Climate Change and Knowledge Communities

19 p.

Práticas do enfermeiro no Programa de HIV/AIDS nos Centros Municipais de Saúde no município do Rio de Janeiro

Trata-se de uma pesquisa de mestrado do Programa de Pós-Graduação da Faculdade de Enfermagem da Universidade do Estado do Rio de Janeiro. Teve como objetivo geral compreender e analisar as práticas do enfermeiro na assistência à saúde no Programa HIV/AIDS nos Centros Municipais de Saúde do Rio de Janeiro a partir do princípio da integralidade. Buscou-se a compreensão da prática do enfermeiro, pois devido à complexidade da epidemia, o paciente requer assistência que estabeleça qualidade de vida. Neste sentido, explorou-se o conceito de integralidade como embasamento para as ações em saúde nos diversos níveis de assistência em especial na atenção básica. O enfermeiro diante de uma perspectiva de integralidade quer no manejo clinico do portador, quer na prevenção da disseminação da doença nos diversos grupos populacionais, deve buscar uma prática profissional com vistas a priorizar as necessidades de saúde dos usuários. Trata-se de um estudo de natureza qualitativa, sendo esta abordagem a que possibilita a compreensão dos fenômenos e das ações humanas no que se refere à prática. A pesquisa foi desenvolvida no período 2008 a 2009, sendo o trabalho de campo desenvolvido através de observação livre e entrevistas semi-estruturadas. Os sujeitos consistiram de 12 enfermeiros que trabalham nos CMS no Programa HIV/AIDS. Os dados foram analisados visando buscar eixos temáticos a fim de transparecer as práticas e seus contextos, utilizando também os registros da observação livre. Através da análise temática emergiram duas categorias: O cotidiano da assistência no programa HIV/AIDS e a Prática do enfermeiro no programa HIV/AIDS, as quais deram origem a cinco subcategorias descritas a seguir: O cotidiano dos CMS e a organização da assistência voltada para o HIV/AIDS; Limitações político-institucionais que dificultam as ações de enfermagem no programa HIV/AIDS; A relação da equipe de saúde e o processo de trabalho no programa HIV/AIDS; Bases teóricas que orientam a prática do enfermeiro em HIV/AIDS nos CMS; e Modelos de atenção à saúde e a realidade vivenciada no programa HIV/AIDS. Podemos constatar que os serviços que atendem HIV/AIDS são estruturados basicamente com a presença dos profissionais de saúde e na estrutura física disponível para a assistência. Este fato influencia a chegada do paciente ao serviço e sua forma de atendimento. Constatou-se que a falta de estrutura física prejudica a percepção das necessidades de saúde do grupo populacional assistido, mas também isto nos remete a falta de preparo do profissional. Há muita dificuldade em articular o conhecimento teórico com a prática diária, isto é, com suas atividades de rotina. Neste caso, o enfermeiro busca, a partir das ações que são postas no dia-a-dia, superar essa indefinição na tentativa de dar respostas aos problemas de saúde que lhes são direcionados. Concluímos que há necessidade de condições mais específicas para o desenvolvimento de ações que possibilitem a visualização das necessidades de saúde desta clientela para que possa desenvolver a integralidade de forma consistente nos CMS do Rio de Janeiro.

Contributions to the knowledge of larval development in Cyclops leuckarti Claus [Translation from: Natura, Milano 19, 89-96, 1928]

Taxonomic observations on the larval forms of Cyclops leuckarti are being discussed and compared with Cyclops oithonoides var. hyalina. Observations include Nauplius and Metanauplius stages. The author concludes that specific differences are recognisable even in the nauplius stages.

A contribution to the knowledge of the skin albuminose cells of Torpedo ocellata Raf [Riv.Istochim.norm.pat. 8 411-416, 1962]

Glandular cells, other than the mucous cells, have been described in the skin of various groups of fish (Teleosts, Ganoids, Selachii) and they have been called 'albuminose' by various authors. The authors propose to study the albuminose cells in the skin of Torpedo ocellata Raf. from a histochemical point of view. The albuminose cells have a complex morphological structure and a correspondingly complicated histochemical make-up. One must treat them as an example of cell with secretions of a particular type, which must and will be better incorporated when more is known of characteristics existent in other species.

