alternativa para la resolución de placas finas, presentes en edifícios, relacionadas con los métodos de cálculo adquiridos durante la universidad, calculo a través de tablas con pocas condiciones de controno. El método utilizado es el Método de los elementos de contorno que discretiza la placa en partes finitas, aproximando los resultados obtenidos a valores reales. En este trabajo se ha utilizado el programa de ordenador Placas2.for (TAGUTI,Y. 2010) basado en el Método de los elementos de contorno para la resolución de las placas finas con varias condiciones de contorno geométricas y de cargas
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WHO has launched the “Safe Surgery Saves Lives” program with the purpose to reduce damage to surgical patients and define safety standards specifically in order to reduce such patients’ morbi-mortality by providing surgery teams and hospital managers with orientation about the standards of safe surgery and a uniform service evaluation instrument for national and international surveillance. Hence, this study aimed at applying the WHO safe-surgery checklist to the surgical specialties of a university hospital and evaluating the team’s opinion about the influence of its application on the safety of surgical process and on the team’s interpersonal communication. It was a descriptive, analytical, qualitative field study conducted in the surgery facilities of a university hospital in a public establishment in São Paulo state. The checklist was applied to eight surgical specialties, resulting in a total number of 30 surgeries. Its application was conducted by the researcher in three phases: Sign in, Time out, Sign Out. Next, one member of the surgery team was invited to voluntarily participate in the study by signing an informed consent form and answering guiding questions. Thirty members of the surgery team participated in the study. Bardin’s Content Analysis Method was used to organize and analyze the data. As regards the safety provided by the checklist, the following thematic categories emerged: “It reduces risk and possible complications”; “It standardizes conducts and reviews safety steps”; “It allows for better understanding of the process”; and “It provides safety to the team as a whole”. The category “It is not included in the institution’s routine” emerged from the subjects’ statements when they understood that, in this form, the checklist does not provide safety to surgical procedures. As regards communication, two thematic categories emerged: ...(Complete abstract click electronic access below)
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Trata-se de projeto para novos edifícios em substituição ao Pavilhão Permanente de Exposições “Dr. Licínio Hilmar Oliveira de Arantes” bem como intervenção em seu entorno localizados no município de Ibitinga – SP. Foram realizadas coletas de dados e elaboração de um programa para área. Como resultado desta pesquisa foi elaborado um projeto arquitetônico para a área de intervenção
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O presente Trabalho Final de Graduação apresenta um projeto que se baseou no programa oferecido pelo Centro Educacional Unificado – CEU, equipamento público criado em 2001 pela Secretaria Municipal de Educação da Prefeitura de São Paulo destinado a áreas periféricas da cidade de São Paulo. E também no programa oferecido pelo SESI – Serviço Social da Indústria, entidade de direito privado criado em 1946 pela CNI – Confederação Nacional da Indústria. Formulado para funcionar como um espaço de sociabilização da vida urbana e com o intuito de oferecer EDUCAÇÃO, CULTURA E LAZER para o desenvolvimento integral de crianças, jovens e adultos das comunidades do entorno. O programa desenvolvido para o CENTRO DE EDUCAÇÃO, CULTURA E LAZER, conta com um Bloco Cultural o qual apresenta espaços como: Biblioteca, Teatro, Refeitório, Administração, Salas de atividades diversas e a Creche; o Bloco Educacional Abriga um Centro de Educação Infantil (CEI), uma Escola Municipal de Educação Infantil (EMEI), uma Escola Municipal de Ensino Fundamental (EMEF) e Educação de Jovens e Adultos (EJA). E por fim, uma Praça de Esporte e Lazer equipada com Ginásio Poliesportivo coberto, quadras descobertas, piscinas e playground, sendo estes espaços abertos aos finais de semana com a finalidade de proporcionar opções de recreação em beneficio de toda comunidade. A escolha do local para a implantação deste projeto foi a cidade de Ribeirão Preto (localizada a nordeste do Estado de São Paulo), no bairro Jardim Jamil Seme Cury, conjunto habitacional criado para receber moradores vindos de uma comunidade carente que se localizava no entorno do aeroporto Leite Lopes, o qual passa por discussões para a inserção de um Terminal Internacional de Cargas, e consequentemente necessita ampliar sua área de abrangência
