930 resultados para NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE
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À medida que oportunidades de emprego para toda a vida escasseiam, altas taxas de desemprego têm despertado o interesse por empreendedorismo. A salvação passa a ser a empregabilidade, sendo a educação empreendedora apontada como uma das áreas chave para fazer com que todos descubram potencialidades inovadoras e criativas despertando comportamentos empreendedores. A inserção dos jovens no mercado de trabalho é neste momento um dos maiores problemas da ilha de São Vicente com 23,3% de desempregados numa população maioritariamente jovem (65,7%) segundo INE (Instituto Nacional de Estatística). É neste contexto marcado por instabilidade e incerteza, que o Centro de Juventude de São Vicente tem vindo a promover a formação profissional oferecendo cursos de curta duração visando a inserção sócio económica de jovens carenciados e em situação de risco. Com base num suporte teórico que revela a possibilidade de desenvolver o espírito empreendedor através do ensino, optou-se pela metodologia de estudo de caso para analisar de que forma o Centro de Juventude de São Vicente contribui na formação para a empregabilidade e/ou no despertar do espírito empreendedor. Os resultados revelam que o Centro está dando os primeiros passos nesse sentido e que terá um papel importante no estímulo e incentivo ao trabalho por conta própria através da formação profissional, desde que em estreita articulação com o IEFP (Instituto do Emprego e Formação Profissional) e o mercado de trabalho. Visando uma mudança de mentalidade tem propiciado aos jovens um contexto de estímulo à iniciativa sobretudo através do apoio psicológico e na busca de financiamento. While opportunities for lifetime jobs are decreasing, high unemployment rates have aroused the interest in entrepreneurship. Employability will be the solution, being entrepreneurial education pointed out as one of the key factors in finding out innovative and creative potentialities as well as in stimulating entrepreneurial behaviours. Inserting young people in the labour market is, at present, one of the biggest problems in S.Vicente, an island with 23,3% of unemployed in a population mostly constituted by young people (65,7%), according to INE (National Institute of Statistics). In this context characterised by instability and uncertainty, the Youth Centre in S.Vicente has been promoting professional training through short courses aimed at socioeconomic insertion of young people in vulnerable and risky situations. Based on a theoretical support which points out the possibility of developing entrepreneurial spirit through education, the case study methodology was selected in order to analyse how the Youth Centre contributes through its training courses to employability and/or entrepreneurial spirit. The results obtained indicate that the Centre is taking its first steps in this direction and will play an important role in encouraging self-employment, through professional training. This has to be carried out in close relationship with both IEFP (Institute of Employment and Professional Training) and the labour market. With a view to changing mentalities, the Centre has been providing young people with a context capable of stimulating initiative, especially by supplying psychological support and helping them find financing sources.
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Objective to evaluate the prevalence of Staphylococcus aureus nasal colonization in renal transplant patients and to identify the related risk factors. Method Swabs were used to collect nasal samples from 160 patients who had undergone a transplant within the previous year at the Kidney and Hypertension Hospital. The ‘National Committee for Clinical Laboratory Standards’ norms were followed for the collection, isolation, identification and sensitivity measurements. Results There was a 9.4% (15) prevalence of Staphylococcus aureus nasal colonization, of which one (6.7%) was resistant to oxacillin. It was possible to identify as an associated risk factor a wait of more than one year for accessing dialysis prior to the transplant (p=0.029). Conclusion Given the high morbidity and mortality rates that this microorganism causes in the target population, other studies should be carried out, and pre- and post-transplant screening should occur in order to develop strategies that improve the prevention and control of the spread of Staphylococcus aureus.
