City Of Joinville Research Articles

Balanço nitrogenado e adequação proteica de pacientes de um complexo de terapia intensiva

Introduction: Patients admitted to the intensive care unit (ICU) may present depletion of lean mass, being common or increasing the incidence of malnutrition in children with prolonged hospitalizations. Maintaining lean mass becomes one of the primary goals of nutritional therapy for critically ill patients and through protein application rates that can be achieved as the needs of each individual used. The nitrogen balance (BN) is used to obtain or calculate between a dietary nitrogen intake and the total nitrogen quantities, helping to estimate an adequate nutritional number for each patient. The present study aimed to determine BN in patients with enteral nutritional therapy. Methods: Prospective analytical study that was developed during the months of December 2018 to June 2019, in the Intensive Care Complex (ICU) of a public hospital located in the city of Joinville, state of Santa Catarina. Patients between 16 and 99 years old in full supply of enteral nutritional therapy (NET), without renal dysfunction were analysed. Results: The final sample was 22 patients, 64% male, with a mean age of 58.4 years. The major cause of hospitalization was cardiorespiratory arrest in 18.18% patients. Regarding the nutritional needs used, there are 31.4 kilocalories and 1.7 grams of protein based on the ideal weight. According to the BN calculations, 64% of the studied patients had BN between -0.03 to 5.35 g/day, with an average of -1.7 g / day. Conclusions: The study showed a high frequency of negative BN in a heterogeneous sample of patients with CTI infection in a public hospital in Joinville / SC. It does more studies needed to evaluate the amount of proteins administered to critically ill patients.

O uso dos gêneros textuais no ensino dos quatro eixos da língua portuguesa

Este estudo tem como objetivo analisar o uso dos gêneros textuais como ferramenta de ensino dos quatro eixos da Língua Portuguesa. Para tanto, o apoio teórico foi buscado em Bunzen (2007), Dolz e Schneuwly (2004), Marcuschi (2002), entre outros. Os caminhos metodológicos foram trilhados através da aplicação de um instrumento de pesquisa – um questionário com questões objetivas e dissertativas – com alunos do 1º e 2º ano do ensino médio de uma escola pública da cidade de Joinville/SC. Considerando que o trabalho com os gêneros textuais está previsto nos documentos oficiais de educação, foi questionado, especialmente, como os gêneros são abordados no ensino da Língua Portuguesa. A ideia central era investigar se os estudantes reconhecem a utilização dos gêneros textuais durante o ensino de Língua Portuguesa ou se esta noção de ensino e aprendizagem voltada aos textos na modalidade escrita e oral ainda é abstrata. Partindo desse pressuposto, mediante a análise dos dados, os resultados sugerem que o ensino de língua materna pautado nos gêneros textuais tem ganhado as salas de aula, embora as suas idealizações já tenham ocorrido há algumas décadas.

Distribution by physical status ASA and Mallampati Scale of patients submitted to inguinal herniorrhapiers by laparoscopy

In the preanesthetic evaluation, which should always occur before elective surgeries, the anesthesiologist performs the evaluation of the physical state. This study verified the profile of patients referred for inguinal herniorrharhary surgery in Joinville according to the criteria of the American Association of Anesthesiology from August 2016 to August 2017. The physical status was evaluated according to the classification of the American Association of Anesthesiology (ASA), identifying the classification of physical status (ASA 1, 2, 3, 4, 5 and 6) of patients undergoing inguinal herniorrhamy surgery in Joinville. The prevalence of airway 1, 2, 3 and 4 second Mallampati scale was verified. And it correlated the data for verification and elaboration of individualized therapeutic approaches according to the profiles found for the improvement of patient care. This was a retrospective epidemiological clinical study conducted from August 2016 to August 2017. 328 patients participated in the study, age 45.80±11.60, weight 81.22±13.32 and body mass index 27.28±3.79. The most frequent physical state, according to the American Society’s classification of Anesthesiology (ASA). Mallampati tracheal intubation difficulty was 1. This study aimed to quantify the prevalence of physical status ASA and mallampati classification of patients undergoing inguinal herniorrhacupia surgery in the city of Joinville between August 2016 and August 2017. In addition, demographic data (gender, age, weight and body mass index) were collected, as well as physical status and the mallampati intubation difficulty forecast classification.

