The nurse in the management of materials in teaching hospitals

OBJECTIVETo present the nurse's integration within materials management of six teaching hospitals of Paraná - Brazil, and to describe the activities performed by nurses within this process.METHODA study of a qualitative approach and descriptive nature, conducted in teaching hospitals in Paraná, between June and August of 2013. The data collection was conducted through semi-structured interviews with eight nurses who worked in materials management; data were analyzed using content analysis.RESULTSThese showed that nurses perform ten categories of activities, distributed into four of the five steps of the materials management process.CONCLUSIONThe nurse, in performing of these activities, in addition to favoring the development of participative management, contributes to the organization, planning, and the standardization of the hospital supply process, giving greater credibility to the work with professionals who use the materials, and to the suppliers

Impact of freshwater inputs on the spatial structure of benthic macroinvertebrate communities in two landlocked coastal lagoons

Landlocked lagoons are naturally stressed environments. They are strongly influenced by freshwater input which not only varies naturally, but which is also impacted by anthropogenic activities. This study investigated the direct influence of freshwater discharges on the distribution patterns and abundance of benthic communities in two neighbouring landlocked coastal lagoons, assessing the whole system and the confluence area of each tributary. Sampling occurred in the wet and dry seasons of 2011 at two distances from freshwater discharge locations. Both lagoons were colonized by species from tw o different pools, freshwater and marine. Freshwater flow rates had a direct influence on the spatial structure of the benthic communities of brackish-water/freshwater interface areas, where also specific taxa can act as early indicators of freshwater input variations. The intensity of this influence is highly dependent on lagoon size, creating spatial heterogeneity or affecting the entire system. The benthic fauna at the confluence of the tributary that depends almost exclusively on groundwater showed the lowest variability, suggesting that the biogeochemical nature of the groundwater may be a central cause for setting specific ecotones. The results suggest that benthic communities of landlocked coastal lagoons can be highly impacted by flow reduction from freshwater aquifers under drought conditions or water abstraction activities

Análise das alterações radiográficas pulmonares durante a terapêutica da paracoccidioidomicose

OBJETIVO: Foram analisadas as alterações radiográficas pulmonares em pacientes com paracoccidioidomicose crônica de modo evolutivo, verificando-se as diferenças entre os tratados com um novo agente antifúngico triazólico, o voriconazol, em relação aos que utilizaram a atual droga de escolha para o tratamento, o itraconazol. MATERIAIS E MÉTODOS: Realizou-se estudo comparativo, randomizado, com avaliação das radiografias do tórax obtidas antes, durante e após o tratamento de 39 pacientes, divididos em dois grupos: um recebendo o voriconazol e o outro, itraconazol. A avaliação das radiografias teve como parâmetro uma adaptação do método já estabelecido para a análise de outra doença pulmonar difusa, o esquema ILO (International Labour Office) de classificação das pneumoconioses, classificando-se as lesões em pequenas ou grandes opacidades. RESULTADOS: Os resultados obtidos coincidiram com as descrições prévias existentes em relação à apresentação das alterações radiográficas pulmonares, e a evolução destas ao longo do tratamento foi semelhante nos dois grupos. As pequenas opacidades regrediram parcialmente, ao passo que as grandes opacidades mostraram tendência à regressão completa. CONCLUSÃO: O uso da adaptação do modelo ILO de classificação das pneumoconioses revelou-se útil para o acompanhamento dos pacientes com paracoccidioidomicose crônica ao longo do tratamento, do ponto de vista radiográfico