Search

This study evaluated the effects of co-production and the mediator’s competence on the results of Judicial Mediation in the Court of Justice of the Brazilian Federal District and Territories. Data was collected using satisfaction surveys applied to the parties using the court’s judicial mediation services. The sample refers to the period from January 2013 to July 2015, totaling 312 participants and 107 discursive answers. The evaluation adopted techniques of descriptive statistics, exploratory factor analysis, and logistic regression as well as content analysis. The results showed that the only statistically significant variable was the mediator’s competence, which increases the likelihood of positive perception about the outcomes of judicial mediation both for citizens and the justice system. Both parties using the services did not perceive that co-production affects the outcomes. This result was due to the complexity of the cases mediated, which makes it hard to observe the role of cooperation in achieving the outcomes. For the citizen, the mediator is primarily responsible for directing the judicial mediation procedure as well as the outcomes achieved through the procedure. We provide recommendations and a research agenda aimed at strengthening research in the area.

Polyhydroxyalkanoates (PHA) are a viable alternative to replacing traditional plastics, harmful to nature. The objective of this study was to evaluate the production of PHA by Cupriviadus necator using agro-industrial residues, its physicochemical characterization, and of the membranes produced. Cell growth and PHA production were compared in three carbon sources: residual glycerol, whey cheese with and without a mineral solution. After cultivation, the biopolymer was extracted and characterized by FTIR and 1D and 2D NMR experiments. Membranes containing 5.0% of PHA had their physicochemical properties measured for mechanical properties, color, and water vapor permeability. The results demonstrated that the yield of PHA.g-1 of biomass was higher for cultivation using residual. Yet the PHA.L-1 was higher in cultures with whey cheese. The NMR and FTIR result allowed to characterize the molecular structure of PHA produced. It was calculated 8 carbon atoms in the methylene main chain and a maximum of 13 carbons (Poly-3-hydroxytridecanoato) in the polymer side chain. The membranes showed a strong whiteness tendency as well as a high opacity, expected low water vapor permeability, and rigidity. In conclusion, mechanical properties indicated that the formed PHA membranes could be applicable to plastic packaging in substitution for petroleum derivatives.

This study aimed to verify the association between the resources of the family environment and teenage reading. A total of 106 adolescents of both sexes, aged between 11 and 16 years, without learning difficulties, participated in the study. For data collection, a narrative text, a multiple-choice questionnaire about the text and an adapted Family Environment Resources questionnaire were used. Descriptive and inferential analysis was performed using Spearman, Mann-Whitney and Kruskal Wallis correlation tests, with a significance level of 5%. Resources that promote proximal processes and parenting practices contributed to better reading performance. In contrast, the predictable activities category contributed negatively. Thus, the environment and resources influenced the adolescents’ reading performance. It is concluded that the elaboration of school measures and public policies is important to strengthen the family-school relationship, expand family resources and make the environment favorable to teaching.

