Melhoria da Atenção a Saúde das Pessoas Idosas da UBS Barreiro do Município Parnaguá/PI

NunezPereira, Mayelin. Melhoraria da atenção a saúde das pessoas idosas da UBS Barreiro do Município Parnaguá/PI. Ano. 2016. Trabalho de Conclusão de Curso (Curso de Especialização em Saúde da Família) - Departamento de Medicina Social, Faculdade de Medicina, Universidade Federal de Pelotas, Pelotas, Ano 2016. A população brasileira está passando por um processo de envelhecimento, e o crescente número de pessoas idosas fomenta reflexões da sociedade quanto ao modo de vivenciar a velhice. Para acolher essas pessoas, os profissionais das UBS devem modificar suas práticas, e estar preparados a desenvolver ações que proporcionem um impacto relevante na qualidade de vida desses usuários, uma vez que o decaimento biológico natural da pessoa associado à maior prevalência de doenças e dificuldades funcionais tende a fragilizar a velhice como um todo (BRASIL, 2010). A terceira idade normalmente é exposta a diversos fatores de risco que aumentam a sua morbimortalidade, e esse fato remete à importância da utilização de protocolos específicos que sistematizem as ações de melhoria da atenção à pessoa idosa. Assim, é fundamental o trabalho das Equipes de Saúde da Família, com atuações nas dimensões culturais e sociais, com ações individuais e coletivas na comunidade (BRASIL, 2006). Sabemos que o envelhecimento também é uma realidade da população de Parnaguá, e para melhor acolher essa população, se realizou uma intervenção de 12 semanas no Programa da Pessoa Idosa da UBS Barreiro, com o objetivo de melhorar a atenção à saúde dos idosos cadastradas na UBS, no período de novembro 2015 a janeiro 2016. Ações de organização e gestão do serviço, engajamento público e prática clínica foram realizadas, monitoradas e avaliadas, através de indicadores de cobertura e de qualidade dessa ação programática. A intervenção resultou na ampliação da cobertura, no primeiro mês cadastramos 40 (11,4%) idosos, no segundo mês 80 (22,9%) e no terceiro mês obtivemos 139 (39,7%) idosos cadastrados, e também na melhoriados indicadores de qualidade. A intervenção teve bom impacto na comunidade, pois além de melhorar os atendimentos aos idosos, não afetou os demais atendimentos por outras condições tanto na unidade básica de saúde quanto nas comunidades onde também fizemos atendimentos. Aumentou a conscientização e o engajamento dos idosos com o programa, os mesmos ficaram esclarecidos sobre a importância da realização dos exames laboratoriais e o exame clínico nas consultas, para identificação dos riscos e assim prevenir as doenças, principalmente as crônicas não transmissíveis.Foi importante para nosso serviço, pois o trabalho de forma integrada facilitou um melhor fluxo dos usuários para nossa ação programática, um melhor controle e registro das informações, maior organização do trabalho através do agendamento prévio das consultas.Também teve grande importância para a equipe, pois propiciou um trabalho mais organizado e integrado de todos seus membros, que resultou na melhoria dos indicadores

Electroencephalographic field influence on calcium momentum waves

Macroscopic EEG fields can be an explicit top-down neocortical mechanism that directly drives bottom-up processes that describe memory, attention, and other neuronal processes. The top-down mechanism considered are macrocolumnar EEG firings in neocortex, as described by a statistical mechanics of neocortical interactions (SMNI), developed as a magnetic vector potential $\mathbf{A}$. The bottom-up process considered are $\mathrm{Ca}^{2+}$ waves prominent in synaptic and extracellular processes that are considered to greatly influence neuronal firings. Here, the complimentary effects are considered, i.e., the influence of $\mathbf{A}$ on $\mathrm{Ca}^{2+}$ momentum, $\mathbf{p}$. The canonical momentum of a charged particle in an electromagnetic field, $\mathbf{\Pi} = \mathbf{p} + q \mathbf{A}$ (SI units), is calculated, where the charge of $\mathrm{Ca}^{2+}$ is $q = - 2 e$, $e$ is the magnitude of the charge of an electron. Calculations demonstrate that macroscopic EEG $\mathbf{A}$ can be quite influential on the momentum $\mathbf{p}$ of $\mathrm{Ca}^{2+}$ ions, in both classical and quantum mechanics. Molecular scales of $\mathrm{Ca}^{2+}$ wave dynamics are coupled with $\mathbf{A}$ fields developed at macroscopic regional scales measured by coherent neuronal firing activity measured by scalp EEG. The project has three main aspects: fitting $\mathbf{A}$ models to EEG data as reported here, building tripartite models to develop $\mathbf{A}$ models, and studying long coherence times of $\mathrm{Ca}^{2+}$ waves in the presence of $\mathbf{A}$ due to coherent neuronal firings measured by scalp EEG. The SMNI model supports a mechanism wherein the $\mathbf{p} + q \mathbf{A}$ interaction at tripartite synapses, via a dynamic centering mechanism (DCM) to control background synaptic activity, acts to maintain short-term memory (STM) during states of selective attention.Comment: Final draft. http://ingber.com/smni14_eeg_ca.pdf may be updated more frequentl

