Made available in DSpace on 2015-04-14T14:27:09Z (GMT). No. of bitstreams: 1 458455.pdf: 2470087 bytes, checksum: 352ec141a259daa79ba90f018371f2ef (MD5) Previous issue date: 2014-03-19 / The present study has origins in the possibility to evaluate the efficacy of the fixed and mobile speed cameras as a mean to reduce the number of victims in the transit ?of the biggest streets in the capital city of the state of Rio Grande do Sul, Porto Alegre. To perform such analysis we used data from the Departamento Estadual, de Tr?nsito (DETRAN/RS), Departamento Aut?nomo de Estradas e Rodagem (DAER) and from authorities that work in the control of the traffic in the city of Porto Alegre, the Empresa P?blica de Transporte e Circula??o (EPTC) and the Departamento Estadual de Pol?cia Judici?ria de Tr?nsito (DPTRAN), these data is available at the portal #DATAPOA. The period extracted from the portal was from January 2008 to December 2012, which makes possible to identify the relation between fixed and mobile enforcement in avenues and the consequences of accidents on these streets, mainly on the severity of the crashes and on the number of injured people. This study has organized the data in a longitudinal panel, allowing the analysis using the Poisson regression technique, which searches for differences between control and treatment groups over time. The results found were very relevant for the analysis of the injuries, and make possible an outlook on the severity of the crashes by the methodology of the severity standardized unit (UPS). The fixed position speed cameras were able to reduce the number of injured and the severity only at the specific location, but did not affect the overall street outcomes. The mobile speed Camera program was able to reduce the number of injuries but only at non rush hours, when the accidents and its outcomes might be influenced more by human factors other than the speed of vehicles. At last, this study could use many variables related to urban transit and verify how each one affect the consequences of an accident, such as, the type of vehicle, the period of the day, climatic conditions and the type of the accident. / O presente trabalho se originou na possibilidade de avaliar a efic?cia de radares fixos e m?veis como forma de redu??o de v?timas no tr?nsito nas principais ruas e avenidas da capital do Rio Grande do Sul, a cidade de Porto Alegre. Para efetuar tal an?lise foram utilizados dados do Departamento Estadual de Tr?nsito (DETRAN/RS), Departamento Aut?nomo de Estradas e Rodagem (DAER) e das entidades de controle de tr?fego que atuam na cidade de Porto Alegre: a Empresa P?blica de Transporte e Circula??o (EPTC) e o Departamento Estadual de Pol?cia Judici?ria de Tr?nsito (DPTRAN), estando estes dados. dispon?veis no portal #DATAPOA. O per?odo extra?do do portal foi de janeiro de 2008 a dezembro de 2012, tornando poss?vel identificar a rela??o entre fiscaliza??o de avenidas com radares fixos e m?veis e as consequ?ncias dos acidentes nas mesmas, principalmente no que diz respeito a feridos, mortos e severidade dos acedentes. O estudo organizou tais dados na forma de painel longitudinal, permitindo an?lise atrav?s da regress?o de Poisson, que busca as diferen?as entre os grupos de tratamento e controle ao longo do tempo. Os resultados encontrados foram muito relevantes em termos da an?lise de feridos e tamb?m possibilitaram a observa??o da severidade dos acidentes pela metodologia da unidade padr?o de severidade. Os radares fixos foram capazes de reduzir o n?mero de feridos e a severidade em alguns trechos das avenidas, mas n?o modificaram o n?vel de ocorr?ncias ao longo de toda ela. Os radares m?veis modificaram o n?vel de feridos ao longo de toda avenida apenas fora do hor?rio de pico, quando os acidentes podem ser influenciados mais pelo fator humano que pela velocidade dos ve?culos. Por fim, este estudo p?de ainda utilizar diversas vari?veis relacionadas ao tr?nsito, tais como, o tipo do ve?culo, o per?odo do dia, as condi??es clim?ticas e o tipo do acidente, verificando como cada uma delas afeta o desfecho dos acidentes.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-01-04T21:53:59Z No. of bitstreams: 1 RafaeleCarlaDeAraujoMaia_DISSERT.pdf: 2009716 bytes, checksum: 392adc64827db40cdfe08a06f2edd669 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-01-07T19:43:02Z (GMT) No. of bitstreams: 1 RafaeleCarlaDeAraujoMaia_DISSERT.pdf: 2009716 bytes, checksum: 392adc64827db40cdfe08a06f2edd669 (MD5) / Made available in DSpace on 2016-01-07T19:43:02Z (GMT). No. of bitstreams: 1 RafaeleCarlaDeAraujoMaia_DISSERT.pdf: 2009716 bytes, checksum: 392adc64827db40cdfe08a06f2edd669 (MD5) Previous issue date: 2014-09-30 / Considerada a doen?a do s?culo XX, o trauma continua sendo a principal causa de mortalidade na faixa et?ria de um a quarenta e quatro anos, no mundo, e dentre as v?rias etiologias poss?veis, o acidente de tr?nsito terrestre tem forte impacto nestas estat?sticas. A essencialidade operacional do enfermeiro na