Repositório RCAAP

The performance of the nurse in the consultations to carriers of hypertension, carrying through specific actions and systemize interventions, has increasing importance because, not rare, the customer lacks of interventions that run away from the ability of one alone professional. It was had as objective to identify registered interventions of nursing in handbooks of taken care of carriers of hypertension in a reference service; to detect the frequency of the register of the interventions; to analyze, on the basis of the Plan of Reorganization of the attention to the Hypertension and Diabetes Mellitus (2001) and in the Brazilian Lines of direction of Hypertension (2006), the interventions with a frequency equal or bigger the five times in the registers; e to mapear the found interventions, according to International Classification for Nursing Pratice, version 1.0. It was carried through in the city of Fortaleza, in a unit of health of reference in hypertension and diabetes mellitus, for the state Ceará. Universe consisting of 3.606 registered in cadastre handbooks of July of 2003 the July of 2005, in a total of 704 handbooks with register of the diagnosis of hypertension. Amongst these, 175 handbooks had taken care of to the inclusion criteria: to be handbook of carrying patient of the diagnosis of arterial or primary hypertension, without other disease, as neoplasias, hematology, neuro-psychiatric, bones, metabolic and renals illnesses; to be registered in cadastre, and in validity since July of 2003; independent of sex and age and, to have register of, at least, a nursing consultation. The data had been collected in handbooks for the analysis of the registers of the carried through consultations of nursing of December of 2005 the February of 2006. A form was used that had as axle the questions necessary to reach the considered objectives. In 175 handbooks, it had register of 259 consultations of nursing (average: 1,48). In all had registers of interventions, in a total of 10 actions of nursing and 972 registers of interventions, with a average of 3,7 interventions for consultation. The actions presented had been: to verify (819), to guide (71), to direct (65), to teach (7), to keep (5), to stimulate (1), to acquire knowledge (1), to prevent (1), to request (1) and to watch (1). In the action to verify interventions had been distinguished that had occurred with a frequency equal or bigger the five times: blood pressure (257), weight (217), glicemy (212), height (86); following itself for the referring interventions to direct: cardiologist (18), dentist (12), nutrition (10), ophthalmologist (8) and nephrologist (7) and to guide: to diminish weight (9), diet (8), orientation (5); to keep: cares (5). It was observed that the registered intervention more registered was verification of the arterial pressure (257), however it being characterized as a specific action and essential in the consultation of nursing to the carrier of hypertension, it was not presented in all consultations. This fact seems to indicate, the occurrence of sub-registers for the nurses, what it represents damage for the systematic evaluation of the customer and accompaniment of the effectiveness of its therapeutical one. One concludes that the analysis of registers of nursing consultations made possible to identify to interventions and action of nursing parallel with the interventions related in ICNP 1. However, sub-registers can be occurring, making with that the quantitative one of interventions is inferior to that face to the specific of the analyzed consultations could expect.

