How reliably do rheumatologists measure shoulder movement?

Objective: To assess the intrarater and interrater reliability among rheumatologists of a standardised protocol for measurement of shoulder movements using a gravity inclinometer. Methods: After instruction, six rheurnatologists independently assessed eight movements of the shoulder, including total and glenohumeral flexion, total and glenohumeral abduction, external rotation in neutral and in abduction, internal rotation in abduction and hand behind back, in random order in six patients with shoulder pain and stiffness according to a 6x6 Latin square design using a standardised protocol. These assessments were then repeated. Analysis of variance was used to partition total variability into components of variance in order to calculate intraclass correlation coefficients (ICCs). Results: The intrarater and interrater reliability of different shoulder movements varied widely. The movement of hand behind back and total shoulder flexion yielded the highest ICC scores for both intrarater reliability (0.91 and 0.83, respectively) and interrater reliability (0.80 and 0.72, respectively). Low ICC scores were found for the movements of glenohumeral abduction, external rotation in abduction, and internal rotation in abduction (intrarater ICCs 0.35, 0.43, and 0.32, respectively), and external rotation in neutral, external rotation in abduction, and internal rotation in abduction (interrater ICCs 0.29, 0.11, and 0.06, respectively). Conclusions: The measurement of shoulder movements using a standardised protocol by rheumatologists produced variable intrarater and interrater reliability. Reasonable reliability was obtained only for the movement of hand behind back and total shoulder flexion.

Gerenciamento proteano de carreira entre universitários

A partir da segunda metade do século XX, mudanças no modo de produção capitalista começaram a afetar a relação que as empresas estabeleciam com o trabalhador. Diante de um mercado imprevisível, a carreira tradicional, marcada, entre outros aspectos, por empregos duradouros e com possibilidade de ascensão na hierarquia da organização, tornou-se menos recorrente. Paralelamente, começaram a despontar novas concepções sobre carreira, tendo a maioria um enfoque individualista. Dentre as novas proposições, o presente estudo tomou como referência a concepção de carreira proteana. Esse modelo, de origem norte-americana, tem como ideia central a noção de uma carreira que é gerida pelo indivíduo, e tem como meta o alcance do sucesso psicológico. Desta forma, ancora-se em duas principais dimensões: autogerenciamento e direcionamento para valores. Considerando os diversos estudos que descrevem as dificuldades enfrentadas por estudantes na transição da universidade para o mercado de trabalho, esta pesquisa objetivou compreender aspectos do gerenciamento proteano de carreira entre universitários brasileiros que já tinham concluído, pelo menos, a primeira metade do curso de graduação. Para tanto, o estudo foi dividido em dois artigos. O primeiro foi destinado ao desenvolvimento e validação da Escala de Atitudes de Carreira Proteana para universitários, tendo sido realizado com uma amostra de 1016 estudantes de 37 cursos diferentes, com idade variando entre 18 e 65 anos, e média de 24,52 (DP = 6,69 anos). O instrumento, denominado neste estudo de Escala de Gerenciamento Proteano de Carreira para Universitários (EGPC-U) atestou a estrutura de duas dimensões, evidenciada também na versão original da medida. Os índices de confiabilidade foram satisfatórios e superiores a 12 0,61, tendo o instrumento a possibilidade de ser utilizado em serviços de orientação profissional ou de carreira. O segundo artigo objetivou compreender como as dimensões do modelo proteano se relacionam com variáveis sóciodemográficas e com construtos psicossociais: personalidade, lócus de controle, saúde e satisfação com a vida, e envolveu alunos de duas áreas de conhecimento: humanas e exatas. A amostra foi composta por 525 alunos, sendo 245 da área de humanas e 280 de exatas, sendo 52% do sexo masculino. A idade dos participantes variou entre 18 e 30 anos e média de 22,59 anos (DP = 2,66 anos). A partir dos resultados do estudo 2, constatou-se que alunos da área de humanas, quando comparados a estudantes de exatas, tendem a apresentar média superior na dimensão de direcionamento para valores. Verificou-se ainda que os aspectos de conscienciosidade e lócus de controle interno são preditores significativos do autogerenciamento tanto entre alunos de humanas como de exatas e que a adoção de atitudes proteanas tende a impactar positivamente aspectos da saúde e da satisfação com a vida do indivíduo. O estudo, de um modo geral, permitiu verificar a existência de características proteanas entre universitários, como também possibilitou conhecer variáveis relacionadas às atitudes de autogerenciamento e direcionamento para valores. Destaca-se, porém, a necessidade de pesquisas complementares com a exploração de outras variáveis psicossociais que possam estar relacionadas ao gerenciamento proteano entre graduandos.