organiza??o e integra??o deste cen?rio de atendimento aos acidentados de tr?nsito terrestre e o reconhecimento que os instantes que sucedem o trauma s?o decisivos no progn?stico da v?tima justificam este estudo. Assim, buscou-se avaliar o atendimento do enfermeiro aos acidentados de tr?nsito terrestre neste processo crucial em um hospital p?blico de refer?ncia em urg?ncia e emerg?ncia. Trata-se de estudo avaliativo normativo, com abordagem qualitativa, realizado no Hospital Monsenhor Walfredo Gurgel, localizado no munic?pio de Natal/RN. A coleta de dados ocorreu em maio/2014, com aprova??o do Comit? de ?tica em Pesquisa (CAAE 27971114.9.0000.5537). A popula??o alvo do estudo foram os enfermeiros que atuam no setor de Politrauma, atendendo aos crit?rios de inclus?o: concordar em fazer parte do estudo voluntariamente e atuar no setor mencionado e, como exclus?o: profissionais alocados em outros setores (eventualmente atuando no setor) e profissionais de f?rias e/ou licen?a m?dica. Realizou-se entrevista semiestruturada e observa??o n?o participante para a obten??o dos dados submetidos posteriormente ? t?cnica de An?lise de Conte?do ? luz de Bardin. Identificou-se a falta de capacita??o espec?fica para o atendimento ao trauma, cuja gravidade pode ser atenuada com assist?ncia adequada e h?bil. Evidenciou-se, portanto, a prem?ncia do treinamento dos enfermeiros visando ? qualifica??o dos atendimentos ?s v?timas de acidentes de tr?nsito terrestre / Considered the disease of the 20th century, the trauma is still the main cause of mortality in the age group of one to forty-four years old in World, and among several possible etiologies, the terrestrial transit accident has a strong impact on these statistics. The operational essentiality of nurses in the organization and integration of this scenario of care to the terrestrial transit casualties and the recognition that the moments after the trauma are decisive in the victim's prognosis, justify this study. Thus, it was sought to evaluate the nurses?care to casualties of land transit in this crucial process in a public hospital in urgent and emergency reference. This is an normative evaluative study with qualitative approach, carried out at the Hospital Monsenhor Walfredo Gurgel, located in the municipality of Natal/RN. Data collection occurred in May 2014, with approval of the Ethics Committee in Research (CAAE 27971114.9.0000.5537). The target population of the study were the nurses who work in Politrauma area of the hospital, following the inclusion criteria: agree to be part of the study voluntarily and act in the mentioned area and, as exclusion: allocated professionals in other areas (eventually acting in the area) and professionals on vacation and/or medical license. A semi-structured interview and non-participant observation was held to obtain data submitted subsequently to the technique of Content Analysis based on Bardin. The lack of specific training for trauma care was identified, whose severity can be mitigated with proper and skilled care. Therefore, the urgent need of the nurses' training for qualification of care to the victims of traffic accidents on land was evidenced

Made available in DSpace on 2014-12-17T14:46:37Z (GMT). No. of bitstreams: 1 CristianeSR.pdf: 981803 bytes, checksum: 11df0fe9829539d9e96b64a8fa13e509 (MD5) Previous issue date: 2008-04-24 / Descriptive exploratory study, with quantitative approach and prospective data performed on the Monsenhor Walfredo Gurgel Hospital Complex (MWGH), in Natal/RN, aiming to classify the type of motor vehicle involved in the accident, the public roadway s user quality and the more frequent injuries; to evaluate the severity of trauma in traffic accident victims; characterized the severity of the injuries and the trauma, and the type of motor vehicle involved. The population comprises 605 traffic accident victims, with data collected between October and December 2007. We used as a support for the evaluation of severity of injuries and trauma the Glasgow Coma Scale (GCSl), the Condensed Abbreviated Injury Scale (CAIS) and the Injury Severity Score (ISS). The results show that 82.8% of the victims were male; 78.4% were aged 18 to 38; the victims originating from the State s Countryside prevailed (43.1%); 24.3% of the population had completed middle-level instruction; 23.1% worked on commerce and auxiliary activities; most (79.4%) was catholic; 48.8% were married/consensual union; 76.2% earned up to two monthly minimum wages; Sunday was the day with the most accidents (25.1%); 47.4% were attended to in under an hour after the event; the motorcycle on its own was responsible for 53.2% of the accidents; 42.3% were attended to by the SAMU; 61.8% were victims of crashes; over half (53.4%) used individual protection equipment (IPE); 49.4% were helmets and 4.0% the seatbelt; 61.3% were motorcycle drivers; 43.3% of the accidents took place in the afternoon shift; from 395 drivers, 55.2% were licensed, and 50.7% among those had been licensed for 1 to 5 