Space debris mitigation: roles and limitation of soft laws
For nearly fifty-nine years, State Governments and private actors have objects in orbit around Earth and other celestial bodies. The leftovers of dilapidated satellites, rockets, non functioning satellites and the junks ensuing from their collisions and explosions form a considerable portion of the debris in space. These non-functioning objects in actual fact threaten the space environment by their mere presence. Space junks on orbit around the earth poses the most severe modern risk to the use of space. For the long term sustainability and the continuous usages of the Outer space by State Governments and private actors, mitigation of debris in Outer Space is very essential. There are so many Guidelines that have been suggested to help in mitigating debris in space by major space faring countries, policy makers , United Nations and some space agencies to mention a few. These Guidelines and Code of Conducts are regarded as soft laws and they are expected to regulate the activities of humankind in the uses of Outer space. This paper will crucially analyse the various guidelines proposed for space debris mitigation. This paper is not an attempt to discuss every facet of the mitigation guidelines. It will rather look at the overview of the soft laws, its roles and some of the limitations of soft laws and projects the way forward.
The integrality of the National Policy of Integral Attention to the Health of Man
The National Policy of Integral Attention to Human Health aims to facilitate and expand the access with quality of the male population to the actions and services of integral health care in the Unified Health System. The objective of this study is to analyze the aspects that lead To the integrality of the National Policy of Integral Attention to the Health of Man. For its accomplishment, the research was divided in two moments. The first to read the official documents of the Ministry of Health about the policy and the second to consult the scientific articles on it. It was observed that the National Policy for Integral Attention to Human Health was not implemented in the practice of care and that its principles and guidelines are used in a timely manner.
Evaluation of Access and Quality in Primary Care in João Pessoa
Introduction: The National Program for the Improvement of Access and Quality in Primary Care is a component of the National Primary Care Policy, within the Unified Health System, which is based on the improvement of the assistance in Primary Care. The third phase of the Program is the moment of the External Evaluation, which is based on the gathering of information to analyze the conditions of access and quality of primary care teams.. Objective: Analyze data from the External Evaluation of Basic Health Units proposed by National Program for Improving Access and Quality in Primary Care in João Pessoa. Methodology: The present study has a quantitative nature and it is characterized as a descriptive and documentary research. It was conducted in March 2016, by means of collect and analysis of the Ministry of Health´s database, freely available on its website. Results: With regard to item ‘operation’ of health basic unit it was observed that all the UBS function doing service only in the morning and afternoon, five days a week. On the second item “UBS evaluation”, were assessed: physical structure and ambience health unit, unit adaptations for the disabled and elderly, equipment and drugs, which showed values below the expected. Conclusion: The data presented reveal that, although there has been progress, the Units are still unprepared to provide a universal, equal and equitable assistance, as advocated in the principles of the Unified Health System.
Applied attention to the monoparental family
Introduction: The Family Health Strategy (ESF), is a model that promotes an organization of health actions with a high degree of decentralization and capillarity, at assigned territory with no intention to face and solve many problems identified. Objective: To carry out home visits with the aim of developing communication skills as well as interfacing theory and practice. Methodology: This is a descriptive study of the Experiment Report type carried out by the students of the second period of the Medical Graduation Course of the Medical School of Paraíba, during the Horizontal Module of Health Care II in September 2016 in a USF of the municipality of João Pessoa-PB. Results: This study indicated a similar level of happiness among the different urbanization areas of the city, with more people happier in the outlying districts of the city, rather than in the central neighborhoods. Conclusion: The home visit is a potential tool for the ESF teams, it can be used as a prevention or even generate hypotheses that explain possible problems and difficulties present in a given family group, considering that at any moment there may be maladjustments leading to family crises.
Teddys hospital: action by an educational multiprofissional team
Introduction: The “Teddy Bear-Ursinho Hospital” campaign is an educational action that provides the children’s contact with the reality of the work of health professionals, with the intention of showing them that the hospital is an environment of care and welcome without need to be afraid. Objectives: To provide children with a more pleasant hospital environment with a differentiated professional-patient relationship. Methodology: The Bear Teddy Bear Hospital (TBHU) was made in the campaign format, with the Citizen Municipal School Herbert de Souza in the premises of the Higher School of Physical Education (ESEF) of the University of Pernambuco, the chosen place to carry out the action. Results and Discussion: The project was divided in two moments, with the initial process of involvement and preparation of the volunteers, carried out a campaign among university scholars to receive donations of plush. The second moment was the direct interaction with the children in a playful way, showing them the need and importance of the treatment in the hospital context. Conclusion: The campaign sought, in a relaxed and playful way, to reduce the insecurities of the children participating in the trip to the hospital, so often feared. In addition, it brought the particularities of the infant universe in relation to diseases and health care.
