32 resultados para Projectos Piloto


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Pacifier use is very common among children, but despite being considered a harmless article, there is ample evidence of their misdeeds. Therefore, concern about its use is great for us who work in the promotion of breastfeeding. It is this delicate subject in schools because the child, in most cases, already goes to school with the habit installed. The pacifier use may interfere with speech aspect, because the child can come to the wrong talk, dental, dental occlusions, may cause bacterial contamination and encourage early weaning. The aim of this study was to investigate the prevalence of pacifier use among children of pre - school and knowledge of educators about the role of pacifier and its consequences. The research methodology was based on a questionnaire to teachers, monitors and direction and determine the prevalence of pacifier use with parents. According to the result, we developed an orientation for school. The results show that of the 57 children at the age of 4 months to 3 years, 50.88% used a pacifier, 92.98% and 96.49% used the bottle were breastfed. The guidance given after the data collection has clarified many questions for educators. We conclude that the methodology was effective because we can collect data addressing quantitative and qualitative questions and managed to get percentages on pacifier use and breastfeeding and student opinions, comments and more relevant phrases that emerged from parents and educators, complementing the result. Furthermore, through the data, it was possible to do an intervention. The results indicate that half of the children between 4 months and 3 years investigated makes use of a pacifier, so despite the advice given, it would be important to follow up these data over the next few years. We also conclude that a partnership is needed between parents and the school, because if the family does not help, you can not work in school guidance

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This work aims to examine, the behavior of a combustion chamber in pilot scale, coupled to a regenerative burner. The objective is to obtain a computational domain capable of supporting a simulation of conventional combustion and flameless combustion regimes. The objective is to obtain independence of mesh, analysis of the velocity fields of the fluid within the chamber, temperature and concentration profiles of the species emitted during the combustion process

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A Hipertensão Arterial Sistêmica (HAS) tem alta prevalência e baixas taxas de controle, é considerada um dos principais fatores de risco modificáveis e um dos mais importantes problemas de saúde pública. A adesão ao tratamento, assim como o uso correto dos medicamentos, são fatores preponderantes para o sucesso terapêutico. A atenção farmacêutica pode ser definida como interação direta do farmacêutico com o paciente, visando a uma farmacoterapia racional e à obtenção de resultados mensuráveis, voltados para a melhoria da qualidade de vida. O presente estudo teve como objetivo implantar um projeto piloto de Atenção Farmacêutica em 20 pacientes hipertensos, em farmácia privada do município de Matão/SP. Para a realização do estudo piloto foi utilizada a metodologia Dáder para o seguimento farmacoterapêutico adaptada aos pacientes hipertensos selecionados. Os pacientes foram divididos em grupo controle e grupo intervenção. Os pacientes do grupo controle tiveram a pressão arterial (PA) aferida em dois momentos: no início do estudo e ao final. Por outro lado, os pacientes do grupo intervenção foram submetidos à aferição de PA em média 3 vezes por semana e receberam acompanhamento farmacoterapêutico

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This research aims at the study of treatment of clothes washing water through biological treatment, for the purpose of evaluating the reduction of phosphorus to make it suitable for a posterior treatment of physical-chemical. For this purpose it was employed a sequencing batch reactor, consisting of aerobic and anaerobic phases. During the project it was verified not only the reduction of phosphorus (removal of 30 to 50%) but also the reduction of BOD, COD, Turbidity and Nitrate (removal of 38 to 36%, 34 to 41%, 72,3 to 75% and 57,8 to 60% respectively), which demonstrates that the proposed treatment can assist advanced treatments of water for its non potable reuse

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This study investigated the effect of slope and antecedent soil moisture on the water depth stored and percolated on extensive green roofs built in pilot scale. For this purpose, slopes of 10, 20 and 30% were investigated. Moisture was measured before and after each test to determine the differential moisture (ΔU). A rainfall simulator was designed and tested; the best arrangement presents a Christiansen Uniformity Coefficient of 56%. The results yielded that the slopes of 10% presented the highest values of water depth stored (59,88%), water depth percolated (77,15%), the slope of 30% presented the highest water depth drained (48,22%.) and there was no correlation between slope, water depth stored, water depth percolated and ΔU. It was verified the effect of dilution on the modules i10% between water depth percolated and apparent color (0.71%) in i20% between water depth drained and apparent color (-0.748%) and in the module i30% between water depth drained and turbidity (-0.76%) and water depth drained and apparent color (-0.93%). In i10% there was high correlation between pH and water depth percolated (0.94%) and between water depth drained and pH (0.71%). The data indicate that the module i10% had a greater reduction of runoff

