126 resultados para Instrumentals and substantives criteria
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Os bancos de sangue de cordão umbilical e placentário foram criados a partir da comprovação de que o sangue de cordão umbilical e placentário (SCUP) é uma fonte rica em células progenitoras hematopoéticas (CPH) e alternativa às células provenientes da medula óssea para transplante, fato que gerou o interesse pelo armazenamento das células nele contidas. A legislação brasileira distingue bancos para uso alogênico não aparentado (públicos) e para uso exclusivamente autólogo (privados). Por sua vez, o armazenamento de SCUP para uso familiar (doação dirigida) pode ser realizado em bancos de sangue de cordão umbilical e placentário públicos, serviços de hemoterapia ou centros de transplante, quando há um membro da família do nascituro com doença diagnosticada e que necessite de transplante de CPH como tratamento. Apesar de a legislação ser clara, a Anvisa tem identificado o interesse sobre a possibilidade da liberação de unidades de SCUP, armazenadas em bancos autólogos, para a utilização de outrem, familiar, além do recém-nascido beneficiário. O objetivo do trabalho visa promover a reflexão sobre uma possível modificação dos parâmetros legais nacionais que regem os bancos de SCUP autólogo, tornando-os bancos com vistas ao uso familiar, por meio da exposição dos principais elementos relacionados ao tema. O estudo analisou os critérios técnico-sanitários legais para regulamentação dos bancos; descreveu as características das CPH de diversas fontes e tipos de doação para transplante; contextualizou a relação com os princípios da Bioética; avanços sobre terapia e pesquisas relativas às CPH; e discutiu possíveis riscos envolvidos no processo.
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Este artigo apresenta os principais resultados de uma pesquisa concluída que teve como objeto de estudo a função de coordenação pedagógica na rede estadual paulista, com destaque para o trabalho do professor coordenador pedagógico (PCP). A partir de um estudo bibliográfico-documental, analisamos as principais resoluções publicadas pela Secretaria de Estado da Educação de São Paulo no período de 1996 a 2010. Para a definição do período de análise, foram consideradas as sucessivas medidas educacionais de natureza neoliberal ocorridas na referida rede de ensino. A partir das resoluções selecionadas, foram estabelecidas algumas categorias de análise relacionadas à função: denominação, justificativa e atribuições legais; requisitos necessários para os professores coordenadores e critérios de escolha; avaliação do trabalho realizado e bibliografia básica solicitada nos processos seletivos. A análise dos documentos legais permite identificar a apropriação da função pelas reformas educacionais recentes, reconhecendo as implicações para o trabalho docente e para a organização da escola. Influenciadas por princípios gerencialistas e performáticos, as reformas educacionais promoveram profundas alterações na natureza do trabalho do professor coordenador pedagógico, o qual, de articulador no âmbito da escola, passou a ser legalmente o sujeito responsável pela disseminação das medidas oficiais e pelo controle das atividades docentes.
