The action of interior design in the radiotherapy sector of a university public hospital, considering the view of users

It is up to the interior designer to plan and design internal or pre-configured environments, according to client or user goals and needs, in order to optimize comfort, health, aesthetics and safety. Based on this premise, a student’s group), from the FineArtsSchool–EBA-UFRJ,Interior Composition course (Interior Design), was instigated to carry out an intervention in Clementino Fraga Filho University Hospital-HUCFF radiotherapy sector. The main requirement for this project was that students use Social Sciences and Ergonomics traditional inquiry instruments, to better capture the patients, companions, doctors, nurses and everyone who makes use of that sector needs. The project followed a methodological path which was divided into two stages: one of planning, inquiry, and conceptualization and the other of graphic representation. Physical and cognitive aspects were considered.The work presented in this article was carried out during the social isolation period, imposed by the pandemic caused by theCovid-19 virus between the years 2020-2021 and will present all the process stages, in addition to reinforcing the using inquiry instruments importance to carry out a design intervention, respecting ergonomic principles.Compete ao designer de interiores planejar e projetar ambientes internos ou pré-configurados, conforme os objetivos e as necessidades do cliente ou usuário, de modo a otimizar o conforto, a saúde, a estética e a segurança. A partir dessa premissa um grupo de alunos do curso Composição de Interior (Design de Interiores), da Escola de Belas Artes –EBA, da UFRJ, foi instigado a realizar uma intervenção no setor de radioterapia do Hospital Universitário Clementino Fraga Filho -HUCFF.A exigência principal para este projeto era que os discentes utilizassem instrumentos de inquirição tradicionais das Ciências Sociais e da Ergonomia, a fim de melhor captar as necessidades de pacientes, acompanhantes, médicos, enfermeiros e todos que fazem uso daquele setor. O projeto seguiu um percurso metodológico o qual foi dividido em duas etapas: uma de planejamento, inquirição e conceituação e outra de representação gráfica. Aspectos físicos e cognitivos foram considerados. O trabalho apresentado neste artigo foi realizado durante o período de isolamento social, imposto pela pandemia causada pelo vírus da Covid-19 entre os anos de2020-2021 e apresentará todas as etapas do processo, além reforçar a importância do uso de instrumentos de inquirição para realização de uma intervenção projetual, respeitando os princípios ergonômicos

A AÇÃO DO DESIGN DE INTERIORES NO SETOR DE RADIOTERAPIA DE UM HOSPITALPÚBLICO UNIVERISTÁRIO, CONSIDERANDO O OLHAR DOS USUÁRIOS

Compete ao designer de interiores planejar e projetar ambientes internos ou pré-configurados, conforme os objetivos e as necessidades do cliente ou usuário, de modo a otimizar o conforto, a saúde, a estética e a segurança. A partir dessa premissa um grupo de alunos do curso Composição de Interior (Design de Interiores), da Escola de Belas Artes – EBA, da UFRJ, foi instigado a realizar uma intervenção no setor de radioterapia do Hospital Universitário Clementino Fraga Filho - HUCFF.A exigência principal para este projeto era que os discentes utilizassem instrumentos de inquirição tradicionais das Ciências Sociais e da Ergonomia, a fim de melhor captar as necessidades de pacientes, acompanhantes, médicos, enfermeiros e todos que fazem uso daquele setor. O projeto seguiu um percurso metodológico o qual foi dividido em duas etapas: uma de planejamento, inquirição e conceituação e outra de representação gráfica. Aspectos físicos e cognitivos foram considerados. O trabalho apresentado neste artigo foi realizado durante o período de isolamento social, imposto pela pandemia causada pelo vírus da Covid-19 entre os anos de 2020-2021 e apresentará todas as etapas do processo, além reforçar a importância do uso de instrumentos de inquirição para realização de uma intervenção projetual, respeitando os princípios ergonômicos

Intervention in the radiotherapy sector of a public hospital: point of view at the quality of the environment

