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Sobre os cuidados de enfermagem em paciente em uso de irrigação vesical contínua, analise as proposições abaixo e, em seguida, assinale a alternativa que apresenta a resposta correta.
I. A troca do frasco de Solução Fisiológica 0,9% deve ser feita após o término do frasco anterior, para evitar obstrução da sonda.
II. A diurese deve ser desprezada da bolsa coletora quando o volume estiver com 2/3 da capacidade total e ao término do frasco de SF 0,9%.
III. Deve-se atentar para sinais de obstrução como distensão abdominal, dor e não drenagem na bolsa coletora.
IV. Para instalar a irrigação vesical, é necessário que o paciente esteja com uma sonda vesical de duas vias.
Segundo a Organização Mundial de Saúde (OMS, 2009) as infecções do sítio cirúrgico constituem um problema sério de saúde pública à medida que contribuem para 37% das infecções de pacientes cirúrgicos adquiridas em hospital e para cerca de 15% de todas as infecções relacionadas à assistência a saúde. Sobre os vários métodos indicados para evitar a contaminação cirúrgica, assinale a alternativa que apresenta a resposta correta.
I. Curativo estéril deve ser mantido sobre a ferida cirúrgica por 24 a 48 horas, conforme prescrição.
II. Os pêlos devem ser removidos, com uso de laminas, menos de duas horas antes da cirurgia a fim de diminuir o risco de infecção do sítio cirúrgico.
III. Quando a vancomicina e usada como agente profilático, faz-se necessário a repetição da substância e dosagem em cirurgias que durem menos de dez horas.
IV. Antes da indução anestésica, o profissional da equipe de enfermagem responsável pela preparação das bandejas cirúrgicas deve confirmar a esterilidade dos instrumentais e comunicar quaisquer intercorrência ao cirurgião e ao anestesiologista.
Analise as afirmativas sobre medidas de prevenção de quedas em instituições de saúde, colocando entre parênteses a letra “V”, quando se tratar de afirmativa verdadeira, e a letra “F” quando se tratar de afirmativa falsa. A seguir, assinale a alternativa que apresenta a sequência correta.
( ) Realize a identificação do paciente com risco de queda por meio de pulseira e/ou de sinalização à beira do leito.
( ) Os pacientes com risco de queda devem ter supervisão intensiva, sobretudo aqueles que apresentarem confusão mental. Nessa situação, procure conscientizar a família sobre a importância da presença de um acompanhante.
( ) Entregue a orientação institucional sobre a prevenção de quedas (panfletos etc.), ao paciente e ao acompanhante, no primeiro dia de internação.
Assinale a alternativa que completa corretamente a lacuna abaixo.
“______________ fornece dados fundamentais para o desenvolvimento da Sistematização da Assistência de Enfermagem. Ao ser elaborado por toda equipe de enfermagem, fornece dados brutos referentes a um momento pontual do paciente tomando-se fonte de informações essenciais para assegurar a continuidade da assistência.”
Texto 4
FRANK WHITTLE AND THE INVENTION OF THE JET ENGINE:
SIX PLACES TO TRACE HIS GENIUS
It was, in many ways, a very British sort of achievement. When the turbine began to spin on the “WU” – the prototype jet engine developed by the Coventry-born engineer Frank Whittle – it was a moment which changed the world. Had you been passing through the byways of Rugby, in Warwickshire, more than 80 years ago, you might even have heard it. A thrum of mechanics in sync, building and building, growing in intensity to become a roar; a giddy howl which would permanently alter the way we journey around our planet.
And yet it might so easily not have happened. Whittle’s triumph – on April 12, 1937 – was garnered in the face of official indifference and scientific doubt, and was only pulled off by a merest financial hair’s breadth, with the Second World War crowding in on all sides.
( . . . )
Here was a visionary who began fomenting his design for a jet engine as early as 1927, and patented it in 1930, yet had to swim against the current after seeing his idea pooh-poohed by the UK's Air Ministry – which, upon seeing the blueprint in 1929, deemed it “impracticable.”
