982 resultados para critical condition
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Esta pesquisa analisa as perspectivas adotadas para uma educação integral implementadas pela cidade de Nova Iguaçu no período de 2006 a 2013, mais especificamente tendo em tela a implementação do Programa Bairro-Escola (2006 a 2010) e o Programa Mais Educação (2008 a 2013) oriundo do governo federal. A partir do conceito de educação integral como uma perspectiva de aprendizagem/apreensão de experiências e conhecimentos complementares fundamentados no social, em um contexto de relações histórico-sociais foi possível revisitar os Programas Bairro-Escola e o Programa Mais Educação. Foram consideradas as concepções de tempo integral e educação integral dos autores Coelho (1997, 2009, 2012), Cavaliere (2002, 2007, 2009, 2010) e Algebaile (2004, 2009, 2013). A metodologia adotada considerou a pesquisa qualitativa valendo-se de pesquisa documental, analisando a legislação das esferas governamentais, manuais e orientações municipais, utilizando o Ciclo de Políticas de Ball & Bowe (1992), baseado nos estudos de Mainardes (2006). A luz das reflexões permeadas pelas concepções sócio historicamente referenciada e a de proteção social, em suas especificidades, pode-se considerar os aspectos da apropriação da cultura e da ciência acumuladas historicamente, como condição para atuação protagonizadora à reorganização crítica de tal cultura e ciência, como também a visão considerada como acolhimento e integração social, atendendo primordialmente, a missões sociais de apoio à criança. O resultado do estudo remete a constatação de que a iniciativa do Programa Bairro-Escola diferentemente da proposta de uma educação integral em tempo integral do Programa Mais Educação, constituiu-se em um programa ousado e significativo e caracterizou-se em uma visão moderna de acordo com seus propósitos de educação integral. O Programa Bairro-Escola em sua formulação apresenta tendência de uma educação integral com vistas a uma formação socialmente partícipe, contextualizada no momento histórico e ofertada a todos, já o Programa Mais Educação apresenta tendências de uma rede de proteção social limitando-se ao atendimento de crianças e adolescentes em situações de vulnerabilidade social.
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The catastrophic failure of heterogeneous brittle materials under impact loading is not fully understood. To describe the catastrophic failure behavior of heterogeneous brittle materials under impact loading, an elasto-statistical-brittle (ESB) model is proposed in this paper. The ESB model characterizes the disordered inhomogeneity of material at mesoscopic scale with the statistical description of the shear strength of mesoscopic units. If the applied shear stress reaches the strength, the mesoscopic unit fails, which causes degradation in the shear modulus of the material. With a simplified ESB model, the failure wave in brittle material under uni-axial compression is analyzed. It is shown that the failure wave is a wave of strain or particle velocity resulted from the catastrophic fracture in an elastically stressed brittle media when the impact velocity reaches a critical value. In addition, the failure wave causes an increase in the rear surface velocity, which agrees well with experimental observations. The critical condition to generate failure wave and the speed of failure wave are also obtained.
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Hoy en día, Bogotá cuenta con aproximadamente 15800 buses de servicio público, no obstante, alrededor de un 45% de esta flota se encuentra en un estado crítico. La existencia de modelos de buses previos al 2003, la falta de revisiones periódicas, negligencias en el cumplimiento de los requisitos para la prestación del servicio, la resistencia al cambio por parte de los transportistas, y demás factores dificultan la labor de actualizar y unificar la flota en el actual plan del Sistema Integrado de Transporte de la ciudad. El Sistema integrado de transporte procura introducir un sistema confiable, eficaz, y rápido que se adapte a la creciente necesidad de movilidad en Bogotá. Este sistema tiene como propósito la integración del sistema Transmilenio con la estructura tradicional de transporte masivo; se pretende complementar, fortalecer e integrar todos los eslabones de transporte segmentado que existen en la ciudad. Las primeras fases del sistema pretenden cambiar la estructura de flota afiliadora a operadora como funciona en Transmilenio, crear un sistema organizado e integrado de buses de servicio público (Urbano, Especial, Complementario, Troncal y Alimentador), y asegurar la calidad en el servicio. El presente proyecto pretende evaluar, analizar y optimizar los procesos que permitirían la adecuación extensiva de la flota de transporte público para su introducción al Sistema Integrado de Transporte. Los procesos principales incluyen la adecuación de todos los vehículos antiguos (modelos anteriores al 2003 pasan por un proceso de reparación, mantenimiento, acondicionamiento) y la implementación de sistemas de tecnológicos. En adición, se plantea crear un sistema homogéneo que permite estándares de calidad y facilidad de mantenimiento.
