Double sampling X̄ control chart for a first order autoregressive process

In this paper we propose the Double Sampling X̄ control chart for monitoring processes in which the observations follow a first order autoregressive model. We consider sampling intervals that are sufficiently long to meet the rational subgroup concept. The Double Sampling X̄ chart is substantially more efficient than the Shewhart chart and the Variable Sample Size chart. To study the properties of these charts we derived closed-form expressions for the average run length (ARL) taking into account the within-subgroup correlation. Numerical results show that this correlation has a significant impact on the chart properties.

Recurrent urinary tract infections: Evaluation of the prophylactic efficacy of urinary antiseptics methenamine and methylthioninium chloride

Introduction: Urinary tract infection (UTI) is a very common condition in clinical practice, affecting an estimated 50% of all adult women during a lifetime. The most common causative agent is E. coli; UTI may also be caused by S. saprophyticus, Enterobacteria (Klebsiella sp and Serratia sp.), Enterococcus sp., and P aeruginosa. Recurrent UTIs occur at least twice per semester or three times a year. Prophylactic measures to prevent recurrent UTIs include changes in contraception methods, cranberry products, increased fluid intake, urination after intercourse, vaginal estrogen therapy for post-menopausal women, antibiotics, and urinary tract antiseptic agents. Objectives: To evaluate the use of a combination of methenamine and methyl-thioninium chloride in the prophylaxis of recurrent uncomplicated lower UTIs, with respect to: • Signs and symptoms of UTI • Etiologic agent(s) • Recurrence rates • Need for antibiotic therapy in case of recurrence • Incidence of adverse events associated with the treatment, including any reported alterations of laboratory tests Materials & methods: A descriptive, analytic, restrospective study was performed at Hospital Universitário Constantino Otaviano - UNIFESO. Medical charts from patients presenting recurrent uncomplicated lower UTI attended from 2001-present were analyzed, including the following information: Demographic data (age, gender, weight, ethnicity, living conditions): medical history/signs and symptoms of UTI; identification of treatment and dosing regimens; treatment duration; recurrence rates and need for antibiotic therapy in case of recurrence; other medications prescribed; and records of adverse events. Results: E. coli was identified as etiologic agent in 80% of the patients. Following antibiotic therapy, all patients received prophylactic treatment with the combination of methenamine and methylthioninium chloride. Treatment duration ranged from three to six months. Adverse events were observed in 13/60 patients (21.7%). At the end of the respective treatment periods, a statistically significant (p<0.0001) number of patients showed no UTI recurrence. Conclusion: Based on the results from the collected data, we conclude that an orally administered combination of methenamine and methylthioninium chloride is safe and effective in the prophylactic treatment of recurrent uncomplicated lower urinary tract infection. © Copyright Morelra Jr. Editora.

El Salvador: impacto socioeconómico, ambiental y de riesgo por la baja presión asociada a la tormenta tropical Ida en noviembre de 2009

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Monitoring bivariate processes

The T2 chart and the generalized variance |S| chart are the usual tools for monitoring the mean vector and the covariance matrix of multivariate processes. The main drawback of these charts is the difficulty to obtain and to interpret the values of their monitoring statistics. In this paper, we study control charts for monitoring bivariate processes that only requires the computation of sample means (the ZMAX chart) for monitoring the mean vector, sample variances (the VMAX chart) for monitoring the covariance matrix, or both sample means and sample variances (the MCMAX chart) in the case of the joint control of the mean vector and the covariance matrix.

Perfil de usuários de AASI com fissura labiopalatina

Cleft palates cause alterations in palate and lip structures, and it may also cause hearing loss because of recurrent otitis media. The appropriate treatment is controversial. It may include the prescription of antibiotics and insertion of a ventilation tube, or even otorhinolaryngological and audiological assistance, and hearing rehabilitation, with the use of an individual sound amplifier aid (ISAA). Aim: To characterize the profile of individuals with cleft palate and hearing loss, users of ISAA are assisted by the center of otorhinolaryngology and speech therapy of a hospital specialized in craniofacial anomalies and hearing impairment. Retrospective Study. Material and Methods: Retrospective analysis of 131 charts of patients with corrected cleft palate and hearing loss, fitted with ISAA by the center abovementioned. Results: The sample (n=131) was characterized by a prevalence of females (53%), unilateral incisive transforaminal cleft (27%), presence of associated anomalies (51%), history of alterations of the middle ear (56%) and surgery intervention (56%). Conclusion: The general profile of the individuals with cleft palate and hearing loss, fitted with ISAA, was characterized by the predominance of cleft lip and palate, positive history of middle ear alterations, surgery intervention and bilateral sensorineural hearing loss. © Revista Brasileira de Otorrinolaringologia. All Rights reserved.

