Mapeamento da cobertura da terra da APA Petrópolis com a utilização da plataforma cognitiva InterIMAGE

Built in 1982, with an approximate total of 60,000 hectares, APA Petrópolis, the first Conservation Area (APA) in the country and second largest in the state of Rio de Janeiro, holds priceless historical and natural riches. The monitoring of this area with the help of thematic maps can be shown as an important resource for planning and decision making by their managers against the uncontrolled expansion of urban ocupation. With advances in remote sensing technologies and software capable of interpreting your images in an automated method, the production of these maps can become simplified. However, high costs attributed to software license and satellite imagery provided by some publishers may restrict access to these technologies. Thus, this study aims to find alternatives that allow the use of remote sensing through of free software InterIMAGE, developed by the Laboratory of Vision Computer - LVC / PUC-Rio in conjunction with the Division of Image Processing DPI / INPE, and images AVNIR sold affordable by the IBGE. From the construction of a semantic net modeled on a knowledge-based system, proved the viability of producing thematic maps concerning the use and land cover, which enable the analysis of various landscape components as the forest fragments . The methodology showed relevant results to identify the classes of forested areas (trees and undergrowth) and shadow areas. The classes of urban areas, rocky outcrops and cloud, however, have yielded conflicting results, requiring improvement through the use of visual interpretation techniques.Pages: 7471-747

Modelagem do conhecimento aplicada ao estudo da Susceptibilidade à Ocorrência de Incêndios no maciço da Pedra Branca/RJ

This article aims to use the methodology of Cartography Geoecological of susceptibility to wildfires developed through the knowledge model using open source software InterIMAGE 1.21. The susceptibility methodology uses existing nature variables in the landscape that promote the begins of wildfires in the area of the Pedra Branca massif as part of the Atlantic Forest and is located in the Rio de Janeiro city, Brazil. The data used are slope and solar radiation maps, both extracted from Digital Elevation Model (DEM) and combustibility map that was developed from a land cover map. These maps were combined using decision rules developed by the analytical-integrative approach, which resulted in the generation wildfires susceptibility classes. The software is developed by the Laboratory Vision Computer - LVC / PUC-Rio in partnership with the National Institute for Space Research - INPE, has provided excellent results for this study and allows the application of the methodology in other protected areas that present the wildfires prevention and providing assistance to combat this phenomenon in nature. The research also aims to enter other variables of the landscape to make the knowledge model of the wildfires still closer to reality in order to bring new applications to software InterIMAGE.Pages: 7974-798

Transplante cardíaco em Campo Grande - MS. Redução significativa de lesão coronária pós transplante: relato de caso

No Serviço de Cirurgia Cardíaca da Santa Casa de Campo Grande/MS - foi realizado, em 23 de setembro de 1994, um transplante cardíaco ortotópico no paciente C.A.D., 27 anos, portador de miocardiopatia dilatada idiopática, o qual transcorreu sem anormalidades. O paciente recebeu alta da UTI com 7 dias e alta hospitalar no 40º dia de pós-operatório, recebendo ciclosporina, azatioprina e prednisona para manutenção do enxerto, captopril, furosemida e aspirina. Apresentou no 1º ano de seguimento 2 episódios de rejeição, leve e moderada, sendo modificada a posologia dos imunossupressores. Em setembro de 1995, nos exames de seguimento, foi detectada, na coronariografia, lesão obstrutiva de 50% em artéria coronária direita. Decidiu-se modificar a terapêutica do paciente, iniciando diltiazen substituindo o captopril, e associando-se complexo vitamínico (betacaroteno, C e E) mais selênio, na tentativa de evitar progressão da lesão obstrutiva. Foi também realizada orientação dietética por nutricionista. Após 12 meses com a nova terapêutica, a coronariografia mostrou redução significativa da lesão obstrutiva em artéria coronária direita. Durante todo o período de seguimento o paciente apresentou níveis normais no lipidograma. Hoje o paciente encontra-se no terceiro ano de seguimento, assintomático e tendo suas atividades habituais sem intercorrências.<br>The Cardiac Surgery Service of Campo Grande, Santa Casa/MS performed on September 23 rd, 1994 an orthotopic cardiac transplantation in a 27 year-old man with idiopathic dilated cardiomyopathy, which elapsed without abnormalities. The patient left the ICU in 7 days and was discharged at 40 th postoperative day, receiving cyclosporine, azathioprine and prednisone for graft support; captopril, furosemide and aspirin. Presented at one year follow-up, 2 rejection episodes, mil and moderate, when the immunesupressivet herapy dose was modified. On September 1995, at follow up, an obstructive lesion about 50% in the right coronary artery was detected on coronary angiography. We decided to change therapy; diltiazen substituted for captopril was associated with vitamin complex (betacarotene, C and E) plus selenium, in attempt to avoid obstructive lesion progression. Dietetic guidance by nutritionist was also performed. After twelve months on the new therapy, coronary angiography demonstrated a significative reduction of the obstructive lesion in the right coronary artery. At follow up the patient has presented normal level of serum lipids.Presently, the patient is on his third year follow up, asymptomatic and has performed is habitual work, without problems

Relações entre profissionais de saúde e usuários durante as práticas em saúde Relationships between health professionals and users throughout health care practices

Apresenta-se uma revisão integrativa sobre estudos que abordam as relações entre profissionais de saúde e usuários durante as práticas em saúde. Objetivou-se identificar os aspectos pesquisados no cotidiano dos serviços acerca dessas relações. A coleta foi realizada nas bases Lilacs e Pubmed segundo os descritores: acolhimento; relações profissional-família; relações profissional-paciente; humanização da assistência; e a palavra 'vínculo' associada ao descritor Sistema Único de Saúde. Selecionaram-se 290 estudos publicados entre 1990 e 2010. Por meio da análise temática, foram criados cinco núcleos de sentido: a relevância da confiança na relação profissional-usuário; sentimentos e sentidos na prática do cuidado; a importância da comunicação nos serviços de saúde; modo de organização das práticas em saúde; e (des)colonialismo. Identificou-se que as relações estabelecidas nas práticas de saúde têm uma dimensão transformadora. No entanto, permanece o desafio de humanizar os serviços de saúde. A enfermagem se destaca na produção do conhecimento nessa temática.<br>This article presents an integrative review about studies that address the relationships between health professionals and users in health care practices. It aimed to identify aspects that were researched on the daily life of the services concerning such relationships. Data were collected from the Lilacs and Pubmed databases based on these descriptors: user embracement; professionalfamily relations; professionalpatient relations; humanization of the care; and the bonding word associated to the Single Health System descriptor. Two hundred and ninety studies, published from 1990 to 2010, were selected. Through thematic analyses, five meaning cores were created: the relevance of the confidence in the professionaluser relationship; feelings and senses in the health care practice; the importance of communications in health care services; ways to organize health care practices and (de)colonialism. It was found that relationships established in health care practices have a transformative dimension. However, the challenge to humanize health care services remains. Nursing stands out in the production of knowledge on such theme