947 resultados para boca-oreja


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Continuous progress in optical communication technology and corresponding increasing data rates in core fiber communication systems are stimulated by the evergrowing capacity demand due to constantly emerging new bandwidth-hungry services like cloud computing, ultra-high-definition video streams, etc. This demand is pushing the required capacity of optical communication lines close to the theoretical limit of a standard single-mode fiber, which is imposed by Kerr nonlinearity [1–4]. In recent years, there have been extensive efforts in mitigating the detrimental impact of fiber nonlinearity on signal transmission, through various compensation techniques. However, there are still many challenges in applying these methods, because a majority of technologies utilized in the inherently nonlinear fiber communication systems had been originally developed for linear communication channels. Thereby, the application of ”linear techniques” in a fiber communication systems is inevitably limited by the nonlinear properties of the fiber medium. The quest for the optimal design of a nonlinear transmission channels, development of nonlinear communication technqiues and the usage of nonlinearity in a“constructive” way have occupied researchers for quite a long time.

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The purpose of this study was to investigate the effect of multimedia instruction on achievement of college students in AMR 2010 from exploration and discovery to 1865. A non-equivalent control group design was used. The dependent variable was achievement. The independent variables were learning styles, method of instruction, and visual clarifiers (notes). The study was conducted using two history sections from Palm Beach Community College, in Boca Raton, Florida, between August and December, 1998. Data were obtained by means of placement scores, posttests, the Productivity Environmental Preference Survey (PEPS), and a researcher-developed student survey. Statistical analysis of the data was done using SPSS statistical software. Demographic variables were compared using Chi square. T tests were run on the posttests to determine the equality of variances. The posttest scores of the groups were compared using the analysis of covariance (ANCOVA) at the .05 level of significance. The first hypothesis there is a significant difference in students' learning of U.S. History when students receive multimedia instruction was supported, F (1, 52) = 16.88, p < .0005, and F = (1, 53) = 8.52, p < .005 for Tests 2 and 3, respectively. The second hypothesis there is a significant difference on the effectiveness of multimedia instruction based on students' various learning preferences was not supported. The last hypotheses there is a significant difference on students' learning of U.S. History when students whose first language is other than English and students who need remediation receive visual clarifiers were not supported. Analysis of covariance (ANCOVA) indicated no difference between the groups on Test 1, Test 2, or Test 3: F (1, 45) = .01, p < .940, F (1, 52) = .77, p < .385, and F (1, 53) =.17, p < .678, respectively, for language. Analysis of covariance (ANCOVA) indicated no significant difference on Test 1, Test 2, or Test 3, between the groups on the variable remediation: F (1, 45) = .31, p < .580, F (1, 52) = 1.44, p < .236, and F (1, 53) = .21, p < .645, respectively. ^

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During the past three decades, the use of roundabouts has increased throughout the world due to their greater benefits in comparison with intersections controlled by traditional means. Roundabouts are often chosen because they are widely associated with low accident rates, lower construction and operating costs, and reasonable capacities and delay. ^ In the planning and design of roundabouts, special attention should be given to the movement of pedestrians and bicycles. As a result, there are several guidelines for the design of pedestrian and bicycle treatments at roundabouts that increase the safety of both pedestrians and bicyclists at existing and proposed roundabout locations. Different design guidelines have differing criteria for handling pedestrians and bicyclists at roundabout locations. Although all of the investigated guidelines provide better safety (depending on the traffic conditions at a specific location), their effects on the performance of the roundabout have not been examined yet. ^ Existing roundabout analysis software packages provide estimates of capacity and performance characteristics. This includes characteristics such as delay, queue lengths, stop rates, effects of heavy vehicles, crash frequencies, and geometric delays, as well as fuel consumption, pollutant emissions and operating costs for roundabouts. None of these software packages, however, are capable of determining the effects of various pedestrian crossing locations, nor the effect of different bicycle treatments on the performance of roundabouts. ^ The objective of this research is to develop simulation models capable of determining the effect of various pedestrian and bicycle treatments at single-lane roundabouts. To achieve this, four models were developed. The first model simulates a single-lane roundabout without bicycle and pedestrian traffic. The second model simulates a single-lane roundabout with a pedestrian crossing and mixed flow bicyclists. The third model simulates a single-lane roundabout with a combined pedestrian and bicycle crossing, while the fourth model simulates a single-lane roundabout with a pedestrian crossing and a bicycle lane at the outer perimeter of the roundabout for the bicycles. Traffic data was collected at a modern roundabout in Boca Raton, Florida. ^ The results of this effort show that installing a pedestrian crossing on the roundabout approach will have a negative impact on the entry flow, while the downstream approach will benefit from the newly created gaps by pedestrians. Also, it was concluded that a bicycle lane configuration is more beneficial for all users of the roundabout instead of the mixed flow or combined crossing. Installing the pedestrian crossing at one-car length is more beneficial for pedestrians than two- and three-car lengths. Finally, it was concluded that the effect of the pedestrian crossing on the vehicle queues diminishes as the distance between the crossing and the roundabout increases. ^

