964 resultados para Resposta crônica e aguda


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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Estudou-se a resposta de feijão-vagem de crescimento indeterminado à fertilidade do solo em Anápolis (GO). Utilizaram-se sete linhagens (Hav 13, Hav 38, Hav 40, Hav 49, Hav 56, Hav 64 e Hav 68), e as cultivares Favorito Ag 480, Macarrão Bragança e Teresópolis Ag 484, em sete doses da formulação 4-30-16 aplicadas ao solo (D0= 0; D1=200; D(2)400; D3=600; D4=800; D5=1000 e D6=1200 kg/ha). Houve diferenças significativas entre genótipos para todas características avaliadas, dentro de cada dose do formulado, exceto para produtividade, no quinto nível, e para altura média das plantas no nível mais elevado de fertilidade. As linhagens Hav 49 e Hav 64 igualaram-se aos genótipos de maiores rendimentos em todos os ambientes. O nível médio de fertilidade foi o mais conveniente, do ponto de vista econômico, para todas as características consideradas. Com exceção de Hav 13 e Teresópolis Ag 484, que se mostraram imprevisíveis quanto à produtividade, Hav 13 e Hav 64, quanto ao número de vagens por planta e Favorito Ag 480 quanto à altura média das plantas, os demais genótipos foram estáveis. Todos os genótipos responderam proporcionalmente à melhoria do ambiente para produtividade, número de vagens por planta e altura das plantas. Quanto ao peso médio das vagens a linhagem Hav 40 respondeu menos que proporcionalmente ao aumento da fertilidade do solo, mostrando-se adaptável a solos menos férteis, enquanto a cultivar Teresópolis Ag 484 respondeu mais que proporcionalmente à melhoria da fertilidade mostrando-se adaptável a solos mais férteis.

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The study aimed to identify the quality of care and knowledge of health rights of people with chronic venous ulcers (VU) in Brasilian National Health Care System (SUS). It is a cross-sectional study, with quantitative approach, performed at the University Hospital Onofre Lopes (HUOL). The study was approved by the Ethics Committee of HUOL (CAAE nº 0148.0.051.000-10). The sample by accessibility was composed for 30 people with VU treated at the outpatient surgical clinic of HUOL. For data collection we used a structured questionnaire composed of two parts: sociodemographic characteristics and of health, of care and the clinical course of VU; and knowledge of people with VU about the rights of health. The results were processed using SPSS 15.0 and analyzed by descriptive statistics. Given the characterizations sociodemographic and health presented, we identified a clientele of users with VU predominantly female (76,7%), aged from 60 years (66,7%), married/ stable union (60,0%), low education level (83,3%), family income lower than a minimum wage (73,3%), unemployeds and with chronic diseases (53,3%), sleep greater than or equal to 6 hours (76,7%) and were not alcoholics or smokers (93,3%). In relation to clinical conditions, were shown the presence of one or more relapses of VU (73,3%), predominance of granulation tissue/epithelialization in the bed of VU (60,0%), exudate serosanguineous (43,3%), in quantity medium/large (60,0%), with no predominance of presence or absence of odor (50,0%), all patients with tissue loss in grade III / IV, no signs of infection (73,3%) and presence of intense pain (50,0%). In the last 30 days the main venue of achievement of dressing was the HUOL (100,0%), the main compression therapy used was the Unna boot (60,0%) and on inability to perform the dressing on the unit were the own patients who made the exchange at home (40,0%). The majority of respondents listed out more positive factors associated with quality of care (56,7%) were satisfied with the care of SUS (76,7%), claimed to have knowledge about their rights (70,0%), but at the same time did not know the meaning of the acronym SUS (90,0%) and classified their level of information as inappropriate (70,0%). We realize that people with VU identified as good the quality of care and demonstrated inadequate knowledge about their rights to health in the SUS, but showed interest in acquiring more information. The basic rights to entry in the SUS are constitutionally guaranteed and need to be disseminated in order to make them known to the population, so it can be implemented and ensured a greater resolution assistance in treating this type of injury