MySmartPi

Nowadays, accessing the Internet in a secure way in a big concern for many people due to the increase of cybersecurity attacks and the vulnerability of the data that is transferred online. In order to address such vulnerabilities, the use of a Virtual Private Network is really important. Not only for security reasons, but also to access resources of the network, such as printers, files or web pages. Considering that many people, especially IT students, have curiosity and enjoy creating their own technologies, this project aims to create a user manual to teach how people can create their own VPN server at home using a Raspberry Pi and to access their files and folders which are in the network. For that, tutorials were used and adapted in order to install the VPN server and NAS. In order to prove that the whole process was successful, some tools, such as, Wireshark, were used to show how the network traffic works once the VPN is used. The process was successful and many concepts were learnt and used such as Cryptography, Port forwarding, dynamic DNS, OpenVPN, etc

"My Child has Cerebral Palsy": Parental Involvement and Children's School Engagement

Engaged students tend to show school-committed behaviors (e.g., attend classes, get involved with the learning process), high achievement, and sense of belonging. However, students with disabilities are prone to show a lack of engagement with school due to the specific difficulties they have to handle. In fact, children with disabilities are likely to show poor participation in school when compared with children without disabilities. This poor involvement is related to their low autonomy to participate in the school activities, which, in turn, results in low school engagement. Parents play a crucial role in their childrens education. Parental involvement in school activities promotes autonomous behaviors and, consequently, school engagement. In fact, extant literature has shown close relationships between parental involvement, school engagement, and academic performance. Yet, parental involvement in school activities of children with Cerebral Palsy (CP) has received little direct attention from researchers. These children tend to display lower participation due to the motor, or cognitive, impairments that compromise their autonomy, and have a high likelihood to develop learning disabilities, with special incidences in reading and arithmetic. Therefore, our aim is twofold, to understand the parental styles; and how the perceived parental involvement in school activities is related to their children school engagement. Hence, 19 interviews were conducted with one of the parents of 19 children with CP. These interviews explored the school routines of children and the perceived involvement of parents in those routines. Additionally, children filled out a questionnaire on school engagement. Results show that the majority of the parents were clustered in the Autonomy Allowance and Acceptance and Support parental style, and the majority of their children were perceived as autonomous. Moreover, about a half of the children reported a high level of school engagement. Finally, neither childrens autonomous behaviors reportedThis study was conducted at Psychology Research Centre (UID/PSI/01662/2013), University of Minho, and supported by the Portuguese Foundation for Science and Technology and the Portuguese Ministry of Science, Technology and higher Education through national funds and co-financed by FEDER through COMPETE2020 under the PT2020 Partnership Agreement (FOCI-01-0145-FEDER-007653). AP was supported by a PhD fellowship from the Portuguese Foundation for Science and Technology (FCT - SFRH/BD/95104/2013). PM was supported by a Post-Doctoral fellowship from the Research Center on Psychology (CIPsi), School of Psychology, University of Minho.info:eu-repo/semantics/publishedVersio

Prostaglandin D2/J2 signaling pathway in a rat model of neuroinflammation displaying progressive parkinsonian-like pathology: potential novel therapeutic targets

