862 resultados para Alveolar recruitment maneuver


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Introduction: Pulmonary alveolar proteinosis (PAP) is a rare disease, associated with excess accumulation of surfactant proteins and lipids in the alveoli. Clinical presentation: We report the case of a 46-year-old woman with a combined presentation of PAP, myelodysplasia and recurrent miscarriages. Conclusions: The concomitant presentation of the above might be compatible with a mutation of the haematopoietic transcription factor gene GATA2.

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In modern society, blood donor motivation and recruitment is a fundamental part of health care delivery. Well defined and documented programmes exist throughout the world but new ideas are always welcome. The situation in the Sudan is different and much remains to be done by way of comparison with elsewhere. This thesis outlines the objectives of a study, how it was supported, sponsored and achieved. It describes briefly the geography of the Sudan, the source of Sudanese economy, climate, culture and historical backgrounds. The problems of existing services in the Sudan are reviewed and a brief account of the demographic characteristics of the Sudanese population is given. Two surveys done in West of Scotland and in the Sudan are described in detail. This work discloses and compares the positive motives that enhances giving of blood and the negative motives that hinders its donation. The comparison is between an Eastern Society with a voluntary motivation not fully activated because of lack of understanding and awareness of the need to give blood voluntarily for strangers and Western Society with a well established voluntary system of donation. An addition to this research was the investigation into the immunity to tetanus and hepatitis in the Sudanese population. An estimate of the percentage of individuals with detectable levels of hepatitis A and B antibodies and tetanus antibodies is included since there is a need to establish a plasmapheresis programme as part of a good Blood Transfusion Service for the procurement of specific immunoglobulin's. This work has revealed major differences between the West of Scotland and the Sudan and suggestions are made for their resolution. The main conclusion and comparison are summarised in Chapter 7. It is hoped that many of the suggestions in this thesis can be introduced in the Sudan at an early date.

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The natural compliance and force generation properties of pneumatic artificial muscles (PAMs) allow them to operate like human muscles in anthropomorphic robotic manipulators. Traditionally, manipulators use a single PAM or multiple PAMs actuated in unison in place of a human muscle. However, these manipulators experience efficiency losses when operated outside their target performance ranges. The unidirectional actuation behavior of a miniature PAM bundle and bidirectional actuation behavior of an antagonistic pair of miniature PAM bundles are characterized and modeled. The results are used to motivate the application of a variable recruitment control strategy to a parallel bundle of miniature PAMs as an attempt to mimic the selective recruitment of motor units in a human muscle to improve the operating efficiency of the actuator. Additionally, the fabrication and quasi-static testing results for PAMs assembled from candidate space qualified bladder and braided sleeve materials for use in space robotics are assessed.

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The goal of this thesis is to gain more in-depth understanding of employer branding and offer suggestions on how this knowledge could be utilized in the case company. More in detail, the purpose of this research is to provide tools for improving Lindström’s organizational attractiveness and boosting the recruitment and retention of the segment of high-performing sales professionals. A strategy for reaching this particular segment has not been previously drawn and HR-managers believe strongly that it would be very beneficial for the company’s development and growth. The topic of this research is very current for Lindström, but also contributes on general level as companies are competing against each other in attracting, recruiting and retention of skilled workforce in the times of labor shortage. The research is conducted with qualitative methods and the data collection includes primary data through interviews as well as secondary data in the form of analysis on previous research, websites, recruitment material and discussions with Lindström’s HR department. This research provides a good basis for broader examination on the topic and presents development suggestions for the identified challenges. Based on the key findings Lindström’s HR department was advised to increase firm’s visibility, broaden recruitment channels, provide more hands-on knowledge about the sales positions and investigate their possibilities of developing sales reward systems.

