970 resultados para singular integral
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One of the basic principles of the Brazilian Public Health System (SUS) is integral assistance, which considers the integrality of the individual, of service and care, which should necessarily include end of life care. Our aim was to analyze the work process of health professionals at the Family Health Strategy / Primary Care that already cared for people in the dying process to propose viable contributions to the Public Health area as regards the implementation of Palliative Care in Primary Care. We present data referring to the following themes: Singular Therapeutic Project (PTS); death quality as PTS goal (work purpose); the team's ways of doing (bonding as a pact condition). Eleven health professionals (four nurses and seven physicians) linked to the Family Health Strategy (ESF) of Campinas (São Paulo) participated on this research. From the interviews, data analysis followed the Socio-Historical Psychology theoretical and methodological approach. The professionals' activity was analyzed in articulation with the specificities of caring for people in the dying process. We found that action planning in health is oriented by the Singular Therapeutic Project (PTS), with an emphasis in social diagnosis and the need of a bond for attaining a pact. It is understood that the purpose of health professionals' activity is to promote dignity and life quality in the dying process, but integral care should include not only individual and family care, but also the defence of full human development during all phases of life.
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This paper deals with exponential stability of discrete-time singular systems with Markov jump parameters. We propose a set of coupled generalized Lyapunov equations (CGLE) that provides sufficient conditions to check this property for this class of systems. A method for solving the obtained CGLE is also presented, based on iterations of standard singular Lyapunov equations. We present also a numerical example to illustrate the effectiveness of the approach we are proposing.
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Objective: To evaluate the perception of basic attention healthcare users as to the implantation of the Integral Dental Assistance Protocol (PAIO, in Portuguese) and the effect of this program on the oral health condition, oral hygiene, access to and resolubility of the service, in a public basic health unit of João Pessoa-PB. Method: The sample was composed of 32 volunteers, for whom a sixphase intervention was programed: diagnosis of dental needs; resolution of urgencies; restorative interventions; application of promotional measures; evaluation of the health level obtained; and periodic follow-up visits. Data were collected by means of a semistructured interview and a questionnaire, applied before and after PAIO implantation. The interviews were transcribed and analyzed according to the content analysis technique. The effect of PAIO implantation was evaluated by using an increasing scoring system ranging from 1 to 10. The Wilcoxon test was applied with a confidence level of 95%. Results: For the participants that attended the PAIO (n=20), the program contributed to improve oral health condition (100%) and knowledge (100%). The users reported satisfaction (n=12) and had a positive evaluation (n=12), achieved by means of the improvement of oral health condition (n=8), faster and easier access to treatment (n=7), scheduling of dental appoints and warrant of being treated (n=6), welcoming (n=5), motivation for oral care (n=5), and perspective of continuity of PAIO (n=6). The initial evaluation of the users received scores between 5.7 and 7.6. After PAIO implantation, the users' perception was improved (p<0.01), with scores between 9.6 and 9.9. Conclusion: According to the users, the implantation of PAIO contributed to the qualification of health service and oral health care, being a favorable aspect to increase the access to and resolubility of the service.
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Describe la metodología elaborada para recopilar información, con el fin de evaluar impactos de grandes proyectos de desarrollo minero-industriales implantados en América Latina.
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Two assays were conducted to determine the coefficients of digestibility (CD) and the digestible nutrients (DN) of the extruded semi-whole soybean (Assay 1 conventional feeding and Assay 2 feeding for sows, starting at 109 days of pregnancy and during the lactation and for lactating piglets and in the initial phase, with rations without soybean meal). Each assay was divided into two phases (32 and 50 days of age). Eight piglets weaned at 25 days of age were used. Total feces collection method was used. The following variables were analyzed in feed and in feces: dry matter, crude protein, ether extract, crude fiber and gross energy. The following average values were obtained: CDDM 88.87%; CDCP 86.81%; CDEE 85.41%; CDCF 78.22%; CDGE 80.21% and CMDE 95.71%, which allowed the calculation of the digestible nutrients: DDM 81.28%; DP 34.49%; DEE 14.02%; DF 4.49%; DEa 4087.86 kcal/kg and MEa 3912.73 kcal/kg. The different coefficients of digestibility were not affected by the differential feeding for sows and piglets nor by the different ages of the animals. Moreover, the extruded semi-whole soybean presented good levels of DN, concerning mainly the digestible and metabolizable energy.