Objective: To exam the association of the age-adjusted Charlson comorbidity index with the categories of risk classification, the clinical aspects, and the patient outcomes in the emergency department. Method: Cross-sectional, analytical study that analyzed the medical records of 3,624 patients seen in the emergency department. Charlson index scores greater than 2 showed a high rate of comorbidity (mortality risk). T-test and analysis of variance were applied in the analyses. Results: There was a significant difference between the Charlson comorbidity index and the risk classification, with higher scores found in patients classified in the white (2.57) and red (2.06) categories. Patients with vascular, endocrine, neurological, cardiologic, or device problems, and those who underwent a head tomography had a high rate of comorbidity. In addition, those admitted, transferred, or who died in the emergency room had significantly higher index scores compared to those who were discharged from the hospital. Conclusion: The high rate of comorbidity was associated with the categories of risk classification, main and nonspecific complaints, performance of a head tomography, and patient outcomes in the emergency room. RESUMEN Objetivo: Verificar a associação entre o índice de comorbidade de Charlson ajustado à idade e as categorias de classificação de risco, os aspectos clínicos e os desfechos de pacientes no serviço de emergência. Método: Estudo transversal, analítico que analisou prontuários de 3.624 pacientes atendidos na emergência. Escores do índice de Charlson superiores a 2 retrataram alto índice de comorbidade (risco de mortalidade). Teste t e análise de variância foram aplicados nas análises. Resultados: Houve diferença significativa entre o índice de comorbidade de Charlson e a classificação de risco, com maiores escores encontrados nos pacientes classificados nas categorias branca (2,57) e vermelha (2,06). Pacientes com queixas vasculares, endócrinas, neurológicas, cardiológicas ou com problemas em dispositivos, e os que realizaram tomografia de crânio apresentaram alto índice de comorbidade. Ademais, os internados, transferidos ou que morreram na emergência apresentaram significativamente maiores escores do índice em comparação com os que tiveram alta hospitalar. Conclusão: O alto índice de comorbidade teve associação com as categorias da classificação de risco, queixas principais e inespecíficas, realização de tomografia de crânio e desfechos dos pacientes na emergência. RESUMO Objetivo: Averiguar la asociación entre el índice de comorbidad de Charlson ajustado a la edad y las categorías de clasificación de riesgo, aspectos clínicos y resultados de pacientes en servicios de urgencias. Método: Estudio transversal, analítico que analizó la historia clínica de 3.624 pacientes atendidos en urgencias. Escores del índice de Charlson superiores a 2 demostraron alto índice de comorbidad (riesgo de mortalidad). Prueba T y análisis de varianza se aplicaron en los análisis. Resultados: Hubo una diferencia significativa entre el índice de comorbidad de Charlson y la clasificación de riesgo, con escores superiores encontrados entre los pacientes de la categoría blanca (2,57) y roja (2,06). Pacientes con quejas vasculares, endocrinas, neurológicas, cardiológicas o con problemas en dispositivos, y los que realizaron tomografía de cráneo presentaron alto índice de comorbidad. Además, los ingresados transferidos o los que murieron en urgencias presentaron escores bastante superiores del índice en comparación a los que tuvieron alta. Conclusión: El alto índice de comorbidad estuvo relacionado con las categorías de la clasificación de riesgo, quejas principales e inespecíficas, realización de tomografía de cráneo y resultados de pacientes en urgencias.

RESUMO Este trabalho teve por finalidade analisar o processo de implantação do plano de gerenciamento de resíduos sólidos (PGRS) em um complexo siderúrgico, de modo que se identifiquem possíveis ganhos financeiros associados aos ganhos ambientais. Para atender ao objetivo proposto, foi realizada uma pesquisa qualitativa de cunho descritivo e analítico, adotando a pesquisa-ação como estratégia de pesquisa. Os recursos metodológicos usados foram pesquisas bibliográfica, documental e de campo. Os resultados permitiram levantar e classificar os resíduos gerados pelo complexo, para conhecer sua natureza, legislações pertinentes e métodos de tratamento; acompanhar o processo de implantação do novo plano de tratamento de resíduos; e analisar os impactos financeiros associados aos ganhos ambientais. A análise de indicadores mostrou que, até o ano de 2014, as despesas com o gerenciamento de resíduos eram maiores que as receitas. Já em 2015, com a implantação do PGRS, houve aumento de receitas, provenientes de venda de resíduos recicláveis e redução de custos de tratamento de resíduos, mostrando ser possível, com um trabalho coletivo e focado, atender a legislações ambientais e ainda trazer um retorno financeiro para a empresa. ABSTRACT This study aimed to analyze the process of implementation of solid waste management plan (SWMP) in a steel complex, in order to identify possible financial gains associated with environmental gains. To reach the proposed objective, a qualitative, descriptive and analytical research was carried out, adopting action-research as a strategy. The methodological resources used were bibliographical, documentary and field research. Results allow to survey and classify the waste generated by the complex, to know its nature, relevant legislation and treatment methods; to monitor the implementation process of the new waste treatment plan; and to analyze the financial impacts associated with environmental gains. The indicators analysis showed that by 2014, the cost of waste management expenses was greater than revenues. In 2015, with the implementation of the SWMP, there was an increase in revenues from the sale of recyclable waste and a reduction of waste treatment costs, showing that it is possible, with a collective and focused work, to meet environmental legislation and also bring a financial return to the company.

