Correlacion clinica-patologica de corioamnionitis en pacientes que ingresan al servicio ginecologia en el año 2009 en el Hospital Universitario Clinica San Rafael

Este trabajo tuvo como utilidad básica determinar cuál es la correlación del diagnóstico clínico con los criterios de Gibss y con el Gold estándar que es la patología en las paciente con corioamnionitis para así poder establecer si el diagnostico se realizó en forma adecuada y cuáles son los criterios más relevantes para su diagnóstico. Dicha investigación se realizó de la siguiente manera: 1. Se Identificaron las pacientes que ingresaron al servicio de urgencias o al servicio de ginecología de la Clínica san Rafael con diagnóstico de Corioamnionitis (teniendo en cuenta los criterios de Gibbs), pacientes que desarrollaron la entidad durante el trabajo de parto o a las cuales se les hizo el diagnostico durante el mismo parto se establecieron los criterios de Gibss para cada una como parte del diagnóstico clínico de corioamnionitis 2. se revisaron los estudios anatomo-patologico realizado a las placentas culminado el proceso de trabajo de parto ya fuera por vía vaginal o cesárea y se realizó un estudio de asociación entre el resultado patológico de corioamnionitis y el diagnóstico clínico. Con esta investigación se estableció el diagnóstico clínico se correlaciono con la patología en el 54% de los casos 1. la asociación de los criterios de Gibbs con el diagnostico patológico, encontrando que individualmente los criterios que se asocian con el diagnóstico definitivo de corioamnionitis fueron: la taquicardia materna OR (8,53), taquicardia fetal OR (7,7), y leucocitosis OR (2,86), la descarga vaginal fétida y la hipersensibilidad uterina tuvieron menor significancia con OR de 1,24 y 1,1 respectivamente. e En la regresión logística se encontró que los criterios de Gibbs fueron estadísticamente significativos en donde para la taquicardia materna OR (7,29), taquicardia fetal OR (4,107), hipersensibilidad uterina OR (2,96), leucocitosis OR (4,93) y descarga vaginal OR (2,65)

La construcción de la política exterior de Rusia hacia Serbia: entre el pragmatismo y el Eurasianismo (2007-2015)

Esta monografía defenderá que la Rusia contemporánea cuenta con una ideología formada a partir de los elementos imperiales y religiosos previos a la Unión Soviética además de elementos políticos propios de la URSS como la colectividad y la oposición a occidente. La Rusia de Putin ha recobrado sus capacidades para defender sus intereses en el mundo frente a la injerencia de occidente, y en el caso de Serbia esto se hará evidente a través de la importancia de los lazos culturales e históricos reforzados por los vínculos económicos y estratégicos que representa la presencia de Rusia en Serbia. Los principales autores sobre los que se trabajará son Alexander Dugin y Alexander Panarin.

La pelota no se mancha: Un estudio histórico sobre el desarrollo y la política en FIFA

Esta investigación se centra en la Fédération Internationale de Football Association (FIFA) como organización política. Intenta responder dos interrogantes primordiales: 1) ¿cómo la FIFA ha constituido el poder que tiene actualmente y, así, hacerse del monopolio indiscutido del fútbol? Y 2) ¿cómo ha cambiado en el tiempo la política interna de FIFA y su vínculo con la política internacional? Para lograr esto, se realiza un estudio histórico, basado principalmente en documentos, que intenta caracterizar y analizar los cambios de la organización en el tiempo. Se enfatizan las últimas dos presidencias de FIFA, de João Havelange y Joseph Blatter, como casos de estudio.

