Métodos de avaliação da eficácia dos tratamentos para a dor

Pain is a subjective condition and, thus, difficult to measure. The best tools to assess pain are the pain evaluation questionnaires, which provide either diagnostic, pain evolution or pain intensity information. To provide information which could help differentiate between nociceptive pain and neuropathic pain is one of the most important functions of these questionnaires. The questionnaires can measure pain intensity, quality of life, or sleep quality. Quality of life and sleep are two really important characteristics to assess the pain impact on patients' life. Pain intensity assessing questionnaires combine physical evaluations with questions, providing information either from the patient sensations or clinical assessment of pain manifestations as well as the underlying biological mechanisms (such as hyperalgesia or allodynia). For example, the Pain Detect questionnaire has two parts: the patient form (intuitive, with pictures and easy understandable) and the physician form. Thus, in this questionnaire, subjective information is provided by the patient and the objective one is provided by the physician. Other pain intensity questionnaires are NPSI, DN4, LANSS or StEP. Quality of life questionnaires are versatile (can be used in different pathologies). These questionnaires include functional self-evaluation questions, and other ones associated to physical and mental health. Two of such quality of life questionnaires are SF-36 and NHP. Sleep evaluation questionnaires include quantitative features such as the number of sleep interruptions, sleep latency or sleep duration as well as qualitative characteristics such as rest sensation, mood and dreams. One of the most used sleep evaluation questionnaires is PSQI, which includes patient questions and bed-partner questions, providing information from two points of view.

Crescimento econômico e desacoplamento do uso de recursos naturais e de impactos ambientais: evidências para o Brasil

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Métodos de avaliação de necessidades nutricionais e consumo de energia em humanos

Para avaliar e planejar dietas para indivíduos e grupos populacionais são necessárias estimativas muito acuradas das necessidades e do consumo de energia. O objetivo foi realizar uma revisão bibliográfica das metodologias de determinação das necessidades energéticas para adultos e dos métodos de avaliação do consumo. Em 1918, Harris e Benedict propuseram equações que estimam a necessidade energética basal a partir de calorimetria indireta para indivíduos, depois disso, foram propostas outras equações para o cálculo das necessidades de energia em repouso ou em atividade. Recentemente, a água duplamente marcada é empregada para propor equações mais apropriadas. Contudo, a acurácia destas equações pode ser questionada. Por outro lado, os métodos de avaliação do consumo energético apresentam limitações que demandam cuidado na escolha e aplicação, assim como na interpretação dos resultados. A escolha do método de avaliação depende e pode ser influenciada pela população avaliada, tipo e objetivo do estudo, tempo disponível e do treinamento dos avaliadores. Deste modo, a avaliação do balanço energético está condicionada, tanto às limitações da avaliação através de equações, quanto dos métodos existentes de avaliação do consumo alimentar.

Avaliação ambiental simplificada dos recursos hídricos na bacia hidrográfica do Ribeirão Preto, São Paulo

The objective of this study was to evaluate environmental impacts on the Ribeirão Preto basin in order to define the most degraded areas and their causes and to propose solutions and management strategies for them. An impacts indicator questionnaire was designed, that allowed us to establish a direct relationship between reactions achieved and environmental factors by attributing value to some impacting parameters obtained by simple visualization in the field. The questionnaire was applied at 22 points, based on the influence area of the sub-basin and variability in land use. It was determined that the main environmental impacts that affect the basin are in nature effluent wastewater released into water bodies, the disposal of waste and deforestation. These factors were mainly noticed near to Ribeirão Preto city (State of São Paulo), the most populated region. Such information provides subsidies necessary to environmental management in this basin to decreasing environmental degradation. Among the management strategies suggested, it is possible to highlight that related to the accomplishment of environmental legislation, recuperation of degraded areas and adequate treatment and disposal of effluents.