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Variações nos atributos do solo dependem da posição do solo na paisagem e processos de drenagem, erosão e deposição. Este estudo objetivou avaliar os atributos físicos e químicos do solo, em uma topossequência de origem basáltica, na região de Batatais (SP). A área possui relevo aplanado e altitude oscilando entre 740 m e 610 m, em região dominada por basaltos. Foi estabelecido caminhamento de 3.000 m, a partir do espigão da vertente, no seu declive mais suave. As superfícies geomórficas foram identificadas e delimitadas conforme critérios topográficos e estratigráficos, com base em intensas investigações detalhadas de campo. Foram coletadas amostras laterais aos perfis modais representativos das diversas superfícies geomórficas (S.G.) da topossequência (S.G. I = topo; S.G. II = meia encosta e sopé de transporte; S.G. III = ombro e sopé de deposição), totalizando 142 amostras. Além disto, foram abertas trincheiras, nos segmentos de vertente inseridos nas superfícies geomórficas mapeadas. As amostras coletadas foram analisadas quanto à densidade do solo, textura, bases trocáveis (Ca2+, K+ e Mg2+), soma de bases, capacidade de troca catiônica, saturação por bases, pH (água e KCl), SiO2, Al2O3, Fe2O3 (ataque por H2SO4), óxidos de Fe livres extraídos com ditionito-citrato-bicarbonato e Fe mal cristalizado extraído com oxalato de amônio. Os resultados revelaram que os solos oriundos de basalto apresentaram atributos físicos e químicos com comportamento dependente das formas do relevo. Com o uso de técnicas estatísticas multivariadas, foi possível distinguir três diferentes ambientes, que equivalem às três superfícies geomórficas.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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O chá preto é uma das bebidas mais consumidas no mundo. Essa bebida é feita a partir da infusão de folhas processadas de Camellia sinensis, que é cultivada em mais de 30 países, tendo grande importância socioeconômica. Estudos sugerem que o chá tem efeito protetor contra diversos tipos de câncer e doenças cardiovasculares devido à presença de polifenóis denominados catequinas, que são oxidadas enzimaticamente durante o processamento das folhas, gerando uma mistura constituída principalmente de teaflavinas, teasinensinas e tearubiginas. A produção mundial de chá tem aumentado mais do que o consumo, provocando redução do preço que, juntamente com o aumento no custo de produção, implica a necessidade de alta produtividade e qualidade. Apesar disso, ainda não foram estabelecidos critérios precisos e eficientes para predizer a qualidade do chá a partir das folhas, bem como quais práticas agronômicas contribuem para o aumento da qualidade. No Brasil, a cultura do chá se concentra no Vale do Ribeira, em São Paulo (SP), sendo quase toda produção exportada. Apesar de o produto brasileiro não ser de alta qualidade, tem conseguido bons preços no mercado internacional. A produção brasileira, a área de produção e o número de indústrias de chá vêm diminuindo ao longo dos últimos anos, o que demonstra a necessidade de investimentos.
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Background: Obstructive sleep apnea (OSA) is a respiratory disease characterized by the collapse of the extrathoracic airway and has important social implications related to accidents and cardiovascular risk. The main objective of the present study was to investigate whether the drop in expiratory flow and the volume expired in 0.2 s during the application of negative expiratory pressure (NEP) are associated with the presence and severity of OSA in a population of professional interstate bus drivers who travel medium and long distances.Methods/Design: An observational, analytic study will be carried out involving adult male subjects of an interstate bus company. Those who agree to participate will undergo a detailed patient history, physical examination involving determination of blood pressure, anthropometric data, circumference measurements (hips, waist and neck), tonsils and Mallampati index. Moreover, specific questionnaires addressing sleep apnea and excessive daytime sleepiness will be administered. Data acquisition will be completely anonymous. Following the medical examination, the participants will perform a spirometry, NEP test and standard overnight polysomnography. The NEP test is performed through the administration of negative pressure at the mouth during expiration. This is a practical test performed while awake and requires little cooperation from the subject. In the absence of expiratory flow limitation, the increase in the pressure gradient between the alveoli and open upper airway caused by NEP results in an increase in expiratory flow.Discussion: Despite the abundance of scientific evidence, OSA is still underdiagnosed in the general population. In addition, diagnostic procedures are expensive, and predictive criteria are still unsatisfactory. Because increased upper airway collapsibility is one of the main determinants of OSA, the response to the application of NEP could be a predictor of this disorder. With the enrollment of this study protocol, the expectation is to encounter predictive NEP values for different degrees of OSA in order to contribute toward an early diagnosis of this condition and reduce its impact and complications among commercial interstate bus drivers.