Os itinerários de Reintegração Social de adolescentes privados de liberdade em Teresina - Piauí, Brasil

A dissertação “Reintegração Social de Adolescentes Privados de Liberdade em Teresina” tem como objetivo analisar como se materializam os itinerários de reintegração social de adolescentes privados de liberdade e inseridos no Centro Educacional Masculino (CEM), em Teresina, Estado do Piauí, tendo sido considerada para a análise dos dados a articulação entre as possibilidades e oportunidades oferecidas aos adolescentes e as suas reais necessidades, desejos e sonhos para uma reintegração segura ao meio social. A pesquisa foi desenvolvida na cidade de Teresina, junto aos adolescentes envolvidos com a prática de atos infracionais, sentenciados judicialmente e submetidos à Medida Socioeducativa de Internação, que segundo a Lei Brasileira n. 8.069 de 13 de Julho de 1990 – Estatuto da Criança e do Adolescente (ECA), as pessoas que compõem esse segmento da sociedade brasileira são consideradas sujeitos de Direitos e se encontram em situação peculiar de desenvolvimento pessoal e social. Os resultados apresentados revelam que o programa oficial de reintegração social de adolescentes do Piauí apresenta uma proposta de trabalho elaborada dentro do modelo determinado pelo ECA. Porém o desenvolvimento do trabalho de modo geral não ocorre de forma a garantir o que teoricamente apresenta, isto é, ações concretas que garantam o desenvolvimento psicossocial dos jovens, pois verificamos uma visível desarticulação entre necessidades e ofertas de oportunidades, bem como, a ausência de um grupo formado concretamente de educadores preparados para propor e executar ações que ofereçam meios para o adolescente moderar-se e viabilizar-se como pessoa e cidadão produtivo e assim poder construir seu projeto de vida e garantir seu retorno seguro ao meio social, familiar e comunitário.

Facts, scope, style: a guide to writing papers for IEEE transactions on consumer electronics

In a previous article, I wrote a brief piece on how to enhance papers that have been published at one of the IEEE Consumer Electronics (CE) Society conferences to create papers that can be considered for publishing in IEEE Transactions on Consumer Electronics (T-CE) [1]. Basically, it included some hints and tips to enhance a conference paper into what is required for a full archival journal paper and not fall foul of self-plagiarism. This article focuses on writing original papers specifically for T-CE. After three years as the journal’s editor-in-chief (EiC), a previous eight years on the editorial board, and having reviewed some 4,000 T-CE papers, I decided to write this article to archive and detail for prospective authors what I have learned over this time. Of course, there are numerous articles on writing good papers—some are really useful [2], but they do not address the specific issues of writing for a journal whose topic (scope) is not widely understood or, indeed, is often misunderstood.

Crocodiles in the regulatory swamp: navigating the dangers of outsourcing, SaaS and shadow IT

Corporates are entering the brave new world of the internet and digitization without much regard for the fine print of a growing regulation regime. More traditional outsourcing arrangements are already falling foul of the regulators as rules and supervision intensifies. Furthermore, ‘shadow IT’ is proliferating as the attractions of SaaS, mobile, cloud services, social media, and endless new ‘apps’ drive usage outside corporate IT. Initial cost-benefit analyses of the Cloud make such arrangements look immediately attractive but losing control of architecture, security, applications and deployment can have far reaching and damaging regulatory consequences. From research in financial services, this paper details the increasing body of regulations, their inherent risks for businesses and how the dangers can be pre-empted and managed. We then delineate a model for managing these risks specifically focused on investigating, strategizing and governing outsourcing arrangements and related regulatory obligations

Abscesso pulmonar de aspiração : dados diagnósticos e resultados terapêuticos em 241 casos