The use of slot filter in piezocone tests for site characterization of tropical soils

The use of piezocone tests with a slot filter filled with automotive grease for site characterization of tropical soils is assessed. Laboratory tests using the slot filter filled with automotive grease as well as the conventional porous piezo-element saturated with glycerin were carried out to evaluate the pore pressure (u 2) transducer response. CPTu tests using piezo-elements saturated with glycerin and the slot filter filled with grease were pushed side by side in different research sites in Brazil. Estimates of mechanical and hydraulic soil parameters were made based on pore pressure dissipation curves from using both techniques. Laboratory test results indicate that the pore pressure response using the slot filter with grease was delayed when compared to the piezo-element saturated with glycerin, since grease has a higher viscosity. For tropical soils, the records of u2 in piezocone tests using slot filter with grease presented larger peaks than with porous element saturated with glycerin. Records of u2 using the slot filter above the groundwater table suggest the increase of the degree of saturation in unsaturated zone, where porous filter can be desaturated by suction. The slot filter can be used to help the interpretation of the soil profile with deep groundwater level as well as to help detecting its position for some studied soils. The results shown high repeatability for all study sites. This technique is much easier to handle, especially for tropical soils, where the groundwater table is usually deep and pre-drilling is expensive and time consuming. © 2009 IOS Press.

Compartimentação fisiográfica do município de peruíbe, litoral de São Paulo - uma abordagem metodológica como subsídio à avaliação geotécnica de terrenos

This paper presents a method applied to the seacoast town of Peruibe, São Paulo State, Brazil. The method encompasses the application of remote sensing interpretation techniques and field survey to obtain geotechnical data and thus generate cartographic products composed of easily grouped units that work as database objects and can de used to assist geotechnical zoning. The so-called Compartmentalization Basic Units (CBUs) show the smallest land surface analyzed from its physiographic elements and have in their cores the same geotechnical properties, making it easier to analyze the potentialities and the fragilities of the physical environment and its susceptibility to the action of natural and anthropic processes. In the study area, sixty-eight units were individualized in which geotechnical properties were inferred by photo interpretation criteria, using textural properties of the image adjusted with field observations. The method proved to be easily reproducible, and is especially useful in regions where the absence of basic maps makes it impossible to establish homogeneous zones through traditional overlay of different topic informations.

Preliminary results concerning the VSS X- chart with unknow in-control parameters

The VSS X- chart is known to perform better than the traditional X- control chart in detecting small to moderate mean shifts in the process. Many researchers have used this chart in order to detect a process mean shift under the assumption of known parameters. However, in practice, the process parameters are rarely known and are usually estimated from an in-control Phase I data set. In this paper, we evaluate the (run length) performances of the VSS X- control chart when the process parameters are estimated and we compare them in the case where the process parameters are assumed known. We draw the conclusion that these performances are quite different when the shift and the number of samples used during the phase I are small. ©2010 IEEE.