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The purpose of this study was to investigate the effect of multimedia instruction on achievement of college students in AMH 2010 from exploration and discovery to1865. A non-equivalent control group design was used. The dependent variable was achievement. The independent variables were learning styles method of instruction, and visual clarifiers (notes). The study was conducted using two history sections from Palm Beach Community College, in Boca Raton, Florida, between August and December, 1998. Data were obtained by means of placement scores, posttests, the Productivity Environmental Preference Survey (PEPS), and a researcher-developed student survey. Statistical analysis of the data was done using SPSS statistical software. Demographic variables were compared using Chi square. T tests were run on the posttests to determine the equality of variances. The posttest scores of the groups were compared using the analysis of covariance (ANCOVA) at the .05 level of significance. The first hypothesis there is a significant difference in students' learning of U.S. History when students receive multimedia instruction was supported, F = (1, 52)= 688, p < .0005, and F = (1, 53) = 8.52, p < .005for Tests 2 and 3, respectively. The second hypothesis there is a significant difference on the effectiveness of multimedia instruction based on students' various learning preferences was not supported. The last hypotheses there is a significant difference on students' learning of U.S. History when students whose first language is other than English and students who need remediation receive visual clarifiers were not supported. Analysis of covariance (ANCOVA) indicated no difference between the groups on Test 1, Test 2, or Test 3: F (1, 4 5)= .01, p < .940, F (l, 52) = .77, p < .385, and F (1,53) =.17, p > .678, respectively, for language. Analysis of covariance (ANCOVA) indicated no significant difference on Test 1, Test 2, or Test 3, between the groups on the variable remediation: F (1, 45) = .31, p < .580, F (1, 52) = 1.44, p < .236, and F (1, 53) = .21, p < .645, respectively.

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Elabora-se estudo de hermenêutica constitucional que envolve neoconstitucionalismo e estruturas míticas da realidade jurídica em face do automatismo judicial. Utiliza-se de método dialético em estudo teórico-descritivo de base documental. Busca analisar se há relação entre mitos jurídicos e automatismo do juiz na interpretação constitucional, bem como procura identificar se a mitificação do direito e o automatismo judicial influenciam o exercício da jurisdição pelo magistrado. Constata-se que há diferença entre interpretação constitucional e interpretação da Constituição, bem como que inexiste especificidade da interpretação constitucional em relação à interpretação jurídica. Comprova-se que os marcos histórico, filosófico e teórico do neoconstitucionalismo perdem seu sentido quando submetidos a apreciação crítica. Demonstra-se que a realidade jurídica decorre de processo mítico, no sentido de uma representação da realidade através da verdade compartilhada na crença e disseminada nos mitos, tal qual ocorre nos mitos da força normativa da constituição e do sentimento constitucional. Identifica-se a relação implicação recíproca entre mitos jurídicos e automatismo do juiz, além de verificar que o maagistrado atua no automático não apenas quando se conforma em ser o juiz boca da lei, mas também quando torna-se juiz boca do juízo, quer do juízo pessoal subjetivo, quer do juízo Institucional do Judiciário. Verifica-se que, uma das nuanças dos mitos está na representação de uma construção social compartilhada que descreve a realidade cultural circundante através das normas jurídicas e, nesse sentido, os mitos jurídicos são histórias com fundamento em verdades que merecem confiança, mas que, por outro lado, há mitos que atuam contra a normatividade positivada, como o mito do neoconstitucionalismo. Conclui-se que é imprescindível ao magistrado perceber que trabalha com mitos, compreender o processo de atuação e difusão dos mitos, e atuar de forma comprometida com sua atividade em benefício da sociedade, evitando incidir em automatismos de pensamento e ação, haja vista que o constitucionalismo é síntese de mudança (para adequar-se ao tempo vivencial) e permanência (para salvaguardar seu núcleo primordial) e precisa de um magistrado em estado de vigília para operar adequadamente a perspectiva de um direto de Estado democrático.

