294 resultados para Areias de Praias


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No supralitoral de praias arenosas, o número limitado de espécies da macrofauna e a maior constância destas entre praias (comparado ao médio litoral), apresenta-se ora como pró, ora como contra, a identificação de organismos adequados ao monitoramento e avaliação da qualidade ambiental. Assim, o crescente esforço para identificar padrões espaciais/temporais dessas espécies leva a um aumento de questionamentos metodológicos. Visamos responder se há necessidade de fixar condições de maré (alta ou baixa; sizígia ou quadratura) para estudos com o caranguejo Ocypode quadrata. 1) Altura da maré e quantificação de indivíduos. Nove praias foram avaliadas em cada estação do ano, através de três transectos de 2 m perpendiculares à linha d'água, em condições de maré aleatórias. A altura da maré foi registrada para cada transecto e correlacionada com: o comprimento total do transecto; a amplitude de ocorrência de O. quadrata. Houve correlação significativa entre a altura da maré e o comprimento dos transectos em 4 das 9 praias; em nenhum caso houve correlação significativa entre as amplitudes de maré e de ocorrência dos animais. 2) Marés de sizígia e quadratura e quantificação de indivíduos. Em uma área de estudo fixa, foram traçados transectos na preamar e baixa-mar das marés de sizígia e quadratura ao longo de um mês. Não houve variação significativa de acordo com o tipo de maré, mas houve aumento significativo ao longo do tempo. O estudo se iniciou em maré de sizígia, o que pode ter levado a menor média geral nessa condição. Assim, o estudo aponta que condições de maré não sejam essenciais para a quantificação de populações de Ocypode - contanto que se evite condições extremas -, um ponto facilitador do trabalho com este organismo.

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Os oceanos e as praias têm recebido todo o tipo de fragmentos, que podem ter impactos econômicos, estéticos e ecológicos (USEPA, 1992). Dentre esses fragmentos, estão os pellets ou grânulos plásticos, que são utilizados na indústria para manufatura de diversos produtos (Ogata et al, 2009). Esses grânulos entram no ambiente de forma acidental ou intencional durante o transporte ou produção de plástico (ITF, 1988) e representam um importante constituinte da poluição marinha por resíduos sólidos, estando presentes em todos os oceanos e praias do mundo, com relatos desde a década de 70 (Turra, 2008). Efeitos adversos que podem ocorrer em organismos que ingerem esses grânulos incluem bloqueio do trato intestinal, redução de consumo alimentar e aumento à exposição dos produtos químicos (Endo et al., 2005). Segundo Karapanagioti e Klontza (2008), os grânulos de baixa densidade flutuam na superfície do oceano e chegam nas praias. Sendo orgânicos, os grânulos adsorvem contaminantes hidrofóbicos, como hidrocarbonetos, presentes ao longo percurso até chegar na praia (Mato et al., 2001). Esses compostos estão entre contaminantes que podem afetar o ambiente marinho e podem ser provenientes de vazamentos de óleo e queima incompleta de combustíveis fósseis (NRC, 1985). O objetivo deste trabalho é apresentar resultados desses compostos em grânulos de plástico coletados na superfície do sedimento da Praia do Embaré, Baixada Santista, SP, região muito afetada pela introdução de hidrocarbonetos.

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The eardrum separates the external ear from the middle ear and it is responsible to convert the acoustical energy into mechanical energy. It is divided by pars tensa and pars flaccida. The aim of this work is to analyze the susceptibility of the four quadrants of the pars tensa under negative pressure, to different lamina propria fibers distribution. The development of associated ear pathology, in particular the formation of retraction pockets, is also evaluated. To analyze these effects, a computational biomechanical model of the tympano-ossicular chain was constructed using computerized tomography images and based on the finite element method. Three fibers distributions in the eardrum middle layer were compared: case 1 (eardrum with a circular band of fibers surrounding all quadrants equally), case 2 (eardrum with a circular band of fibers that decreases in thickness in posterior quadrants), case 3 (eardrum without circular fibers in the posterior/superior quadrant). A static analysis was performed by applying approximately 3000Pa in the eardrum. The pars tensa of the eardrum was divided in four quadrants and the displacement of a central point of each quadrant analyzed. The largest displacements of the eardrum were obtained for the eardrum without circular fibers in the posterior/superior quadrant.