Como gerente de Enfermagem, vivenciando a realidade da sala de recuperação pós-anestésica e unidade de terapia intensiva pós-operatória, percebeu-se que as condições de trabalho são geradoras de sofrimento físico e psíquico. O cuidado de Enfermagem, em dois setores, com características diferentes, requer conhecimento para desenvolvimento de habilidades, atitudes e perfil de competência profissional, exigências para atuar na alta complexidade. Objetivou-se analisar sentimentos e reações dos profissionais de Enfermagem no trabalho; identificar fatores relacionados ao trabalho que influenciam na saúde física e mental dos profissionais de Enfermagem; identificar fatores relacionados ao ambiente que influenciam no desempenho profissional e proporcionar espaço para verbalização dos sentimentos e reações dos profissionais de Enfermagem no trabalho. Trata-se de um estudo descritivo, de caráter qualitativo, com referencial teórico à luz de estudiosos como Dejours (2007), Lunardi Filho et al. (2001). Foi realizado no período de julho a setembro de 2008, em um hospital público na cidade de Fortaleza, Ceará - Brasil. Participaram do estudo dez enfermeiras e 12 técnicos de Enfermagem. Os critérios de inclusão foram: profissionais de Enfermagem cujas escalas de serviço coincidiram com a coleta de dados e aqueles que aceitaram participar. Foram considerados como critérios de exclusão: profissionais que estivessem de licenças prolongadas e férias. Obedecendo a Resolução, 196/96 que trata das pesquisas em seres humanos, o projeto foi encaminhado ao Comitê de Ética em Pesquisa da instituição e submetido à aprovação, sob Protocolo nº. 037.06.08. Todos os participantes assinaram o Termo de Consentimento Livre e Esclarecido. Os instrumentos de coleta das informações utilizados foram entrevistas individuais, com roteiro semiestruturado e encontros grupais. As informações apreendidas nas entrevistas individuais foram categorizadas em - Significado do trabalho na SRPA e UTI pós-operatória; Fatores que influenciam na saúde física e mental dos profissionais de Enfermagem; e Fatores relacionados ao ambiente que influenciam no desempenho profissional. Em todos os encontros grupais foi realizada a pergunta norteadora: Como você está se sentindo? As respostas que emergiram foram categorizadas em sofrimento físico, sofrimento psíquico dos profissionais de Enfermagem e estratégias defensivas utilizadas pelos profissionais de Enfermagem, sendo analisadas à luz da análise de conteúdo de Bardin (1977). O estudo demonstrou a importância da valorização dos profissionais de Enfermagem, alertando aos gestores para as estratégias defensivas contra o adoecimento físico e psíquico no trabalho. Além de sensibilizar o profissional para o cuidado a si mesmo, pois ao se cuidar, poderá cuidar melhor do outro. Consideramos, neste estudo, que os momentos de paradas, durante a jornada de trabalho, reduziram o sofrimento das pessoas que compartilharam reações e sentimentos. Os encontros grupais permitiram momentos de reflexão, integração e relaxamento para os profissionais de Enfermagem.

SILVA, Gelson Aguiar

The familiar cuidador of the aged dependent very starts to be focus of the attention in health recently. It was objectified, in this study to know the abilities and abilities developed for the nurse in the attendance to the familiar cuidador of the aged dependent in the domicile. To take care of adequately of these patients also demands deep preparation scientific technician of the professionals who carry through visits domiciliary the aged dependents, as well as planning of educative interventions, medicaments accomplishment of procedures and treatments. This diversification comes generating reflections and questionings between the professionals whom they visit and they take care of aged in domiciles. What one searchs in this study is, from the social reality of the nurses who work with assistance, internment and domiciliary visit. To know the construction of the care excused to aged and its cuidador. The work, in function of its objective and intention implies the use of methodology of qualitative cut. The population of the study consisted of integrant nurses of the Strategy Health of Family (ESF), of the Program of Domiciliary Attendance (PAD) and Home Care. For 8 (eight) nurses of ESF and 8 (eight) of the too much public and private institutions had been in such a way chosen totalizing 16 nurses. For collection of data associate to an individual interview opted itself to the technique of Focal Groupe (GF) as complementary instrument. Amongst the qualitative techniques, we opt to the Speech of Collective Citizen (DSC) gotten through the analysis of the interviews carried through with nurses citizens of the research according to LEFÉVRE and LEFÉVRE, to believing to be this the best option for the considered study. The ideas central offices had been: it guides and it trains on the care with the aged one, the cuidador as nursing technology, the cuidador is not important, the cuidador is not focus of the attention, the family guided in the care to the aged one, the cuidador needs more than well-taken care of that the proper sick person, the cuidador is also aged, does not exist availability of time for assistance to the cuidador, the assistance is given in accordance with to the complaints and necessity of qualification for a quality assistance. The content of the speeches does not leave doubts of that it has necessity of get up the actions of nursing based in scientific knowledge, rules and creation of instruments domiciliary assistance in the public institutions. Initiating for the ESF, that will work in concurrence with the Program of Domiciliary Internment (PID) implanted in the hospital institutions of the municipal and state public nets.

