Ingestão Oral e Grau de Comprometimento da Disfagia Orofaríngea Neurogênica Pré e Pós-Fonoterapia

Objective. To compare, pre- and post-swallowing therapy, the level of oral intake scale, and the degree of severity of neurogenic oropharyngeal dysphagia. Method. 19 patients with oropharyngeal dysphagia: 10 Post-Stroke adults, aged from 44 years to 76 years (group 1 – G1), and nine children with Cerebral Palsy, aged from two years and five months to 15 years (group 2 – G2). We excluded individuals in the process of spontaneous recovery. We held retrospective analysis of clinical protocols for clinical speech therapy evaluation with classification of the degree of dysphagia severity, applied before and after swallowing therapy. We used the Functional Oral Intake Scale - FOIS to assess the level of oral ingestion, pre and post-swallowing therapy. Results. The degree of commitment of dysphagia was favorable change only in adults, and in FOIS these changes occurred in both groups. Conclusion. There were favorable changes in the degree of impairment of oropharyngeal dysphagia and levels of FOIS, pre and post - speech therapy in stroke, but in ECINP markers used showed no favorable changes should even be reviewed for application in this population. Future studies are needed to investigate the variables in this sample.

Análise da ABNT NBR ISO 14005:2012 como instrumento de implementação de sistemas de gestão ambiental em pequenas e médias empresas

The use of environmental management systems - EMS has shown to be a key tool for addressing the environmental aspects and impacts of an organization. The vast majority of EMS based on the requirements of ISO 14001:2004, as it is a globally recognized standard and adopt its recommendations is considered to be a guarantee of fulfilling the basic requirements of an EMS. Despite all the benefits that the system provides, we still find many problems in the implementation of EMS, especially in small and medium enterprises or SME. Most of the difficulties of implementation is related to intrinsic factors that companies of this size have, and issues related to the models and methods used to implement an EMS. Thus, this work aimed to assess whether the guidelines of ISO 14005:2012 meet the needs of SMEs for the effective implementation of an environmental management system. For it has been identified in the relation between SMEs and EMS the majof intrinsic problems of SMEs to implement (PII), such as lack of financial and human resources, and lack of commitment from top management to the SGA. Also was also pointed the main implementation issues related to ISO 14001 (ABNT, 2004) or the models or methods (PIM), highlighting the lack of environmental performance criteria, and the need for a path or sequence of steps for implementation. The study of ISO 14005 (ABNT, 2012) showed that the standard guidelines and implementation examples proposed, include solutions for all problems related to EMS implementation SMEs

Comportamento do IDEB nos municípios paulistas da região de Barretos e região central: algumas discussões para responsabilização e comprometimento

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Por uma educação dos sentidos: as realizações artísticas do diretor Luiz Fernando Carvalho

Director Luiz Fernando Carvalho’s artistic performances, specially the miniseries Hoje é dia de Maria (2005), A Pedra do Reino (2007) and Capitu (2008), target a true setting of commitment, preoccupation and conciliation towards its spectator’s education. And the purpose of this text is to talk about such reeducation of senses explored by Carvalho’s artistic performances.

O jovem e o ficar à luz da teoria Bourdiana

Pós-graduação em Educação Sexual - FCLAR

Religiosidade e mito na obra de José Carlos Mariátegui e a teologia da libertação

Pós-graduação em Ciências Sociais - FCLAR

Religião, política e eleições na Folha Universal

The Folha Universal, newspaper produced by the Igreja Universal do Reino de Deus (Iurd, abbreviation in Portuguese for Universal Church of the Kingdom of God), reaches an average weekly circulation from 2.5 to 3.5 million copies. Studies indicate that the Folha Universal is not merely an institutional newspaper. It is systematically dedicated to be a source of political information to their readers, in order to publicize candidates and politicians who defend the Iurd’s proposals for the Brazilian public life. This paper describes results of an empirical study on the frames built by the Folha Universal about the social demands, economic and political governance considered as priorities to the public management by the Iurd around five themes of analysis: public safety; children and adolescents care; public health; environment; politics and economy. The results indicate that, as characteristics of the Folha Universal in the four months prior to the 2010 Brazilian elections, aspects that differ from those indicated by previous studies on the newspaper. Previously detected in the pages of Folha Universal as a mean for finding solutions to social problems, the theology of prosperity was in our sample replaced by the formulation of public policies.