years; 90.7% of the victims had GCS1 between 13 and 15 points at the time of evaluation; the body area most affected was the external surface (35.9%); 38.8% of the injuries were light or moderate (AIS=1 and AIS=2); 83.2% had light trauma (ISS between 1 and 15 points). In face of the results, we can conclude that there is a risk for the elevation of injury severity and trauma resulting from traffic accidents, when these events are related to certain variables such as gender, age, weekday, the interval between the accident and the first care, ingestion of drugs, type of accident, the public roadway s user quality, the use of IPE, day shift, body regions and the type of motor vehicle involved in the accident / Estudo explorat?rio descritivo, com abordagem quantitativa e dados prospectivos realizado no Complexo Hospitalar Monsenhor Walfredo Gurgel (HMWG), Natal/RN, com vistas a classificar o tipo de ve?culo a motor envolvido no acidente, a qualidade do usu?rio da via p?blica e as les?es mais freq?entes; avaliar a gravidade do trauma em v?timas de acidente tr?nsito; caracterizar a gravidade do trauma e das les?es e o tipo de ve?culo a motor envolvido. A popula??o constou de 605 v?timas de acidentes de tr?nsito, com dados coletados de outubro a dezembro de 2007. Utilizamos com suporte na avalia??o da gravidade das les?es e do trauma a Escala de Coma Glasgow (ECGl) e o Condensed Abbreviated Injury Scale (CAIS) e o Injure Severity Score. Os resultados mostram que 82,8% das v?timas eram do sexo masculino; 78,4% tinham entre 18 e 38 anos; prevaleceram as v?timas advindas do Interior do Estado (43,1%); 24,3% da popula??o possu?am o n?vel de m?dio completo; 23,1% trabalhavam no com?rcio e em atividades auxiliares; a maioria (74,9%) era cat?lica; 48,8% eram casada/uni?o consensual; 76,2% ganhavam no m?ximo dois sal?rios m?nimos mensais; o domingo foi o dia com maior n?mero de acidentes (25,1%); 47,4% foram atendidas com menos de 1h ap?s o evento; a motocicleta isoladamente, foi respons?vel por 53,2% dos acidentes; 42,3% foram atendidas pelo SAMU; 61,8% eram v?timas de colis?o; mais da metade (53,4%) utilizaram equipamento de prote??o individual; 49,4% usavam o capacete e 4,0%, o cinto de seguran?a; 61,3% eram condutores de moto; 43,3% dos acidentes aconteceram no turno da tarde; dos 395 condutores, 55,2% possu?am habilita??o, e destes 50,7% tinham entre 1 e 5 anos de habilita??o; 90,7% das v?timas tinham ECGl entre 13 e 15 pontos na hora da avalia??o; a regi?o corp?rea mais atingida foi a superf?cie externa (35,9%); 38,8% das les?es foram do tipo leve e moderada (AIS 1 e AIS 2); 83,2% apresentaram trauma leve (ISS entre 1 e 15 pontos). Diante dos resultados podemos concluir que a presen?a de alguns fatores de risco, quando associados ? dire??o de ve?culos, contribuem para o agravamento das les?es e do trauma decorrentes dos AT s, como: sexo, idade, dia da semana, intervalo de tempo entre o acidente e o atendimento ? v?tima, a ingest?o de drogas, tipo de acidente, qualidade do usu?rio da via p?blica, uso de EPI, turno do dia, regi?o corp?rea atingida e o tipo de ve?culo a motor envolvido

?rea de concentra??o: Promo??o da sa?de, preven??o e controle de doen?as. / Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2017-02-17T16:45:32Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) fabio_jesus_santos.pdf: 2424769 bytes, checksum: 269d705172be6f1ae7d5fa65bc1bd100 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2017-03-06T11:42:59Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) fabio_jesus_santos.pdf: 2424769 bytes, checksum: 269d705172be6f1ae7d5fa65bc1bd100 (MD5) / Made available in DSpace on 2017-03-06T11:42:59Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) fabio_jesus_santos.pdf: 2424769 bytes, checksum: 269d705172be6f1ae7d5fa65bc1bd100 (MD5) Previous issue date: 2016 / Aproximadamente 1,24 milh?es de pessoas morrem por ano em acidentes de tr?nsito em todo o mundo, sendo que 23% destas mortes ocorrem com os motociclistas e entre 20 e 50 milh?es sofrem traumatismos n?o fatais. O Brasil ? o quinto pa?s no mundo em n?mero de mortes por acidentes de tr?nsito, sendo que entre os anos de 1996 a 2009 a taxa de mortalidade por acidente de motocicletas aumentou em 800%. Este estudo objetivou identificar e compreender os fatores que motivam os motociclistas a escolherem a motocicleta como um meio de transporte, verificar se eles percebem o risco ao conduzir uma motocicleta, identificar poss?veis comportamentos inseguros e conhecer atitudes de preven??o de acidentes praticadas por eles. Optou por um estudo qualitativo do tipo estudo de caso, desenvolvido com os motociclistas v?timas de acidentes de tr?nsito que deram entrada no centro cir?rgico do Hospital Jo?o XXIII, localizado na cidade de Belo Horizonte/MG, no m?s de mar?o de 2016. O m?todo de coleta de dados foi a entrevista semiestruturada, gravada na forma de ?udio, com posterior transcri??o. Os documentos foram analisados na perspectiva da an?lise de conte?do por categoria tem?tica. Dos 