CLIMA E CULTURA DE SEGURANÇA DO PACIENTE EM UNIDADES DE HEMODIÁLISE: : REVISÃO INTEGRATIVA

Objetivo: Identificar na literatura a percepção de profissionais de saúde atuantes em unidades de hemodiálise acerca do clima e da cultura de segurança do paciente. Método: Revisão integrativa de literatura com coleta de dados ocorrida entre os meses de fevereiro e março de 2021 nas seguintes bases de dados: MEDLINE, IBECS, LILACS e BDENF, sem recorte temporal. Resultados: Foram encontrados 47 estudos; quatro foram elegíveis. As publicações concentraram-se no período de 2011 a 2018, com destaque para duas pesquisas realizadas no continente europeu (50%). Dois estudos apresentaram percepção de segurança de enfermeiros maior em comparação aos profissionais médicos. Um estudo revelou que os profissionais que ocupam cargos gerenciais possuem clima de segurança superior aos profissionais de linha de frente. A dimensão passagem de plantão/turnos e transferências esteve relacionada à redução de eventos adversos em um dos estudos analisados. Conclusão: há percepções diferentes no clima/cultura de segurança entre enfermeiros e médicos e de gestores em comparação aos trabalhadores da assistência

MODELO DE ENSINO HÍBRIDO: A PERCEPÇÃO DOS ALUNOS EM RELAÇÃO À METODOLOGIA PROGRESSISTA X METODOLOGIA TRADICIONAL

As tecnologias digitais, cada vez mais presentes na sociedade, têm causado mudanças comportamentais nos alunos. Pesquisas na área apontam algumas vantagens do uso de metodologias ativas, que utilizam recursos tecnológicos na situação formal de ensino, para atender às demandas dos alunos contemporâneos. Nesse sentido, o objetivo dessa pesquisa é aplicar uma metodologia progressista, que integra ensino presencial e online, denominada ensino híbrido, e investigar qual a percepção dos alunos sobre essa metodologia. A presente pesquisa apresenta um estudo de caso de natureza qualitativa, com alunos de uma turma de primeiro ano do Ensino Médio do Instituto Federal de Educação, Ciência e Tecnologia do Ceará (IFCE). Após a aplicação da metodologia proposta e dos recursos tecnológicos utilizados, são analisadas as respostas fornecidas pelos alunos sobre suas concepções a respeito dessa metodologia. Os resultados apontaram que, na opinião da maioria dos alunos, o uso da tecnologia digital não é necessário para melhorar a compreensão dos conteúdos de Física. Ademais, eles acreditam que compreendem melhor o conteúdo com aulas teóricas, preferindo assim, o modelo de ensino tradicional ao invés do modelo de ensino híbrido. Palavras-chave: Ensino de física. Ensino híbrido. Metodologias ativas.ABSTRACTDigital technologies, increasingly present in society, have caused behavioral changes in students. Research in the area points to some advantages of the use of active methodologies, which use technological resources in the formal teaching situation, to meet the demands of contemporary students. In this sense, the objective of this research is to apply a progressive methodology, which integrates face-to-face and online teaching, called hybrid teaching, and investigate students’ perceptions about this methodology. The present research presents a case study of a qualitative nature, with students from a first year high school class of the Federal Institute of Education, Science and Technology of Ceará (IFCE). After applying the proposed methodology and the technological resources used, the answers given by the students about their conceptions about this methodology are analyzed. The results showed that, in the opinion of most students, the use of digital technology is not necessary to improve the understanding of physics contents. In addition, they believe that they better understand the content with theoretical classes, preferring instead the traditional teaching model instead of the hybrid teaching model.Keywords: Physics education. Hybrid teaching. Active Methodologies

Evaluation of Physic-chemical Parameters of Water Quality on Agricultural Fields of Western Bahia

For the diagnosis of the quality of water it is necessary to execute a set of analyzes (physical and chemical) of the body of water that will provide information that integrate biotic and abiotic factors that govern the functioning of the ecosystem. The objective of this study is to evaluate the quality of water from wells and rivers of Urucuia aquifer region for investigation of contamination or contamination risks. Were realize collections in nine (9) areas of western Bahia, which were collect in each area, two points of well water samples and a river, and determining the electrical conductivity, pH, dissolved ions and metals. The results were compare with the maximum permissible values (MPV) for human consumption by Ordinance No. 2914/11 of the Ministry of Health and National Environment Counsel - CONAMA (Resolution 357 and supplementary resolutions). The quantitative results of the analysis showed that the surface and well waters that are part of the aquifer Urucuia within the parameters investigated are below the values recommended by the legislation showing that the agricultural activities in the region has not affected to the evaluated parameters, the quality of water for human consumption. However, it is necessary a monitoring of surface and groundwater in the region with expansion parameters evaluated. DOI: http://dx.doi.org/10.17807/orbital.v9i2.88

