Atendimento Pré-hospitalar Móvel. Mapeando Riscos e Prevenindo Erros

The attention with safety of the patients is important in the quality of the nursing and health care. In the pre-hospital care, such care is essential on site with the purpose of avoiding possible consequences to the individual, ensuring a fast and appropriate care, with improvement of the morbidity and reduction of the mortality. This medical attention is equally associated with the significant risks of adverse events and serious mistakes, which can be reduced with the awareness of the professionals, organization and quality management. It is a descriptive, transversal research, of quantitative approach, with the objective of identifying the risks for the safety of the patient during the mobile pre-hospital care under the view of the nurses, in a city of the Brazilian Northeast. The sample was formed by 23 nurses. The inclusion criteria: to have at least two years of experience and accept to participate on the research. The data collection was done in two steps, first photo collection, through the adapted method of photographic analysis, and the second with the application of questionnaire, divide in two parts: socio-professional data and digital photo punctuation instrument of the patient s safety. The majority of the nurses had an average working time in the mobile pre-hospital care of six years and six months, in the age group of 38 to 53 years old (69,56%) and with Lato sensu specialization (73,91%), being (29,41%) emergency and (29,41%) in intensive care. The (74%) have the Advance Cardiac Life Support (ACLS) and (100%) have the Pre-Hospital Trauma Life Support (PHTLS); (91, 30%) know the thematic safety of the patient. On the pictures it was observed a bigger variability of the categories (risks) where 44% of variance emerged on the first picture of the research. The pictures 4 and 9 with the average below 5 were classified as very insecure, while pictures 7 and 3 with an average above 7, very secure. On the results of risks observed for the patient s safety in the mobile pre-hospital care five categories emerged: organization and packaging of the equipment and materials, routines and specificities in the mobile pre-hospital care, risks on the management of medications, for traumas and infections. Starting from the analysis of these risks, it was proposed ten steps for the safety in the mobile pre-hospital care: 1- Identify the patient; 2- Safety related to prevention of infection; 3- Safety in the management of medications; 4- Safety and standardization of the packaging of equipment and materials; 5- Attention to the specificities of the mobile pre-hospital care; 6- Incentive and value the participation of the patient and family; 7- Promote the communication with the central of regulation; 8- Prevention of traumas and falls; 9- Protect the skin from additional injuries; 10- Understand the benefit of all the equipment in the ambulance. The multiple risks and their emerged combinations on the research indicate a variety of actions to be developed and stimulated, like the use of steps for the patient s safety in the mobile pre-hospital care which contributes with the aid and management of risks, reduction of mistakes, disabilities and death

Análise de desempenho de estratégias de retransmissão para o mecanismo HCCA do padrão de redes sem fio IEEE 802.11e

This paper presents the performanee analysis of traffie retransmission algorithms pro¬posed to the HCCA medium aeeess meehanism of IEEE 802.11 e standard applied to industrial environmen1. Due to the nature of this kind of environment, whieh has eleetro¬magnetic interferenee, and the wireless medium of IEEE 802.11 standard, suseeptible to such interferenee, plus the lack of retransmission meehanisms, refers to an impraetieable situation to ensure quality of service for real-time traffic, to whieh the IEEE 802.11 e stan¬dard is proposed and this environment requires. Thus, to solve this problem, this paper proposes a new approach that involves the ereation and evaluation of retransmission al-gorithms in order to ensure a levei of robustness, reliability and quality of serviee to the wireless communication in such environments. Thus, according to this approaeh, if there is a transmission error, the traffie scheduler is able to manage retransmissions to reeo¬ver data 10s1. The evaluation of the proposed approaeh is performed through simulations, where the retransmission algorithms are applied to different seenarios, whieh are abstrae¬tions of an industrial environment, and the results are obtained by using an own-developed network simulator and compared with eaeh other to assess whieh of the algorithms has better performanee in a pre-defined applieation

Metodologia de análise e diagnóstico de fratura em um componente automotivo sujeito a cargas cíclicas alternadas