15 motociclistas, todos eram homens, sendo a m?dia de idade igual a 26,9 anos. Os fatores motivacionais revelados foram: o ganho no tempo, a economia proporcionada pelo ve?culo, o gosto pela motocicleta, o fato de ser um ve?culo mais r?pido, a praticidade, a agilidade, o fato de ser mais barato, a situa??o de que a condi??o financeira ? de ter uma moto e a situa??o de ser o ?nico ve?culo dispon?vel no momento para uso do sujeito. Os motociclistas perceberam o risco a que est?o expostos, por?m apresentaram esta percep??o com enfoques diferentes, como a percep??o clara do risco, o risco relacionado a terceiros, relacionado ao condutor, associado ? exposi??o corporal, o risco cont?nuo e tamb?m o risco direto n?o percebido pelo motociclista. Os comportamentos inseguros foram: falta de aten??o, alta velocidade, andar no corredor, pressa demais, ultrapassagem perigosa, costurar no tr?nsito, agir por impulso, uso de bebida alco?lica, conduzir sem condi??es alimentares e exibicionismo. As atitudes de preven??o de acidentes reveladas foram: prestar aten??o, andar devagar, respeito ?s sinaliza??es, n?o realizar manobras perigosas no tr?nsito, realizar manuten??o cont?nua da motocicleta, manter dist?ncia entre ve?culos, utilizar seta adequadamente e sair de casa mais cedo. Entende-se que a motiva??o pode ser criada ao longo da viv?ncia dos motociclistas que s?o estimulados por quest?es sociais e culturais. No contexto atual observa-se que o meio de produ??o capitalista age influenciando e/ou determinando o modo de vida das pessoas. A pesquisa revelou a rela??o do uso da motocicleta com as necessidades trabalhistas. A hospitaliza??o dos motociclistas n?o demonstrou ser uma condi??o que limitasse as respostas deles em prol dos objetivos investigados. Os resultados encontrados foram semelhantes a alguns estudos realizados no Brasil, por?m destaca-se a rela??o entre o fator tempo e o aspecto financeiro como um conjunto quase que obrigat?rio para o motociclista na escolha do meio de transporte. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2016. / About 1,240,000 people die every year in traffic accidents in the world, with 23% of these deaths occur with motorcyclists and between 20 and 50,000,000 suffer non-fatal injuries. The Brazil is the fifth country in the world in number of deaths from traffic accidents, and between the years of 1996 to 2009 accident mortality rate of motorcycles increased by 800%. This study aimed to identify and understand the factors that motivate the bikers to choose the motorcycle as a means of transport, check if they perceive the risk while driving a motorcycle, identify potential unsafe behavior and meet accident prevention attitudes practiced by them. Opted for a qualitative study of case study type, developed with the biker?s victims of traffic accidents who checked in the operating room of the John XXIII Hospital, located in the city of Belo Horizonte/MG, in the month of March 2016. The method of data collection was the semi-structured interview, recorded in the form of audio, with subsequent transcription. The documents were analyzed from the perspective of content analysis by thematic category. Of the 15 riders, all were men, the median age being equal to 26.9 years. The motivational factors revealed were: the gain in time, the economy provided by the vehicle, the taste for motorcycles, the fact of being a vehicle faster, practicality, agility, being cheaper, the situation of the financial condition is to have a motorcycle and the situation to be the only vehicle available at the time for use of the subject. Motorcyclists realized the risk to which they are exposed, but presented this perception with different approaches, as the clear perception of risk, the risk related to third parties, related the driver associated with the display, continuous risk and also the direct risk is not perceived by the biker. Unsafe behaviors were: lack of attention, high speed, walking in the hallway, in a flash, dangerous overtaking, sew in traffic, acting on impulse, use of alcohol, driving while impaired and exhibitionism. The attitudes of accident prevention revealed were: pay attention, walk slowly, about the signs, not perform dangerous maneuvers in traffic, perform ongoing maintenance of motorcycle, maintaining distance between vehicles, use arrow keys properly and leave home early. It is understood that motivation can be created along the experience of riders that are stimulated by social and cultural issues. In the current context it is observed that the means of capitalist production acts influencing and/or determining the way of life of the people. The survey found the use of the motorcycle with the labor needs. The hospitalization of riders not shown to be a condition that limited their responses for the investigated. The results were similar to some studies conducted in Brazil, but the relationship between the time factor and the financial aspect as a set almost mandatory for the biker in the choice of means of transport.

