991 resultados para User Survey


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Software tools in education became popular since the widespread of personal computers. Engineering courses lead the way in this development and these tools became almost a standard. Engineering graduates are familiar with numerical analysis tools but also with simulators (e.g. electronic circuits), computer assisted design tools and others, depending on the degree. One of the main problems with these tools is when and how to start use them so that they can be beneficial to students and not mere substitutes for potentially difficult calculations or design. In this paper a software tool to be used by first year students in electronics/electricity courses is presented. The growing acknowledgement and acceptance of open source software lead to the choice of an open source software tool – Scilab, which is a numerical analysis tool – to develop a toolbox. The toolbox was developed to be used as standalone or integrated in an e-learning platform. The e-learning platform used was Moodle. The first approach was to assess the mathematical skills necessary to solve all the problems related to electronics and electricity courses. Analysing the existing circuit simulators software tools, it is clear that even though they are very helpful by showing the end result they are not so effective in the process of the students studying and self learning since they show results but not intermediate steps which are crucial in problems that involve derivatives or integrals. Also, they are not very effective in obtaining graphical results that could be used to elaborate reports and for an overall better comprehension of the results. The developed tool was based on the numerical analysis software Scilab and is a toolbox that gives their users the opportunity to obtain the end results of a circuit analysis but also the expressions obtained when derivative and integrals calculations, plot signals, obtain vector diagrams, etc. The toolbox runs entirely in the Moodle web platform and provides the same results as the standalone application. The students can use the toolbox through the web platform (in computers where they don't have installation privileges) or in their personal computers by installing both the Scilab software and the toolbox. This approach was designed for first year students from all engineering degrees that have electronics/electricity courses in their curricula.

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The genus Campylobacter is of great importance to public health because it includes several species that may cause diarrhea. These species may be found in water, food and in the intestinal tract of chickens. This study investigated the presence of Campylobacter jejuni and Campylobacter coli in chicken abattoirs in São Paulo State, Brazil. A total of 288 samples of feces, feathers, scald water, evisceration water, chiller water, and the rinse water of eviscerated, not eviscerated and chilled carcasses were collected in six chicken abattoirs. Polymerase Chain Reaction (PCR) was performed in Campylobacter spp.-positive isolates using the gene HIP, specific for hippuricase enzyme from Campylobacter jejuni and aspartokinase gene, specific to detect Campylobacter coli. The percentage of positive isolates of Campylobacter jejuni was 4.9% (14/288). Isolation was greater in feces samples (22%, 8/36). One sample was positive for the species C. coli. In conclusion, the results indicate that it is necessary to improve quality control for Campylobacter spp. in chicken abattoirs.

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O coaching é um processo que permite ajudar um ou mais indivíduos a definirem e saberem como concretizar os seus objetivos, sejam eles pessoais ou profissionais. Atualmente, existe um interesse e procura crescente de pessoas com experiência nesta área (designados por coaches) por parte de empresas, equipas desportivas, escolas e outras organizações, com a finalidade de obter um maior rendimento. De forma a ajudar os intervenientes no processo, este documento demonstra a necessidade de existir uma ferramenta de apoio que permite aos coaches gerirem melhor a sua atividade profissional. A pesquisa e estudo efetuados procuram responder a este caso, desenvolvendo um sistema informático inteligente de apoio ao coach dotado de uma interface centrada no utilizador. Antes de iniciar o desenvolvimento de um sistema inteligente é necessário realizar e apresentar um levantamento do estado da arte, mais concretamente sobre a interação homem-computador, modelação do perfil de utilizador e processo de coaching, que apresenta os fundamentos teóricos para a escolha da metodologia de desenvolvimento adequado. São apresentadas posteriormente as fases constituintes do modelo de desenvolvimento de interfaces escolhido, a engenharia de usabilidade, que se inicia com uma análise detalhada, permitindo de seguida uma estruturação dos conhecimentos obtidos e a aplicação de linhas de orientação estipuladas, finalizando com testes de utilização e respetivo feedback dos utilizadores. O protótipo desenvolvido distingue utilizadores com diferentes características, através de uma classificação por níveis e permite gerir todo o processo de coaching efetuado a outras pessoas ou ao próprio utilizador. O facto de existir uma classificação dos utilizadores faz com que a interação entre sistema e utilizadores seja diferente e adaptada às necessidades de cada um. O resultado dos testes de utilização com um caso prático e dos questionários efetuados permite detetar se o modelo foi bem-sucedido e funciona corretamente e o que é necessário alterar no futuro para facilitar a interação e satisfazer as necessidades de cada utilizador.