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Ao longo dos últimos anos, com às crescentes mudanças no mundo empresarial, tanto no meio académico, quanto no meio profissional, as relações entre a cultura organizacional e a liderança têm atraído considerável atenção e alguns estudos da área têm apontado a interdependência entre ambos (Schein, 1992; Bass & Avolio, 1993). O presente trabalho de investigação científica, tem por objectivo, avaliar a existência dessa mesma relação através de um estudo de caso, aplicado aos trabalhadores e três gestores, a uma empresa pública de segurança social, cabo-verdiana – Instituto Nacional de Previdência Social – INPS, nos anos 2000 a 2010. A metodologia, consistiu primeiramente numa pesquisa bibliográfica, exploratória e descritiva e ainda foi feito um estudo de caso à empresa. Para a recolha dos dados, foram aplicados questionários com perguntas fechadas aos trabalhadores e gestores com o consentimento do Conselho de Administração. Para a análise dos dados foram utilizadas técnicas quantitativas e qualitativas, feito através das respostas obtidas dos questionários. Com os resultados da pesquisa, conclui-se que a pergunta de partida foi respondida através dos 94% da população inquirida que confirmaram a existência da relação entre a cultura organizacional e liderança e a sua influência dentro da organização. The existent relationship between the organizational culture and the leadership in social safety sector. Along of the last years, with the growing changes in the business world as in the academic middle as in the professional middle, the relation between organizational culture and the leadership have attracted considerable attention and some studies of the area have been pointed the interdependence between both (Schein,1992;Bass Avolio,1993). The present scientific investigation work has the purpose to evaluate the existence of that same relationship through a study of case, applied to the workers and three managers, to a public company of social safety, capverdean-National Institute of Social Precaution-INPS, in years 2000 and 2003. The methodology constitutes firstly in a small one bibliographical, exploratory and descriptive and it was still made a study of case to the company. For it collects of data were applied questionnaires with closed questions to the workers and the three managers with the consent of the Council of Administration. For the analysis of the data quantitative and qualitative techniques were used, done through the obtained answers of the questionnaires. With the results of the research, it is ended that the question of departure was answered through the 94% of the population inquired that confirm the relationship existence between the organizational culture and the leadership and its influence inside of the organization.
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O trabalho foi realizado no intuito de registrar a distribuição geopolítica da Fasciolose Hepática na Ilha de Santiago, Cabo Verde. Durante a avaliação, realizada de maio a junho de 2008, foram registrados tamanho e taxas de infecção do molusco, pH e temperatura da água e taxas de infecção de vertebrados. As amostras de moluscos e de fezes de bovinos foram coletadas, de forma aleatória, em todos os municípios da Ilha de Santiago, com exceção de Tarrafal, e, devidamente embaladas, encaminhadas para o Laboratório do Instituto Nacional de Investigação e Desenvolvimento Agrário (INIDA), onde foram analisadas. As análises demonstraram resultados positivos para a coproscopia de bovinos e a presença do hospedeiro intermediário (Lymnaea natalensis) em todos os municípios visitados. Também ficou demonstrada uma correlação positiva entre a taxa de infecção dos hospedeiros vertebrados e invertebrados, sendo que o maior índice foi registrado no Município de Santa Cruz (72,72%) e o menor no da Praia (16,66%). A taxa de infecção média verificada para os moluscos e os bovinos foi de 51,51% e 37,15%, respectivamente.
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Most methods for small-area estimation are based on composite estimators derived from design- or model-based methods. A composite estimator is a linear combination of a direct and an indirect estimator with weights that usually depend on unknown parameters which need to be estimated. Although model-based small-area estimators are usually based on random-effects models, the assumption of fixed effects is at face value more appropriate.Model-based estimators are justified by the assumption of random (interchangeable) area effects; in practice, however, areas are not interchangeable. In the present paper we empirically assess the quality of several small-area estimators in the setting in which the area effects are treated as fixed. We consider two settings: one that draws samples from a theoretical population, and another that draws samples from an empirical population of a labor force register maintained by the National Institute of Social Security (NISS) of Catalonia. We distinguish two types of composite estimators: a) those that use weights that involve area specific estimates of bias and variance; and, b) those that use weights that involve a common variance and a common squared bias estimate for all the areas. We assess their precision and discuss alternatives to optimizing composite estimation in applications.