Obesity in patients with gestational diabetes: Impact on newborn outcomes

ObjectiveTo compare the perinatal adverse outcomes of obese and non-obese pregnant women with Gestational Diabetes Mellitus (GDM). Materials and methodsThis is a Cross-sectional study. Data were collected from the medical records of patients diagnosed with GDM at Unimed Hospital Center in the city of Joinville, from 2011 to 2017. Maternal-fetal characteristics, therapies and complications of pregnant women diagnosed with GDM were analyzed. The subjects of the study were separated into two groups: obese and non-obese GDM patients. Statistical analysis was performed by calculating multinomial logistic regression, adjusted using the 95% confidence interval (CI). ResultsA total of 442 patients were described as having gestational diabetes, of which 260 (58.8%) were diagnosed with obesity and 182 (41.1%) were non-obese. Maternal characteristics diverged regarding the Body Mass Index (BMI) (30.0vs22.5 P = 0.000), Gestational Age (GA) from GDM diagnosis (26.95vs29.07 P = 0.002), cesarean section (c-section) (86.2%vs75.9% P = 0.003), the incidence of chronic Hypertension (10.3%vs4.2% P = 0.011), treatment by dieting (29.0%vs48.1% P = 0.000) and metformin (44.5%vs34.7% P = 0.027) of obese and non-obese pregnant women, respectively. As for newborns, there was a reduction in weight (3185.8vs3,217.4 P = 0.045) and in the number of newborns of normal weight (13.8%vs23.6% P = 0.005), of newborns from obese and non-obese mothers, respectively. After ratio calculation, it was noticed that obese pregnant women had a higher chance of undergoing a c-section (OR 2.137 CI 95%, 1257-3.631). There was no significance found in other pregnancy outcomes. ConclusionPregnant women diagnosed with GDM and obesity are approximately twice as likely to undergo Cesarean Surgery, compared to non-obese women. As a result, newborns will have a greater influence on the outcomes and occasional events of cesarean section.

Socioenvironmental Educommunication as a pedagogical strategy in early childhood education

This article discusses the concept of Socioenvironmental Educommunicationin the context of preschool education. An interface that emerges from the relationship between Educommunication and Environmental Education, this concept will be exposed based on a bibliographic systematization, when it becomes possible to find the contemporary intersections that arise from the use of audiovisual technology as mediation in the teaching-learning process. Such analysis will be done taking into consideration the documentary 1,2,3 Playing –Reinventing School Spaces, produced by the city of Joinville, Santa Catarina, which brings an audiovisual material made by the students. Using a quanti-qualitative approach, emerges the pedagogical power of Socioenvironmental Education, which ends up bringing to the scene language and content that project another way of thinking the school. Finally, there is a reflection on how, based on particularities, it is possible to create educational policies that contemplate the audiovisual tool in early childhood education.

DE INSTITUIÇÃO PSIQUIÁTRICA A CEMITÉRIO: PERSCRUTANDO A FUNDAÇÃO E TRANSFORMAÇÃO DO ABRIGO MUNICIPAL DE ALIENADOS OSCAR SCHNEIDER

Neste artigo, busca-se relatar a experiência de uma pesquisa que se debruçou sobre as memórias invisibilizadas de um cemitério da cidade de Joinville, Estado de Santa Catarina, cuja história de seu território está ligada àexistência, no passado, de duas instituições de confinamento de sujeitos infames: um Abrigo de Alienados (1923-1942) e um Presídio Político (1942-1945). A escuta dos personagens que narram suas experiências com esse local e as estratégias do flâneur como forma de deixar-se levar na busca pelas memórias por aquilo em que se configuram sentidos foram os fundamentos do exercício de “ficcionar” sobre esse determinado objeto de estudo, a partir de uma relação sensível com esse campo, uma “Cidade dos Mortos”, onde foi possível escutar as vozes que nele ainda pulsam e tensionam a história desse local e seu aparente estado de silêncio na cidade.