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Soil acidity in no tillage system, if not in high situations, can be neutralized by lime surface application, improving mineral nutrition and crop yield. Aiming to evaluate the agronomic performance of common bean cultivars, to surface lime application, in no tillage system, an experiment was conducted in Oxisol, Botucatu Municipal District, São Paulo State, Brazil. The experimental design was a complete randomized block in split plot with four replications, where the plots were formed by common bean cultivars (Carioca, IAC Carioca Ete, Perola, IAPAR 81 e Campeao 2) and subplots consisted of surface application of dolomitic limestone (zero, 1.8 t ha(-1), 3.6 t ha(-1) and 5.4 t ha(-1)). The surface lime application on the soil occurred in October 2002 and subsequently the sequence millet (spring) - beans (summer) - oat (autumn-winter) were planted under rainfed conditions. Bean cultivars sowing were done on December 17, 2003. It can be concluded that there is influence of cultivars and limestone surface application under no tillage, where IAPAR 81 showed better grain yield with the increase of lime rates, obtaining values of 2,025 kg ha(-1) without the lime application to 2,655 kg ha(-1) with 5.4 t ha(-1) lime rate, obtaining 31% yield increase.

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The objective was to evaluate the influence of the manganese nutritional status, growth and dry matter production of Tanzania grass. For this, we used plants of Panicum maximum Jacq. cv. Tanzania grown in pots filled with Oxisol (Mn = 0.6 mg dm(-3)). The experimental design was completely randomized, with five doses of manganese (0, 15, 30, 60 and 120 mg dm(-3)) and four replications. The plant shoot were harvested twice, the first 42 days after sowing and the second, 30 days after the first cut. In the two sections were evaluated the number of tillers and leaves, steam diameter, plant height, shoot dry matter and in shoot-Mn concentration and root dry matter after the second cut. The application of manganese in the soil increased the levels of this nutrient in the soil and their uptake by grass, which was more than four times fold higher in the second cut compared to the first cut. The use of high rates of Mn did not affect the growth of Panicum maximum, and decreased dry matter production only for the sum of two cuts, indicating high tolerance of forage of Mn toxicity. The toxicity of Mn in forage was associated with leaf content in the first and second cut of 1,238 and 1,418 mg kg(-1), respectively.

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O objetivo deste trabalho foi avaliar o efeito da aplicação superficial de calcário em plantio direto, na produtividade e nas características tecnológicas dos grãos de cultivares de feijão. O trabalho foi desenvolvido durante dois anos agrícolas, em Latossolo Vermelho distrófico, em condições de sequeiro. O delineamento experimental utilizado foi o de blocos casualizados em esquema de parcelas subdivididas, com quatro repetições. As parcelas foram representadas por cultivares de feijão (Carioca, IAC Carioca Eté, Pérola, IAPAR 81 e Campeão 2) e as subparcelas formadas pelas doses de calcário dolomítico (sem aplicação de calcário; 1,8; 3,6 e 5,4 t ha-1). As cultivares de feijão tiveram desenvolvimento produtivo distinto em função das doses de calcário aplicadas superficialmente no sistema plantio direto. A cultivar Campeão 2 foi mais produtiva nos dois anos de experimentação e a cultivar IAPAR 81 respondeu linearmente ao aumento das doses de calcário no segundo ano agrícola. Houve efeito da interação dos fatores cultivares x doses de calcário para o tempo de cozimento, nos dois anos de experimentação, com aumento dessa característica na cultivar IAPAR 81, em função do incremento das doses de calcário. Comportamento semelhante foi obtido pela cultivar Pérola, porém apenas no segundo ano agrícola. O teor de proteína bruta variou de 210 a 230 g kg-1 e a relação de hidratação ficou próxima de 2,0 não sendo influenciados pelas doses de calcário e pelas cultivares de feijão.

