Guide to Helsingfors

kuv., 12 x 22 cm

Tampere guide

kuv., 12 x 21 cm

Tampere guide

kuv., 12 x 21 cm

Estonia guide 1928

kuv., 8 x 15 cm

Guide to Helsingfors

kuv., 12 x 22 cm

Effectiveness of an illustrated home exercise guide on promoting urinary continence during pregnancy: a pragmatic randomized clinical trial

OBJETIVO: Avaliar a efetividade de um manual de orientação de exercícios domiciliares (MOED) para o assoalho pélvico (AP) na promoção da continência urinária em gestantes primigestas.MÉTODOS: Ensaio clínico com 87 participantes, avaliadas 6 vezes durante a gestação e divididas aleatoriamente em 3 grupos: Grupo supervisionado (Gsup), que praticou exercícios com supervisão; Grupo observado (Gobs), que praticou exercícios sem supervisão, e Grupo referência (Gref), que não praticou exercícios. Incontinência urinária (IU) (desfecho primário) e força muscular perineal (FMP) (desfecho secundário) foram avaliadas por intermédio de diário de perdas urinárias e perineometria, respectivamente. Foram utilizados o teste de Kruskal-Wallis, seguido do teste post hoc de Dunn, para variáveis contínuas, e o teste do χ2 e testes Z, com correções de Bonferroni, para proporções, com nível de significância de 5%.RESULTADOS: O Gsup e o Gobs apresentaram 6,9% de gestantes incontinentes, enquanto o Gref apresentou 96,6% de incontinentes. Quanto à FMP, o Gsup e o Gobs apresentaram valores médios de contração de 10 e 8,9 cmH2O, respectivamente, enquanto o Gref apresentou valor de 4,7 cmH2O. Ambos os resultados significantes.CONCLUSÃO: A utilização de um MOED é eficaz na promoção da continência urinária e no aumento da FMP em gestantes primigestas, independentemente de supervisão permanente.

Experimental analysis of the flow between stay and guide vanes of a pump-turbine in pumping mode

An experimental study was conducted in a pump-turbine model in pumping mode, in order to characterize the flow field structure in the region between stay and guide vanes, using mainly the laser-Doppler anemometry in a two-color and back-scattered light-based system. The structure of the steady and unsteady flow was analyzed. The measurements were performed at three operation points. The obtained data provide appropriate boundary conditions and a good base of validation for numerical codes, and for the understanding of main loss mechanisms of this complex flow.

Dam safety guide

A new Dam Safety Act (494/2009) came into force on 1st October 2009 and a Government Decree on Dam Safety (319/2010) on 5th May 2010. This Dam Safety Guide replaces the Dam Safety Code of Practice (Publication of the Ministry of Agriculture and Forestry 7/1997), removed from circulation on 1st October 2009. The Dam Safety Guide is not binding on the dam owner; the purpose is to complement and elucidate the relevant law and and decree through examples and descriptions. The Guide takes up questions concerning dam design, for instance hydrological dimensioning and technical safety requirements, dam construction and use, the dam break hazard analysis and the dam owner’s emergency action plan, maintenance, use, monitoring as well as the annual and periodic inspections. Dams are classified according to the hazard they pose into class 1, 2 or 3 dams. The classification is not needed, if, according to the dam safety authority, the dam poses no danger. The owner of a classified dam must prepare a monitoring programme, to be approved by decision of the dam safety authority. To establish the hazard caused by a dam, the owner of a class 1 dam must prepare an analysis of the dam hazard to humans and property as well as to the environment. The dam safety authority may also require a dam break hazard analysis for a dam other than class 1 dam if deemed necessary for classification. The owner of a class 1 dam must prepare a plan of measures in case of emergency or operational failure. The plan shall present the dam owner’s state of preparedness to act on their own initiative in the situations described above. In each case, the rescue authorities make a separate assessment for the need to prepare a plan as set out in the Rescue Act. The dam owner must provide the information specified in the Dam Safety Decree to be entered into the dam safety information system. The dam safety authority and the owner of the dam must keep up-to-date printouts in their own dam safety files from the information system for each dam as well as other important documents connected with dam safety to ensure that these are readily available in case of disturbance.

