811 resultados para Alcohol-related problems
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Blended-wing-body (BWB) aircraft are being studied with interest and effort to improve economic efficiency and to overcome operational and infrastructure related problems associated to the increasing size of conventional transport airplanes. The objective of the research reported here is to assess the aerodynamic feasibility and operational efficiency of a great size, blended wing body layout, a configuration which has many advantages. To this end, the conceptual aerodynamic design process of an 800 seat BWB has been done completed with a comparison of performance and operational issues with last generation of conventional very large aircraft. The results are greatly encouraging and predict about 20 percent increase in transport productivity efficiency, without the burden of new or aggravated safety or operational problems.
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Currently, student dropout rates are a matter of concern among universities. Many research studies, aimed at discovering the causes, have been carried out. However, few solutions, that could serve all students and related problems, have been proposed so far. One such problem is caused by the lack of the "knowledge chain educational links" that occurs when students move onto higher studies without mastering their basic studies. Most regulated studies imparted at universities are designed so that some basic subjects serve as support for other, more complicated, subjects, thus forming a complicated knowledge network. When a link in this chain fails, student frustration occurs as it prevents him from fully understanding the following educational links. In this proposal we try to mitigate these disasters that stem, for the most part, the student?s frustration beyond his college stay. On one hand, we make a dissertation on the student?s learning process, which we divide into a series of phases that amount to what we call the "learning lifecycle." Also, we analyze at what stage the action by the stakeholders involved in this scenario: teachers and students; is most important. On the other hand, we consider that Information and Communication Technologies ICT, such as Cloud Computing, can help develop new ways, allowing for the teaching of higher education, while easing and facilitating the student?s learning process. But, methods and processes need to be defined as to direct the use of such technologies; in the teaching process in general, and within higher education in particular; in order to achieve optimum results. Our methodology integrates, as another actor, the ICT into the "Learning Lifecycle". We stimulate students to stop being merely spectators of their own education, and encourage them to take an active part in their training process. To do this, we offer a set of useful tools to determine not only academic failure causes, (for self assessment), but also to remedy these failures (with corrective actions); "discovered the causes it is easier to determine solutions?. We believe this study will be useful for both students and teachers. Students learn from their own experience and improve their learning process, while obtaining all of the "knowledge chain educational links? required in their studies. We stand by the motto "Studying to learn instead of studying to pass". Teachers will also be benefited by detecting where and how to strengthen their teaching proposals. All of this will also result in decreasing dropout rates.
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En la presente tesis desarrollamos una estrategia para la simulación numérica del comportamiento mecánico de la aorta humana usando modelos de elementos finitos no lineales. Prestamos especial atención a tres aspectos claves relacionados con la biomecánica de los tejidos blandos. Primero, el análisis del comportamiento anisótropo característico de los tejidos blandos debido a las familias de fibras de colágeno. Segundo, el análisis del ablandamiento presentado por los vasos sanguíneos cuando estos soportan cargas fuera del rango de funcionamiento fisiológico. Y finalmente, la inclusión de las tensiones residuales en las simulaciones en concordancia con el experimento de apertura de ángulo. El análisis del daño se aborda mediante dos aproximaciones diferentes. En la primera aproximación se presenta una formulación de daño local con regularización. Esta formulación tiene dos ingredientes principales. Por una parte, usa los principios de la teoría de la fisura difusa para garantizar la objetividad de los resultados con diferentes mallas. Por otra parte, usa el modelo bidimensional de Hodge-Petruska para describir el comportamiento mesoscópico de los fibriles. Partiendo de este modelo mesoscópico, las propiedades macroscópicas de las fibras de colágeno son obtenidas a través de un proceso de homogenización. En la segunda aproximación se presenta un modelo de daño no-local enriquecido con el gradiente de la variable de daño. El modelo se construye a partir del enriquecimiento