During the social isolation imposed by the pandemic caused by the COVID-19 virus, a group of students from the Interior Design course at the UFRJ School of Fine Arts was invited to carry out an intervention in the radiotherapy sector of the University Hospital Clementino Fraga Filho (HUCFF). Making use of inquiry techniques, supported by extensive theoretical research, and guided by the principles of ergonomics of the built environment and perceived visual quality, the students conceived a new interior project for that sector. In order to carry out the conceptual and graphic part, we adopted our own interior design methods, where we sought to meet requirements that go beyond the physical and accessibility aspects (also treated), to promote, through a systemic approach, a safe environment, effective and that provides well-being.Durante o isolamento social imposto pela pandemia causada pelo vírus da COVID-19, um grupo de estudantes do curso de Design de Interiores da Escola de Belas Artes da UFRJ foi convidado a realizar uma intervenção no setor de radioterapia do Hospital Universitário Clementino Fraga Filho (HUCFF). Fazendo uso de técnicas de inquirição, apoiados por extensa pesquisa teórica, e ainda, orientados pelos princípios da ergonomia do ambiente construído e a qualidade visual percebida, os estudantes conceberam um novo projeto de interiores para àquele setor. Para realização da parte conceitual e gráfica foi adotado métodos próprios de projeto em interiores, onde buscou-se atender requisitos que vão para além dos aspectos físicos e de acessibilidade (também tratados), no sentido de promover através de uma abordagem sistêmica, um ambiente seguro, eficaz e que proporcione bem-estar

Canagliflozin and Cardiovascular and Renal Outcomes in Type 2 Diabetes Mellitus and Chronic Kidney Disease in Primary and Secondary Cardiovascular Prevention Groups

Background: Canagliflozin reduces the risk of kidney failure in patients with type 2 diabetes mellitus and chronic kidney disease, but effects on specific cardiovascular outcomes are uncertain, as are effects in people without previous cardiovascular disease (primary prevention). Methods: In CREDENCE (Canagliflozin and Renal Events in Diabetes With Established Nephropathy Clinical Evaluation), 4401 participants with type 2 diabetes mellitus and chronic kidney disease were randomly assigned to canagliflozin or placebo on a background of optimized standard of care. Results: Primary prevention participants (n=2181, 49.6%) were younger (61 versus 65 years), were more often female (37% versus 31%), and had shorter duration of diabetes mellitus (15 years versus 16 years) compared with secondary prevention participants (n=2220, 50.4%). Canagliflozin reduced the risk of major cardiovascular events overall (hazard ratio [HR], 0.80 [95% CI, 0.67-0.95]; P=0.01), with consistent reductions in both the primary (HR, 0.68 [95% CI, 0.49-0.94]) and secondary (HR, 0.85 [95% CI, 0.69-1.06]) prevention groups (P for interaction=0.25). Effects were also similar for the components of the composite including cardiovascular death (HR, 0.78 [95% CI, 0.61-1.00]), nonfatal myocardial infarction (HR, 0.81 [95% CI, 0.59-1.10]), and nonfatal stroke (HR, 0.80 [95% CI, 0.56-1.15]). The risk of the primary composite renal outcome and the composite of cardiovascular death or hospitalization for heart failure were also consistently reduced in both the primary and secondary prevention groups (P for interaction >0.5 for each outcome). Conclusions: Canagliflozin significantly reduced major cardiovascular events and kidney failure in patients with type 2 diabetes mellitus and chronic kidney disease, including in participants who did not have previous cardiovascular disease

Effect of SGLT2 inhibitors on stroke and atrial fibrillation in diabetic kidney disease: Results from the CREDENCE trial and meta-analysis