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The eardrum separates the external ear from the middle ear and it is responsible to convert the acoustical energy into mechanical energy. It is divided by pars tensa and pars flaccida. The aim of this work is to analyze the susceptibility of the four quadrants of the pars tensa under negative pressure, to different lamina propria fibers distribution. The development of associated ear pathology, in particular the formation of retraction pockets, is also evaluated. To analyze these effects, a computational biomechanical model of the tympano-ossicular chain was constructed using computerized tomography images and based on the finite element method. Three fibers distributions in the eardrum middle layer were compared: case 1 (eardrum with a circular band of fibers surrounding all quadrants equally), case 2 (eardrum with a circular band of fibers that decreases in thickness in posterior quadrants), case 3 (eardrum without circular fibers in the posterior/superior quadrant). A static analysis was performed by applying approximately 3000Pa in the eardrum. The pars tensa of the eardrum was divided in four quadrants and the displacement of a central point of each quadrant analyzed. The largest displacements of the eardrum were obtained for the eardrum without circular fibers in the posterior/superior quadrant.

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The natural and anthropogenic changes that are occurring at the coastal zone around the world represent the greatest problem to society in this century. This problem becomes more evident due to high density of coastal cities, to growing tourist-estate speculation of those areas and to climate change that tend to trigger and accelerate the erosive processes that operating in the littoral. In this context, it‟s possible perceive ever more a significant increase of problems associated to the coastal erosion and retreat of cliffs in the state of Rio Grande do Norte, where this study area of this search is located. The area is located in the coastal zone of the city of Baía Formosa/RN, in south-eastern coast of Rio Grande do Norte, and has a extension of about 1200 meters along the Porto beach. The main objective of this study is to analyze the stability of these cliffs in this region. Through field investigations, testings and computational analysis using the Finite Element Method and Equilibrium Limit Methods. The area was divided into four sections, and were applied checklists, and also realized characterization tests and direct shear tests with materials obtained along these sections. In this manner, it was found that the segments of cliff in this coastal zone have heights around 4 meters to 14 meters and inclinations of approximately 40° to 90°.However the constituents soils of the cliffs were classified, in general terms in accordance to Unified Soil Classification System (USCS), as clayey sands or silty sands, clays of low plasticity, clayey gravels and poorly graduaded sands. The most variegated and clayey soils belong to base of the cliff. The stability analysis showed that the safety factors ranged in section 01, from 1.92 to 4.93, in the section 02, from 1.00 to 1.43, in the section 03, from 1.36 to 1.75 , and section 04, from 1.00 to 3.64. Thus, the sections 02 and 03 were considered more unstable. However, the section 03 can be considered as the most critical section due to the absence of coastal protection structures and the narrow strip of beach.

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In the shallow continental shelf in Northeastern Rio Grande do Norte - Brazil, important underwater geomorphological features can be found 6km from the coastline. They are coral reefs, locally known as “parrachos”. The present study aims to characterize and analyze the geomorphological feature as well as the ones of the benthic surface, and the distribution of biogenic sediments found in parrachos at Rio do Fogo and associated shallow platforms, by using remote sensing products and in situ data collections. This was made possible due to sedimentological, bathymetric and geomorphological maps elaborated from composite bands of images from the satellite sensors ETM+/Landsat-7, OLI/Landsat-8, MS/GeoEye and PAN/WordView-1, and analysis of bottom sediments samples. These maps were analyzed, integrally interpreted and validated in fieldwork, thus permitting the generation of a new geomorphological zoning of the shallow shelf in study and a geoenvironmental map of the Parrachos in Rio do Fogo. The images used were subject to Digital Image Processing techniques. All obtained data and information were stored in a Geographic Information System (GIS) and can become available to the scientific community. This shallow platform has a carbonate bottom composed mostly by algae. Collected and analyzed sediment samples can be classified as biogenic carbonatic sands, as they are composed 75% by calcareous algae, according to the found samples. The most abundant classes are green algae, red algae, nonbiogenic sediments (mineral grains), ancient algae and molluscs. At the parrachos the following was mapped: Barreta Channel, intertidal reefs, submerged reefs, the spur and grooves, the pools, the sandy bank, the bank of algae, sea grass, submerged roads and Rio do Fogo Channel. This work presents new information about geomorphology and evolution in the study area, and will be guiding future decision making in the handling and environmental management of the region