Este estudo examinou os efeitos da coprodução e das competências do prestador de serviços nos resultados da conciliação judicial no Tribunal de Justiça do Distrito Federal e Territórios (TJDFT), a partir da percepção de satisfação das partes litigantes e dos advogados usuários do serviço. A conciliação judicial é uma inovação do Poder Judiciário que visa a aumentar a eficiência e o valor gerado pelos serviços de Justiça e trata-se de um processo coproduzido, no qual os usuários participam da prestação dos serviços públicos. Para alcançar o objetivo proposto, utilizaram-se dados secundários provenientes da pesquisa de satisfação do usuário elaborada e aplicada pela equipe técnica do TJDFT e a amostra final, após o tratamento dos dados, consistiu em 1.735 partes litigantes e 764 advogados. Para análise dos dados, aplicaram-se as técnicas de análise fatorial exploratória e de regressão logística e os resultados sugerem que a coprodução é a variável com maior poder preditivo dos resultados do serviço, tanto para o cidadão como para a imagem do Poder Judiciário, na perspectiva das partes. Por fim, os resultados do serviço para o cidadão, se positivos, aumentam a probabilidade da imagem do Poder Judiciário também ser positiva, na percepção dos dois grupos investigados. This study examined the effects of coproduction and the competencies of the service provider on the results of the Judicial Conciliation at the State Courthouse of Distrito Federal, based on the satisfaction of the litigants and lawyers who used the service. The Judicial Conciliation is an innovation to increase efficiency and results for the general public and is a coproduced process, in which the users play an essential role in the provision of public services. The study used secondary data obtained from a customer satisfaction survey designed by the TJDFT. The final research sample consisted of 1,735 litigants and 764 lawyers. For the data analysis, exploratory factor analysis and logistic regression were used, and the results of the regressions suggest that coproduction is the variable that best explains the results of the service for the customers as well as for the reputation of the Judiciary, from the perception of the litigants. Finally, the perception that the service was beneficial to citizens increases the likelihood of the customer to develop a positive image of the Judiciary, according to the results obtained both in the litigants’ and lawyers’ samples. Este estudio examinó los efectos de la coproducción y las competencias del prestador de servicios en los resultados de la conciliación judicial en el Tribunal de Justicia del Distrito Federal y Territorios (TJDFT), a partir de la percepción de satisfacción de las partes litigantes y de los abogados usuarios del servicio. La conciliación judicial es una innovación cuyo propósito es aumentar la eficiencia y el valor generado por los servicios de justicia y se trata de un proceso coproducido, en que los usuarios tienen un papel esencial en la prestación de los servicios públicos. Para alcanzar el objetivo propuesto, se utilizaron datos secundarios provenientes de la encuesta de satisfacción del usuario, elaborada y aplicada por el equipo técnico del TJDFT y la muestra final, después del tratamiento de los datos, consistió en 1.735 partes litigantes y 764 abogados. Para el análisis de los datos, se aplicaron las técnicas de análisis factorial exploratorio y de regresión logística, y los resultados sugieren que la coproducción es la variable con mayor poder predictivo de los resultados del servicio, tanto para el ciudadano como para la imagen del Poder Judicial, desde la perspectiva de las partes. Por último, los resultados del servicio para el ciudadano, si fueran positivos, aumentan la probabilidad de que la imagen del Poder Judicial también sea positiva, según la percepción de los dos grupos investigados.

Waste produced by the construction sector is a problem that has grown over the last few years. Construction and demolition waste makes up about 50% by mass of the total solid waste produced in Brazil. One alternative by which to reduce this volume is recycling this material in the form of aggregates. However, it is necessary to analyze the environmental risk that the use of recycled aggregates can entail for adjacent soil and the water table. The purpose of this work was to evaluate pervious concrete samples that contained recycled aggregates and to subject them to leaching tests. The results were compared with the limits established by the Italian methodology. Aggregates with 10, 25, 50, and 100% ceramic were used, as well as a recycled concrete aggregate and a natural aggregate. With the exception of the 25% ceramic trial, all the treatments introduced chromium to the water in which they were immersed, with accumulated concentrations varying from 0.009 to 0.099 mg L-1. Cadmium was found in higher quantities, with cumulated concentrations between 0.104 and 0.417 mg L-1. Sulfate concentrations were higher after 24 h of immersion, with a maximum release of 71.7 mg L-1. The concrete made with 100% ceramic aggregate leached more chromium and sulfate than the other aggregates.

