998 resultados para Medicine, Industrial
Resumo:
Granular flow phenomena are frequently encountered in the design of process and industrial plants in the traditional fields of the chemical, nuclear and oil industries as well as in other activities such as food and materials handling. Multi-phase flow is one important branch of the granular flow. Granular materials have unusual kinds of behavior compared to normal materials, either solids or fluids. Although some of the characteristics are still not well-known yet, one thing is confirmed: the particle-particle interaction plays a key role in the dynamics of granular materials, especially for dense granular materials. At the beginning of this thesis, detailed illustration of developing two models for describing the interaction based on the results of finite-element simulation, dimension analysis and numerical simulation is presented. The first model is used to describing the normal collision of viscoelastic particles. Based on some existent models, more parameters are added to this model, which make the model predict the experimental results more accurately. The second model is used for oblique collision, which include the effects from tangential velocity, angular velocity and surface friction based on Coulomb's law. The theoretical predictions of this model are in agreement with those by finite-element simulation. I n the latter chapters of this thesis, the models are used to predict industrial granular flow and the agreement between the simulations and experiments also shows the validation of the new model. The first case presents the simulation of granular flow passing over a circular obstacle. The simulations successfully predict the existence of a parabolic steady layer and show how the characteristics of the particles, such as coefficients of restitution and surface friction affect the separation results. The second case is a spinning container filled with granular material. Employing the previous models, the simulation could also reproduce experimentally observed phenomena, such as a depression in the center of a high frequency rotation. The third application is about gas-solid mixed flow in a vertically vibrated device. Gas phase motion is added to coherence with the particle motion. The governing equations of the gas phase are solved by using the Large eddy simulation (LES) and particle motion is predicted by using the Lagrangian method. The simulation predicted some pattern formation reported by experiment.
Resumo:
Answering patients' evolving, more complex needs has been recognized as a main incentive for the development of interprofessional care. Thus, it is not surprising that patient-centered practice (PCP) has been adopted as a major outcome for interprofessional education. Nevertheless, little research has focused on how PCP is perceived across the professions. This study aimed to address this issue by adopting a phenomenological approach and interviewing three groups of professionals: social workers (n = 10), nurses (n = 10) and physicians (n = 8). All the participants worked in the same department (the General Internal Medicine department of a university affiliated hospital). Although the participants agreed on a core meaning of PCP as identifying, understanding and answering patients' needs, they used many dimensions to define PCP. Overall, the participants expressed value for PCP as a philosophy of care, but there was the sense of a hierarchy of patient-centeredness across the professions, in which both social work and nursing regarded themselves as more patient-centered than others. On their side, physicians seemed inclined to accept their lower position in this hierarchy. Gieryn's concept of boundary work is employed to help illuminate the nature of PCP within an interprofessional context.
Resumo:
OBJECTIVE: To assess and compare the training needs in adolescent medicine of doctors within 6 specialties as a basis for the development of pre/postgraduate and continuing medical education (CME) training curricula. DESIGN: Cross-sectional postal survey. SETTING: Switzerland. PARTICIPANTS: National, representative, random sample of 1857 practising doctors in 6 disciplines (general practitioners, paediatricians, gynaecologists, internists, psychiatrists, child psychiatrists) registered with the Swiss Medical Association. MAIN OUTCOME MEASURES: Perceived importance of and training interest in 35 topics related to adolescent medicine listed in a self-administered, anonymous questionnaire. RESULTS: A total of 1367 questionnaires were returned, representing a response rate of 73.9%. Clear interest in adolescent medicine was reported by 62.1% of respondents. Topics perceived to be the most important in everyday practice were functional symptoms (71.4%), acne (67.1%), obesity (64.6%), depression-anxiety (68.1%) and communication with adolescents (61.7%). Differences between disciplines were especially marked for gynaecologists, who expressed interest almost exclusively in medical topics specific to their field. In contrast, other disciplines commonly reported a keen interest in psychosocial problems. Accordingly, interest in further training was expressed mostly for functional symptoms (62.4%), eating disorders (56.3%), depression-anxiety (53.7%) and obesity (52.6%). Issues related to injury prevention, chronic disease and confidentiality were rated as low priorities. CONCLUSIONS: Regardless of discipline, Swiss primary care doctors expressed a strong interest in adolescent medicine. Continuing medical education courses should include both interdisciplinary courses and discipline-specific sessions. Further training should address epidemiological and legal/ethical issues (e.g. injury prevention, confidentiality, impact of chronic conditions).