Exclusive to The Lactation Amenorrhea (LAM) is a contraceptive method (MAC) natural, with efficiency of 98% by the sixth month of life. Currently, promotion of MAC is available in the country carried out by teams of the Family Health Program (FHP), particularly by nurses, who must do it in neutral, respecting the free choice of users. The aim of this study was to analyze knowledge and performance of nurses of the PSF on the LAM. The specific objectives were: To identify personal experiences of nurses (parents or mothers) in relation to breastfeeding and LAM; To assess knowledge and confidence of nurses related to LAM; To identify promotion of LAM by the perception of nurses and how the acceptance of LAM by the customer; To know opportunities and strategies used by nurses to promote LAM; To show results of the practice of nurses with respect to the monitoring of users of LAM. It was a field study, cross, held from February to July 2008, the Regional Executive Secretariats (SER) I, III, IV and V of Fortaleza-CE, with 137 nurses. Data collection occurred in the Basic Health Units using the interview. There were the nurses, accounting for 121 (88.3%) participants, who had a mean age of 35.1 years. Slightly more than half, 70 (51.1%) reported having children, and of those, 61 (92.4%) reported having experienced exclusive breastfeeding, which had an average of 4.38 months. However, only 12 (19.6%) nurses said they had adopted the LAM, even considering its practicality and its benefits. Only 2 (1.5%) nurses know how to LAM contraceptive option. As the self-assessment of knowledge on the subject, 34 (24.8%) nurses rated their knowledge as excellent or good, 80 (58.4%) good, 20 (14.6%) as regular and 3 (2, 2%) inadequate. Most, 88 (64.2%), know the effectiveness of LAM and only 5 (3.7%) reported the efficacy correct. Even with 65 (47.4%) of nurses discrediting the effectiveness of LAM and only 19 (13.9%) being knowledgeable of the three requirements for optimal operation of the method, 112 (81.8%) said guide for women on the use of it. The acceptance of women occurs in part, to the extent that seeking complementary method to continue use of LAM. The guidance is provided by nurses at different times, related to the pregnancy-puerperal period (prenatal, postpartum and child care) and outside, in the consultations for family planning and, in most cases, adopted the individual approach. The students, 59 (52.7%) nurses accompanied users of LAM. The average time of use by customers is 3 to 4 months, and the return to work and the introduction of other foods to the infant diet the main reasons for discontinuation of LAM. The oral combination was the MAC of succession of LAM. It is therefore the need to improve knowledge of nurses of the PSF over the area of care, since in such circumstances the promotion of LAM is compromised, affecting the adherence of women to the method and the effectiveness of it.

The modern systems of measurement, protection, command, control and supervision (MPCCS) have contributed in a meaningful way to increase the security and reliability of the power systems. The most important part of this multifunctional system is the protection system, which has as the main goal to maintain the power system integrity when it is under a disturbance, assuring the people‟s safety as well as the continuation of the services to the part of the system not involved in the disturbance. For this, the protection system must fulfill some basic requirements such as: proper selectivity and coordination, prompt response, sensitivity to protect the largest zone as possible and reliability. In a system protection, one component takes on a prominent position, given its functional importance: the digital protection relay. It is in this device where the necessary adjustments are configured for proper operation of the protection scheme of a given electrical power system. The digital relays are devices that have several protection functions, with multiple levels of settings, measurements, oscillography, supervision, control and communication. Besides all these features, the digital relays have multiple groups of settings that can be previously configured and switched among them, according to operational needs. The changing of setting group in a relay is a very important resource at a protection system, extensively used by protection sectors of companies in the power sector, allowing the optimization of the protection system setting, making it compatible to a new topology taken on by the system after a fault or an intentional removal of some system component. Nowadays this procedure is performed manually, making it vulnerable to human errors that might occur as a consequence of an outage, with serious effect in the system performance indices. In this sense this work presents a system, based on Colored Petri Nets, able to automatically change the setting groups of a protection system when the power network topology changes. This system monitors in real time the status of the circuit breakers in order to take the decision whether a meaningful change in the network topology has taken place. If so, a command is automatically sent to the relays to change the active group setting so as to maintain a suitable coordination of the protection system.