Undeterred, Whittle took his own path. In January 1936, he founded a private company, Power Jets Ltd, with aeronautical engineer Rolf Dudley Williams and retired RAF officer James Collingwood Tinling. With £2,000 of funding from O.T. Falk & Partners – an investment bank which was known for taking risks – the trio began converting what had been decried as fantasy into reality. That first blur of blades as the WU (Whittle Unit) screamed into life was followed by a series of leaps forward.
The Air Ministry placed its first order for Whittle’s brainwave in January 1940. The first jet-powered British plane took off from RAF Cranwell, Lincolnshire, on May 15, 1941. The rest is so much history.
None of this occurred in isolation. The story of the jet engine can never be told without mentions of Maxime Guillaume, who secured a French patent for a jet engine with a gas turbine in 1921 (no prototype was ever produced as it was beyond the scope of existing technology), and of Hans Von Ohain, who beat Whittle to the punch by building the first fully operational jet engine in 1939 as Germany chased advantages in the global conflict.
( . . . )
RAF = Royal Air Force
LEADBEATER, C. Adaptado de Frank Whittle and the invention of the jet engine: Six places to trace his genius. In: The Telegraph. Disponível em: <https://www.telegraph.co.uk/travel/destinations/europe/unitedkingdom/england/articles/frank-whittle-and-the-birth-of-the-jet-engine/>. Acesso em: 08/06/2018
Texto 4
FRANK WHITTLE AND THE INVENTION OF THE JET ENGINE:
SIX PLACES TO TRACE HIS GENIUS
It was, in many ways, a very British sort of achievement. When the turbine began to spin on the “WU” – the prototype jet engine developed by the Coventry-born engineer Frank Whittle – it was a moment which changed the world. Had you been passing through the byways of Rugby, in Warwickshire, more than 80 years ago, you might even have heard it. A thrum of mechanics in sync, building and building, growing in intensity to become a roar; a giddy howl which would permanently alter the way we journey around our planet.
And yet it might so easily not have happened. Whittle’s triumph – on April 12, 1937 – was garnered in the face of official indifference and scientific doubt, and was only pulled off by a merest financial hair’s breadth, with the Second World War crowding in on all sides.
( . . . )
Here was a visionary who began fomenting his design for a jet engine as early as 1927, and patented it in 1930, yet had to swim against the current after seeing his idea pooh-poohed by the UK's Air Ministry – which, upon seeing the blueprint in 1929, deemed it “impracticable.”
Undeterred, Whittle took his own path. In January 1936, he founded a private company, Power Jets Ltd, with aeronautical engineer Rolf Dudley Williams and retired RAF officer James Collingwood Tinling. With £2,000 of funding from O.T. Falk & Partners – an investment bank which was known for taking risks – the trio began converting what had been decried as fantasy into reality. That first blur of blades as the WU (Whittle Unit) screamed into life was followed by a series of leaps forward.
The Air Ministry placed its first order for Whittle’s brainwave in January 1940. The first jet-powered British plane took off from RAF Cranwell, Lincolnshire, on May 15, 1941. The rest is so much history.
None of this occurred in isolation. The story of the jet engine can never be told without mentions of Maxime Guillaume, who secured a French patent for a jet engine with a gas turbine in 1921 (no prototype was ever produced as it was beyond the scope of existing technology), and of Hans Von Ohain, who beat Whittle to the punch by building the first fully operational jet engine in 1939 as Germany chased advantages in the global conflict.
( . . . )
RAF = Royal Air Force
LEADBEATER, C. Adaptado de Frank Whittle and the invention of the jet engine: Six places to trace his genius. In: The Telegraph. Disponível em: <https://www.telegraph.co.uk/travel/destinations/europe/unitedkingdom/england/articles/frank-whittle-and-the-birth-of-the-jet-engine/>. Acesso em: 08/06/2018
Choose the correct option.