BACKGROUND AND PURPOSE: Chronic kidney disease with reduced estimated glomerular filtration rate or elevated albuminuria increases risk for ischemic and hemorrhagic stroke. This study assessed the effects of sodium glucose cotransporter 2 inhibitors (SGLT2i) on stroke and atrial fibrillation/flutter (AF/AFL) from CREDENCE (Canagliflozin and Renal Events in Diabetes With Established Nephropathy Clinical Evaluation) and a meta-Analysis of large cardiovascular outcome trials (CVOTs) of SGLT2i in type 2 diabetes mellitus. METHODS: CREDENCE randomized 4401 participants with type 2 diabetes mellitus and chronic kidney disease to canagliflozin or placebo. Post hoc, we estimated effects on fatal or nonfatal stroke, stroke subtypes, and intermediate markers of stroke risk including AF/AFL. Stroke and AF/AFL data from 3 other completed large CVOTs and CREDENCE were pooled using random-effects meta-Analysis. RESULTS: In CREDENCE, 142 participants experienced a stroke during follow-up (10.9/1000 patient-years with canagliflozin, 14.2/1000 patient-years with placebo; hazard ratio [HR], 0.77 [95% CI, 0.55-1.08]). Effects by stroke subtypes were: ischemic (HR, 0.88 [95% CI, 0.61-1.28]; n=111), hemorrhagic (HR, 0.50 [95% CI, 0.19-1.32]; n=18), and undetermined (HR, 0.54 [95% CI, 0.20-1.46]; n=17). There was no clear effect on AF/AFL (HR, 0.76 [95% CI, 0.53-1.10]; n=115). The overall effects in the 4 CVOTs combined were: Total stroke (HRpooled, 0.96 [95% CI, 0.82-1.12]), ischemic stroke (HRpooled, 1.01 [95% CI, 0.89-1.14]), hemorrhagic stroke (HRpooled, 0.50 [95% CI, 0.30-0.83]), undetermined stroke (HRpooled, 0.86 [95% CI, 0.49-1.51]), and AF/AFL (HRpooled, 0.81 [95% CI, 0.71-0.93]). There was evidence that SGLT2i effects on total stroke varied by baseline estimated glomerular filtration rate (P=0.01), with protection in the lowest estimated glomerular filtration rate (45 mL/min/1.73 m2]) subgroup (HRpooled, 0.50 [95% CI, 0.31-0.79]). CONCLUSIONS: Although we found no clear effect of SGLT2i on total stroke in CREDENCE or across trials combined, there was some evidence of benefit in preventing hemorrhagic stroke and AF/AFL, as well as total stroke for those with lowest estimated glomerular filtration rate. Future research should focus on confirming these data and exploring potential mechanisms

Canagliflozin and Renal Outcomes in Type 2 Diabetes and Nephropathy

BACKGROUND Type 2 diabetes mellitus is the leading cause of kidney failure worldwide, but few effective long-term treatments are available. In cardiovascular trials of inhibitors of sodium–glucose cotransporter 2 (SGLT2), exploratory results have suggested that such drugs may improve renal outcomes in patients with type 2 diabetes. METHODS In this double-blind, randomized trial, we assigned patients with type 2 diabetes and albuminuric chronic kidney disease to receive canagliflozin, an oral SGLT2 inhibitor, at a dose of 100 mg daily or placebo. All the patients had an estimated glomerular filtration rate (GFR) of 30 to 300 to 5000) and were treated with renin–angiotensin system blockade. The primary outcome was a composite of end-stage kidney disease (dialysis, transplantation, or a sustained estimated GFR of <15 ml per minute per 1.73 m 2), a doubling of the serum creatinine level, or death from renal or cardiovascular causes. Prespecified secondary outcomes were tested hierarchically. RESULTS The trial was stopped early after a planned interim analysis on the recommendation of the data and safety monitoring committee. At that time, 4401 patients had undergone randomization, with a median follow-up of 2.62 years. The relative risk of the primary outcome was 30% lower in the canagliflozin group than in the placebo group, with event rates of 43.2 and 61.2 per 1000 patient-years, respectively (hazard ratio, 0.70; 95% confidence interval [CI], 0.59 to 0.82; P=0.00001). The relative risk of the renal-specific composite of end-stage kidney disease, a doubling of the creatinine level, or death from renal causes was lower by 34% (hazard ratio, 0.66; 95% CI, 0.53 to 0.81; P<0.001), and the relative risk of end-stage kidney disease was lower by 32% (hazard ratio, 0.68; 95% CI, 0.54 to 0.86; P=0.002). The canagliflozin group also had a lower risk of cardiovascular death, myocardial infarction, or stroke (hazard ratio, 0.80; 95% CI, 0.67 to 0.95; P=0.01) and hospitalization for heart failure (hazard ratio, 0.61; 95% CI, 0.47 to 0.80; P<0.001). There were no significant differences in rates of amputation or fracture. CONCLUSIONS In patients with type 2 diabetes and kidney disease, the risk of kidney failure and cardiovascular events was lower in the canagliflozin group than in the placebo group at a median follow-up of 2.62 years

