1000 resultados para estágios imaturos


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Hospitais são fundamentais para a sociedade devido à sua função socioeconômica e, principalmente, por promover a saúde em todos os sentidos. Mas possuem várias carências de gestão administrativa e qualidade com maior valor agregado, entre outras. Um dos temas que tem se sobressaído na dinâmica da gestão empresarial e que busca agregar valor e vantagens competitivas sustentáveis é a logística, porém esta é uma área relativamente inexplorada. Nesse contexto, o objetivo do estudo é identificar o estágio da logística e seu arranjo organizacional em uma organização hospitalar. Para tanto, utilizou-se uma abordagem qualitativa-exploratória, seguida de revisão de literatura, que visa a estruturação do conhecimento da logística, e estudo de caso. A coleta de dados foi realizada por pesquisa documental e entrevistas semiestruturadas. Os resultados permitiram apurar modificações na estrutura organizacional do hospital, contemplando a logística, e identificar que a instituição encontra-se no estágio 2, além de ressaltar as barreiras e os facilitadores do processo de adaptação.

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A pesquisa teve como objetivo avaliar a influência do estágio pós-doutoral sobre a produção científica, notadamente das hard sciences de docentes atuantes em programas de pós-graduação da Universidade de São Paulo (USP). O estudo busca a mensuração de variações da produção registrada em periódicos científicos em um panorama ex ante e ex post e encontra-se circunscrito nessas quatro grandes áreas do conhecimento: Biológicas, Engenharias, Exatas e da Terra e Saúde. O pós-doutorado pode ser visualizado como um local privilegiado para a complementaridade da capacitação docente enquanto forma de atualização e/ou reciclagem profissional, com a lógica embutida e a expectativa de que haja benefícios, também, para o programa de pós-graduação de origem. Como toda atividade de pesquisa não pode ficar implícita, as atividades de pesquisa do pós-doutorado, também, necessitam ser tornadas públicas via conhecimento externalizado que se traduz no conhecimento cristalizado sob a forma de publicações científicas que são compartilhadas pela comunidade acadêmica. Com uma população de 86 doutores que realizaram pósdoutorado até junho de 2005, os dados levantados com o confronto da produção em Ciência e Tecnologia (C&T), antes e depois do treinamento pós-doutoral apontam para um comportamento de variação da produtividade em mídia qualificada cujo resultado demonstra uma "homogeneização" relativa entre publicações registradas em periódicos Qualis 'B' e 'C', nacionais e/ou internacionais, mas sugere haver diferenças no que tange a uma influência sobre o aumento de publicações em revistas Internacionais Qualis 'A' possuindo influência positiva mais visível sobre essa produção para estágios realizados no Exterior, nas grandes áreas do conhecimento investigadas.

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OBJECTIVE: To analyze, in people with intermittent claudication, the frequency of individuals who are in each of stages of health behavior change to practice physical activity, and analyze the association of these stages with the walking capacity. METHODS: We recruited 150 patients with intermittent claudication treated at a tertiary center, being included those >30-year-old-individuals and who had ankle-arm index <0.90. We obtained socio-demographic information, presence of comorbidities and cardiovascular risk factors and stages of health behavior change to practice physical activity through a questionnaire, they being pre-contemplation, contemplation, preparation, action and maintenance. Moreover, the walking capacity was measured in a treadmill test (Gardner protocol). RESULTS: Most individuals were in the maintenance stage (42.7%), however, when the stages of health behavior change were categorized into active (action and maintenance) and inactive (pre-contemplation, contemplation and preparation),51.3% of the individuals were classified as inactive behavior. There was no association between stages of health behavior change, sociodemographic factors and cardiovascular risk factors. However, patients with intermittent claudication who had lower total walking distance were three times more likely to have inactive behavior. CONCLUSION: Most patients with intermittent claudication showed an inactive behavior and, in this population, lower walking capacity was associated with this behavior.

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Este estudo investigou a aprendizagem de uma tarefa motora seriada em diferentes estágios de desenvolvimento. Quinze crianças, 14 adultos e 13 idosos praticaram a tarefa de rastrear uma sequência de seis estímulos luminosos durante 10 blocos de tentativas ou até descobrir a sequência, constituindo a fase de estabilização e mais dois blocos de tentativas, referentes as fases de adaptação I e II. O desempenho foi mensurado por meio das respostas funcionais e não-funcionais e das sequências funcionais. Os resultados indicaram que os adultos foram superiores aos demais participantes, e idosos apresentaram melhor desempenho que crianças apenas no início da prática, sugerindo que o estágio de desenvolvimento interage com o processo de aprendizagem motora.

