77 resultados para galera perinatala


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OBJETIVO: Este estudo qualitativo teve por objetivo descrever como um sistema familiar reage perante a situação de dependência em um membro idoso, quais recursos utiliza para manter sua estabilidade e a assistência de enfermagem disponibilizada neste contexto. MÉTODOS: Utilizou-se como referencial teórico a abordagem dos sistemas familiares e como método a pesquisa-ação. Os dados foram colhidos de novembro de 2004 a janeiro de 2005, utilizando-se o genograma, o ecomapa e o levantamento de problemas. RESULTADOS: Principais demandas familiares: luto antecipado, sobrecarga do papel de cuidador, falta de conhecimento sobre a doença e desajustamento familiar perante a crise. Principais intervenções: incentivar a narrativa da enfermidade, oferecer sugestões e informações, elogiar as forças familiares e assegurar pronto atendimento. CONCLUSÕES: Com o atendimento à família sob o enfoque sistêmico foi possível propor as intervenções de ajuda para a melhoria da qualidade de vida familiar, de maneira que ela também vislumbrasse suas próprias soluções para o enfrentamento das adversidades.

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Avaliaram-se aspectos clínicos, histopatógicos e imunoistoquímicos da córnes de coelhos da raça Nova Zelândia adultos e machos em ceratoplastias lamelares com membrana de celulose microfibrilar. Trinta animais distribuídos em cinco grupos (n=6) foram estudados por até 60 dias de pós-operatório. A avaliação clínica revelou manifestações moderadas de edema, blefaroespasmo e fotofobia ao segundo dia, evoluindo para formas discretas ou ausentes a partir do sétimo dia, período em que se observou, clinicamente, reparo do defeito corneal. A histopatologia revelou uma fina camada de células escamosas, recobrindo a área lesada já aos sete dias, com discreto infiltrado de células polimorfonucleares. Observaram-se vasos no epitélio a partir do 15o dia, com regressão ao 48o dia. A marcação com o anticorpo Ki67 mostrou aumento de células em proliferação aos 15 dias no epitélio e aos 30 dias no estroma. Nesse período, ocorreram remodelamento e adesão epitealial. Considerando a boa integração do implante, admite-se a membrana de celulose como um bom material a ser utilizado em ceratoplastia lamellar.

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The Amazonian regions are characterized by large space-time variability in the humidity fields due to the intense convective process in those areas associated with the great humidity potential generated by high temperatures. An experiment denominated RACCI/DRY-TO-WET (RAdiation, Cloud, and Climate Interactions in the Amazonia during the DRY-TO-WET Transition Season) was carried out in the Brazilian Amazonian Region in 2002. The IWV values from GPS and other techniques, such as radiosondes, radiometer and humidity sounding satellites were used in this experiment to supply subsidies to evaluate the aerosols influence in the associated processes modifications to seasonality of atmospheric water vapor. Those regions are one of the most humid of the planet, where IWV (Integrated Water Vapor) average values are in the order of 50 kg/m2. As according the literature the IWV quantification using GPS has not been explored in those circumstances, the objective this paper is to present the preliminary results obtained in the evaluation of the GPS performance in Amazonian Regions when comparing with other techniques. The tendency measurement values indicated that the IWV values from GPS tend to be larger than those from radiosondes and smaller than those from radiometer. On the other hand, IWV values from GPS are very close of the average values supplied by radiosondes and radiometer. Due to the great amount of atmospheric water vapor existent in this region, the results obtained in the experiment in percentile terms are quite better than those found in the literature, which are around of 10%.

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In this paper the theoretical fundamentals related to the introduction of NNT (No Net Translation) and NNR (No Net-Rotation) conditions in the realization of a referential are presented. Moreover, aspects related to the implementation are also presented, with special emphasis on the realization from VLBI data, where only scale information is available.

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The multipath effect affects the differential and relative positioning, even that one involving short baselines. So it is necessary to detect this effect, check the caused error level, and mainly, its removal. This paper aims at analysing and comparing some useful components in the detection of this effect. These components are the Signal to Noise Ratio (SNR), the values of MP1 and MP2 obtained from the TEQC software that indicates the multipath level in the carriers L1 and L2, the multipath repeatability in consecutive days and the elevation angle and the azimuth of the satellites. For this purpose, an experiment is carried out, comparing such components in the presence and the absence of reflector objects that cause the multipath. Not only there is clear multipath repeatability in the residuals, but it also appears in the measures SNR, MP1 and MP2, reaching up 99% of correlation. For reduction, at least, of the high frequency multipath effect, the Multi-Resolution Analysis using wavelets is applied in the double differences (DD) measures. Some statistical tests were accomplished, which indicate results improvement, and mainly, larger reliability in the solution of the ambiguities, reaching up 49% of improvement concerning the Ratio test without applying the proposed method.

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The mathematical fundamentals involved in the realization of a high precision reference system, taking into account solutions from VLBI, SLR, GPS and DORIS are presented. Each individual solution has its own deficiencies in providing a global reference system. But combining all solutions together, and by the introduction of the no net rotation condition (NNR), a solution that reflects the nowadays precision of the available spatial techniques for the determination of position and velocity of stations located on the Earth crust is obtained. Whilst the origin is provided by SLR, the scale is introduced by SLR and VLBI. The orientation and its temporal evolution are introduced via internal constraints, in accordance with the NNR condition.

