Aspectos sincrônicos e diacrônicos da música eletroacústica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Anticoagulant treatment for subsegmental pulmonary embolism

BackgroundAcute pulmonary embolism (PE) is a common cause of death, accounting for 50,000 to 200,000 deaths annually. It is the third most common cause of mortality among the cardiovascular diseases, after coronary artery disease and stroke.The advent of multi-detector computed tomographic pulmonary angiography (CTPA) has allowed better assessment of PE regarding visualisation of the peripheral pulmonary arteries, increasing its rate of diagnosis. More cases of peripheral PEs, such as isolated subsegmental PE (SSPE) and incidental PE, have thereby been identified. These two conditions are usually found in patients with few or none of the classic PE symptoms such as haemoptysis or pleuritic pain, acute dyspnoea or circulatory collapse. However, in patients with reduced cardio-pulmonary (C/P) reserve the classic PE symptoms can be found with isolated SSPEs. Incidental SSPE is found casually in asymptomatic patients, usually by diagnostic imaging performed for other reasons (for example routine CT for cancer staging in oncologic patients).Traditionally, all PEs are anticoagulated in a similar manner independent of the location, number and size of the thrombi. It has been suggested that many patients with SSPE may be treated without benefit, increasing adverse events by possible unnecessary use of anticoagulants.Patients with isolated SSPE or incidental PE may have a more benign clinical presentation compared with those with proximal PEs. However, the clinical significance in patients and their prognosis have to be studied to evaluate whether anticoagulation therapy is required.ObjectivesTo assess the effectiveness and safety of anticoagulation therapy versus no intervention in patients with isolated subsegmental pulmonary embolism (SSPE) or incidental SSPE.Search methodsThe Cochrane Peripheral Vascular Diseases Group Trials Search Co-ordinator searched the Specialised Register (last searched October 2013) and CENTRAL (2013, Issue 9). MEDLINE, EMBASE, LILACS and clinical trials databases were also searched (October 2013).Selection criteriaRandomised controlled trials of anticoagulation therapy versus no intervention in patients with SSPE or incidental SSPE.Data collection and analysisTwo review authors inspected all citations to ensure reliable selection. We planned for two review authors to independently extract data and to assess the methodological quality of identified trials using the criteria recommended in the Cochrane Handbook for Systematic Reviews of Interventions.Main resultsNo studies were identified that met the inclusion criteria.Authors' conclusionsThere is no randomised controlled trial evidence for the effectiveness and safety of anticoagulation therapy versus no intervention in patients with isolated subsegmental pulmonary embolism (SSPE) or incidental SSPE, and therefore we can not draw any conclusions. Well-conducted research is required before informed practice decisions can be made.

Serviço de referência virtual via chat: uma análise comparativa em bibliotecas universitárias norte-americanas e brasileiras

Pós-graduação em Ciência da Informação - FFC

A influência do Método Pilates sobre a capacidade funcional, a qualidade de vida e a remodelação óssea em mulheres idosas

Pós-graduação em Fisiopatologia em Clínica Médica - FMB

A pílula mágica e o (pré)conceito: a realidade e o impacto da leucemia mielóide crônica na vida do paciente

Pós-graduação em Saúde Coletiva - FMB

As estratégias de desenvolvimento na América Latina e as transformações na economia mundial (1930-2008)

The present article discuss how world economic transformations, meanly in the course of structural crisis, conditioned the development strategies of Latin America in the large period between the Great Depression in the 1930s and the 2007 open crisis in the USA. The article provides special attention to national development projects. This paper defends that the outbreak and crisis of developmentism, as well the neoliberal accumulation standard advent, may only be explained, not disregarding the great importance of internal factors, from the international division of labor transformations, the policies and actions of main countries, the geopolitical position of countries and the forces correlation in international scale.

