873 resultados para Revisão Sistemática


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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Objective. To review the literature regarding the application of the notion of user embracement and to identify the contributions of this concept for primary health care practices in Brazil.Method. We carried out an integrative review of the literature regarding primary health care. The following databases were searched: LILACS, SciELO, and MEDLINE, covering the period from 2006 to 2010. The following search terms were used in LILACS and SciELO: acolhimento and programa saude da familia and saude. For MEDLINE, the terms user embracement and family health program and health were used. The review was performed in November 2010.Results. We identified 21 articles meeting the inclusion criteria, all of which described studies carried out in Brazil. The articles were divided into three empirical categories: integration and embracement; primary care work process; and evaluation of services. These are complementary categories that converge to two main views of embracement: the first sees embracement as a means of reorganizing the primary health care environment, and the second sees embracement as an attitude towards users. The review also shows that embracement may be a management tool that supports the Unified Health System and is associated with the principles of comprehensiveness and universality.Conclusions. Embracement is able to create a bond between health care workers and users. It promotes self-care, a better understanding of disease, as well as user co-responsibility for treatment. In addition, it facilitates universal access, strengthens multiprofessional and intersectoral work, qualifies care, humanizes practices, and encourages actions to combat prejudice. Nevertheless, the perspective of health care users regarding embracement deserves more attention and should be the focus of future studies.

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Pós-graduação em Música - IA

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Technology advances and scientific studies in Neonatal Intensive Care Units (NICU) have contributed significantly to reduce mortality and morbidity of at-risk newborns (NB). However, they are more likely to present neurological and/or developmental psychomotor delay with neurological and sensory alterations. Therefore, proposals for neonatal intervention were developed with the aim of protecting the baby and offering appropriate incentives to minimize the effects of hospital intervention. To this end, programs of protective measures such as the Kangaroo Mother Care (KMC) were developed. Given the relevance of the issue described, this systematic review critically appraises articles from the national and international literature, published in recent years (from 2000 to 2011), that describe whether the KMC can be a protective factor for the development of writing in premature infants. The textual search was conducted using the Virtual Health Library (VHL), a website that covers publications worldwide, allowing access to articles from health science, including LILACS, IBECS, MEDLINE, Cochrane Library and SciELO, as database. The findings revealed that infants who participated in the KMC program showed improvements in their development and that factors such as low-birth-weight prematurity and learning disorders have close relationship with the onset of motor impairments and changes in psychomotor development. The findings showed no articles describing the KMC as a protective factor for the incidence of dysgraphia. Thus, we emphasize the importance of conducting further studies on these topics.

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The literature suggests an association between drug use and addiction and the repertoire of social skills of the individual. However, there are still relatively few studies focusing specifically on the relationship between smoking and social skills. Moreover, Brazilian studies on the subject are scarce. This paper presents a review of the literature about smoking and social skills, emphasizing the theoretical underpinning research, as well as the main data obtained so far. One of the most investigated issues is the relationship between assertiveness and smoking. It is assumed that the lack of assertiveness and in particular the ability to refuse the supply of drugs and / or peer pressure to consumption can be a risk factor for smoking initiation, especially in adolescents. However, the literature on this issue is still controversial. It is assumed that further studies to elucidate these associations could contribute to prevention programs and intervention for tobacco use, using social skills training as a strategy.

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Kinematics is the geometry of motion, including displacement, speed and acceleration, without considering the forces acting over a body. The use of kinematics is still very limited when we are evaluating dogs because of the high cost of the equipment, but the information obtained is objective and precise, what is essential for a trustful evaluation. Taking all this into consideration, this evaluation will describe some researches that used the method, specifying the final objective for each of them. By this analysis, we can conclude that kinematic studies, according to the characteristics of dog races, are necessary to explain how body structure and conformance may affect the function. Besides that, according to normative patterns of a population it is possible to study some diseases and treatment evolution