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Objective: To evaluate the planning and quality of plaster models for fabricati on of removable parti al dentures received from three commercial prosthodonti c laboratories located in the city of João Pessoa, PB, Brazil, which perform the casting procedures in their facilities. Methods: Forty 40 plaster models were photographed per laboratory, totalizing 120 models. The evaluation was performed using two questi onnaires, one designed for the dental prosthesis technicians, and another applied by the investigator for the visual evaluati on of the models. Data were analyzed using the SPSS soft ware version 13.0. Results: Ninety-two (76.7%) models did not present planning. In addition, no model presented references of insertion plane or guide pins. Calculati on of the mouth preparati on index (MPI) to evaluate the distribution of the oclusal and cingulum abutments or rests showed that 86 (71.7%) models were classifi ed as poor, 23 (19.2%) models as good and only 11 (9,.2%) models as acceptable. Defects were found in 102 (85%) models. Conclusion: The prosthodontists are not preparing the mouth of their pati ents, neglecti ng the planning of removable partial dentures, and passing this responsibility to the dental prosthesis technicians. In addition, the quality of the models sent to the laboratories was unsatisfactory.

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Objective: To evaluate the planning and quality of plaster models for fabricati on of removable parti al dentures received from three commercial prosthodonti c laboratories located in the city of João Pessoa, PB, Brazil, which perform the casting procedures in their facilities. Methods: Forty 40 plaster models were photographed per laboratory, totalizing 120 models. The evaluation was performed using two questi onnaires, one designed for the dental prosthesis technicians, and another applied by the investigator for the visual evaluati on of the models. Data were analyzed using the SPSS soft ware version 13.0. Results: Ninety-two (76.7%) models did not present planning. In addition, no model presented references of insertion plane or guide pins. Calculati on of the mouth preparati on index (MPI) to evaluate the distribution of the oclusal and cingulum abutments or rests showed that 86 (71.7%) models were classifi ed as poor, 23 (19.2%) models as good and only 11 (9,.2%) models as acceptable. Defects were found in 102 (85%) models. Conclusion: The prosthodontists are not preparing the mouth of their pati ents, neglecti ng the planning of removable partial dentures, and passing this responsibility to the dental prosthesis technicians. In addition, the quality of the models sent to the laboratories was unsatisfactory.