Behavior of parents and educators following traumatic injury to young permanent teeth of children in Joinville, Santa Catarina

Traumatic dental injuries are a major public health problem, especially in the age range of 7 to 15 years, when young permanent teeth are established. Objective: To evaluate the behavior of parents of children who attend public or private school and their educators, in cases of traumatic injury to young permanent teeth and to evaluate whether they sought emergency guidance, in the city of Joinville, Santa Catarina, Brazil. Evaluation was carried out via a questionnaire for asking the parents and teachers about their knowledge of dental trauma. Material and methods: A total of 248 parents and 22 teachers participated in the study. Out of all the participants that completed the questionnaire with questions on previous trauma experience, avulsion behavior, avulsed tooth storage medium, and time elapsed from dental trauma until care, 49.6% of had higher education. The data were tabulated on a Microsoft Office Excel 365 worksheet, and the chi-square statistical test was applied. Results: The research showed that 91.8% of parents and 8.2% of educators from both public and private schools had minimal knowledge regarding dental trauma. Many of the participants (73.2%) were unaware of what dental reimplantation was and lacked knowledge regarding storage choices for a dental element. Instead, 68% preferred to take the child to a dental surgeon to receive emergency care. Conclusion: The knowledge parents and educators of public and private schools have about dental trauma is limited. Education on this subject needs to be promoted for enabling parents and educators to make informed decisions to ensure the best prognosis after traumatic dental injury.

Behavior of parents and educators following traumatic injury to young permanent teeth of children in Joinville, Santa Catarina

Introduction: Traumatic dental injuries are a major public health problem, especially in the age range of 7 to 15 years, when young permanent teeth are established. Objective: To evaluate the behavior of parents of children who attend public or private school and their educators, in cases of traumatic injury to young permanent teeth and to evaluate whether they sought emergency guidance, in the city of Joinville, Santa Catarina, Brazil. Evaluation was carriedout via a questionnaire for asking the parents and teachers about their knowledge of dental trauma. Material and methods: A total of 248 parents and 22 teachers participated in the study. Out of all the participants that completed the questionnaire with questions on previous trauma experience, avulsion behavior, avulsed tooth storage medium, and time elapsed from dental trauma until care, 49.6% of had higher education. The data were tabulated on a Microsoft Office Excel 365 worksheet, and the chi-square statistical test wasapplied. Results: The research showed that 91.8% of parents and8.2% of educators from both public and private schools had minimalknowledge regarding dental trauma. Many of the participants (73.2%) were unaware of what dental reimplantation was and lacked knowledge regarding storage choices for a dental element. Instead, 68% preferred to take the child to a dental surgeon to receive emergency care. Conclusion: The knowledge parents and educators of public and private schools have about dental trauma is limited. Education on this subject needs to be promoted for enabling parents andeducators to make informed decisions to ensure the best prognosis after traumatic dental injury.

Para plantar e colher arroz é preciso redesenhar a paisagem: narrativas de imigrantes europeus sobre o cultivo do arroz na Colônia Dona Francisca (século XIX)

O artigo analisa discursos e experiências acerca do cultivo de arroz na paisagem da Colônia Dona Francisca (atual cidade de Joinville, Santa Catarina). Essa paisagem florestal foi profundamente alterada pela imigração europeia e pelo fortalecimento de atividades da agricultura e do comércio na Colônia Dona Francisca do fim do século XIX. Narrativas sobre plantio do arroz foram descritas por imigrantes europeus por meio de cartas e jornais publicados nesse período. Com base no conhecimento de algumas dessas fontes, este texto propõe-se a discutir práticas de cultivo do arroz e suas correlações com o processo de formação de sistemas agroecológicos na paisagem da Colônia Dona Francisca.

Reduction of Potable Water Consumption and Sewage Generation on a City Scale: A Case Study in Brazil

This article aims to estimate the reduction of potable water consumption and sewage generation in the city of Joinville, southern Brazil. Four strategies were considered to promote potable water savings: replacement of conventional toilets with dual-flush ones, greywater reuse, rainwater harvesting, and the combination of these three strategies. Residential, public, and commercial sectors were assessed. The potential for potable water savings ranged from 1.7% to 50.5%, and the potential for sewage generation reduction ranged from 2.1% to 52.1%. The single-family residential sector was the most representative for water savings and sewage generation reduction. The public sector would be the least contributor to such reductions. It was found that in the city of Joinville, for low non-potable water demands, greywater reuse was the most viable strategy to save water. When non-potable demand is high and there is a large catchment area, it is recommended to install rainwater harvesting systems. It was concluded that there is a high potential for potable water savings and reduction of sewage generation if measures were adopted in Joinville, but it is necessary to evaluate which strategy is the most appropriate for each building.