The competitiveness of the trade generated by the higher availability of products with lower quality and cost promoted a new reality of industrial production with small clearances. Track deviations at the production are not discarded, uncertainties can statistically occur. The world consumer and the Brazilian one are supported by the consumer protection code, in lawsuits against the products poor quality. An automobile is composed of various systems and thousands of constituent parts, increasing the likelihood of failure. The dynamic and security systems are critical in relation to the consequences of possible failures. The investigation of the failure gives us the possibility of learning and contributing to various improvements. Our main purpose in this work is to develop a systematic, specific methodology by investigating the root cause of the flaw occurred on an axle end of the front suspension of an automobile, and to perform comparative data analyses between the fractured part and the project information. Our research was based on a flaw generated in an automotive suspension system involved in a mechanical judicial cause, resulting in property and personal damages. In the investigations concerning the analysis of mechanical flaws, knowledge on materials engineering plays a crucial role in the process, since it enables applying techniques for characterizing materials, relating the technical attributes required from a respective part with its structure of manufacturing material, thus providing a greater scientific contribution to the work. The specific methodology developed follows its own flowchart. In the early phase, the data in the records and information on the involved ones were collected. The following laboratory analyses were performed: macrography of the fracture, micrography with SEM (Scanning Electron Microscope) of the initial and final fracture, phase analysis with optical microscopy, Brinell hardness and Vickers microhardness analyses, quantitative and qualitative chemical analysis, by using X-ray fluorescence and optical spectroscopy for carbon analysis, qualitative study on the state of tension was done. Field data were also collected. In the analyses data of the values resulting from the fractured stock parts and the design values were compared. After the investigation, one concluded that: the developed methodology systematized the investigation and enabled crossing data, thus minimizing diagnostic error probability, the morphology of the fracture indicates failure by the fatigue mechanism in a geometrically propitious location, a tension hub, the part was subjected to low tensions by the sectional area of the final fracture, the manufacturing material of the fractured part has low ductility, the component fractured in an earlier moment than the one recommended by the manufacturer, the percentages of C, Si, Mn and Cr of the fractured part present values which differ from the design ones, the hardness value of the superior limit of the fractured part is higher than that of the design, and there is no manufacturing uniformity between stock and fractured part. The work will contribute to optimizing the guidance of the actions in a mechanical engineering judicial expertise

Análise das provas objetivas de química dos vestibulares da UFRN de 1997 a 2010: uma caracterização a partir das mudanças

Las pruebas de vestibular, en los últimos años en el Brasil, han sido objeto de diversas investigaciones, considerando que ese proceso selectivo es una de las vias para ingresar en las universidades públicas y termina por influenciar la enseñanza en las escuelas. De esa forma, algunos vestibulares han pasado por cambios, de un simple proceso selectivo clasificatorio a un proceso fundamentado en reflexiones sociológica, pedagógica y crítica, lo que ha promovido cuestionamientos respecto del aprendizaje y de su papel en la escuela. Delante de esa realidad, la Universidad Federal de Rio Grande del Norte (UFRN) ha implementado cambios en sus vestibulares procurando una aproximación a las Orientaciones Curriculares Nacionales, como los PCNEM, los PCN+ y las OCEM. Siendo así, el objetivo de este estudio fue caracterizar el avance cualitativo en las pruebas de preguntas objetivas a partir de los cambios ocurridos en el vestibular de la UFRN en el periodo de 1997 a 2010, definiéndose las siguientes cuestiones de estudio: ¿Cuáles son los tipos de preguntas que caracterizan las pruebas objetivas de Química del vestibular? ¿Cuáles cuestiones presentan las mayores dificultades para los candidatos? ¿Cuáles son los contenidos conceptuales privilegiados? ¿En qué tipo de preguntas los candidatos presentan mayores índices de éxitos? ¿Qué diferencias pueden ser establecidas entre las preguntas antes y después del periodo que establece los cambios en el vestibular de la UFRN? Las discusiones teóricas del estudio están fundamentadas en las siguientes referencias: PCNEM (BRASIL, 1999), PCN+ (BRASIL, 2001), OCEM (BRASIL, 2006), Zabala (1999), Jiménez Aleixandre et al. (2003), Pozo (1999), Álvarez de Zayas (1992), Núñez (2009), Relatorios Comperve/UFRN (1997 a 2010), e en relación a las evaluaciones: Pasquali et al. (2003), Silva y Núñez (2008), Marín y Benarrouch (2009). Para el estudio fueran construidas las siguientes categorías que permitieran el análisis de las cuestiones: contextualización de la cuestión, temas conceptuales, problema, representación semiótica, cálculo matemático, pertinencia de la cuestión e índice de acierto. Los resultados muestran un avance cualitativo de las preguntas de Química, en los cuales se observa un modelo de prueba que prioriza el uso de verdaderos problemas, de situaciones contextualizadas, de pocos cálculos, dándose prioridad al razonamiento que implica la comprensión, la aplicación y la interpretación de los conocimientos conceptuales, todo lo que puede estimular una enseñanza más adecuada en relación a las exigencias actuales de la Educación en Química

Trabalhos prático-experimentais no ensino da biologia: Uma análise dos livros didáticos de Biologia aprovados no PNLD/2012