Análise probabilística de segurança de barragens gravidade de betão

Trabalho Final de Mestrado para obtenção do grau de Mestre em Engenharia Civil na Área de Especialização de Estruturas

Robustness analysis of deteriorating reinforced concrete slabs

Corrosion of reinforcement bars in concrete structures is the most significant deterioration mechanism in these structures. Corrosion is extremely difficult to predict and, consequently, can be regarded as an unpredictable event. Following this, robustness assessment methods can be employed to define the susceptibility of a structure to corrosion. In this work, robustness is measured in terms of the remaining safety of a deteriorated structure. The proposed methodology is illustrated by means of a reinforced concrete (RC) slab subjected to dead and live loads. The performance of the corroded slab is evaluated using non-linear analysis. The reliability index is adopted to assess the safety of the deteriorated structure. To compute the reliability index a strategy combining the First Order Reliability Method (FORM) and the Response Surface Method (RSM) is used.

In situ measured cross section geometry of old timber structures and its influence on structural safety

Old timber structures may show significant variation in the cross section geometry along the same element, as a result of both construction methods and deterioration. As consequence, the definition of the geometric parameters in situ may be both time consuming and costly. This work presents the results of inspections carried out in different timber structures. Based on the obtained results, different simplified geometric models are proposed in order to efficiently model the geometry variations found. Probabilistic modelling techniques are also used to define safety parameters of existing timber structures, when subjected to dead and live loads, namely self-weight and wind actions. The parameters of the models have been defined as probabilistic variables, and safety of a selected case study was assessed using the Monte Carlo simulation technique. Assuming a target reliability index, a model was defined for both the residual cross section and the time dependent deterioration evolution. As a consequence, it was possible to compute probabilities of failure and reliability indices, as well as, time evolution deterioration curves for this structure. The results obtained provide a proposal for definition of the cross section geometric parameters of existing timber structures with different levels of decay, using a simplified probabilistic geometry model and considering a remaining capacity factor for the decayed areas. This model can be used for assessing the safety of the structure at present and for predicting future performance.

The process of basic training, applied training, maintaining the performance of an observer

In the field of observational methodology the observer is obviously a central figure, and close attention should be paid to the process through which he or she acquires, applies, and maintains the skills required. Basic training in how to apply the operational definitions of categories and the rules for coding, coupled with the opportunity to use the observation instrument in real-life situations, can have a positive effect in terms of the degree of agreement achieved when one evaluates intra- and inter-observer reliability. Several authors, including Arias, Argudo, & Alonso (2009) and Medina and Delgado (1999), have put forward proposals for the process of basic and applied training in this context. Reid y De Master (1982) focuses on the observer's performance and how to maintain the acquired skills, it being argued that periodic checks are needed after initial training because an observer may, over time, become less reliable due to the inherent complexity of category systems. The purpose of this subsequent training is to maintain acceptable levels of observer reliability. Various strategies can be used to this end, including providing feedback about those categories associated with a good reliability index, or offering re-training in how to apply those that yield lower indices. The aim of this study is to develop a performance-based index that is capable of assessing an observer's ability to produce reliable observations in conjunction with other observers.

Finite Element Analysis of Warship Structures

Warships are generally sleek, slender with V shaped sections and block coefficient below 0.5, compared to fuller forms and higher values for commercial ships. They normally operate in the higher Froude number regime, and the hydrodynamic design is primarily aimed at achieving higher speeds with the minimum power. Therefore the structural design and analysis methods are different from those for commercial ships. Certain design guidelines have been given in documents like Naval Engineering Standards and one of the new developments in this regard is the introduction of classification society rules for the design of warships.The marine environment imposes subjective and objective uncertainties on ship structure. The uncertainties in loads, material properties etc.,. make reliable predictions of ship structural response a difficult task. Strength, stiffness and durability criteria for warship structures can be established by investigations on elastic analysis, ultimate strength analysis and reliability analysis. For analysis of complicated warship structures, special means and valid approximations are required.Preliminary structural design of a frigate size ship has been carried out . A finite element model of the hold model, representative of the complexities in the geometric configuration has been created using the finite element software NISA. Two other models representing the geometry to a limited extent also have been created —- one with two transverse frames and the attached plating alongwith the longitudinal members and the other representing the plating and longitudinal stiffeners between two transverse frames. Linear static analysis of the three models have been carried out and each one with three different boundary conditions. The structural responses have been checked for deflections and stresses against the permissible values. The structure has been found adequate in all the cases. The stresses and deflections predicted by the frame model are comparable with those of the hold model. But no such comparison has been realized for the interstiffener plating model with the other two models.Progressive collapse analyses of the models have been conducted for the three boundary conditions, considering geometric nonlinearity and then combined geometric and material nonlinearity for the hold and the frame models. von Mises — lllyushin yield criteria with elastic-perfectly plastic stress-strain curve has been chosen. ln each case, P-Delta curves have been generated and the ultimate load causing failure (ultimate load factor) has been identified as a multiple of the design load specified by NES.Reliability analysis of the hull module under combined geometric and material nonlinearities have been conducted. The Young's Modulus and the shell thickness have been chosen as the variables. Randomly generated values have been used in the analysis. First Order Second Moment has been used to predict the reliability index and thereafter, the probability of failure. The values have been compared against standard values published in literature.