Background: Prostaglandins are products of the cyclooxygenase pathway, which is implicated in Parkinson’s disease (PD). Limited knowledge is available on mechanisms by which prostaglandins contribute to PD neurodegeneration. To address this gap, we focused on the prostaglandin PGD2/J2 signaling pathway, because PGD2 is the most abundant prostaglandin in the brain, and the one that increases the most under pathological conditions. Moreover, PGJ2 is spontaneously derived from PGD2. Methods: In this study, we determined in rats the impact of unilateral nigral PGJ2-microinfusions on COX-2, lipocalin-type PGD2 synthase (L-PGDS), PGD2/J2 receptor 2 (DP2), and 15 hydroxyprostaglandin dehydrogenase (15-PGDH). Nigral dopaminergic (DA) and microglial distribution and expression levels of these key factors of the prostaglandin D2/J2 pathway were evaluated by immunohistochemistry. PGJ2-induced motor deficits were assessed with the cylinder test. We also determined whether oral treatment with ibuprofen improved the PD-like pathology induced by PGJ2. Results: PGJ2 treatment induced progressive PD-like pathology in the rats. Concomitant with DA neuronal loss in the substantia nigra pars compacta (SNpc), PGJ2-treated rats exhibited microglia and astrocyte activation and motor deficits. In DA neurons, COX-2, L-PGDS, and 15-PGDH levelsincreased significantly in PGJ2-treated rats compared to controls, while DP2 receptor levels were unchanged. In microglia, DP2 receptors were basically non-detectable, while COX-2 and L-PGDS levels increased upon PGJ2-treatment, and 15-PGDH remained unchanged. 15-PGDH was also detected in oligodendrocytes. Notably, ibuprofen prevented most PGJ2-induced PD-like pathology. Conclusions: The PGJ2-induced rat model develops progressive PD pathology, which is a hard-to-mimic aspect of this disorder. Moreover, prevention of most PGJ2-induced PD-like pathology with ibuprofen suggests a positive feedback mechanism between PGJ2 and COX-2 that could lead to chronic neuroinflammation. Notably, this is the first study that analyzes the nigral dopaminergic and microglial distribution and levels of factors of the PGD2/J2 signaling pathway in rodents. Our findings support the notions that upregulation of COX-2 and L-PGDS may be important in the PGJ2 evoked PD-like pathology, and that neuronal DP2 receptor antagonists and L-PGDS inhibitors may be novel pharmacotherapeutics to relieve neuroinflammation-mediated neurodegeneration in PD, circumventing the adverse side effects of cyclooxygenase inhibitors

Du libre accès à l'accès restreint aux écoles anglaises du Québec

In this article, the author gives a historical account of the different laws enacted by the National Assembly in order to enhance the status of the French language at administrative levels as well as among the province's résidants themselves. The schools, being vehicles of social and cultural influence, were included. Laws 63 and 22 were little more than tentative, hesitant sallies into the linguistic battle confronting the province and its minority groups. Law 101 provided a more coherent line of reasoning in deciding Quebec's language policies. Nevertheless, it is contested by some groups on constitutional grounds

Um estudo experimental sobre os afundamentos nas trilhas de rodas de pavimentos delgados com basaltos alterados

Este trabalho apresenta os resultados de um estudo em verdadeira grandeza sobre afundamentos nas trilhas de roda em pavimentos delgados com bases de basaltos alterados. Um simulador linear de tráfego aplicou mais de 267.000 ciclos de carga, variáveis entre 82 e 130 kN, a cinco pistas experimentais construídas na Área de Pesquisas e Testes de Pavimentos, localizada em Porto Alegre. As estruturas ensaiadas continham bases com espessuras de 16, 21 e 32 em, construídas com basaltos alterados de duas procedências distintas. Um total de 4.148 flechas, medidas periodicamente, forneceram um conjunto de dados consistente para uma análise estatística significativa. A evolução das flechas mostrou depender das características do tráfego e das estruturas dos pavimentos. Considerando os afundamentos nas trilhas de roda como causa da degradação de pavimentos delgados e uma flecha de 25 mm como critério de ruptura, calcularam-se fatores de equivalência de carga, através de uma análise de confiabilidade.This paper presents the results of a study of rutting of thin pavements where weathered basalts were used as base layers. A linear traffic simulator applied more than 267,000 axle loads, ranging from 82 to 130 kN, to five full-scale test sections built in a Pavement Testing Facility located in Porto Alegre (Southern Brazil). Two different weathered basalts and three base thicknesses (16 em; 21 em and 32 em) were used. A total of 4,148 measurements of rut depth, ma de at intervals, provided a statistically significant data set. Rutting evolution showed to depend not only on traffic characteristics but also on pavement structure. Considering rutting as major failure cause of thin pavements and a rut depth of 25 mm as terminal criterion, load equivalence factors were calculated, by means of a reliability analysis

Perfil e distribuição da síndrome cólica em equinos em três unidades militares do Estado do Rio de Janeiro, Brasil