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AIMS: An epidemiological survey of diabetic foot infections (DFIs) in Lisbon, stratifying the bacterial profile based on patient demographical data, diabetic foot characteristics (PEDIS classification), ulcer duration and antibiotic therapy. METHODS: A transversal observational multicenter study, with clinical data collection using a structured questionnaire and microbiological products (aspirates, biopsies or swabs collected using the Levine method) of clinically infected foot ulcers of patients with diabetes mellitus (DM). RESULTS: Forty-nine hospitalized and ambulatory patients were enrolled in this study, and 147 microbial isolates were cultured. Staphylococcus was the main genus identified, and methicillin-resistant Staphylococcus aureus (MRSA) was present in 24.5% of total cases. In the clinical samples collected from patients undergoing antibiotic therapy, 93% of the antibiotic regimens were considered inadequate based on the antibiotic susceptibility test results. The average duration of an ulcer with any isolated multi-drug resistant (MDR) organism was 29 days, and previous treatment with fluoroquinolones was statistically associated with multi-drug resistance. CONCLUSIONS: Staphylococcus aureus was the most common cause of DFIs in our area. Prevalence and precocity of MDR organisms, namely MRSA, were high and were probably related to previous indiscriminate antibiotic use. Clinicians should avoid fluoroquinolones and more frequently consider the use of empirical anti-MRSA therapy.

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The authors analyzed 704 transthoracic echocardiographic (TTE) examinations, performed routinely to all admitted patients to a general 16-bed Intensive Care Unit (ICU) during an 18-month period. Data acquisition and prevalence of abnormalities of cardiac structures and function were assessed, as well as the new, previously unknown severe diagnoses. A TTE was performed within the first 24 h of admission on 704 consecutive patients, with a mean age of 61.5+/-17.5 years, ICU stay of 10.6+/-17.1 days, APACHE II 22.6+/-8.9, and SAPS II 52.7+/-20.4. In four patients, TTE could not be performed. Left ventricular (LV) dimensions were quantified in 689 (97.8%) patients, and LV function in 670 (95.2%) patients. Cardiac output (CO) was determined in 610 (86.7%), and mitral E/A in 399 (85.9% of patients in sinus rhythm). Echocardiographic abnormalities were detected in 234 (33%) patients, the most common being left atrial (LA) enlargement (n=163), and LV dysfunction (n=132). Patients with these alterations were older (66+/-16.5 vs 58.1+/-17.4, p<0.001), presented a higher APACHE II score (24.4+/-8.7 vs 21.1+/-8.9, p<0.001), and had a higher mortality rate (40.1% vs 25.4%, p<0.001). Severe, previously unknown echocardiographic diagnoses were detected in 53 (7.5%) patients; the most frequent condition was severe LV dysfunction. Through a multivariate logistic regression analysis, it was determined that mortality was affected by tricuspid regurgitation (p=0.016, CI 1.007-1.016) and ICU stay (p<0.001, CI 1-1.019). We conclude that TTE can detect most cardiac structures in a general ICU. One-third of the patients studied presented cardiac structural or functional alterations and 7.5% severe previously unknown diagnoses.

