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Submitted by (lucia.rodrigues@ufrpe.br) on 2016-05-31T12:25:23Z No. of bitstreams: 1 Claudio Renato Oliveira Beltrao de Castro.pdf: 978515 bytes, checksum: 5a5daa013c934b7b147e114cfdb15d39 (MD5) / Made available in DSpace on 2016-05-31T12:25:23Z (GMT). No. of bitstreams: 1 Claudio Renato Oliveira Beltrao de Castro.pdf: 978515 bytes, checksum: 5a5daa013c934b7b147e114cfdb15d39 (MD5) Previous issue date: 2013-08-28 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / The early identification of cardiac activity changes is of great importance in veterinary medicine for small animals like dogs. These changes can be due congenital cardiac problems, including that arising the aging. When these pets are submitted to effort is possible the observation of cardiac diseases before without symptoms and that can lead to death of the animal. It´s possible prevent and to diagnosis some of these cardiopathies with clinical and lab exams. A low cost exam and of fundamental importance in clinical is the electrocardiogram (ECG). In this research the ECG was analyzed using a nonlinear mathematical method, the Detrended Fluctuation Analysis, that allows identifies changes of the patterns in a heart rate time series, sometimes imperceptible to the cardiologist. Here DFA was used to assess the heart rate oscillations observed using the RR interval of the ECG in healthy adult dogs, aiming to establish parameters to characterize changes in heart rate. The heart rate fluctuations in Rottweiler breed dogs could be parameterized by the coefficients α-DFA, whose median and interquartile range were, respectively equals to: α=0.6618(0.6161-0.6953; n=7) in the rest and α=0.8293(0.7837-0.8811; n=7) post-effort, which differ at a significance level p <0.05. Therefore, the DFA was efficient to differentiate the heart rate series in the rest relative to post-effort. / A identificação precoce de alterações na atividade cardíaca é de grande importância na medicina veterinária para pequenos animais, tais como os cães, que podem apresentar alterações que vão desde problemas cardíacos congênitos até os decorrentes da idade. Quando estes animais são submetidos ao esforço é possível observar o aparecimento de alterações cardíacas antes assintomáticas, que podem levar até a morte do animal. É possível prevenir e diagnosticar algumas dessas cardiopatias através de exames clínicos e laboratoriais. Um exame de baixo custo e de extrema importância na clínica é o Eletrocardiograma (ECG). Nesta pesquisa foi empregado na análise do ECG um método matemático não-linear, a Análise de Flutuações sem Tendência (Detrended Flutuation Analysis – DFA), que permite identificar alterações de padrões numa série temporal da frequência cardíaca, algumas vezes imperceptíveis ao cardiologista. Neste trabalho o DFA foi usado na avaliação das oscilações da frequência cardíaca, observadas através dos intervalos R-R do ECG em cães hígidos adultos, objetivando estabelecer parâmetros para caracterizar alterações na frequência cardíaca. As oscilações das frequências cardíacas em cães da raça Rottweiler puderam ser parametrizadas através de seus coeficientes α-DFA, cujos valores medianos e intervalos interquartis foram, respectivamente, iguais a α= 0,6618(0,6161-0,6953; n=7) no repouso e α=0,8293(0,7837-0,8811; n=7) no pós-esforço, valores que diferem entre si ao nível de significância p<0,05. Portanto, o DFA foi eficiente na distinção entre séries de frequências cardíacas de cães no repouso em relação ao esforço.

The diploma thesis deals the cretion of the ECG signal and its potential morphology. A signal is generated using a program that is created in MATLAB. On the basis of these methods of describing the signal, was chosen method, based on the similarity of ECG with sinus respectively. triangular pattern. Generated by the program can draw the ECG signal by assignment of pulse rate, lenght of the signal, sampling rate and modifications of the waves and oscillations. One or more predefined noise can be added to the signal. Generated signal is possible to save to the format that supports program MATLAB.

The diploma thesis presents the development of selected monitoring techniques of basic life functions in historical continuity. From the measured variables, this work includes measurements of cardiac activity, blood pressure, pulse, respiration and body temperature of the adults patients with intensice care in a historical context. This is a theoretical diploma thesis, which is divided into several chapters describing the history of nursing, a view of the monitoring in intesive care in the historical context to the presents. The first part of this historical work describes the beginnings of nursing. Its own origin and development, until now. The prestige of the nurse´s profession is formed by the society. In the leading positions in medicine previously dominated the men, in nursing care mainly women. A balanced relationship between a nurse and a doctor has been and is very important. The next part is devoted to the development of intensive care and the development of the role of the nurse in these departmenst. The history of intensive care has led to new partnership relationships between physician and nurse. There was an unfamiliar environment in which critical patients had to be cared for. This new role for the sister led to the increase of copetencies, there was a need to increase the education activity that focused on intensive care area. The view of urgent condition has changed over time. Already in the early sources, the urgent condition was described as a condition in which the health and life of the affected person is urgently threatened. These urgent conditions gave rise to the first beds for intensive care. Futher, the development of all monitoring techniques to date, servise of the monitoring technology. The negatives associated with monitoring technology are described too. The thesis will be used as a preview of changing nursing care in the context of changes in monitoring techniques of the intensive care.