Objective: to identify the occurrence of warning signs and changes in vital signs in individuals who experienced in-hospital cardiorespiratory arrest and correlate them with the occurrence of this event. Method: this is a retrospective, analytical and quantitative study that included 218 medical records of patients who suffered in-hospital cardiorespiratory arrest and identified warning signs and alterations in vital signs. Mean, standard deviation, median, minimum and maximum values were calculated for the continuous variables, and frequency and percentage for the categorical variables. We compared the age and occurrence of cardiorespiratory arrest with the occurrence of warning signs using the Chi-Square Test and the Mann Whitney non-parametric test (p-value < 0.05). Results: 62.1% of the patients presented signs and symptoms of shock, 44.9% of neurological alteration, 40.4% of malaise, 15.2% presented signs suggestive of acute coronary syndrome, and 25.9% presented mental confusion. In the last measurement of vital signs before cardiorespiratory arrest, the majority of patients had altered abnormal (32.6%) and severely abnormal (23.9%) heart rate, and abnormal (37.1%) and severely abnormal (27.0%) respiratory rate. Conclusion: the warning signs identified were: shock, neurological signs, malaise and acute coronary syndrome. The prevalent changes in vital signs were: heart rate, respiratory rate and O2 saturation. Patients with severely abnormal systolic blood pressure were not discharged and those with abnormal respiratory rate did not survive 6 months after cardiorespiratory arrest. Objetivo: identificar ocorrência dos sinais de alerta e alterações nos sinais vitais em indivíduos com parada cardiorrespiratória intra-hospitalar e correlacioná-los à ocorrência desse evento. Método: estudo retrospectivo, analítico e quantitativo que incluiu 218 prontuários de pacientes que sofreram parada cardiorrespiratória intra-hospitalar e identificados sinais de alerta e alterações nos sinais vitais. Para variáveis contínuas, calculou-se média, desvio padrão, mediana, mínimo e máximo; para as categóricas, frequência e percentual. Comparou-se a idade e ocorrência de parada cardiorrespiratória com ocorrência de sinais de alerta pelo Teste Qui-Quadrado e Teste não paramétrico de MannWhitney (p-valor

Objective: to characterize socio-demographic and economic profiles, as well as to evaluate the quality of life of hospitalized octogenarians. Method: cross-sectional study with 128 hospitalized octogenarians. Instruments from the World Health Organization were used to evaluate the quality of life. Spearman correlation coefficient, student’s t-test and analysis of variance were used to correlate the studied variables with the quality of life of octogenarians. Results: the longer the hospitalization time, the higher the psychological score (p=0.0126), and the higher the scores in the past, present and future activity domain (p = 0.0485). The higher the age, the lower the score in the past, present, and future activity domain (p=0.0480). The higher the number of octogenarian morbidities, the lower the score in the social relation domain. Conclusion: it is highly important that care for the hospitalized elderly is planned and implemented, taking into account the factors that interfere in a positive and negative way in their quality of life. RESUMEN Objetivo: caracterizar los perfiles sociodemográficos y económicos, así como evaluar la calidad de vida de octogenarios hospitalizados. Método: estudio transversal realizado con 128 octogenarios internados. Se aplicaron los instrumentos de la Organización Mundial de la Salud para evaluar la calidad de vida. Se utilizaron el coeficiente de correlación de Spearman, el test t de Student y el análisis de la variación para correlacionar las variables estudiadas con la calidad de vida de los octogenarios. Resultados: cuanto más prolongado sea el tiempo de hospitalización, mayor será el índice en el dominio psicológico (p=0,0126), y mayores los de las actividades pasadas, presentes y futuras (p=0,0485). Cuanto mayor sea la edad, menor será el índice de dominio actividades pasadas, presentes y futuras (p=0,0480). Cuanto mayor sea el número de morbilidades de los octogenarios, menor será el índice en el dominio relaciones sociales. Conclusión: se evidencia la importancia de que los cuidados a los ancianos hospitalizados sean planificados e implementados, teniendo en cuenta los factores que interfieren de forma positiva y negativa en su calidad de vida. RESUMO Objetivo: caracterizar os perfis sociodemográfico e econômico, bem como avaliar a qualidade de vida de octogenários hospitalizados. Método: estudo transversal realizado com 128 octogenários internados. Foram aplicados instrumentos da Organização Mundial da Saúde para avaliar a qualidade de vida. Coeficiente de correlação de Spearman, teste t de Student e análise de variância foram utilizados para correlacionar as variáveis estudadas com a qualidade de vida dos octogenários. Resultados: quanto mais longo o tempo de hospitalização, maior o escore no domínio psicológico (p=0,0126), e maiores os escores dos domínios atividades passadas, presentes e futuras (p=0,0485). Quanto maior a idade, menor o escore no domínio atividades passadas, presentes e futuras (p=0,0480). Quanto maior o número de morbidades dos octogenários, menor o escore no domínio relações sociais. Conclusão: evidencia-se a importância de que os cuidados aos idosos hospitalizados sejam planejados e implementados, levando em consideração os fatores que interferem de forma positiva e negativa em sua qualidade de vida.

