91 resultados para Observación Sistemática
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Pós-graduação em Bases Gerais da Cirurgia - FMB
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Pós-graduação em Geociências e Meio Ambiente - IGCE
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Pós-graduação em Anestesiologia - FMB
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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The regular practice of physical therapy is indicated as a non-pharmacological treatment of Alzheimer's disease by promoting cognitive, behavioral and functional benefits. However, little is known about the protocols with home-based motor intervention for this population. Thinking about it, this review aimed to investigate and analyze the protocols for home-based motor intervention for elderly with Alzheimer's disease described in scientific articles. A systematic search was performed in the following databases: Web of Science, PubMed, PsycINFO, and Scopus, using the following keywords and Boolean operators: home-based exercise OR home-based physical exercise OR home-based physical fitness OR home-based rehabilitation OR home-based physical therapy OR home-based physical activity OR home-based engine Intervention and AD OR Alzheimer's disease OR AlzheimerOR Alzheimer's dementia. We also conducted a manual search of reference lists of selected articles. Of the five articles that met the inclusion criteria adopted, three performed a protocol for home motor intervention, achieving good compliance with the program, improvement of general health and reduction of depressive symptoms. The other two studies were limited to describing the protocols. Although more studies are needed, with detailed protocols, this review allowed to show that protocols for home motor intervention can also produce positive effects for both patients and caregivers.
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Aging seems to impair the walking. However, it is not clear the effects of aging on walking. The aim of this study was to determine changes in kinematic, kinetic and electromyographic parameters of the free and adaptive gait, in preferred velocity, caused by aging. The initial search strategy was performed to identify all articles that examined the free and adaptive gait. The electronic databases analyzed were: MEDLINE, PubMed, EMBASE, CINAHL, Sports Discus, DARE, PsychInfo, ERIC, AusportMed, AMI, Cochrane and PEDro. Twenty-three articles were reviewed in full. Elderly are slower, with shorter step length and longer double support duration than young adults during free and adaptive gait. Even, they showed higher muscular demands, with redistribution of joint power and torque and decreased force in the propulsion and absorption phases. It was concluded that elderly present altered kinematic, kinetic and electromyographic parameters of free and adaptive gait compared to young adults.
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Pós-graduação em Agronomia (Genética e Melhoramento de Plantas) - FCAV
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Pós-graduação em Bases Gerais da Cirurgia - FMB
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Adopting a healthy lifestyle it is critical for the prevention of high blood pressure and is an indispensable part of the treatment of those with hypertension. High levels of physical activity and greater fitness are associated with reduced incidence of hypertension. However until the beginning of the 1990 decade, the resisted exercise was not inclued at the internacionals statements for people with heart disease. Fortunately, in the past few years, this type of exercise started to take into account as a possible strategy for the first and second prevention of diferents cardiovascular diseases. The aim of this study it is to evaluate, through a systematic review, the contribution of the resisted exercise on the cardiovascular responses in hypertensive male adults. Twenty eight articles were pre-selected for this study, four attend to the requirements. The results were not consistent in this review, only the diastolic blood pressure demonstrated decrease in three of the four studies, in circuit protocol as much as in the conventional protocol. Otherwise one study proved an increase in the VO2max, wich is an important data, because it is an anaerobic exercise and, an improve was not expected. An other article analised the harm issues of the Valsalva manouvre, where it was presented the maximum blood pressure values (345/245 mmHg) and evidences of lower blood pressure rises in the intra-arterial, intrathoracic and intra-abdominal pressures when the exercise was performed without the manouvre, enhancing the necessity to avoid the use of this manouvre in hypertensive individuals.
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In heavy machining industries, a critical point that must be taken into account is setup. Because the characteristics of machine tools and parts to be machined, usually pieces robust and large, the preparation of these parts must be made accurately for machining has a good result as planned. As a result of the difficulty raised in the setup machining of heavy parts, companies in this segment seek alternatives to reduce the unproductive time caused by setup and optimize machining processes. One way was found that these companies create operating instructions that describe and standardize the operation between its employees, as well as deploy a control machining times to measure the unproductive time caused by the setup. This work studied a new system for the realization of centering and alignment of Rotating Deck R-9350 in CNC Milling Machine PAMA Speedram 3000, in Liebherr Brazil company. The part Rotating Deck R-9350 is a critical part in which its machining in PAMA Milling Machine is made in three phases and their setup times are quite high and involve stopping the machine. It has been tested and proposed a solution to the realization of this part of the setup without the use of the machine, but of the measuring instrument three-dimensional Laser tracker, with which the machine continued to work, while he was in the centering and alignment of other parts. It was noted that the instrument technically attended the need and it was possible to perform this operation more accurately
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The implantation of environmental management systens (SGA) in companies is the first step to the company conquers the environmental certification and consequently the benefits of a sustainable production of products, services and activities can bring. However, in the way as they are proposals in bibliographies the implantation of the SGAs, does not identify the definition of the operational stages of implementation of the same ones, generating doubts on the real environmental and administrative performance that they can come to generate for the organization. In this direction, the present research brings a proposal of operational systematics for implantation of SGA in companies, detailing each stage of implantation, considering its particularitities. For in such a way, a revision of norm NBR ISO 14001:2004 was made, looking for to identify to the interpretation imperfections gifts in the normative system. Moreover, other methods of SGA implantation had been searched gifts in the bibliography, searching proposals that detailed the operational aspects of the implantation of the system. In the same way, the accomplishment of a period of training supervised in the first semester of 2007 made possible the practical experience of the functioning of a system of environmental management, beyond the contact with professionals of the area and the acquisition of documents that had helped in the development of the research. The result was the attainment of a detailed procedure more, defining the operational systematic of SGA implantation, beyond the generation of a flowchart, describing as to develop each stage. This detailing certainly will facilitate the implantation of a SGA in companies interested in improving its environmental performance.
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It is a systematic literature review, wich aimed to analyze documents, as is the inclusion of the family in Mental Health Services. To do so was based on a literature in the database of the Latin American and Caribbean Health Sciences (LILACS). And the documents were selected from the question which funded the research to evaluate the contribution of scientific research published in journals in the period 2000 to 2011. Data analysis reveals that the government's efforts in having the family as an ally, not a recent phenomenon. But this is a process that depends not only on government, also depends on the professionals involved and of their own families, and other factors. It is concluded that much remains to be done, both in terms of research for the topic, the actions in the reality of such a process