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PARTICULARIDADES DO TRABALHO DO ENFERMEIRO NO SERVI O DE ATENDIMENTO MóVEL DE URGêNCIA DE BELO HORIZONTE
Mar lia Alves,Thays Batista da Rocha,Helen Cristiny Teodoro Couto Ribeiro,Gelmar Geraldo Gomes
Texto & Contexto - Enfermagem , 2013,
Abstract: Fue realizado un Estudio de Caso descriptivo y cualitativo que objetivó conocer la percepción de enfermeros sobre su trabajo en el Servicio de Atención Móvil de Urgencias. Los sujetos fueron 12 enfermeros y los datos fueron recolectados a través de entrevistas y sometidos al análisis de contenido. Los resultados muestran como aspectos positivos del trabajo: el dinamismo y la capacidad de resolución del servicio, su visibilidad en la red de salud, ejecución de las actividades de asistencia y la satisfacción en el trabajo. Los negativos implican: el poco conocimiento de la población acerca de la organización y el funcionamiento del Servicio, la exposición a los factores de riesgos ambientales y físicos, violencia en los barrios bajos en el momento del servicio y problemas de recepción de los pacientes en unidad de salud fija. Se puede observar que los aspectos positivos están relacionados con el contenido del trabajo y su propósito y los negativos con las condiciones del trabajo.
A mulher climatérica
Silveira, Geraldo G. Gomes da;
Revista Brasileira de Medicina do Esporte , 1997, DOI: 10.1590/S1517-86921997000400005
Abstract: the author reviews many aspects that involve the clinical approach of climacteric women. emphasis is placed on exercise practice and on the fact that inconsistent results in the literature regarding physical activity and climacteric syndrome may result from inadequate assessment measurements.
Um estudo exploratório do controle gerencial de ativos e recursos intangíveis em empresas brasileiras
Barbosa, José Geraldo P.;Gomes, Josir Simeone;
Revista de Administra??o Contemporanea , 2002, DOI: 10.1590/S1415-65552002000200004
Abstract: this study has for objective to evaluate, in three brazilian companies of the services sector, the importance granted by them to their intangible assets. for the purpose of this study, the body of intangible assets of a company is defined as composed of the technical competence of its workforce; its ability to transfer and incorporate knowledge; the quality level of its relationship with customers, suppliers and job market; and the intensity of its research and development effort. the importance of each intangible asset is verified by (1) the degree of presence of components of each asset; (2) the number of relevant managerial activities related to each asset; and finally (3) the number of frequently used performance indicators related to each intangible asset.
Escola e participa??o juvenil: é possível esse diálogo?
Dayrell, Juarez;Gomes, Nilma Lino;Le?o, Geraldo;
Educar em Revista , 2010, DOI: 10.1590/S0104-40602010000300016
Abstract: the social participation of young people depends on the way society provides opportunities in which they can involve in participatory experiences and inform themselves about the possibilities in this field. based on the data of a national research about the social participation of the brazilian youth, this paper aims at discussing the role that young people school experience has fulfilled in this process belo horizonte metropolitan. according to the presented data, the schools have shyly acted in this field, which seems to result both from the conceptions that guide the school organization and the social reality that narrows the political and social participation of the brazilian young people. this paper presents data on the young people situation at belo horizonte metropolitan region and analyzes the youth representation towards the social participation demonstrated in the research. finally, it discusses the school role inciting participatory experiences among its students.
Pseudotumor inflamatório em crian?a pré-escolar
MALCON, MAURA;GOMES, NILTON HAERTEL;JORGE, VALéRIA;GEYER, GERALDO;
Jornal de Pneumologia , 2001, DOI: 10.1590/S0102-35862001000500010
Abstract: the authors described a case of a five year old boy having an inflammatory pseudotumor (fibrohistiocytic granuloma) in the left upper lobe. surgical excision was undertaken, and the four year outcome was favorable. these tumors are rare and can simulate sarcomas, so that a radical excision is considered the diagnostic procedure and the treatment of choice as well.
Failure of imidacloprid and thiacloprid to control the guava-psyllid, Triozoida limbata (Enderlein) (Hemiptera: psyllidae)
Lima, José Oscar Gomes de;Gravina, Geraldo do Amaral;
Ciência e Agrotecnologia , 2009, DOI: 10.1590/S1413-70542009000700032
Abstract: the guava-psyllid, triozoida limbata (enderlein), is a severe pest of guava orchards, reducing fruit production. this communication shows the results of an experiment aimed to test nicotinoid insecticides for controlling the guava-psyllid at a high-density level of infestation. unsatisfactory control of this pest was achieved with imidacloprid al 100 g/l, at 5, 10 or 20 ml sprayed once onto the guava stem; with imidacloprid sc 200 g/l, at 0.6 ml in 2 l of water/tree and with thiacloprid sc 480 g/l, at 0.2 ml in 2 l of water/tree, both sprayed twice (15 day interval) on the guava foliage. possible causes of the failure are discussed in relation to several factors, since previous research showed satisfactory control of the guava-psyllid with these insecticides.