Made available in DSpace on 2014-12-17T14:16:22Z (GMT). No. of bitstreams: 1 EdnaFS.pdf: 447291 bytes, checksum: a8a04d8832020272ded220816f9ad503 (MD5) Previous issue date: 2008-09-23 / Alcohol is one of the few psychotropic drugs that their consumption has admitted legally and sometimes encouraged by the society. Studies show alcohol as the highest consumption of drugs among young people and society in general, probably because of its availability and easy access. The abuse causes public health problems, which was closely related to the violence, socioeconomic problems and the high number of automobile accidents. Transit is one of the main sectors affected by the effects of alcohol, observing a high incidence in the studies. About half of automobile accidents occurs after the consumption of alcoholic beverage, and the vast majority of cases related to high concentrations of alcohol in the bloodstream. The relationship of drunk with traffic accidents is in fact evident everywhere in the world, including Brazil, where studies have shown a high relationship between alcohol consumption and traffic accidents. This study determined the alcohol in fatal victims of traffic accidents in the state of Rio Grande do Norte and established the profile of this population compared with those found in Brazil and other countries. Samples of blood of ethanol added to fulfillment of the standardization of chromatographic conditions and procedures for the analysis, being employed in the determination of alcohol in blood samples of 277 victims of traffic accidents, collected at the Institute of Scientific Technical Police of Rio Grande do North (ITEP) in the year 2007. The blood alcohol level was determined in these samples correlated with the sex, age and marital status of the victim and the location, day of week and month when the accident occurred, is doing a statistical analysis and outlining a profile of the victims of an accident at transit in the state of Rio Grande do Norte. The parameters of standardization studied ensured the quality of the analytical method and, consequently, to obtain reliable laboratory results. Being given the best temperature for injector (150 ?C), detector (250 ?C) and column (50 ?C) with a flow of gas in the column of 2mL/minutos and analysis of time of 12 minutes. The method was linear in the range of 0.01 to 3.2 g / L (r2 = 0.9989) with average recovery of 100.2% and precision with coefficient of variation less than 15%. The analysis carried out on victims of fatal road traffic accidents, ethanol detected in the blood in 66.43% of the victims and these, 96% showed concentration ≥ 0.2 g / L, 87.73% of victims were male, while 12.27% female. The younger age group (1535 years) was the most involved (52,35%) and most single (55.60%). The accidents occurred with greater prevalence in the day on Monday (27%) followed by Sunday (24,19%) and Saturday (15,52%) and it was found that the prevalence of injuries varied between the different months of the year, and in February (14.4%) and April (10.47%) the months that had a higher number of accidents, however this oscillation showed no statistically significant difference. Also no significant difference was observed between the tracks of concentration found in men and women. The standardized method showed to be efficient, given satisfactorily to the goals of this work, and the high levels of alcohol found in victims of fatal road traffic accidents are consistent with several studies of literature, and the profile of the victim also supported by presenting in its most young adults, male and single / O ?lcool ? uma das poucas drogas psicotr?picas que tem seu consumo admitido legalmente e, ?s vezes, incentivado pela sociedade. Estudos mostram o ?lcool como a droga de maior consumo entre os jovens e na sociedade de forma geral, provavelmente devido ? sua disponibilidade e f?cil acesso. O uso abusivo provoca problemas de sa?de p?blica, estando ele estreitamente relacionado com a viol?ncia, problemas s?cioecon?micos e com o elevado n?mero de acidentes automobil?sticos. O tr?nsito ? um dos principais setores afetados pelos efeitos do ?lcool, observandose alta incid?ncia nos estudos realizados. Aproximadamente metade dos acidentes automobil?sticos ocorre ap?s o consumo de bebida alco?lica, estando a grande maioria dos casos relacionados com altas concentra??es de ?lcool na circula??o sangu?nea. A rela??o da embriagues com os acidentes de tr?nsito ? fato not?rio em toda parte do mundo, inclusive no Brasil, onde estudos demonstraram uma alta rela??o entre o consumo de ?lcool e os acidentes de tr?nsito. Este trabalho determinou a alcoolemia em v?timas fatais de acidente de tr?nsito no Estado do Rio Grande do Norte e estabeleceu o perfil desta popula??o comparando com aqueles encontrados no Brasil e em outros pa?ses. Foram