The sentence: “That first blur of blades as the WU (Whittle Unit) screamed into life was followed by a series of leaps forward” means that
Texto 4
FRANK WHITTLE AND THE INVENTION OF THE JET ENGINE:
SIX PLACES TO TRACE HIS GENIUS
It was, in many ways, a very British sort of achievement. When the turbine began to spin on the “WU” – the prototype jet engine developed by the Coventry-born engineer Frank Whittle – it was a moment which changed the world. Had you been passing through the byways of Rugby, in Warwickshire, more than 80 years ago, you might even have heard it. A thrum of mechanics in sync, building and building, growing in intensity to become a roar; a giddy howl which would permanently alter the way we journey around our planet.
And yet it might so easily not have happened. Whittle’s triumph – on April 12, 1937 – was garnered in the face of official indifference and scientific doubt, and was only pulled off by a merest financial hair’s breadth, with the Second World War crowding in on all sides.
( . . . )
Here was a visionary who began fomenting his design for a jet engine as early as 1927, and patented it in 1930, yet had to swim against the current after seeing his idea pooh-poohed by the UK's Air Ministry – which, upon seeing the blueprint in 1929, deemed it “impracticable.”
Undeterred, Whittle took his own path. In January 1936, he founded a private company, Power Jets Ltd, with aeronautical engineer Rolf Dudley Williams and retired RAF officer James Collingwood Tinling. With £2,000 of funding from O.T. Falk & Partners – an investment bank which was known for taking risks – the trio began converting what had been decried as fantasy into reality. That first blur of blades as the WU (Whittle Unit) screamed into life was followed by a series of leaps forward.
The Air Ministry placed its first order for Whittle’s brainwave in January 1940. The first jet-powered British plane took off from RAF Cranwell, Lincolnshire, on May 15, 1941. The rest is so much history.
None of this occurred in isolation. The story of the jet engine can never be told without mentions of Maxime Guillaume, who secured a French patent for a jet engine with a gas turbine in 1921 (no prototype was ever produced as it was beyond the scope of existing technology), and of Hans Von Ohain, who beat Whittle to the punch by building the first fully operational jet engine in 1939 as Germany chased advantages in the global conflict.
( . . . )
RAF = Royal Air Force
LEADBEATER, C. Adaptado de Frank Whittle and the invention of the jet engine: Six places to trace his genius. In: The Telegraph. Disponível em: <https://www.telegraph.co.uk/travel/destinations/europe/unitedkingdom/england/articles/frank-whittle-and-the-birth-of-the-jet-engine/>. Acesso em: 08/06/2018
Texto 4
FRANK WHITTLE AND THE INVENTION OF THE JET ENGINE:
SIX PLACES TO TRACE HIS GENIUS
It was, in many ways, a very British sort of achievement. When the turbine began to spin on the “WU” – the prototype jet engine developed by the Coventry-born engineer Frank Whittle – it was a moment which changed the world. Had you been passing through the byways of Rugby, in Warwickshire, more than 80 years ago, you might even have heard it. A thrum of mechanics in sync, building and building, growing in intensity to become a roar; a giddy howl which would permanently alter the way we journey around our planet.
And yet it might so easily not have happened. Whittle’s triumph – on April 12, 1937 – was garnered in the face of official indifference and scientific doubt, and was only pulled off by a merest financial hair’s breadth, with the Second World War crowding in on all sides.
( . . . )
Here was a visionary who began fomenting his design for a jet engine as early as 1927, and patented it in 1930, yet had to swim against the current after seeing his idea pooh-poohed by the UK's Air Ministry – which, upon seeing the blueprint in 1929, deemed it “impracticable.”
Undeterred, Whittle took his own path. In January 1936, he founded a private company, Power Jets Ltd, with aeronautical engineer Rolf Dudley Williams and retired RAF officer James Collingwood Tinling. With £2,000 of funding from O.T. Falk & Partners – an investment bank which was known for taking risks – the trio began converting what had been decried as fantasy into reality. That first blur of blades as the WU (Whittle Unit) screamed into life was followed by a series of leaps forward.