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The demographic and epidemiological transition process caused by a declining in birth rates and in mortality, also changes occurred in morbidity and mortality is represented by the increasing of the aging population and the raising of chronic diseases. These diseases are characterized by multiple etiologies, risk factors, long latency period, a prolonged evolution, non-infectious origin and it has association with functional impairment and disability. Thus, elderly with chronic non-communicable disease has priority because they belong to a vulnerable group to get affection of comorbidities in aging, with increased demand and spending on health services. This study is aimed to analyse the understanding of elderly people with chronic non comunicable disease in the medium complexity service as a contribution to the improvement of health care in the city of Natal / RN. This is a descriptive and exploratory study with a quantitative approach, carried out at the Specialized Center for Elderly Health Care and at the Pescadores Hospital. The population was composed of 4,180 persons with a sample of 124 elderly aged above 60 years, attended in these medium complexity services. The instrument, a structured form, adapted from a questionnaire for monitoring risk and protective factors for chronic disease of the Ministry of Health. To collect data was was used the interview form containing demographic data, habits, health status and health care services. The results were processed using the Statistical Package for Social Science, version 18.0, analyzed by simple statistics. It was found that most seniors were female, predominantly between 70 and 74 years old, married, with a brown skin tone and Catholic religion, more than half had incomplete basic education, family income between one to two minimum wages and living with their families. Regarding the interviewers lifestyle, 94.4%, of them ate chicken and 97.6%, fruits, it was observed a reduction in smoking, alcoholism habits and physical activity according to the increasing age, 58.1 and 18.5% had insomnia18,5 % used sleeping pills. The elderly (51.6%) reported using services in times of sickness, seeking primary care at first (30.6%), 52% did not receive referral and was looking for free demand (38.7%). The most reported morbidity was hypertension, followed by musculoskeletal disorders. Regarding the difficulties in seeking health services, the delay in treatment and the waiting line were the most cited by the elderly. Almost all of them reported no activities to promote health in these services and those who received individual counseling on chronic diseases. Almost always, the health professionals who care of them, were mostly doctors followed by nurses. Based on the results presented, it is considered that the health services of medium complexity must undergone a more continuous dialogue with other attention level and focus on actions of health promotion and prevention. It is also recommended the necessity for qualified professionals to delivery health care to elderly and the implementation of protocols by a multidisciplinary health team, intending to provide better and continous care for the elderly with chronic diseases. The healthcare professionals who served them, were mostly physicians, followed by nurses. Through the results presented, it is considered that the medium complexity healthcare services need to perform a more continuous dialogue with the other levels of attention focusing attention to the health promotion and prevention actions. It is also recommended the necessity for qualified professionals to delivery healthcare for the elderly, in addition, a protocol implementation for the multidisciplinary health care team, to provide better care, and also the care continuity to elderly with chronic diseases

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The nurses in the hemodialysis has an important role in the nursing process implementation, in the context of a theoretical referential. Among the nursing theories, highlights the Roy´s adaptations model, who considers a person as an holistic adaptive system that aims to adapt customers to different living conditions. Thus, it is believed that the Roy´s nursing process will guide nursing care to patients on dialysis. Therefore, the study aimed to analyze the nursing diagnosis present in patients with chronic kidney disease on hemodialysis based on the theoretical model of Roy and NANDA-International. Descriptive and cros-sectional study, performed at a dialysis center in a city in northeastern Brazil. Sample of 178 patients and consecutive sampling by convenience. Data collection ocurred from October/2011 until February/2012, through interview and physical examination forms. Data analysis was initiated by clinical reasoning, diagnosis judgment and similarity relation. Then, the data were entered into SPSS program, 16.0 version, generating descriptive statistics. The project was approved by the Ethics Research Committee (protocol nº 115/11) with a Presentation Certificate for Ethics Appreciation (in 0139.0.051.000-111) and was funded by the Universal edict MCT / CNPq 14/2010. The results revealed that most patients were male (52.2%), married (62.9%) and residents in the Natal´s metropolitan region (54.5%). The mean age was 46.6 years and the years of study, 8,5. Regarding nursing diagnosis obtained an average of 6.6, especially: Risk of Infection (100%), excessive fluid volume (99.4%) and hypothermia (61.8%). On the other hand the adaptive problems average was 6.4, and the most common: intracellular fluid retention (99.4%); Hyperkalemia (64.6%); Hypothermia (61.8%) and edema (53.9%). Were established 20 similarity relations between the NANDA-International nursing diagnosis and adaptive problems of Roy, namely: risk of falls / injury risk and potential for injury, impaired physical mobility and walking mobility and / or restricted coordination, dressing self-care deficit and loss of self-care ability; hypothermia and hypothermia; impaired skin integrity and impaired skin integrity; excessive fluid volume and intracellular fluid retention / Hyperkalemia / Hypocalcemia / edema; imbalanced nutrition: less than body requirements and Nutrition less than the body's needs; constipation and constipation, acute pain and acute pain, chronic pain and chronic pain, sensorial perception disturbed: visual, tactile and auditory disabilities and a primary sense: sight, hearing and tactile; sleep deprivation and insomnia, fatigue and intolerance to activities; ineffective self health and fails in the role; sexual dysfunction and sexual dysfunction; situational low self-esteem and low self-esteem, and diarrhea and diarrhea. We conclude that there is similarity between the typologies and was required a model´s analysis, because they present different ways to establish the nursing diagnosis. Moreover, the nursing process use, under the context of a theory and a classification system, subsidizes the care and contributes to the strengthening of nursing science

