RESUMO
RESUMO Este trabalho objetivou avaliar os efeitos da progressão da magnitude da consequência individual concorrente com a consequência cultural sobre a recorrência de um entrelaçamento previamente selecionado por consequências culturais em um arranjo de metacontingências de autocontrole ético. Estudantes universitários compuseram duas microculturas de laboratório, as quais foram expostas a um delineamento ABACDC, em que, nas condições A e B, havia concorrência entre metacontingências e contingências operantes e, nas condições C e D, tal concorrência foi suspensa. Adicionalmente, houve progressão da magnitude da consequência individual para as respostas impulsivas (que beneficiam apenas o indivíduo) nas condições B e D. Os resultados indicaram seleção de práticas culturais de autocontrole ético tanto nas condições sem concorrência, quanto nas condições com concorrência.
ABSTRACT This study aimed to evaluate the effects of progression of the magnitude of individual consequence concurrent with cultural consequence on the recurrence of an interlocking previously selected by cultural consequences in a metacontingency arrangement of ethical self-control. Undergraduate students were assigned to two laboratory microcultures, which were exposed to an ABACDC design. The conditions A and B have concurrence between metacontingencies and operant contingencies and in C and D conditions such concurrence was suspended. Additionally, there was progression of the magnitude of the individual consequence result of impulse responses (receiving individual) in B and D conditions. The data indicated selection of ethical self-control cultural practices in both conditions, no concurrence and concurrence.
RESUMO
OBJECTIVE: To identify the prevalence of pulmonary complications in children undergone cardiac surgery, as well as demographic and clinical characteristics of this population. METHODS: The sample comprised 37 children of both genders, underwent cardiac surgery at the Hospital Universitário Presidente Dutra, São Luis (MA) during the year of 2007. There were not included patients who had lung disease in pre-operative period, patients with neurological disorders, intra-operative death besides lack of data in medical records. The data were obtained from general medical and nursing staff of their medical records. RESULTS: The population of the study was predominantly composed by female children, from the countryside and at school age. Pathologies considered low risk were the majority, especially the patent ductus arteriosus, interventricular communication and interatrial communication. It was observed that the largest share of children made use of cardiopulmonary bypass for more than 30 minutes, with a median of 80 minutes, suffered a median sternotomy, using only the mediastinal drain and made use of mechanical ventilation after surgery, with the median about 6.6 hours. Only three (8.1%) patients developed pulmonary complications, and of these, two died. CONCLUSION: Most of the sample was female, school aged and from the countryside. The low time of cardiopulmonary bypass and mechanical ventilation, and congenital heart disease with low risk, may have been factors that contributed to the low rate of pulmonary complications postoperative.