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The study analyzed contours of the thoracic region of patients undergoing radiotherapy of breast tumors in Hospital Manuel de Abreu of Bauru (institution 1) and the Hospital da Faculdade de Medicina of Botucatu (Institution 2). Were prepared isodose curves corresponding to the contours of the patient, which were presented for radiotherapists doctors both hospital services that enabled the choice of the curve isodose that provides the best distribution of radiation dose in the irradiated volume. Some boundaries were digitized in one institution and sent for preparation of isodose lines in the institution 2, both curves plotted in each of the institutions and for the same contour, were compared, showing that the methodology of Curves of distance is feasible and reliable, while optimizing the routine procedures regarding the handling of isodose plans provided by different radiation equipment. It compares the calculation of the exposure time determined using the isodose curve selected by calculating the value obtained considering the PDP at the point of the middle line of separation between the internal and external fields, the difference between the two methods for determining exposure time was around 2.4%. A study on the angle of the radiation beam at the input field (region breast-air) was conducted showing that, once known a tangent angle of the input beam, one can estimate the angle of the wedge filter used in some procedures for uniformity of dose within the irradiated volume compensation and the lack of tissue in the treatment volume. A comparative study between the isodose curves produced manually with the curves obtained in a two-dimensional computer system, the computer system showed that provides further information regarding the dose gradient within the irradiated volume, in addition to reducing the time spent in preparing the curves isodose
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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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O ensino básico elementar e complementar é um elemento primordial para o desenvolvimento humano (aluno) e é a fonte da sabedoria e da ampliação do conhecimento científico. Para desenvolvimento e crescimento populacional de um país é fundamental o investimento, ou ampliação da rede educacional. A falta do número suficiente das escolas e professores nos últimos anos tem sido a maior preocupação dos alunos e também do Ministério da Educação Nacional em Bissau, mas com a falta das condições financeiras e da coordenadoria dos projetos educacionais o País acaba de abarcar tais situações. A procura do ensino básico elementar e complementar (liceu) no interior do País foi e ainda é até hoje, uma das causas do êxodo rural. Antigamente o enquadramento dos filhos dos agricultores na escola era visto para os pais como o abandono da família principalmente nos trabalhos domésticos e do campo/lavora; devido a falta das escolas eles são obrigados de abandonar regiões deles a fim de procurar as escolas, ou seja, escola que atende os seus níveis escolares, mas hoje em dia com mentalidade diferente em relação ao passado todas as pessoas querem adquirir ensino, ou seja, a formação educacional. Com as experiências vividas ao longo do período em Guiné-Bissau nos últimos anos, a rede de ensino não cresce proporcionalmente em relação ao crescimento populacional, muitas das vezes as suas ampliações sempre foram feitas através de uma forma provisória e desconfortável aos seus usuários. Então a idéia da criação de um novo complexo, ou projeto do Edifício Escolar para a República da Guiné-Bissau ajudará futuramente para o desenvolvimento do País, isto é, se for implantados em Bissau e multiplicados no interior da Guiné-Bissau. O objetivo deste Trabalho de Conclusão de Curso foi desenvolver o projeto... (Resumo completo, clicar acesso eletrônico abaixo)
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Due to the importance of traumatic brain injury (TBI) in small animals, this paper aimed to discuss the pathophysiology of the TBI, the pre-hospital and hospital therapeutic procedures, as well as considerations related to transport and initial care of the patient immediately after trauma. The professional must identify the pre-hospital TBI and to treat the victim as a polytraumatized patient, including immobilization. In hospital therapy the procedures of craniotomy are important, especially to remove blood clots. In addition, the use of glucocorticoids must be avoided because of side effects, but combination therapies such as mannitol with furosemide increase the probability of success
