A alta do paciente da recuperação pós-anestésica (RPA) depende, dentre outros fatores, do retorno à normotermia e do escore alcançado pelo Índice de Aldrete e Kroulik. Sendo assim, o objetivo deste estudo foi verificar a relação entre o Índice de Aldrete e Kroulik e a temperatura corporal dos pacientes. O local de pesquisa foi o Hospital Universitário da Universidade de São Paulo. O cálculo amostral foi determinado por conveniência e foi constituído por 60 pacientes, entre 18 e 60 anos, submetidos à anestesia geral. Foram verificados a temperatura corporal na região timpânica e o Índice de Aldrete e Kroulik do paciente na recepção e alta da recuperação pós-anestésica. Os dados obtidos foram processados pelo pacote estatístico SPSS, com um nível de 5% de significância, e aplicaram-se o teste de Spearman e o teste de Wilcoxon. Conclui-se que não houve correlação significativa entre os dois parâmetros indicativos de alta.
Genetic parameters, genetic trends, and genetic progress of carcass traits were estimated for 12,447 Nellore individuals from different Brazilian herds. The following carcass traits were analyzed: visual body scores of conformation (CONF), precocity (PREC), and muscularity (MUSC); rump width (RW) and rump length (RL), body size (frame); and ultrasound evaluation of ribeye area (REA), backfat thickness (BFT), and rump fat thickness (RFT). Heritability estimates (± SE) for CONF, PREC, and MUSC were 0.23 ± 0.02, 0.33 ± 0.03, and 0.31 ± 0.02, respectively. The heritability estimates (± SE) for RW, RL, and frame were 0.25 ± 0.05, 0.16 ± 0.04, and 0.31 ± 0.03, respectively. Ultrasound of the REA, BFT, and RFT presented mean heritability estimates (± SE) of 0.38 ± 0.03, 0.44 ± 0.04, and 0.47 ± 0.04, respectively. The visual body score of CONF had high genetic correlations with RW, RL, and frame (0.74 ± 0.09, 0.82 ± 0.08, and 0.83 ± 0.04, respectively), indicating a high association of CONF with the measurements related to body structure. The REA had no correlation with BFT and RFT (-0.09 ± 0.04 and -0.03 ± 0.04, respectively) and showed only a moderate genetic correlation with MUSC (0.39 ± 0.05). The BFT and RFT had moderate genetic correlations with PREC (0.36 ± 0.07 and 0.29 ± 0.07, respectively) and no correlation with frame (-0.02 ± 0.03 and 0.05 ± 0.05, respectively), suggesting that selection for frame had no effect on the subcutaneous fat content of the carcass. Low genetic trends and low genetic progress were obtained for REA (0.026 cm, 0.02%), BFT (0.0031 mm, 0.05%), and RFT (0.0013 mm, 0.02%), with no significant values of genetic progress detected throughout the studied period. The CONF, PREC, and MUSC presented high genetic trends (0.030 points, 0.030 points, and 0.029 points, respectively) and high genetic progress (0.60%, 0.56%, and 0.59%, respectively), indicating a significant genetic progress for these traits throughout the evaluated period. Carcass traits evaluated by ultrasound and visual body scores are eligible for selection and can be used in genetic improvement programs in Nellore cattle; however, visual body score selection for carcass traits can result in slower genetic progress for carcass quality when compared to selection performed by ultrasound.
The health education is a crucial issue in health-disease process, contributing in prevention and rehab. The educator role in health usually behooves to nursing professional. This practice has been occurred in a traditional way, simply through content transmission. There is a new health education side that aims people' autonomy and participative practices. This study report the experiences of a group formed to potentiate family's emancipation in newborn care, preterm or not, and to build knowledge through collaboration and participation. Educative activities were realized in two hospitals of Ribeirão Preto, conducted by undergraduate and graduate students in nursing under supervisor orientation. The strategies used on groups were: board games, card game, educational guideline and distribution of pictures to discussion. After participation of involved people, it can be concluded that the educational activities contributed with build and integration process of know-how by families and neonatal health team, and for a more integral and humanized assistance helping to emancipate babies' families.
RESUMOIntrodução: o desenvolvimento de materiais educativos que utilizam tecnologia avançada é ainda pouco explorado na área de enfermagem neonatal e tem papel importante no preparo dos estudantes e profissionais para a prática clínica. Além do desenvolvimento, se faz importante avaliação desses softwares junto a especialistas e ao público alvo, neste caso estudantes de enfermagem, para que suas opiniões e impressões possam ser incorporados ao processo educacional. Objetivo: identificar as opiniões acerca do software educacional Semiotécnica e semiologia do recém-nascido pré-termo junto aos estudantes de Licenciatura em Enfermagem. Metodologia: estudo qualitativo, descritivo. Participaram 51 graduandos em enfermagem de cinco universidades públicas brasileiras que tiveram contato com o software. Resultados: os alunos emitiram opiniões a cerca da importância de aspectos como feedback imediato do software, riqueza de recursos visuais e auditivos, animações e design moderno e consonantes com os critérios ergonômicos atuais para avaliação de softwares. Conclusão: acreditamos ter sido fundamental a opinião dos estudantes para a melhoria do software, que pode ser considerado, após esta revisão, uma ferramenta educacional que colabora para a inovação do ensino, estimulante e facilitadora do processo de ensino-aprendizagem da avaliação clínica do pré-termo junto aos estudantes de enfermagem. Ressaltamos a importância do uso desta tecnologia educacional sob a mediação do docente e recomendamos que seu uso esteja embasado nas metodologias ativas de aprendizagem. ABSTRACT Introduction: the development of educational materials which use advanced technology is still little explored in the field of neonatal nursing and has an important role in preparing students and professionals for clinical practice. Besides the development, it is important to have software programs evaluated by experts and by the target public, who in this case are nursing students, so that these tools can be incorporated in the educational process. Objective: to identify nursing students' opinion about the educational software Semiotics and Semiology of the Preterm Newborn. Methods: qualitative and descriptive study. Participants were 51 undergraduate nursing students from five public universities in Brazil, who had contact with the software. Results: students' opinion on the importance of issues such as immediate feedback; richness of visuals and audio resources; animation and modern design according to current ergonomic criteria are highlighted. Conclusion: students' opinion were fundamental to the improvement of the software, which can be considered, after this review, an educational tool that contributes to innovation in education, encouraging and facilitating the process of teaching and learning of clinical evaluation of the preterm newborn. The importance of the use of this educational technology under professor's supervision is emphasized, and it is recommended that its use is grounded in active learning methodologies.
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