Brazilian community health agents and qualitative primary healthcare information

The aim of this study was to explore female community health agents’ views about the value of recording qualitative information on contextual health issues they observe during home visits, data that are not officially required to be documented for the Brazilian System of Primary Healthcare Information. Background: The study was conducted in community primary healthcare centres located in the cities of Araçatuba and Coroados (state of São Paulo) and Rio de Janeiro (state of Rio de Janeiro), Brazil. Methods: The design was a qualitative, exploratory study. The purposeful sampling criteria were being female, with a minimum of three years of continuous service in the same location. Data collection with 62 participants was conducted via 11 focus groups (in 2007 and 2008). Audio files were transcribed and submitted to the method of thematic analysis. Four themes guided the analysis: working with qualitative information and undocumented observation; reflecting on qualitative information; integrating/analysing quantitative and qualitative information; and information-sharing with agents and family health teams. In 2010, 25 community health agents verified the final interpretation of the findings. Findings: Participants valued the recording of qualitative, contextual information to expand understanding of primary healthcare issues and as an indicator of clients’ improved health behaviour and health literacy. While participants initiated the recording of additional health information, they generally did not inform the family health team about these findings. They perceived that team members devalued this type of information by considering it a reflection of the clientele’s social conditions or problems beyond the scope of medical concerns. Documentation of qualitative evidence can account for the effectiveness of health education in two ways: by improving preventative care, and by amplifying the voices of underprivileged clients who live in poverty to ensure the most appropriate and best quality primary healthcare for them.

Silagens de milho consorciado com forrageira tropical e leguminosa em dietas para terminação de cordeiros

Pós-graduação em Ciência e Tecnologia Animal - FEIS

Multiplicação e convergência das mídias: desafios para a educação física escolar

This article presents pedagogical reflections on the relationship between media and physical education, a scenario in which digital technologies facilitate and expand access to media. Then there is the need to approach physical education to the media, given its importance in symbolic representation and behavior of students within the movement body culture. The primary intentions of the media are not necessarily compatible with the purposes of school. This apparent contradiction leads us to wonder, in dialogue with the area of media education, which would be the potential of media as a strategy for pedagogical action.

Estudo hidrodinâmico quali-quantitativo de uma unidade de flotação por ar dissolvido (FAD): o efeito do dispositivo de coleta de água flotada

The main article aim was to investigate the collecting system of a dissolved air flotation (DAF) unit in pilot scale. Referring to the collecting system position, two options were analyzed: (i) top manifold and (ii) bottom manifold, pipes or plates. Qualitative and quantitative essays were performed, as image and stimulusresponse tests, respectively. The results of the essays standardized were adjusted by N-continuous stirred tank reactors in series and theoretical models of dispersion (low and high). The bottom manifold (plates with orifices) was more appropriate. The results pointed out that the N-continuous stirred tank reactors in series model was more adequate to describe the hydrodynamic behavior of the DAF unit.

Milho, amido ou caroço de algodão associados à glicerina bruta em dietas para ovinos

Pós-graduação em Zootecnia - FCAV

Parâmetros genéticos para características indicadoras de eficiência reprodutiva e produtiva de ovinos da raça Santa Inês

Pós-graduação em Genética e Melhoramento Animal - FCAV

Efeitos do treinamento resistido sobre secreação de testosterona e cortisol: uma revisão bibliográfica

