996 resultados para Avaliação de Custo-Efetividade
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Pós-graduação em Engenharia Civil - FEIS
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Sonohysterography was firstly described three decades ago. The saline solution infusion into the uterine cavity favors its use and provides excellent visualization of the anatomy and the inner cavity of the uterus better than the conventional transvaginal sonography To check the current role of sonohysterography in the uterine cavity assessment in women with abnormal uterine bleeding and asymptomatic, a literature review comparing sonohysterograph with conventional transvaginal sonography and/or ambulatory diagnostic hysteroscopy was carried out. To this end, relevant studies were researched in electronic databases Medline/PubMed, SciELO/LILACS. The sonohysterography is an ambulatory procedure, non-invasive, better cost-benefit, better sensitivity and specificity to identify uterine abnormalities, causing minimal discomfort and low complications rate. It was subject to revision which there is no more doubt about its accuracy. It can be concluded that the sonohysterography is a useful tool in the propedeutics to assess uterine cavity of symptomatic patients with abnormal uterine bleeding, infertility, recurrent miscarriages, and embryonic implantation failures in assisted reproduction treatment / in vitro fertilization and in any other intra and extra uterine cavity alteration. Hence, conventional transvaginal sonography is indicated as an initial method of assessment of the uterine cavity previously to ambulatory diagnostic hysteroscopy.
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A contracepção cirúrgica é utilizada no controle populacional, por impedir definitivamente a reprodução e ser mais econômica em relação à eutanásia. As complicações ocorrem pela intervenção cirúrgica ou por efeitos sistêmicos da privação do estrógeno. Objetivou-se monitorar o período pós-operatório de cadelas e gatas castradas em projeto de extensão universitária, com o intuito de avaliar os benefícios e a incidência de efeitos adversos. Foram questionados por telefone os proprietários de 178 fêmeas castradas (135 caninas e 43 felinas), entre um e dois anos após a cirurgia. As questões envolviam o estado atual do animal, possível mortalidade, neste caso a causa da morte e quanto tempo após a cirurgia ocorreu, se ocorreram alterações físicas como ganho de peso, incontinência urinária e dermatite peri-vulvar e alterações comportamentais positivas, como docilidade e diminuição do comportamento de perambulação, ou negativas, como apatia, agressividade e agitação excessiva. Das 135 cadelas castradas, 12 (8,89%) apresentaram óbito, apenas um relacionado à cirurgia, 87 (64,44%) apresentaram ganho de peso após a cirurgia, uma (0,74%) apresentou incontinência urinária e quatro (2,96%) dermatite peri-vulvar. Alterações de comportamento positivas foram relatadas em 38 (28,15%) cadelas e negativas em seis (4,44%). Das 43 gatas castradas, seis (13,95%) apresentaram óbito, nenhum relacionado à cirurgia, 25 (58,14%) apresentaram ganho de peso, uma (2,32%) incontinência urinária e duas (4,65%) dermatite peri-vulvar . Alterações de comportamento positivas ocorreram em 20 fêmeas (46,51%) e alterações negativas em nenhuma fêmea (0%). Pode-se concluir que a contracepção cirúrgica apresenta boa relação custo-benefício no que diz respeito a alterações pós-operatórias de longo prazo.
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A procriação excessiva de cães e gatos no ambiente urbano é um problema de saúde pública e de bem estar animal. Para se desenvolver campanhas de controle populacional necessita-se de protocolos cirúrgicos seguros, rápidos e de baixo custo. A abraçadeira auto-estática de náilon aparentemente se encaixa neste perfil. Objetivou-se avaliar por laparoscopia e histologia, a reação tecidual após a ligadura dos pedículos ovarianos com abraçadeira auto-estática ou mononáilon agulhado na ovariosalpingohisterectomia em 18 cadelas. Após 60 dias do procedimento cirúrgico não foi observada pela laparoscopia nenhuma aderência ou alteração macroscópica e a histologia dos fragmentos dos pedículos ovarianos demonstrou que a resposta tecidual não diferiu entre os métodos, revelando que a abraçadeira auto-estática pode ser usada como método de ligadura dos pedículos ovarianos de cadelas submetidas à ovariosalpingohisterectomia.
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The annual vaccination campaign against rabies is the most effective prevention procedure for this disease in dogs and cats and hence for human protection also. However, in 2010 and 2011, this activity was interrupted in Brazil due to the occurrence of adverse events associated with vaccination. Even though cases of canine rabies have been decreasing in the last two decades, vigilance must be strengthened in order to maintain pet owners trust in the vaccines provided in public services. This study aimed to determine pet owners participation in the annual vaccination campaign carried out in Botucatu. During March and April 2012, the period before the 42nd campaign, 312 pet owners, dogs and cats, were interviewed. The homes were randomly drawn in blocks from different sectors of the city; all houses on the same block over the 120 km² of urban area participated in the sampling process. Statistical analysis was performed descriptively. The results showed that the owners main motivation to vaccinate their pets during the campaigns is rabies prevention (36%), followed by the proximity of the vaccination station to the house (20.7%), zero cost (10.9%), and the combination of all three factors (16.1%). When asked if they would take their animals back to be vaccinated in another campaign, 60.1% answered yes, 13.5% would go to a private clinic, 2.2% would not take because they do not trust the vaccine and 1.6% had not decided yet. We conclude that the respondents have realized how dangerous Rabies is, because even after the break period, they still utilized the vaccination campaign demonstrating confidence in its effectiveness, while knowing the campaign goals facilitates understanding and participation.
