scholarly journals O avanço da enfermagem no âmbito emergencial: revisão de literatura

2021 ◽  
Vol 11 (34) ◽  
pp. 405-412
Author(s):  
Alice Pontes Cruz ◽  
Lorena Esmeralda Nascimento Celeste ◽  
Maiara Rodrigues Maia ◽  
Francisco Paulo dos Santos Grillo

A unidade de emergência oferece serviços de alta complexidade e diversidade no atendimento à pacientes em situação de risco iminente de vida. As tecnologias avançadas utilizadas neste atendimento nem sempre garantem a qualidade da assistência. Identificar os resultados dos atendimentos de enfermagem na redução de óbitos. Os dados foram coletados, através de analises de artigos acadêmicos através de leituras observou-se à necessidade de discutir sobre a importância do avanço da enfermagem junto aos atendimentos emergenciais como ênfase no embasamento teórico e prático da equipe de enfermagem. O estudo justifica-se diante do desenvolvimento da enfermagem, como fator preponderante na questão da temática enfermagem em emergência como relação ao avanço científico e a qualidade do atendimento para com os pacientes, no contexto acadêmico, junto à diminuição dos altos índices de óbitos na emergência hospitalar.Descritores: Enfermagem, Avanço, Emergência. Advances in nursing in the emergency context: literature reviewAbstract: The emergency unit offers services of high complexity and diversity in the care of patients at imminent risk of life. The advanced technologies used in this service do not always guarantee the quality of the service. To identify the results of nursing care in reducing deaths. Data were collected, through analysis of academic articles through readings, there was a need to discuss the importance of advancing nursing with emergency care as an emphasis on the theoretical and practical basis of the nursing team. The study is justified in view of the development of nursing, as a preponderant factor in the issue of nursing in emergency as regards scientific advancement and the quality of care for patients, in the academic context, together with the decrease in high death rates in the hospital emergency.Descriptors: Nursing, Advance, Emergency. Avances de la enfermería en el contexto de emergencias: revisión de la literaturaResumen: La unidad de urgencias ofrece servicios de alta complejidad y diversidad en la atención de pacientes en riesgo inminente de vida. Las tecnologías avanzadas utilizadas en este servicio no siempre garantizan la calidad del servicio. Identificar los resultados del cuidado de enfermería en la reducción de muertes. Se recolectaron datos, a través del análisis de artículos académicos a través de lecturas, existía la necesidad de discutir la importancia de avanzar la enfermería con la atención de emergencia como énfasis en las bases teóricas y prácticas del equipo de enfermería. El estudio se justifica ante el desarrollo de la enfermería, como factor preponderante en el tema de la enfermería en urgencias en cuanto al avance científico y la calidad de la atención al paciente, en el contexto académico, junto con la disminución de las altas tasas de mortalidad. en la emergencia hospitalaria.Descriptores: Enfermería, Avanzar, Emergencia.

2020 ◽  
Vol 19 (32) ◽  
pp. 2985-2990 ◽  
Author(s):  
Kuo Chen ◽  
Mikhail Y. Sinelnikov ◽  
Vladimir N. Nikolenko ◽  
Igor V. Reshetov ◽  
Yu Cao ◽  
...  

Background: Breast plastic surgery is a rapidly evolving field of medicine. The modern view of surgical trends reflects the desire to minimize complications and introduce advanced technologies. These always will be priorities for surgeons. Reconstructive surgery, a branch of plastic surgery focusing on restoration of lost functional and aesthetic component, seeks to enhance psychological rehabilitation and improves the quality of life, as well as aesthetic recovery. Objective: This review addresses the action of fibrin agents and their effect on the quality of surgical hemostasis. Discussion and Conclusion: The fundamental goals for the surgeon are to perform a minimally traumatic intervention and to prevent any form of complication. Achieving complete hemostasis is an intraoperative necessity. Timely prevention of bleeding and hemorrhagic phenomena can affect not only the outcome of the operation, but also the incidence of postoperative complications. Topics include the integrity of microvascular anastomoses, tissue adhesion, and the incidence of seromas and hematomas associated with fibrin glue usage. The literature on fibrin adhesives with respect to prevention of postoperative complications, and the effectiveness with active drainage also are analyzed.