Sarcoma retroperitoneal: relato de caso

Introduction: Retroperitoneal sarcoma is a rare malignant tumor, originating in the mesenchymal cell that undergoes changes in its genetic code, thus producing atypical tissue. It is usually an asymptomatic pathology until it reaches a considerable size of mass, in which, its growth is the main factor causing symptoms. Diagnostic confirmation takes place through imaging tests in addition to biopsy and anatomopathological studies. The treatment of choice is surgery, increasing the survival of the affected patient. Objective: disclose a case of retroperitoneal sarcoma in a patient of the Hospital Escola de Valença, with its consequent outcome, through the analysis of medical records and studies in literature. Case report: 65-years-old man treated at the Hospital Escola de Valença presenting low back pain and hematuria, a retroperitoneal mass was identified with consequent resection and histological studies, showing high degree spindle cell sarcoma. Conclusion: Retroperitoneal lesions are rare findings and represent a therapeutic challenge because, in most cases, patients are asymptomatic or with non specific symptoms. Keywords: Mesenchymal tumor, malignancy, retroperitoneum, surgeryIntrodução: O sarcoma retroperitoneal é um tumor maligno, raro, com origem na célula mesenquimal que sofre alteração em seu código genético, produzindo assim um tecido atípico. Normalmente é uma patologia assintomática até atingir um tamanho considerável de massa, na qual, seu crescimento é o principal fator causador de sintomas. A confirmação diagnóstica se dá através de exames de imagem somadas à biopsia e estudos anatomopatológicos. O tratamento de escolha é a cirurgia, aumentando a sobrevida do paciente acometido. Objetivo: divulgar um caso de sarcoma retroperitoneal em um paciente do Hospital Escola de Valença, com seu consequente desfecho, através da análise de prontuário e estudos em literatura. Relato de caso: Homem de 65 anos atendido no Hospital Escola de Valença apresentando dor lombar e hematúria, sendo identificada massa retroperitoneal com consequente ressecção da mesma e realização de estudos histológicos, evidenciando sarcoma de células fusiformes de alto grau. Conclusão: As lesões retroperitoneais são achados raros e representam um desafio terapêutico pois na maioria das vezes os pacientes se apresentam assintomáticos ou com sintomas inespecíficos

Evaluation of the use and need of dental prosthesis in a school clinic: a cross-study / Avaliação do uso e necessidade de prótese dentária numa clínica escola: um estudo transversal

Objective: This paper aims to identify the use and need of prosthesis, age and gender of users of the dental service of the school clinic of a private university in Recife. Methodology: A descriptive cross-sectional study was performed through analysis of medical records. From 2,294 records of the semesters 2016.2 and 2017.1, 790 were analyzed that met the inclusion and exclusion criteria. The study was divided into three groups according to the age of the patients (35 - 44, 45 - 64 and 65 - 74 years old) and were analyzed according to gender, prosthesis use, need of prosthesis or use and need of prosthesis. Data were tabulated in Microsoft Excel © and submitted to statistics. Results: Females were the most expressive in the search of the service (66.1%); besides that, 86.8% of the patients did not wear prosthesis and 71.1% needed to use it. Total Prosthesis was the most used (50%) and the Removable Partial Prosthesis presented the greatest need of use (74%). Conclusion: It was concluded that women from 45 – 64 years old seek more the rehabilitation service, and the need is greater in one arcade, showing an evolution to access the dentist. 

Os mártires e a cristianização do território na América portuguesa, séculos XVI e XVII

O artigo investiga um grupo de atores sociais bastante relevante para viabilizar a cristianização na América portuguesa: os mártires cristãos, indivíduos muito especiais, dispostos a regar a terra com seu próprio sangue, de forma a tornar definitiva e irreversível a ocupação cristã do território. Os mártires - e principalmente a narrativa em torno deles - parecem ter sido bastante acionados para integrar a América portuguesa e seus habitantes nativos à temporalidade e territorialidade cristã. Os mártires dos séculos XVI e XVII, principalmente missionários, reeditavam os martírios do início da cristandade, que espalharam o cristianismo rumo a diversas partes do mundo na antiguidade. Dessa forma, viabilizaram a cristianização das novas fronteiras, consagrando o solo com seu sangue divino e viabilizando posteriores processos de urbanização. Além da função estratégica dos mártires para os cristãos, o texto mostra que eles também tiveram significado peculiar na interlocução com as culturas ameríndias, que tinha como um de seus principais personagens o grande guerreiro, disposto a perder seu sangue em prol de seu grupo.This paper looks into a group of social agents who played a significant role in the Christianization of Portuguese America, namely, the Christian martyrs - very special individuals who were ready to wet the land with their own blood in order to make possible a definitive and irreversible occupation of the territory by Christian settlers. The martyrs, and above all the stories told about them, seem to have been called upon to integrate Portuguese America and its native inhabitants into the temporalities and territory of Christendom. Mostly made up of missionaries, this group of 16th and 17th-century martyrs reedited the martyrdom of early Christians, who spread their creed across numerous parts of the Ancient World. They enabled the Christianization of new frontiers by consecrating the soil with their divine blood and paving the way for subsequent processes of urban development. In addition to their strategic significance for Christianity, the text also shows that their martyrdom played a specific role in the Christian settlers' interaction with Amerindian culture, whose main cults included the figure of the great warrior, ever ready to shed his own blood for his group

Search for dark matter produced in association with bottom or top quarks in √s = 13 TeV pp collisions with the ATLAS detector

A search for weakly interacting massive particle dark matter produced in association with bottom or top quarks is presented. Final states containing third-generation quarks and miss- ing transverse momentum are considered. The analysis uses 36.1 fb−1 of proton–proton collision data recorded by the ATLAS experiment at √s = 13 TeV in 2015 and 2016. No significant excess of events above the estimated backgrounds is observed. The results are in- terpreted in the framework of simplified models of spin-0 dark-matter mediators. For colour- neutral spin-0 mediators produced in association with top quarks and decaying into a pair of dark-matter particles, mediator masses below 50 GeV are excluded assuming a dark-matter candidate mass of 1 GeV and unitary couplings. For scalar and pseudoscalar mediators produced in association with bottom quarks, the search sets limits on the production cross- section of 300 times the predicted rate for mediators with masses between 10 and 50 GeV and assuming a dark-matter mass of 1 GeV and unitary coupling. Constraints on colour- charged scalar simplified models are also presented. Assuming a dark-matter particle mass of 35 GeV, mediator particles with mass below 1.1 TeV are excluded for couplings yielding a dark-matter relic density consistent with measurements