O abscesso de pulmão continua sendo hoje, em plena era dos antibióticos, um importante problema médico. O presente trabalho se propõe mostrar aspectos diagnósticos e terapêuticos da doença em uma série de pacientes coletada nos últimos 34 anos em um hospital universitário especializado em doenças pulmonares. No período de 1968 a 2002 foram reunidos e estudados 241 casos de abscesso pulmonar de aspiração - 199 em homens e 42 em mulheres, com média de idade de 41,3 anos. Em 69,0% dos pacientes esteve presente a ingestão de álcool e em 64,0% o hábito tabágico. Tosse, expectoração, febre e comprometimento do estado geral foram os achados clínicos mais freqüentes, encontrados na quase totalidade dos casos; 62,5% tinham dor torácica e 30,0% hipocratismo digital. Verificaram-se dentes em mau estado de conservação em 81,7 % dos pacientes, episódio de perda de consciência em 78,0% e presença de odor fétido em 66,0%. Em 85,5% das vezes as lesões localizaram-se em segmento posterior de lobo superior ou segmento superior de lobo inferior, 97,1% delas unilaterais, ocorrendo com igual freqüência tanto no pulmão direito como no esquerdo. A maioria das lesões (66,0%) mediram entre 4,0 e 8,0 cm de diâmetro. Em 25 pacientes (10,4%) houve a associação de empiema pleural. Flora mista, indicativa da presença de germes anaeróbios, foi identificada em secreções broncopulmonares ou pleurais em 172 pacientes (71,4 %). Estreptococos e Gram negativos aeróbios foram também algumas vezes encontrados. Todos os pacientes foram inicialmente tratados com antibióticos (penicilina em 78,0% das vezes) e submetidos a sessões de drenagem postural. Em 51 (21,2%) acabou sendo necessário algum procedimento cirúrgico (24 drenagens de empiema, 21 ressecções pulmonares e 6 pneumostomias). Cura foi obtida em 231 pacientes (95,8%) e 10 (4,2%) foram ao óbito, estes em geral com grandes abscessos, três dos quais também com empiema.

Influence of carrion smell and rebaiting time on the efficiency of pitfall traps to dung beetle sampling

Dung beetles (Coleoptera: Scarabaeidae: Scarabaeinae) are very useful insects, as they improve the chemo-physical properties of soil, clean pastures from dung pads, and help control symbovine flies associated with bovine cattle. Their importance makes it fundamental to sample and survey them adequately. The objectives of the present study were to determine the influence of decaying insects trapped in pitfalls on the attractiveness of Moura pig Sus scrofa L. (Suidae) and collared peccary Tayassu tajacu (L.) (Tayassuidae) dung used as baits to lure dung beetles, and to establish how long these baits remain attractive to dung beetles when used in these traps. Some dung beetle species seemed to be able to discriminate against foul smell from decaying insects within the first 24 h, hence decreasing trap efficiency. This was more evident in peccary dung-baited traps, which proved to be the least attractive bait. Attractiveness lasted only 24 h for peccary dung, after which it became unattractive, whereas the pig dung bait was highly attractive for 48 h, after which its attractiveness diminished but was not completely lost.

Oral manifestations during chemotherapy for acute lymphoblastic leukemia: A case report

A 14-year-old, male patient was referred for the treatment of mucositis, idiopathic facial asymmetry, and candidiasis. The patient had been undergoing chemotherapy for 5 years for acute lymphoblastic leukemia. He presented with a swollen face, fever, and generalized symptomatology in the mouth with burning. On physical examination, general signs of poor health, paleness, malnutrition, and jaundice were observed. The extraoral clinical examination showed edema on the right side of the face and cutaneous erythema. On intraoral clinical examination, generalized ulcers with extensive necrosis on the hard palate mucosa were observed, extending to the posterior region. Both free and attached gingivae were ulcerated and edematous with exudation and spontaneous bleeding, mainly in the superior and inferior anterior teeth region. The tongue had no papillae and was coated, due to poor oral hygiene. The patient also presented with carious white lesions and enamel hypoplasia, mouth opening limitation, and foul odor. After exfoliative cytology of the affected areas, the diagnosis was mixed infection by Candida albicans and bacteria. Recommended treatment was antibiotics and antifungal administration, periodontal prophylaxis, topical application of fluor 1.23%, and orientation on and control of proper oral hygiene and diet during the remission phase of the disease.