Análise da dieta e condição de saúde bucal em pacientes gestantes

Objectve: To perform a critical analysis of the diet record model adopted, to evaluate the cariogenicity of the maternal diet, and the incidence of dental caries in pregnant women treated at a prevent on clinic in an undergraduate dental course. Method: A cross-sectional study was performed with consultations to the database of the clinic and review of patients' charts and diet records. The sample was calculated and 205 patents were randomly selected. Bivariate statistical analysis was done at a significance level of 5% (α=0.05), using the statistical soft wares Epi Info versão 3.2, GraphPad Instat 3.6 and BioEstat. Results: The analysis of the diet records showed that 68.8% of the pregnant women presented a cariogenic diet, with high frequency of ingest on of fermentable carbon hydrates, mainly sucrose, with liquid consistency, and preferably consumed between the main meals. There was higher trend of the pregnant women mentioning a low frequency of carbon hydrate ingestion during the interview, while registering a diet rich of these components in their diet records (p<0.0001). The mean DMFT of the patients was 13.9 ± 5.4. There was no statistically significant association between diet and oral health variables (p>0.05). Conclusion: The diet record was proven an effective and valid method, if correctly employed. The prevalence of dental caries in the group of pregnant women was high and, although more than half of the sample presented a cariogenic diet, a significant association between diet and co-factors was not found.

Diagnóstico ambiental do rio corumbataí em trecho urbano do município de rio claro, SP

The environmental analysis is an important tool used in forecasting and mitigation of environmental problems. Focusing on the occupation of marginal areas of the Corumbataí River in an urban stretch in the city of Rio Claro (SP), this study aimed to gather information on situations of risk, both to the environment and the population, verified in that area. Through field observation and in specific studies, the geological and geotechnical aspects, the characteristics of surface waters and aspects of urbanization were analyzed. The results show that the environmental problems diagnosed are related to lack of planning in the occupation of the area. Moreover, the natural characteristics of the physical environment expose people to risks such as floods and soil slides.

SIG - SPRING aplicado na determinação da capacidade de uso das terras da microbacia do Ribeirão Pouso Alegre - Jaú (SP)

A população mundial vem sofrendo, cada vez mais, as conseqüências das agressões efetuadas pelo homem ao meio ambiente, principalmente quanto à ocupação e uso inadequado das terras, o que ocasiona empobrecimento e depauperamento do solo, influenciando na qualidade e disponibilidade de água, levando à destruição das reservas florestais. Assim, é necessária a implantação de políticas públicas, que contemplem o desenvolvimento econômico, urbano, rural e social de uma região, preservando os recursos naturais para futuras gerações. A bacia em estudo está localizada entre as coordenadas UTM 764942; 7546214 e 741816; 7534759, com uma área de 14699,7ha. Este trabalho visou definir as classes de capacidade de uso de terra da microbacia do Ribeirão Pouso Alegre - Jaú (SP) através do Sistema de Informações Geográficas - SPRING. A carta de capacidade de uso da terra foi elaborada a partir do cruzamento das cartas clinográfica e de solo, que foram elaboradas pelo SIG Spring, e o cruzamento de dados foi feito através do LEGAL - Linguagem Espacial para Geoprocessamento Algébrico. Os resultados mostraram que a microbacia é constituída essencialmente pelas classes II e III e o SIG-SPRING permitiu através dos seus módulos discriminarem e quantificar as áreas das classes de terras, declive e capacidade de uso da terra rapidamente.

Análise dos parâmetros morfométricos da bacia do Rio Preto, Serra do Espinhaço (Minas Gerais, Brasil)

The Rio Preto Hydrographic Basin (RPHB) is located in the North-central portion of the state of Minas Gerais, Brazil, 30 km ENE of the city of Diamantina. The sources of the stream of that name are found in the Rio Preto State Park, which has an area of 10,755 hectares. The total area, perimeter, extension, and axial length of the RPHB, as well as other morphometric characteristics, with emphasis on shape indexes, were obtained with the help of the ArcGis 9.2 program. The cartographic data were taken from digitalized topographic charts in a scale of 1:100,000 of the Brazilian Geographical Institute (IBGE). The measured drainage area is of 389.3 km2 and the perimeter is 136.9 km. Due to structural influence, the shape of the RPHB is irrgular and elongated, with drainage developed in a dendritic and parallel pattern. Those characteristics were checked by means of the compaxity coefficient and the shape factor. The first one was estimated in 1.94, what implies that the basin is not subject to fast flooding in years with normal precipitation. The high degree of fluvial downcutting of the basin is confirmed by the fact that it is a 5th order basin, it presents a significant branching rate and a medium drainage density.

