Impacto do padrão geométrico ventricular na remodelação cardíaca após o infarto do miocárdio

BACKGROUND: The relevance of left ventricular (LV) geometric pattern after myocardial infarction is not known. OBJECTIVES: To analyze the presence of different LV geometric patterns and teir impact as a predictor of remodeling in patients with myocardial infarction. METHODS: Patients with anterior acute myocardial infarction (n = 80) were divided according to the geometric pattern: normal (normal left ventricular mass index [LVMI] and normal relative wall thickness [RWT]), concentric remodeling (normal LVMI and increased RWT), concentric hypertrophy (increased LVMI and RWT) and eccentric hypertrophy (increased LVMI and normal RWT). After six months, echocardiographic assessment was repeated. RESULTS: Four patients died. Of the survivors, 41 showed remodeling (R +), whereas 39 did not (R-). Considering the geometric pattern, the cases were distributed as follows: 24 patients with normal pattern, 13 with concentric remodeling, 29 with concentric hypertrophy and 14 with eccentric hypertrophy. Patients who showed remodeling had larger infarction sizes analyzed by peak CPK (R + = 4,610 (1,688-7,970), R- = 1,442 (775-4247), p <0.001) and CK-MB (R + = 441 (246 - 666), R- = 183 (101-465), p <0.001), trend towards higher prevalence of concentric remodeling (R+ = 10, R- = 3, p = 0.08) and lower prevalence of eccentric hypertrophy (R + = 2 R- = 12, p = 0.006). In the multivariate regression analysis, infarction size was a predictor (OR = 1.01, p = 0.020) and eccentric hypertrophy was a protective factor (OR = 0.189, p = 0.046) of ventricular remodeling after coronary occlusion. CONCLUSION: The LV geometric pattern of can have an impact on the remodeling process in patients with myocardial infarction.

Gestão de Estoques: análise e melhoria do processo de inventário físico em uma indústria siderúrgica

Accuracy in physical inventory process is essential to develop anefficient inventorycontrol. This ensures the availability of products and ensure that the information contained in the information systems areinaccordancewith the reality of inventories. The inventory management policies of the company aim ofthis study established that all the materials in their inventory must becounted, which is proving a challenge. Therefore, the aim of thiswork is to identify the critical inventories and analyze them, seeking flaws and possible improvements in the inventory count process. For this, we used the tools of quality management, such as Pareto and Cause and Effect Diagrams in an action research. The results show that the stocks of finished products are critical in volume and can be hampered by a lack of training and personnel trained in performing the process, as well as limitations in ERP used. With the actions taken against these problems, we could notice an improvement in the process, because the data collection and processing of data has become easier, besides the occurrence of errors decreased. In addition, there was an acceleration in meeting targets compared to the previous period

Aumento da precisão do controle de estoque: pesquisa ação em indústria de bens de consumo

This work is an action research conducted in an industry of consumer goods, presenting a new model of inventory management in the company's processors. This replacement of the inventory management of the company stemmed from the need to reduce the large number of deviations in the product write off in stock, thereby generating a low accuracy and reliability of data on inventories of processors shown by the company's ERP system. Spending on inventory adjustments could thus be reduced with the implementation of the new model, thus generating a cost savings for the company and thus increasing their competitive potential in the market. In the old system adopted by the company, write off raw material inventory was done automatically by the system for customized transactions by the company. However, since the implementation of ERP in the company, the automatic write off based on historical consumption of each product were made in many cases at random, generating a lot of mistakes. The new management system has replaced the automatic system by manual at the time of the return of the processed product in the company, thus creating a control which lots and quantities were consumed in the processing and making the stock shown by the ERP reliable and accurate

Classificação de workflows baseados em web services

Over the last decades changes have occurred in communication within and between enterprises, made easier by technologies suchas E-commerce, Internet, ERP systems and remote meetings and there was a rapid progress in network technology, which has changed the way business is done. A standardized way to offer services over the internet is using web services. Web services are a kind of remote procedure call and are generally used to integrate systems, independent of language, both client and server. It is common to use several web services run in sequence to perform a business process. To this type of process, gives the name of workflow. Thus, Web services are the primary components of workflows. A tool that provides a way of visualizing the behavior of a workflow can assist the administrator and is required. The present work presents the development of a tool that allows the administrator to classify visually services components and evaluate their importance in the final performance of a workflow. As proof of concept we used several virtual servers and computers where each computer has received a set of web services. A proxy was added between each call of workflows collecting relevant information and storing them in a database for later analysis. The analysis was based on Quality of Service parameters