Resumo:
Verkostoitunut kansainvälinen tuotekehitys on tärkeä osa menestystä nykypäivän muuttuvassa yritysmaailmassa. Toimintojen tehostamiseksi myös projektitoiminnot on sopeutettava kansainväliseen toimintaympäristöön. Kilpailukyvyn säilyttämiseksi projektitoimintoja on lisäksi jatkuvasti tehostettava. Yhtenäkeinona nähdään projektioppiminen, jota voidaan edistää monin eri tavoin. Tässätyössä keskitytään projektitiedonhallinnan kehittämisen tuomiin oppimismahdollisuuksiin. Kirjallisuudessa kerrotaan, että projektitiedon jakaminen ja sen hyödyntäminen seuraavissa projekteissa on eräs projektioppimisen edellytyksistä. Tämäon otettu keskeiseksi näkökulmaksi tässä tutkimuksessa. Lisäksi tutkimusalueen rajaamiseksi työ tarkastelee erityisesti projektioppimista kansainvälisten tuotekehitysprojektien välillä. Työn tavoitteena on esitellä keskeisiä projektioppimisen haasteita ja etsiä konkreettinen ratkaisu vastaamaan näihin haasteisiin. Tuotekehitystoiminnot ja kansainvälinen hajautettu projektiorganisaatio kohtaavat lisäksi erityisiä haasteita, kuten tiedon hajautuneisuus, projektihenkilöstön vaihtuvuus, tiedon luottamuksellisuus ja maantieteelliset haasteet (esim. aikavyöhykkeet ja toimipisteen sijainti). Nämä erityishaasteet on otettu huomioon ratkaisua etsittäessä. Haasteisiin päädyttiin vastaamaan tietotekniikkapohjaisella ratkaisulla, joka suunniteltiin erityisesti huomioiden esimerkkiorganisaation tarpeet ja haasteet. Työssä tarkastellaan suunnitellun ratkaisun vaikutusta projektioppimiseen ja kuinka se vastaa havaittuihin haasteisiin. Tuloksissa huomattiin, että projektioppimista tapahtui, vaikka oppimista oli vaikea suoranaisesti huomata tutkimusorganisaation jäsenten keskuudessa. Projektioppimista voidaan kuitenkin sanoa tapahtuvan, jos projektitieto on helposti koko projektiryhmän saatavilla ja se on hyvin järjesteltyä. Muun muassa nämä ehdot täyttyivät. Projektioppiminen nähdään yleisesti haastavana kehitysalueena esimerkkiorganisaatiossa. Suuri osa tietämyksestä on niin sanottua hiljaistatietoa, jota on hankala tai mahdoton saattaa kirjalliseen muotoon. Näin olleen tiedon siirtäminen jää suurelta osin henkilökohtaisen vuorovaikutuksen varaan. Siitä huolimatta projektioppimista on mahdollista kehittää erilaisin toimintamallein ja menetelmin. Kehitys vaatii kuitenkin resursseja, pitkäjänteisyyttä ja aikaa. Monet muutokset voivat vaatia myös organisaatiokulttuurin muutoksen ja vaikuttamista organisaation jäseniin. Motivaatio, positiiviset mielikuvat ja selkeät strategiset tavoitteet luovat vakaan pohjan projektioppimisen kehittämiselle.
Resumo:
We propose an innovative, integrated, cost-effective health system to combat major non-communicable diseases (NCDs), including cardiovascular, chronic respiratory, metabolic, rheumatologic and neurologic disorders and cancers, which together are the predominant health problem of the 21st century. This proposed holistic strategy involves comprehensive patient-centered integrated care and multi-scale, multi-modal and multi-level systems approaches to tackle NCDs as a common group of diseases. Rather than studying each disease individually, it will take into account their intertwined gene-environment, socio-economic interactions and co-morbidities that lead to individual-specific complex phenotypes. It will implement a road map for predictive, preventive, personalized and participatory (P4) medicine based on a robust and extensive knowledge management infrastructure that contains individual patient information. It will be supported by strategic partnerships involving all stakeholders, including general practitioners associated with patient-centered care. This systems medicine strategy, which will take a holistic approach to disease, is designed to allow the results to be used globally, taking into account the needs and specificities of local economies and health systems.
Resumo:
L’objectiu d’aquest treball de recerca és el d’establir una “Ruta sobre el Patrimoni Industrial de la Garrotxa” amb la finalitat de potenciar el patrimoni industrial de la comarca; fomentar la seva protecció, rehabilitació i preservació; així com també fer accessible aquest patrimoni als visitants i habitants donant a conèixer diferents tipus d’accés a la ruta: a peu, amb bicicleta o amb cotxe
Resumo:
Conduziu-se um experimento em casa de vegetação, com o objetivo de avaliar o crescimento de mudas de goiabeira (Psidium guajava L.), produzidas em blocos prensados, confeccionados com resíduos agro-industriais, e inoculadas com o fungo micorrízico arbuscular (FMA) Glomus clarum Nicolson & Schenck. O delineamento experimental utilizado foi o inteiramente casualizado, em esquema fatorial 2 x 2, sendo 2 tratamentos microbiológicos: controle e FMA; e 2 sistemas de produção de mudas: blocos prensados (nova metodologia) e tubetes plásticos (tradicional), com 5 repetições. O substrato utilizado para a confecção dos blocos prensados e enchimento dos tubetes foi constituído por uma mistura de bagaço de cana-de-açúcar e torta de filtro (3:1 v/v). O FMA proporcionou aumentos significativos na produção de matéria seca, conteúdo de N e P da parte aérea da goiabeira, apenas no sistema de produção das mudas em blocos prensados. Mudas produzidas e inoculadas em blocos prensados mostraram um aumento de 88% na matéria seca da parte aérea, 82% e 89% para os conteúdos de nitrogênio e fósforo da parte aérea, respectivamente, em relação ao tratamento-controle.
