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Análise crítico-reflexiva da graduação em medicina na UFSCar: uma perspectiva pessoal
(Universidade Federal de São Carlos, 2023-01-19) Oliveira, Daniel Basile Velloso de; Aquilante, Aline Guerra; https://lattes.cnpq.br/5699716799010108; https://lattes.cnpq.br/3120478151401542
This papper, according to the pedagogical project of the UFSCar Medicine course, aims to promote a critical-reflexive analysis of the student about his graduation period. Pre, inter and post course aspects will be addressed, exploring what led the author to choose the course, the challenges he had to face during his academic life and the conclusion of this process. The text is divided into stages in chronological order through which the author lived.
Índice de Sustentabilidade Empresarial (ISE B3): uma análise do questionário de ingresso no índice com vistas à evolução das empresas nos critérios ambientais, sociais e econômicos
(Universidade Federal de São Carlos, 2023-01-19) Souza, Raquel Puti de; Albuquerque, Andrei Aparecido de; https://lattes.cnpq.br/9667573506903226; https://orcid.org/0000-0002-2819-9993; https://lattes.cnpq.br/6846696353552875; https://orcid.org/0000-0003-3439-7643
This research aimed to qualitatively analyze the responses of companies to the ISE questionnaire, based on the environmental, social and economic dimensions, enabling a greater understanding of the application of sustainability in their activities and comparing which criteria of the aforementioned questionnaire the entities participating in the index worked harder. It was observed that in the analyzed period from 2014 to 2021, in the answers to the performance criterion in the environmental, social and economic-financial dimension of the questionnaire, the companies sought to fulfill the requirements requested in the questionnaire. However, it was observed that there is a need for further evolution in the requested requirements of the social dimension, as only two companies fulfilled 80% of the requested criteria. This is also demonstrated in aspects related to the area of government public policies, insofar as they represent the expansion of mechanisms and tools created by the organizations themselves. These mechanisms contribute to concrete advances implemented in a new economy, balancing the level of Corporate Social Responsibility practices with a view to direct and indirect benefits that allow a better positioning in the market in which business organizations are inserted.
O suporte ventilatório não invasivo exerce efeito na função endotelial em pacientes com insuficiência cardíaca descompensada? Estudo quase-experimental
(Universidade Federal de São Carlos, 2023-01-19) Melo, Bruna Maciel; Mateus, Adriano Petrolini; https://lattes.cnpq.br/5014883436250700; https://orcid.org/0000-0003-0375-6180; Mendes, Renata Gonçalves; https://lattes.cnpq.br/9634590922242052; https://orcid.org/0000-0003-4683-2657; https://lattes.cnpq.br/4425095939700483; https://orcid.org/0000-0002-5482-0165
Heart failure (HF) is a complex clinical syndrome in which the heart does not adequately meet tissue needs and endothelial dysfunction commonly presents. Non-invasive ventilation (NIV) is the recommended therapy for these patients during decompensation, and its effect on endothelial function in other pathological profiles has already been demonstrated, but there is still no knowledge of this intervention in patients with HF. Objective: To investigate the effect of applying NIV on endothelial function in patients with decompensated HF Methods: Quasi-experimental study in which adults (n=16), of both sexes, hospitalized due to HF decompensation were included. The diagnosis of HF was confirmed through echocardiography, including participants with a left ventricular ejection fraction (LVEF) < 45%. Anthropometric, clinical and laboratory data were obtained. NIV was applied in Bilevel mode between a minimum of 30 and a maximum of 60 minutes according to the patient's tolerance, with the positive inspiratory pressure varying from a minimum of 6 cmH2O to a maximum of 12 cmH2O and the positive expiratory pressure between 4 cmH2O. at 8 cmH2O, depending on patient comfort. Pre and post NIV arterial blood gas values were compared and endothelial function was assessed at the same time points using the flow-mediated dilation method. Results: Non-Invasive Ventilation (NIV) did not impact endothelial function in patients hospitalized for decompensated heart failure. There was no significant difference considering pre and post NIV comparisons for basal flow (0.09 ±0.03 m/s and 0.08 ±0.03 m/s), basal diameter (4.38 ± 0.76 for 4, 54 ±0.85 mm), mean flow during reactive hyperemia (0.36 ±0.15 m/s to 0.37 ±0.14 m/s), brachial artery diameter (0.24 ± 0.16 to 0.35 ± 0.26) and flow-mediated dilation (5.96 ± 4.47 % to 8.21 ± 6.4). While for hydrogen potential (pH): 7.47 ± 0.05 pre VNI vs. 7.46 ± 0.03 (p=0.16); partial pressure of Carbon Dioxide (PaCO2) 35.95 ± 6.17 pre NIV vs. 40.24 ± 4.34 post NIV; (p=0.01), partial pressure of Oxygen (PaO2) 70.31 ± 12.32 pre NIV vs 64.23 ± 7.71 post NIV; (p=0.91), Oxygen Saturation (SatO2) 93.14 ± 3.74 pre NIV vs. 92.48 ± 3.27 post NIV; (p=0.50) Bicarbonate (HCO3) 25.86 ± 5.08 pre NIV vs. 28.50 ± 3.14 post NIV; (p=0.01;) and Base Excess (BE) 2.35 ± 4.92 pre NIV vs. 4.50 ± 2.92 post NIV; (p=0.02). A moderate negative correlation was found between type B natriuretic peptide and brachial artery diameter (r=-0.50; p=0.04) and flow-mediated dilation in percentage or millimeter (r-0.53; p=0 .04), in addition to a strong positive correlation between hemoglobin and brachial artery diameter (r=0.82; p=0.01) and hemoglobin values with flow-mediated dilation (p=0.82; p=0.01 ). Conclusion: NIV did not impact the endothelial function of patients hospitalized for decompensated HF. B-type natriuretic peptide and hemoglobin values showed a relationship with endothelial function. The absence of a control group for comparison limits the extrapolation of results, thus suggesting further research on the topic.