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Settlement is a critical process in the life history of crabs, and thus affecting the abundance, distribution and structure of estuarine communities. The spatial pattern of settlement of megalopae of the shore crab Carcinus maenas along a longitudinal estuarine gradient (Mira River Estuary, Portugal) was examined, as well as its effects on the juvenile population. To measure megalopal settlement, four replicate collectors were deployed in six equally spaced stations along the estuarine axis. Juveniles were collected on the same locations with a quadrat randomly deployed on the substrate. To assess fine-scale megalopal settlement within a curved region of the estuary, replicate collectors were deployed on both margins along Moinho da Asneira curve. Megalopae settled differently along the six longitudinal points, with a tendency to attenuate their settlement upstream. Within the curved region, megalopae preferentially settled on the left margin collectors, probably due to the weaker velocity speeds felt on this margin. Concerning the overall juvenile density, there were significant differences among the stations distributed along the estuary, but they did no reflect a longitudinal dispersion attenuation pattern. Size-frequency distribution of the juvenile population showed that the average size is higher on the left margin. Recruits (carapace length between 1.0 mm and 3.4 mm) were more abundant on the upstream stations. Density of early juveniles (3.4 mm-6.5 mm) and juveniles (6.5 mm-10 mm) was more stable throughout the estuary axis than that of recruits. This distribution pattern may result from tidal excursion processes or mechanisms to avoid biotic interactions, such as predation and competition. (c) 2006 Elsevier Ltd. All rights reserved.

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Dissertação para obtenção do grau de Mestre no Instituto Superior de Ciências da Saúde Egas Moniz

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Introducción: Existen diversos trastornos sistémicos que se manifiestan en la cavidad bucal, siendo el periodonto uno de los componentes que se ven más afectados. La Diabetes Mellitus es uno de los trastornos sistémicos que más se han estudiado en su relación con manifestaciones bucales. La microangiopatía, la alteración de la síntesis del colágeno y la disminuída acción fagocitaria hacen de las personas que padecen esta enfermedad sean más propensos a la Enfermedad Periodontal. Las enfermedades periodontales comúnmente abarcan númerosos y complejos signos y síntomas, motivo por el cual existen diversos métodos diagnósticos para evaluar la condición y magnitud de éstas. El indicador más importante de la magnitud con que se presenta la enfermedad periodontal está basado en la reabsorción de hueso alveolar, por ser este el tejido periodontal con evolución más lenta y por ser el que en última instancia se ve afectado. Tanto diabetes como enfermedad periodontal tienen una alta incidencia en la población general, ambas son multifactoriales y tienen que ver con alguna disfunción inmunoreguladora numerosos estudios indican mayor incidencia de enfermedad periodontal en personas con diabetes que en personas sanas. Objetivo: Determinar la influencia de la Diabetes Mellitus tipo 2 en el grado de reabsorción de hueso alveolar en pacientes con Periodontitis Crónica. Materiales y Métodos: En este estudio se incluyeron 17 pacientes diabéticos pertenecientes al Posgrado de Periodoncia de la facultad de Odontología de la Universidad Autónoma de Nuevo León y 29 pacientes no diabéticos que acudierón al Posgrado de Periodoncia de la Facultad de Odontología de la Universidad de Nuevo León, siguiendo los criterios de inclusión y exclusión. Parámetros clínicos fueron tomados en consideración para evaluar el estado periodontal tales como: profundidad de bolsa (PD), pérdida de inserción clínica (CAL), índice periodontal (PI) y evaluación radiográfica. De todos los pacientes que integraron ambos grupos. Se utilizó una rejilla milímetrada adosada a la placa radiográfica, con la cual se obtuvo una imagen radiopaca cuadriculada milímetrada, con el fin de facilitar una medición más exacta. Resultados: La investigación revela que, existe diferencia en el grado de enfermedad periodontal, representado por la reabsorción de hueso alveolar, entre el grupo de estudio (diabéticos tipo 2) = 4.81mm. promedio y el grupo control (no diabéticos) = 2.69 mm. promedio por otra parte, se encontró , diferencia estadísticamente significativa al comparar los promedios de reabsorción ósea alveolar total (p =<0.05). Conclusión: Dentro de las limitaciones del estudio, es posible asumir que diabetes mellitus no causa enfermedad periodontal, más bien crea condiciones para su proliferación.