de la función de energía con un término que contiene el gradiente material de la variable de daño no-local. La inclusión de este término asegura una regularización implícita de la implementación por elementos finitos, dando lugar a resultados de las simulaciones que no dependen de la malla. La aplicabilidad de este último modelo a problemas de biomecánica se estudia por medio de una simulación de un procedimiento quirúrgico típico conocido como angioplastia de balón. In the present thesis we develop a framework for the numerical simulation of the mechanical behaviour of the human aorta using non-linear finite element models. Special attention is paid to three key aspects related to the biomechanics of soft tissues. First, the modelling of the characteristic anisotropic behaviour of the softue due to the collagen fibre families. Secondly, the modelling of damage-related softening that blood vessels exhibit when subjected to loads beyond their physiological range. And finally, the inclusion of the residual stresses in the simulations in accordance with the opening-angle experiment The modelling of damage is addressed with two major and different approaches. In the first approach a continuum local damage formulation with regularisation is presented. This formulation has two principal ingredients. On the one hand, it makes use of the principles of the smeared crack theory to avoid the mesh size dependence of the structural response in softening. On the other hand, it uses a Hodge-Petruska bidimensional model to describe the fibrils as staggered arrays of tropocollagen molecules, and from this mesoscopic model the macroscopic material properties of the collagen fibres are obtained using an homogenisation process. In the second approach a non-local gradient-enhanced damage formulation is introduced. The model is built around the enhancement of the free energy function by means of a term that contains the referential gradient of the non-local damage variable. The inclusion of this term ensures an implicit regularisation of the finite element implementation, yielding mesh-objective results of the simulations. The applicability of the later model to biomechanically-related problems is studied by means of the simulation of a typical surgical procedure, namely, the balloon angioplasty.
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Introdução A presença de mulheres no transporte rodoviário de cargas tem sido cada vez mais crescente e as repercussões do trabalho na vida das motoristas de caminhão ainda são desconhecidas pela comunidade científica. Objetivo - Caracterizar e analisar o trabalho de mulheres motoristas de caminhão e suas repercussões sobre sua saúde, a partir do relato de homens e mulheres motoristas de caminhão. Metodologia - O estudo com abordagem qualitativa utilizou a técnica do grupo focal, entrevistas individuais e observação não participante. Os grupos focais foram realizados em uma empresa transportadora localizada no estado de São Paulo e as entrevistas individuais em evento realizado na cidade de Itupeva/SP. Em oito encontros, grupos de motoristas de caminhão, discutiram a temática trabalho e saúde conduzida por meio de questões semiabertas. As mesmas questões foram utilizadas para as entrevistas individuais. Os relatos foram gravados, sendo o conteúdo das gravações transcrito e analisado por meio da metodologia Análise de Conteúdo de Bardin. A partir dos dados obtidos, construíram-se as seguintes categorias: A trajetória profissional de motoristas de caminhão; As mulheres no Transporte Rodoviário de Cargas; O trabalho; Um momento inesquecível na profissão e A saúde das mulheres motoristas na estrada. Resultados Tornar-se motorista de caminhão, para a maioria das mulheres, ocorreu por acaso, ou devido à uma necessidade financeira, ou a falta de perspectiva de emprego. Para as mulheres no Transporte Rodoviário de Cargas, o cotidiano de trabalho das profissionais está atravessado por aspectos como: a força física; dúvidas e preconceitos quanto à sua orientação sexual; o desafio em conciliar a vida dentro e fora do caminhão; conflitos na vida conjugal decorrentes da vida profissional; a discriminação sexual e a necessidade do reconhecimento no trabalho, bem como a falta de infraestrutura dedicada às trabalhadoras nas empresas e postos de parada nas rodovias brasileiras. O momento inesquecível nesta profissão, considerado por homens e mulheres, foi a primeira viagem. Os impactos do trabalho sobre a saúde das trabalhadoras recaíram sobre dores lombares e na coluna; problemas relacionados ao sono; necessidade de recorrer ao uso de drogas como anfetaminas e cocaína para manterem-se acordadas durante o trabalho; estresse; infecção urinária e uso ininterrupto de anticoncepcionais. Conclusões - A inserção das mulheres no transporte rodoviário de cargas desafia empresas e a infraestrutura existente nas rodovias do país a acompanharem as transformações sociais no mundo do trabalho, incluindo as demandas de um novo perfil de trabalhadoras. Descritores: trabalho, gênero, saúde, motoristas de caminhão.