The Air Ministry placed its first order for Whittle’s brainwave in January 1940. The first jet-powered British plane took off from RAF Cranwell, Lincolnshire, on May 15, 1941. The rest is so much history.
None of this occurred in isolation. The story of the jet engine can never be told without mentions of Maxime Guillaume, who secured a French patent for a jet engine with a gas turbine in 1921 (no prototype was ever produced as it was beyond the scope of existing technology), and of Hans Von Ohain, who beat Whittle to the punch by building the first fully operational jet engine in 1939 as Germany chased advantages in the global conflict.
( . . . )
RAF = Royal Air Force
LEADBEATER, C. Adaptado de Frank Whittle and the invention of the jet engine: Six places to trace his genius. In: The Telegraph. Disponível em: <https://www.telegraph.co.uk/travel/destinations/europe/unitedkingdom/england/articles/frank-whittle-and-the-birth-of-the-jet-engine/>. Acesso em: 08/06/2018
Texto 4
FRANK WHITTLE AND THE INVENTION OF THE JET ENGINE:
SIX PLACES TO TRACE HIS GENIUS
It was, in many ways, a very British sort of achievement. When the turbine began to spin on the “WU” – the prototype jet engine developed by the Coventry-born engineer Frank Whittle – it was a moment which changed the world. Had you been passing through the byways of Rugby, in Warwickshire, more than 80 years ago, you might even have heard it. A thrum of mechanics in sync, building and building, growing in intensity to become a roar; a giddy howl which would permanently alter the way we journey around our planet.
And yet it might so easily not have happened. Whittle’s triumph – on April 12, 1937 – was garnered in the face of official indifference and scientific doubt, and was only pulled off by a merest financial hair’s breadth, with the Second World War crowding in on all sides.
( . . . )
Here was a visionary who began fomenting his design for a jet engine as early as 1927, and patented it in 1930, yet had to swim against the current after seeing his idea pooh-poohed by the UK's Air Ministry – which, upon seeing the blueprint in 1929, deemed it “impracticable.”
Undeterred, Whittle took his own path. In January 1936, he founded a private company, Power Jets Ltd, with aeronautical engineer Rolf Dudley Williams and retired RAF officer James Collingwood Tinling. With £2,000 of funding from O.T. Falk & Partners – an investment bank which was known for taking risks – the trio began converting what had been decried as fantasy into reality. That first blur of blades as the WU (Whittle Unit) screamed into life was followed by a series of leaps forward.
The Air Ministry placed its first order for Whittle’s brainwave in January 1940. The first jet-powered British plane took off from RAF Cranwell, Lincolnshire, on May 15, 1941. The rest is so much history.
None of this occurred in isolation. The story of the jet engine can never be told without mentions of Maxime Guillaume, who secured a French patent for a jet engine with a gas turbine in 1921 (no prototype was ever produced as it was beyond the scope of existing technology), and of Hans Von Ohain, who beat Whittle to the punch by building the first fully operational jet engine in 1939 as Germany chased advantages in the global conflict.
( . . . )
RAF = Royal Air Force
LEADBEATER, C. Adaptado de Frank Whittle and the invention of the jet engine: Six places to trace his genius. In: The Telegraph. Disponível em: <https://www.telegraph.co.uk/travel/destinations/europe/unitedkingdom/england/articles/frank-whittle-and-the-birth-of-the-jet-engine/>. Acesso em: 08/06/2018
Texto 3
THE DISCOVERY OF PENICILLIN—NEW INSIGHTS AFTER MORE THAN 75 YEARS OF CLINICAL USE
ABSTRACT
After just over 75 years of penicillin’s clinical use, the world can see that its impact was immediate and profound. In 1928, a chance event in Alexander Fleming’s London laboratory changed the course of medicine. However, the purification and first clinical use of penicillin would take more than a decade. Unprecedented United States/Great Britain cooperation to produce penicillin was incredibly successful by 1943. This success overshadowed efforts to produce penicillin during World War II in Europe, particularly in the Netherlands. Information about these efforts, available only in the last 10–15 years, provides new insights into the story of the first antibiotic. Researchers in the Netherlands produced penicillin using their own production methods and marketed it in 1946, which eventually increased the penicillin supply and decreased the price. The unusual serendipity involved in the discovery of penicillin demonstrates the difficulties in finding new antibiotics and should remind health professionals to expertly manage these extraordinary medicines.