You can set the resistance training such as making a move against a resistance by performing a muscle contraction and generating a muscular adaptation. This form of training, was initially used only in training athletes aiming to strengthen and improve fitness. Some coaches did not give proper focus, as the increase in muscle mass would cause loss of flexibility and agility. But over time a huge evolution occurred within this area and the practitioners of resistance training are no longer just athletes, and reached the whole community, from young to elderly, being a physical activity that generates a large caloric expenditure and has several health benefits, improve the cardiovascular system and decreasing the amount of body fat in the body. Cortisol is a hormone secreted from a stressful stimulus to the body, secretion undergoes control of the hypothalamic-pituitary axis, which releases the hormone into the bloodstream andrenocorticotrópico, going to the adrenal cortex responsible for their release. This has catabolic function, acting in the metabolism of carbohydrates, proteins and lipids, as well as having an important effect antiflamatório. Testosterone is a steroid hormone cholesterol from being produced by the testicles in men, as in women is produced to a lesser extent in ovary and adrenal glands, has functions androgenic and anabolic. Androgen function is responsible for the development of male sexual characteristics, while on anabolic function operates in the growth of muscles and bones, influencing the development of the human body organs. Within the metabolic changes that occur in the resistance training testosterone plays an important role in protein synthesis, influencing the production of strength and / or power during exercise. The objective of this work is through a literature review to assess the effects of resistance training on the production of these hormones and the relationship between them

Avaliação energética do ciclo de refrigeração por absorção utilizando biogás de aterros sanitários e gás natural

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A análise morfométrica para avaliar a taxa de progressão da fibrose hepática na hepatite C crônica após o transplante renal: uma série de casos

The real role of renal transplantation in hepatic fi brosis progression caused by hepatitis C virus is still unpredictable. Histological evaluation of the liver is the best form to estimate fi brosis evolution, although semiquantitative analysis carries important limitations. Objective: To apply a morphometric quantitative assay on hepatic fi brosis progression in renal recipients with hepatits C. Methods: Thirty patients were initially evaluated, but only seven were included. They underwent the fi rst biopsy near the transplantation date and the second biopsy at least 4 years later. The immunosuppressant therapy adopted in all cases was azatioprine and micofenolate. Fibrosis progression rate (FPR) was calculated before and after the surgery date in each patient according to Metavir score and morphometric analysis. Results: The FPR calculated by Metavir score showed no statistical difference between pre- and post-transplantation (p=0.9). The FPR calculated by the morphometric analysis was 0.58 ± 0.78 before transplantation and 3.0 ± 3.3 after the surgery, with statistical signi- fi cance between these values (p=0.0026). Conclusion: In the sample assessed, the progression of hepatic fi brosis was documented and quantifi ed only by the morphometric analysis, which is as a promising approach to histological evaluation of these patients.

Experience of family members as a result of children's hospitalization at the Intensive Care Unit

Objective. To describe the experience of family members as a result of children’s hospitalization at the Intensive Care Unit (ICU). Methodology. Descriptive and cross-sectional study. A structured interview was held with 20 relatives of patients hospitalized at two clinics of the Botucatu Medical School at Universidade Estadual Paulista “Júlio de Mesquita Filho”. Information was collected between July and September 2010. Results. The main characteristics of the participating relatives were: 80% mothers of the children; 70% low education level and 70% married. Sixty percent of the children were hospitalized at the ICU for the first time. Eighty percent of the interviewees believe that the children’s behavior changes inside the unit and 85% consider that visiting hours are sufficient. The predominant negative feelings are fear (50%) and insecurity (20%), while the predominant positive feelings are hope (50%) and the expectation of discharge (25%). The professional who most supported the relatives was the nurse (35%). Conclusion. The family members’ experience as a result of the children’s hospitalization at the ICU involves positive and negative aspects, which also affect the child’s behavior at the unit.

Travessias de Cecília: a caminho da educação matemática no CEEJA Padre Moretti - Rondônia

Pós-graduação em Educação Matemática - IGCE

Uma Proposta de utilização de um software educacional para o ensino de poliedros

This paper presents an educational proposal to use an educational software for the teaching of mathematics, following in the conduct of activities, the main aspects of sociocultural theory of Vygotsky. For this, it chose the Poly educational software, with which were developed teaching and learning activities for the polyhedra content provided in the São Paulo State Mathematics curriculum for the 7th year of elementary school. The objectives of this pedagogical proposal are to stimulate situations of social interaction among students and between students and the teacher, using an educational software as a mediator instrument and present a different way of using digital technology in math classes, aiming production of mathematical knowledge