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El trabajo analiza los antecedentes históricos de la nutrición comunitaria española a través del estudio de los primeros intentos de institucionalización que tuvieron lugar en la Sección de Higiene de la Alimentación y Nutrición de la Escuela Nacional de Sanidad (ENS), limitando la búsqueda al período 1930-1936. Junto a la formación de los profesionales de la salud pública en las materias relacionadas con la nutrición y la alimentación se desarrolló un programa de investigación que contemplaba tres grandes áreas de trabajo. Para poder conocer cuál era la alimentación media habitual de los españoles y orientar las medidas preventivas encaminadas a conseguir una adecuada alimentación se llevaron a cabo estudios y encuestas sobre consumo. Se estudió la composición química de los alimentos españoles, con el objeto de determinar las posibles carencias. Por último, se analizaron los problemas de salud que acarreaba una alimentación deficiente en grupos de riesgo como las personas diabéticas. Los resultados de las investigaciones pusieron de manifiesto que la alimentación media de los españoles, especialmente la de las clases trabajadoras, estaba muy lejos de poder ser considerada equilibrada desde el punto de vista nutricional. Los mayores problemas residían en un déficit de proteínas animales, así como importantes deficiencias en aportes de minerales y vitaminas. El estallido de la guerra civil en julio de 1936 interrumpió el desarrollo del proceso de institucionalización. Sólo en la década de 1960, tras el paréntesis del primer franquismo, se recuperó el interés sanitario por los problemas de la alimentación.
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Within the context of the health reforms introduced in Spain in the early 20th century and the influence of international health organisations on their development, this article analyses the growing interest that surrounded nourishment and food-related problems at that time in relation to healthcare, the diagnosis provided by hygienists of such problems, and the public health measures applied to resolve them. The issue of hygienic diet and the collective aspect of nutritional problems became priorities in the field of healthcare. Two of the most prominent initiatives involved setting up a Department of Nutrition and Food Hygiene and Bromatological Technique during the early years of the Second Republic, as part of the National School of Health, as well as a Food Hygiene Service. Spanish hygienists underlined the importance of education and the dissemination of information about food hygiene, health and nutrition, in order to overcome the qualitative and quantitative deficiencies observed in the average diet of the Spanish population.
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A hydrogen economy is needed, in order to resolve current environmental and energy-related problems. For the introduction of hydrogen as an important energy vector, sophisticated materials are required. This paper provides a brief overview of the subject, with a focus on hydrogen storage technologies for mobile applications. The unique properties of hydrogen are addressed, from which its advantages and challenges can be derived. Different hydrogen storage technologies are described and evaluated, including compression, liquefaction, and metal hydrides, as well as porous materials. This latter class of materials is outlined in more detail, explaining the physisorption interaction which leads to the adsorption of hydrogen molecules and discussing the material characteristics which are required for hydrogen storage application. Finally, a short survey of different porous materials is given which are currently investigated for hydrogen storage, including zeolites, metal organic frameworks (MOFs), covalent organic frameworks (COFs), porous polymers, aerogels, boron nitride materials, and activated carbon materials.
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Copyright © 2016 Frederico Rosário et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Individualized measures are relevant for the assessment of therapeutic results and allow patients to identify the aspects that they value the most in assessing their clinical improvement. PSYCHLOPS, as an individualized measure, invite the patient to create their own items. The items created by the patients were compared with the contents of standardized measures. A sample composed by 107 patients admitted for psychological treatment in Hospital Espírito Santo (Évora), and three institutions for drug misuse fill in the PSYCHLOPS and two standardized measures presented in a random order: CORE-OM and PHQ-9. 279 items were created in PSYCHLOPS and later recoded, by thematic analysis, in 51 subthemes. Work-related problems was the most common subtheme identified by patients as relevant to the clinical improvement assessment. From the 51 subthemes, 17 (33.3%) were not represented in CORE-OM and 43 (84.3%) were not represented in PHQ-9. The majority of our sample indicated at least one subtheme that was not represented in CORE-OM and PHQ-9. These results show us the importance of individualized measures in identifying the patients’ most value concerns, which may have implications in the therapeutic process.