Mapeamento geoambiental como subsídio na determinação de áreas de instabilidades da faixa de dutos Osvat/Osplan - São Sebastião, SP

Works of linear engineering such as roads, pipelines and transmission lines have specific mapping due to their large scale impact on the environment, thus requiring mapping methods that are both efficient and of low cost. This paper presents a proposal of Geoenvironmental mapping for works linear. The work chosen for the implementation of the method was the Osvat/Osplan pipeline located in the cities of São Sebastião and Caraguatatuba. The geoenvironment mapping was elaborate trough photo-interpretation of images of the ETM+/Landsat-7 sensor and analysis of the drainage network, thus resulting in the partitioning of the geoenvironmental units and the fracture area (structural lineaments and lines of strikes), these maps were subsequently integrated into a product called Map of environmental susceptibility to gravitational and erosive processes, which helped define the areas with potential geotechnical problems that could damage both the pipeline and the environment.

Risk factors for low birth weight in Botucatu city, SP state, Brazil: A study conducted in the public health system from 2004 to 2008

Background: Low birth weight (LBW), defined as birth weight less than 2500 g, has a complex etiology and may be a result of premature interruption of pregnancy or intrauterine growth restriction. The objective of this study was to provide information on determinants of LBW and contribute to the understanding of the problem in Brazil. Methods. A case-control study was conducted in Botucatu city, SP state, Brazil. The study population consisted of 2 groups with 860 newborns in each group as follows: low weight newborns (LWNB) and a control group (weight ≤ 2500 g). Secondary data from 2004 to 2008 were collected using the Live Birth Certificate (LBC) and records from medical charts of pregnant women in Basic Health Units (BHU) and in the Public University Hospital (UH). Variables were as follows: maternal socio-demographic characteristics, pregnancy and birth conditions including quality of prenatal care according to 3 criteria. They were based on parameters established by the Ministry of Health (MH), one of them, the modified Kessner Index. The multivariable analysis by logistic regression was used to evaluate the association between variables and LBW. Results: According to the analysis, the factors associated with LBW were as follows: prematurity (OR = 56.98, 95% CI 29.52-109.95), twin pregnancy (OR = 20.00, 95% CI 6.25-100.00), maternal smoking (OR = 2.12, 95% CI 1.33-3.45), maternal malnourishment (OR = 2.30, 95% CI 1.08-5.00), maternal obesity (OR = 2.30, 95% IC 1.18-4.48), weight gain during pregnancy less than 5 kg (OR = 2.63, 95% CI 1.35-5.00) and weight gain during pregnancy more than 15 kg (OR = 2.26, 95% CI 1.16-4.41). Adequacy of prenatal care visits adjusted to gestational age was less frequent in the LBW group than in the control group (68.7% vs. 80.5%, x 2 p < 0.001). According to the modified Kessner Index, 64.4% of prenatal visits in the LWNB group were adequate. Conclusion: LWNB are a quite heterogeneous group of infants concerning their determinants and prevention actions against LBW and the follow-up of these infants have also been very complex. Therefore, improvement in the quality of care provided should be given priority through concrete actions for prevention of LBW. © 2012 Fonseca et al; licensee BioMed Central Ltd.

Relação do meio físico com o manejo sustentável de plantio de eucalipto em áreas de terrenos acidentados - A Fazenda Santa Edwirges, Vale do Paraíba, Sudeste do Brasil

This study intends to evaluate the effects of landscape physical elements (rocks and relief) associated with silviculture activities. The study was carried out on a small farm (Fazenda Santa Edwirges) covered by Eucalyptus forested situated in the Paraiba do Sul Basin, Southeast Brazil. The methodology consisted of detailed geological and geomorphological studies at 1:10,000 scale, and laboratory analysis of soil physical properties. The results showed three geologic-geomorphologic associations (ridge escarpment with granitic rocks, steep and gentle hills cut by shear zones and gentle hill with alluvial sediments) present high vulnerability for the development of the physical processes such as accelerated erosion landslides and flooding. In contrast, mountains associated with gneissic rocks present smaller vulnerability and high resilience for the development of the physical processes. The results have showed the importance of considering the interactions among landscape physical for the eucalyptus forest management contributing to a better selection area for eucalyptus cultivation and minimize adverse environment impact in road design.