Introduction: The delirium has received little attention from professionals working in the intensive care unit, mainly due to the fact that this is, rarely, the primary reason for patient admission. Given the high prevalence of delirium in an intensive care environment, the current guidelines recommend the daily assessment of delirium and a multidisciplinary approach. Delirium is a frequent and severe form of acute brain dysfunction, as well as an important source of concern in critical care. Objective: To assess the occurrence of delirium and time of stay in the intensive care unit. Method: This is a quantitative, descriptive study, with a cross-sectional design, which was carried out in a university hospital located in the interior of the State of Rio de Janeiro. The sample consisted of 89 patients, of both sexes, aged between 24 and 92 years. The RASS and CAM-ICU scales were used to assess delirium. The data were collected every 12 hours, for 3 months, 7 days a week and in an uninterrupted manner. Results: Were evaluated 89 patients, of which 16 were excluded according to the scale criteria, leaving 73 patients. After evaluation, 22 patients were diagnosed with delirium and 51 patients without delirium. Of the patients who presented delirium, 13 deaths and 9 had high to the nursery. Of the patients who did not have delirium, 40 had high to the nursery and 11 deaths. Patients with delirium had an average hospital stay of 23.25 days and patients who did not have delirium had an average of 4.5 days hospitalization. Conclusion: We can infer that the longer the patient spends in the intensive care unit, the greater the chance of delirium occurring. Therefore, preventive and interventional measures are necessary to decrease the mortality rate in patients with delirium and early detection is an excellent tool to improve this outcome.
The main focus of the work is the search for information about the need to include students with disabilities in the school environment, as this is one of the main difficulties encountered today by parents and students themselves when entering the school environment, often due to bad reasons. adaptation or projection of the school that does not have access ramps for wheelchair users, does not have handrails with Braille identification for the visually impaired, among others. The autistic or gifted student also feels excluded and it is in this bias that we also sought to identify and direct some schools by the search for trained professionals who understand such inclusion realities when, in most cases, there is unpreparedness and even a refusal to deal with them. with this student.
The following work presents a proposal for rural, sustainable, economic development and aims to demonstrate the advantages of implementing an economically viable system to promote the treatment of domestic sewage in rural areas. This is an exploratory research, carried out from a literature review. The selected method consists of an evapotranspiration tank, which stands out from the others for its simplified feature for segregating black and gray water and for providing sewage treatment. Although it is still considered a rudimentary sewage collection system, the importance of developing proposals for these systems is highlighted, since rural effluents in most cases do not have a correct destination or reuse, generating a large environmental liability. Through reuse processes and the use of low-cost technologies, it is possible to make the effluents innovative products and even use them in the community itself, in order to enhance the organic cultivation of vegetables or forage plants to feed the ruminants of the property and with low production cost, as it is a simple and cheap solution for those farmers who do not have many resources on their property or around their water sources, something that, by the way, is very rare to find, especially in the northeastern semi-arid region. . With the lack of sanitation in rural areas, it is inevitable to obtain by-products and this work proved to be economically viable, with ease of implementation and maintenance accessible to the low-income population, in addition to being an ecologically correct alternative.
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