El trabajo práctico experimental en la educación en Ciencias y en el contexto de la enseñanza de la Biología es un objetivo clave. Teniendo en cuenta la influencia de los libros de texto en la actividad profesional de docentes, interesado en este estudio para caracterizar la orientación de este tipo de materiales, para el trabajo práctico experimental y el uso de la medición en esta actividad. Para ello analizaron las ocho colecciones de libros de Biología aprobado en PNLD en 2012. La investigación es de naturaleza descriptiva e interpretativa y de recogida de datos ha sido elegida por el método de análisis de contenido (BARDIN, 2002). El análisis de los trabajos práctico experimentales buscó caracterizar su naturaleza epistemológica, concepción de la ciencia implícita, conceptual, tipología, contenido conceptual de Biología utilizado, cuántos implican medidas, y cómo se utiliza en este contexto según el procedimiento general para medir propuesto por Núñez y Silva (2008). Los trabajo práctico experimental ha sugerido una epistemología de la enseñanza conceptual, carácter racionalista en su mayoría y dominada por las actividades del tipo de ejercicio práctico, a necesidad de medir está presente en una minoría de estos y se se utiliza el procedimiento general de medición de forma parcial e implícito en la mayoría de los trabajos prático experimentales. Por lo tanto, proponemos en este actividades de estudio a desarrollar una guía de análisis de los trabajo práctico experimentales propuesto en los libros de texto de Biología

O ensino por problemas nos livros de química: uma análise do conteúdo estrutura atômica

La enseñanza de problemas se ha investigado en la didáctica de las ciencias naturales como un medio importante para desarrollar el aprendizaje de los conocimientos científicos y la formación de competencias básicas. Dada la importancia de los libros de texto para la enseñanza de la ciencia, con el fin de verificar el enfoque de la enseñanza con problemas en los libros de química, se procedió a una investigación realizada en las obras aprobadas en PNLD 2012, basado en el método de Análisis de Contenido. Se analizó el contenido de la estructura atómica, como marco teórico la perspectiva de la enseñanza problémica, basada en el materialismo histórico y dialéctico. Metodológicamente la investigación presenta un carácter cualitativo. Los resultados del análisis de contenido corroboraron la cuestiones de estudio iniciales relacionadas con la explicación centrándose en los problemas, lo que permitió inferir la elaboración de una Unidad Didactica basada en los métodos problémicos para la enseñanza de los modelos atómicos por la exposición problémica, la conversación heurística y la busca parcial, como forma de aproximar los estudiantes a la naturaleza de las ciencias naturales y contribuir al desarrollo de actitudes positivas en el aprendizaje de la química

A fotossíntese vegetal no 3º ano do Ensino médio: concepções alternativas, erros conceituais e uma proposta de unidade didática baseada no Desenvolvimento Sustentável.

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior

Dificuldades de aprendizagem sobre conceitos de genética no ensino fundamental

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior

Dificuldades na construção de gráficos de funções

This study describes about graduation s students difficulties of to draw functions graph. Specifically, we intend to observe their abilities evolution, as well as their difficulties during Calculus I subject in engineering course. For that, we show them publications about the elaboration of graphs and its difficulties in obstacle terms and some researches witch contain this subject and that it was done during postgraduate studies in mathematical education. It shows by research methodology aspects related to French didatic s mathematic and some theories of cognitive psychology considering the high value between theoretical-methodological relation that was evidenced in both theoretical conceptions about ways to understand and teach mathematic. This methodology is based on didactic engineering purpose, that consist in preliminaries analysis, conception and didactic sequence analysis prior, trials by application followed analysis up and conclusion. We had also used pedagogicals actions and analysis of results achieved, to classify types of errors made by the 2005 s students during second semester, from conceptions related to the episthemologic and didactics obstacles

Análise e comparação entre algoritmos de percolação

In this work, we study and compare two percolation algorithms, one of then elaborated by Elias, and the other one by Newman and Ziff, using theorical tools of algorithms complexity and another algorithm that makes an experimental comparation. This work is divided in three chapters. The first one approaches some necessary definitions and theorems to a more formal mathematical study of percolation. The second presents technics that were used for the estimative calculation of the algorithms complexity, are they: worse case, better case e average case. We use the technique of the worse case to estimate the complexity of both algorithms and thus we can compare them. The last chapter shows several characteristics of each one of the algorithms and through the theoretical estimate of the complexity and the comparison between the execution time of the most important part of each one, we can compare these important algorithms that simulate the percolation.