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A prescrição médica de insulina e outros medicamentos pode apresentar comprometimento de sua segurança, diante de problemas envolvendo ilegibilidade e ausência de informações. Como consequência instala-se falhas na comunicação e no entendimento do conteúdo prescrito, o que pode ocasionar um erro de medicação com prejuízo terapêutico. Diante disto, o presente trabalho, parte integrante da pesquisa de doutorado “Desenvolvimento e avaliação de um protocolo de atenção farmacêutica intensiva com metodologia educacional de empoderamento para adultos com Diabetes Mellitus tipo 2 – estudo translacional fase 1”, desenvolvido por Drª . Silvia F. L. Cavalheiro, sob orientação da Profª . Drª . Chung Man Chin, teve como objetivo avaliar a segurança das prescrições médicas contendo insulina através da Triagem Técnica das Prescrições Médicas (TTPM), com o intuito de checar eventuais problemas que pudessem afetar a eficácia terapêutica. Metodologia: foi realizado um estudo transversal retrospectivo de 16 prescrições médicas, de 9 adultos com DM2 usuários de insulina. A TTPM foi realizada através da utilização do instrumento específico, elaborado para este fim, onde foram checados eventuais problemas que poderiam afetar a segurança da prescrição de insulina. Resultados e Discussões: foi observado que todas as receitas médicas apresentavam algum problema que pudesse afetar a segurança da prescrição. Dentre os problemas mais observados a falta de informações sobre o paciente (idade e/ou endereço) e o uso de abreviaturas foi encontrada em todas as prescrições. A omissão de dados sobre o prescritor, ou local onde trabalha, como endereço e/ou telefone foi encontrada em 94% das prescrições. Além do mais, 74% das prescrições foram consideradas ilegíveis ou pouco legíveis. Conclusão: os problemas observados envolvem a prescrição inadequada... (Resumo completo, clicar acesso eletrônico abaixo)

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Studies on stress in the sport are broad and profound. However, we do not found approach to study the perceptions of trainers on the subject and how it influences the organization of training throughout the season. From this premise, the aim of this work is to verify that the perception of the trainer about stress and its influence on planning. To this end, we chose a qualitative research, through an open interview, carried out with a trainer for a professional soccer team as a pilot for future studies. The interview responses are consistent with the findings of the literature on the changes in the players arising from the interference of stress in the various dimensions. But it was also possible to identify the trainer interviewed pointed out that stress, especially during the competition changes the preliminary planning, therefore, modify the activities to be applied to players depending on the outcome of matches. This pilot study we subsidized the development of new questions that will be inserted in the continuity of the study

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O presente estudo foi desenvolvido no Parque Estadual Carlos Botelho (PECB), situado na Serra de Paranapiacaba, região sudeste do Estado de São Paulo, Brasil. Ocupa uma área de aproximadamente 37.000 ha e abriga um dos mais bem preservados remanescentes de Mata Ombrófila Densa. No trabalho em questão, foi relacionada a regeneração natural na presença e ausência de Calathea communis (Marantaceae), bem como avaliou-se a interferência dos ambientes de encosta e de fundo de vale sobre o número e diversidade de regenerantes. Para a escolha dos pontos de amostragem, cada um de 6 transectos (com cerca de 1 km de extensão) foi dividido em 20 frações de 50 metros, sendo então sorteados 10 pontos por ambiente topográfico. Das 120 parcelas que amostraram a regeneração (1X1m), 30 envolveram sítios de ocorrência com C. communis em ambiente de encosta, e 30 em fundo de vale. O mesmo se repetiu para as áreas com sua ausência (60 parcelas). Levantou-se os regenerantes, entre 10 e 150 cm de altura, divididos em três classes de tamanho: A (10-15cm), B (16-50cm) e C (51-150cm). Para a classe A, a amostragem foi feita, apenas, para a quantificação de regenerantes; para a classe B houve uma separação por morfoespécies; e para a classe C os regenerantes foram identificados em nível de espécie. Alguns parâmetros de estrutura de habitat foram avaliados para a caracterização dos microsítios: luminosidade, declividade, cobertura de dossel e porcentagem de cobertura de C. communis. Confirmou-se a interferência de C. communis sobre a diversidade e abundância de regenerantes, ficando as variações topográficas (encosta e fundo de vale) com influência secundária sobre sua distribuição.

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As Doenças Cardiovasculares (DCV) são a principal causa de morte no mundo e no Brasil. A dislipidemia é um dos principais fatores de risco associados a DCV, o descontrole no perfil lipídico impacta na aterosclerose e na diminuição da sobrevida. A dislipidemia pode ser tratada farmacologicamente ou através de medidas para mudanças do estilo de vida. O farmacêutico, como profissional da saúde especializado em medicamentos, está habilitado para solucionar Resultados Negativos associados a Medicação (RNMs), trabalhar na melhoria da adesão e na educação em saúde. Este estudo tem o objetivo de implementar um projeto piloto de acompanhamento farmacêutico em usuários com dislipidemia diagnosticada. Método: Foram selecionados 20 indivíduos com idade entre 40 e 64 anos, atendidos na unidade básica de saúde Parque São Paulo, do município de Araraquara- SP (Brasil) que eram diagnosticados com dislipidemia há pelo menos 3 meses e eram usuários de pelo menos um medicamento para tratamento da dislipidemia. Os pacientes foram divididos em dois grupos: o grupo controle, que não receberá intervenção farmacêutica e o grupo intervenção que receberá acompanhamento farmacêutico através do método Dáder, durante o período de 4 meses de estudo. Foram investigadas as variáveis sócio-demográficas, as relacionadas aos hábitos alimentares, as terapêuticas (uso de medicamentos, adesão terapêutica); Escala de auto-relato de adesão desenvolvida por Morisky. Os parâmetros bioquímicos/fisiológicos foram mensurados através do aparelho portátil Accutrend Plus(Roche) de medida do colesterol e triglicérides. Resultados: O presente estudo demonstrou que as intervenções farmacêuticas relacionadas ...