This dissertation implements the plant of an unit of pumping water supplied by electricity from the wind energy, to make possible the wells water extraction in semi-arid regions installed at the Station of Engineering Fishing on Pici's Campus of University Federal of the Ceará (UFC), in Fortaleza - CE, Brazil. The unit has a wind turbine (1kW-220 Vac), a load controller, and a water pumping system from a well to an elevated reservoir. The electricity to water pumping system can be powered by wind turbine or conventional grid. Other aspect that improves the work was the development of a piping that can be configured to submit the water pumping system to several hydraulics loads to accomplish the operational tests. The developed plant was able to pump, on an average, 4.318 L/day of water with the maximum value of 10.698 L/day to an average wind speed of 3,84 m/s. The reached average efficiency were : 10% (wind/hydraulic) and 41% (electric/hydraulic) by a wind speed of 6,5 m/s. The accomplished rehearsals demonstrated low robustness of the wind turbine used, pledging, thus, the operational availability and the equipment reliability. Actions are suggested to guarantee the viability of this model of water pumping powered by small size wind turbines.

In the last decades, the main cities in Brazil have been suffered from the level of urban mobility as a result of the undiscriminating use of automobiles due to the high frequency of daily trips and to the deficient highway spaces. Thus, the demand for trips started a conflict, resulting in an instability presented in several problems such as atmospheric pollution, car accidents and high levels of congestion. Drivers try to minimize the travel time avoiding the principal ways with high levels of congestion, starting to utilize the collectors or local roads to get to their destinations. With such high speed in residential areas, the agencies, in order to guarantee the safety of the users, implanted speed reducers as a way to improve the conditions of circulation in urban areas. The Brazilian Traffic Code – CTB regulated the utilization of the speed hump only for special cases, requiring studies that justify its implantation in order to avoid the conflicts between the way users. Therefore, this objective dissertation aims at studying the effects of speed hump in the traffic operations in urban ways, also identifying other factors which influence the drivers' behavior in segments which precede and succeed such speed hump. From the study of the impacts, a method to determine the most appropriate positioning of the speed hump in the roadway was proposed upstream of the pedestrian crossing site.

This paper analyses the process of convergence in the world economy in the 1950-1992 period, with the purpose of examining the factors that have contributed to the ocurrence of that process and to the ∗ Agradecemos o apoio recebido da FUNCAP e a bolsista do PIBIC/CNPq, Emanuela Andrade Costa, para realização desta pesquisa. ** Coordenador da pesquisa. Professor do curso de pós- graduação em economia(CAEN)da Universidade Federal do Ceará-UFC. *** Professor do Curso de Economia da Universidade Federal do Piauí e doutorando do CAEN.3 formation of “Convergence Clubs” . The data used have as sources the Penn World Table (1992) and Barro and Lee (1993). In the empirical tests the neoclassical model was used. Persistence tests were also performed. The results indicate the existence of a divergence process when all countries were considered, and a convergence process for the group of rich countries. Formation of Convergence Clubs was also identified. The introduction of auxiliary variables, schooling levels, degree of economic openess, to explain the conditional convergence did not result significant. The persistence tests, on the other hand, do indicate a trend in consolidation of the “Convergence Clubs”

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Differentials in the rates of growth of income per capita among countries has been a pemianent issue in the economic literature, particularly in those areas related to Economic Development and Economic Growth. Recently, empirical studies have shown a process of reduction on those differentials among developed countries. The analysis of this process, and of its theoretical and empirical foundations, namely of the Convergence Hypothesis (H-C), has given rise to an important research area. In analytical temis this analysis can be roughly classified into two approaches: The Appreciative and the Formal Theorizing Model. In this paper both approaches are considered. Adittionally a brief analysis of the literature and of the relationship between the expansion of world trade and the H-C is also made.

ALENCAR , Helenira Fonseca de. Participação social e estima de lugar: caminhos traçados por jovens estudantes moradores de bairros da Regional III da Cidade de Fortaleza pelos mapas afetivos. 2010. 239 f. Dissertação (Mestrado em Psicologia) – Universidade Federal do Ceará, Departamento de Psicologia, Programa de Pós-Graduação em Psicologia, Fortaleza-CE, 2010.

PINHEIRO , Heráclito Aragão. O fantasma no castelo do materialismo: uma história do inconsciente Freudiano. 2009. 91 f. Dissertação (Mestrado em Psicologia) – Universidade Federal do Ceará, Departamento de Psicologia, Programa de Pós-Graduação em Psicologia, Fortaleza-CE, 2009.