Objective: to identify the epidemiological profile of hypertension patients, how much they understand about the disease and the rate of adherence to treatment by these patients who had been hospitalized in the Brazilian emergency service. Methods: this cross-sectional study was performed with 116 patients, both male and female and aged over 18 years, who had been hospitalized in the Emergency Service of a University Hospital between March and June, 2013. The studied variables were data referring to socio-demographics, comorbidities, physical activity and knowledge regarding the disease. Patient adherence to treatment and the identification of the barriers were respectively evaluated using the Morisky test and the Brief Medication Questionnaire. Results: most of the patients involved in this study were women (55%), with white skin color (55%), married (51%), retirees or pensioners (64%) and with a low educational level (58%). Adherence to treatment, in most cases (55%), was moderate and the most prevalent adherence barrier was recall (67%). When medication was acquired at no cost to the patient, there was greater adherence to treatment. Conclusion: this study's patients had a moderate understanding about the disease. The high correlation between the number of drugs used and the recall barrier suggests that monotherapy is an option that can facilitate treatment adherence and reduce how often the patients forget to take their medication. Objetivo: identificar o perfil epidemiológico, o conhecimento sobre a doença e a taxa de adesão ao tratamento de pacientes com hipertensão arterial sistêmica, internados no serviço de emergência. Métodos: estudo transversal, realizado com 116 pacientes internados no Serviço de Emergência de um Hospital Universitário, de ambos os gêneros e idade superior a 18 anos, no período de março a junho 2013. As variáveis pesquisadas foram os dados sociodemográficos, comorbidades, atividade física e conhecimento sobre a doença. A adesão do paciente ao tratamento e a identificação das barreiras foi avaliada pelo teste de Morisky e Brief Medical Questionnaire, respectivamente. Resultados: a maioria dos pacientes era de mulheres (55%), cor da pele branca (55%), casados (51%), aposentados ou pensionistas (64%) e com baixa escolaridade (58%). A adesão ao tratamento, na maioria das vezes (55%), foi moderada e a barreira de adesão mais prevalente foi a de recordação (67%). Quando a aquisição de medicamento era integral, houve maior adesão ao tratamento. Conclusão: os pacientes deste estudo apresentaram moderado conhecimento sobre a doença. A alta correlação entre o número de fármacos utilizados e a barreira de recordação sugere que a monoterapia seja uma opção para facilitar a adesão ao tratamento, para diminuir a taxa de esquecimento. Objetivo: identificar el perfil epidemiológico, el conocimiento sobre la enfermedad y la tasa de adherencia al tratamiento de pacientes con hipertensión arterial sistémica ingresados en el servicio de emergencia. Métodos: estudio transversal, realizado con 116 pacientes ingresados en el Servicio de Emergencia de un Hospital Universitario, de ambos géneros y edad superior a 18 años, en el periodo de marzo a junio de 2013. Las variables estudiadas fueron los datos sociodemográficos, la comorbilidad, la actividad física y el conocimiento sobre la enfermedad. La adherencia del paciente al tratamiento y la identificación de las barreras fueron evaluadas por la prueba de Morisky y el Brief Medical Questionnaire, respectivamente. Resultados: la mayoría de los pacientes eran mujeres (55%), color de piel blanca (55%), casadas (51%), jubiladas o pensionistas (64%) y con baja escolaridad (58%). La adherencia al tratamiento, en la mayor parte de las veces (55%), fue moderada y la barrera de adherencia más prevalente fue el olvido (67%). Cuando la adquisición del medicamento era integral, hubo mayor adherencia al tratamiento. Conclusión: los pacientes de este estudio presentaron moderado conocimiento sobre la enfermedad. La alta correlación entre el número de fármacos utilizados y la barrera del olvido sugiere la monoterapia como opción para facilitar la adherencia al tratamiento y disminuir la tasa de olvido.