Análise de resíduos em modelos de tempo de falha acelerado com efeito aleatório

We present residual analysis techniques to assess the fit of correlated survival data by Accelerated Failure Time Models (AFTM) with random effects. We propose an imputation procedure for censored observations and consider three types of residuals to evaluate different model characteristics. We illustrate the proposal with the analysis of AFTM with random effects to a real data set involving times between failures of oil well equipment

Consequências da análise inadequada de um experimento fatorial 2k am parcelas subdivididas e sem replicação

Em experimentos com vários fatores em que alguns são mais difíceis de mudar que outros, pode ser inconveniente executar as provas do experimento em uma forma completamente aleatória, levando o pesquisador a criar naturalmente uma restrição na ordem de execução para poupar tempo ou reduzir os custos. Este tipo de restrição pode resultar em uma generalização do planejamento fatorial, conhecida como experimentos em parcelas subdivididas. Na prática, é comum executar um experimento em parcelas subdivididas e analisá-lo como se fosse completamente aleatorizado. O objetivo principal do trabalho é avaliar o impacto de analisar um experimento com restrição na aleatorização como completamente aleatorizado

Avaliação da influência da matéria orgânica, na determinação quantitativa de metais em amostras de sedimento, por espectrometria de absorção atômica e análise de metais traços por fluorescência de raios-X

The proposal of this work is to evaluate the influence of the organic matter on the results of the analyses of the metals (Zn, Pb, Al, Cu, Cr, Fe, Cd e Ni) for Atomic Absorption Spectrometry (AAS), so much in the extraction stage as in the reading using for that the chemometrics. They were used for this study sample of bottom sediment collected in river Jundiaí in the vicinity of the city of Macaíba-RN, commercial humus and water of the station of treatment of sewer of UFRN. Through the analyses accomplished by EAA it was verified that the interference of the organic matter happens in the extraction stage and not in the reading. With relationship to the technique of X Ray Fluorescence Spectrometry (XRFS), the present work has as intended to evaluate the viability of this technique for quantitative analysis of trace metals (Cr, Ni, Cu, Zn, Rb, Sr and Pb) in having leached obtained starting from the extraction with acqua regia for an aqueous solution. The used samples constitute the fine fraction (<0.063 mm) of sediments of swamp of the river Jundiaí. The preparation of tablets pressed starting from the dry residue of those leached it allowed your analysis in the solid form. This preliminary study shows that, in the case of the digestion chemistry partially of the fine fractions of bottom sediments used for environmental studies, the technique of applied EFRX to the analysis of dry residues starting from having leached with acqua regia, compared her it analyzes of the leached with ICP-OES, it presents relative mistakes for Cu, Pb, Sr and Zn below 10%

Análise sobre diferentes abordagens de configuração eletrônica de elementos apresentados em livros de química

This study aimed to identify and review of the conceptual differences presented by authors of books, focusing on the theme of electronic configuration. It shows the changing concepts of electronic configuration, its implications for the cognitive development of students and their relations with the contemporary world. We identified possible obstacles in books generated in the search for simplifications, situations of different concepts of energy in the electron configuration for sublevels. For this analysis was carried out in several books, and some other general chemistry and inorganic chemistry without distinguishing between level of education, whether secondary or higher. It was found that some books for school books corroborated with higher education, others do not. To check the consistency of what was discussed, it was a survey of 30 teachers, it was found divergent points of responses, particularly with respect to the energy sublevels and authorship of the diagram which facilitated the electron configuration. It was found that the total 22professores, ie, 73,33% answered correctly on the energy sublevel more calcium (Ca) and 80%, ie, 24 teachers responded incorrectly on the iron. As for the authorship of the diagram used to facilitate the electronic configuration, we obtained 93, 33% of teachers indicated that they followed a diagram, and this was called "Diagram of Linus Pauling," teacher 01, 3,33%, indicated that the diagram was authored by Madelung and 01, 3,33%, did not respond to question. Was observed that it is necessary a more detailed assessment of ancient writings, as the search for simplifications and generalizations, not so plausible, lead to errors and consequences negative for understanding the properties of many substances. It was found that quantum mechanics combined with spectroscopic data should be part of a more thorough analysis, especially when it extends situations atoms monoelectronicpolieletrônicos to describe atoms, because factors such as effective nuclear charge and shielding factor must be taken into consideration, because interactions there is inside an atom, described by a set ofquantum numbers, sometimes not taken into account

O uso de analogias para o ensino de equilíbrio químico no ensino médio: facilitação da aprendizagem ou transmissão de erros conceituais?

The use of analogies in high school is often useful for chemistry teaching, either on textbooks or by teachers in the classroom.This use is justified by the large number of abstract concepts that rules this course. Analogies are conceptualized by several authors, which converge on the idea that these are tools that seek a way to elucidate an unknown concept by comparing it to a familiar one, relating their similar and dissimilar features. An analysis on a survey of analogies found in high school chemistry textbooks and chemical equilibrium studies is performed in order to verify whether they are leading to misconceptions for their use by students and/or for their use by teachers in the classroom, or whether they promote a learning facilitation