Emília Cristina Peres

Controle de vacinação de crianças matriculadas em escolas municipais da cidade de São Paulo

A matricula de alunos, nas Escolas Municipais de Educacao Infantil de Sao Paulo, esta vinculada a apresentacao da caderneta de vacinacao, para incentivar os pais a manterem atualizado o calendario de imunizacoes das criancas. Nao ha, porem, controles periodicos para verificar se as vacinacoes estao atualizadas. Para sanar tal deficiencia, foi elaborado um projeto com objetivo de facilitar o controle da imunizacao infantil, por meio da criacao de um programa de computador, para realizar esse controle, testado em uma Escola Municipal de Educacao Infantil, durante tres meses. Foram cadastrados nesse sistema 286 alunos, dos quais, 236 (82,5%) receberam notificacoes por estar com seu quadro de vacinacao incompleto. Dentre os alunos que receberam as notificacoes, 21,2% atualizaram a vacinacao, 2,5% devolveram suas cadernetas inalteradas e os demais ainda estavam providenciando a atualizacao. O programa foi capaz de identificar falhas, reduzindo as chances da propagacao de doencas transmissiveis no ambiente escolar.The presentation of the vaccination passbook is mandatory for student registration at the city of São Paulos Municipal Schools of Infantile Education, as a form of stimulating parents to keep their childrens immunizations calendar updated. However, attendants do not verify periodically if the vaccinations are correct. In order to overcome this problem, a project with the aim of facilitating the immunization control through a software that controls immunizations was tested at a Municipal School of Infantile Education. Of the 286 pupils registered in the system, 236 (82.5%) were notified that their vaccines were incomplete. Of these, 21.2% updated their vaccinations, 2.5% returned their passbooks unchanged, and the remainders were still in the process of updating. The program identified the imperfections and encouraged immunization, thus helping to prevent the propagation of transmissible diseases in the school environment.

Immunization control and student registration at the city of São Paulo's municipal schools of infantile education

A matricula de alunos, nas Escolas Municipais de Educacao Infantil de Sao Paulo, esta vinculada a apresentacao da caderneta de vacinacao, para incentivar os pais a manterem atualizado o calendario de imunizacoes das criancas. Nao ha, porem, controles periodicos para verificar se as vacinacoes estao atualizadas. Para sanar tal deficiencia, foi elaborado um projeto com objetivo de facilitar o controle da imunizacao infantil, por meio da criacao de um programa de computador, para realizar esse controle, testado em uma Escola Municipal de Educacao Infantil, durante tres meses. Foram cadastrados nesse sistema 286 alunos, dos quais, 236 (82,5%) receberam notificacoes por estar com seu quadro de vacinacao incompleto. Dentre os alunos que receberam as notificacoes, 21,2% atualizaram a vacinacao, 2,5% devolveram suas cadernetas inalteradas e os demais ainda estavam providenciando a atualizacao. O programa foi capaz de identificar falhas, reduzindo as chances da propagacao de doencas transmissiveis no ambiente escolar.The presentation of the vaccination passbook is mandatory for student registration at the city of São Paulos Municipal Schools of Infantile Education, as a form of stimulating parents to keep their childrens immunizations calendar updated. However, attendants do not verify periodically if the vaccinations are correct. In order to overcome this problem, a project with the aim of facilitating the immunization control through a software that controls immunizations was tested at a Municipal School of Infantile Education. Of the 286 pupils registered in the system, 236 (82.5%) were notified that their vaccines were incomplete. Of these, 21.2% updated their vaccinations, 2.5% returned their passbooks unchanged, and the remainders were still in the process of updating. The program identified the imperfections and encouraged immunization, thus helping to prevent the propagation of transmissible diseases in the school environment.