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Among the positioning systems that compose GNSS (Global Navigation Satellite System), GPS has the capability of providing low, medium and high precision positioning data. However, GPS observables may be subject to many different types of errors. These systematic errors can degrade the accuracy of the positioning provided by GPS. These errors are mainly related to GPS satellite orbits, multipath, and atmospheric effects. In order to mitigate these errors, a semiparametric model and the penalized least squares technique were employed in this study. This is similar to changing the stochastical model, in which error functions are incorporated and the results are similar to those in which the functional model is changed instead. Using this method, it was shown that ambiguities and the estimation of station coordinates were more reliable and accurate than when employing a conventional least squares methodology.

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Nowadays, with the implantation of GNSS (Global Navigation Satellite System) reference station networks, several positioning techniques have been developed and/or improved. Using such kind of network data it is possible to model the GNSS distance dependent errors and to compute correction terms for the network region. Several methods have been developed to formulate the corrections terms from network stations data. A method that has been received a great attention is the Virtual Reference Station (VRS). The idea is that the VRS data resemble as much as possible a real receiver data placed in the same local. Therefore, the user has the possibility of using the VRS as if it were a real reference station in your proximities, and to accomplish the relative positioning with a single frequency receiver. In this paper it is described a different methodology applied to implement the VRS concept, using atmospheric models developed by Brazilian researchers. Besides, experiments for evaluating the quality of generated VRS are presented, showing the efficiency of the proposed method.

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In the Brazil, several have been the applications of GPS and with the introduction of the Law 10.267/2001 that among other dispositions, it treats of the georeferencing of the rural parcels. However, most of the commercial softwares of processing and adjustment of GPS data doesn't allow that the users may evaluate their results in a reliable way. For example, the constraints are normally used as absolute, which provides results with very optimists precisions. The adoption of additional analyses and the implementation of softwares can reduce these kinds of problems. Thus, it was developed a software for adjustment of GPS networks, aiming to assist in a reliable way the requirements of the Law 10.267/2001. In this context, in this work it is analyzed the adjustments of GPS networks, utilizing absolute and relative constraints. In the case of the last one, the adjustments were accomplished considering and not considering the correlations among the coordinate positions.

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GPS active networks are more and more used in geodetic surveying and scientific experiments, as water vapor monitoring in the atmosphere and lithosphere plate movement. Among the methods of GPS positioning, Precise Point Positioning (PPP) has provided very good results. A characteristic of PPP is related to the modeling and / or estimation of the errors involved in this method. The accuracy obtained for the coordinates can reach few millimeters. Seasonal effects can affect such accuracy if they are not consistent treated during the data processing. Coordinates time series analyses have been realized using Fourier or Harmonics spectral analyses, wavelets, least squares estimation among others. An approach is presented in this paper aiming to investigate the seasonal effects included in the stations coordinates time series. Experiments were carried out using data from stations Manaus (NAUS) and Fortaleza (BRFT) which belong to the Brazilian Continuous GPS Network (RBMC). The coordinates of these stations were estimated daily using PPP and were analyzed through wavelets for identification of the periods of the seasonal effects (annual and semi-annual) in each time series. These effects were removed by means of a filtering process applied in the series via the least squares adjustment (LSQ) of a periodic function. The results showed that the combination of these two mathematical tools, wavelets and LSQ, is an interesting and efficient technique for removal of seasonal effects in time series.

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Studies on the distribution of plantar pressure between the sole of the foot and the ground were developed before the 19th century. Currently, the most often employed plantar pressure measurement systems are Pedar® and FScan®, which have restrictions such as operational difficulty and high cost. In the present study, a device was constructed from two pressure plates capable of measuring plantar forces in discreet areas of the feet at a low cost, using strain-gages attached to sixteen strategic points of the mechanical elements. Sixteen prismatic beams were soldered to each frame, for which the free extremity of each beam represented a specific point of the foot. Two strain gauges were attached to each beam - one near the upper fixed extremity and the other near the lower fixed extremity. Using a Wheatstone bridge electric circuit, the gauges were used to measure the force acting on the extremity of the beam. Precision and accuracy of the prototype was about 10%. In some measurements, accuracy was 2%. The low precision and accuracy were mainly due to the restrictions of the available equipment, which only permitted four measurements at a time. Thus, it was necessary for participants to stand on the plates four separate times, which signified possible changes in the position of the feet on the pressure plates. Despite some limitations, the aim was achieved. The prototype has been used in some studies and represents a contribution to biomechanics, demonstrating the viability of using strain gauges.

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Posture can be defined as the overall position and spatial orientation of the human body and its members relative to each other. The study of posture can be applied either static, with the subject standing still. Objectives: to identify and quantify the static posture alignment of individuals who were either symptomatic or asymptomatic for cervical pain. Methods: A cross-sectional study was carried out on subjects with cervical pain and individuals with no complaints of pain. The procedure consists in placing markers on specific points. Several views, following the protocol of the Posture Assessment software, regarding the measurement of angles (in degrees) and differences in lower leg lengths (in centimeters). Angles were analyzed through the comparison of averages between the groups using test t Student, (alpha=5%). Results: There enrolled 27 subjects. There were differences in horizontal alignment of head (3.37x1.33), acromia (2.60x1.18), iliac spines (2.91x0.67), vertical alignment of head (25.70x18.26) and in length of lower limbs (1.36x0.75) in respect to cervical and asymptomatic subjects. Conclusions: Was possible identify and quantify the static posture alignment of individuals with and with no cervical pain. The data obtained suggest the presence of asymmetry in all the symptomatic individuals studied. The data obtained suggest the presence of overall asymmetry in all the symptomatic individuals studied. © 2009 Springer-Verlag.