Este estudo teve como objetivo avaliar o perfil e a distribuição da síndrome cólica em eqüinos de três unidades militares no Estado do Rio de Janeiro, o Regimento Escola de Cavalaria (REsC), a Academia Militar das Agulhas Negras (AMAN) e o Esquadrão Escola de Cavalaria (EEC). No período entre 2003 e 2004, 770 eqüinos foram acompanhados para a ocorrência de casos clínicos de cólica. Realizou-se análise descritiva dos dados, e foram calculadas a taxa de incidência de cólica e a proporção de eqüinos acometidos. O teste do χ2 foi utilizado para avaliar a associação entre síndrome cólica e variáveis relativas às características dos eqüinos e do manejo. A incidência variou entre as unidades militares, 0,12 na AMAN, 0,21 no EEC e 0,95 casos/eqüino-ano no REsC, sendo acometidos 15% dos eqüinos da AMAN, 30% do EEC e 69% do REsC. A maior incidência foi de episódios de origem gástrica, 76,5%. Casos de reincidência foram elevados, sendo 62,5% no REsC, 36,7% na AMAN e 29,0% no EEC. A síndrome cólica estava significativamente associada às variáveis unidade militar, sistema de criação, quantidade de grãos ingerido e suplemento mineral-vitamínico. As altas incidências, reincidências e proporção de animais acometidos observadas ocorreram de forma diferenciada nas três unidades, indicando que, apesar de possuírem como característica comum pertencerem a unidades militares, os eqüinos formam um grupo heterogêneo no que diz respeito à ocorrência de síndrome cólica, provavelmente devido às diferentes condições de manejo.This research aimed to verify the profile and distribution of colic syndrome in horses of three military units in Rio de Janeiro, Brazil, which were Regimento Escola de Cavalaria (REsC), Academia Militar das Agulhas Negras (AMAN), and Esquadrão Escola de Cavalaria (EEC). From 2003 to 2004, 770 horses were followed up for the incidence of colic cases. A descriptive analysis of clinical data, incidence of colic cases and rate of horses affected was established. Chi-squared test was used to evaluate the association among colic syndrome and variables related to horses characteristics and management. Colic syndrome incidence varied among military units as follows: 0.12 cases/horse-year at AMAN, 0.21 at EEC and 0.95 at REsC, affecting 15% of horses in AMAN, 30% in EEC and 69% in REsC. The highest incidence was of gastric episodes (76.5%). Recurrence cases were 62.5% in REsC, 36.7% in AMAN and 29.0% in EEC. Colic syndrome occurred associated with variables: military unit, management, amount of intake grains and supplemented mineral-vitamin. High incidence, recurrence and horses rate with colic were differentiated among the three units. Although the horses of military units had common characteristic , they formed a heterogeneous group in respect to colic syndrome occurrence, probably due to different management conditions

Abuso de álcool após cirurgia bariátrica / Alcohol abuse after bariatric surgery

O consumo excessivo de álcool é prevalente após a cirurgia bariátrica. Objetiva-se investigar a associação entre o abuso de álcool e desfechos negativos após a cirurgia.MÉTODOS: Revisão sistemática com busca em Pubmed e Embase. Estratégia de busca: ?bariatric surgery AND (alcohol abuse OR alcoholism) AND (complication OR morbidity OR mortality OR effect)? resultando em 144 artigos. Após o uso dos critérios de exclusão e inclusão, e seleção pelo título/resumo, 23 textos foram lidos e 7 incluídos.RESULTADOS: Houve associação entre abuso de álcool e Tromboembolismo Venoso (IC 95% OR: 8,7) e Insuficiência Respiratória Aguda (IC 95% OR: 1,8). A incidência de estenose de saída não anatômica, estenose anatômica e bolsa ou dilatação esofágica foi maior CONCLUSÃO: O abuso de álcool representa grandes riscos para pacientes bariátricos

Associação entre técnica cirúrgica bariátrica e o abuso de álcool pós-operatório / Association between bariatric surgical technique and postoperative alcohol abuse

O consumo excessivo de álcool é prevalente após a cirurgia bariátrica. Objetiva-se investigar em qual técnica cirúrgica apresenta maior associação com o abuso de álcool após o procedimento. MÉTODOS: Estudo secundário com busca em Pubmed e Embase. Utilizou-se a estratégia de busca? bariatric surgery AND (alcohol abuse OR alcoholism) AND (complication OR morbidity OR mortality OR effect) resultando em 144 artigos. Após o uso dos critérios de exclusão e inclusão, e seleção pelo título/resumo, 23 textos foram lidos na íntegra e 5 incluídos. RESULTADOS: 3 estudos compararam apenas o Bypass gástrico e a banda gástrica vertical; 2 incluíram, além dessas técnicas, a banda gástrica vertical. O bypass gástrico apresentou maior associação significativa com o abuso de álcool em artigos, mas não houve associação entre técnicas cirúrgicas e o álcool em 1 estudo. CONCLUSAO: Candidatos à cirurgia bariátrica com histórico de consumo abusivo de álcool devem ser conduzidos com cautela sobre a técnica cirúrgica empregada. É pertinente discutir sobre o consumo de álcool após a intervenção com os pacientes