Humanized care: the act with respect to design improving student nursing

Objectives: To investigate aspects of the hospital routine, recognizing bioethical principles (PB) impacting the delivery of nursing; verify that improving this situation requires that the concept of respect is rooted in this routine, with the patients; and, assess whether differences exist in the concept of respect among nurses working in a teaching hospital and those who graduated recently from a Program for Improvement of Personnel. Methods: This was an exploratory, qualitative approach, performed in a large hospital involving, as participants in the study, 20 recent graduates. Results: It was found that graduated student realizes that the PB helped in their routine; that the concept of respect applies in all situations with patients; and that the workload makes it difficult to anchor this concept in practice. Conclusion: Recently graduated students had more difficulty than more experienced nurses in overcoming the routine of work and identifying ways of anchoring this concept.Objectives: To investigate aspects of the hospital routine, recognizing bioethical principles (PB) impacting the delivery of nursing; verify that improving this situation requires that the concept of respect is rooted in this routine, with the patients; and, assess whether differences exist in the concept of respect among nurses working in a teaching hospital and those who graduated recently from a Program for Improvement of Personnel. Methods: This was an exploratory, qualitative approach, performed in a large hospital involving, as participants in the study, 20 recent graduates. Results: It was found that graduated student realizes that the PB helped in their routine; that the concept of respect applies in all situations with patients; and that the workload makes it difficult to anchor this concept in practice. Conclusion: Recently graduated students had more difficulty than more experienced nurses in overcoming the routine of work and identifying ways of anchoring this concept.

Cuidado humanizado: o agir com respeito na concepção de aprimorandos de enfermagem

Objectives: To investigate aspects of the hospital routine, recognizing bioethical principles (PB) impacting the delivery of nursing; verify that improving this situation requires that the concept of respect is rooted in this routine, with the patients; and, assess whether differences exist in the concept of respect among nurses working in a teaching hospital and those who graduated recently from a Program for Improvement of Personnel. Methods: This was an exploratory, qualitative approach, performed in a large hospital involving, as participants in the study, 20 recent graduates. Results: It was found that graduated student realizes that the PB helped in their routine; that the concept of respect applies in all situations with patients; and that the workload makes it difficult to anchor this concept in practice. Conclusion: Recently graduated students had more difficulty than more experienced nurses in overcoming the routine of work and identifying ways of anchoring this concept.Objectives: To investigate aspects of the hospital routine, recognizing bioethical principles (PB) impacting the delivery of nursing; verify that improving this situation requires that the concept of respect is rooted in this routine, with the patients; and, assess whether differences exist in the concept of respect among nurses working in a teaching hospital and those who graduated recently from a Program for Improvement of Personnel. Methods: This was an exploratory, qualitative approach, performed in a large hospital involving, as participants in the study, 20 recent graduates. Results: It was found that graduated student realizes that the PB helped in their routine; that the concept of respect applies in all situations with patients; and that the workload makes it difficult to anchor this concept in practice. Conclusion: Recently graduated students had more difficulty than more experienced nurses in overcoming the routine of work and identifying ways of anchoring this concept.

Enhanced Na+, K+-ATPase activity and endothelial modulation decrease phenylephrine-induced contraction in aorta from ouabain-treated normotensive and hypertensive rats

Abstract Aim: The purpose of this study was to compare the effect of long-term ouabain treatment on the vascular reactivity and Na+, K+-ATPase activity of a conductance artery from normotensive and hypertensive rats. Methods: Male Wistar rats were treated with ouabain (~8.0 µg/day, subcutaneously) or vehicle for 5 and 20 weeks, and spontaneously hypertensive rats (SHRs) for 5 weeks. Vasoconstrictor response to phenylephrine (10−10 to 10−4 M) and relaxation curves to KCl (1–10 mM) were analyzed in thoracic aorta. The effects of endothelial removal, L-NAME (100 μM), and indomethacin (10 μM) were used to evaluate the endothelial, nitric oxide (NO), and cyclooxygenase (COX) modulation of phenylephrine response, respectively. Protein expression of endothelial and neuronal NO synthase (NOS) and COX-2 were also investigated. Results: The phenylephrine-induced contraction was reduced, whereas the relaxation to KCl was enhanced in the aorta of ouabain-treated Wistar rats and SHRs. In both strains, endothelial modulation of α-adrenergic response was enhanced, related to an increased NO and reduced COX-derived vasoconstrictor factor modulation. Aortas from 20-week ouabain-treated Wistar rats showed reduced COX-2 and enhanced eNOS protein expression. In SHRs, 5-week ouabain treatment reduced COX-2 and increased nNOS protein expression. Conclusions: The results suggest that long-term ouabain treatment reduces the α-adrenergic response of aorta from normotensive rats and SHRs, associated with an increase of NO synthesis, reduced COX-2-derived vasoconstrictor factors, and enhanced ouabain-sensitive Na+, K+-ATPase activity. These aortic mechanisms could be adjustments to the elevated blood pressure induced by ouabain, even in the presence of preexisting hypertension.