Atlas interativo do Pontal do Paranapanema: uma contribuição à educação ambiental

A área do Pontal do Paranapanema está localizada no Extremo Oeste do Estado de São Paulo, na região sudeste do Brasil, em uma posição estratégica considerando tanto sua proximidade com os Estados de Mato Grosso do Sul e Paraná quanto o advento do Mercosul - o mercado comum do Cone Sul. No Estado de São Paulo há três áreas muito carentes, uma das quais é o Pontal do Paranapanema, onde têm havido muitos conflitos sociais relativos à posse e propriedade da terra, envolvendo disputas entre o Estado e os latifundiários. Nos últimos anos os trabalhadores rurais têm realizado ocupações nesta região e reivindicado terras - eles criaram um grupo denominado MST (Movimento dos Trabalhadores Rurais Sem Terra), que tem ganhado popularidade e apoio de vários segmentos da comunidade, estando diariamente na mídia (jornais, TV etc). A comunidade acadêmica tem estado consciente e preocupada com esta situação e, portanto, tem desenvolvido estudos e pesquisas sobre o assunto, tanto individualmente quanto através de grupos de pesquisa. Uma das mais importantes Universidades Brasileiras é a Universidade Estadual Paulista (unesp), que tem um de seus campus localizado no município de Presidente Prudente (o qual está localizado no Pontal do Paranapanema). Desde a década de 1960 diversos pesquisadores têm desenvolvido pesquisas técnico-científicas almejando produzir um Atlas do Pontal do Paranapanema em formato convencional. O principal objetivo seria o de reunir, através de mapas topográficos e temáticos, todas as informações geográficas sobre o Pontal do Paranapanema, a fim de servir de base para projetos e planejamentos governamentais (municipais ou estaduais), bem como para o setor privado. O Atlas seria também um produto de informação sobre os recursos naturais e as condições sócio-econômicas desta área, sendo voltado para estudos acadêmico...(Resumo completo, clicar acesso eletrônico abaixo)

Ocular ultrasonography and ultrasound biomicroscopy: applicability in clinical and ophthalmic surgery

With the advent of high frequency transducers, the use of ocular ultrasound has become widely used because it provides definitions of major ocular structures. This diagnostic tool is useful in the evaluation of ophthalmic injuries, and also used for qualitative and quantitative evaluation of intraocular and orbital lesions. It is a noninvasive, safe and fast, easy to use and can be performed in an awake animal. The ocular ultrasonography is indicated in cases of ocular opacity, when the ophthalmic examination cannot be done, and in eyes with ocular trauma or suspected orbital disease. Ultrasound biomicroscopy (UBM) is a diagnostic tool with high cost and sedation or general anesthesia is necessary, but has the advantage of evaluating structures poorly defined or visualized in the anterior segment of the eye. Therefore, this paper aims to show the importance of ocular ultrasonography and UBM to veterinary practitioners, and to demonstrate its advantages and indications in ophthalmic routine.

Lean Six sigma aplicado a uma empresa do setor de embalagens

With the advent of a global economy, Lean Six Sigma meets the demand of new production process that creates products within the customer’s specification without any wastage. The objectives of this work is to use the concepts Lean Manufacturing and Six Sigma parallel to minimize costs, increase the customer base, reduce the delivery time which implies an increase in the turnover of products on the shelves in a packaging company. We used the DMAIC method to continue working. The method DMAIC indicated the main failure modes that were fixed in the step improve. At this stage the tools of Lean Manufacturing gain tremendous value by optimizing processes with defects. The conclusion involves an increase in monthly billing, a corporate restructuring and, finally, a renewal in how to conduct the work of management

A desterritorialização da redação no jornalismo contemporâneo

The displacement of writing emerged in urban centers due to its investment in technology and has been developed in major newspapers around the world. With the advent of the internet and technological development, the writing went from analog to digital. That made it no longer required the presence of the journalist in the physical redaction means modifying the various management structures of a writing routine and professional. This happened to capture, edit and distribute your notes, news and reports in online mode. This monograph aims to understand and define the macro change of virtualization in journalism, considering the stages of production of Le Monde Diplomatique, a newspaper whose writing is in process of deterritorialization, the people involved in this activity and the resources used and contributing to the debate on new forms of organization of an editorial environment

Comunicação interna e gestão de pessoas: um olhar para as relações humanas nas organizações