A escrita dialógica: investigando o relacionamento do sujeito com o próprio texto

Pós-graduação em Letras - FCLAR

Distorções harmônicas produzidas por inversores de geração distribuída fotovoltaica em condição de ressonância paralela

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Desempenho de pré-escolares com queixa de Distúrbios da Comunicação no Preschool Language Assessment Instrument (Plai-2)

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Utilização de trocadores de calor de placas em espiral em processos da indústria siderúrgica

Stricter environmental policies are shown necessary to ensure an effective pollutant emission control. It is expected for the present year of 2015, that Brazil will assume, at the 21th United Nation's Climate Change Conference (COP21), implementation of commitment to a low carbon economy. This positioning affects the industrial environment, so that is deemed necessary to search for new technologies, less aggressive to the environment, so the adequacies to the new emission policies do not cause a negative effect on production. Almost all of the processes performed in the steel industry demand burning fuel and, therefore, flue gases are sent to the atmosphere. In this present work is discussed the utilization of heat exchangers so, by recovering part of the available heat from the flue gases of certain industrial process, the combustion air is preheated. The combustion air preheat results in less energy requirement, i.e., less need of fuel consumption and, in addition, minor amount of pollutants to be emitted. Due to better fitting to the process, it is studied the utilization of spiral plate heat exchangers. The heat exchanger dimensioning is made by an iterative method implemented in the software Microsoft Excel. Subsequently are analyzed the gains in terms of process's thermal efficiency improvement and the percentage of fuel saving. The latter implies in reduction of the same percentage of greenhouse gases emission

Regents Outreach and Economic Development Task Force Meeting

Let me begin today by thanking you, Regent Hassebrook, as Task Force Chair, and each of you who is a member of this Task Force, for focusing on outreach and economic development at the University as we work on behalf of Nebraska. We thank Regent Chair Howard Hawks for appointing this task force. The level of commitment this shows for the university's role in outreach and economic development is very important both to us in the university and to Nebraskans.

Desempenho de pré-escolares com queixa de Distúrbios da Comunicação no Preschool Language Assessment Instrument (Plai-2)

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Utilização de trocadores de calor de placas em espiral em processos da indústria siderúrgica

Stricter environmental policies are shown necessary to ensure an effective pollutant emission control. It is expected for the present year of 2015, that Brazil will assume, at the 21th United Nation's Climate Change Conference (COP21), implementation of commitment to a low carbon economy. This positioning affects the industrial environment, so that is deemed necessary to search for new technologies, less aggressive to the environment, so the adequacies to the new emission policies do not cause a negative effect on production. Almost all of the processes performed in the steel industry demand burning fuel and, therefore, flue gases are sent to the atmosphere. In this present work is discussed the utilization of heat exchangers so, by recovering part of the available heat from the flue gases of certain industrial process, the combustion air is preheated. The combustion air preheat results in less energy requirement, i.e., less need of fuel consumption and, in addition, minor amount of pollutants to be emitted. Due to better fitting to the process, it is studied the utilization of spiral plate heat exchangers. The heat exchanger dimensioning is made by an iterative method implemented in the software Microsoft Excel. Subsequently are analyzed the gains in terms of process's thermal efficiency improvement and the percentage of fuel saving. The latter implies in reduction of the same percentage of greenhouse gases emission

Gestión de pacientes de un Servicio de Urgencias Hospitalarias

[ES] Un servicio de urgencias de una zona ofrece asistencia sanitaria y tiene como principal objetivo atender la patología urgente que acude al hospital y el nivel de compromiso que se asume consiste en diagnosticar, tratar y estabilizar, en la medida posible, dicha patología urgente. Otro objetivo es gestionar la demanda de atención urgente por parte del ciudadano a través de un sistema de selección prioritaria inicial (Triaje) que selecciona, prioriza, organiza y gestiona la demanda de atención. Para poder controlar y realizar el trabajo de la forma más eficaz se utilizan herramientas de gestión necesarias para el control de los pacientes, desde que se realiza su ingreso en el servicio de urgencias hasta el alta del mismo. Las aplicaciones desarrolladas son las siguientes: Gestión de Pacientes en Urgencias: Esta aplicación asignará un estado inicial al paciente y permitirá ir cambiando el estado del mismo usando el método del Triaje (valoración), el más difundido en la medicina de urgencias. Además, se podrán solicitar pruebas diagnósticas y la visualización de marcadores de analíticas para comprobar su evolución. Finalmente, se podrá desarrollar un informe de alta para el paciente. Informadores de Urgencias: La aplicación gestiona la localización física del paciente dentro del servicio de urgencias, permitiendo asimismo el cambio entre las distintas localizaciones y el control para la información a los familiares de los mismos, pudiendo almacenar los familiares y teléfonos de contactos para que estos puedan ser informados. El desarrollo se ha realizado utilizando el MVC (modelo - vista - controlador) que es patrón de arquitectura que separa los datos de una aplicación, la interfaz gráfica de usuario y la lógica de control de componentes. El software utilizado para el desarrollo de las aplicaciones es CACHÉ de Intersystems que permite la creación de una base de datos multidimensional. El modelo de objetos de Caché se basa en el estándar ODMG (Object Database Management Group, Grupo de gestión de bases de datos de objetos) y soporta muchas características avanzadas. CACHÉ dispone de Zen, una biblioteca completa de componentes de objetos preconstruidos y herramientas de desarrollo basadas en la tecnología CSP (Caché Server Pages) y de objetos de InterSystems. ZEN es especialmente apropiado para desarrollar una versión Web de las aplicaciones cliente/servidor creadas originalmente con herramientas como Visual Basic o PowerBuilder.