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Este trabalho baseia-se na análise de dados do desemprego em Cabo Verde nos anos de 2006 e 2008, usando informação da base de dados do INE e IEFP. Partindo da análise dos dados em estudo vai-se procurar descrever e perspectivar metodologias que contemplam as variáveis qualitativas e quantitativas com significado social positivo para a sociedade deste país. Após a introdução no capítulo 1, fez-se, no capítulo 2, a análise exploratória dos dados do desemprego em Cabo Verde referente aos anos 2006 e 2008. No capítulo 3 estudam-se associações entre variáveis, usando a metodologia de tabelas contingência, através da realização de testes de independência e testes de homogeneidade, e análise de medidas de associação. As variáveis usadas, vão ser essencialmente, o escalão etário, o género e o ano. O capítulo 4 é dedicado ao estudo de modelos Log - lineares em tabela de contingência, finalizando-se o trabalho com a apresentação das principais conclusões.
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The development of statistical models for forensic fingerprint identification purposes has been the subject of increasing research attention in recent years. This can be partly seen as a response to a number of commentators who claim that the scientific basis for fingerprint identification has not been adequately demonstrated. In addition, key forensic identification bodies such as ENFSI [1] and IAI [2] have recently endorsed and acknowledged the potential benefits of using statistical models as an important tool in support of the fingerprint identification process within the ACE-V framework. In this paper, we introduce a new Likelihood Ratio (LR) model based on Support Vector Machines (SVMs) trained with features discovered via morphometric and spatial analyses of corresponding minutiae configurations for both match and close non-match populations often found in AFIS candidate lists. Computed LR values are derived from a probabilistic framework based on SVMs that discover the intrinsic spatial differences of match and close non-match populations. Lastly, experimentation performed on a set of over 120,000 publicly available fingerprint images (mostly sourced from the National Institute of Standards and Technology (NIST) datasets) and a distortion set of approximately 40,000 images, is presented, illustrating that the proposed LR model is reliably guiding towards the right proposition in the identification assessment of match and close non-match populations. Results further indicate that the proposed model is a promising tool for fingerprint practitioners to use for analysing the spatial consistency of corresponding minutiae configurations.
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BACKGROUND AND PURPOSE: We aimed to assess the interaction between intravenous thrombolysis (IVT) and arterial occlusion on acute cervicocerebral computed tomographic angiography on the outcome of patients with acute ischemic stroke. METHODS: Patients from the Acute Stroke Registry and Analysis of Lausanne (ASTRAL) registry with onset-to-door-time ≤4 hours, acute cervicocerebral computed tomographic angiography, a premorbid modified Rankin Scale ≤2, and a National Institute of Health Stroke Scale (NIHSS) >4 were selected. Patients with significant intracranial arterial obstruction (≥50%-99%) and undergoing acute endovascular treatment were excluded. An interaction analysis of IVT and initial arterial occlusion for favorable 3 months outcome (modified Rankin Scale <3) were performed with adjustment for potential confounders. RESULTS: Among 654 included patients, 382 (58%) showed arterial occlusion, of whom 263 (69%) received IVT. Two hundred seventy-two showed no/minimal obstruction of whom 139 (51%) received IVT. In the adjusted interaction analysis, there was a trend in favor of the arterial occlusion group (odds ratio [OR]=3.97; 95% confidence interval [CI], 0.83-18.97; P=0.08). IVT (versus no IVT) was associated with better outcome in patients with occlusion (adjusted OR for favorable outcome, 3.01; 95% CI, 1.10-8.28) but not in patients with no/minimal obstruction (OR, 0.76; 95% CI, 0.21-2.74). Conversely, patients with occlusion had a similar rate of favorable outcome as no/minimal obstruction when thrombolysed (OR, 0.5; 95% CI, 0.17-1.47) but had a less favorable outcome without thrombolysis (OR, 0.13; 95% CI, 0.04-0.44). CONCLUSIONS: In this retrospective analysis of consecutive patients with acute ischemic stroke, there was a trend for more favorable outcomes with IVT in the setting of initial arterial occlusion than in the setting of no/minimal obstruction. Before confirmation in randomized controlled studies, this information should not influence thrombolysis decisions, however.
