937 resultados para Best Possible Medication History (BPMH)


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Este trabalho se propõe estudar a obra do poeta cearense Antonio Gonçalves da Silva, conhecido como Patativa do Assaré. O estudo de tal obra encontra-se alicerçado na crítica literária, sobretudo no conceito de textos histórica e socialmente ancorados elaborado por Antonio Cândido, e na discussão do diálogo entre teologia e literatura, a partir da idéia de reescritura de um texto literário a partir de textos sagrados, de Eli Brandão. Dessa forma objetiva-se localizar, no contexto brasileiro, a partir do diálogo entre teologia e literatura, a plausibilidade de nossa pesquisa, ou seja: ao longo da produção literária de Patativa do Assaré, encontramos questões existenciais provocadoras de diversas aflições percebidas no cotidiano do povo sertanejo, as quais nos remetem a questionamentos e temas de cunho teológico, notados através da obra de um poeta, reveladora não somente da dura realidade do nordestino, mas também da fé e esperança deste em um Deus, visto ao longo da poética de Patativa do Assaré não como fonte de castigo, mas percebido como um Deus sensível aos sofrimentos, mazelas e marginalização dos nordestinos desamparados. Assim, acreditamos na proposta de estudar a poética patativana sob a perspectiva de “um olhar teológico”, a partir do qual se percebe “temas teológicos nordestinos”, elaborados a partir do contato do poeta com o catolicismo do sertão, mas que, na percepção e compreensão de mundo de Patativa assumem novos significados e novas interpretações.

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A methodology has been developed and presented to enable the use of small to medium scale acoustic hover facilities for the quantitative measurement of rotor impulsive noise. The methodology was applied to the University of Maryland Acoustic Chamber resulting in accurate measurements of High Speed Impulsive (HSI) noise for rotors running at tip Mach numbers between 0.65 and 0.85 – with accuracy increasing as the tip Mach number was increased. Several factors contributed to the success of this methodology including: • High Speed Impulsive (HSI) noise is characterized by very distinct pulses radiated from the rotor. The pulses radiate high frequency energy – but the energy is contained in short duration time pulses. • The first reflections from these pulses can be tracked (using ray theory) and, through adjustment of the microphone position and suitably applied acoustic treatment at the reflected surface, reduced to small levels. A computer code was developed that automates this process. The code also tracks first bounce reflection timing, making it possible to position the first bounce reflections outside of a measurement window. • Using a rotor with a small number of blades (preferably one) reduces the number of interfering first bounce reflections and generally improves the measured signal fidelity. The methodology will help the gathering of quantitative hovering rotor noise data in less than optimal acoustic facilities and thus enable basic rotorcraft research and rotor blade acoustic design.

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Objectives: We report a fatal case of neuroleptic malignant-like syndrome, which occurred as a consequence of paralytic bowel in a 72-year-old woman on treatment with antiparkinson medication. Case description: Contrast enhanced computerized tomography of the chest and abdomen demonstrated the presence of paralytic bowel. Results: The patient died. Conclusions: Physicians involved in the treatment of patients affected by Parkinson’s disease should take into consideration the possibility of dopaminergic drug malabsorption due to paralytic bowel as a possible cause of neuroleptic malignant-like syndrome.

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Poor medication adherence is problematic among HIV positive, low-income African-American substance users. Substance use has been shown to be associated with poor medication adherence, though we do not know the mechanism that underlies this relationship. Lack of positive environmental rewards and the propensity to discount delayed rewards may be possible mechanisms to explain this relationship. Using baseline data from a randomized controlled trial, we examined the relationships between substance use and medication adherence, testing both environmental rewards and delay discounting as independent mediators. There was a main effect of substance use on adherence, such that high frequency of substance use predicted poor adherence. There was also a main effect of environmental rewards on adherence, such that a lack of environmental reinforcement predicted poor adherence. This study shed light on the processes that contribute to low adherence, namely substance use and lack of environmental contingencies, and suggests important targets for intervention.

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A Worldwide History Spanning Genocide for the Sake of Corporate Profit is the title of a thesis consisting of four stories. Crosky’s Knife is presented first for the sake of allowing potential readers to embrace a sense of amiable audience engagement and is based on a true story of a veteran of one of the many global conflicts currently raged on behalf of freedom. The three pieces following this feint are reworked versions of stories written from the heart and delivered to machines. As it presents numerous aspects of reality that the average person may not wish to consider, doing so with shockingly casual acceptance of such horror and/or banality, the conscious reception of the duty of engagement and possible appreciation of the text is not advised. Knives, rabid dogs, severed tongues, and a downpour of malnourished Iraqi babies are components intrinsic to the direction of this thesis.