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El compromiso del sistema cardiovascular es frecuente en los pacientes en estado crítico, por tanto la monitorización hemodinámica es esencial para un tratamiento apropiado dirigido a objetivos terapéuticos en este grupo de pacientes. La monitorización hemodinámica del gasto cardíaco y la estimación del volumen intravascular son fundamentales para el manejo de los pacientes pediátricos en estado crítico, la medición del gasto cardíaco es uno de los principales elementos para evaluar la situación hemodinámica y la perfusión tisular de un paciente ayudando a dirigir el tratamiento y a monitorizar la respuesta clínica en pacientes con choque séptico. La hipovolemia es una causa común para la falla circulatoria en pacientes en condición crítica, el encontrar un método confiable para medición de precarga es importante para guiar la administración de líquidos. Tradicionalmente se han utilizado medidas de la volemia asociadas como la presión venosa central (PVC), frecuencia cardiaca (FC), presión arterial (PA) y el gasto urinario. Estos indicadores tienen grandes factores de distracción que hacen que su valor sea limitado y por tanto se tengan que buscar alternativas más confiables. En años recientes se han postulado parámetros dinámicos para la evaluación de la precarga, entre ellos uno de los mas ampliamente estudiado es la medición de la variabilidad de Volumen sistólico (VVS); Este valor se basa en el concepto de que durante la inspiración, la disminución del retorno venoso produce una disminución del Volumen sistólico, lo cual se manifiesta como una disminución en la onda de pulso; Por tanto en una situación de hipovolemia esta diferencia será mayor, dado que será más evidente la disminución del volumen al final de la diástole. En adultos este parámetro se ha convertido en una herramienta útil para evaluar estado de volumen de los pacientes que se encuentran en estado crítico y ha demostrado su utilidad para predecir respuesta a administración de fluidos en diferentes poblaciones de pacientes. En la actualidad no hay estudios en niños que comparen la medición de VVS contra dichas medidas tradicionales de volemia.
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An alternative to the Stroop Color-Word Test (SCWT), denominated the Colored Numbers Test (CNT), was developed to evaluate the selective attention of illiterate individuals. A total of 30 volunteers with basic education (control group) and 30 illiterate volunteers (experimental group) performed the SCWT and the CNT. Volunteers had to name the color of the rectangles in the CNT neutral condition, and in the critical condition they had to either name the color of the numbers or, when the numbers were black, read the numbers. An interference index (II) was calculated for both tests by subtracting the time taken to complete the task in the neutral condition from the time taken to complete the task in the critical condition. The control group showed an II of 14.9s in the SCWT and of 19.1s in the CNT, and the experimental group, which practically presented no interference in the SCWT (II = 0.2s), showed an II of 18.7s in the CNT. These findings suggest that the CNT can he used to evaluate selective attention. Further work should confirm its validity. Its advantage over the SCWT is that it does not depend on the ability to read words, being then suitable for illiterate individuals.
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Aim
To examine the uptake of religious rituals of the Greek Orthodox Church by relatives of patients in critical condition in Greece and to explore their symbolic representations and spiritual meanings.
Background
Patients and their relatives want to be treated with respect and be supported for their beliefs, practices, customs and rituals. However nurses may not be ready to meet the spiritual needs of relatives of patients, while the health-related religious beliefs, practices and rituals of the Greek Orthodox Christian denomination have not been explored.
Method
This study was part of a large study encompassing 19 interviews with 25 informants, relatives of patients in intensive care units of three large hospitals in Athens, Greece, between 2000 and 2005. In this paper data were derived from personal accounts of religious rituals given by six participants.
Results
Relatives used a series of religious rituals, namely blessed oil and holy water, use of relics of saints, holy icons, offering names for pleas and pilgrimage.
Conclusion
Through the rituals, relatives experience a sense of connectedness with the divine and use the sacred powers to promote healing of their patients.