Resumo:
Significant progress has been made in understanding the molecular pathogenesis of gliomas and in predicting general outcome depending on a limited set of clinical parameters and molecular markers. However, methylation of the O⁶-methylguanine DNA methyltransferase (MGMT) gene promoter is the only molecular marker linked to sensitivity of a specific treatment, that is, alkylating agent chemotherapy, and this predictive value may be limited to glioblastoma. Moreover, in the absence of potent alternative drugs, temozolomide chemotherapy should not be withheld from patients with newly diagnosed glioblastoma without MGMT promoter methylation in general practice. In the context of clinical trials, however, irrespective of whether classical cytotoxic drugs, tyrosine kinase inhibitors or antiangiogenic agents are used, tissue should be centrally collected. Appropriate research programs should seek to define enriched patient populations for future trials and ultimately facilitate individualized cancer treatments.
Resumo:
Gastro-oesophageal reflux (GOR) is a common disorder in the pediatric population. In association with esophagitis, GOR may impair children's quality of life. Extra-oesophageal manifestations are of specific interest in oral medicine because the refluxate may reach impair both oral mucosa and hard dental tissues. Some oral symptoms are so specific that they should raise the attention for other GOR symptoms. Dental erosion is a potential risk in children with gastroesophageal reflux: the pediatrician should routinely refer children with gastroesophageal reflux to a pediatric dentist to diagnose erosions and if needed restore the teeth. Conversely, in the presence of unexplained dental erosions the dentist and/or the pediatrician should discuss the possibility of an occult GOR.
Resumo:
Dissenyar la xarxa elèctrica d'una nau industrial i dissenyar una instal·lació solar fotovoltaica connectada a la xarxa de baixa tensió. Per a la instal·lació de la nova xarxa elèctrica s'ha aprofitat tot l'enllumenat, els endolls i els interruptors existents en la nau, de l'anterior instal·lació, que s'ha quedat obsoleta degut a la instal·lació de noves màquines. S'ha escollit una instal·lació solar fotovoltaica connectada a la xarxa elèctrica perquè s'utilitza una energia purament neta i inesgotable, perquè té una bona rentabilitat.
Resumo:
En el siguiente proyecto se pretende realizar los cálculos correctos para determinar cual ha de ser la estructura y las cimentaciones de una nave industrial perfectamente diseñada. El àmbito de aplicación del proyecto es la arquitectura industrial.
Resumo:
Efetuou-se a caracterização física do fruto e físico-química da polpa do bacuri CPATU 207-3, oriundo de uma planta-matriz do Banco de Germoplasma de Bacurizeiro da Embrapa Amazônia Oriental. Para a caracterização física foi utilizada uma amostra de 50 frutos, os quais foram individualmente analisados quanto aos seguintes aspectos: cor do epicarpo, formato, peso, comprimento, diâmetro, espessura da casca, volume da cavidade interna, número de sementes e de segmentos partenocárpicos, rendimentos porcentuais (p/p) de casca, polpa, sementes e do conjunto representado pela coluna placentária e óvulos abortados. A caracterização físico-química foi efetuada em três amostras de polpa congelada a 18ºC negativos, provenientes de frutos em completo estádio de maturação, coletados nos meses de janeiro, fevereiro e março de 2001, tendo sido consideradas as seguintes variáveis: teores de umidade, de sólidos totais e de sólidos solúveis totais (ºBrix), pH, acidez total e a relação sólidos solúveis totais/acidez total titulável. O bacuri CPATU 207-3 apresentou formato ovalado e com ápice ligeiramente pontiagudo, epicarpo de coloração amarelada, fruto de tamanho considerado médio e peso médio de 265,8 g. As principais características diferenciais desse tipo de bacuri são: a espessura da casca (0,75cm), o rendimento porcentual de polpa (27,7%) e o número de segmentos partenocárpicos (2,8 unidades/fruto). A polpa do bacuri CPATU 207-3 apresentou boas características físico-químicas, com 84,35% de umidade, 15,65% de sólidos totais, teor de sólidos solúveis totais de 14,53ºBrix, pH 3,34, acidez total titulável de 1,24% e relação ºBrix/acidez total titulável igual a 11,4. As características físicas e físico-químicas desse tipo de bacuri permitem sua utilização tanto para consumo na forma de fruta fresca como na forma industrializada. Nesse último caso, é particularmente indicado para fabricação de compota, em decorrência do elevado número de segmentos partenocárpicos que apresenta.