1000 resultados para Gil Eanes
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Con el objetivo de mejorar el rendimiento de los equipos de desarrollo de software se han definido muchas metodologías de desarrollo, entre las que se encuentran las prescriptivas y las ágiles. Pese a esto, los equipos no suelen emplear ninguna por no encontrarlas ajustadas a su contexto particular, y se van directamente a la tarea de programar. En este artículo se propone una metodología de desarrollo de software ligera y adaptada a un contexto preciso y bien definido, que alinea Microsoft Solutions Framework for Agile Software Development (MSF4ASD) con los lineamientos de gestión de proyectos presentados en la Guía del PMBOK. Además, se brindan elementos para la implementación de una plataforma Microsoft de desarrollo de software en equipo para soportarla.
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This essay studies the contribution of architect Acácio Gil Borsoi (1924-), who played an important role in the consolidation of Modern Architecture in the Northeast of Brazil. The universe analyzed is constituted of 48 residential projects, houses and apartment buildings, both built and unbuilt, dating from 1953 to 1970. Considering an analogy between architecture and language, the selected projects were analyzed focusing in the process of creation
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92 p.
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Reclamo de Vicente Gil de Tejada pasante sustituto de la cátedra de medicina, por no recibir pago por su labor enseñando dicha cátedra en el Colegio Mayor del Rosario. Anunció que dejaría de asistir en la mencionada labor por los problemas económicos y de salud que lo aquejaban.
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Expediente sobre la solicitud y concesión del pago al pasante de la cátedra de medicina Vicente Gil de Tejada, quien se había encargado de impartirla sustituyendo a un catedrático. Los estudiantes solicitan al presidente del Estado de Cundinamarca Antonio Nariño el pago para que Gil de Tejada pudiera seguir con su labor en el Colegio Mayor. Incluye solicitudes de 1815 y 1816 para que se extendiera el pago al catedrático de medicina, certificaciones sobre la sustitución de Gil de Tejada en la cátedra de medicina por Benito Osorio en 1813, y la solicitud del respectivo pago por el trabajo de este último.
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A hipertensão arterial sistêmica é uma patologia cujo controle contínuo visa prevenção de alterações irreversíveis no organismo e complicações cardiovasculares. Na unidade básica de saúde Homero Gil, nota-se a dificuldade no controle da pressão arterial dos hipertensos atribuída à não adesão do paciente ao regime terapêutico. Este estudo tem por objetivo elaborar um projeto de intervenção para uma melhor adesão dos pacientes da equipe de saúde da família Beta ao tratamento de hipertensão arterial sistêmica na Unidade de Saúde da Família Homero Gil, no município de Betim-MG. O estudo utilizou os passos propostos do método simplificado do Planejamento Estratégico Situacional, incluindo revisão de literatura, utilizando-se os bancos de dados Scientific Electronic Libray Online (SciELO), Literatura Latino Americana e do Caribe em Ciências de Saúde (LILACS) e sites do município e do Ministério da Saúde. Também foram analisados bancos de dados secundários UBS Homero Gil. Verificou-se a importância de ações interdisciplinares para o manejo e o controle da hipertensão arterial e de outras doenças cardiovasculares, sendo que essas ações devem considerar o indivíduo hipertenso em todas as suas nuances sociais e culturais, valorizando seu ambiente e suas condutas individuais e coletivas. Com a implantação do projeto, espera-se uma equipe mais consciente e comprometida com a população abrangente e que pacientes com hipertensão arterial sistêmica possam ser informados sobre sua doença e como tratá-la, sobre estilos de vida e hábitos mais saudáveis.
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As doenças crônicas não transmissíveis são hoje responsáveis pela maioria das doenças e mortes em muitos países, entre elas, a hipertensão arterial sistêmica. Os desafios do controle e prevenção da hipertensão arterial sistêmica e suas complicações fazem parte da rotina das equipes de atenção básica, buscando assim, um vínculo entre a comunidade e a clientela registrada, observando-se a diversidade cultural, racial, religiosa e diversos fatores sociais envolvidos. Desta maneira, o projeto de intervenção tem como finalidade orientar os portadores de hipertensão arterial sistêmica sobre as modificações no cotidiano de vida, principalmente, no processo terapêutico e preventivo, destacando aspectos, como a alimentação adequada, sobretudo quanto ao consumo de sal e o controle do peso. A prática de atividades físicas, abandono do tabagismo, diminuição do uso de álcool, pois estes são fatores que necessitam ser abordados e controlados para que os níveis desejados da pressão arterial sejam atingidos. Assim, a criação de projetos que visem sanar esse problema é de suma importância para promover a qualidade de vida do portador de Hipertensão Arterial Sistêmica.