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This PhD thesis is an empirical research project in the field of modern Polish history. The thesis focuses on Solidarity, the Network and the idea of workers’ self-management. In addition, the thesis is based on an in-depth analysis of Solidarity archival material. The Solidarity trade union was born in August 1980 after talks between the communist government and strike leaders at the Gdansk Lenin Shipyards. In 1981 a group called the Network rose up, due to cooperation between Poland’s great industrial factory plants. The Network grew out of Solidarity; it was made up of Solidarity activists, and the group acted as an economic partner to the union. The Network was the base of a grass-roots, nationwide workers’ self-management movement. Solidarity and the self-management movement were crushed by the imposition of Martial Law in December 1981. Solidarity revived itself immediately, and the union created an underground society. The Network also revived in the underground, and it continued to promote self-management activity where this was possible. When Solidarity regained its legal status in April 1989, workers’ self-management no longer had the same importance in the union. Solidarity’s new politico-economic strategy focused on free markets, foreign investment and privatization. This research project ends in July 1990, when the new Solidarity-backed government enacted a privatization law. The government decided to transform the property ownership structure through a centralized privatization process, which was a blow for supporters of workers’ self-management. This PhD thesis provides new insight into the evolution of the Solidarity union from 1980-1990 by analyzing the fate of workers’ self-management. This project also examines the role of the Network throughout the 1980s. There is analysis of the important link between workers’ self-management and the core ideas of Solidarity. In addition, the link between political and economic reform is an important theme in this research project. The Network was aware that authentic workers’ self-management required reforms to the authoritarian political system. Workers’ self-management competed against other politico-economic ideas during the 1980s in Poland. The outcome of this competition between different reform concepts has shaped modern-day Polish politics, economics and society.

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L’objectif de ce travail était d’apporter une réflexion sur les influences du colonialisme européen aux XVII-XVIIIe siècles. Ayant déjà rédigé mon mémoire de fin de maîtrise sur la Corinthe archaïque et ses colonies, j’ai souhaité approfondir la question, en choisissant de situer la problématique dans un contexte historiographique plus large, dans le temps comme dans l’espace. Plusieurs auteurs se sont intéressés aux réceptions de l’Antiquité à des périodes spécifiques (Grell et Alexandre le Grand en France, Richard et les influences antiques de la Révolution américaine,…). Cependant, aucune analyse sur le long terme n’avait encore été fournie, pas davantage qu’une réflexion de fonds sur la place de l’Antiquité dans la manière de penser les colonies en Europe moderne. Cet état de fait, de même que la relative rareté des sources modernes traitant des colonies grecques, m’ont obligé à élargir au maximum le champ de recherche, en y incluant des auteurs qui, s’ils ne se préoccupèrent pas de colonisation, recoururent néanmoins au précédent grec pour illustrer des problématiques de leur temps. Toutefois, il est possible de constater à quel point les répertoires historiographiques concernant la Grèce antique et ses colonisations se sont développés dans le courant de ces deux siècles qui virent l’apogée et la chute des premiers empires coloniaux européens en Amérique du nord. Si la comparaison à l’Histoire grecque ne relevait souvent que du Topos et de la propagande (comme dans le cas de la comparaison du Grand Condé ou de Louis XIV à Alexandre le Grand), son utilisation dans le cadre de controverses à plus large échelle outrepassait aussi le seul lieu commun pour s’inscrire dans un discours rhétorique plus approfondi. Le choix de la colonisation grecque comme modèle de comparaison s’imposait d’autant plus logiquement que les divers auteurs, depuis les premiers colons jusqu’aux pères fondateurs américains, insistaient sur les mérites économiques des colonies européennes. D’autres régimes, comme l’empire espagnol au XVIe siècle ou l’empire britannique au XIXe siècle, ont davantage recouru à une terminologie d’inspiration romaine. En effet, leur politique se fondait plus sur l’idée d’une extension impérialiste de l’État que sur une vision commerciale du colonialisme. L’article de Krishan Kumar demeure l’un des plus importants sur la question. La réception de l’Histoire des colonies grecques aux Temps modernes fut avant tout le fruit d’une tentative de définition du colonialisme comme phénomène global, et d’une volonté de situer les nations européennes dans un contexte remontant aux origines de l’Occident. À l’heure où l’Europe amorçait sa domination sur la totalité de la planète, et où la course à la colonisation s’accélérait, la majorité des auteurs s’abritaient derrière l’image de thalassocraties antiques qui, si elles ne dénotaient pas un pouvoir politique centralisé, n’en contribuèrent pas moins à imposer la culture fondatrice de la pensée occidentale à tout le bassin méditerranéen. Quant aux guerres qui poussèrent les puissances antiques les unes contre les autres, elles ne faisaient qu’augurer des conflits à large échelle que furent les guerres franco-britanniques du XVIIIe siècle.