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The Western Balkans integration within the EU has started a legal process which is the rejection of former communist legal/political approaches and the transformation of former communist institutions. Indeed, the EU agenda has brought vertical/horizontal integration and Europeanization of national institutions (i.e. shifting power to the EU institutions and international authorities). At this point, it is very crucial to emphasize the fact that the Western Balkans as a whole region has currently an image that includes characteristics of both the Soviet socialism and the European democracy. The EU foreign policies and enlargement strategy for Western Balkans have significant effects on four core factors (i.e. Schengen visa regulations, remittances, asylum and migration as an aggregate process). The convergence/divergence of EU member states’ priorities for migration policies regulate and even shape directly the migration dynamics in migrant sender countries. From this standpoint, the research explores how main migration factors are influenced by political and judicial factors such as; rule of law and democracy score, the economic liberation score, political and human rights, civil society score and citizenship rights in Western Balkan countries. The proposal of interhybridity explores how the hybridization of state and non-state actors within home and host countries can solve labor migration-related problems. The economical and sociopolitical labor-migration model of Basu (2009) is overlapping with the multidimensional empirical framework of interhybridity. Indisputably, hybrid model (i.e. collaboration state and non-state actors) has a catalyst role in terms of balancing social problems and civil society needs. Paradigmatically, it is better to perceive the hybrid model as a combination of communicative and strategic action that means the reciprocal recognition within the model is precondition for significant functionality. This will shape social and industrial relations with moral meanings of communication.
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Enquadramento: As características do ensino contribuíram para o desenvolvimento de sintomas que desencadeiam a desistência do professor da sala de aula, não sendo Girau do Ponciano exceção. Eles são um problema de gestão pública que requer esforços conjuntos para aliviar esta situação. As causas que aumentam esse fato tem as suas repercussões sobre a saúde dos professores e dizem também respeito às condições de trabalho. Objetivos: Determinar a existência de fatores que mostram a desistência e o afastamento da sala de aula dos professores das escolas municipais da cidade de Girau do Ponciano. Métodos: O perfil sociodemográfico revelou tratar-se de indivíduos maioritariamente do sexo feminino 88,8%, com cerca de 40 anos e possuindo o ensino superior 75,9%,sendo que 68,5% são os mais velhos em tempo de serviço. O instrumento de colheita de dados sob a forma de Questionários permitiu colher informações relativas à caracterização sociodemográfica, ao trabalho e à saúde dos professores. Resultados: Constatou-se que os participantes tinham problemas de saúde psicoemocionais (50,0%); Osteoarticulares (16,6%); relacionados à voz (7,4%); auditivos (1,8%); respiratórios (1,8%) e circulatórios (3,7%). A presença de problemas relacionados com a saúde foi identificada em (77,7%) como fator determinante para a desistência da sala de aula, sendo que (85,1%) revelaram que não possuíam motivação para o trabalho da docência. Não praticam atividade física (48,8%) e a maioria detinha experiência de sala de aula de 10 a 13 anos, totalizando (68,5%). Conclusão: As evidências encontradas sustentam a necessidade de investimento na prevenção de doenças e cuidados especiais com a saúde do docente que deve ser orientado numa abordagem global dos fatores de risco irrompidos na profissão, encarando a prevenção como uma tarefa de todos; governo, sociedades científicas, profissionais de saúde. A investigação e a análise dos dados empíricos é essencial, contribuindo para dar suporte às decisões da gestão e administração escolar e política da escola contemporânea. Palavras-chave: Trabalho Docente; Saúde do Trabalhador; Professor.