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Some of the current discussions in the teaching of Portuguese Language (LP) pertain to how the school should deal with the phenomenon of language variation in the classroom. In 2010, for example, an explosion of talk took over the academic corridors: a book, entitled "Por uma vida melhor", the collection "Viver, Aprender", published by the MEC (Ministry of Education and Culture) to students EJA (Youth and Adults) brought notions regarding linguistic variation, even in their first chapter. In it is clear the notion that it is possible to make use of structures as "pretty boy", instead of "pretty boys", depending on the context in which such use is insert. Therefore, the discussions focused around the notions of variety cultivated, standard and popular measuring them to the possibilities of linguistic appropriateness. The community was surprised by the defense of the "power" to use, since it would be the school space to teach a standard "default", and not the possibility of legitimate use of grammatical patterns that clashed with those recommended in traditional grammars. The television media has been responsible for a major blaze that MEC had endorsed the use in schools of a book that legitimized such linguistic patterns. The quarrel was released on Youtube and in that space, netizens expressed themselves for or against the proposal of LD often directing the discussion to questions of a purely political. We observed that, on one side, loomed arguments related to Sociolinguistics (BAGNO , 2002, 2003, 2007, 2009; BAGNO, M.; STUBBS, M., Gagne, G., 2006; Bortoni - RICARDO, S.M., 2008; Tarallo, F., 1982; U. Weinreich, MARVIN I. HERZOG, Labov, W., 1968, Labov 1972, etc.); another, arguments concentrated on defending the school is the area of language teaching standard, and not fit to bring certain discussions within an LD. It was from these words, that this research was born. Interested in the particular way that the community media, which seemed to have no training in linguistics, understand the concepts of right, wrong, appropriate and inappropriate, so intimate in academic circles. Our thoughts take as reference the theoretical studies on the question of sociolinguistic variation and education, official documents that guide the "work" with the Portuguese language in the classroom, like the NCP (National Curriculum) and Curriculum Proposal for Education Youth and Adult (PCEJA). In our analysis, we found that LD" For a better life "makes no apology for teaching the "error", but it raises discussions about the possibility of "change", linked to factors and different order. We realize how significant it is to observe how speakers of a language are positioned in relation to language teaching which they are not speakers and scholars. Our study showed that certain issues regarding the teaching of the Portuguese language, as is the case of linguistic variation, points are far from being resolved, either for linguists and/or grammarians, whether for language speakers.

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Ce travail a recherché sur le processus de préparation corporel\vocal\énergique de l’acteur pour la rue. Notre quête principale c’est comprendre les processus qui l'acteur se déplace afin de développer une énergie à la scène dans la rue. C'est cette énergie qui est mis en place et se rapporte à le passant\spectateur? Qui attire l'attention de passant\spectateur? Serai l'histoire? Le code vestimentaire ou être une expressivité dynamisée? Serai une énergie présente dans le corps de l'acteur qui se relacione avec les passants? Comme l'acteur se rapporte à l'espace urbain? Pour tenter de répondre à ces questions, nous allons utilisé certains principes de la physique moderne, tels comme: la Théorie Quantique et le Principe d'Incertitude, autan la Théorie du Chaos. Le théâtre jouée dans les rues, surtout par le biais de longs prolongements de construction scénique, cependant, lorsque présentée au public, est prise par les autres causalités, car étant situé sur la rue, l'acteur devient assujettie à cet espace et ne peut pas nier la possibilité des faits qui peuvent se produire. Selon la physique quantique l'énergie se propage dans un espace vide, la quantité d'énergie physique étant échangé dans la rue, ce qui entraîne le moment magique où les corps des acteurs, des échanges constants avec les spectateurs, en permettant le saut quantique: le spectacle théâtral de la rue.

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There is a bidirectional association between periodontal disease (PD) and diabetes mellitus, in which diabetes favors the development of PD and PD, if left untreated, can worsen the metabolic control of diabetes. Thus, periodontal disease should be treated to restore periodontal health and reduce the complications of diabetes. Therefore, the objective is assess the effect of full mouth periodontal therapy decontamination (Full Mouth Desinfection - FMD) in diabetic type II patients with chronic periodontitis during 12 months. Thirty-one patients in group one (G1) and 12 in group two (G2) were followed at baseline, 03, 06 09 and 12 months. There following clinical parameters were accessed: probing on bleeding (BOP), visible plaque index (PI), probing depth (PD), clinical attachment level (CAL) and gingival recession (GR). For diabetic patients, there were also made laboratory tests to evaluate blood parameters: fasting glucose and glycated hemoglobin. The results had been analyzed in two ways: all sites in the mouth and another with diseased sites. The Mann-Whitney, Friedman and Wilcoxon tests were used with 5% significance. Intergroup analysis of all sites it is clear that there was no significant difference over time concerning PD, BOP, PI, CAL and RG. However, when evaluating the diseased sites, we observed significant difference for CAL and PD, with higher values in G1. The intragroup analysis for all sites showed a statistically significant reduction at PD, PI and BOP in both groups. Intragroup analysis of periodontal affected sites showed a statistically significant reduction in PD, BOP and CAL in both groups. There was also a statistically significant increase in RG values. There was no significant change concerning glycated hemoglobin and fasting glucose in the G1. Therefore, it can be concluded that there were improvements in periodontal parameters over the 12 months of research, but without changes in glycemic levels of diabetic patients. Thus, periodontal therapy proved effective in maintaining oral health.