Tecnologia para banho no leito de idosos e usuários acamados: uma contribuição para o cuidar humanizado

This study aimed to validate the technology at Bed Bath System, in view of bedridden elderly and their caregivers, with a view to transforming the conventional paradigm regarding the practice of bodily hygiene held in bath chairs adapted in long-stay institutions for the elderly. This is an experimental study involving 51 (fifty one) elderly and 17 (seventeen) caregivers of three long-stay institutions for the elderly of the city of João Pessoa. For data collection, applied initially to cognitive assessment scale Mini Mental State Examination, with the aim of tracking the subject group of elderly cognitively able to participate in the study. In the second phase, to measure the percentage of agreement and disagreement about the attributes of the subjects of the shower chair and adapted the system for bed bath, used a questionnaire with closed questions, Likert scale model of four (4) points, with a good reliability index (0.728), estimated by alpha conbrach, evidenced by the Wilcoxon test a significant difference (P<0.05) between the responses of seniors and caregivers about the attributes involving technology system in bath bed and bath chair adapted, confirming the perspective of the subjects that the two systems differ significantly. However, the system bed bath got greater degree of agreement for their use, characterizing this system is a technology that makes the differential bed bath pleasurable action, quality and humanized

Allocation of protective devices in distribution circuits using nonlinear programming models and genetic algorithms

The optimized allocation of protective devices in strategic points of the circuit improves the quality of the energy supply and the system reliability index. This paper presents a nonlinear integer programming (NLIP) model with binary variables, to deal with the problem of protective device allocation in the main feeder and all branches of an overhead distribution circuit, to improve the reliability index and to provide customers with service of high quality and reliability. The constraints considered in the problem take into account technical and economical limitations, such as coordination problems of serial protective devices, available equipment, the importance of the feeder and the circuit topology. The use of genetic algorithms (GAs) is proposed to solve this problem, using a binary representation that does (1) or does not (0) show allocation of protective devices (reclosers, sectionalizers and fuses) in predefined points of the circuit. Results are presented for a real circuit (134 busses), with the possibility of protective device allocation in 29 points. Also the ability of the algorithm in finding good solutions while improving significantly the indicators of reliability is shown. (C) 2003 Elsevier B.V. All rights reserved.

Modelo de programação matemática para controle do crescimento da vegetação sob redes de distribuição de energia elétrica

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Interactive system for placement and coordination of overcurrent protective devices

In this paper, an expert and interactive system for developing protection system for overhead and radial distribution feeders is proposed. In this system the protective devices can be allocated through heuristic and an optimized way. In the latter one, the placement problem is modeled as a mixed integer non-linear programming, which is solved by genetic algorithm (GA). Using information stored in a database as well as a knowledge base, the computational system is able to obtain excellent conditions of selectivity and coordination for improving the feeder reliability indices. Tests for assessment of the algorithm efficiency were carried out using a real-life 660-nodes feeder. © 2006 IEEE.

Optimal switch allocation for automatic load transfer in distribution substations

This work proposes a methodology for optimized allocation of switches for automatic load transfer in distribution systems in order to improve the reliability indexes by restoring such systems which present voltage classes of 23 to 35 kV and radial topology. The automatic switches must be allocated on the system in order to transfer load remotely among the sources at the substations. The problem of switch allocation is formulated as nonlinear constrained mixed integer programming model subject to a set of economical and physical constraints. A dedicated Tabu Search (TS) algorithm is proposed to solve this model. The proposed methodology is tested for a large real-life distribution system. © 2011 IEEE.

Alocação otimizada de dispositivos de proteção em sistema de distribuição de energia elétrica

Pós-graduação em Engenharia Elétrica - FEIS

Desenvolvimento neuropsicomotor de crianças de um ano atendidas em unidades de ESF: fatores de risco e proteção

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Planejamento da expansão de sistemas de transmissão considerando análise de confiabilidade e incertezas na demanda futura

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)