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A decomposição de amostras que contêm elevados teores de Si, utilizando mistura com os ácidos nítrico e fluorídrico, pode provocar a precipitação de fluoretos de Al(III), Ca(II), Fe(III) e Mg(II) durante a digestão, impedindo a recuperação total desses elementos. Visando minimizar esse problema, foram testados quatro procedimentos aplicados a diferentes amostras de solos. O procedimento mais eficiente envolveu a decomposição assistida por radiação microondas, seguida pela separação do material sólido residual com elevado teor de Si do sobrenadante ácido. A fração residual foi solubilizada usando HF concentrado e, após complexação com ácido bórico, essa solução foi misturada à fase líquida do digerido. Os teores de metais nos digeridos foram determinados por espectrometria de emissão óptica em plasma induzido (ICP OES) e a exatidão foi demonstrada aplicando o procedimento proposto em amostras provenientes do programa colaborativo International Soil-Analytical Exchange (ISE, Wegening Agricultural University, Holanda) e em amostra certificada de solo proveniente do National Institute of Standard and Technology (NIST, SRM 2709), que apresentou respectivamente, os seguintes percentuais de recuperação: 100,0 ± 2,6; 99,5 ± 1,9; 108,5 ± 2,7; 94,6 ± 8,9; 92,2 ± 9,7; 95,7 ± 1,8; 96,7 ± 2,7; 95,2 ± 0,6; 103,6 ± 2,6 e 96,1 ± 1,6 para, Al, Ba, Ca, Cr, Cu, Fe, Mg, Mn, V e Zn.
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Sulfur in the soil occurs in two basic forms, organic and inorganic S. The organic form accounts for 95 % of S in most soils. The effectiveness of organic S to oxidate to sulfate was evaluated for total S determination in soil samples by wet (acid) and dry-ash (alkaline) oxidation methods. To evaluate the wet method and the possible use as a reference when evaluating the dry method proposed here, a reference standard from the US National Institute of Standards and Technology (NIST) was used (Montana Soil - NIST 2710). The dry-ash oxidation process with alkaline oxidizing agents is one of the simplest oxidation methods of organic S to the sulfate form and was compared with the wet process. The objective of the study was to develop a dry method that would be easy to apply and allow the complete conversion of organic S to sulfate in soil samples and later detection by turbidimetry. The effectiveness of organic S oxidation to sulfate was evaluated by means of three alkaline oxidation mixtures: NaHCO3 + Ag2O, Eschka mixture (17 % Na2CO3, 66 % MgO, and 17 % K2CO3), and NaHCO3 + CuO. The procedure to quantify the sulfate concentration was based on the reaction with barium chloride and turbidimetric detection. Sulfur quantification in the standard sample by the wet method proved adequate, precise and accurate. It should also be pointed out that no significant differences were found (95 % reliability) between the wet and dry processes (NaHCO3 and Ag2O oxidation mixture) in six different Brazilian soils. The proposed dry method can therefore be used in the preparation of soil samples for total S determination.