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Spinal cord injury causes permanent disabling manifestations, affecting the anatomic integrity, bodily changes and functional limitations related to the disability state. It was aimed to analyze the social representation, stress level and experiences of fishermen victims of spinal cord injury caused by diving accident in the Northern beaches of Brazil. It is a descriptive - exploratory study with quantitative, qualitative and representational data developed i n fishermen’s villages in nine beaches of Northern shore/RN, between October 2013 to August 2014, after the approval of the Ethics Committee in Research of the Universidade Federal do Rio Grande do Norte, under the number 431.891/2013, CAAE 20818913.0.0000 .5537. The sample was composed by 44 fishermen with spinal cord injury, defined from inclusion and exclusion criteria of the participants. It was used as instrument to collect the data a semi structured interview. Quantitative data was analyzed by descrip tive statistics, showing the data through table, boxes and graphics by Microsoft Excel. Data from interviews were submitted to the software called Analyse Lexicale par Contexte d’un Ensemble de Segments de Texte (ALCESTE) using the analysis of the Social R epresentation Theory and Center Core Theory. It is shown the outcomes of the research through four articles, following the normative recommendations of the journals. Participants of the study were all male, age mean 49,6 years, elementary school (68,2%), m arried (77,3%); paraplegia sequel (50,0%). Most of them showed stress (75,0%), almost in the exhaustion stage (33,3%), prevalent insomnia symptoms (95,5%) in the last hours; hypertension (97,7%) in the last week and sexual troubles (95,5%) in the last mont h). Decompressive illness caused spinal cord injury (57,1%), occurred prevalently in low summer (75,0%), northern shore (96,4%), having as main consequences the paresthesia and pain in the upper and lower limbs (67,9%), followed by death (25,0%). Interview analysis under the understanding of Social Representation of spinal cord injury allowed the appearance of seven categories: Treatment: limitation and expectative; Spinal Cord injury: before and after; Retirement: reality yet to come; Disability: dependenc y, incapacity, vulnerability; Overcoming and autonomy; Self feelings: physics losses and new start; Life and labor: impediments, plans and changes. The center core of the representation is found in the first category by the expectative and limitation on th e treatment, meanwhile the outskirt elements are in seventh and third categories. Physics limitation for fishing activities and retirement expectative is the most outstanding of the structure. Social representation concerning spinal cord injury is found in a transaction moment between before and after with the prevented fishing activity, coping of the situation with the potential remaining. The anchoring is established in the desire for changes related to the improvements of life and health conditions exper ienced day by day through faith. This study finishes pointing out the range of the objectives, which topic is relevant for public health of fishermen. It is suggested prevention measures, promotion and health recovery of fishermen, besides safe, healthy an d worthy conditions as a compromise of social and health politics.

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The central issue of this dissertation is to investigate the labor activity of beach hawker, in order to identify the main professional competencies mobilized in this activity, traversed by both the precariousness of the means of labor exercise, as for complex and structured routines. In the town of Natal (RN) the beaches serve as workplace for thousands of informal workers, who use various professional skills, translated into the ability to mobilize and articulate knowledge, skills and behaviors to solve problems in concrete work situations. This research therefore had as main objective to investigate the work of beach hawkers, trying to identify the core competencies mobilized for facing demands and obstacles in such a context. The beach of Ponta Negra (Natal-RN) was chosen as field of observation, in which a group of hawkers took part as voluntary subjects. Methodologically, quantitative and qualitative methods of production and analysis of data were combined in three stages. In the quantitative phase an occupational questionnaire was applied to a sample of 60 subjects, generating a set of data analyzed with quantitative univariate and multidimensional descriptive statistical tools, complemented by inferential statistical analysis. The results of this phase indicate a predominance of men sellers with salary varying in a range from one to two minimum wage Brazilian salary, age and education quite heterogeneous, extended working hours and the choice of only this activity and this beach throughout the year. Concurrently with this step of analysis, unsystematic observations of the activity of vendors were held and then driven to the technique of Instruction Impersonator with four chosen subjects. This phase had a clinicalinterpretive analysis, rooted in historical-cultural Vygotskian psychological perspective and in the french approach of skills and abilities. The main results point to several strategies for overcoming obstacles, use of technics anchored in everyday work experience and practical knowledge, building rules of conduct and collective mobilization of diverse professional skills similar to those found in formal work, such as business and time management, use of communicative tools, flexibility in problem solving, creativity and teamwork competence. We conclude that informality investigated in context can not be seen exclusively as a synonym of precariousness. It also covers skills and knowledge in a complex culture that situates informal labor in a complementary way with respect to formal work. This conclusion, therefore, contributes to overcome the notion of antinomy between formal and informal labor activity, since they both can be considered as a way to achieve job satisfaction, and even a personal representation of well done job, which is an important psychological generator of identity and social place.