Cuidado humanizado: el actuar con respeto en la concepción de capacitados de enfermería

Objectives: To investigate aspects of the hospital routine, recognizing bioethical principles (PB) impacting the delivery of nursing; verify that improving this situation requires that the concept of respect is rooted in this routine, with the patients; and, assess whether differences exist in the concept of respect among nurses working in a teaching hospital and those who graduated recently from a Program for Improvement of Personnel. Methods: This was an exploratory, qualitative approach, performed in a large hospital involving, as participants in the study, 20 recent graduates. Results: It was found that graduated student realizes that the PB helped in their routine; that the concept of respect applies in all situations with patients; and that the workload makes it difficult to anchor this concept in practice. Conclusion: Recently graduated students had more difficulty than more experienced nurses in overcoming the routine of work and identifying ways of anchoring this concept.Objectives: To investigate aspects of the hospital routine, recognizing bioethical principles (PB) impacting the delivery of nursing; verify that improving this situation requires that the concept of respect is rooted in this routine, with the patients; and, assess whether differences exist in the concept of respect among nurses working in a teaching hospital and those who graduated recently from a Program for Improvement of Personnel. Methods: This was an exploratory, qualitative approach, performed in a large hospital involving, as participants in the study, 20 recent graduates. Results: It was found that graduated student realizes that the PB helped in their routine; that the concept of respect applies in all situations with patients; and that the workload makes it difficult to anchor this concept in practice. Conclusion: Recently graduated students had more difficulty than more experienced nurses in overcoming the routine of work and identifying ways of anchoring this concept.

El control de la vacunacion y el registro de los niños en las escuelas municipales de educacion infantil en la ciudad de São Paulo

A matricula de alunos, nas Escolas Municipais de Educacao Infantil de Sao Paulo, esta vinculada a apresentacao da caderneta de vacinacao, para incentivar os pais a manterem atualizado o calendario de imunizacoes das criancas. Nao ha, porem, controles periodicos para verificar se as vacinacoes estao atualizadas. Para sanar tal deficiencia, foi elaborado um projeto com objetivo de facilitar o controle da imunizacao infantil, por meio da criacao de um programa de computador, para realizar esse controle, testado em uma Escola Municipal de Educacao Infantil, durante tres meses. Foram cadastrados nesse sistema 286 alunos, dos quais, 236 (82,5%) receberam notificacoes por estar com seu quadro de vacinacao incompleto. Dentre os alunos que receberam as notificacoes, 21,2% atualizaram a vacinacao, 2,5% devolveram suas cadernetas inalteradas e os demais ainda estavam providenciando a atualizacao. O programa foi capaz de identificar falhas, reduzindo as chances da propagacao de doencas transmissiveis no ambiente escolar.The presentation of the vaccination passbook is mandatory for student registration at the city of São Paulos Municipal Schools of Infantile Education, as a form of stimulating parents to keep their childrens immunizations calendar updated. However, attendants do not verify periodically if the vaccinations are correct. In order to overcome this problem, a project with the aim of facilitating the immunization control through a software that controls immunizations was tested at a Municipal School of Infantile Education. Of the 286 pupils registered in the system, 236 (82.5%) were notified that their vaccines were incomplete. Of these, 21.2% updated their vaccinations, 2.5% returned their passbooks unchanged, and the remainders were still in the process of updating. The program identified the imperfections and encouraged immunization, thus helping to prevent the propagation of transmissible diseases in the school environment.