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O presente trabalho será desenvolvido em uma quadra urbana no centro da cidade de Roma que compreende o Complexo da Crypta Balbi em cujo espaço é possível realizar uma leitura do ponto de vista arquitetônico e urbano ao longo da história e ver refletida a cidade ao longo de seu desenvolvimento através de vestígios arqueológicos do início da formação de Roma (III a.C.) até construções do século XIX . O trabalho visa a restauração e reabilitação do Complexo, mais especificamente das edificações localizadas na Via del Delfini a fim de abrigar um edifício de uso público assim como a requalificação do espaço aberto no interior do quarteirão permitindo sua integração com o entorno imediato e com os edifícios da quadra
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Population growth, together with the gradual social ascent in Brazil, reflects at the growing need for better use of urban spaces. In this context, the amount of new buildings to meet the demand in property market, the needs for creating new roads and highways, among others, make the use of geotechnical works and, more specifically, retaining walls, more and more common. One of the simplest solutions for underground works is the use of retaining structures using tie back walls for soil support, therefore, the present work deals with this kind of structures. This paper proposes the use of FTOOL software testing in predicting deformations in tie back walls, by comparing simulations of the presented model to a real and measured deformation case in Guabirotuba Formation (PR). The results showed the importance of defining the parameters such as stiffness and curtain geometry, as well as the definition of representative loads acting on it. Also, it was pointed out that the passive response of the steel rods depends on the horizontal displacement of the wall. The study concluded that the program generates very representative results when compared to field data and seems to be a promising tool for tie back structures displacement predictions
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This study aimed to assess knowledge of nursing professionals (nurses, technicians and nursing assistants) on the Project Sentinel Hospitals in a state hospital in the interior of and identify the occurrence of under-reporting of hospital products and the reasons that prevented the team to notify them. This is a study of a descriptive and exploratory, held in a public hospital in the interior of which serves only patients of the Unified Health System (SUS). The study sample consisted of 245 nurses. Data analysis revealed that the majority of nurses and nursing assistants refers knowledge about Project Sentinel Hospitals. In relation to the Practical nurses less than half know Hospitals Project Sentry. Knowledge of the four spheres of Hospitals Project Sentinel is higher among nurses. Among the practical nurses and nursing assistants prevailing knowledge in the area of Pharmacovigilance. The nurses have more knowledge about the process of notification and are major notifiers. Technicians and nursing assistants are those who have greater interest in learning content as a whole Hospitals Project Sentry. The nurses were the professionals who witnessed the most under-and under-reporting associated with the fear, lack of knowledge on the subject, insecurity and lack of time. It can be concluded that the study identified the knowledge of nurses on Project Sentinel Hospitals and the procedure for notification of technical defects and adverse events related to health products as well as identify the presence of under-reporting among professionals. In addition, the study shows the importance and need for greater disclosure of the activities developed by Project Sentinel Hospitals among nursing professionals through meetings, lectures, brochures, among other outlets
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A necessidade de se pensar o futuro, bem como a necessidade em atender uma demanda em questão, foram os pontos de partida deste trabalho, que aborda as questões teóricas e práticas do projeto de um Apart-hotel em São João da Boa Vista, utilizando técnicas de eficiência energética. Para alcançar o resultado final, foram abordadas questões como a utilização de cartas bioclimáticas, carta solar, entre outros fatores empregados para se entender e estudar as questões climáticas, bem como o estudo da cidade no que se refere à contextualização do projeto
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The dynamics of the health services sector can be seen in studies of geographical features as analysis on the quantity and quality of médical and hospital services provided and the demand or need sensed by the population, whether the public sector, whether private sector within a defined portion of space, in analysis in this study, the Administrative Region of Barretos, State of São Paulo. This study seeks to better understand the dynamics of the health services sector (Public and Private) in the production of urban space of the Administrative Region of Barretos, for it will be reviewed, in particular, the Cities Health Centers, Bebedouro and Barretos. Also proposes through this, try to clarify the central regional Barretos and Bebedouro in the context of health services