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A cultura do arroz constitui um dos principais cereais que apresenta alta resposta à aplicação de zinco, constituindo um dos principais cereais em que isso ocorre. Objetivou-se, no presente trabalho, avaliar a aplicação de zinco em sementes, a partir de duas fontes, sobre a nutrição e o crescimento inicial da cultura do arroz cultivar BRS-Soberana. O delineamento experimental utilizado foi o inteiramente casualizado, em três repetições. Os tratamentos foram cinco doses 1,0; 2,0; 4,0 e 8,0g de Zn por kg de semente, das fontes sulfato e óxido, além da testemunha. Após 30 dias da semeadura, avaliou-se a matéria seca (parte aérea e raiz) e o teor e acúmulo de zinco nas plantas. O sulfato de zinco não diferenciou ao óxido para produção de matéria seca total nas plântulas de arroz, entretanto, proporcionou maior absorção de Zn. A aplicação de zinco na forma de sulfato e óxido, na dose de 8g Zn.kg-1 de semente proporcionou maior produção de matéria seca atingindo teor do nutriente, na parte aérea de 281 e 163 mg.kg-1, respectivamente.

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The effect of the application of three doses N, P and K on substrates on the nutritional status of root stock of 'Citrumelo' lemon (Citrus paradisi x Poncirus trifoliata) was evaluated. The experiment followed a fully randomized factorial design (3x3) (three nutrients x three doses plus a control) with three replicates. The treatments consisted of D1 = half standard dose, D2 = one standard dose and D3 = twice standard dose, in addition to the control that did not received fertilization at all. At four months after the emergence of the root stock of lemon 'Citrumelo' the plants tissue (leaves) were determined for nutrients analysis to obtain its accumulation. The results showed that plants of lemon 'Citrumelo' 'Swingle' are responsive to the application of N, P and K. The application of nitrogen showed a linear accumulation pattern of N and K, while the applications of phosphorus and potassium provided a quadratic response.

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The objective of this study was to evaluate the effect of different nutrient solutions oil the development and concentration of micronutrients ill guava cuttings. Two cultivars - Paluma and Seculo XXI - and four nutritional solutions were evaluated, using a factorial scheme (2x4) with three repetitions. At 90 days of hydroponic culture, dry mass and micronutrient nutrition in the cuttings were evaluated. The Paluma guava cuttings displayed greater development and nutritional requirements for boron, iron and manganese, as compared to cultivar Seculo M. The studied nutrient solutions did not affect accumulation, absorption or use efficiency of micronutrients in guava cuttings, except for copper and zinc, regardless of cultivar.

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Phosphorus is a nutrient that most limits plant growth because of its importance in nutrition and low concentration in tropical soils. The present study aimed to evaluate the response of guava to application of phosphorus. For this, the experiment was conducted in a greenhouse at UNESP, Jaboticabal Campus, with guava plants (cv. Paluma) from herbaceous plants cultivated in plastic bags (2.8 dm(-3)), filled with Alfissol (P = 2 mg dm(-3)), between November 2007 and April 2008. The treatments consisted of five doses of phosphorus (0, 100, 200, 300 and 400 mg dm(-3)) in the form of triple superphosphate (44% P(2)O(5)), arranged in a randomized block design with four replications. After 100 days of transplantation evaluated the phosphorus content in soil, dry weight of shoot and root phosphorus and zinc in the shoot. The highest production of dry weight guava was a dose of 257 g dm(-3) of phosphorus and was associated with P content in soil and leaf 110 mg dm(-3) and 2,3 g kg(-1).