Comparação do padrão cinemático do chute no futebol entre jogadores de dois países

Pós-graduação em Ciências da Motricidade - IBRC

Agressividade no futebol de campo: uma análise quantitativa das partidas da Copa do Mundo de 2010

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

Análise comparativa dos sistemas de jogo e das ações técnicas realizadas pela seleção brasileira de futebol

Since its origin, soccer has been conquering followers all over the world. As a consequence of this cultural phenomenon, countless works are being done aiming to analyze the game systems and the fundamentals carried out by a team. The purpose of this paper is to analyze the Brazilian Soccer Team’s game systems and actions with ball possession in the 1958, 1962 and 2002 World Cup finals. Specifically, the paper analyzed the actions that occur during the match, such as control, dribble, pass, shot, foul and tackling. In order to achieve that, the Skout software (Barros et al., 2006) was utilized and, through it, all fundamentals carried out by the Brazilian team were identified and codified in a virtual field. The data from each match was transported into the Matlab® software, in which the zone of major action of each player was analyzed, represented by the main axis. The outcome showed that the game systems put into practice by the Brazilian team in the 1958 and 1962 World Cup finals didn’t present significant changes, nevertheless, regarding the 2002 final, there was a great difference. The Brazilian team got similar percentages in the technical actions carried out in the three World Cup finals analyzed, however, in absolute numbers, the passes, the shots and the dribbles decreased while the fouls increased.

Adolescentes em conflito com a lei e sua noção de regras no jogo de futebol

Adolescents with a course of life based on the lack of ethical and moral values are more vulnerable to the practice of infractions, and in this case the statute of the child and adolescent assumes their insertion on socio educative measures. The objective of this research is to identify the moral development phase in adolescents who are in confl ict with the law. Thirty male adolescents between fi fteen and eighteen years old, who are inserted on the socio educative care Center, were studied. Data were collected through futsal game observation, without the presence of a referee and structured interview, according to the general lines of the Clinical Method of PIAGET (1994). The arrangement of the collected data confi rmed our hypothesis – these adolescents are still with the characteristics of a heteronomical moral, confi rmed by the differences between conscience and the practice of rules in a game situation. Although they know the rules, these are only respected in order to get some benefi ts, like not charging foul, deceive the opponent or simply win the match. It is presumed that the rules would only be respected in the presence of an authority (referee), because he would impose punishments and privations. However, it is believed that the results of this study may become a parameter to educators in order to create favorable situations which can be preventive and interventive to the socio moral development, minimizing suffering and seizing opportunities to the formation of citizens with higher ethical and moral standards, who are able to choose the way to the solidarity, cooperation and justice.

Viabilidade econômica do uso do biogás proveniente da suinocultura em substituição a fontes externas de energia

The swine culture potentially generates waste with high organic load and pollutants, being responsible for the spread of pathogens, contamination of rivers, groundwater and soils, besides it produces foul odors and emit greenhouse gases. However, the high amount of organic matter, which expresses the amount of pollutant load, reflects the energetic potential of these wastes used as raw material in biogas generation through technology of digesters. The properly use of theses digesters provides the production of clean energy and promotes the conservation of the environment. The economic viability of the implantation of an Indian model digester on a small swine farm was verified based on the value from initial investments of deployment, maintenance costs, depreciation, and on the interest and revenues arising from the system. Besides, the amount of biogas produced daily and the average consumption of biogas by the most common used devices such as refrigerator, stove, water heater, and generator of electricity was calculated.. For a backdrop of 10 years, the results of economic indicators NPV of BRL 57,598.95, IRR of 48.38%, Simple Payback of 2.06 years, and Discounted Payback of 2.3 years, demonstrated a favorable outlook for the use of this technology, with the possibility to generate economic, social and environmental benefits.

Why do Municipalities Recycle?

The disposal of municipal solid waste is believed to emit foul odor, threaten groundwater, and increase road congestion. As remote regional landfills have replaced local town dumps, these costs are no longer internalized by garbage-producing households or their municipalities. Instead, rural property owners located adjacent to large regional landfills and along the roadways accessing those landfills bear the external costs of garbage disposal. This paper uses a comprehensive nine-year panel data set of aggregated state data to empirically examine why 8,937 municipalities continue to operate costly recycling programs designed to reduce the external costs of garbage disposal. Results suggest that local tastes for recycling drive municipal decisions. If household preferences for recycling are short lived, then we can expect a future decrease in the number of municipal recycling programs. Recent data indicate the number of recycling programs in operation in the U.S. has indeed fallen.