utilizadas amostras de sangue adicionadas de etanol para realiza??o da padroniza??o das condi??es cromatogr?ficas e dos procedimentos de an?lise, sendo empregado na determina??o da alcoolemia em amostras de sangue de 277 v?timas de acidente de tr?nsito, coletadas no Instituto T?cnico Cient?fico de Pol?cia do Rio Grande do Norte (ITEP) no ano de 2007. O n?vel de alcoolemia determinado nestas amostras foi correlacionado com o sexo, idade e estado civil da v?tima e com a localiza??o, dia da semana e m?s em que os acidentes ocorreram, fazendose uma an?lise estat?stica e tra?ando um perfil das v?timas de acidente de tr?nsito no estado do Rio Grande do Norte. Os par?metros de padroniza??o estudados asseguraram a qualidade do m?todo anal?tico e, conseq?entemente, a obten??o de resultados laboratoriais confi?veis. Sendo determinado as melhores temperaturas para injetor (150?C), detector (250?C) e coluna (50?C), com um fluxo de g?s na coluna de 2mL/minutos e tempo de an?lise de 12 minutos. O m?todo foi linear no intervalo de 0,01 a 3,2 g/L (r2 = 0,9989), com recupera??o m?dia de 100,2% e precis?o com coeficiente de varia??o menor que 15%. As an?lises realizadas em v?timas fatais de acidente de tr?nsito, detectaram etanol no sangue em 66,43% das v?timas e destas, 96% apresentaram concentra??o ≥ 0,2 g/L; 87,73% das v?timas eram do sexo masculino, enquanto que 12,27% do sexo feminino. A faixa et?ria jovem (1535 anos) foi a mais envolvida (52,35%) sendo a maioria solteira (55,60%). Os acidentes aconteceram com maior preval?ncia nos dias de segundafeira (27%), seguido do domingo (24,19%) e s?bado (15,52%) e constatouse que a preval?ncia de acidentes oscilou entre os diferentes meses do ano, sendo fevereiro (14,4%) e abril (10,47%) os meses que apresentaram um maior n?mero de acidentes, contudo esta oscila??o n?o apresentou diferen?a estatisticamente significativa. Tamb?m n?o foi observado diferen?a significativa entre as faixas de concentra??o encontradas nos homens e nas mulheres. O m?todo padronizado demonstrouse eficiente, atendendo satisfatoriamente aos objetivos deste trabalho; e os n?veis elevados de alcoolemia encontrados nas v?timas fatais de acidente de tr?nsito s?o coincidentes com v?rios estudos da literatura, sendo o perfil da v?tima tamb?m compat?vel, apresentandose em sua maioria adultos jovens, do sexo masculino e solteiros

Made available in DSpace on 2014-12-17T15:38:54Z (GMT). No. of bitstreams: 1 AndreaCFO.pdf: 316798 bytes, checksum: 81ae091ab46fcf01c0d21ffaf7e5c3c8 (MD5) Previous issue date: 2003-09-18 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The purpose of this study was to investigate indicators of urban bus drivers involvement in transit accidents. We analyzed their involvement in accidents in relation to several indicators suggested by the literature, including the temporal dimension of those bus drivers, as expressed in Zimbardo's Time Perspective Inventory (ZTPI), for previous studies have shown that people more present time oriented revealed greater tendency to engage in risk driving. A questionnaire was applied to 457 bus drivers of the city of Natal, RN, Brazil, with questions about participants socio-demographic information, their professional performance and items on time perspective, presented in a five points Likert type scale. Among the indicators analyzed, the best predictors of traffic accidents were: worried about not being on schedule, family problems, and falling asleep; to work overtime, passengers complaints, work while on vacations and medical leaves. In regard to drivers' time perspective, the sub-scale of "combined present" showed a positive relationship with involvement in transit accidents, while the future scale a negative one, in both cases in accordance with the expect direction, even though the effects have not been statistically significant. The selected predictive variable indicate that traffic accidents are mainly associated to situational factors, that could be prevented through the betterment of work conditions of the bus drivers and other organizational and public policies, since transit accidents should be part of initiatives in the areas of health and safety / O prop?sito deste estudo foi investigar indicadores do envolvimento de motoristas de ?nibus urbano em acidentes de tr?nsito. Relacionamos esse envolvimento em acidentes com v?rios dos indicadores apontados pela literatura da ?rea, incluindo a dimens?o de tempo daqueles motoristas, tal como expressa no Invent?rio Zimbardo de Perspectiva Temporal (IZPT), pois estudos anteriores constataram que pessoas mais ligadas ao presente relatavam maior propens?o de risco ao dirigir. Um question?rio foi aplicado a 457 motoristas de ?nibus de Natal, contendo perguntas sobre atua??o profissional, caracter?sticas sociodemogr?ficas dos participantes e os