3 resultados para Análise custo-benefício

em Universidade Federal de Uberlândia


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Introduction: Gastric cancer is currently the fourth higher cancer mortality rate among men in the world and the fifth among women, despite the progressive advances in oncology. The identification of tumor receptors and the development of target-drugs to block them has contributed to increased survival and quality of life of patients, but it becomes important to know the tumor profile of the population being treated, avoiding burdening treatment with examinations and treatments that are not cost-effective. Objective: To evaluate the profile of the population with gastric cancer treated in five years at the Clinical Hospital of the Federal University of Uberlândia and verify the correlation between overexpression of HER-2 receptor with an unfavorable prognosis. Methods: 203 records with gastric cancer were selected through the system database, attending a five-year period, of which 117 paraffin blocks were available for immunohistochemical assessment of HER2 receptor. Results: 2.6% of tumors showed overexpression of HER2, considering for this study two crosses as positive. There was no statistically significant difference in correlation between expression of the HER2 receptor with age, gender, tumor grade, local involvement, Lauren classification, Borrmann classification or staging. Conclusion: For this studied population, we can conclude that there is no need to employ HER2 blockers with high cost as a target-therapy in patients with gastric cancer, since no clinical benefit probably will be obtained due to a low percentage of these patients that demonstrated superexpression of this receptor or even there is no patients with gastric cancer with superexpression of HER2 with more than three crosses of positivity in immunochemistry

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Variable reluctance motors have been increasingly used as an alternative for variable speed and high speed drives in many industrial applications, due to many advantages like the simplicity of construction, robustness, and low cost. The most common applications in recent years are related to aeronautics, electric and hybrid vehicles and wind power generation. This paper explores the theory, operation, design procedures and analysis of a variable reluctance machine. An iterative design methodology is introduced and used to design a 1.25 kW prototype. For the analysis of the machine two methods are used, an analytical method and the finite element simulation. The results obtained by both methods are compared. The results of finite element simulation are used to determine the inductance profiles and torque of the prototype. The magnetic saturation is examined visually and numerically in four critical points of the machine. The data collected in the simulation allow the verification of design and operating limits for the prototype. Moreover, the behavior of the output quantities is analyzed (inductance, torque and magnetic saturation) by variation of physical dimensions of the motor. Finally, a multiobjective optimization using Differential Evolution algorithms and Genetic Algorithms for switched reluctance machine design is proposed. The optimized variables are rotor and stator polar arcs, and the goals are to maximize the average torque, the average torque per copper losses and the average torque per core volume. Finally, the initial design and optimized design are compared.

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The purpose of using software based on numerical approximations for metal forming is given by the need to ensure process efficiency in order to get high quality products at lowest cost and shortest time. This study uses the theory of similitude in order to develop a technique capable of simulating the stamping process of a metal sheet, obtaining results close to the real values, with shorter processing times. The results are obtained through simulations performed in the finite element software STAMPACK®. This software uses the explicit integration method in time, which is usually applied to solve nonlinear problems involving contact, such as the metal forming processes. The technique was developed from a stamping model of a square box, simulated with four different scale factors, two higher and two smaller than the real scale. The technique was validated with a bending model of a welded plate, which had a high simulation time. The application of the technique allowed over 50% of decrease in the time of simulation. The results for the application of the scale technique for forming plates were satisfactory, showing good quantitative results related to the decrease of the total time of simulation. Finally, it is noted that the decrease in simulation time is only possible with the use of two related scales, the geometric and kinematic scale. The kinematic scale factors should be used with caution, because the high speeds can cause dynamic problems and could influence the results of the simulations.