The coronary reperfusion therapy with percutaneous transluminal coronary angioplasty and stent placement constitutes, now, the preferential treatment to the patient attacked by acute myocardial infarction. In the period after to angioplasty, the patient with infarct demands peculiar cares of the nursing team due cardiac compromising and physical dependence. The identification of the nursing diagnoses addresses the actions attended and delegated by the nurse. The objective of the study was to analyze the nursing diagnoses in patients with acute myocardial infarction submitted to the primary percutaneous transluminal coronary angioplasty with use of coronary stent. Cross sectional study of descriptive-exploratory character, accomplished in a public hospital of Fortaleza-Ce. The population consisted of 51 patients in their first infarct episode that they accomplished angioplasty with success in the placement stent and interned in the cardiac infirmaries. The data were collected by means of interview, physical exam and it consults to the records’ patient during the months of January to August of 2006. The results showed predominance men, brown, with average of 54 year-old age and it lowers education level. It identified high frequency of previous infarct, with artery descending previous left accused by the ischemia and Killip Classification I. They were found, on the average, 11 nursing diagnoses, 28 defining characteristics, 6 related factors and 5 risk factors for patient. The nursing diagnoses of larger frequency were: Risk for infection, Altered dentition , Activity intolerance, Bathing/hygiene self-care deficit, Toileting self-care deficit, Dressing/grooming self-care deficit, Sleep pattern disturbance, Impaired walking and Impaired physical mobility. The variable number of diagnoses presented statistic association with the diagnoses self-care deficits, Impaired walking and Impaired physical mobility. There was significant association between the diagnoses related to the self-care, mobility and locomotion, and of these with the factors related prescribed restrictions of movements, limitation imposed by the retreat of the hem and state of harmed mobility. The data revealed predominance of phenomenons related to the biological order and importance in the identification of the nursing diagnoses in the specific clientele in way to base a nursing care plan of activities returned to the attendance of the physiologic needs of self-care and physical dependence.

REIS , Inês Maria de Oliveira. Os sentidos do adoecer: refazendo o percurso Freudiano. 2008. 144 f. Dissertação (Mestrado em Psicologia) – Universidade Federal do Ceará, Departamento de Psicologia, Programa de Pós-Graduação em Psicologia, Fortaleza-CE, 2008.

Estudos empíricos têm constatado a existência de diferenciais de produtividade e renda per capita entre países e uma tendência à sua redução para os países desenvolvidos. Esta tendência, denominada de Hipótese da Convergência (H-C), tem recentemente ganho relevo em face da queda relativa das taxas de crescimento da produtividade e renda per capita americana desde a segunda metade da década dos 60’S. A análise deste processo, no geral, tem-se dado em duas grandes linhas de pesquisa: uma baseada em modelos econométricos de crescimento econômico e outra na hipótese de catch-up, mais próxima da análise do processo de desenvolvimento econômico. Este trabalho se insere na segunda linha e procura analisar a H-C, a partir da experiência recente da economia americana, as principais razões, primeiro, para sua ocorrência, como a expansão do comércio mundial, produção em massa entre outros. Segundo, para a manutenção, apesar da queda relativa observada, da posição de liderança na economia mundial. Entre os fatores responsáveis por este fato destacase a posição de liderança dos Estados Unidos na área tecnológica, em particular nas indústrias de alta tecnologia (expressa pela participação americana na exportação mundial de produtos considerados de alta tecnologia). Esta liderança inconteste, ao longo do período 1965/88, acentuou-se a partir da segunda metade dos anos 80.

