A importância do enfermeiro na assistência psicoafetiva materna e neonatal na unidade de terapia intensiva

Objetivo: Destacar a importância do enfermeiro na assistência psicoafetiva materna e neonatal em unidades de cuidados intensivos, a partir da literatura científica. Métodos: Trata-se de uma Revisão Integrativa da Literatura, desenvolvido em quatro etapas, sendo estas: formulação da pergunta de pesquisa; posteriormente foram definidos critérios de inclusão e exclusão; filtragem dos materiais coletados, interpretação e discussão dos artigos selecionados na íntegra para leitura. Resultados: Ao fim das buscas, obteve-se a amostra final de 5 pesquisas, as quais foram publicados entre os anos de 2019 a 2020, sendo 3 deles de origem brasileira, além dos internacionais contendo uma produção turca (1) e uma coreana (1). Nas análises foram identificados angústias e sentimentos pelos quais as mães e demais familiares passam enquanto o neonato está presente na Unidade de Cuidados Intermediários, tendo o enfermeiro extrema relevância nos cuidados psicoafetivos dos pais para com o recém-nascido. Considerações Finais: conclui-se que os enfermeiros são responsáveis por direcionar, acolher e introduzir a família, principalmente a mãe, no cuidado ao recém-nascido, sendo um ponto de ligação que fortalece esse contato, tendo desafios, também, que podem comprometer essa aproximação, entre eles, as políticas dos hospitais e a falta de orientações e treinamento apropriado dos profissionais

Iluminação artificial no desempenho de leitões na fase de creche=Artificial illumination on performance of piglets at the nursery phase.

Objetivou-se com este trabalho avaliar o desempenho produtivo dos animais influenciados por programas de luz na fase de creche. O experimento foi realizado na Embrapa Suínos e Aves. Os tratamentos foram associados à iluminação da sala, sendo em cada sala aplicado um tratamento diferente: Programa LN – Iluminação natural (controle); Programa 16L:8E – Programa de iluminação artificial de 16 horas diárias de luz e 8 horas de escuro, mais iluminação solar vinda das janelas; Programa 23L:1E – Programa de iluminação artificial de 23 horas diárias de luz e 1 hora de escuro, mais iluminação solar vinda das janelas. As variáveis consumo de ração e ganho de peso diário foram coletadas diariamente na primeira semana e a cada sete dias após este período. Em todas as semanas estudadas, os programas de iluminação apresentaram diferentes (p < 0,05) valores de lux. Somente na primeira semana, os leitões que receberam iluminação artificial apresentaram maior (p < 0,05) desempenho. Os programas de iluminação avaliados não apresentaram, em fase de creche, melhorias no desempenho dos leitões que justificassem a sua utilização.<br><br>To evaluate the influence of artificial illumination on daily weight gain (DWG) in piglets in nursery phase, the present trial was carried out at Embrapa – National Swine and Poultry Research Center. The treatments were related to the illumination of the room, where a different treatment was applied to each room: Program NI – Natural Illumination (control); Program 16L: 8E – Artificial illumination program consisting of 16 hours per day with illumination and eight hours in the dark as well as solar lighting from the windows; Program 23L:1E – Artificial Illumination program consisting of 23 hours per day of illumination and one hour in the dark and well as solar light from the window. The variables daily feed intake and daily weight gain (DWG) in piglets were collected daily on the first week and every seven days after this period in the nursery phase. In every studied week, the illumination programs presented different (p < 0,05) lux values. Only in first week, the piglets that received artificial illumination they presented larger (p < 0,05) performance. The illumination programs evaluated didn’t present improvement in the performance of the piglets that that justifies its use

Application of computational fluid dynamics on a study in swine facilities with mechanical ventilation system

Ventilation systems used in swine facilities deserve to be studied because they directly affect productivity in the pig farming sector. Bearing this in mind the uniformity of air distribution and temperature is essential to animal welfare in this breeding environment. Thus, the purpose of this study was to identify whether changes in air entrances and exhaust fan positioning could influence air velocity and temperature distribution. The experimental data were collected in a commercial full-scale sow facility. Validation was carried out by comparing the simulated air temperatures and data measured in the field. These results showed agreement between data with a maximum relative error of approximately 3 %. The real settings showed a gradual increase in the air velocity from the air entrances and dead zones due to the change in airflow direction. There was no difference when the positioning of the exhaust fans was altered or was maintained in the original air entrances. The proposed arrangement with only one air inlet reduced the areas of low air movement as a consequence of the change in flow direction. Furthermore, the variables have the same pattern along the transversal plane. The simulations showed that the position of the air inlets had a higher influence on temperature distribution.753173183CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO - CNPQSem informaçã