Experiência clínica com o uso de sedativos em terapia intensiva: estudo retrospectivo
Rodrigues Júnior, Geraldo Rolim;Amaral, José Luiz Gomes do;
Revista Brasileira de Anestesiologia , 2002, DOI: 10.1590/S0034-70942002000600012
Abstract: background and objectives: among the most frequent indications for intensive care unit patients sedation, one may mention artificial ventilation installation and maintenance, anxiety and uncomfortable or painful procedures. this retrospective study aimed at evaluating most common sedation indications and techniques for severe patients admitted to the surgical intensive care unit, escola paulista de medicina (epm/unifesp) during an 11-month period. methods: after excluding patients remaining in the icu for less than 24 hours and those without the necessary evaluation to determine their severity index (apache ii), the sample was reduced to 307 patients. most common techniques, sedation indications and neuromuscular blockers association were evaluated. results: sedation was administered to 37.4% of patients. psychiatric disorders, such as delirium, agitation, fear and anxiety, were some indications for sedation and corresponded to 25.77% of all indications. most ventilated patients also needed sedative agents and mechanical ventilation installation and maintenance represented most indications, or approximately 57.73% of all sedated patients. procedures, such as tracheal intubation and bronchoscopy, represented 11.34% of all indications and metabolic control (barbiturate coma and tetanus) represented 5.15% of the cases. most common sedative techniques included opioids alone or associated to benzodiazepines. in this study, fentanyl alone was used in 58% of the cases, and fentanyl plus midazolam in 21.64% of patients. haloperidol, diazepam, propofol and thiopental added up 19.5%. neuromuscular blockers were used in 22.7% of mechanically in ventilated patients. conclusions: sedation is a common therapeutic resource for intensive care and is widely used to help mechanical ventilation and to treat psychiatric disorders. fentanyl, alone or in association with midazolam, was the most widely used agent.
Componentes da variancia em caracteres agron?micos de acerola
GOMES, JOSé EVERALDO;PERECIN, DILERMANDO;MARTINS, ANT?NIO BALDO GERALDO;
Revista Brasileira de Fruticultura , 2002, DOI: 10.1590/S0100-29452002000200034
Abstract: the variance components and their proportional participation in general variance of characters in west indian cherry genotypes from itápolis, viradouro and jaboticabal-sp-brazil, were estimated. the leaf, fruit and other plant characteres were evaluated from december/1997 to january/1999. the models with clones, time and clones x time were used when there were two plants by clone; and with genotypes and time, when there was only one plant by genotype. significant differences were verified in clones, time and clones x time in all characteres, except in length of leaves (cmfo), pulp profit (rmf20fr) and days in crop which were significant in specific factors. the enviromental variance has a larger influence on the following characteres: width of leaves (lmfo), pulp weight, vitamin c contents (vitc), rmp20fr and growth of branches. the proportional large genetic variance components in cmfo, lmfo, plant height, treetop diameter, height of fruits, vitc and fruit weight make effective the genotype selection.
Correla??es entre os caracteres físico-químicos de frutos da aceroleira com variáveis meteorológicas
GOMES, JOSé EVERALDO;PERECIN, DILERMANDO;MARTINS, ANT?NIO BALDO GERALDO;
Revista Brasileira de Fruticultura , 2002, DOI: 10.1590/S0100-29452002000100024
Abstract: the objective of this experiment was to estimate associations among physico-chemical characters with meteorological variables from december/97 to january/99 in fcav, jaboticabal, sp. at every spontaneous crop of 5 genotypes, medium height and diameter of twenty fruits, vitamin c amount, brix, ph, medium pulp profit in three samples of twenty fruits, medium meight of fruits and crop time were evaluated. daily meteorological data were taken from the agrometeorological department of exact sciences in fcav-unesp. supported by the largest correlations among averages of maximum (tmax), minimum (tmin) and medium (tme) temperatures at the crop period (1), at the crop period plus three days before it (2) and at the crop period plus ten days before it (3) associated to the physico-chemical characters of fruits, tmin2 was chosen as the most effective in correlated responses, and data from precipitacion (pr) and daily sunny hours (hl) in the same period (tmin2) were comprised. with precipitacion and daily sunny hours data from tmin2 period, correlations with physico-chemical characters of west indian cherry fruits were measured in general average and in the average inside each genotype. it could be concluded that meteorological variables tmin2, pr, hl showed different responses inside genotypes and influenced physico-chemical characters of fruits; hl correlation to crop time among and inside the genotypes were directly and highly significant and the variable hl influenced the periodicity and extention of crops.
Influence of sedation on morbidity and mortality in the intensive care unit
Rodrigues Junior, Geraldo Rolim;Amaral, José Luiz Gomes do;
Sao Paulo Medical Journal , 2004, DOI: 10.1590/S1516-31802004000100003
Abstract: context: although 30 to 50% of hospitalized patients in a critical care unit are under sedation, there is sparse data on the impact of sedation on morbidity and case-fatality rates in brazil. sedation is associated with higher risks of infection and death rate among patients. however, it is difficult to assess the clinical impact of sedation. objective: to evaluate the impact of sedation on the incidence of nosocomial infection and all-cause deaths at a critical care unit. type of study: prospective study. setting: tertiary-care teaching hospital. participants: after the exclusion of patients hospitalized for less than 24 hours, 307 patients were assigned to two groups, considering their states of sedation. after confirmation of heterogeneity in relation to the acute physiology and chronic health evaluation (apache ii) prognostic system, 97 sedated and 97 non-sedated patients were matched in relation to this severity index. main measurements: impact of sedation on deep venous thrombosis, incidence of decubital eschars, presence of infection, mortality and length of hospital stay. results: there was no difference in the incidence of deep venous thrombosis between the sedated and non-sedated groups, while the frequency of decubital eschars was significantly higher among sedated patients (p = 0.03). infection was detected in 45.4% of patients under sedation and 21.6% of patients not under sedation (p = 0.006). mortality for patients that did not receive any kind of sedative was 20.6% and, for those that were sedated during hospitalization, the rate was 52.6% (p < 0.0001). the sedated patients had longer hospitalization (11 vs. 4 days) (p < 0.0001). conclusion: we concluded that sedation is associated with higher infection risk and case-fatality rate, and longer hospital stay.
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