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During a health survey in a primary school from the district of Carabayllo (North of Lima, Peru), 200 schoolchildren (96 male and 104 female between five to 12 years old) were randomly selected and divided in two groups (as positive or negative group), according to the serologic result of the Toxocara ELISA test from a total population of 646 schoolchildren. All children were analyzed by hematologic tests to determinate the frequency of eosinophilia and leukocytosis. Additionally, all clinical and epidemiological data were also analyzed to determine their association with toxocariasis. From group of children with positive serology, 40% had some type of eosinophilia in contrast to 19% of children with negative serology, and their association was statistically significant (OR = 2.84, p < 0.001). From all signs and symptoms evaluated, only 'dry cough' was more frequent and statistically significant in the positive serology group (OR = 2.79, p < 0.001). Almost all risk factors evaluated were highly frequent and statistically associated to the positive serology. In conclusion, the presence of eosinophilia and the risk factors evaluated in this population were frequently associated to human toxocariasis.

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This paper approaches issues related to frame problems and nonresponse in surveys. These nonsampling errors affect the accuracy of the estimates whereas the estimators became biased and less precise. We analyse some estimation methods that deal with those problems and give an especial focus to post-stratification procedures.

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The aim of this study was to determine the seroprevalence of the infection by Toxocara in the general population of the Amazonian city of Yurimaguas, Peru. From March to August 2008, a total of 300 subjects were sampled and tested by means of a Toxocara ELISA-IgG test. A clinical and epidemiological questionnaire was used to assess the symptomatology and risk factors associated with human toxocariasis. The overall rate of seropositivity was 35.66%, with a significant high proportion in children (p < 0.001). The clinical evaluation revealed that 95.33% of the seropositive group had some type of symptomatology: headache (66.36%), respiratory compromise (63.55%), abdominal pain (54.21%), cutaneous signs (40.19%) and ocular manifestations (36.45%), and almost all of them were statistically significant (p < 0.001). Furthermore, 56.07% of the seropositive subjects presented at least one intestinal pathogen parasite with predominance of helminthes, but without significant association (p = 0.334). The analysis of risk factors showed only that the use of public places and geophagia exhibited a significant association with the seropositivity (p < 0.001). Clinical, serological and epidemiological findings associated to infection with Toxocara were observed in the present study and future studies should be done to assess this serious health problem.

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Background: Data on human immunodeficiency virus (HIV) infected patients receiving dialysis in Portugal is scarce. Methods: This nationwide epidemiological survey retrospectively evaluates HIV-infected patients on chronic dialysis in Portugal between 1997 and 2002. Results: Sixty-six patients were evaluated (mean age: 39.1±1.6 years, 47 men, 35 black African). Sixty-two patients started dialysis and 4 patients who were receiving dialysis had HIV seroconversion. Eighty-five percent of patients were treated in Lisbon. The annual incidence of HIV-infected patients on chronic dialysis was 0.5% in 1997 and 0.9% in 2002. Seventy-eight percent of patients were HIV-1 infected , 13% had hepatitis B and 31% hepatitis C. Sexual contact was the mode of transmission of HIV in 53% of cases. Four patients had biopsy-proved HIV-associated nephropathy. Ninety-five percent of patients were on chronic hemodialysis. Fifty percent of patients had acquired immunodeficiency syndrome. At follow-up, 12 patients died. HIV-infected CKD patient survival after starting dialysis was 80% at 3 years. Conclusion: The incidence of HIV-infected patients on chronic dialysis in Portugal has almost doubled. Widespread use of highly active antiretroviral therapy and the increasing number of black Africans from former overseas Portuguese colonies now living in Portugal are possible reasons for this large increase.