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Since the middle of 1970´s the world has been undergoing significant transformations, comes in a new era of global capital accumulation, and starts the called productive restructuring. This restructuring is materialized spatially through the reconfiguration of territory, redefining its uses and providing a new spatial structure. With regard to native of Rio Grande do Norte territory, there is, from the 1980s, the emergence of new economic activities, among which stand out tourism, which become stimulated from government policies. In this context, has stood the east coast of the state, because its beaches have recognized scenic appeal and environmental quality. Therewith business opportunity, international investors ended up investing in this portion of Rio Grande do Norte´s territory, especially over the last decade. The expansion of this process, to the north coast, resulted in the emergence of intense property dynamics in the municipalities of Maxaranguape and Rio do Fogo. The low value of the property and buildings, compared to the European market and the availability of real property, were the main factors that explain the attraction of such investors, who are now seen as new business opportunities with high rates of profitability, in tropical areas, hitherto remote geographical location of the economic system. Therefore, the objective of the research is to analyze to what extent the International Investment promoted the appreciation of property in the municipalities of Maxaranguape and Rio do Fogo. The time frame covers the period among 2000- 2013. The methodology consisted of the following proceedings: surveys and analysis of data collected in the property registry office of the Maxaranguape and Rio do Fogo municipalities; interviews with public and private officials that were important for the analysis of spatial transformations and the recovery of the property that occurred in the municipalities studied; collection of secondary data from official bodies, such as IBGE, MTUR, SETUR, BNB etc. Analyzing the information and data that have been cataloged, it was concluded that this investments are reinforcing old leisure and tourism practices existing in the past in those territories and, shifted (creating new territorial arrangements) a significant part of the eastern coast zone areas of the state. Another consequence connected to this recent phenomenon refers to property’s increase in value that has occurred in this part of the state, episode which is directly connected to that event. Therefore, it is realize that the expansion and the incorporation of the capital territories reveal, in part, the strategies of the capitalist mode of production, which are evident in the search for better conditions of accumulation, expanding the alternative of use of the properties which occurs in selective way and uneven in the geographic space form. It is observed that the mechanisms that capital makes use to impose their practices can happen through the property’s increase in value market, meaning, thereby, that the reproduction of imbalances happens, often, through the marked property speculation with the fast increase in value of properties.

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In the coastal region of Ceará, between the municipalities of Acaraú and Itapipoca, thirteen sites were identified containing indicators of relative sea level, six of these being dated by optically stimulated luminescence (OSL) and radiocarbon. Ages obtained supports that were formed prograding beaches in the study area. In the eastern portion, beaches in coastal plain deposits occur while a system lagoon/barrier paleomangrove occurs in the western portion of the study area. In both cases the coastal deposits prograde from east to west. Higher sea levels were identified between the current: (a) 3.110-2.830 cal. yr. BP; (b) 1.830 yr. BP (OSL) - 1.490 cal. yr. BP; (c) between 1.240-1.060 cal. yr. BP; (d) 845-715 yr. BP (OSL). Since then the sea level suffered by lowering the current level. Variations in sea level are interpreted as responses to changes in the pattern of marine circulation and do not exclude possible tectonic disturbances in the basin of the continental margin. The indicators of relative sea level west coast of Ceará present differently from other curves constructed in the coastal northeast, suggesting that local factors mentioned above contributed to sea level fluctuations.

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El turismo constituye una actividad propulsora de mejorías económicas y sociales en incontables lugares alrededor del mundo, y la ciudad de Natal se posiciona como uno de los principales destinos turísticos del Nordeste brasileño. De ese modo, el objetivo del presente estudio consistió en analizar el posicionamiento estratégico del destino Natal por medio de la percepción de los operadores de turismo de la ciudad de São Paulo, principal mercado emisor de turistas del país. El estudio de carácter descriptivo-exploratorio utilizó un abordaje cualitativo y tuvo, como universo de investigación, operadoras de turismo de la capital paulista que comercializan el destino Natal. En la colecta de datos, se utilizaron la investigación bibliográfica y el estudio de campo, siendo este último efetivado por medio de un guión de entrevista semiestruturado. Ya la técnica utilizada para el análisis de los datos fue el análisis de contenido, iniciada mediante selección del material recolectado y concluida con el proceso de categorización. Cuanto a los resultados del estudio, se percibió que el paulistano que viaja al destino Natal tiene un perfil demográfico que sugiere a la práctica del turismo sustentable, está a la busca del turismo de sol y playa, y valora las bellezas naturales del lugar. Los operadores de turismo entrevistados evaluaron, positivamente, la ciudad de Natal, y destacaron los siguientes atributos del destino: playas, bellezas naturales, hostelería, receptividad de los autóctonas, gastronomía, de entre otros. Además, los respondentes demostraron tener un fuerte encariño al destino. En lo que se refiere a los aspectos negativos, prevaleció la observancia de la ineficacia de los gobiernos locales, donde el deterioro de la malla aérea y la incipiente promoción del destino fueron apuntados como los dos principales gargalos. Al analizar la competencia, se identificó que Fortaleza, Porto de Galinhas y Maceió son los tres principales concurrentes de Natal, siendo el destino pernambucano lo que presenta mejor evaluación. Por fin, se observó que no existe una diferenciación relevante en el destino Natal.