Author(s):  
М.В. Кевбрина ◽  
А.М. Гаврилин ◽  
А.А. Пронин

Рассмотрен опыт внедрения современных технологий очистки сточных вод на очистных сооружениях г. Москвы, описаны технологические схемы для сооружений разной производительности. С конца 1990-х годов Инженерно-технологическим центром АО «Мосводоканал» проводились работы по разработке и внедрению современных технологий очистки сточных вод с удалением биогенных элементов. Поскольку состав сточных вод имеет отличия на разных очистных сооружениях, не удается «перенести» зарубежные технологии без изменения и адаптации, а иногда требуется разработка технологии «с нуля». Более чем за 20-летний период осуществлено поэтапное внедрение современных технологий на московских очистных сооружениях Южного Бутова и Зеленограда, блока удаления биогенных элементов Люберецких очистных сооружений (БУБЭ ЛОС), нового блока Курьяновских очистных сооружений (НКОС). В настоящее время идет реконструкция ЛОС (старый и новый блоки), планируется реконструкция старого блока КОС, в процессе реконструкции находятся очистные сооружения Троицкого и Новомосковского административных округов (ТиНАО) г. Москвы. Опыт АО «Мосводоканал» был использован при разработке справочника наилучших доступных технологий ИТС 10-2015. Разнообразие технологических решений позволяет обеспечить нормативное качество очистки для условий разных сооружений. The experience of introducing advanced technologies for wastewater treatment at the wastewater treatment facilities in Moscow is considered; process flow schemes for the structures of different capacities are described. Since the late 1990s, the Engineering and Technology Center of Mosvodokanal JSC has been working on the development and introduction of advanced wastewater treatment technologies with the removal of nutrients. Since the composition of wastewater differs at different treatment facilities, it is not possible to "transfer" foreign technologies without correction and adaptation; moreover, sometimes the development of technology "from square one" is required. For more than 20 years, a stepwise introduction of advanced technologies has been carried out at the Moscow treatment facilities of South Butovo and Zelenograd, at the nutrients removal block at the Lyuberetskie wastewater treatment facilities, at the new block of the Kurianovskie Wastewater Treatment Facilities. At present, the reconstruction of the Lyuberetskie Wastewater Treatment Facilities (old and new blocks) is underway, the reconstruction of the old part of the Kurianovskie Wastewater Treatment Facilities is planned, the treatment facilities of the Troitsk and Novomoskovsk administrative districts in Moscow have been under upgrade. The experience of Mosvodokanal JSC was used in the development of an ITS 10-2015 reference book of the best available technologies. A variety of process solutions provides for ensuring the standard quality of effluent for the conditions of different facilities.


Author(s):  
Жуковский Андрей ◽  

This article shows that the deployment of modern high-tech companies in the regions affects the development of smart cities. In particular, it was noted that high-tech companies not only create high-tech products, but also are an example of optimization of management processes, economical consumption of various types of resources, and also serve as one of the factors for the accumulation of intellectual capital and the quality of life of the population in the regions. It is shown that modern advanced technologies of a smart city affect not only the social aspects of the region’s development, serve to improve its legislative, managerial and social foundations, but also encourage megacities to solve the problems of efficient use of the environment.


Text Matters ◽  
2019 ◽  
pp. 237-258
Author(s):  
Katarzyna Ostalska

The following article analyzes two novels, published recently by a new, powerful voice in Irish fiction, Lisa McInerney: her critically acclaimed debut The Glorious Heresies (2015) and its continuation The Blood Miracles (2017). McInerney’s works can be distinguished by the crucial qualities of the Irish Noir genre. The Glorious Heresies and The Blood Miracles are presented from the perspective of a middle-aged “right-rogue” heroine, Maureen Phelan. Due to her violent and law-breaking revenge activities, such as burning down the institutions signifying Irishwomen’s oppression (i.e. the church and a former brothel) and committing an involuntary murder, Maureen remains a multi-dimensional rogue character, not easily definable or even identifiable. The focal character’s narrative operates around the abuse of unmarried, young Irish mothers of previous generations who were coerced to give up their “illegitimate” children for adoption and led a solitary existence away from them. The article examines other “options” available to “fallen women” (especially unmarried mothers) in Ireland in the mid-twenty century, such as the Magdalene Laundries based on female slave work, and sending children born “out of wedlock” abroad, or to Mother and Baby Homes with high death-rates. Maureen’s rage and her need for retaliation speak for Irish women who, due to the Church-governed moral code, were held in contempt both by their families and religious authorities. As a representative of the Irish noir genre, McInerney’s fiction depicts the narrative of “rogue” Irish motherhood in a non-apologetic, ironic, irreverent and vengeful manner.