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We assumed that self-control capacity, self-efficacy, and self-esteem would enable students to keep attentional control during tests. Therefore, we hypothesized that the three personality traits would be negatively related to anxiety-impaired cognition during math examinations. Secondary school students (N = 158) completed measures of self-control capacity, self-efficacy, and self-esteem at the beginning of the school year. Five months later, anxiety-impaired cognition during math examinations was assessed. Higher self-control capacity, but neither self-efficacy nor self-esteem, predicted lower anxiety-impaired cognition 5 months later, over and above baseline anxiety-impaired cognition. Moreover, self-control capacity was indirectly related to math grades via anxiety-impaired cognition. The findings suggest that improving self-control capacity may enable students to deal with anxiety-related problems during school tests.
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"S. 3410, a bill to establish a structure that will provide integrated knowledge and understanding of the ecological, social, and technological problems associated with air pollution, water pollution, solid waste disposal, general pollution, and degradation of the environment, and other related problems": p. 31-40.
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Background: Pharmaceutical care services became recognized in New Zealand in the mid-1990s, albeit with limited evidence of the acceptability and effectiveness of the model. An asthma-specific pharmaceutical care service was trialled in southern New Zealand, based on a 'problem-action-outcome' method, with pharmacists adopting a patient-centred, outcome-focused approach with multidisciplinary consultation. Objective: To report on the implementation and outcomes of a specialist asthma service offered by community pharmacists. Design: Pharmacists in five pharmacies, servicing predominantly rural, established clientele, received training in the asthma service and research documentation. Ten patients per pharmacy were recruited in each year (years 1 and 2) of the study. The patients were entered into the study in cohorts of five per pharmacy twice yearly, with year 2 mirroring year 1. The phase-in design minimized the impact on the pharmacists. The patients acted as their own controls. All patients received individualized care and had approximately monthly consultations with the pharmacist, with clinical and quality of life (QoL) monitoring. Results: A total of 100 patients were recruited. On average, 4.3 medication-related problems were identified per patient; two-thirds of them were compliance-related. The most common interventions were revision of patients' asthma action plans, referral and medication counselling. Clinical outcomes included reduced bronchodilator use and improved symptom control in around two-thirds of patients. Asthma-specific QoL changes were more positive and correlated well with clinical indicators. Conclusion: Further research is warranted to integrate this service into daily practice. Clinical outcomes were generally positive and supported by QoL indicators. Characteristics of New Zealand practice and this sample of pharmacies may limit the generalizability of these findings.
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Obesity, with its related problems, is recognized as the fastest growing disease epidemic facing the world, yet we still have limited insight into the regulation of adipose tissue mass in humans. We have previously shown that adipose-derived microvascular endothelial cells (MVECs) secrete a factor(s) that increases proliferation of human preadipocytes. We now demonstrate that coculture of human preadipocytes with MVECs significantly increases preadipocyte differentiation, evidenced by dramatically increased triacylglycerol accumulation and glycerol-3-phosphate dehydrogenase activity compared with controls. Subsequent analysis identified fibroblast growth factor (FGF)-1 as an adipogenic factor produced by MVECs. Expression of FGF-1 was demonstrated in MVECs but not in preadipocytes, while preadipocytes were shown to express FGF receptors 1-4. The proliferative effect of MVECs on human preadipocytes was blocked using a neutralizing antibody specific for FGF-1. Pharmacological inhibition of FGF-1 signaling at multiple steps inhibits preadipocyte replication and differentiation, supporting the key adipogenic role of FGF-1. We also show that 3T3-L1 cells, a highly efficient murine model of adipogenesis, express FGF-1 and, unlike human preadipocytes, display no increased differentiation potential in response to exogenous FGF-1. Conversely, FGF-1-treated human preadipocytes proliferate rapidly and differentiate with high efficiency in a manner characteristic of 3T3-L1 cells. We therefore suggest that FGF-1 is a key human adipogenic factor, and these data expand our understanding of human fat tissue growth and have significant potential for development of novel therapeutic strategies in the prevention and management of human obesity.