Canagliflozin and renal outcomes in type 2 diabetes and nephropathy

BACKGROUND Type 2 diabetes mellitus is the leading cause of kidney failure worldwide, but few effective long-term treatments are available. In cardiovascular trials of inhibitors of sodium–glucose cotransporter 2 (SGLT2), exploratory results have suggested that such drugs may improve renal outcomes in patients with type 2 diabetes. METHODS In this double-blind, randomized trial, we assigned patients with type 2 diabetes and albuminuric chronic kidney disease to receive canagliflozin, an oral SGLT2 inhibitor, at a dose of 100 mg daily or placebo. All the patients had an estimated glomerular filtration rate (GFR) of 30 to &lt;90 ml per minute per 1.73 m2 of body-surface area and albuminuria (ratio of albumin [mg] to creatinine [g], &gt;300 to 5000) and were treated with renin–angiotensin system blockade. The primary outcome was a composite of end-stage kidney disease (dialysis, transplantation, or a sustained estimated GFR of &lt;15 ml per minute per 1.73 m2), a doubling of the serum creatinine level, or death from renal or cardiovascular causes. Prespecified secondary outcomes were tested hierarchically. RESULTS The trial was stopped early after a planned interim analysis on the recommendation of the data and safety monitoring committee. At that time, 4401 patients had undergone randomization, with a median follow-up of 2.62 years. The relative risk of the primary outcome was 30% lower in the canagliflozin group than in the placebo group, with event rates of 43.2 and 61.2 per 1000 patient-years, respectively (hazard ratio, 0.70; 95% confidence interval [CI], 0.59 to 0.82; P=0.00001). The relative risk of the renal-specific composite of end-stage kidney disease, a doubling of the creatinine level, or death from renal causes was lower by 34% (hazard ratio, 0.66; 95% CI, 0.53 to 0.81; P&lt;0.001), and the relative risk of end-stage kidney disease was lower by 32% (hazard ratio, 0.68; 95% CI, 0.54 to 0.86; P=0.002). The canagliflozin group also had a lower risk of cardiovascular death, myocardial infarction, or stroke (hazard ratio, 0.80; 95% CI, 0.67 to 0.95; P=0.01) and hospitalization for heart failure (hazard ratio, 0.61; 95% CI, 0.47 to 0.80; P&lt;0.001). There were no significant differences in rates of amputation or fracture. CONCLUSIONS In patients with type 2 diabetes and kidney disease, the risk of kidney failure and cardiovascular events was lower in the canagliflozin group than in the placebo group at a median follow-up of 2.62 years

Análise semiótica da comunicação de marcas: o caso Melissa

O artigo ora proposto visa discorrer sobre o fenômeno&nbsp;marca, seus meios de atuação social da modernidade à contemporaneidade. Procuraremos verificar como esse complexo sistema comunicacional relaciona- se com demais veículos de transmissão do discurso identificador da identidade corporativa. Para tanto utilizaremos como instrumentação teórica a semiótica de Pierce mais especificamente uma de suas subdivisões: a gramática especulativa e sua classe de signos.&nbsp

O papel do design de interiores na comunicação de uma marca: o caso Melissa.

