173 resultados para justificativa
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Pós-graduação em Linguística e Língua Portuguesa - FCLAR
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Pós-graduação em Televisão Digital: Informação e Conhecimento - FAAC
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BACKGROUND AND OBJECTIVES: Vaginal birth delivery may result in acute and persistent perineal pain postpartum. This study evaluated the association between catastrophizing, a phenomenon of poor psychological adjustment to pain leading the individual to magnify the painful experience making it more intense, and the incidence and severity of perineal pain and its relationship to perineal trauma. METHOD: Cohort study conducted with pregnant women in labor. We used the pain catastrophizing scale during hospitalization and assessed the degree of perineal lesion and pain severity in the first 24 hours and after 8 weeks of delivery using a numerical pain scale. RESULTS: We evaluated 55 women, with acute pain reported by 69.1%, moderate/severe pain by 36.3%, and persistent pain by 14.5%. Catastrophizing mean score was 2.15 ± 1.24. Catastrophizing patients showed a 2.90 relative risk (RR) for perineal pain (95% CI: 1.08-7.75) and RR: 1.31 for developing persistent perineal pain (95% CI: 1.05-1.64). They also showed a RR: 2.2 for developing acute and severe perineal pain (95% CI: 1.11-4.33). CONCLUSIONS: The incidence of acute and persistent perineal pain after vaginal delivery is high. Catastrophizing pregnant women are at increased risk for developing acute and persistent perineal pain, as well as severe pain. Perineal trauma increased the risk of persistent perineal pain.
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The prophylactic effect of ondansetron on subarachnoid morphine-induced pruritus is controversial, while evidence suggests that droperidol prevents pruritus. The aim of this study is to compare the effects of droperidol and ondansetron on subarachnoid morphine-induced pruritus. 180 ASA I or II patients scheduled to undergo cesarean sections under subarachnoid anesthesia combined with morphine 0.2mg were randomized to receive, after the child's birth, metoclopramide 10mg (Group I - control), droperidol 2.5mg (Group II) or ondansetron 8mg (Group III). Postoperatively, the patients were assessed for pruritus (absent, mild, moderate or severe) or other side effects by blinded investigators. Patients were also blinded to their group allocation. The tendency to present more severe forms of pruritus was compared between groups. NNT was also determined. Patients assigned to receive droperidol [Proportional odds ratio: 0.45 (95% confidence interval 0.23-0.88)] reported less pruritus than those who received metoclopramide. Ondansetron effect was similar to metoclopramide [Proportional odds ratio: 0.95 (95% confidence interval 0.49-1.83)]. The NNT for droperidol and ondansetron was 4.0 and 14.7, respectively. Ondansetron does not inhibit subarachnoid morphine-induced pruritus.
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Pós-graduação em Bases Gerais da Cirurgia - FMB
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Objective – To collecting data about the main explanations for glosses and demonstrating the percentage of production loss in the odontologic procedures. Methods – It is about an epidemiological study of historical series, retrospective and quantitative, based on the data collection of DATASUS information system and reports realized by the city of Aquidauana/MS audit system from 2001 to 2010. Results – The results show that in this period, 921.300 odontologic procedures were presented as production; being 223.226 (24,2%) individual procedures and 698.074 (75,8%) collective. There were 23.881 (2,6%) glosses, being 10.158 (42,5%) in the collective procedures and 13.723 (57,5%) in the individual ones. The main cause for glosses related to individual procedures was the repetition of procedures for the same patient and the same tooth (42,4%). In the collective activities, it was the non-accomplishment of the oral health collective program (68,9%). There was an increase of loss in the individual procedures going from less than 5% in the period of 2001 to 2007; to 5,8 % in 2008; 8,9% in 2009 and 14,1 % in 2010 and in the collective procedures the loss reached 4% in 2010. Conclusion – It was concluded that the most frequent cause of glosses explanation was the repetition of procedures for the same patient and the same tooth in the individual cases and the non-accomplishment of the oral health collective program in the collective activities. The importance of the audit system as a trust-worthy instrument for the managers in the planning and evaluation of health actions with the intention of guarantee the solution of the serv-ices provided.
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Pós-graduação em Serviço Social - FCHS
A ficção portuguesa contemporânea na revista Colóquio Letras: seção “Recensões Críticas” (1971-2013)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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The theme of solid waste is in high evidence today, a fact noted by the recent implementation of the European directive, and in Brazil, by the National Solid Waste Policy. Understanding the impact of this policy on the national scientific production is essential to plan new directions and research trends. Through a bibliometric and scientometric studied, this research analyzed the national and global context of the last 20 years and found areas in which research progressed, as municipal solid waste, and essentials gaps to develop more the national state-of-the-art, as solid waste of transport. So, the results of this study are a plausible tool to justify for further research on this topic.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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This paper presents the application of fuzzy theory to support the decision of implementing energy efficiency program in sawmills operating in the processing of Pinustaeda and Pinuselliotii. The justification of using a system based on fuzzy theory for analysis of consumption and the specific factors involved, such is the diversity of rates / factors. With the fuzzy theory, we can build a reliable system for verifying actual energy efficiency. The indices and factors characteristic of industrial activity were measured and used as the basis for the fuzzy system. We developed a management system and technology. The system involves the management practices in energy efficiency, maintenance of plant and equipment and the presence of qualified staff. The technological system involves the power factor, load factor, the factor of demand and the specific consumption. The first response provides the possibility of increased energy efficiency and the second level of energy efficiency in the industry studied. With this tool, programs can be developed for energy conservation and energy efficiency in the industrial timber with wide application in this area that is as diverse as production processes. The same systems developed can be used in other industrial activities, provided they are used indices and characteristic features of the sectors involved.
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The main objective of this paper was to verify the influence of the organization and management in social responsibility the decision of adoption, choice, justification and implementation of innovation in elaborates of sugar, ethanol and energy companies of the midwestern state of São Paulo. Using multivariable analysis of principal components and clusters, the variables were analyzed and companies classified. Adapted to contemporary situations, the Freeman (1975) model of taxonomies was the parameter with research information in personal interviews by semi-structured questionnaires. The activities investigated were the existence of programs and organization to improve the welfare and quality of life to employees and family (leisure, culture, health, self-knowledge, values, beliefs etc.), program and social volunteering organization for the community, programs and organization to encourage the training of educators and extension education and incentive programs and organization to research and scientific production. It was concluded that the best companies which included, in their organization structures, management practices embodied in social responsibility.
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The primary objective of this study was to verify the existence of internal organization and processes influencing the decisions on adoption, choice, justification and implementation of innovative practices of scientific and technical activities undertaken in the elaborates of sugar, ethanol and energy companies of the midwest of the state of Sao Paulo. Using multivariate analysis of principal components and clusters, the variables were analyzed and the companies, classified. The taxonomy model adapted to contemporary situations described by Freeman (1975), was the 'parameter used with research information in personal interviews by semi-structured questionnaires. The investigated activities constituted of: basic research; applied research; experimental development; scientific and technical information; long-term planning. The variables analyzed were: production processes, operating systems, development of new products, projects and implementation of pilot plant for new products, development, knowledge, studies of other business segments, number of innovations, and the number of existing employees in the organizational structure for these purposes. It was concluded that the best companies with innovative attitudes are those that have incorporated into their organizational the structures, practices and techniques of scientific activities.
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Pós-graduação em Desenvolvimento Humano e Tecnologias - IBRC