2021 ◽  
Vol 2 (2) ◽  
pp. 127-133
Author(s):  
Icha Nurlaela Khoerotunisa ◽  
Sofia Naning Hertiana ◽  
Ridha Muldina Negara

  Over the last decade, wireless devices have developed rapidly until predictions will develop with high complexity and dynamic. So that new capabilities are needed for wireless problems in this problem. Software Defined Network (SDN) is generally a wire-based network, but to meet the needs of users in terms of its implementation, it has begun to introduce a Wireless-based SDN called Software Defined Wireless Network (SDWN) which provides good service quality and reach and higher tools, so as to be able to provide new capabilities to wireless in a high complexity and very dynamic. When SDN is implemented in a wireless network it will require a routing solution that chooses paths due to network complexity. In this paper, SDWN is tested by being applied to mesh topologies of 4,6 and 8 access points (AP) because this topology is very often used in wireless-based networks. To improve network performance, Dijkstra's algorithm is added with the user mobility scheme used is RandomDirection. The Dijkstra algorithm was chosen because it is very effective compared to other algorithms. The performance measured in this study is Quality of Service (QoS), which is a parameter that indicates the quality of data packets in a network. The measurement results obtained show that the QoS value in this study meets the parameters considered by the ITU-T G1010 with a delay value of 1.3 ms for data services and packet loss below 0.1%. When compared with the ITU-T standard, the delay and packet loss fall into the very good category.


2018 ◽  
Vol 12 (5) ◽  
pp. 1338
Author(s):  
Juciane Aparecida Furlan Inchauspe ◽  
Gisela Maria Schebella Souto de Moura

RESUMO Objetivo: descrever a opinião das lideranças de Enfermagem acerca da contribuição da pesquisa de satisfação do usuário em relação ao atendimento. Método: estudo qualitativo, exploratório, descritivo, com 28 lideranças das unidades de internação de um hospital público. As informações foram coletadas por meio de entrevista semiestruturada e analisadas segundo a Análise de Conteúdo, na modalidade Análise Temática. Resultados: as análises apontaram as categorias “visão do trabalho da equipe de Enfermagem”, “prestação de um cuidado humanizado” e a “percepção do usuário acerca do serviço ofertado”. Evidencia-se que o resultado da pesquisa de satisfação fornece subsídios importantes para serem trabalhados com a equipe e em conjunto com a instituição. Conclusão: conclui-se que a pesquisa de satisfação traz grandes contribuições tanto para o usuário que responde, quanto para a equipe que utiliza os resultados para melhorar a qualidade da assistência em saúde. Descritores: Satisfação do Paciente; Equipe de Enfermagem; Cuidados de Enfermagem; Avaliação em Saúde; Pesquisa sobre Serviços de Saúde; Qualidade da Assistência à Saúde.ABSTRACT Objective: to describe the opinion of the Nursing leaders about the contribution of the satisfaction survey of the user in relation to care. Method: qualitative, exploratory, descriptive study, with 28 leaders from the hospitalization units of a public hospital. The information was collected through a semi-structured interview and analyzed according to the Content Analysis, in the Thematic Analysis modality. Results: the analyzes indicated the categories "work vision of the Nursing team", "provision of a humanized care" and "perception of the user about the offered service". It is evidenced that the result of the satisfaction survey provides important subsidies to be worked with the team and with the institution. Conclusion: it is concluded that satisfaction research brings great contributions both to the responding user and to the team that uses the results to improve the quality of health care. Descriptors: Patient Satisfaction; Nursing, Team; Nursing Care; Evaluación en Salud; Health Services Research; Quality of Health Care.RESUMEN Objetivo: describir la opinión de los liderazgos de Enfermería acerca de la contribución de la investigación de satisfacción del usuario en relación a la atención. Método: estudio cualitativo, exploratorio, descriptivo, con 28 líderes de las unidades de internación de un hospital público. Las informaciones fueron recolectadas por medio de entrevistas semiestructuradas y analizadas según el Análisis de Contenido, en la modalidad Análisis Temático. Resultados: los análisis apuntaron las categorías: “visión del trabajo del equipo de Enfermería”,“prestación de un cuidado humanizado” y a ”percepción del usuario acerca del servicio ofertado”.  Se evidencia, que el resultado de la investigación de satisfacción proporciona subsidios importantes para ser trabajados con el equipo y en conjunto con la institución. Conclusión: se concluye que la investigación de satisfacción trae grandes contribuciones tanto para el usuario que responde, cuanto para el equipo que utiliza los resultados para mejorar la calidad de la asistencia en salud. Descriptores: Satisfacción del Paciente; Grupo de Enfermeira; Atención de Enfermería; Health Evaluation; Investigación sobre Servicios de Salud; Calidad de la Atención de Salud.