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The longshore sediment transport (LST) is determinant for the occurrence of morphological changes in coastal environments. Understanding their movement mechanisms and transport is an essential source of information for the project design and coastal management plans. This study aims to characterize, initially, the active hydrodynamic circulation in the study area, comprised of four beach sectors from the south coast of Natal, assessing the average annual LST obtained through three proven equations (CERC, Kamphuis and Bayram et al.), defining the best formulation for the study area in question, and analyze the seasonal variability and the decadal transport evolution. The coastal area selected for this work constitutes one of the main tourist corridors in the city, but has suffered serious damage resulting from associated effects of hydrodynamic forcings and their disorderly occupation. As a tool was used the Coastal Modelling System of Brazil (SMC-Brazil), which presents integrated a series of numerical models and a database, properly calibrated and validated for use in developing projects along the Brazilian coastline. The LST rates were obtained for 15 beach profiles distributed throughout the study area. Their extensions take into account the depth of closure calculated by Harllermeier equation, and regarding the physical properties of the sediment, typical values of sandy beaches were adopted, except for the average diameter, which was calculated through an optimization algorithm based on equilibrium profile formulation proposed by Dean. Overall, the results showed an intensification of hydrodynamic forcings under extreme sea wave conditions, especially along the headlands exist in the region. Among the analyzed equations, Bayram et al. was the most suitable for this type of application, with a predominant transport in the south-north direction and the highest rates within the order of 700.000 m3 /year to 2.000.000 m3 /year. The seasonal analysis also indicated a longitudinal transport predominance in the south to north, with the highest rates associated with the fall and winter seasons. In these periods are observed erosive beach states, which indicate a direct relationship between the sediment dynamics and the occurrence of more energetic sea states. Regarding the decadal evolution of transportation, it was found a decrease in transport rate from the 50’s to the 70’s, followed by an increase until the 2000’s, coinciding with the beginning of urbanization process in some stretches of the studied coastline.

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Several studies have been developed regarding health risks associated with the recreational use of beaches contaminated with domestic sewage. These wastes contain various microorganisms, including Candida tropicalis, etiologic agent of both superficial infections such as systemic, as well as indicator of fecal contamination for the environment. In this context, the objective of this study was to characterize C. tropicalis isolates from the sandy beach of Ponta Negra, Natal, Rio Grande do Norte, Brazil, regarding the expression of in vitro virulence factors, adaptation to osmotic stress and susceptibility to antifungal drugs. We analyzed 62 environmental isolates of C. tropicalis and observed a great variation between them for the various virulence factors evaluated. In general, environmental isolates were more adherent to CEBH than C. tropicalis ATCC13803 reference strain, besides the fact they were also highly biofilm producers. In relation to morphogenesis, most isolates presented wrinkled phenotype in Spider medium (34 isolates, 54.8 %). When assessing enzyme activity, most isolates had higher proteinase production than C. tropicalis ATCC13803 reference strain. In addition, 35 isolates (56.4 %) had high hemolytic activity (hemolysis index > 55). With regard to C. tropicalis resistance to osmotic stress, 85.4% of the isolates were able to grow in a liquid medium containing 15% sodium chloride, corroborating to high survival capacity described for this yeast at marine environment. Finally, with regard to sensitivity to antifungal drugs, it was observed high resistance to the azoles tested, with the occurrence of the "Low-high" phenomenon and similar effect to the paradoxical growth which occurs to the echinocandins. For the three azoles tested we verified that 15 strains were resistant (24.2 %). Some strains were also resistant to amphotericin B (14 isolates, 22.6 %), while all of them were sensitive for the echinocandins tested. Therefore, our results demonstrate that C. tropicalis isolated from the sand of northeast of Brazil can fully express virulence attributes and showed a high persistence capacity on the coastal environment, in addition of being significantly resistant to most applied antifungals in current clinical practice. This constitutes a potential health risk to visitors of this environment, especially immunocompromised individuals and those with extreme age range.