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The past few decades have brought many changes to the dental practice and the technology has become ready available. The result of a satisfactory rehabilitation treatment basically depends on the balance between biological and mechanical factors. The marginal adaptation of crowns and prosthetic structures is vital factor for long-term success. The development of CAD / CAM technology in the manufacture of dental prostheses revolutionized dentistry, this technology is capable of generating a virtual model from the direct digital scanning from the mouth, casts or impressions. It allows the planning and design of the structure in a computered software. The virtual projects are obtained with high precision and a significant reduction in clinical and laboratory time. Thus, the present study (Chapters 1, 2 and 3) computed microtomography was used to evaluate, different materials, different CAD/CAM systems, different ways of obtaining virtual model (with direct or indirect scanning), and in addition, also aims to evaluate the influence of cementing agent in the final adaptation of crowns and copings obtained by CAD / CAM. Furthermore, this study (Chapter 4, 5 and 6) also aims to evaluate significant differences in vertical and horizontal misfits in abutment-free frameworks on external hexagon implants (HE) using full castable UCLAs, castable UCLAs with cobalt-chromium pre-machined bases and obtained by CAD / CAM with CoCr or Zirconia by different scanning and milling systems. For this, the scanning electron microscopy and interferometry were used. It was concluded that the CAD / CAM technology is capable to produce restorations, copings and screw-retained implant-supported frameworks in different materials and systems offering satisfactory results of marginal accuracy, with significative reduction in clinical and laboratory time.

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La satisfacción de las necesidades y expectativas de los pacientes se considera un indicador fundamental de la calidad de la asistencia proporcionada, entendida como una medida de eficacia, confort, pertinencia y control del funcionamiento del sistema sanitario (Donabedian, 1966; Monteagudo et al., 2003; Feldman et al., 2007). Los hospitales españoles están enfocados en la mejora de los cuidados y atención al paciente ingresado; por ello, la alimentación que el hospital presta está reconocida como un indicador importante de la satisfacción de los pacientes. La Alimentación Hospitalaria tiene como objetivo ayudar al personal sanitario a que el paciente se encuentre bien lo antes posible. Para lograr esto, es necesario proporcionar alimentos de buena calidad que hayan sido preparados y cocinados cuidadosamente para retener al máximo el valor nutritivo y presentados al paciente de forma apetitosa (Herrera et al., 2004). Es problemático definir la calidad de los alimentos porque depende de la evaluación del consumidor. A pesar de ello, se ha demostrado que las percepciones de un alimento están afectadas por muchos factores individuales que incluyen el sabor, olor, información del etiquetado, actitudes y recuerdos de experiencias anteriores (Imran, 1999). Las características sensoriales como aspecto, flavor, textura y temperatura se ha visto que son también importantes para los pacientes hospitalarios cuando juzgan la calidad de la comida (Clark, 1998). Textura y flavor tienen un efecto profundo sobre la percepción y la aceptabilidad; sin embargo, el papel de la textura es muy dependiente del producto de que se trate. Adjetivos sobre sus atributos como empapado, acuoso, grumoso, pegajoso, baboso, desmoronado y duro que proporcionan una pérdida de control en la boca no suelen normalmente gustar (Cardello, 1996b). La importancia relativa de un atributo es dependiente de un alimento particular. Las comidas de los pacientes son una parte integral del tratamiento hospitalario y el consumo de una dieta equilibrada es crucial para ayudar a su recuperación (Stratton et al., 2006). En los servicios de alimentación de los hospitales se sirven millones de comidas a diario (solamente en España, donde ese estima que existen unos 1000 hospitales, podemos esperar que el número de pensiones completas cada día ronde las 300.000) y el número atendido en un establecimiento puede variar de 20 a 2.000 personas...