Application of computational fluid dynamics on a study in swine facilities with mechanical ventilation system

ABSTRACT: Ventilation systems used in swine facilities deserve to be studied because they directly affect productivity in the pig farming sector. Bearing this in mind the uniformity of air distribution and temperature is essential to animal welfare in this breeding environment. Thus, the purpose of this study was to identify whether changes in air entrances and exhaust fan positioning could influence air velocity and temperature distribution. The experimental data were collected in a commercial full-scale sow facility. Validation was carried out by comparing the simulated air temperatures and data measured in the field. These results showed agreement between data with a maximum relative error of approximately 3 %. The real settings showed a gradual increase in the air velocity from the air entrances and dead zones due to the change in airflow direction. There was no difference when the positioning of the exhaust fans was altered or was maintained in the original air entrances. The proposed arrangement with only one air inlet reduced the areas of low air movement as a consequence of the change in flow direction. Furthermore, the variables have the same pattern along the transversal plane. The simulations showed that the position of the air inlets had a higher influence on temperature distribution

Application of computational fluid dynamics on a study in swine facilities with mechanical ventilation system

<div><p>ABSTRACT: Ventilation systems used in swine facilities deserve to be studied because they directly affect productivity in the pig farming sector. Bearing this in mind the uniformity of air distribution and temperature is essential to animal welfare in this breeding environment. Thus, the purpose of this study was to identify whether changes in air entrances and exhaust fan positioning could influence air velocity and temperature distribution. The experimental data were collected in a commercial full-scale sow facility. Validation was carried out by comparing the simulated air temperatures and data measured in the field. These results showed agreement between data with a maximum relative error of approximately 3 %. The real settings showed a gradual increase in the air velocity from the air entrances and dead zones due to the change in airflow direction. There was no difference when the positioning of the exhaust fans was altered or was maintained in the original air entrances. The proposed arrangement with only one air inlet reduced the areas of low air movement as a consequence of the change in flow direction. Furthermore, the variables have the same pattern along the transversal plane. The simulations showed that the position of the air inlets had a higher influence on temperature distribution.</p></div

Implementation of a Brazilian Cardioprotective Nutritional (BALANCE) Program for improvement on quality of diet and secondary prevention of cardiovascular events: A randomized, multicenter trial

Background: Appropriate dietary recommendations represent a key part of secondary prevention in cardiovascular disease (CVD). We evaluated the effectiveness of the implementation of a nutritional program on quality of diet, cardiovascular events, and death in patients with established CVD. Methods: In this open-label, multicenter trial conducted in 35 sites in Brazil, we randomly assigned (1:1) patients aged 45 years or older to receive either the BALANCE Program (experimental group) or conventional nutrition advice (control group). The BALANCE Program included a unique nutritional education strategy to implement recommendations from guidelines, adapted to the use of affordable and regional foods. Adherence to diet was evaluated by the modified Alternative Healthy Eating Index. The primary end point was a composite of all-cause mortality, cardiovascular death, cardiac arrest, myocardial infarction, stroke, myocardial revascularization, amputation, or hospitalization for unstable angina. Secondary end points included biochemical and anthropometric data, and blood pressure levels. Results: From March 5, 2013, to Abril 7, 2015, a total of 2534 eligible patients were randomly assigned to either the BALANCE Program group (n = 1,266) or the control group (n = 1,268) and were followed up for a median of 3.5 years. In total, 235 (9.3%) participants had been lost to follow-up. After 3 years of follow-up, mean modified Alternative Healthy Eating Index (scale 0-70) was only slightly higher in the BALANCE group versus the control group (26.2 ± 8.4 vs 24.7 ± 8.6, P <.01), mainly due to a 0.5-serving/d greater intake of fruits and of vegetables in the BALANCE group. Primary end point events occurred in 236 participants (18.8%) in the BALANCE group and in 207 participants (16.4%) in the control group (hazard ratio, 1.15; 95% CI 0.95-1.38; P =.15). Secondary end points did not differ between groups after follow-up. Conclusions: The BALANCE Program only slightly improved adherence to a healthy diet in patients with established CVD and had no significant effect on the incidence of cardiovascular events or death. © 2019 The Author