To correlate levels of knee osteoarthrosis with alteration of balance and quality of life in the elderly
Introduction: In aging there are several physiological and biochemical changes, being recurrent pathologies, such as osteoarthrosis (OA). Objective: This study aimed to correlate levels of knee osteoarthrosis with alteration of balance and quality of life in the elderly. Methodology: It is a study observational, cross-sectional descriptive study performed at a Clinical School. The socio-demographic questionnaire, Visual Analogue Scale (EVA), Berg Balance Scale, Tinetti Test, Time Up Go Test (TUGT), Scale Somewhat functional of Lequesne, SF-36 and WHOQOL-Bref. The data were analyzed Statistically, using software R version 3.2.4, with values of significance (p
Phenotype and genotype relationship of Dariers disease
Introduction – Darier’s disease is a severe hereditary keratinization disorder that is transmitted by an autosomal dominant factor of an unusual type of genodermatosis. The age of onset of symptoms is typically at puberty and equally affects both sexes. Objectives – Cytogenetically show the behavior of the disease in individuals, its clinical and histopathological characteristics. Contribute to a better understanding of the phenotype / genotype relationship of the disease. Methodology – This literature review on the disease was carried out with information searches in Dermatology books, Oral Pathology and published scientific articles. Results – It is believed that the disease is related to a gene, ATP2A2, which is responsible for coding a calcium pump. From this, studies show that some cellular structures, such as desmosomes, are compromised (because chemical signaling depends on the intracellular calcium), with a lack of cohesion between epithelial cells. Conclusion – The phenotype / genotype relationship of this disease is not yet fully understood and the disease represents a challenge for medical genetics.
The use of acupuncture as a complementary procedure in the rehabilitation of phonoaudiological complaints
Introduction: Acupuncture is an ancient Chinese practice currently recognized by the Federal Speech and Hearing Therapy Council through Resolution No. 272/2001. It can be applied as a complement to speech therapy therapies, since it contributes to an overall improvement of the patient, promoting the balance of the individual, decreasing muscular tension, stimulating memory, reducing edema and pain, improving sleep, muscle toning and reduction of depression. Objectives: To verify in the literature the use of acupuncture as a complementary procedure in the rehabilitation of phonoaudiological complaints. Methodology: This is a systematic review through selection and analysis of publications in journals through the descriptors “Speech Therapy”, “Acupuncture”, “Complementary Therapies” and their combinations between. It was considered only the works available free online, published in the platform SciELO, LILACS and Revista Comunicação, published from 2002 to 2015. Results: We found 9 articles, 44% (n = 4) of the studies presented a case report approach and 56% (n = 5) were group studies. Concerning the areas involved in the studies, there were 80% (n = 10) studies concentrated predominantly in the area of “Orofacial Motricity” and 20% (n = 2) in the “Audiology” area. Conclusion: Acupuncture has provided good results in phonoaudiological complaints, appearing as a complementary pathway to conventional treatments.
To analyze the occurrence and profile of potential drug interactions in ICU patients at the Alcides Carneiro University Hospital
Introduction: As drug associations without treatment of chronic diseases are very common, especially in intensive care unit (ICU) patients, however, they may cause drug interactions, such as those that are responsible for therapeutic failure, life-threatening of patients and generating high costs for the hospital. Objective: This study aimed to analyze the occurrence and profile of potential drug interactions in ICU patients at the Alcides Carneiro University Hospital. Methodology: a data collection performed from January to June 2015, based on ICU prescriptions. The data were collected through a specific form for this purpose. For the Drug-Reax system of the Micromedex® Health Series software. Results: Among the 109 prescriptions evaluated, 76 (69.72%) presented some interaction, totaling 244 potential interactions. Among the 54 (49.5%) male patients, 41 (75.92%) had a MI. A median of 6.91 prescription medications was observed. All patients who used 10 or more drugs had some type of interaction. Conclusion: It was possible to evaluate an average of prescription drugs, more prescription drugs and their interactions, based on the profile of interactive pharmacological potentials of the Alcides Carneiro University Hospital.