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Tese de Doutoramento, Ciências do Mar, da Terra e do Ambiente, Ramo: Ciências do Mar, Especialização em Ecologia Marinha, Faculdade de Ciências e Tecnologia, Universidade do Algarve, 2016

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Mestrado em Ciências Empresariais

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This study investigated individual differences in preferences for recruitment websites. Specifically, I expected that personality and ethnic identity would be related to individuals' preferences for corporate websites. A policy-capturing methodology was employed to determine the weight participants place on five website characteristics (i.e. navigability, information relevancy, diversity information, privacy, and contact). Regression and correlational analyses were employed with the five beta weights obtained from individual regression analyses and the other individual differences measures. Results from two samples (student and general population) revealed that, generally, individuals do not differ in the weight they place on different aspects of recruitment websites. However, this study is the first to investigate individual differences in preferences for recruitment websites. Thus, it seems premature to conclude that such differences do not exist. Given its uniqueness, hopefully this study will stimulate research that further elucidates the process by which individuals interpret and evaluate recruitment websites.

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The study evaluated the effects of herbivory pressure, nutrient availability and potential propagule supply on recruitment and succession of coral reef macroalgal communities. Recruitment and succession tiles were placed in a nutrient-herbivory factorial experiment and macroalgal abundances were evaluated through time. Proportional abundances of macroalgal form-functional groups on recruitment and succession tiles were similar to field established communities within treatments, evidencing possible effects of adult macroalgae as propagule supply. Macroalgal abundance of recruitment tiles increased with nutrient loading and herbivory reduction combined whereas on succession tiles nutrient loading increased abundance of articulated-calcareous only when herbivores were excluded. Macroalgal field established communities were only affected by herbivory reduction.

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This paper analyses reconfigurations of play in emergent digital materialities of game design. It extends recent work examining dimensions of hybridity in playful products by turning attention to interfaces, practices and spaces, rather than devices. We argue that the concept of hybrid play relies on predefining clear and distinct digital or material entities that then enter into hybrid situations. Drawing on concepts of the ‘interface’ and ‘postdigital’, we argue the distribution of computing devices creates difficulties for such presuppositions. Instead, we propose thinking these situations through an ‘aesthetic of recruitment’ that is able to accommodate the intensive entanglements and inherent openness of both the social and technical in postdigital play.

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Coral reefs can exist as coral- and macroalgae-dominated habitats often separated by only a few hundred metres. While herbivorous fish are known to depress the abundance of algae and help maintain the function of coral-dominated habitats, less is known about their influence in algae-dominated habitats. Here, we quantified herbivorous fish and benthic algal communities over a 6 mo period in coral-dominated (back-reef) and algal-dominated (lagoon) habitats in a relatively undisturbed fringing coral reef (Ningaloo, Western Australia). Simulta - neously, we tested the effects of herbivorous fish on algal recruitment in both habitats using recruitment tiles and fish exclusion cages. The composition of established algal communities differed consistently between habitats, with the back-reef hosting a more diverse community than the Sargassum-dominated lagoon. However, total algal biomass and cover only differed between habitats in autumn, coinciding with maximum Sargassum biomass. The back-reef hosted high coral cover and a diverse herbivorous fish community, with herbivore biomass an order of magnitude greater than the lagoon. Despite these differences in herbivore composition, exclusion of large herbivores had a similar positive effect to foliose macroalgae recruitment on experimental tiles in both back-reef and lagoon habitats. Additionally, territorial damselfish found in the backreef increased turf algae cover and decreased crustose coralline algae cover on recruitment tiles. Collectively, our results show that disparate herbivorous fish communities in coral- and algaedominated habitats are similarly able to limit the recruitment of foliose macroalgae, but suggest that when herbivorous fish biomass and diversity are relatively low, macroalgal communities are able to escape herbivore control through increased growth.