Towards a knowledge of chytrids. Part 3. Spirospora paradoxa nov.gen. - nov.spec. [Translation from: Archiv fur Protistenkunde 54 510-528 [pages 522-525 and plate 28 only], 1926]

This partial translation of the original paper provides morphological observations on the fungus Spirospora paradoxa. Illustrations are included here.

To the knowledge of the genus Pseudospora Cienkowski [Translation from: Archiv fur Protistenkunde 59, 350-368, 1927]

Morphological observations on the two types of Pseudospora are given. The two Pseudospora whic are described are Pseudospora eudorini and Pseudospora volvocis. The systematic classification of the genus Pseudospora is discussed.

SteelConverter and Caltech VirtualShaker: Rapid Nonlinear Cloud-Based Structural Model Conversion and Analysis

STEEL, the Caltech created nonlinear large displacement analysis software, is currently used by a large number of researchers at Caltech. However, due to its complexity, lack of visualization tools (such as pre- and post-processing capabilities) rapid creation and analysis of models using this software was difficult. SteelConverter was created as a means to facilitate model creation through the use of the industry standard finite element solver ETABS. This software allows users to create models in ETABS and intelligently convert model information such as geometry, loading, releases, fixity, etc., into a format that STEEL understands. Models that would take several days to create and verify now take several hours or less. The productivity of the researcher as well as the level of confidence in the model being analyzed is greatly increased.

It has always been a major goal of Caltech to spread the knowledge created here to other universities. However, due to the complexity of STEEL it was difficult for researchers or engineers from other universities to conduct analyses. While SteelConverter did help researchers at Caltech improve their research, sending SteelConverter and its documentation to other universities was less than ideal. Issues of version control, individual computer requirements, and the difficulty of releasing updates made a more centralized solution preferred. This is where the idea for Caltech VirtualShaker was born. Through the creation of a centralized website where users could log in, submit, analyze, and process models in the cloud, all of the major concerns associated with the utilization of SteelConverter were eliminated. Caltech VirtualShaker allows users to create profiles where defaults associated with their most commonly run models are saved, and allows them to submit multiple jobs to an online virtual server to be analyzed and post-processed. The creation of this website not only allowed for more rapid distribution of this tool, but also created a means for engineers and researchers with no access to powerful computer clusters to run computationally intensive analyses without the excessive cost of building and maintaining a computer cluster.

In order to increase confidence in the use of STEEL as an analysis system, as well as verify the conversion tools, a series of comparisons were done between STEEL and ETABS. Six models of increasing complexity, ranging from a cantilever column to a twenty-story moment frame, were analyzed to determine the ability of STEEL to accurately calculate basic model properties such as elastic stiffness and damping through a free vibration analysis as well as more complex structural properties such as overall structural capacity through a pushover analysis. These analyses showed a very strong agreement between the two softwares on every aspect of each analysis. However, these analyses also showed the ability of the STEEL analysis algorithm to converge at significantly larger drifts than ETABS when using the more computationally expensive and structurally realistic fiber hinges. Following the ETABS analysis, it was decided to repeat the comparisons in a software more capable of conducting highly nonlinear analysis, called Perform. These analyses again showed a very strong agreement between the two softwares in every aspect of each analysis through instability. However, due to some limitations in Perform, free vibration analyses for the three story one bay chevron brace frame, two bay chevron brace frame, and twenty story moment frame could not be conducted. With the current trend towards ultimate capacity analysis, the ability to use fiber based models allows engineers to gain a better understanding of a building’s behavior under these extreme load scenarios.

Following this, a final study was done on Hall’s U20 structure [1] where the structure was analyzed in all three softwares and their results compared. The pushover curves from each software were compared and the differences caused by variations in software implementation explained. From this, conclusions can be drawn on the effectiveness of each analysis tool when attempting to analyze structures through the point of geometric instability. The analyses show that while ETABS was capable of accurately determining the elastic stiffness of the model, following the onset of inelastic behavior the analysis tool failed to converge. However, for the small number of time steps the ETABS analysis was converging, its results exactly matched those of STEEL, leading to the conclusion that ETABS is not an appropriate analysis package for analyzing a structure through the point of collapse when using fiber elements throughout the model. The analyses also showed that while Perform was capable of calculating the response of the structure accurately, restrictions in the material model resulted in a pushover curve that did not match that of STEEL exactly, particularly post collapse. However, such problems could be alleviated by choosing a more simplistic material model.