( . . . )
GAYNES, R. The Discovery of Penicillin—New Insights After More Than 75 Years of Clinical Use. In: Science, 2017. Disponível em: <http://wwwnc.cdc.gov/eid/article/23/5/16-1556_article>. Acesso em: 26/06/2018.
Choose the correct option.
The meaning of the word “serendipity” in the sentence: “The unusual serendipity involved in the discovery of penicillin demonstrates the difficulties in finding new antibiotics (...)” is:
Texto 3
THE DISCOVERY OF PENICILLIN—NEW INSIGHTS AFTER MORE THAN 75 YEARS OF CLINICAL USE
ABSTRACT
After just over 75 years of penicillin’s clinical use, the world can see that its impact was immediate and profound. In 1928, a chance event in Alexander Fleming’s London laboratory changed the course of medicine. However, the purification and first clinical use of penicillin would take more than a decade. Unprecedented United States/Great Britain cooperation to produce penicillin was incredibly successful by 1943. This success overshadowed efforts to produce penicillin during World War II in Europe, particularly in the Netherlands. Information about these efforts, available only in the last 10–15 years, provides new insights into the story of the first antibiotic. Researchers in the Netherlands produced penicillin using their own production methods and marketed it in 1946, which eventually increased the penicillin supply and decreased the price. The unusual serendipity involved in the discovery of penicillin demonstrates the difficulties in finding new antibiotics and should remind health professionals to expertly manage these extraordinary medicines.
( . . . )
GAYNES, R. The Discovery of Penicillin—New Insights After More Than 75 Years of Clinical Use. In: Science, 2017. Disponível em: <http://wwwnc.cdc.gov/eid/article/23/5/16-1556_article>. Acesso em: 26/06/2018.
Texto 2
CORPORATE CONTROL AND GLOBAL GOVERNANCE OF MARINE GENETIC RESOURCES
INTRODUCTION
The prospect of the ocean generating a new era of “blue growth” is increasingly finding its way into national and international policy documents around the world and has spurred a rush to claim ocean space and resources. If economic activities in coastal and offshore areas are to expand in an equitable and sustainable manner, in line with the Sustainable Development Goals (SDGs), progress is needed toward addressing multiple and potentially conflicting uses of ocean space within national jurisdictions, in addition to developing a consistent and transparent legal framework for the vast areas beyond national jurisdiction (ABNJ). These areas cover 64% of the world’s ocean and 47% of the Earth’s surface yet remain poorly understood or described.
Marine organisms have evolved to thrive in the extremes of pressure, temperature, chemistry, and darkness found in the ocean, resulting in unique adaptations that make them the object of commercial interest, particularly for biomedical and industrial applications. By 2025, the global market for marine biotechnology is projected to reach $6.4 billion, spanning a broad range of commercial purposes for the pharmaceutical, biofuel, and chemical industries. One way to ensure exclusive access to these potential economic benefits is through patents associated with “marine genetic resources” (MGRs). Although the term MGRs has never been formally described, it suggests a subset of “genetic resources”, which have been defined under the Convention on Biological Diversity (CBD) as “genetic material of actual or potential value”._(33)_. The adoption of the Nagoya Protocol in 2010 represented an important step within the international policy arena to define obligations associated with monetary and nonmonetary benefit sharing of genetic resources and their products sourced from within national jurisdictions. No such mechanism currently exists for ABNJ.
( . . . )
BLASIAK, R.; JOUFFRAY, JB.; WABNITZ, C.; SUNDSTROM, E. e OSTERBLOM, H. Adaptado de Corporate control and global governance of marine genetic resources. In: Science Advances. Disponível em <http://advances.sciencemag.org/ content/4/6/eaar5237.full>. Acesso em: 07/08/2018.
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