5 resultados para criterio de selección

em Repositório Institucional UNESP - Universidade Estadual Paulista "Julio de Mesquita Filho"


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To find a valuable tool in achieving a good accuracy in predicting the outcome from sympathectomy, changes in limb skin temperatures (LST) before and after epidural lumbar anesthesia (ELA) and before and after lumbar sympathectomy were studied in 13 patients with thrombangiitis obliterans or arteriosclerosis obliterans. The results were compared with the clinical course and follow-up from 1 to 5 years. In seven patients there was a rise in LST after ELA and after sympathectomy, and this pattern of variation was associated with good clinical course. In three patients there was decrease in the LST after ELA and after sympathectomy and they did not do well. In two patients there was no change in temperature before or after the procedure; one of them had a good and the other a bad clinical course. The same measurements were performed in three other patients who had had a sympathectomy some years previously and the data showed that LST was lowered after ELA. It is concluded that the measurement of limb skin temperature before and after epidural lumbar anesthesia aids in determining which patients are more likely to benefit from sympathectomy.

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Network reconfiguration in distribution systems can be carried out by changing the status of sectionalizing switches and it is usually done for loss minimization and load balancing. In this paper it is presented an heuristic algorithm that accomplishes network reconfiguration for operation planning in order to obtain a configuration set whose configurations have the smallest active losses on its feeders. To obtain the configurations, it is used an approached radial load flow method and an heuristic proceeding based on maximum limit of voltage drop on feeders. Results are presented for three hypothetical systems largely known whose data are available in literature and a real system with 135 busses. In addition, it is used a fast and robust load flow which decreases the computational effort.

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The present work begins with a review of the literature on bit selection methods for oil well drilling. A proposal for the structure and organization of a drilling database and a knowledge base, is described. Previous studies formed the principal elements in the process of selection of drills for proposed drilling. The procedure was implemented as a computer system for the selection of tricone bits. A drilling bit database for three different Brazilian sedimentary basins was obtained for several wells drilled, and knowledge was collected from drilling engineers from different fields both electronically and also by means of interviews. It can be concluded that the selection process showed good results based on tests, which were carried out.

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The status epilepticus (SE) is characterized by a series of crises which occur without recovery of consciousness or a single seizure lasting more than 30 minutes and can damage the central nervous system and systemic. The duration and frequency of attacks are directly related to patient prognosis. Whether seizures occur often and are longer, increase the risk of neurological and systemic complications. Child population has a higher frequency of seizures and it is associated with a lower threshold of immature brain to trigger these episodes. Aim: To determine the safest drugs prescribed for children in SE, their doses and schedules. A bibliographic survey was performed in electronic databases. Methods: The scientific health descriptors used for search was: “status epilecticus” and “anticonvulsivants” and “child”. Results: This strategy identified 396 manuscripts, of whom four were considered eligible for the study, after the assessment by floating reading and criteria. Of these, two were randomized trials and two descriptive. The studies address the use of oral midazolam, rectal diazepam and intravenous lorazepam. Conclusions: All investigated drugs were effective in treat in status epilepticus. Lorazepam is highlight, since it has fewer secondary effects and, as an alternative to the intravenous, oral midazolam. However, there is a need for further studies to demonstrate the efficacy and safety in the use of drugs in children.