Assessing the Potential for Potable Water Savings in the Residential Sector of a City: A Case Study of Joinville City

The objective of this study is to evaluate the potential for potable water savings by using rainwater in the residential sector of Joinville, a city located in southern Brazil. Data on roof areas of residential buildings were obtained from the Joinville city council. By considering the roof areas and typologies of residential buildings, representative models were created. The following parameters were used to determine the rainwater tank capacity: the number of dwellers; the total daily water demand per capita; and the rainwater demand. To carry out the simulations for determining the optimal rainwater tank sizes and potential for potable water savings, the computer program Netuno was used to run 33,720 different scenarios. By considering the occurrence percentage for each representative building model (weighted average), the average potential for potable water savings by using rainwater was calculated. The average potential in the central region of Joinville was 18.5% when there is rainwater use only in toilets, and 40.8% when there is rainwater use in toilets and washing machines. The rainwater harvesting system showed a better performance for a rainwater demand equal to 20% of the total daily water demand. The results indicate the necessity to properly size rainwater tank capacities to meet water demands, thereby encouraging more people to adopt rainwater harvesting as an alternative source for non-potable water in buildings. The demand for rainwater should be carefully evaluated, especially in multi-story residential buildings, due to the low availability of roof areas.

Identifying the Drivers of Water Consumption in Single-Family Households in Joinville, Southern Brazil

This study aims to identify the factors that may influence water consumption in single-family households in the city of Joinville, Southern Brazil. Through questionnaires, data were collected from 108 households in several neighborhoods of the city. The questionnaires contained open-ended and closed-ended questions involving the surrounding infrastructure, socio-economic and demographic characteristics, constructive characteristics, installed plumbing fixtures, and water-use habits, totaling 57 variables. The independent variables were correlated to monthly water consumption (m3/month/household) and per capita consumption (liters/person/day) of each household. The statistically significant variables that affected households water consumption were related to demographic characteristics such as number of residents and educational level, construction features (i.e., number of bathrooms, building age, and built area), the presence of water-efficient appliances and water conservation habits. The results obtained can contribute to the development of new studies on water consumption and sustainable policies and awareness on the importance of water conservation.

Multiobjective optimization of transit bus fleets with alternative fuel options: The case of Joinville, Brazil

This paper presents a multiobjective optimization model to find efficient bus fleet combinations taking into account greenhouse gas emissions, conventional air pollutant emissions and costs. The goal is to minimize, simultaneously, three objective functions, Z1 (CO2 emissions), Z2 (Other Types of Emissions), and Z3 (total costs), for a buses fleet of a transit agency. For this case, there were four types of buses (diesel, electric bus, electric bus of fast charging, and CNG (compressed natural gas bus), which were analyzed in three different lines (South-North, Itinga, and South-Central) in Joinville city, Brazil. The respective data were modeled and optimized using MS Excel. Two different scalarization methods (the Weighted Tchebycheff and the Augmented Weighted Tchebycheff) are used for solving this buses fleet management problem. Different tradeoffs, in terms of the objectives, were obtained. The choice of a bus type is directly related to the characteristics (number of stops, average speed among others) of each line. The electrical bus is the best choice for reducing emissions but has a high initial cost and low autonomy. The results indicate that in the South–North line due to the large number of stops and low average speed, the electric bus is the type of dominant. In the other lines, the dominant ones were the diesel bus in the Itinga line and the CNG bus in the South line.