Guide för lämpliga undersökningsmetoder av marina miljön havsplanering : Rapport framtagen inom SeaGIS-projekt

Merten aluesuunnittelu on keskeinen osa komission sinisen kasvun strategiaa ja EU:n yhdennettyä meripolitiikkaa. Euroopan parla-mentti on hiljattain hyväksynyt merten aluesuunnittelua koskevan direktiivin, jonka tarkoituksena on auttaa EU-maita koordinoimaan paremmin merellä toteutettavia toimia ja varmistaa, että toimet ovat tehokkaita ja ekologisesti kestäviä. Rannikko- ja merialueilla samasta tilasta ja resursseista kilpailevat monenlaiset toimet: kalastusalueet, vesiviljelylaitokset ja merten suojelualueet, meri-infrastruktuurit kuten kaapelit, putket ja laivaväylät sekä öljy- ja kaasulaitokset ja tuulivoimalat. Uusi direktiivi auttaa välttämään näinkin erilaisten käyttötarkoitusten välisiä potentiaalisia ristiriitoja ja luomaan vakaan toimintaympäristön, joka houkuttelee sijoittajia ja edistää näin kestävää kasvua. Suunnittelulla myös vähennetään nykyistä ylisääntelyä ja hallinnollisia kiemuroita. Moni toimet edellyttävät lupaa tai lisenssiä jotta ne saisivat toimia merialueilla ja viranomaiset vaativat usein että hakija suorittaa ympä-ristövahinkoarvioinnin (YVA), joka viranomaiset arvioivat ennen lupaa myönnetään. Oppaan tarkoitus on helpottaa hakijan YVA läpivienti tai hankinta tarjoamalla yleiskatsausta menetelmistä meriympäristön tutkimiseen ja niiden sopivuutta eri tarkoituksiin.

Peregrinação, turismo e nova era: caminhos de Santiago de Compostela no Brasil

Desde o início dos anos 2000 o panorama das peregrinações realizadas no Brasil vem sendo incrementado com a entrada em cena das novas rotas que têm por inspiração o Caminho de Santiago de Compostela, na Espanha. Entre estas rotas, destacam-se as conhecidas como Caminho da Luz (Minas Gerais), Caminho do Sol (São Paulo), Passos de Anchieta (Espírito Santo), Caminho da Fé (Minas Gerais e São Paulo) e Caminho das Missões (Rio Grande do Sul). Neste artigo analisamos essas cinco rotas que passaram a integrar roteiros turísticos, com intuito comparativo e buscamos compreender tanto os aspectos recorrentes e as tendências gerais desses eventos na atualidade quanto as singularidades e modalidades que adquirem em cada contexto específico.

A study of the abilities in oral language comprehension of the Boston Diagnostic Aphasia Examination - Portuguese version: a reference guide for the Brazilian population

We analyzed the performance of 162 normal subjects, subdivided into groups according to age and schooling, in the oral comprehension tasks of the Boston Diagnostic Aphasia Examination translated and adapted to Brazilian Portuguese to obtain a profile of performance for the Brazilian population, as well as cut-off scores for each task, and to determine the best combination of tasks that distinguish normal from aphasic subjects, as a guide for clinicians. The normal subjects were compared to 69 aphasics. Age alone influenced the performance in the designation of actions (subjects above 70 years showing the worst performance); schooling alone influenced the comprehension of forms, colors and numbers (subjects with less than four years of education showing a poorer performance). Both age and schooling influenced the performance in Body Part Identification (BPI) and Complex Ideational Material (CIM) with mean values of 70.5 ± 3.3 (Word Discrimination, WD), 18.9 ± 1.4 (BPI), 14.7 ± 0.9 (Commands), and 10.3 ± 1.7 (CIM) for the whole sample; the cut-off scores obtained were 65 (WD), 17.5 (BPI), 14 (Commands), and 9.5 (CIM) for the whole sample. Logistic regression showed that the combination of BPI + Commands + CIM was the most efficient in differentiating normal subjects from aphasics, with 72.5% sensitivity and 97.6% specificity. However, for low-education subjects, BPI and Commands were sufficient for this differentiation (75.7% sensitivity and 84.7% specificity). The main contribution of this study was to provide reference values that are far more representative of our population to be used by health professionals in Brazil, taking into account cultural differences.