Implications for nursing management
Nurse managers should recognize, respect and facilitate the expression of spirituality through the practice of religious rituals by patients and their relatives.
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This research was conducted at the Post Graduate Program in Education at the Federal University of Rio Grande do Norte. It had the aim to understand the spatial conception associated with the pedagogical action. It promoted a historical-scientific approach to concepts of space to emphasize the spatiality from the geographical and educational theoretical referential. In it empiria situated in a university student universe, has utilized a quantitative measuring instrument as a subsidy to a qualitative dialogical analysis. It showed a synthetic framework arising from the interaction and the reflection focused into problems, challenges and potential of a pedagogical vision that considers the spatiality of teaching education. It seeks to promote delineations of paths pedagogical to a integrate approach of heterotopic space conception, as a necessary critical condition to the appropriation of social reality without doing the epistemological dichotomy, enhancing it signification to the learning academic teaching ambience; as well the scientific and teaching formation in the geography course
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The great importance in selecting the profile of an aircraft wing concerns the fact that its relevance in the performance thereof; influencing this displacement costs (fuel consumption, flight level, for example), the conditions of flight safety (response in critical condition) of the plane. The aim of this study was to examine the aerodynamic parameters that affect some types of wing profile, based on wind tunnel testing, to determine the aerodynamic efficiency of each one of them. We compared three types of planforms, chosen from considerations about the characteristics of the aircraft model. One of them has a common setup, and very common in laboratory classes to be a sort of standard aerodynamic, it is a symmetrical profile. The second profile shows a conFiguration of the concave-convex type, the third is also a concave-convex profile, but with different implementation of the second, and finally, the fourth airfoil profile has a plano-convex. Thus, three different categories are covered in profile, showing the main points of relevance to their employment. To perform the experiment used a wind tunnel-type open circuit, where we analyzed the pressure distribution across the surface of each profile. Possession of the drag polar of each wing profile can be, from the theoretical basis of this work, the aerodynamic characteristics relate to the expected performance of the experimental aircraft, thus creating a selection model with guaranteed performance aerodynamics. It is believed that the philosophy used in this dissertation research validates the results, resulting in an experimental alternative for reliable implementation of aerodynamic testing in models of planforms
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A novel strategy to handle divergences typical of perturbative calculations is implemented for the Nambu-Jona-Lasinio model and its phenomenological consequences investigated. The central idea of the method is to avoid the critical step involved in the regularization process, namely, the explicit evaluation of divergent integrals. This goal is achieved by assuming a regularization distribution in an implicit way and making use, in intermediary steps, only of very general properties of such regularization. The finite parts are separated from the divergent ones and integrated free from effects of the regularization. The divergent parts are organized in terms of standard objects, which are independent of the ( arbitrary) momenta running in internal lines of loop graphs. Through the analysis of symmetry relations, a set of properties for the divergent objects are identified, which we denominate consistency relations, reducing the number of divergent objects to only a few. The calculational strategy eliminates unphysical dependencies of the arbitrary choices for the routing of internal momenta, leading to ambiguity-free, and symmetry-preserving physical amplitudes. We show that the imposition of scale properties for the basic divergent objects leads to a critical condition for the constituent quark mass such that the remaining arbitrariness is removed. The model becomes predictive in the sense that its phenomenological consequences do not depend on possible choices made in intermediary steps. Numerical results are obtained for physical quantities at the one-loop level for the pion and sigma masses and pion-quark and sigma-quark coupling constants.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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The scale invariance manifested by the weakly-bound Efimov states implies that all the Efimov spectrum can be merged in a single scaling function. By considering this scaling function, the ratio between two consecutive energy levels, E3 (N+1) and E3 (N), can be obtained from a two-body low-energy observable (usually the scattering length a), given in units of the three-body energy level N. The zero-ranged scaling function is improved by incorporating finite range corrections in first order of r0/a (r0 is the potential effective range). The critical condition for three-identical bosons in s-wave, when the excited E3 (N+1) state disappears in the 2 + 1 threshold, is given by √E2/E3 (N) ≈ 0.38+0.12(r0/a). © 2012 Springer-Verlag.
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Pós-graduação em Engenharia Mecânica - FEG
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Pós-graduação em Enfermagem (mestrado profissional) - FMB
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)