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Empowerment é uma abordagem de projeto que objetiva a delegação de poder de decisão, autonomia e participação dos funcionários do empowerment através dos estágios evolutivos das áreas de gestão. Estudam-se as especificidades do empowerment em termos de suas dimensões, ciclo de implementação e tipologia. Analisa-se o desenvolvimento de empowerment através dos estágios evolutivos das áreas de gestão, configurações organizacionais, estratégias competitivas, gestão de recursos humanos e qualidade. Apresenta-se um estudo de casos em duas empresas manufatureiras do interior de São Paulo, a fim de analisar o grau de participação dos funcionários de acordo com o estágio evolutivo de suas áreas de gestão, configuração organizacional, estratégia competitiva, gestão de recursos humanos e gestão da qualidade da empresa. Nas conclusões, discutem-se os fatores favoráveis, as particularidades e limitações do empowerment com base nos estudos de casos.

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The diagnosis of nutritional status is extremely re levant in clinical practice and population assessment, due to the association betwe en body fat and metabolic alterations. The aim of this study is to analyze th e prevalence of metabolic syndrome (MS) and its components in the pubertal stages of f emale students in Rio Grande do Norte state, Brazil, in accordance with Internation al Diabetes Federation criteria. This is a cross-sectional study with 449 students aged betw een 8 and 19 years, stratified into pubertal stages systematized by Marshal and Tanner (1969), as follows: 27.6% prepubertal, 44.3% pubertal and 28.1% postpubertal, with mean ages of 9.4±1.27, 12.4±2.23 and 15.1±1.88 years, respectively. Preval ences were analyzed using distribution of frequencies and their respective 95 % confidence intervals, while the chi- square test and odds ratio were applied to analyze the associations between variables. The general prevalence of MS was 3.3% (CI: 2% - 5%) , without occurrences in the prepubertal stage, observing that it emerges from t he pubertal stage onwards with a prevalence of 2.5% (CI 95% 0.1% - 5%), 1% (CI 95% 0.4% - 2.3%) of cases with overweight and 1.5% (CI 95% -0.1% - 3.2%) with obes e individuals, while in the postpubertal stage the prevalence is 7.9% (CI 95% 3 .2% - 12.6%), 0.8% (CI 95% -0.8% - 2.3%) normal weight cases, 4% (CI 95% 0.6% - 7.4% ) overweight and 3.1% (CI 0.1% - 6.2%) obese individuals. There was an association (p<0.02) between pubertal stages and MS ( x 2 =5.2), with an OR of 3.3 (CI: 1.2 - 5), showing tha t postpubertal adolescents are more prone to SM than pubertals, while the OR i n obese individuals was 2.1 (CI: 2– 2.2) compared to the overweight. Body mass index (B MI) ( x 2 = 29.4; p<0.001) and age range ( x 2 = 13.1; p<0.001) showed a significant linear assoc iation with MS. Of the adolescents with MS, those aged ten years or younge r exhibited higher %G. The most prevalent components in all the stages were altered waist circumference (27.2% [CI 23% - 31%]) and low HDL cholesterol (39.6% [CI 35% – 44%]), which, coupled with hypertension, displayed significant differences in the postpubertal stage in relation to the other stages. The results show that MS emerges from the pubertal stage onwards in proportion to excess childhood body fat, a fact tha t calls for prevention strategies using an educational approach, reducing the large demand on the National Health System. Keywords: Metabolic syndrome, pubertal stages, risk factors.

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Trypanosma cruzi is the causative agent of Chagas disease. This trypanosomiasis has become a global public health problem due to migration of Latin Americans to non-endemic countries. In Latin America with the succesful implementation of control domiciliated vector infestation and blood transfusion, the importance of congenital transmission has recently increased. Considering the tight regulation of immune system during gestation, we aimed to investigate the changes in the immune system caused by T.cruzi infection in the gestation outcome. T cruzi G and Y strain were used to infect female BALB/c mice before or after mating with non-infected male mice. The presence of vaginal plug was used as indicative of mating. Females were euthanized 8 days after confirmation of vaginal plug. We used three female control groups, only infected, only infected and non-infected and non-pregnant females. Two groups were infected before mating and other two were infected 4 days after confirmation of vaginal plug. The uterus and spleen were collected to immunochemistry, qPCR, immunofluorescence and cytokine analysis. Our results showed that despite the MMP’s identification being similarly among groups, T.cruzi higher virulent strain can impaire gestation outcome prior mating; the infection also increased cytokines like IFN-γ, IL-1β and IL-4; and leucocytes in uterine environment was altered, responding locally to systemic changes caused by T.cruzi infection. In conclusion this work suggests that T.cruzi infection can impaire gestation outcome and local response to sistemic infection was able to control the infection allowing pregnancy development in some conditions.

