167 resultados para amostragem sistemática
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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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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The concern of the society with regard to the pollution if becomes each bigger and necessary time. This pollution generates damage for who is in contact, as much in economic terms how much in quality of life. The particulate matter is one of the main polluting the air, being the most harmful to human health, fine particles and ultra fine (below 2.5 μm in diameter). With this, this work had as objective to mensurar the pollution of air for material particulado through samplings in an urban center, in a siderurgical industry, a conventional coal bunker and a forest fire. The equipment used for the sampling of particles had been the DataRam4 (model DR 4000) and the Impactador de Andersen, both developed by company THERMO SCIENTIFIC. The first equipment uses a system of nefelometry and the second uses a gravimetrical system of sampling. During the carried through samplings, it can be observed in some cases the difficulty in the breath, badly be and low visibility that this type of pollutant can cause. In most cases the results were disturbing. In industry, conventional coal bunker and in the forest were measured values high concentration for particles smaller diameters. Peak concentrations issued were: 40,000 μg/m³, 182,000 μg/m³ and 400,000 μg/m³ for the industry, conventional coal bunker and forest, respectively. Already in the urban centre were satisfactory results, always staying within the limit allowed by the rules in force so far in the country
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Pouco se sabe a respeito da marcha de pacientes com doença de Parkinson (DP) em ambientes irregulares. Mais especificamente, não foram encontrados estudos que manipularam a informação visual na tarefa de ultrapassar obstáculo. Assim, o objetivo deste estudo foi analisar o papel da visão no comportamento locomotor durante a ultrapassagem de obstáculos de diferentes alturas em indivíduos com DP idiopática, manipulando experimentalmente a disponibilidade das informações visuais. Participaram 14 idosos com DP, classificados entre os estágios 1 e 2,5 da escala de Hoehn & Yahr. Os participantes foram convidados a percorrer andando uma passarela de 8 metros, em condições sem obstáculo (SO) e com obstáculo baixo (OB) ou alto (OA). As tentativas foram apresentadas combinando condições de obstáculo (SO, OB e OA) e de visão (IVD e IVE), em 3 tentativas por condição, totalizando 18 tentativas; realizadas em 2 blocos. A manipulação de informação visual foi realizada através do uso de óculos de lentes de cristal líquido e a análise cinemática foi realizada tridimensionalmente. As variáveis dependentes selecionadas incluíram os parâmetros espaciais e temporais das fases de aproximação e ultrapassagem do obstáculo. Para o tratamento dos dados, foram empregadas duas MANOVAs. Os resultados revelaram que tanto a manipulação visual como a manipulação do terreno influenciaram no comportamento locomotor dos pacientes. Na fase de aproximação, a presença do obstáculo provocou modificações nos parâmetros locomotores, refletindo em menores valores médios de comprimento e velocidade da passada nas condições OB e OA do que na condição SO. Em relação à informação visual nesta mesma fase, a anulação do fluxo óptico provocou diminuição do comprimento e da velocidade da passada, da cadência e da porcentagem da fase de suporte simples e aumento da duração... (Resumo completo, clicar acesso eletrônico abaixo)
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The use of biomass as an energy source has been increasing in Brazil, with emphasis on the use of wood biomass, such as bark, wood chips and sawdust, that after receiving the appropriate treatment can be used in burners for power generation. However, from this burning are emitted fine particles known as particulate matter and a wide range of toxic organic and inorganic components in the form of gases that contribute greatly to air pollution and global warming, affecting human health, the environment and climate. The objective of this project was the quantification of gaseous and particulate, using and evaluating the equipment DR4000 ( Dataram 4 ) sampling of particulates smaller than 2.5μm and EUROTRON ( Ecoline 4000 ) when sampling gaseous pollutants, emitted from the burning of biomass in real time in the firing burner to a chimney attached biomass . We note that there are no specific rules that establish emission limits for particulate matter with diameter less than 2.5μm that are most harmful to human health and the highest concentrations reached about 800000μg/m3, for smaller diameters. It is noticeable the need for sampling of pollutants especially in industries that use biomass to fuel that could be implanted emission control equipment
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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
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It is clear today the ever-accelerating search for new fuels that will eventually replace those that will survive in our society, which are fossil fuels. For this reason, a fuel used since the dawn of humanity and much studied since then, considered the generator of clean, renewable energy, can earn more and more space in the power generation sector, which is biomass. We performed two experiments with two different types of biomass, one from the Amazon rainforest and other pine and eucalyptus as waste from the sawmill UNESP Itapeva. In the first experiment, conducted at the Laboratory of Combustion and Propulsion INPE Cachoeira Paulista were conducted three tests in a chimney with a fan creating forced ventilation, where the biomass was burned and deposited on a support beneath the hood. In the second experiment was conducted to analyze the emission of particulate matter using biomass (waste) from the sawmill on the campus of UNESP experimental Itapeva the burning of it in a burner for heating water for a wood oven. In these experiments we used a particle called DATARAM4 sampler that is capable of sampling both outdoors and inside of pipelines, which is the focus of this work. With this equipment it was possible to measure the concentration of particulate matter in all the firings as above, and compare them to levels acceptable in the current law, always trying to analyze the so-called fine particles, which are those with diameters less than 2.5 μm. Using data obtained from the equipment was also possible to evaluate the diametral distribution of particulate matter in question, and verify which phases of the flares in the concentration and the diameters of the particles are the most critical. In this work we concluded that in all firings conducted concentrations of particulate matter were higher than that allowed by the law, and the diameters were found that are more harmful to human health