Crusted or Norwegian scabies is a parasitic infectious disease caused by Sarcoptes scabiei var. hominis that mainly affects immunocompromised individuals and those with neurological patients. We report a case of crusted scabies in a 4-month-old infant who had been treated erroneously for atopic dermatitis with high doses of corticosteroids. This initial misdiagnosis associated with the abusive use of corticosteroid facilitated the evolution of scabies to crusted scabies and its main complications of secondary infection and sepsis.

Os residuos de construcao e demolicao podem ser utilizados como agregados reciclados em diferentes aplicacoes do setor da construcao civil. A substituicao do agregado natural do concreto permeavel por agregados reciclados e uma alternativa que garante uma destinacao final a esses materiais. No entanto, a composicao dos residuos ira influenciar diretamente nas propriedades do concreto permeavel, principalmente no que se refere a quantidade de material cerâmico. Dessa forma, neste estudo foi analisada a influencia da composicao dos agregados reciclados na resistencia e permeabilidade do concreto poroso. Para isso, agregados contendo teores de residuo de cerâmica vermelha de 10, 25, 50 e 100% foram obtidos pela mistura de um residuo de construcao e demolicao (com 2,92% de cerâmica) e residuos de blocos cerâmicos. Os concretos permeaveis foram caracterizados conforme a resistencia a compressao axial, coeficiente de permeabilidade, indice de volume de vazios, absorcao de agua e massa especifica real e aparente. A permeabilidade de todos os concretos permeaveis variou entre 0,82 e 0,95 cm.s-1. O coeficiente de permeabilidade reduziu com o aumento da quantidade de cerâmica na mistura. A resistencia a compressao axial do concreto com 0% de cerâmica foi superior aos demais concretos, resultando em 10,15 MPa. Os concretos que continham cerâmica apresentaram resistencia inferior a 3,00 MPa. O volume de vazios dos concretos nao variou significativamente, se situando entre 32,13 e 37,35%. Nao foi verificada relacao direta entre o volume de vazios, permeabilidade e resistencia a compressao. No entanto, a resistencia foi maior com o aumento da massa especifica aparente e o coeficiente de permeabilidade foi menor nos concretos de maior absorcao de agua. Palavras-chave: Residuo de construcao e demolicao, pavimento poroso, resistencia, permeabilidade.