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La deglución es una función básica de las más primitivas presentes en los animales y es fundamental para la nutrición y asegurar así la supervivencia de las especies. Está estimulada por conexiones innatas a nivel del tronco cerebral y existe un impulso instintivo al nacimiento en la mayoría de los mamíferos para la nutrición y la saciedad. La relación del ser humano con la alimentación varía a lo largo de los distintos periodos evolutivos y de ser una forma de subsistencia, se convierte hoy día en una forma de definir cultura y en un punto de encuentro socio-familiar y hasta profesional que dibuja nuestros gustos e incluso éxito en la vida. Es por ello que una alteración en la deglución puede tener gran impacto en el desarrollo y en la calidad de vida, y puede llegar a ser responsable de consecuencias nutricionales o complicaciones graves como la broncoaspiración. Se describe la disfagia como la sensación de dificultad de paso del alimento desde la boca hasta el estómago. Cualquier anomalía en cualquiera de las fases de la deglución puede ocasionar disfagia. La mayoría de la literatura científica sobre prevalencia de disfagia está en relación con causas neurológicas de la misma, por lo que las cifras de prevalencia varían mucho en relación a la población general. En la mayoría de los estudios poblacionales la prevalencia de disfagia se sitúa en torno al 10% lo que supone un síntoma frecuente en la población . En nuestro país no existen datos sobre la prevalencia de disfagia en población general y los estudios disponibles están en relación con comorbilidad o pacientes ancianos. Es una constante en la literatura la asociación de la enfermedad por RGE con la presencia de disfagia, y en las pocas series que evalúan el impacto de la disfagia sobre la calidad de vida existe una menor puntuación en los cuestionarios de calidad de vida en los individuos con disfagia, asociándose también a mayor ansiedad-depresión. Los objetivos del presente trabajo son estimar la prevalencia de disfagia en la población española mayor de 18 años de edad, evaluar los posibles factores asociados a la disfagia y estudiar el posible impacto de la disfagia sobre la calidad de vida.

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Introdução: Vários estudos afirmam que a hipotonia das estruturas orofaríngeas está diretamente relacionada com a Roncopatia, sendo esta altamente prevalente em idosos. Um instrumento que avalie as caraterísticas miofuncionais orofaríngeas vai proporcionar um melhor conhecimento das alterações inerentes ao Ronco. Objetivos: Realizar a adaptação, para o Português Europeu, do protocolo de Avaliação Miofuncional Orofacial MBGR - adaptado para AOS e Ronco; Realizar a validação cultural da adaptação, para o Português Europeu, do protocolo de Avaliação Miofuncional Orofacial MBGR – adaptado para AOS e Ronco; Identificar as caraterísticas Miofuncionais Orofaciais de um grupo de indivíduos com Roncopatia. Metodologias: Adaptação do referido instrumento para o Português Europeu e consequente validação cultural, realizada por peritas de Língua Portuguesa e peritas em Motricidade Orofacial tendo sido igualmente aplicado a 8 indivíduos com Roncopatia. Resultados: Após as várias fases de adaptação do protocolo e aplicação a 8 elementos chegou-se ao protocolo adequado para medir o constructo a que se propõe. 6 indivíduos com Roncopatia são do sexo feminino. 100% da amostra apresenta a língua no assoalho da boca, como posição habitual, sendo que 87% tem uma largura de língua aumentada. 6 elementos da amostra têm o palato duro alto e estreito. O palato mole é identificado com assimetria e uma grande extensão. Metade da amostra apresenta úvula muito longa. Conclusões: O protocolo padronizado, aqui apresentado, é fundamental para nortear o tratamento, diminuindo as alterações Miofuncionais Orofaciais, reduzindo o ronco e melhorando a qualidade de sono do indivíduo.