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A notificação espontânea por profissionais da saúde é o principal método de avaliação do risco/benefício da utilização de medicamentos, pois permite a análise da frequência, gravidade e expectativa dos eventos adversos a medicamentos (EAMs). No entanto, a principal limitação deste método é a subnotificação dos casos, causando grandes impactos na saúde pública, tais como gastos desnecessários para as instituições e diminuição da segurança do paciente. A fim de identificar técnicas de intervenção educativa efetivas no incentivo à notificação espontânea por profissionais da saúde nos diferentes níveis de atenção, realizou-se revisão sistemática nas bases de dados PUBMED, PAHO, LILACS e EMBASE no período de novembro de 2011 a janeiro de 2012, com posterior atualização em março de 2013, por meio da utilização de descritores científicos em farmacovigilância, buscando-se identificar estudos originais que avaliaram o impacto da intervenção educativa desenvolvida. Pela estratégia elaborada, foram identificados 101 artigos, dos quais 16 contemplaram os critérios de inclusão. A maioria dos estudos inclusos foram conduzidos na Europa (14), e a maioria das intervenções foi destinada ao nível terciário de atenção à saúde (11) e principalmente aos médicos (12). As técnicas efetivas de intervenção educativa identificadas foram multifacetadas, resultando no aumento do número absoluto, porcentagem ou taxa de notificação espontânea, além de melhorar a qualidade dos relatos de reações adversas a medicamentos (RAM): graves, inesperadas, relacionadas a medicamentos novos e com alta causalidade. Ademais, faz-se necessária educação permanente dos profissionais para maior adesão à farmacovigilância e contribuição para o gerenciamento de riscos
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Beside aging process comes the incidence of dementia and, among them Alzheimer's disease (AD) accounts for approximately 60% of cases. This disease is characterized as a neuropathology with unknown etiology that causes cognitive deficits and behavioral disorders. Caring for patients with AD can cause an overload, both physical and psychological, which can cause high levels of stress on the primary caregiver. It is necessary that the caregiver also receives attention and develop activities that promote health benefits, while providing moments of distraction from the task of caring. Nonpharmacological interventions may be favorable for improving health with consequent decreased on the levels of stress. The objective of this study was to conduct a systematic review of scientific papers that aimed to verify the effect of nonpharmacological interventions on stress levels in caregivers of patients with AD. To contamplate this goal was accomplished a systematic search in the following databases: Biological Abstracts, PsycINFO, PubMed/Medline, Web of Science, LILACS and SciELO. The following keywords and Boolean operators was used: “caregivers” OR “family” and “nonpharmacological interventions” OR “support groups” OR “therapies” AND “Alzheimer's disease” OR “Alzheimer's dementia” OR “Alzheimer” OR “elderly” AND “stress”. There were found 3studies that met inclusion criteria adopted for the present work, and none showed significant results for the variable stress. It is not possible to affirm, according to the studies, that nonpharmacologial interventions programs for caregivers of patients with AD are effective to influence and to control the stress. However, studies show benefits for other variables such as self-efficacy and confidence in relation to care... (Complete abstract click electronic access below)
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Objectives: conduct a systematic review of national and international literature, to classify the types of production, comparing the two literatures and synthesize knowledge in the area. Method: Systematic Review of Literature, in the databases LILACS, CINAHL and MEDLINE for selection of articles in their entirety, the data extracted from the articles selected were: the study of bibliographic information (title, author, journal, place of study and year of publication), and general information (multidisciplinary production or specific area, language, type of study, type of population and contributions of the study). The categories established for classification of publications were: raising the cost of procedures/ interventions, economic evaluation of specific intervention, inclusion of nursing in the economic context, using cost as an important variable in the study. Results: The study included 39 publications, with 31% of national production and the remaining 69%, internationally. Most publications were classified according to category of economic evaluation of specific intervention, followed by the category of raising the cost of procedure / intervention, which fits the majority of national production. Human resources is shaped as an important variable for obtaining cost studies that proposed to make this calculation. Conclusion: The production of literature in nursing cost management is relevant in number of publications within the proposed period and is directed to different areas within this theme. There are significant differences in national and international literature: these last use more accurate methods, have more content theorized, use more the economic evaluation tools and related more costs with a amplified context. The production of such knowledge should continue as far as possible and putting that knowledge relating the current reality, in order to amplify the field of nursing and add value
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)