Navegando por Assunto "monitoramento"
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Item Adesão de pessoas adoecidas de AIDS (Síndrome da Imunodeficiência Adquirida) à terapia antiretroviral: estudo clínico e laboratorial à partir da orientação de Enfermagem(Universidade Federal de Goiás, 2011-02-21) BRASILEIRO, Marislei de Sousa Espíndula; CUNHA, Luiz Carlos da; http://lattes.cnpq.br/6349547031976679Adherence to antiretroviral therapy reduces the risk of treatment failure, toxicity and resistance, so the therapeutic monitoring is necessary in the treatment of infection by human immunodeficiency virus. The aim of this study was to determine, through clinical and laboratory studies, the compliance of individuals sickened by HIV / AIDS with antiretroviral therapy before and after three nursing interventions. The study design was analytical, descriptive, prospective and quantitative, using data from medical records, interviews and blood sampling for plasma levels of efavirenz by HPLC analysis, including subjects with a diagnosis of HIV / AIDS, attended at the Hospital for Diseases Tropical Goiânia - Goiás and treated with zidovudine/ lamivudine and efavirenz. The results of analysis of data from 15 subjects indicate a socio-demographic profile, predominantly male, young, heterosexual. After nursing intervention, there was a change in 48% of the diagnoses. We also noticed a positive change in the rates of CD4, corresponding to 14%. As viral count, an increase of subjects with undetectable loads of 1 st to 2 nd nursing intervention (20%, or 73.3% to 93.3%). Chromatographic analysis of plasma of the subjects indicated that 60% of them had adequate medication adherence, and 40% increased adhesion between the 1st and 2nd visits by nurses, 10% between the 1st and 3rd and 10% between the 2nd and 3rd queries. The factor that was associated with high concentration rate after adjustment in nursing diagnoses and prescriptions was having difficulty using the antiretroviral in the same time. It was also demonstrated significant difference between mean plasma concentrations of efavirenz from the 1st, 2nd and 3rd interventions. Considering the reference measurement of plasma concentrations of efavirenz, the method of accession had a sensitivity and specificity, with high proportion of agreement between the rate of CD4, nursing diagnosis and analysis of the plasma of subjects. Conclusions: the systematization of nursing care and determination of plasma concentrations should be incorporated into the routine outpatient care, for better monitoring of adherence to antiretroviral therapy of individuals sickened by HIV / AIDS.Item Modelagem e Especificação de um Middleware para Redes de Sensores Sem Fio Aplicado à Saúde(Universidade Federal de Goiás, 2011-08-29) NAMBA, Massahide de Oliveira; SENE JUNIOR, Iwens Gervasio; http://lattes.cnpq.br/3693296350551971; OLIVEIRA, Leandro Luís Galdino de; http://lattes.cnpq.br/5899392002875573Solutions in healthcare are focused on diagnostics, productivity and personal care in this way, theWireless Sensor Networks WSN allow health professionals to monitor people more efficiently. To make integration between WSN and the applications and interfaces that health professionals use more effective its needed a software component that facilitates and mitigates the problems of developing these applications, this component is called middleware. From the perspective of software development, this middleware mainly offers the advantage of focusing the work on the requirements of the software, making the programmer not to worry about the characteristics of hardware and interconnection of devices in the WSN. In the way to facilitate the use of applications in healthcare, this middleware offers some features that are introduced to simplify and ensure the transmission of information in addition to providing reliable use of them. In this work we propose a middleware named Kratos that allows portability and concurrent execution of applications by standardized interfaces to mobile devices, allowing their use in sensor networks applied to health in a transparent way. To evaluate the use of Kratos and its functionality was proposed an application scenario for monitoring electrocardiographic signals (ECG), which will conduct the monitoring and sending alerts to mobile devices from a medical staff. The implementation of the ECG sensor and all the modeling of middleware is in compliance with the IEEE 1451 family of standards.