2011 ◽  
Vol 15 ◽  
pp. 63-68
Author(s):  
C. Matthew ◽  
Sackville Hamilton

A methodology is developed to analyse the contribution to sward persistence of the processes tiller birth and tiller death, and variation in their rate over an annual cycle. The methodology is tested using previously published data for timothy grass (Phleum pratense). The analysis shows that high death rates of timothy tillers in summer present a problem for persistence in that tiller appearance rates required to maintain the tiller population in these conditions require tiller bud site usage statistics that are biologically unlikely in field swards. While it is not suggested that ryegrass has a naturally high tiller death rate in summer as demonstrated here for timothy, where abiotic stresses reduce ryegrass tiller survival, the same principles are likely to apply. Keywords: Leslie matrix, Phleum pratense, population stability, tiller birth rate, tiller survival rate, timothy grass


BMJ ◽  
2001 ◽  
Vol 323 (7304) ◽  
pp. 70-70 ◽  
Author(s):  
A. Tuffs
Keyword(s):  

Author(s):  
Bruno Ramalho de Carvalho ◽  
Jhenifer Kliemchen Rodrigues ◽  
Teresa K. Woodruff

Advances in cancer treatment, particularly chemotherapeutics, are expected to lead to significant improvements in survival rates. While cancer incidence and death rates are decreasing, quality of life after cancer may be reduced due to early functional failure of the gonads and, consequently, infertility, resulting from either the disease itself or its treatment. This chapter introduces clinicians to the new field of oncofertility and the ethical issues it raises. It will consider the situation of young cancer patients facing reproductive consequences globally, the retrieval of gametes or gonadal tissue from minors, and the use of these tissues long term. The field of oncofertility is new, but ethical considerations regarding reproductive interventions are old. Understanding how we approach these issues on a personal level and from the public’s perspective will be assessed in this chapter.


2020 ◽  
Vol 39 (4) ◽  
pp. 565-571
Author(s):  
Matej Hopp ◽  
Sandra Pfiel ◽  
René Mario Schuster ◽  
Florian Tiefenbacher ◽  
Michael Reiner

BACKGROUND: As the COVID-pandemic has shown, the need for innovative (digitalized) solutions is in high demand across almost every field of interest. The implementation of advanced technologies in higher education provides an intriguing opportunity to expand its scope by reaching new audiences as well as ensuring a high quality of learning outcome. OBJECTIVE: In this article we tried to examine if virtual reality can be a suitable option by placing lectures into a virtual setup. METHODS: First, we explored the theoretical background if and how virtual reality has been adapted for usage in higher education. We then asked five lecturers from the IMC University of Applied Sciences Krems to test a virtual environment (Mozilla Hubs) and evaluate the platform for their teaching purposes. RESULTS: Among one of the results was, that 80 percent would recommend using the platform for lectures to their colleagues. Due to the small sample size the findings need to be further evaluated. CONCLUSIONS: In the foreseeable future virtual reality will become a valuable teaching assistance in higher education. Findings show that the response rate when training with virtual reality applications is much higher than to common studying methods.


Sign in / Sign up

Export Citation Format

Share Document