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O trabalho apresentado descreve todo o processo de conceção e desenvolvimento de um produto, ferramenta e célula de fabrico, realizado numa empresa de moldes situada na zona da Marinha Grande e denominada por Moldes RP – Indústria Moldes, Sociedade Unipessoal, Lda. Com o desenvolvimento deste novo produto, a empresa pretende atingir novos mercados, alargando a sua cadeia de valor a jusante do fabrico de moldes, integrando a componente de moldação por injeção e sopro, como forma de cimentar a sua posição no mercado global e assumir a conceção e desenvolvimentos de produtos como um eixo estratégico de negócios. Uma das formas de despoletar processos de desenvolvimento de produtos reside na identificação de oportunidades. Neste âmbito, e no respeitante ao produto em foco neste trabalho, verifica-se uma tendência para a proibição de utilização de copos de vidro em espaços públicos, nomeadamente concertos, eventos desportivos e praias, entre outros, o que força os promotores e consumidores a consumir bebidas em copos que respeitem estas condições.Neste contexto, foi identificada como oportunidade o desenvolvimento e produção de um copo de formas complexas e que respeite as condições descritas, tendo por base uma metodologia de conceção e desenvolvimento de produto eficaz. Para tal, o processo adotado como suporte ao desenvolvimento deste produto envolveu, desde os conceitos iniciais de identificação da ideia, pesquisa do estado da arte, análise do meio envolvente e a identificação de vantagens competitivas, até à definição clara de requisitos do produto para a geração do modelo. Complementarmente, e ao nível da produção do produto desenvolvido foi desenvolvida uma tecnologia que permite a obtenção do produto idealizado, através da integração da moldação por injeção sobreposta e moldação por sopro. De destacar que este desenvolvimento culminou num pedido de patente. Por último, e tendo em consideração a análise da viabilidade financeira do produto e processo de produção, é ainda efetuada uma estimativa inicial do custo do produto e o cálculo final do produto tendo em conta as condicionantes relativas ao processo de fabrico.

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O conceito de Turismo Médico (TM) é algo que faz parte da História da Humanidade, pois assistiu-se ao longo desta a um fluxo de pessoas que se deslocavam para outros locais em busca de tratamentos. Mas devido às alterações no mundo contemporâneo, assiste-se ao fomento da globalização e consequentemente à proliferação dos serviços de Saúde. O TM está apresentar um crescimento significativo nestas duas últimas décadas devido a uma demanda de pacientes que estão dispostos a viajar para outros países a fim de terem vantagens face aos cuidados médicos no seu país, e também pelo contributo da internet que disponibiliza informação ao paciente sobre tratamentos e destinos que estão apostar numa determinada intervenção. O TM enquanto indústria revela-se inovador apresentando condições para se tornar um nicho turístico rentável e que atrai cada vez mais indivíduos. Devido às receitas que consegue gerar, muitos países estão a tentar estabelecer-se como um destino provedor de cuidados médicos apresentando vantagens competitivas face a outros, como os custos dos tratamentos, qualidade, tecnologia e sem filas de espera. Assim, o mundo a nível dos cuidados de saúde está dividido entre os países emissores de TM onde se encontram essencialmente os países industrializados, tais como os Estados Unidos da América (EUA), Canadá, Reino Unido (RU), entre outros, e os países recetores que já são reconhecidos mundialmente como players desta atividade, entre eles os destinos asiáticos e os latinos. Para além das vantagens significativas, estes intervenientes vendem este tipo de serviços aliando a vertente turística onde é possível desfrutar de praias, passeios e estar em contacto com a cultura dos nativos tornando o TM uma indústria com serviços complementares. De forma a serem reconhecidos internacionalmente pelos seus serviços, os destinos de TM têm uma oferta bastante apelativa e que dá resposta às valências vividas nos países emissores. Daí que exista uma demanda crescente pelo TM fazendo deste nicho turístico uma tábua de ajuda para muitos países. Este trabalho centra-se no contributo dos intervenientes identificados pela literatura estrangeira do TM, mas aplicando os seus esforços em Portugal de forma a ser percepcionado como é que esta indústria está a ser desenvolvida no nosso país.