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Internship is legally understood in Brazil as an overseen educational activity to be developed in a work setting aiming to prepare students to make productive work. According to the federal law number 11.788/08, its main aim is to provide students with competences directly related to the professional activity in a curricular context and to make students develop themselves to live as citizens and to work professionally. With a focus on the professionalizing internship, this research aimed at understanding the professional subjectiveness process of Psychology undergraduates at a public university in the state Minas Gerais during their internship and according to a critic perspective in schooling psychology. The importance of studying psychologist academic training above all the relationship between theory and practice is on the fact that the internship is his/her initial contact with the professional experience itself after four years of theoretical studies. Understood as a way of appropriating and internalizing theoretical and practical dimensions related to the psychologist profession and constructed by the individual, the concept of professional subjectiveness is viewed in the light of the cultural-historical theory, that is, as a result of the human being social constitution. Three Psychology s intern students and their respective overseers were interviewed during their internship period to talk about the process of professional constitution at this phase of the academic training. To do so, oral history proved to be an important methodological support, for it offers a means of giving voice to common people and letting them signify their multi-circumstantial experiences. Results reiterate the presence of subjectivity in the dynamics of an undergraduate training, but they showed that it is permeated by social relations established in his/her personal life story and professional trajectory, stemming from the professional choice, the relationship between intern and overseer, the professional activity properly considered, the psychotherapy, the rules, and from the institutionalization of knowledge, among others aspects that guide the professional subjectiveness during the internship. We verified that the training of a Psychology undergraduate includes multiple determinations that exceed the academic setting because it points out the breaking down of the professional dimensions and personal one dichotomy.

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Chapter 2 - Cystatin C is a cationic protein is not glycosylated, produced a steady state for all nucleated and present in biological fluids cells being freely filtered by the glomeruli and almost completely catabolized in the proximal tubule, it is a promising early renal dysfunction marker. This study aimed to determine and compare the serum concentration of cystatin C biomarker in 86 dogs. The animals were divided into four groups according to serum creatinine levels: G1 - up. 1.4 mg / dL (23 animals), G2 - 1.5-2.0 mg / dL (16 animals), G3 - 2.1 to 5.0 mg / dL (24 animals) and G4 - above 5.1 mg / dL (23 animals). There was the measurement of the parameters used in the clinical routine of small animals such as urea, urinary gamma glutamyl transferase, proteinuria, alkaline phosphatase, sodium, potassium, chloride, calcium, phosphorus, calcium/phosphorus ratio and cystatin C. There was no statistical difference for urea, proteinuria, phosphorus, calcium/phosphorus, potassium and cystatin C, however, the other showed no statistical difference. Based on the results we can infer that cystatin C was not a good early indicator of kidney disease in dogs. Chapter 3 - This study aimed to determine the hematological and urinalysis elements such as density, proteinuria, cylinders and pH in 86 dogs The animals were divided into four stages according to serum creatinine levels: I - up to 1.4 mg/dL (23 animals), II - 1.5-2.0 mg/dL (16 animals), III from 2.1 to 5.0 mg/dL (24 animals) and IV - above 5.1 mg/dL (23 animals). In stage III, IV there was anemia normocytic normochromic type. Stage II had a leukocytosis frame by neutrophilia with a regenerative left shift and stage III and IV detour degenerative left. The density remained within the reference values all stages. Proteinuria showed statistical significance for the classification 2+ (1.0 g/L), between stage I and II, II and IV. Only the cylinder granular statistical difference in the classification 2+ between stage II and III, and 3+ between stage I and III. The prevailing pH was acid. The haematological values compared to serum creatinine stages showed the changes in hemoglobin and packed cell volume erythrocytes become more pronounced as serum creatinine values rise , this is also the behavior of neutrophils rods and proteinuria.