Impacto de diferentes métodos de avaliação da obesidade abdominal após síndromes coronarianas agudas

Background: Abdominal obesity is an important cardiovascular risk factor. Therefore, identifying the best method for measuring waist circumference (WC) is a priority. Objective: To evaluate the eight methods of measuring WC in patients with acute coronary syndrome (ACS) as a predictor of cardiovascular complications during hospitalization. Methods: Prospective study of patients with ACS. The measurement of WC was performed by eight known methods: midpoint between the last rib and the iliac crest (1), point of minimum circumference (2); immediately above the iliac crest (3), umbilicus (4), one inch above the umbilicus (5), one centimeter above the umbilicus (6), smallest rib and (7) the point of greatest circumference around the waist (8). Complications included: angina, arrhythmia, heart failure, cardiogenic shock, hypotension, pericarditis and death. Logistic regression tests were used for predictive factors. Results: A total of 55 patients were evaluated. During the hospitalization period, which corresponded on average to seven days, 37 (67%) patients had complications, with the exception of death, which was not observed in any of the cases. Of these complications, the only one that was associated with WC was angina, and with every cm of WC increase, the risk for angina increased from 7.5 to 9.9%, depending on the measurement site. It is noteworthy the fact that there was no difference between the different methods of measuring WC as a predictor of angina. Conclusion: The eight methods of measuring WC are also predictors of recurrent angina after acute coronary syndromes. Key words: Evaluation; Acute Coronary Syndrome; Abdominal Circumference

Análise da ferramenta LEED para a certificação de edifícios sustentáveis no Brasil

CCurrently there are various systems for the evaluation of environmental impacts of buildings, known as tools of environmental certification. Among these, the tool LEED for New Construction and Major Renovations has been the most widely used and accepted worldwide, in assessing the sustainability of buildings. Therefore, this study aimed to analyze the tool for LEED certification for construction work in Brazil, which ranks fourth in the world ranking records certification of sustainable buildings. It was found in this analysis that the assumptions of this tool are encouraging the use of more sustainable and less impactful on the environment as it promotes the deployment of innovative projects from a technological standpoint, , as well as the valuation of enterprises certified. Also, very significant results obtained in terms of energy efficiency and environmental quality in occupied buildings

Avaliação preliminar do potencial turístico do município de rifaina (SP) e os impactos decorrentes do uso público de seus atrativos paisagísticos

This paper attempts to assess both the touristic potential of scenic attractions and the environmental impacts resulting from the public use of such attractions in the Rifaina Municipality, State of São Paulo, Southeastern Brazil. In the recent past, this municipality had its economy concentrated in rural activities (livestock, corn, rice and bean crops) and in the ceramic industry (production of bricks, tiles and shackles),which was largely developed in the floodplain of the Rio Grande before the construction of the Jaguara Power Plant Dam. The impacts resulting from touristic activities were evaluated by applying the VIM - Visitor Impact Management method, with emphasis on biophysical indicators. The main touristic attractions analyzed were: (1) Rifaina artificial beach; (2) Jaguara Reservoir; (3) Morro do Chapéu (scenic hill); (4) Touristic railroad; and (5) Cuestas cliffs. Attractions (1) and (2) are the most exploited ones, including, in the second case, nautical sports, sportive and craft fishing, and summer lodging. Although currently disabled, the touristic railroad presents potential conditions to be re-explored. Attractions (3) and (5), despite keeping high landscape and ecological ecotouristic potential, are the least visited places. In the present paper, a preliminary characterization of the major issues of tourism industry in the Rifaina municipality is made, including suggestions for the sustainable exploitation of tourism resources. The final results of the environmental impact evaluation of the tourism activities include small impacts in attractions (4) and (5) and moderate impacts to the three first attractions. In order to keep the sustainable touristic potential for that municipality this study proposes the improvement of the following measures: to foster research projects on technical or scientific aspects of the touristic attractions, improvement of tourism infrastructure and the creation of an Environmental Protection Area (APA) of the cuestas' scarps.

Avaliação in vitro de diferentes métodos de análises de fungitoxicidade de óleos essenciais

Environmental problems caused by synthetic fungicides have increased the search for alternative methods of control of plant diseases. The objective was to evaluate the effect of essential oil of citronella grass, on the fungus Rhizoctonia solani, in different methods of in vitro fungitoxicity. We used a randomized design in a factorial design with four replications, where the factors were composed of four methods for assessing the in vitro fungitoxicity of the essential oil of citronella grass (essential oil diluted in Tween 80 (0.5%) and embedded in the culture medium PDA (potato dextrose agar) still melting, essential oil diluted in Tween 80 (0.5%) and distributed on the surface of the PDA; oil essential diluted in Tween 80 (0.5%) and distributed on filter paper attached to the inner surface of the lid of the Petri dish, pure essential oil and distributed on the surface of the culture medium, and control) and five evaluation periods (2, 4, 6, 8 and 10 days of incubation). Was used 0.25μL mL-1 of citronella oil in all treatments. Of the treatments evaluated the use of pure oil distributed on the surface of the culture medium was more effective in reducing the mycelial diameter in all evaluations. In this method the rate of mycelial growth was 9,02 mm day-1, reaching in last evaluation 79,77 mm.