The main purpose of this study is to show how internal communication can be allied to people management in the process of transformation of the organizations. It is known that the advent of new technologies and the information age, consequences of globalization, are provoking deep transformations in organizations and reaching people too. This way there is the human and the social issue that goes beyond the race for profit. The new forms of management are becoming increasingly concerned with the value of human being and communication professionals, more specifically public relations, can facilitate processes and significantly improve the relationships towards positive results

Programa para gerenciamento de rebanho leiteiro

With the advent of technology, many repetitive processes before now was be simplified with the support of a simple computer. Therefore programming has been developed and new softwares appear every day. For the development of this project was used the Microsoft Visual Studio 2010, and with it the program was made in C # Windows Form mode. This work aims to develop a program that can read, send and receive data via the Universal Serial Bus (USB) to the computer, and thereby perform the processing. Thus the milk producer will possess the knowledge of the amount of milk produced by the animal. With the processing of data it is possible to generate graphs of herd production or a specific animal and you can also generate the required report date

Proposta de traçado de alcoolduto ligando a hidrovia Tietê Paraná à refinaria do planalto paulista com uso de avaliação multicritérios e geotecnologias

From the beginning of the century, with the advent of the flex fuel car, successor fluctuations in oil prices and the rise of awareness of the impending shortage of fossil fuels, the alcohol sector begins to reappear in the panorama of national economy making Brasill reaches the point of becoming a leading exporter of this product. Ethanol assumed the role of such importance in Brazilian exports, which Petrobras through the Growth Acceleration Program (PAC) has made investments in the Brazilian pipeline network to better ensure the production of ethanol to major ports. The means of transport in pipelines are safe and inexpensive, but require careful evaluation in its implementation, they may lead to negative social and environmental impacts. Thus, the purpose of this project is to propose the best route for an ethanol pipeline connectin the Tietê-Paraná, leaving the municipality of Santa Maria da Serra (SP), to the Planalto Paulista Refinery (REPLAN), located in Paulinia (SP), belonging to the passage of ethanol export corridor, currently under revelopment. The technique used for the development of the stroke is the association of multicriteria evaluation, the geographical information system (SIG) and geotechnologies. This study presented three possible layouts for the ethanol pipeline, highlighting the best option, in addition, demonstrated the suitability of the area to receive projects of similar nature to a pipeline

As metamorfoses no espaço com o advento da Copa do Mundo no Brasil: estudos sobre o distrito de Itaquera-SP

The present work discuss the reproduction of the social relations from the point of view of the new urban production relations - having as empirical universe for analysis-, the Itaquera district in the Sao Paulo metropolis, with the advent of the World Cup in Brazil. Starting with the reading of a reality in movement, in which the analysis walks covering the dialectic relationship between space and society, where the first is translated into product and life reproduction condition, aiming to unveil the metamorphoses that will take place in the urban space with its consequent contradiction, what it may be the expanded capital reproduction concomitantly with the process that denounces a spoliation movement of the social space. With the society approval before these big architectural projects enabled by ideology, it’s determined the (re) production of artificial spaces of consumption, funded for the capital extension. The current stage that the capitalism reveals a space turned into mass consumption merchandise, consequence of the victory of the exchange value over the usage value, amalgamated in positive measures of expulsion/sweeping of low income socio-economic layers

A crise na sociedade do trabalho e sua importância na contextualização dos conteúdos curriculares do ensino médio

This article has as objective to discuss some topics concerning the supposed crisis of the society of the work and its consequences for the debate in social sciences and also for the work category contextualization in the secondary school curriculum. As the work has represented an important explanation category for the classic social thought, the contemporary paradigm of deep metamorphoses in the world of the work and the advent of the new question (CASTELS, 1995; ROSANVALLON, 1995) backward the necessity to rethink the theoretical shades that base the interpretation of the social life on the current context, when the center position of the work is being questioned. Having taken some theoretical references from the sociology of the work, we search to delineate on a brief way the quarrel about the dimensions of the social and political phenomena these days and the importance of this debate on the contextualization of the secondary school curriculum contents.