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Concern about the identity of nursing professionals has existed since Florence Nightingale. The exercise of the nursing profession must be based on scientific principles so that the actual health problems of a given community can be assessed and actions targeted at improving the population’s quality of life can be designed from such assessments. This problem assessment is referred to as Nursing Diagnosis. NANDA defines diagnosis as “a clinical judgment about individual, family or community responses to actual or potential health problems/life processes. Nursing diagnosis provides the basis for selection of nursing interventions to achieve outcomes for which nurses are accountable”. The present study aimed at investigating the scientific production on Nursing Diagnosis (NANDA). This is an literature review. For data collection, an instrument that addressed the following items was used: identification of original articles and evaluation of their objectives, methodological characteristics, results and conclusion. In the present review, 15 articles that met the inclusion criteria were analyzed. They were all authored by nurses. Four articles addressed obstetrics, puerperium and neonatology, and the diagnosis of an unsatisfactory breastfeeding process was observed in 100% of cases. As regards chronic diseases, four articles were found, and two exclusively addressed diabetes, with a main diagnosis of an ineffective control of the therapeutic regimen. Three articles addressed the elderly, and the main diagnosis found was hindered mobility in more than 90% of cases. As regards, sexually transmitted diseases, one article was found with three diagnoses with 100% for disturbed sleep patterns, infection risk and ineffective protection. As to patients with sequelae, two articles were identified, and the diagnoses found were hindered physical mobility, with 100%; self-care deficit for... (Complete abstract click electronic access below)

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In heavy machining industries, a critical point that must be taken into account is setup. Because the characteristics of machine tools and parts to be machined, usually pieces robust and large, the preparation of these parts must be made accurately for machining has a good result as planned. As a result of the difficulty raised in the setup machining of heavy parts, companies in this segment seek alternatives to reduce the unproductive time caused by setup and optimize machining processes. One way was found that these companies create operating instructions that describe and standardize the operation between its employees, as well as deploy a control machining times to measure the unproductive time caused by the setup. This work studied a new system for the realization of centering and alignment of Rotating Deck R-9350 in CNC Milling Machine PAMA Speedram 3000, in Liebherr Brazil company. The part Rotating Deck R-9350 is a critical part in which its machining in PAMA Milling Machine is made in three phases and their setup times are quite high and involve stopping the machine. It has been tested and proposed a solution to the realization of this part of the setup without the use of the machine, but of the measuring instrument three-dimensional Laser tracker, with which the machine continued to work, while he was in the centering and alignment of other parts. It was noted that the instrument technically attended the need and it was possible to perform this operation more accurately

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A definição do termo espécie é uma das problemáticas de maior conturbação nas ciências biológicas, em especial nos estudos de ecologia e evolução, repercutindo até mesmo nas ciências humanas. Esse problema teve seu início desde a época de Aristóteles, na era Clássica da filosofia grega, tendo seu grande auge na era da ciência moderna, resultando no que hoje se conhece por a questão das espécies. Sua grande dificuldade atual não está mais em apenas conseguir definir conceito único e universal para se delimitar uma espécie, mas na grande quantidade de conceitos de espécie que existem atualmente, cada um levando a um aumento ou diminuição de um número total de espécies, dependendo de qual foi escolhido por um dado pesquisador, levando a uma inflação taxonômica. Esse efeito ocorre também na paleoantropologia, que pelo estudo de fósseis tenta delimitar a genealogia evolutiva da espécie humana. Há uma grande discussão sobre o possível pertencimento da espécie Homo neanderthalensis como subespécie de Homo sapiens, em especial devido ao grande aparecimento de evidências científicas que surgem seguidamente ano após ano nos estudos paleoantropológicos sobre Neandertais. Devido a isso, quatro conceitos de espécie foram escolhidos através de suas relevâncias e resurgências em artigos científicos, e descritos em suas raízes conceituais: Conceito Biológico de Espécie, Conceito Evolutivo de Espécie, Conceito Ecológico de Espécie e Conceito de Espécie por Reconhecimento. Juntamente com a descrição generalizada de ambas as espécies citadas, uma análise comparativa foi então realizada, aplicando cada conceito para ambas espécies e verificando como ambas se encaixavam. Desse modo, para o Conceito Biológico de Espécie e Conceito Evolutivo de Espécie, ambas cabem como espécies aparte. Para o Conceito Ecológico de Espécie, os Neandertais podem ser considerados uma subespécie de H. sapiens...

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Este trabalho consiste na revisão do Plano elaborado para o Parque Setorial de São José do Rio Preto. Para isto procuramos estudar desde o surgimento do parque na cidade até a importância e influência que estes espaços podem exercer na cidade atual, passando, portanto pela conceituação dos próprios parques e por uma metodologia de análise própria elaborada a partir dos estudos bibliográficos. Elaboramos então Diretrizes Gerais para o parque, que propõem esta revisão, repensando os espaços de acordo com as necessidades da cidade atual. E por fim fazemos propostas de planejamento para um setor específico