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O subsolo, normalmente utilizado para produção de mudas de frutíferas, apresenta baixa concentração de zinco e, assim, existe grande probabilidade de resposta à aplicação deste micronutriente. Considerando a falta de informações sobre o assunto, procurou-se avaliar o efeito da aplicação de zinco ao substrato de produção das mudas de goiabeira e acompanhar os efeitos no desenvolvimento, na produção de matéria seca e no estado nutricional das plantas. O delineamento experimental foi em blocos ao acaso, com cinco tratamentos e cinco repetições. As doses de zinco, na forma de sulfato de zinco, foram: 0; 2; 4; 6 e 8 mg dm-3 de Zn. No plantio, as mudas receberam doses de N, P, K e B de 300; 100; 150 e 0,5 mg dm-3, respectivamente. O experimento foi conduzido em viveiro telado, em vasos com 2,8 dm³ de substrato de um Argissolo Vermelho-Amarelo. Após 135 dias do plantio, avaliaram-se: a altura, a área foliar e a matéria seca da parte aérea e das raízes, bem como os teores de macronutrientes e de Zn. As mudas de goiabeira responderam positivamente à aplicação de zinco. O maior desenvolvimento das mudas esteve associado à dose de 2 mg dm-3 de Zn. Doses iguais ou superiores a 4 mg dm-3 causaram redução significativa no desenvolvimento e no acúmulo de macronutrientes nas mudas de goiabeira.

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O objetivo deste trabalho foi avaliar os atributos físicos de um Latossolo Vermelho distrófico argiloso e a produtividade de milho em sistemas de manejo que incluem plantas de cobertura cultivadas em pré-safra (setembro a novembro). Foram utilizadas, durante quatro anos, as seguintes plantas de cobertura: crotalária (Crotalaria juncea); milheto (Pennisetum americanum sin. tiphoydes); lab-lab (Dolichus lablab) em sistema de semeadura direta; e pousio cultivado em sistema de preparo convencional, antecedendo o cultivo de milho. O delineamento experimental foi de blocos ao acaso com parcelas subdivididas e quatro repetições. Amostras de solo indeformadas foram coletadas para determinações físicas e avaliou-se a produtividade de milho em área de 22,5 m². As plantas de cobertura no sistema de semeadura direta promoveram maior estabilidade de agregados e maior densidade do solo na camada superficial, sem alteração do conteúdo de água disponível às plantas. A utilização de lab-lab, em pré-safra, promoveu a menor produtividade de milho. A utilização de plantas de cobertura em pré-safra no sistema de semeadura direta de milho é viável no Estado de São Paulo.

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A escória de siderurgia pode constituir-se em uma fonte alternativa de Ca e Mg, bem como corretivo de acidez do solo, melhorando o estado nutricional de mudas de goiabeira, podendo contribuir para o sucesso da implantação de um pomar. O presente trabalho objetivou avaliar os efeitos da escória de siderurgia nas alterações dos atributos químicos do solo, na nutrição das plantas e no crescimento de mudas de goiabeira. Para tanto, instalou-se um experimento em Taquaritinga-SP, em condições de vasos, com doses crescentes de escória de siderurgia: zero; metade; uma vez; uma vez e meia; duas vezes e duas vezes e meia a dose para elevar a saturação por bases para 70%. Após 90 dias da incubação da escória no solo, procedeu-se o plantio das mudas de goiabeira (cv. Paluma), propagadas vegetativamente por estaquia, em substrato de um Argissolo Vermelho-Amarelo ácido (vaso com 2,8 dm³), cultivando-as por 105 dias. A aplicação de escória de siderurgia elevou os valores de pH, SB, V%, e as concentrações de Ca, Mg e P, diminuindo H+Al do solo. Nas mudas de goiabeira, houve aumento significativo na altura, no número de folhas, na área foliar, nas concentrações de Ca, Mg e P da parte aérea e das raízes das plantas e, conseqüentemente, na matéria seca da parte aérea e das raízes. Portanto, a escória de siderurgia mostrou-se viável na produção de mudas de goiabeira como corretivo de acidez do solo e fonte de nutrientes (Ca e Mg ).