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This study aimed to use the generalized linear models with probit and logit link function to evaluate early pregnancy, and to observe the effects on genetic variability and on sire selection when different ages are adopted in the definition of this trait. Early pregnancy was studied at 15 (EP15), and 21 (EP21) months. The analysis was done in R software. Pearson correlations (PC), between genetic predicted values and percentage of bulls in common considering only 10% of bulls with higher genetic values (TOP 10), between classification by logit and probit models and in each model among EP15 and EP21, were calculated. The heritability for EP15 and EP21 were close between models, except for EP15 using probit link function. PC and TOP10 among models were high. The Akaike and Bayesian criteria reported was similar between models. TOP10, considering the same model, among EP15-EP21 were moderated between EP15-EP21.
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In this paper, we consider a vector optimization problem where all functions involved are defined on Banach spaces. We obtain necessary and sufficient criteria for optimality in the form of Karush-Kuhn-Tucker conditions. We also introduce a nonsmooth dual problem and provide duality theorems.
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Patients under treatment with oral anticoagulants present specific needs for which nursing care plays an important role, especially to prevent complications. The present review was carried out aiming at discussing nursing diagnoses for these patients by using the system of the North American Nursing Diagnoses Association--NANDA. Diagnoses for such patients depict the risk of bleeding and rethrombosis almost always due to the ineffective control of the therapeutic regimen and the deficit in the volume of fluids during active bleeding. Also, nursing interventions and assessment criteria are proposed for such conditions. The authors see the team's preparation to deal with such therapy as relevant for successful assistance.
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This paper presents a proposal of a model to measure the efficiency of outsourced companies in the aeronautical industry applying the methods DEA and AHP. It also proposes an evaluation in the relation between the variables of the process and the value obtained for the effiiency. The criteria of Quality, Time and Cost were considered the outputs of the process, and those criteria were quantified by AHP for DEA matrix.The number of technical documents received by those outsorced companies were considered the input of the process. The other purpose is to separate the companies in groups considered able to receive an investment to improve their process. Copyright © 2008 SAE International.
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According to the Word Health Organization, adverse drug reactions (ADR) are any harmful and non intentional answer which occurred in doses normally used in human beings. The ADR can be responsible for 2.4% to 11.5% of hospital admissions. Therefore, this study aimed at knowing the admitted patient's demographic profile due to possible ADR, identifying the most frequent drugs and complaints, and evaluating the incidence of hospital admission related to drug use. Patients who were 18 years old or more and were admitted during a period of one month to a medical clinical of a general hospital were interviewed for one month about drug use before being admitted, as well as regarding to the complaint which led them to hospital. These information were analyzed according to official data, like MICROMEDEX® and WHO criteria as well. It was observed that the admission due to drug use occurred in most part of the cases in elderly [47.5% (66/139)] and women [62% (87/139)]. The most frequent drugs used were: omeprazole (16), analgesics (31), antihypertensive (31), simvastatin (7) and formoterol fumarate (6), and the symptoms were normally associated to the digestive (20.5%), circulatory (20.2%), respiratory (18.2%) and central nervous systems (13.9%). It was estimated that 15.5% (139/897) of the hospital admission occurred possibly due to the drug use. The data found by present study suggests some strategies in order to prevent ADR in the context of primary health care services, such as monitoring drug therapy, manly for patients with chronic diseases, elderly and polimedicated people; and pharmaceutical care including dispensation and purchasing of the drugs, a lot of them dispensed over the counter (OTC).
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Variations in soil attributes occur based on relief forms and parent material. The objective of this research was to study the influences of geomorphic surfaces on the spatial distribution of soil attributes in a sugarcane cultivation area. First, 530,67 hectares were mapped by using a Global Positioning System. Then, a Digital Elevation Model was developed and geomorphic surfaces were identified and delimited, according to topographic and stratigraphic criteria based on detailed field investigations. Soil samples were collected every 7 ha, at 0.0-0.25 m and 0.80-1.00 m depths, totalizing 134 samples. Texture, Ca, K, Mg, SB, CEC, V%, pH, and OMS analyses were carried out as well as descriptive statistics and geostatistics analysis. It was concluded that the geostatistic techniques and digital elevation model helped to notice that soil attributes presented limits close to the geomorphic surfaces ones.