The lack of knowledge on the part of mothers about their children’s ocular health is a common denominator found when they are asked about this theme, mainly concerning the visual stimulation, which is a component of significant value to the newborn babies’ ocular health. Thus, one aimed to apply a handbook highlighting the visual stimulation for mothers of children with risk to visual alterations and to validate material and method for education and health applied to visual stimulation of premature children and/or with risks to visual alterations. Data collection was carried out from April to June, 2005 in three methodological moments. On the first moment, the handbook was analyzed by three experts, on the second one, the handbook was reformulated starting from the suggestions and on the third moment the handbook was applied to the mothers admitted to the kangaroo-mother ward, with record of interviews where the items of evaluation were approached after the reading of the handbook. The data were described according to Bardin (1977) and Nietsche(2000). Referring to the first moment, one suggested changes in the handbook’s back page, with the complete identification of the authors, addition of an item about the obstetric history and another about signs and symptoms of visual alterations; change of a drawing that was over the text making it difficult to read; emphasis on the topic about the participation of parents on the promotion of ocular health to their children; update on the literature; and enlargement of the material created for all the children with risks to visual alterations, not only the premature ones. Next, one carried out the second methodological moment, with the corrections suggested by the experts, being all obeyed. After the thematic analysis of the 12 interviews, one identified four themes: Perception of the handbook, Knowledge of mothers about ocular health, Handbook’s structure and Promotion of the ocular health. We concluded that the handbook facilitated the learning about visual stimulation, as well as it will make that the visual deficit, in case it appears, is noticed as precocious as possible, in the family life. Besides encouraging the stimulation at home as an indispensable factor to the development of the child, be it premature or not. By mentioning the components contemplated by the emancipatory technology, to know: the exercise of critical conscience, citizenship, freedom and autonomy; we affirm that each one of them was present at the application of the handbook about visual stimulation, what makes the handbook, as well as the practice together with the mothers as emancipatory technology.

In this paper, we analyzed the time as a privilege category of subject and society study; aiming to analyze its action as a social solvent when presents itself in the new configurations between time and work in contemporaneity, we performed a theoretical analysis of time category and its new ways of presenting itself in work contemporaneity. Thereunto, we delimitated a few study fields where temporality inserted itself as category, as of Philosophy, Physics, Biology and Sociology, we studied the work Time, the free Time and the leisure Time. Based on these studies, we delimitated a few Psychology study fields of temporality, so we can finally focus in the temporality issue for Psychoanalysis. Once the subjective temporality was delimitated, we could search for the interface between it and the world, finding a temporality marked by social mediation. In this context, we verified the time acting with the work, forming one of the categories which works as social glue. Analyzing the new configurations admitted by the labor temporality, after the work has become predominant social category, we verified that it can lose its society wide glue characteristic and present itself as a social solvent in a few social groups, fortifying other groups’ attachments, helping, thereby, in time ghettos formation related to work.

In response to growing consumption of alcohol and its related problems, exemplified by harmful use and/or dependence, Brazil has been setting public policies such as full attention on alcohol and drugs users which, in turn, highlights the psychosocial care based on a support network organized by the Psychosocial Care Center (PCA), linked to other health services and community groups. Self-help groups as the Alcoholics Anonymous (AA) are becoming increasingly common, as its members organize themselves in order to live and solve their own alcohol related problems. This research aimed to learn, from the experience of handling with alcoholics, how a self-help group develops itself as a social support network. The descriptive study took place in an AA from Fortaleza (CE), with 20 participants aged over 18 years-old, who wished to take part and were affiliated and regularly attending the group meetings for at least one year, and also were in physical and emotional conditions to properly respond the questionnaire. Data were collected through individual interviews, using a semi-structured road map and organized in tables, then grouped in four main categories that emerged from the interviewed testimonies. The analysis process was based on the precepts of Bardin´s Content Analysis. The results shows the diversity of characteristics about social, demographic and historical aspects related to the use of drugs, with a history of heavy use of alcohol and its adverse consequences to the health of the participants, including all sorts of negative interference in all aspects of their lives: personal, family, social and economic. It was reported by the participants the search for spiritual assistance in health services and self-help groups to drug-dependency treatment. It was also emphasized the AA contribution to the Health Promotion, not only because it restores their physical condition, but also by offering them subsidies for empowerment, and giving the possibility of reintegration of those ones previously victimized by social exclusion. The self-help group proved to be an efficient support environment to the participants, permeated by the offer of a program with attainable goals, by working as a space where the participant has a voice, and by its intersectorial ability of articulation within support network groups. Based on the perceived reality, comes the perception about the need of more health professionals engaged in the fight against the use of psychoactive drugs, taking a more decisive role in the construction of policies and practices that meet this condition and provide solutions for it. To the given complexity, this participation requires some key conditions, such as the recognition of the importance of knowledge from other areas and the capability of building partnerships as a strategy for care and social inclusion.

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