itens de perspectiva temporal, respondidos em escala de cinco pontos, tipo Likert. Dentre os indicadores investigados, verificamos que os melhores preditores relativos aos acidentes de tr?nsito foram: preocupar-se com dirigir atrasado, com problemas familiares e com o pr?prio sono; fazer horas extras; reclama??es de passageiros, trabalhar durante as f?rias e "colocar" atestados m?dicos. J? em rela??o ? perspectiva temporal dos motoristas, a sub-escala de presente combinado mostrou uma rela??o positiva com o envolvimento em acidentes de tr?nsito, e a de futuro uma rela??o negativa, em ambos os casos conforme o sentido esperado, ainda que os efeitos n?o tenham sido estatisticamente significativos. As vari?veis preditoras selecionadas indicaram que os acidentes de tr?nsito est?o principalmente associados a fatores situacionais, os quais podem ser evitados atrav?s da melhoria das condi??es de trabalho dos motoristas profissionais e das pol?ticas organizacionais e p?blicas, considerando que os acidentes de tr?nsito devem fazer parte dessas iniciativas nas ?reas de sa?de e seguran?a p?blica

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-04-01T19:24:53Z No. of bitstreams: 1 KeliennyDeMenesesSousa_DISSERT.pdf: 2912927 bytes, checksum: da3fe5f8dccb691c767772b606f08085 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-04-06T22:26:10Z (GMT) No. of bitstreams: 1 KeliennyDeMenesesSousa_DISSERT.pdf: 2912927 bytes, checksum: da3fe5f8dccb691c767772b606f08085 (MD5) / Made available in DSpace on 2016-04-06T22:26:10Z (GMT). No. of bitstreams: 1 KeliennyDeMenesesSousa_DISSERT.pdf: 2912927 bytes, checksum: da3fe5f8dccb691c767772b606f08085 (MD5) Previous issue date: 2015-06-01 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Os servi?os de Reabilita??o F?sica (RF) t?m import?ncia fundamental no enfrentamento da epidemia global dos Acidentes de Tr?nsito (AT). Considerando as in?meras sequelas f?sicas e sociais dos sobreviventes, problemas de qualidade no acesso ? RF constituem um agravo ? recupera??o das v?timas. Faz-se necess?rio implementar a gest?o da qualidade destes servi?os, avaliando dimens?es priorit?rias e intervindo nos seus fatores determinantes, a fim de garantir RF dispon?vel em tempo e condi??es oportunas. Objetivou-se identificar barreiras de acesso ? RF considerando a percep??o das v?timas de AT e dos profissionais de sa?de, bem como estimar o acesso ? RF e seus fatores associados. Trata-se de uma pesquisa quali-quantitativa de natureza explorat?ria desenvolvida em Natal/RN com entrevistas semiestruturadas a 19 profissionais de sa?de e de inqu?rito telef?nico a 155 v?timas de AT. Para explorar as barreiras de acesso os discursos foram transcritos e analisados com o software Alceste, vers?o 4.9. Durante as entrevistas utilizou-se a seguinte pergunta norteadora: ?Que barreiras dificultam ou impedem o acesso ? reabilita??o f?sica para v?timas de acidentes de tr?nsito??. A denomina??o das classes e eixos resultantes do Alceste foi realizada por consulta ad hoc a tr?s pesquisadores externos com posterior consenso da denomina??o mais representativa. Realizou-se an?lise multivariada da influ?ncia das vari?veis do acidente, sociodemogr?ficas, cl?nicas e assistenciais sobre o acesso ? RF. As associa??es que apresentaram p<0,20 na an?lise bivariada foram submetidas ? regress?o log?stica, passo a passo, com p<0,05 e Intervalo de Confian?a (IC) de 95%. As principais barreiras identificadas foram: ?Regula??o burocr?tica do acesso?, ?Demora para o acesso?, ?N?o encaminhamento p?s-cirurgia? e ?Inefici?ncia dos servi?os p?blicos?. Essas barreiras foram distribu?das em um modelo te?rico constru?do a partir do diagrama de causa-efeito, no qual se observou que o acesso insuficiente ? RF ? produto das causas associadas ? estrutura organizacional, processos de trabalho, profissionais e usu?rios. Constru?ram-se dois modelos de regress?o: ?Acesso geral ? RF? e ?Acesso ao servi?o p?blico de RF?. Obtiveram acesso ? RF 51,6% dos usu?rios, sendo 32,9% na rede p?blica e 17,9% no servi?o privado. O modelo de regress?o ?Acesso Geral ? RF? foi composto pelas vari?veis ?Renda Familiar? (OR: 3,7), ?Trabalhador informal? (OR: 0,11), ?Desempregado? (OR: 0,15), ?Necessidade percebida de RF? (OR:10,0) e ?Encaminhamento para RF? (OR: 27,5). O modelo ?Acesso ? RF no servi?o p?blico? foi representado pelo ?Encaminhamento para RF? (OR: 23,0) e ?Plano Privado de Sa?de? (OR: 0,07). Apesar da conhecida influ?ncia dos determinantes sociais sobre o acesso aos servi?os de sa?de, situa??o de dif?cil controle pela gest?o p?blica, este estudo encontrou que os processos organizativos e burocr?ticos estabelecidos na assist?ncia em sa?de determinam sobremaneira o acesso ? RF. As falhas no acesso sinalizam a import?ncia do problema, e os fatores associados apontam para interven??es na gest?o do cuidado