Incidência da queixa de dor torácica como sintoma de infarto agudo do miocárdio em uma unidade de pronto-atendimento

BACKGROUND AND OBJECTIVES: Chest pain is one of the main reasons why individuals seek urgent and emergency services. It is a symptom that may suggest several pathologies, among which the acute coronary syndrome, which makes differential diagnosis difficult. The objective of this study was to identify the incidence of chest pain confirmed as acute myocardial infarction in an urgent care unit in the city of Joinville; and specifically to describe the epidemiological profile of patients with chest pain due to acute myocardial infarction, regarding gender, age, type of acute myocardial infarction and cardiac enzyme alterations; identify how individuals described the symptom; to recognize other factors causing chest pain and to know the incidence of chest pain related to non-cardiac causes. METHODS: Documentary study, descriptive and quantitative approach. RESULTS: The incidence of chest pain as a symptom of acute myocardial infarction corresponded to 1% of the sample, affecting males. Several other causes were pointed out stemmed from the international code of diseases to seek care for this complaint. CONCLUSION: The study evidenced the relevance of this complaint in emergency and urgent care units and the need to recognize the clinical manifestations and acute myocardial infarction screening for differential diagnosis.

DISTAL HUMERAL FRACTURE: AN EPIDEMIOLOGICAL ANALYSIS OF ORTHOPEDIC PATIENTS FOR CHILDREN.

ABSTRACTObjective:To analyze the epidemiological profiles of children with orthopedic distal humerus fractures.Methods:An analytical descriptive study was conducted with a retrospective approach using medical records of 665 orthopedic children who attended the Jesser Amarante Faria Children's Hospital, a reference hospital in the city of Joinville, Santa Catarina, between June 2012 and December 2016.Results:The results showed a predominance of male patients (64.2%), with a mean age of 7 years, and the age group of 6–10 years being the most frequent with 319 patients (48%). The main mechanism of trauma was fall of height in 59.7% of patients, Gartland type 1 fracture in 57.1%, and absence of vascular injury in 99.7%. Conservative management was implemented in 64.7% (95%) of patients. Absence of neurological lesion (95.6%) and closed lesion (99.4%) were the main epidemiological characteristics of patients in the study. A low complication rate was observed, with reduction losses in 1.7% of patients, followed by infections in 1.1%.Conclusion:We can conclude that the cases studied presented epidemiological characteristics similar to those described in the literature. Level of evidence IV, Description of a case series, with analysis of results, without a comparative study.

OCCURRENCE OF FILARID PARASITES IN HOUSEHOLD AND SHELTERED DOGS IN THE CITY OF JOINVILLE – SANTA CATARINA, BRAZIL

Abstract Parasites from the Filariidae family are among the nematodes that can infest dogs. Some may be apathogenic, such as Acanthocheilonema reconditum, and others such as Dirofilaria immitis are potentially zoonotic and may lead dogs to death. Thus, the aim of this study was to perform a survey on filarid infection in dogs with a fixed domicile and wandering dogs temporarily sheltered in the city of Joinville, SC, Brazil. Blood samples from 429 animals were collected from 2015 to 2017 and submitted to screening for microfilariae and/or D. immitis antigens. Our results revealed that twenty-four samples (5.6%) displayed A. reconditum microfilariae and three samples (0.7%) were positive for D. immitis, totaling 27 (6.3%) positive animals for filarid parasites. Additionally, A. reconditum was more prevalent in dogs from shelters, whereas the three D. immitis positive samples were from household dogs that displayed no clinical signs of the presence of parasites. The occurrence of these parasites in dogs from Joinville indicates the importance of differential diagnosis of microfilaria species for the correct clinical management of infected dogs. Our epidemiological information may help the medical and veterinary community of the region regarding clinical suspicion of canine and human heartworm disease, as well as guide preventive actions targeting public and animal health.

Estudo de anemias e policitemias registradas em cães de Joinville/SC de 2015 a 2017