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GALVÃO, Marise Adriana Mamede; RODRIGUES, Maria das Graças Soares.(Des) encontros no discurso de estagiário em relatórios de estágio supervisionados. Revista Intercâmbio, São Paulo, v.18, p. 122-138, 2008.ISSN 1806-275x

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GALVÃO, Marise Adriana Mamede; RODRIGUES, Maria das Graças Soares.(Des) encontros no discurso de estagiário em relatórios de estágio supervisionados. Revista Intercâmbio, São Paulo, v.18, p. 122-138, 2008.ISSN 1806-275x

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O desenvolvimento completo das raízes demora pelo menos dois a três anos a completar-se após a colocação da peça dentária na cavidade oral, na medida em que manutenção da vitalidade pulpar é de extrema importância, de modo a permitir o completo desenvolvimento dentário e radicular. Perante um diagnóstico de necrose pulpar num dente imaturo o objectivo do Médico Dentista deverá ser sempre permitir a maturação completa das raízes e consequente encerramento apical. Deste modo, podemos considerar que existem essencialmente duas abordagem terapêuticas em dentes imaturos necrosados: a apexificação e a revascularização. A apexificação é considerada como o tratamento standard de dentes imaturos, uma vez que induz a formação de uma barreira apical calcificada. No entanto, este procedimento tem diversas desvantagens, nomeadamente o risco de fractura radicular uma vez que não proporciona um espessamento das paredes da raiz deixando-as assim finas e susceptíveis à fractura. Nos últimos anos um novo tratamento, como alternativa à apexificação, tem vindo a ser estudado. A revascularização consiste no transporte de factores de crescimento para o espaço intracanalar através da estimulação do sangramento dos tecidos periapicais e, deste modo, promover de forma natural um espessamento e completo desenvolvimento das raízes. Assim, comparativamente à apexificação a revascularização apresenta algumas vantagens, podendo, num futuro próximo, tornar-se no tratamento de eleição aquando de um diagnóstico de necrose num dente imaturo.

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To design strategies for the conservation and use of genetic resources of tree species such as jaboticaba tree, it is essential to make the characterization. In southwestern Paraná region, there are several forest fragments containing native jaboticaba tree (Plinia cauliflora), whose materials have broad potential for commercial orchards or breeding programs. As is the potential genetic diversity of a population to produce different genotypes, it would be able to start in such a characterization one of these fragments. The aim was to characterize fruits of jaboticaba tree (P. caulifora) of forest fragment kept in Clevelândia - PR for the presence of phenotypic variability, seeking to identify those superiors named for future selection as farming or male parent, as well as estimate genetic divergence between them, as a complementary tool for this purpose. Also, verify the regeneration and spatial distribution of the species. For the study was defined portion of a hectare (10.000 m²), with all individuals identified, mapped, with local coordinate system, and measured height and diameter. Fruits were characterized by sensory and biochemical characteristics in two years, 70 genotypes at 2013 and 56 at 2014, and of these 33 genotypes in both years. As a pre-selection criteria was adopted the choice of 20% of the genotypes that showed the highest frequency of superiority in the evaluated characteristics of the fruit. Genetic divergence among 33 genotypes per year was analyzed. The distribution pattern and spatial association was evaluated by Ripley's K function. It was classified for the first time the following ontogenetic stages of jaboticaba tree, by plant height, seedling (from 0.01 to 0.99 m), juvenile (1.0 to 4.99 m), immature (> 5.0 m, non-reproductive), adult (reproductive). It was also have been describe for the first time the naturally occurring juxtaposed seedlings, indicating polyembryony. The number of regenerating identified in the population (seedlings: n = 2163; juveniles: n = 330; immature: n = 59) was much larger than the number of adults (n = 132). The species showed reverse J-shaped size structure standard, with high concentration of regenerating. The regeneration distribution occurs in aggregate pattern and there is seedling-adult dependence, due seed dispersal and seedling emergence closest to mothers. The jaboticaba tree regeneration is sufficient to maintain the species for long term in this population, which should serve as reference to regeneration success for other studies of this important fruiting species from Ombrofile Mixed Forests. Has been pre-selected the jaboticaba trees 7, 42, 43, 47, 54, 91, 97, 104, 105, 118, 134, 153, 154, 157, 163, 169, 177, 186, 212, J7-01 and J7- 02, and 16 and 194 the ones that can now be selected by the superior characteristics of both cycles. It was recommended to carry out hybridization between genotypes 79 and 119, and 96 to 148. The quality of fruit analyzed showed potential for use as a dual purpose serving both in natura market or processing.