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Phylogenetic inference consist in the search of an evolutionary tree to explain the best way possible genealogical relationships of a set of species. Phylogenetic analysis has a large number of applications in areas such as biology, ecology, paleontology, etc. There are several criterias which has been defined in order to infer phylogenies, among which are the maximum parsimony and maximum likelihood. The first one tries to find the phylogenetic tree that minimizes the number of evolutionary steps needed to describe the evolutionary history among species, while the second tries to find the tree that has the highest probability of produce the observed data according to an evolutionary model. The search of a phylogenetic tree can be formulated as a multi-objective optimization problem, which aims to find trees which satisfy simultaneously (and as much as possible) both criteria of parsimony and likelihood. Due to the fact that these criteria are different there won't be a single optimal solution (a single tree), but a set of compromise solutions. The solutions of this set are called "Pareto Optimal". To find this solutions, evolutionary algorithms are being used with success nowadays.This algorithms are a family of techniques, which aren’t exact, inspired by the process of natural selection. They usually find great quality solutions in order to resolve convoluted optimization problems. The way this algorithms works is based on the handling of a set of trial solutions (trees in the phylogeny case) using operators, some of them exchanges information between solutions, simulating DNA crossing, and others apply aleatory modifications, simulating a mutation. The result of this algorithms is an approximation to the set of the “Pareto Optimal” which can be shown in a graph with in order that the expert in the problem (the biologist when we talk about inference) can choose the solution of the commitment which produces the higher interest. In the case of optimization multi-objective applied to phylogenetic inference, there is open source software tool, called MO-Phylogenetics, which is designed for the purpose of resolving inference problems with classic evolutionary algorithms and last generation algorithms. REFERENCES [1] C.A. Coello Coello, G.B. Lamont, D.A. van Veldhuizen. Evolutionary algorithms for solving multi-objective problems. Spring. Agosto 2007 [2] C. Zambrano-Vega, A.J. Nebro, J.F Aldana-Montes. MO-Phylogenetics: a phylogenetic inference software tool with multi-objective evolutionary metaheuristics. Methods in Ecology and Evolution. En prensa. Febrero 2016.

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The self-medicatíon is a phenomenon more and more frequent and used for several years already, and tts incidence and dlstribution are related wtth the organizatíon and health system of each country. Following Medeiros thoughts (2011), this practíce conststs in the consumptíon of a medicine with the purpose of treating or relieving the symptoms and diseases or even promote self health, without using a professional prescription. Methods: With thts study, we intend to find the self-medication practice incidence on the students in the School of Health of Polytechnic Institute of Bragança (ESSa), identify the motives that lead these students to resort to this methods and identify the most used medicatíons. lt's a transversal descriptive, observational and quantítative study. To obtain the best results it was applied a questíonnaire built for that purpose. The statístícs analyses was made using Excel program. Our sample hás 219 students of the School of Health from Polytechntc Instítute of Bragança. Results: The studied sample includes 194 female and 25 male students distributed as follows: 36 frequenting Biomedical Laboratory Sdences, 26 Dietetics and Nutrition, 99 Nursing, 33 Gerontology and 22 studying Pharmacy. The self-medicatíon prevalence was 98%. The most used medicines was the analgesics and antipyretics with 86%. The most prevalent reason for the use of self-medicatíon was the thought that the disease was a "minor health issue". It was also considered a risky practice by 77% of the students. Conclusions: The self-medication is an evident practíce on the ESSa students. This results reveal some contradiction stnce the most consider 1t as a risky practíce, however it is, stíll, practíced.

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Early life history traits (ELHTs) are key to understand recruitment patterns in marine animals. However, for reef fishes, studies on ELHTs are mainly focused on tropical systems and little is known for temperate reefs. In this study we used SMURFs (Standard Monitoring Units for the Recruitment of Reef Fishes) to collect fish in a temperate rocky reef system (Arrábida Marine Park, Portugal) on a weekly basis for three months during the recruitment period. Six sub-surface SMURFs sampled 2490 Atlantic horse mackerel (Trachurus trachurus) postlarvae and juveniles. Sagittal and lapilli otoliths were extracted from a subsample of 296 fish and ELHTs, such as size and age at settlement, growth rate and age at first secondary growth formation were examined. Additionally, we tested three growth curves and selected the best suited to back-calculate the hatching pattern based on the lengths of all sampled fish. Standard length ranged from 6.13 mm to 48.56 mm and subsampled fish were aged between 19 days to 44 days. Age and size at settlement were estimated between 19 days and 36 days for individuals of 6.13 mm and 24.95 mm, respectively. Otolith shape changed clearly with increasing age and, on average, secondary growth started to form on day 33 (±3 days). Age/length relationship was well described by a Gompertz growth model which was used to back-calculate hatching dates. Four distinct hatching cohorts were identified with fish of the earliest cohort showing a faster body and otolith growth. This study indicates that the nearshore environment might have an important role in the early growth, development and hence recruitment of Atlantic horse mackerel. Information on the early life history of Atlantic horse mackerel is key to understand recruitment processes for this economically and biologically important species.

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Relief shown by hachures.