O valor econômico da extração manejada de madeira no baixo Amazonas, estado do Pará

O objetivo deste trabalho foi estimar o valor econômico e a margem de comercialização da madeira em tora oriunda de áreas manejadas. Essa cadeia, além de produzir margem positiva, os valores são relativamente superiores aos gerados nas atividades que concorrem para o desmatamento na Amazônia para se estabelecerem. Adicionalmente, determinou-se o coeficiente médio de desdobramento de 37,3% (2,68 m³ de madeira em tora para cada 1,0 m³ de madeira serrada), o qual revelou baixo grau tecnológico das empresas. O valor econômico médio da extração e comercialização da madeira em pé no mercado local foi de R$ 23,48/m³, tendo um valor mínimo de R$ 9,06/m³ para as espécies da categoria C4 (madeira branca) e um máximo de R$ 55,63/m³ para as espécies da categoria C1 (madeira especial). Assim, para um fluxo de 30 anos e extração de 25 m³/ha nos planos de manejo das áreas de concessão florestal do Estado do Pará, gera-se um valor médio de R$ 587,00/ha, ou R$ 19,56/ha/ano. No fluxo de 30 anos, esse resultado é relativamente superior ao gerado pelas atividades de pecuária extensiva (em torno de R$ 180,00/ha) e das lavouras de grãos (em torno dos R$ 420,00/ha), principais responsáveis pelo desmatamento da Amazônia. Também, apresenta maior rentabilidade do que o reflorestamento com paricá, que gera R$ 192,26/ha. A margem de comercialização indicou que a sociedade tende a se apropriar de 14,3% do valor econômico gerado na cadeia da madeira oriunda dos contratos de concessão florestal.

Uma Proposta de utilização de um software educacional para o ensino de poliedros

This paper presents an educational proposal to use an educational software for the teaching of mathematics, following in the conduct of activities, the main aspects of sociocultural theory of Vygotsky. For this, it chose the Poly educational software, with which were developed teaching and learning activities for the polyhedra content provided in the São Paulo State Mathematics curriculum for the 7th year of elementary school. The objectives of this pedagogical proposal are to stimulate situations of social interaction among students and between students and the teacher, using an educational software as a mediator instrument and present a different way of using digital technology in math classes, aiming production of mathematical knowledge

Acetylcysteine for Prevention of Renal Outcomes in Patients Undergoing Coronary and Peripheral Vascular Angiography Main Results From the Randomized Acetylcysteine for Contrast-Induced Nephropathy Trial (ACT)

Background-It remains uncertain whether acetylcysteine prevents contrast-induced acute kidney injury. Methods and Results-We randomly assigned 2308 patients undergoing an intravascular angiographic procedure with at least 1 risk factor for contrast-induced acute kidney injury (age >70 years, renal failure, diabetes mellitus, heart failure, or hypotension) to acetylcysteine 1200 mg or placebo. The study drugs were administered orally twice daily for 2 doses before and 2 doses after the procedure. The allocation was concealed (central Web-based randomization). All analysis followed the intention-to-treat principle. The incidence of contrast-induced acute kidney injury (primary end point) was 12.7% in the acetylcysteine group and 12.7% in the control group (relative risk, 1.00; 95% confidence interval, 0.81 to 1.25; P = 0.97). A combined end point of mortality or need for dialysis at 30 days was also similar in both groups (2.2% and 2.3%, respectively; hazard ratio, 0.97; 95% confidence interval, 0.56 to 1.69; P = 0.92). Consistent effects were observed in all subgroups analyzed, including those with renal impairment. Conclusions-In this large randomized trial, we found that acetylcysteine does not reduce the risk of contrast-induced acute kidney injury or other clinically relevant outcomes in at-risk patients undergoing coronary and peripheral vascular angiography.