MiLoc-Sys Mobile: gestão em locação

Companies that invest in current technologies maintain themselves updated, improve their business rules and anticipate themselves against rivals providing a better service to their customers. This project aims to develop an ERP - Enterprise Resource Planning module for Android which complements an existing manager system and, that attends the needs of a rental equipment business for civil building, i.e., it improves the communication channel company-client and betters the identification and control of products. During the developing of this project, it was necessary to study the company business rules, analyze the requirements and the appropriate technologies. This project was organized in two parts, contemplating e ach of these needs. It were implemented specific modules for generate budgets and pre-orders in the first part and, the use of radiofrequency tags in the second one. Thus, it was possible to assign mobility to company business rules so that a better rental service can be provided and the equipments can be better managed

Modeling architecture and reference models for the ERF5 project

The adoption of ERPs systems by small and middle-sized companies may not be possible due to their cost. At the same time, when adapting ERP to the company's particular needs, the user keeps depending on the system's sellers due to the lack of access and knowledge of the respective code. Free and open-source software may promote advantages to the enterprises, however, for its adoption it is necessary the development of techniques and tools in order to facilitate its deployment and code maintenance. This article emphasizes the importance of defining modeling architectures and reference models for the development and maintenance of open-source ERPs, in special the ERP5 project.

Gastric and small intestinal lesions after partial stomach resection with Billroth II or Roux-en-Y reconstruction in the rat

The evolution and phenotypic expression of mucosal lesions of the gastric stump were investigated in male rats submitted to gastric resection with reconstruction by the Billroth II technique (BII with biliopancreatic reflux, BPR) or by the Roux-en-Y procedure (without BPR). Animals were studied at 24, 36, 54 and 64 weeks after surgery and the phenotypic expression of lesions analysed using routine hematoxylin and eosin staining, immunohistochemical staining for pepsinogen isoenzyme 1 and histochemical procedures for mucins (paradoxical concanavalin A, galactose oxidase Schiff (GOS) and sialidase GOS reactions). BPR was found to be responsible for the formation of adenomatous hyperplasia (AH), increasing in incidence and size with time, since the Roux-en-Y procedure failed to induce the gastric stump lesions observed after BII reconstruction. AHs always occurred in the transition of the gastrojejunal junction, a site offering special conditions for BPR influence, and were classified as gastric (G), intestinal (I) and G+I types according to their phenotypic expression. No pure I type AH was diagnosed at any time point. The G and G+I types developed at approximately equal incidences (i.e., G type 7/17, G+I type 10/17 at the 64th week). It was suggested that both gastric and intestinal mucosal elements were stimulated to proliferate by BPR, with the gastric mucosa tending to demonstrate AH. Intestinal type components of AH were found adjacent to the jejunum and not at the stomach margin, indicating an origin from intestinal mucosa. No metaplasia of the gastric mucosa was observed in any animal after partial gastric resection. In 101 rats submitted to the BII procedure, 5 mucinous adenocarcinomas were eventually diagnosed, mostly located in the subserosa of the gastrojejunal junction. All carcinomas expressed the phenotype of cells of the small intestine. Evidence of malignant transformation within the gastric components of AH was not observed even at the 64th week. In conclusion, all lesions induced by BPR in the rat remnant stomach are benign, and the few true cancers that arise in association are derived from the small intestine.

Resting heart rate and auditory evoked potential

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Reestruturação e automação de processos: caso de um processo da área de compras e suprimentos de uma empresa brasileira do setor de mídia

Innovation in the field of Information Technology (IT) have made companies evaluate their processes and activity of its supply chain to conform to this new reality. In the supply chain management, one of the tools that revolutionized the activities was the use of management information systems such as ERP tool. This system allows greater integration of data from multiple areas of the enterprise and beyond, giving more activities to processes and activities. This work aims to analyze the results and impacts of the restructuring of an equipment leasing process in a Brazilian media company and verify that the gains and improvements that were targeted in the initial design of this restructuring have been achieved. Also the risks identified with this change will be studied, the reactions of those involved in this process and the performance of the chain as a whole. To carry out this work was carried out a single case study with data collection in the assessed company and literature related to supply chain and information systems