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O presente trabalho busca apresentar um método de balanceamento de ração (estudo de caso) que ofereça as exigências necessárias para o desenvolvimento de animais ruminantes, com diversas fontes de proteínas ao custo mínimo de produção para os produtores. Deste modo, o confinamento tem surgido como uma importante ferramenta para o pecuarista, que deseja ganhar em escala no seu sistema de produção e qualidade em seus produtos. Assim, a adoção de técnicas de manejo e alimentação que viabilizem a produção de carnes de melhor qualidade torna-se muito importante para colocar o setor pecuário em situação de igualdade com os grandes países produtores de carne. Para a realização deste trabalho, foi feito um levantamento bibliográfico e uma pesquisa de campo com o administrador de uma fazenda no município de Presidente Prudente-SP. Através dos resultados obtidos, pode-se verificar que neste estabelecimento têm diminuído seus lucros, principalmente em virtude dos altos custos da alimentação.
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This study aimed to technically and economically evaluate the Forwarder performance in the first cutting wood extraction from a Eucalyptus grandis plantation. Technical analysis included a movement and timing study by continuous method, and the productivity was determined using the extracted wood volume in cubic meters. Economical analysis included operational costs parameters and wood extraction cost. Results referred to the effective operational performance. Loading and unloading activities responded for more than ¾ of the total time of effective Forwarder operational cycle. Operational costs were influenced by maintenance and repair costs. The estimated cost of extraction was US$ 0.97 per cubic meter.
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The acquisition of machinery used in timber harvesting depends on high financial investment, which implies the need for assessments that allow defining more precisely, what is the machine or the whole more recommended for streamlining the operation. This study aimed to technically and economically evaluating the performance of a harvester in Eucalyptus forest harvest first cut. The technique analysis included a time and movements, productivity, efficiency operational and mechanical availability. The economic analysis included the parameters operational cost, harvesting cost and energy consumption. The results obtained from the technological-economic parameters evidenced that of Diameter at Breast Height directly influenced the productivity of harvester. Consequently the lower costs of forest harvest were obtained for the compartments with wider diameter trees.
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This work presents and it evaluates the systems of crop of sugar-cane trash for energy ends, through studies accomplished in three industries of sugar and alcohol, of the State of São Paulo, as withdrawal in the field and crop partially integral with separation of the trash in the industry (cleaning the dry). it is Treated of a development of opportunities, because only when there is pulp shortage it is that remembers the energy use of the trash, which presents a larger cost for equivalent ton in energy again that the pulp of the sugar-cane, that already has a very spread trade in the section the sugar and alcohol. Another factor that should be outstanding is the environmental, because the Environmental Protocol exists, sanctioned by most of the producing of sugar-cane, that reduces the period for elimination burned of the sugar-cane before the crop implanted by the Law 11.241 of 2002. However it is important to highlight that the crop of the sugar-cane without it burns her previous, it increases the difficulty in the combat the pest denominated “cigarrinha-da-raiz”, turning necessary the retreat of part of the trash non beneficial for the soil, contributing like this, with the practice of removal of the trash for energy use. Of the obtained results it is ended that the most interesting modality economically, was the separation of the trash in the industry and that for better efficiency, the sugar-cane should go by a double process of blowing for cleaning, pointing out, however, that there was reduction of the capacity of transport of the sugar-cane as adult was the amount of trash partially in the crop integral.
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The electrical measures of the soil have been used as variables that correlate with its characteristics. This study aimed at developing an electrical capacitance sensor of low cost, to evaluate its performance on the field and verify the correlation between the measurements of electrical capacitance with physical properties (sand, silt and clay) and chemical properties of soil (pH, MO, P resin, H + Al, K, Ca, Mg, SB, CTC and V%) and the moisture content. The data sampling was performed at the farm named "Capão da Onça" which belongs to the State University of Ponta Grossa. The samples collection was conducted in an area of approximately 13 hectares, totalizing 81 samples. In each sampling the electrical capacitance of the soil was measured. After the sensor withdrawal, soil samples were collected and sent to be analysed in the laboratory of the College of Agronomics Science of the Paulista State University. The measuring instrument used to collect data on electric capacitance of the soil a digital multimeter was used. The data were submitted to the analysis of correlation and regression. The developed system presented a low cost and it was capable to measuring variation of the electrical capacitance of the soil. The obtained measures satisfactorily correlated with the levels of clay and sand, and weakly with the moisture content. This had demonstrated the possibility to use a sensor to verify the soil texture in not homogeneous areas. The measures of the electrical capacitance of the soil obtained by the sensor had significantly correlated with the soil attributes: calcium, magnesium, pH, SB and CTC. These results had demonstrated the possibility to use a sensor for soil fertility control.
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Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)