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Aim: This study analyzed and compared the experience of dental caries in 300 children aged 0 to 48 months, who were participants and non-participants of a preventive program 'Dentistry for babies', as well as the correlation between assiduity of dental visits and experience of dental caries. Methods: The subjects were randomly selected and divided into two groups: G1 'Non participant children of the Program' (n=100) and G2 'Participant Children of the Program' (n=200). Each group was subdivided in two subgroups: 0-24 months and 25-48 months. The collected data from G2 were analyzed, relating the variation of the dmft index (dmft refers to primary teeth: d = decayed, m = missing/extracted due to caries, f = filled, t = teeth) (C) and dental caries prevalence (P) with the influence of assiduity factor in each subgroup. To collect data, clinical examinations were performed using tactile and visual criteria by a single calibrated examiner. The data were statistically analyzed using the 'paired t-test', 'Mann-Whitney' and 'Chi-Squared' tests (p<0.05). Results: It was found that prevalence and dmft index were statistically significant (P=0.0001) with the greatest values observed in G1 (p=0.0001). The values were: PG1 (73%), PG2 (22%), CG1 (3.45±3.84), CG2 (0.66±1.57). Assiduity was significant in G2 (p=0.0001). The values observed were: P-Assiduous (2%), P-Non-assiduous (42%), C-Assiduous (0.04±0.31), and C-Non-assiduous (1.29±2.01). Conclusions: The participation in the program had a positive influence on the oral health of babies. Complete assiduity to the program resulted in the lowest rates and prevalence of dental caries.
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Cosmetic Dermatology is a growing subspecialty. High-quality basic science studies have been published; however, few double-blind, randomized controlled clinical trials, which are the major instrument for evidence-based medicine, have been conducted in this area. Clinical research is essential for the discovery of new knowledge, improvement of scientific basis, resolution of challenges, and good clinical practice. Some basic principles for a successful researcher include interest, availability, persistence, and honesty. It is essential to learn how to write a protocol research and to know the international and national regulatory rules. A complete clinical trial protocol should include question, background, objectives, methodology (design, variable description, sample size, randomization, inclusion and exclusion criteria, intervention, efficacy and safety measures, and statistical analysis), consent form, clinical research form, and references. Institutional ethical review board approval and financial support disclosure are necessary. Publication of positive or negative results should be an authors' commitment. © 2013 by Anais Brasileiros de Dermatologia.
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Soil attributes reflect influence of the geomorphic surfaces. Therefore, the objective of this work was to investigate the influence of the geomorphic surfaces on soil attributes in a topossequence from low lands to high lands in the Humaitá region, AM. A transect of 4.5 km, from the top of the slope towards the low lands was established and the geomorphic surfaces were identified and limited according to topographic and estratigraphic criteria, based on detailed field investigation. Twenty soil samples were collected in each one of the slope segments within the geomorphic surfaces (G.S.), at the following depths: G.S. I: LAa (0.0-0.16 and 0.48-0.79 m); G.S. II: Lad1 (0.0-0.13 and 0.44-0.70) and Lad2 (0.0-0.10 and 0.30-0.55 m); G.S. III: RYve1 (0.0-0.18 and 0.51-0.89) and RYve2 (0.0-0.23 and 0.58-0.91 m). The sampling depths were determined by the surface and subsurface horizon depths, defined during the soil morphological description. Physical analysis involved particle size distribution, disperse clay, soil and particle density and total porosity. The chemical analysis involved determinations of pH in water and KCl, exchangeable cations, exchangeable Al, total acidity (H+Al), available P, organic carbon. The relief variations contributed to the presence of dystrophic soils in the geomorphic surface I and eutrophic soils in the geomorphic surface III. The multivariate statistical techniques were able to separate three heterogeneous groups, equivalent to the mapped geomorphic surfaces.