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Fertilizantes e corretivos, ao serem aplicados nos solos, fornecem micronutrientes como impurezas residuais da sua fabricação, os quais podem ser importantes fontes para as culturas. Em decorrência disso, o objetivo deste trabalho foi quantificar os teores dos micronutrientes Zn, Cu, Fe, Mn e Ni em fertilizantes e corretivos comercializados no Nordeste brasileiro, visando avaliar o potencial desses insumos no fornecimento indireto de micronutrientes às culturas agrícolas. Os insumos analisados neste estudo (24 amostras de fertilizantes e 26 de corretivos) foram coletados nos Estados da Bahia e Pernambuco pelo Ministério da Agricultura, Pecuária e Abastecimento (MAPA) e digeridos pelo método 3051A (USEPA, 1998). As determinações dos micronutrientes foram feitas por espectrofotometria de absorção atômica. Amostras de fertilizante SRM 695 (National Institute of Standards and Technology - NIST) e spikes foram adicionadas para controle de qualidade das análises. Os fertilizantes fosfatados, em geral, apresentaram maiores teores de micronutrientes do que os demais produtos testados. Os fertilizantes e corretivos avaliados representam uma fonte de micronutrientes ao solo que não pode ser desprezada. No entanto, a real disponibilidade desses elementos aportados ao solo necessita ser avaliada em estudos com plantas, pois fatores como solubilidade dos insumos, absorção pelas culturas, reações com o solo e perdas por precipitação e lixiviação devem ser considerados.
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BACKGROUND AND OBJECTIVE: Arterial base excess and lactate levels are key parameters in the assessment of critically ill patients. The use of venous blood gas analysis may be of clinical interest when no arterial blood is available initially. METHODS: Twenty-four pigs underwent progressive normovolaemic haemodilution and subsequent progressive haemorrhage until the death of the animal. Base excess and lactate levels were determined from arterial and central venous blood after each step. In addition, base excess was calculated by the Van Slyke equation modified by Zander (BE(z)). Continuous variables were summarized as mean +/- SD and represent all measurements (n = 195). RESULTS: Base excess according to National Committee for Clinical Laboratory Standards for arterial blood was 2.27 +/- 4.12 versus 2.48 +/- 4.33 mmol(-l) for central venous blood (P = 0.099) with a strong correlation (r(2) = 0.960, P < 0.001). Standard deviation of the differences between these parameters (SD-DIFBE) did not increase (P = 0.355) during haemorrhage as compared with haemodilution. Arterial lactate was 2.66 +/- 3.23 versus 2.71 +/- 2.80 mmol(-l) in central venous blood (P = 0.330) with a strong correlation (r(2) = 0.983, P < 0.001). SD-DIFLAC increased (P < 0.001) during haemorrhage. BE(z) for central venous blood was 2.22 +/- 4.62 mmol(-l) (P = 0.006 versus arterial base excess according to National Committee for Clinical Laboratory Standards) with strong correlation (r(2) = 0.942, P < 0.001). SD-DIFBE(z)/base excess increased (P < 0.024) during haemorrhage. CONCLUSION: Central venous blood gas analysis is a good predictor for base excess and lactate in arterial blood in steady-state conditions. However, the variation between arterial and central venous lactate increases during haemorrhage. The modification of the Van Slyke equation by Zander did not improve the agreement between central venous and arterial base excess.
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The lack of a standard method to regulate heavy metal determination in Brazilian fertilizers and the subsequent use of several digestion methods have produced variations in the results, hampering interpretation. Thus, the aim of this study was to compare the effectiveness of three digestion methods for determination of metals such as Cd, Ni, Pb, and Cr in fertilizers. Samples of 45 fertilizers marketed in northeastern Brazil were used. A fertilizer sample with heavy metal contents certified by the US National Institute of Standards and Technology (NIST) was used as control. The following fertilizers were tested: rock phosphate; organo-mineral fertilizer with rock phosphate; single superphosphate; triple superphosphate; mixed N-P-K fertilizer; and fertilizer with micronutrients. The substances were digested according to the method recommended by the Ministry for Agriculture, Livestock and Supply of Brazil (MAPA) and by the two methods 3051A and 3052 of the United States Environmental Protection Agency (USEPA). By the USEPA method 3052, higher portions of the less soluble metals such as Ni and Pb were recovered, indicating that the conventional digestion methods for fertilizers underestimate the total amount of these elements. The results of the USEPA method 3051A were very similar to those of the method currently used in Brazil (Brasil, 2006). The latter is preferable, in view of the lower cost requirement for acids, a shorter digestion period and greater reproducibility.