Análise dos impactos na construção civil: avaliação do ciclo de vida em chapas de partículas para forros

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Avaliação da erosão hídrica, transporte de sedimentos e qualidade da água na bacia do córrego Monjolo Grande

Understanding the linkages between the natural elements is essential for being promoted the land use, occupation and sustainable management of environmental systems. Universal Soil Loss Equation (USLE), as a predictive model of erosion, is important to allowing the prevention of possible environmental impacts which may drastically interfere in natural or anthropic environments, as well as prevent potential financial wastes and even contribute to greater efficiency of agricultural production. This research will be working some USLE parameters, emphasizing topographic factor from Ribeirão Monjolo Grande watershed. Among the factors considered by the USLE, the Topographic Factor interferes directly in the erosive dynamic of a watershed because it involves variables related to hydrological processes that occur on it. In this research, were discussed different methods for obtaining the Topographic Factor (BERTONI e LOMBARDI NETO, 1985; MOORE e BURCH, 1986; DESMET E GOVERS, 1996) in GIS environment. After comparison between the methods, was indicated that best represents the conditions of geometry strand of the study area. Finally, other factors (R, K, C, P) considered by the USLE were obtained. The attainment of these parameters were guided by the use of geotechnologies, especially in Geographic Information Systems (GIS), with the assistance of secondary data and periodic field visits. The results obtained contributed to the understanding of hydrosedimentological dynamic in this area and serve as a viable strategy for studies of soil loss, aiming at developing consistent material for future researches about environmental planning and land management

Modelo de avaliação de impacto ambiental utilizando a teoria dos conjuntos fuzzy: um estudo de caso para a indústria automobilística

Pós-graduação em Ciências Ambientais - Sorocaba

Avaliação do sistema radicular da cana-de-açúcar por diferentes métodos

Para decidir qual método de avaliação do sistema radicular, é necessário ponderar sobre os objetivos do trabalho, a cultura em questão e as condições em que ela se desenvolve. O estudo de raízes é muito importante para a compreensão dos diversos fenômenos de crescimento e desenvolvimento da parte aérea, mas exige procedimentos extremamente criteriosos, pois, além de ser trabalhoso, seus resultados são influenciados pela variabilidade físico-química do solo. Objetivou-se, com esta pesquisa, comparar os resultados de cinco métodos de avaliação do sistema radicular, em duas variedades de cana-de-açúcar, em quatro profundidades e em dois sistemas de colheita: mecanizada de cana crua e manual de cana queimada. Foram comparados ao método de avaliação por extração de monólitos e pesagem de massa de raízes secas outros quatro métodos: monólito com medição de comprimento, trado com pesagem de massa seca, perfil com medição de comprimento por meio de imagens digitais e perfil com contagem do número de raízes. Constatou-se que regressões lineares expressaram adequadamente a relação entre os métodos estudados, exceto quando foi utilizado o trado. Os métodos de perfil foram os mais adequados para detectar diferenças entre tratamentos.

Impactos do uso público EM atrativos turísticos naturais no município de AltinóPolis (SP)

This work was developed aiming to evaluate the environmental impacts of the public use in natural touristic attractive at Altinópolis city (SP), using the Visitor Impact Management method (VTM). In each analyzed natural resource a specific questionnaire was elaborated in accordance with the appropriate pointers that allowed to determinate environmental quality of each point. The results indicated that only two tourist areas need special attention for their preservation. Minimization methods, monitoring and educational practices are proposals in order to tourist practices be made with environmental responsibility.

Aplicação de métodos combinados de avaliação imobiliária na elaboração da planta de valores genéricos

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Avaliação do potencial genotóxico e mutagênico de águas e sedimentos do rio Guaecá, São Sebastião - SP, após impacto de oleoduto da região

Pós-graduação em Ciências Biológicas (Biologia Celular e Molecular) - IBRC