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Esta dissertação descreve o estudo do controlo e da monitorização de um sistema de autopull, bem como o estudo da implementação de um destes sistemasnuma área de negócio. Inicialmente, de modo a percecionar as melhores opções a tomar para a realização deste projeto foram estudadas duas redes de comunicação locais, redes Ethernet e redes CAN, tendo-se optado pelas redes Ethernet, sendo as razões que determinaram esta escolha explanadas no desenvolvimento do relatório. Após ter sido selecionada a rede que foi utilizada, foram estudados os requisitos do sistema e procuradas no mercado soluções que os satisfaçam. Para a comunicação em tempo real foram utilizadas Web Sockets e para a utilização destas,foi necessário um servidor de Web Sockets, tendo a escolha recaídosobre onodejs. Posteriormente, foi elaborada uma interface gráfica que permitiu a criação de um sistema inteligente que auxilia os clientes do espaço a efetuarem pedidos bem como a chamarem os funcionários, não necessitando de passar os longos tempos de espera que normalmenteestão associados a estes espaços. Posto isto, foi realizado um website que deverá apresentar o espaço, os próximos eventos a realizar e outras informações importantes. Este sistema torna-se uma mais-valia para a divulgação da tecnologia implementada e para a divulgação dos espaços que eventualmente venham a adotar um sistema análogo. De seguida foi efetuado um plano de negócios, simulando um espaço físico que eventualmente implementasse esta tecnologia. Para tal, foi estudada a envolvente externa e interna em que este negócio estaria inserido, as políticas de marketing que deveriam ser seguidas e ainda um plano financeiro que descrevesse o investimento, as vendas esperadas e todos os restantes componentes económicos do projeto. Por último foram tecidas as principais conclusões inerentes ao projeto desenvolvido e analisadas as possibilidades de melhorias futuras.

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We analyzed the sandflies around houses and domestic animal shelters located in residences close to forests in localities on the banks of the Araguari River, Uberlândia, MG, from February 2003 to November 2004. The phlebotomines were captured in the peridomiciliary area, where Shannon traps were utilized in the peridomicile and CDC traps in animal shelters. 2,783 specimens of sandflies were captured, 2,140 females (76.9%) and 643 males (23.1%), distributed between 17 species. The most abundant species was Nyssomyia neivai (88.1%), followed by Nyssomyia whitmani (3.1%). The presence of Lutzomyia longipalpis was also confirmed, it is the main vector of Leishmania (L.) infantum chagasi which causes visceral leishmaniasis. The presence of species involved in the transmission of leishmaniases in the municipality of Uberlândia is cause for concern. The presence of L. longipalpis indicates that its urbanization may not have been aleatory and instead occurred through the destruction of wild ecotopes. More studies of their occupation in anthropic environments need to be made.

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We conducted a serological survey to determine the presence of hantavirus infection in rodents in Uberlândia, Minas Gerais as well as to identify and characterize associated factors. Rodents were captured using Sherman live-capture traps set in rural and peri-urban environments. A total of 611 rodents were captured. There was a higher trap success in peri-urban areas (26.3%) and a higher prevalence of antibodies among rodents captured in rural areas (2.9%). Necromys lasiurus was the most common species (42.2%) and the more frequently infected (4.6%). One Calomys tener (1/141; 0.7%) and one Calomys sp. (1/14; 7.1%) were also positive for the hantavirus infection. In N. lasiurus, antibody prevalence correlated with population density (p < 0.01), age class (p = 0.003) and presence of scars (p = 0.02). The data confirm that horizontal transmission is the main mechanism that maintains the virus in nature. The higher seropositivity in N. lasiurus is consistent with genetic studies that associate this species with an Araraquara virus reservoir; the seropositivity of C. tener and Calomys sp. may indicate the occurrence of spillover infection or the presence of other circulating hantaviruses.