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There is great interindividual variability in the response to GH therapy. Ascertaining genetic factors can improve the accuracy of growth response predictions. Suppressor of cytokine signaling (SOCS)-2 is an intracellular negative regulator of GH receptor (GHR) signaling. The objective of the study was to assess the influence of a SOCS2 polymorphism (rs3782415) and its interactive effect with GHR exon 3 and -202 A/C IGFBP3 (rs2854744) polymorphisms on adult height of patients treated with recombinant human GH (rhGH). Genotypes were correlated with adult height data of 65 Turner syndrome (TS) and 47 GH deficiency (GHD) patients treated with rhGH, by multiple linear regressions. Generalized multifactor dimensionality reduction was used to evaluate gene-gene interactions. Baseline clinical data were indistinguishable among patients with different genotypes. Adult height SD scores of patients with at least one SOCS2 single-nucleotide polymorphism rs3782415-C were 0.7 higher than those homozygous for the T allele (P < .001). SOCS2 (P = .003), GHR-exon 3 (P= .016) and -202 A/C IGFBP3 (P = .013) polymorphisms, together with clinical factors accounted for 58% of the variability in adult height and 82% of the total height SD score gain. Patients harboring any two negative genotypes in these three different loci (homozygosity for SOCS2 T allele; the GHR exon 3 full-length allele and/or the -202C-IGFBP3 allele) were more likely to achieve an adult height at the lower quartile (odds ratio of 13.3; 95% confidence interval of 3.2-54.2, P = .0001). The SOCS2 polymorphism (rs3782415) has an influence on the adult height of children with TS and GHD after long-term rhGH therapy. Polymorphisms located in GHR, IGFBP3, and SOCS2 loci have an influence on the growth outcomes of TS and GHD patients treated with rhGH. The use of these genetic markers could identify among rhGH-treated patients those who are genetically predisposed to have less favorable outcomes.
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To verify whether fluorescence in situ hybridization (FISH) of cells from the buccal epithelium could be employed to detect cryptomosaicism with a 45,X lineage in 46,XY patients. Samples of nineteen 46,XY healthy young men and five patients with disorders of sex development (DSD), four 45,X/46,XY and one 46,XY were used. FISH analysis with X and Y specific probes on interphase nuclei from blood lymphocytes and buccal epithelium were analyzed to investigate the proportion of nuclei containing only the signal of the X chromosome. The frequency of nuclei containing only the X signal in the two tissues of healthy men did not differ (p = 0.69). In all patients with DSD this frequency was significantly higher, and there was no difference between the two tissues (p = 0.38), either. Investigation of mosaicism with a 45,X cell line in patients with 46,XY DSD or sterility can be done by FISH directly using cells from the buccal epithelium.
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The aim was to analyse the physical growth and body composition of rhythmic gymnastics athletes relative to their level of somatic maturation. This was a cross-sectional study of 136 athletes on 23 teams from Brazil. Mass, standing height and sitting height were measured. Fat-free and fat masses, body fat percentages and ages of the predicted peak height velocity (PHV) were calculated. The z scores for mass were negative during all ages according to both WHO and Brazilian references, and that for standing height were also negative for all ages according to WHO reference but only until 12 years old according to Brazilian reference. The mean age of the predicted PHV was 12.1 years. The mean mass, standing and sitting heights, body fat percentage, fat-free mass and fat mass increased significantly until 4 to 5 years after the age of the PHV. Menarche was reached in only 26% of these athletes and mean age was 13.2 years. The mass was below the national reference standards, and the standing height was below only for the international reference, but they also had late recovery of mass and standing height during puberty. In conclusion, these athletes had a potential to gain mass and standing height several years after PHV, indicating late maturation.
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The objective of this study was to review the growth curves for Turner syndrome, evaluate the methodological and statistical quality, and suggest potential growth curves for clinical practice guidelines. The search was carried out in the databases Medline and Embase. Of 1006 references identified, 15 were included. Studies constructed curves for weight, height, weight/height, body mass index, head circumference, height velocity, leg length, and sitting height. The sample ranged between 47 and 1,565 (total = 6,273) girls aged 0 to 24 y, born between 1950 and 2006. The number of measures ranged from 580 to 9,011 (total = 28,915). Most studies showed strengths such as sample size, exclusion of the use of growth hormone and androgen, and analysis of confounding variables. However, the growth curves were restricted to height, lack of information about selection bias, limited distributional properties, and smoothing aspects. In conclusion, we observe the need to construct an international growth reference for girls with Turner syndrome, in order to provide support for clinical practice guidelines.