Esta dissertação iniciou-se pela aspiração de aprofundamento na questão da comunicação por meio de espaços construídos. Mais especificamente - no universo de representação das lojas. Buscou-se analisar, compreender como o discurso identificador de uma marca, representativa da sociedade de consumo, estaria manifestado no objeto construído e no ambiente por ele estabelecido. Para nortear nosso percurso, utilizamos teorias propostas por Gilles Lipovetsky e Everardo Rocha sobre o domínio do consumo e sua representatividade na sociedade moderno-contemporânea assim como, métodos de análises fundamentados na semiótica pierciana apresentados por Lucia Santaella. Assim sendo, acreditamos construir um arcabouço teórico necessário que nos permita compreender a manifestação de uma marca representativa da sociedade regida pelo fenômeno do consumo, suas formas de representação, sua identidade e como a mesma se apresenta em seu espaço de venda.This research intends to deepen the question of communication through built spaces, more specifically in the playful universe of the stores and their brand representation. We aimed to analyse and understand how the branding discourse, representative of the consumer society, is manifested in the constructed object and the environment established for it. We have used theories of Gilles Lipovetsky and Everardo Rocha about consumerism and its representation in modern-contemporary society as well as methods of analysis based on Lucia Santaella Pierces semiotics theories . Therefore, we have built a theoretical framework that allows us to understand the manifestation of a brand oriented by consumption phenomenon; its forms of representation, identity and also its role in commercial interior spaces

Representação social da moradia e o programa minha casa minha vida

Trabalho apresentado no IV Simpósio Brasileiro de Qualidade do Projeto no Ambiente Construído, Viçosa - UFV, 2015Este artigo pretende analizar os projetos entregues na primeira fase do PMCMV visando compreender a relação entre o morador e sua residência. Por meio do significado de moradia, constatamos e avaliamos as intervenções de adequação espaciais na busca por seus usuários por conforto e segurança, por apropriassem. Foram selecionados três estudos de caso representativos das tipologias propostas pelo programa, com unidades unifamiliares e multifamiliares, todos situados na região metropolitana do Rio de Janeiro. A metodologia aqui adotada centrou-se no levantamento de campo, por meio de entrevistas semiestruturadas com os moradores, bem como a observação do espaço e o registro fotográfico dessas moradias. As entrevistas foram gravadas e posteriormente analisadas sob a ótica da TRS, que trata da formulação de significados para objetos socialmente importantes. Através do significado da moradia, pôde-se entender as intervenções dos moradores em seus espaços, visto que tais intervenções quando ocorreram, foram realizadas buscando conforto e segurança por conseguinte, uma melhor adequação ambiental. Por intermédio da TRS também foi possível evidenciar o grau de satisfação dos moradores com as diferentes soluções habitacionais empreendidas: observou-se que o grau de satisfação é variável e que depende da solução implementada, dessa forma, verificou-se que a tipologia predial adotada pelo PMCMV-1 influenciou na noção de conforto e segurança pelos seus moradores. Verificamos também que a tipologia de residencias dúplex com quintal atribuiu aos moradores maior sensação de vulnerabilidade espacial do que propiamente conforto interno, fato que aponta diretamente a indefinição dos espaços privados e públicos propostos nos projetos implementados pelo PMCMV-1.This article aims to analyze the projects delivered in the first PMCMV phase aimed at understanding the relationship between the resident and his residence. Through the meaning of house, we find and evaluate the interventions of spatial adaptation in the search for its users for comfort and safety, by appropriating. We selected three case studies representing the typologies proposed by the program, with single-family and multi-family units, all located in the metropolitan region of Rio de Janeiro. The methodology adopted here focused on the field survey, through semi- structured interviews with locals as well as the observation of space and the photographic record of these villas. The interviews were recorded and later analyzed from the perspective of TRS, which deals with the formulation meant for socially important objects. Through the meaning of housing, it was possible to understand the activities of the residents in their areas, since such interventions when they occurred, were held seeking comfort and safety therefore better environmental adaptation. Through the TRS was also possible to show the degree of satisfaction of residents with different housing solutions undertaken: it was observed that the degree of satisfaction is variable and depends on the implemented solution, thus it was found that the building typology adopted by PMCMV-1 influenced the concept of comfort and safety for its residents. We also found that the type of duplex residences with yard attributed to residents greater sense of spatial vulnerability than interior comfort, a fact that directly points to the blurring of private and public spaces proposed in the projects implemented by the PMCMV-1