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Resumo: O estudo das vias de acesso à consulta de Psiquiatria permite identificar os parceiros mais importantes no acesso dos utentes aos serviços psiquiátricos. O modelo de Goldberg-Huxley considera que o acesso às consultas de Psiquiatria se faz principalmente através dos cuidados de saúde primários. Material e Métodos: Para estudar as vias de acesso aos cuidados psiquiátricos utilizamos a Encounter Form, questionário desenvolvido por Gater. Foi também avaliada a classe social dos utentes utilizando a Escala de Graffar. Este inquérito foi passado na Consulta de Psiquiatria de Sintra a utentes de primeira consulta. A amostra estudada foi de 93 utentes. O objectivo do estudo foi conhecer a trajectória do utente desde que teve necessidade de ser consultado até chegar à consulta de Psiquiatria, os sintomas que determinaram a decisão de procurar ajuda e a influência da classe social no tempo de percurso. Resultados: Observa-se que os utentes passam pela Medicina Geral e Familiar em 71 % dos casos, pela Urgência Psiquiátrica em 16,1 % dos casos, pela Medicina Especializada Hospitalar em 10,7 % dos casos e pela Urgência Geral em 1,1 % dos casos. Na escala de Graffar a classe social prevalente é a média (Classe III). O tempo de percurso foi maior que em estudo similar realizado em 1991. A classe Social III foi a que teve tempo de percurso maior. Conclusões: O estudo conclui que o acesso a esta consulta de Psiquiatria se faz principalmente através da Medicina Geral e Familiar. O tempo de percurso é maior que o desejável por falta de recursos humanos.------- ABSTRACT: Introduction: The study of the Pathways to Psychiatric Care identifies the most important partners in accessing psychiatric services. The Goldberg- Huxley model believes that access to Psychiatric consultation is done preferably through the primary health care. Material and Methods: This survey included 93 first-time users of the Psychiatric Consultation of Sintra. The aim was to study the trajectory of the user since he had felt a need to be consulted until the consultation of Psychiatry, the symptoms that led to the decision to seek help and influence of social class in time spent in pathways. This study used the Encounter Form, a questionnaire developed by Gater. Social class of users was also assessed using the Scale of Graffar. Results: We observed that users have contact with General Practitionaires in 71% of cases, the Psychiatric Urgency in 16.1% of cases, the Hospital Medical Specialist in 10.7% of cases and the General Urgency in 1,1% of cases. On the Graffar scale middle class (Class III) was the most prevalent. The travel time spend in pathways was reater than that obtained in a similar study carried out in 1991. Social Class III group had a greater time spent on pathways. Conclusions: The study concludes that access to this Psychiatric consultation is principally through general practice. The time spent in pathways is greater than desirable due to lack of resources.

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SUMMARY Background. Disseminated histoplasmosis is common in AIDS patients with advanced immunosuppression in Ceará, Northeastern Brazil. The goal of this study was to determine the prevalence of Histoplasma infection in patients with HIV/AIDS living in Fortaleza, the capital of Ceará. Methods. Intradermal tests with histoplasmin (mycelial phase) were performed in 161 HIV patients with CD4 ≥ 350 cells/mm 3 . Evidence of recent illness was evaluated with immunodiffusion (ID) tests in 76 of these individuals. Results. A total of 11.8% of patients reacted to histoplasmin and 2.63% had ID test positive to Histoplasma. The presence of mango trees (Mangifera indica) in the patient neighborhood (OR = 2.870; 95% CI = 1.081-7.617; p = 0.040) and past activity involving soil (OR = 2.834; 95% CI = 1.045-7.687; p = 0.045) or visits to a farm (OR = 3.869; 95% CI = 1.189-12.591; p = 0.033) were significantly associated with Histoplasma infection. Conclusions. Patients with HIV living in Fortaleza have an expressive prevalence of infection with Histoplasma.

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SUMMARY The aims of this study were to determine the seroprevalence of Ehrlichia spp. and risk factors for exposure in a restricted population of dogs, horses, and humans highly exposed to tick bites in a Brazilian rural settlement using a commercial ELISA rapid test and two indirect immunofluorescent assays (IFA) with E. canis and E. chaffeensis crude antigens. Serum samples from 132 dogs, 16 horses and 100 humans were used. Fifty-six out of 132 (42.4%) dogs were seropositive for E. canis. Dogs > one year were more likely to be seropositive for E. canis than dogs ≤ one year (p = 0.0051). Ten/16 (62.5%) and 8/16 (50%) horses were seropositive by the commercial ELISA and IFA, respectively. Five out of 100 (5%) humans were seropositive for E. canis and E. chaffeensis. Rhipicephalus sanguineus (n = 291, 97.98%) on dogs and Amblyomma cajennense (n = 25, 96.15%) on horses were the most common ticks found. In conclusion, anti-Ehrlichia spp. antibodies were found in horses; however, the lack of a molecular characterization precludes any conclusion regarding the agent involved. Additionally, the higher seroprevalence of E. canis in dogs and the evidence of anti-Ehrlichia spp. antibodies in humans suggest that human cases of ehrlichiosis in Brazil might be caused by E. canis, or other closely related species.