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This project aimed to analyze the feasibility of the methane yield associated to the anaerobic digestion of brewery residues, checking whether the energetic balance of the system is favorable. The methane yield efficiency was calculated for the parameters of two papers that treated solids with a particle-size <1mm. Theses solids are not degraded in conventional treatment systems. Calculations were based in the reactions of anaerobic degradation of the macromolecules that compose brewery residues, considering the theoretical production and the effective production of methane. The results were 50.44% and 52.86%. Regarding to the energy balance of the anaerobic treatment, we noted the high influence of the selection and operating regime of electrical equipment over the potential energy. The best situation, in which the energetic self-sufficiency was reached, was observed when using the mixer under an intermittent regime (1min/h), without employing the heating recirculator, for the maximum organic loading of 4.0 gVS/L.day (days 248-258). In this case, the system would generate an amount of energy equal to 0.0356 kWh/day, able to overcome the energy required by the equipment in about 6.5 times. Moreover, we also noted the interference of the application of different solid loadings in the reactors, once the application of the higher organic load generated 5 times more energy than the application of the smaller one

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This study was developed based on Classical Greek Language classes, reading and translation of texts. There is also the presence of computer elements due to use of Alpheios digital platform. As an example of a larger proposal, this proposal aims at produce translation aligned with the Portuguese and syntactic annotation with the production of the Greek dependency trees. To achieve the goal, we chose Chapter 34, Volume 1 of The Histories from Herodotus. The methods adopted contain a list and description of the instruments and the morphological categories from the guide (manual rules of syntax tree). The procedures adopted are the description of the alignment process and of syntactic annotation. As study results, we have the production line translation and the syntactic annotation of the excerpt 1.34. It was concluded that the study of this text is relevant, because the lexical density of Herodotus it's interesting at future researchers and students that will use the digital platform Alpheios

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The aim of this study was to evaluate the clinical, tomographic, and histological similarity within the use of HA+β-TCP (Boneceramic) alone or associated with enamel matrix derived (EMD) proteins in sinus lifting procedures with subsequent dental implant placement. We selected two patients with residual bony ridges between 3 mm and 5 mm in height in need of bone grafts. Six months later, eight implants were installed (two implants at each site). Biopsies were made, and the tissue was processed and stained with HE solution. Tomographic evaluation showed bone height gain up to 10.0 mm on average. Histology showed new bone formation for both groups, with similar bone density and trabecular interconnectivity. It can be concluded that the HA+β-TCP graft isolated or associated to EMD provided bone height gain in sinus lifting procedures, with similar clinical, tomographic and histological characteristics.

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Introduction: Post-marketing surveillance of drugs aims to detect problems related to safety, effectiveness and quality. The identification of adverse drug events (ADE) is made, mainly, by health professionals´ spontaneous reporting. This method allows risk communication in pharmacovigilance and contributes for market regulation. Objective: To estimate the prevalence of adverse drug reaction (ADR) and the suspicions of therapeutic failure (TF) reported by health professionals; to verify the active principle and type of drugs related to ADE, seriousness, causality, production mechanism and clinical manifestation of the events identified. METHODS: A cross-sectional study was performed in a teaching and public hospital which integrates the Sentinel Hospital Network, in 2008. ADR seriousness was classified according to intensity (mild, moderate, serious and lethal); drugs associated with ADE were categorized according to type (brand name drugs and non-brand name drugs); causality was imputed with Naranjo algorithm and the mechanism of occurrence was analyzed according to Rawlins e Thompson definitions (A or B). Results: There were 103 ADE reports in the period, of which 39 comprised TF and 64 ADR. Nurses reported the most ADE (53.4%). The majority of ADR were classified as type A (82.8%), mild (81.3%), possible (57.8%), according to causality assessment, and related to brand name drugs (20/35). Human immunoglobulin, docetaxel and paclitaxel were the drugs frequently associated with ADR. TF arising from no-brand name drugs (26/29), regarding, mainly, midazolam and ganciclovir. Conclusion: The results of the ADE report contribute for proposition of trigger tools for intensive monitoring of drug safety, as well as for the supplier qualification and for the improvement of quality products.