Objectives: to identify the care measures performed after cardiorespiratory arrest (CRA) and to relate them to the neurological status and survival at four moments: within the first 24 hours, at the discharge, six months after discharge, and one year after discharge. Method: retrospective, analytical and quantitative study performed at the Emergency Department of a university hospital in São Paulo. Eighty-eight medical records of CRA patients who had a return of spontaneous circulation sustained for more than 20 minutes were included and the post-CRA care measures performed in the first 24 hours were identified, as well as its relationship with survival and neurological status. Results: the most frequent post-CRA care measures were use of advanced airway access techniques and indwelling bladder catheterization. Patients who had maintained good breathing and circulation, temperature control and who were transferred to intensive care unit had a better survival in the first 24 hours, after six months and one year after discharge. Good neurological status at six months and one year after discharge was associated with non-use of vasoactive drugs and investigation of the causes of the CRA. Conclusion: the identification of good practices in post-CRA care may help to reduce the mortality of these individuals and to improve their quality of life. RESUMO Objetivos: identificar os cuidados pós-parada cardiorrespiratória (PCR) realizados e relacioná-los com o estado neurológico e a sobrevida nas primeiras 24 horas, na alta, após seis meses e um ano. Método: estudo retrospectivo, analítico e quantitativo, realizado no Serviço de Emergência de um hospital universitário em São Paulo. Foram incluídos 88 prontuários de pacientes atendidos em PCR, que apresentaram retorno da circulação espontânea sustentado por mais de 20 minutos e identificados os cuidados pós-PCR realizados nas primeiras 24 horas, como também a relação com a sobrevida e estado neurológico. Resultados: os cuidados pós-PCR realizados com maior frequência foram a obtenção de uma via área avançada e passagem de sonda vesical de demora. Para os pacientes que tiveram manutenção de boa respiração e circulação, controle da temperatura e transferência para unidade de terapia intensiva, a sobrevida foi maior nas primeiras 24 horas, após seis meses e um ano da alta. O bom estado neurológico em seis meses e um ano após a alta associou-se a não utilização de drogas vasoativas e à investigação das causas da PCR. Conclusão: a identificação das boas práticas em relação aos cuidados pós-PCR pode auxiliar na diminuição da mortalidade destes indivíduos e na melhora da sua qualidade de vida. RESUMEN Objetivos: identificar los cuidados pos-parada cardiorrespiratoria (PCR) realizados y relacionarlos con el estado neurológico y la sobrevida en las primeras 24 horas en el alta, después de seis meses y un año. Método: estudio retrospectivo, analítico y cuantitativo, realizado en el Servicio de Emergencia, de un hospital universitario en São Paulo. Fueron incluidos 88 prontuarios de pacientes atendidos en PCR, que presentaron retorno de la circulación espontánea sustentado por más de 20 minutos e identificados los cuidados pos-PCR realizados en las primeras 24 horas y la relación con la sobrevida y estado neurológico. Resultados: los cuidados pos-PCR realizados con mayor frecuencia fueron la obtención de una vía área avanzada y pasaje de sonda vesical de demora. Los pacientes que tuvieron mantenimiento de buena respiración y circulación, control de la temperatura y transferencia para unidad de terapia intensiva a sobrevida fue mayor en las primeras 24 horas, después de seis meses y un año del alta. El buen estado neurológico en seis meses y un año después del alta se asoció a la no utilización de drogas vasoactivas y la investigación de las causas de la PCR. Conclusión: la identificación de las buenas prácticas en relación a los cuidados pos-PCR puede auxiliar en la disminución de la mortalidad de estos individuos y en la mejoría de su calidad de vida.

Objective To assess knowledge of healthcare professionals about capture and reproduction of images of patients in a hospital setting. Methods A cross-sectional and observational study among 360 healthcare professionals (nursing staff, physical therapists, and physicians), working at a teaching hospital in the city of São Paulo (SP). A questionnaire with sociodemographic information was distributed and data were correlated to capture and reproduction of images at hospitals. Results Of the 360 respondents, 142 had captured images of patients in the last year, and 312 reported seeing other professionals taking photographs of patients. Of the participants who captured images, 61 said they used them for studies and presentation of clinical cases, and 168 professionals reported not knowing of any legislation in the Brazilian Penal Code regarding collection and use of images. Conclusion There is a gap in the training of healthcare professionals regarding the use of patient´s images. It is necessary to include subjects that address this theme in the syllabus of undergraduate courses, and the healthcare organizations should regulate this issue.

Objective: To assess the functional capacity of elderly patients in the emergency department as to Basic and Instrumental Activities of Daily Living. Methods: A cross-sectional study of 200 elderly patients admitted to the emergency department of a teaching hospital in São Paulo (SP), Brazil. The functional capacity of the elderly was assessed by the Katz index and Lawton & Brody scale. Statistical analyses were performed using analysis of variance, Bonferroni correction, χ2 test, or the likelihood ratio test. Results: Most seniors were independent (65%), and the degree of dependence was related to age, female gender, being single and widowed, and presence of cerebrovascular disease and dementia. The more dependent elderly for Instrumental Activities of Daily Living had increased dependence for Basic Activities. Conclusion: We emphasize the importance of assessing the functional capacity of the elderly in the emergency department as it provides data for the nursing care in order to minimize or to avoid their functional impairment.