integral, a fim de melhorar a qualidade e o acesso ? reabilita??o f?sica e evitar prolongamento desnecess?rio do sofrimento dos sobreviventes da epidemia de AT. / The Physical Rehabilitation services (PR) are of fundamental importance in combating the global epidemic of Traffic Accidents (TA). Considering the numerous physical and social consequences of the survivors, quality problems in access to PR are a hazard to recovery of victims. It is necessary to improve the management of quality of services, assessing priority dimensions and intervening in their causes, to ensure rehabilitation available in time and suitable conditions. This study aimed to identify barriers to access to rehabilitation considering the perception of TA victims and professionals. The aim is also to estimate the access to rehabilitation and their associated factors. This is a qualitative and quantitative study of exploratory nature developed in Natal / RN with semi-structured interviews with 19 health professionals and telephone survey to 155 victims of traffic accidents. To explore barriers to access the speeches were transcribed and analyzed using the Alceste software (version 4.9). During the interviews used the following guiding question: ?What barriers hinder or prevent access to physical rehabilitation for victims of traffic accidents??. The names of classes and axes resulting from Alceste was performed by ad hoc query to three external researchers with subsequent consensus of the most representative name of analysis. We conducted multivariate analysis of the influence of the variables of the accident, sociodemographic, clinical and assistance on access to rehabilitation. Associations with p <0.20 in the bivariate analysis were submitted to logistic regression, step by step, with p <0.05 and confidence interval (CI) of 95%. The main barriers identified were: ?Bureaucratic regulation?, ?Long time to start rehabilitation?, ?No post-surgery referral? and ?inefficiency of public services?. These barriers were divided into a theoretical model built from the cause-effect diagram, in which we observed that insufficient access to rehabilitation is the product of causes related to organizational structure, work processes, professional and patients. Was constructed two logistic regression models: ?General access to rehabilitation? and ?Access to rehabilitation to public service?. 51.6% of patients had access to rehabilitation, and 32.9% in public and 17.9% in the private sector. The regression model ?General access to rehabilitation? included the variables Income (OR:3.7), Informal Employment (OR:0.11), Unemployment (OR:0.15), Perceived Need for PR (OR:10) and Referral (OR: 27.5). The model ?Access to rehabilitation in the public service? was represented by the ?Referral to Public Service? (OR: 23.0) and ?Private Health Plan? (OR: 0.07). Despite the known influence of social determinants on access to health services, a situation difficult to control by the public administration, this study found that the organizational and bureaucratic procedures established in health care greatly determine access to rehabilitation. Access difficulties show the seriousness of the problem and the factors suggest the need for improvements in comprehensive care for TA survivors and avoid unnecessary prolongation of the suffering of the victims of this epidemic.

Made available in DSpace on 2014-12-17T14:56:08Z (GMT). No. of bitstreams: 1 AdelsonLL_DISSERT.pdf: 4321760 bytes, checksum: 6713cd42f04db2851670b86192ca27de (MD5) Previous issue date: 2012-12-07 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / This work proposes a collaborative system for marking dangerous points in the transport routes and generation of alerts to drivers. It consisted of a proximity warning system for a danger point that is fed by the driver via a mobile device equipped with GPS. The system will consolidate data provided by several different drivers and generate a set of points common to be used in the warning system. Although the application is designed to protect drivers, the data generated by it can serve as inputs for the responsible to improve signage and recovery of public roads / O trabalho prop?e um sistema colaborativo para marca??o de pontos perigosos em vias de transporte e gera??o de alertas para motoristas. Ele consistire de um sistema de alerta de proximidade de um ponto de perigo, que ser? alimentado pelos pr?prios motoristas atrav?s de um aparelho m?vel equipado com GPS. O sistema dever? consolidar dados fornecidos por v?rios motoristas diferentes e gerar um conjunto de pontos comuns que ser?o usados no sistema de alerta. Embora a aplica??o seja destinada ? prote??o de motoristas, os dados gerados por ela poder?o servir de insumos para os ?rg?os respons?veis melhorarem a sinaliza??o e recupera??o de vias p?blicas