The diagnosis of many diseases that affect the animals has the aid of laboratory tests, as these can demonstrate significant changes of the organism not seen in the physical examination. The blood count has all the parameters to examine the blood cells of the peripheral vessels and these are classified as erythrocytes, leukocytes and platelets. It is the most commonly used exam in the clinical routine due to its practicality, economy and clinical utility, which is divided into erythrogram, leukogram and thrombogram. Because it is a subject of great clinical importance, it is necessary that there is adequate knowledge about the tests so that the correct interpretation and proper treatment of the animal is performed. For this purpose, hemoglobin reports were collected from two laboratories of veterinary clinical pathology in the city of Joinville - SC, and from these, triage and separation were performed in groups. Firstly, the exams that had the information related to gender, breed and age were separated, totaling 13286 exams. Two groups were later formed, one with reports of anemia (n = 3294) and one with polycythemia (n = 2747). Within the two groups, 3 subgroups were created, separating all the reports on sex, breed and age. The ages were separated into three groups: young than 1 year old, adults between 1 and 8 years old, aged over 8 years old. The races were grouped by name, being the non - defined breed (SRD) classified as a race and at the end of the research the three races that had the highest number of analyzed reports were discussed. After all triages were completed, the chi-square test was performed through the statistical program R to obtain a descriptive analysis of the data. Finally, a predominance of females, SRD and elderly in both the anemia and polycythemia groups was observed, but for all the groups, all the subgroups formed had a difference between them. Therefore, it is suggested that there is a risk group for anemia and polycythemia, but further research is needed.

Factors influencing water consumption in buildings in southern Brazil

Abstract This study aims to identify the factors influencing water consumption in residential buildings in the city of Joinville, in southern Brazil, through an analysis of socioeconomic variables of users and constructive variables of the building. Data were collected on water consumption, socioeconomic characteristics of the users and constructive characteristics of the buildings, from a sample dataset of 89 buildings including 3171 housing units. Two models describing consumption were identified from a multiple linear regression analysis by means of the stepwise method. The analysis showed there were several variables related to constructive aspects, including the alternative water supply system that were statistically significant in explaining both water consumption in buildings (in m³/month) and per capita water consumption (in liters per person per day). The model explains 87.41% of the water consumption in buildings in Joinville and 79.68% of the per capita consumption. After obtaining the models, water consumption was estimated on eight buildings that were not included in the sample dataset using two equations for water consumption in buildings and per capita water consumption. Leave-one-out cross validation complements the analysis. The two models feature reasonable explanatory and predictive capacity, displaying adjusted and predicted R2 higher than 70%. The obtained results contribute to enhanced understanding of variables related to water consumption in residential buildings in southern Brazil, and may be useful to the authorities in developing sustainable policies.

Política pública a partir do planejamento estratégico: uma análise do sistema territorial turístico no município de Joinville (SC)

This article presents an assessment of formal strategic planning to boost the development of tourism in the city of Joinville (SC), by way of a management tool capable of producing subsidies for the treatment and constitution of public policies for the local tourism. In the context of a critical perspective that seeks to understand structure and strategy as an integral part of its economy, the study comprises an approach based on the model of land planning for tourism and how, after impact assessment has been carried out, it is possible to establish immediate integral investment priorities. It was found that the lack of coordination and cooperation between the public administration and the tourist trade tend to make it impossible to carry out the management and marketing plans for the tourism sector in the municipality, that are important concepts for the increase of activity.

Knock on the Right Door. How we are Treating the Patient with Acute Myocardial Infarction

Abstract Background: To reduce mortality of acute myocardial infarction, medical care must be provided within the first hours of the event. Objective: To identify the “front door” to medical care of acute coronary patients and the time elapsed between patients’ admission and performance of myocardial reperfusion in the public health system of the city of Joinville, Brazil. Methods: The study was a retrospective analysis of the medical records of 112 consecutive patients diagnosed with acute myocardial infarction by coronary angiography. We identified the place of the first medical contact and calculated the time between admission to this place and admission to the referral hospital, as well as the time until coronary angiography, with or without percutaneous transluminal angioplasty. A descriptive analysis of data was made using mean and standard deviation, and a p < 0.05 was set as statistically significant. Results: Only 16 (14.3%) patients were admitted through the cardiology referral unit. Door-to-angiography time was shorter than 90 minutes in 50 (44.2%) patients and longer than 270 minutes in 39 (34.5%) patients. No statistically significant difference was observed in door-to-angiography time between patients transported directly to the referral hospital and those transferred from other health units (p<0.240). Considering the time between pain onset and angiography, only 3 (2.9%) patients may have benefited from myocardial reperfusion performed within less than 240 minutes. Conclusion: Management of patients with acute myocardial infarction is not in conformity with current guidelines for the treatment of this condition. The structure of the healthcare system should be urgently modified so that users in need of emergency services receive adequate care in accordance with local conditions.