Vulnerabilidade dos recursos hídricos subsuperficiais na área urbana central do município de Araçatuba-SP

Pós-graduação em Engenharia Civil - FEIS

O poder da rede na materialização de programas de desenvolvimento rural: território da cidadania Região Central/RS

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Aplicação de modelagem hidrológica associada à análise geoespacial, para caracterização da vazão na micro Central Hidroelétrica Ilha Anchieta - SP

Pós-graduação em Engenharia Mecânica - FEG

Análise quali-qualitativa e por meio de sistema de informações geográficas da arborização do quadrilátero central de Ribeirão Preto, SP

Pós-graduação em Agronomia (Produção Vegetal) - FCAV

Planejamento estratégico em São Paulo: projeto de revitalização central Nova Luz

O presente trabalho analisa criticamente o Projeto de “Requalificação Urbana Nova Luz”, localizado no bairro de Santa Ifigênia em São Paulo, iniciado no ano de 2005 e atualmente em curso. A área abrangida pelo projeto tem aproximadamente 362 mil metros quadrados, é circunscrita pelas ruas Mauá, Av. Cásper Líbero, Av. Ipiranga, Av. São João e Av. Duque de Caxias. Na abordagem inicial colocada pelo projeto emerge o Planejamento Estratégico com um programa cultural e principal motivador de retorno financeiro aos setores imobiliários e de requalificação urbana. Neste cenário, políticas de revitalização são associadas a programas de promoção cultural de museus e monumentos arquitetônicos, recriando uma nova imagem da cidade. Em diversas literaturas a respeito dos programas de revitalização em áreas centrais, é apontado com freqüência - como resultado desses processos - o surgimento do fenômeno de gentrificação, que implica numa substituição dos antigos moradores dessas áreas por outros com maior poder aquisitivo. Essa dinâmica de produção de um espaço revitalizado é geralmente amparada por flexibilizações de Leis e Instrumentos Urbanísticos, bem como financiamentos de agências multilaterais que fixam parâmetros e exigências para liberação dos recursos

Zoneamento acústico urbano e mapeamento de níveis sonoros na zona central de Rio Claro (SP): diretrizes para o gerenciamento do ruído integrado ao planejamento ambiental urbano

Considering the growing degradation of the urban environmental quality resulting from the progressive sound pollution increase, as well as the consequent harmful effects about the human health, the present study had its central objective the argument and management tools implementation of the urban noise that can be integrated to the environmental planning in the city of Rio Claro (SP). Therefore, normative and bibliographical revisions were developed, that made feasible the directives of control argument and prevention of the urban noise, as well as the technical procedures of sound levels and evaluation’s definition and especially about the criteria applicable for the elaboration of an urban acoustic zoning methodology. Among the main results obtained detach: (1) the applicable legislation to the management of urban noise’s synthesis and argument; (2) the methodology of urban acoustic zoning development and (3) its implementation to determined areas of Rio Claro (SP) with the (4) respective cartography representation; (5) the mapping of sound levels in the central zone of Rio Claro (SP), (6) the obtaining and analysis of noise describers (LAeq, Lmáx, L10, L50, L90, Lmin and TNI) and the subsequent (7) acoustic maps elaboration for the main describers.

O Sistema de Gestão Ambiental e sua contribuição socioambiental para a biblioteca central da UNESP, Campus Rio Claro/SP

The minimization and mitigation of environmental impacts caused by the activities of organizations is increasingly becoming a key concern due to factors such as market demand, including suppliers and consumer markets, quality standards and even marketing strategies. The implementation of an EMS - Environmental Management System - allows the organization to achieve the level of environmental performance for its determined and promotes continuous improvement over time. This system consists of a schedule of activities, so as to eliminate or minimize impacts to the environment through preventive actions. It also provides a structured approach to set and achieve goals and objectives, and to establish procedures, work instructions and control, ensuring that the implementation of the policy can become reality. The objective of this work consists in planning a system using environmental management based on the ISO 14001 - standard internationally more widespread and accepted in the requirements to establish and operate an EMS - the Central Library, UNESP, Rio Claro / SP to stimulate the quest for continuous improvement and sustainability in the educational institution. For making the diagnosis of this planning was used the PDCA methodology, suggested by the standard, as well as all requirements for compliance. The results show that the benefits that the organization will receive involve reducing expenses and cost of energy and water, and improve the organization's reputation before the whole university and other educational institutions, reaching about three thousand people on university

Análise da proposta de melhoria do fluxo na área comercial central do municípo de Rio Claro-SP

The development of medium-sized cities in recent decade, caused, partly, by the industrial deconcentration process generated, beyond benefits, several problems for these cities population. The unplanned rapid growth of these cities, together with the capitalist model of production collaborated for the increase of socioeconomics questions in these locations. The urban mobility became one of these problems, embarrassing citizen’s lives, especially in downtown area. Therefore, the State began looking for solutions to improve urban mobility of the population, contributing to their quality of life and also to adapt the city to new market demand. In these work, we analyzed the situation of Brazilian medium-sized cities downtown area, as well as its growth process, tanking as an example the case of the city of Rio Claro – SP and it´s Public Administration proposal to improve the flow and urban mobility in a particular street in the town´s commercial centre

Comportamento do IDEB nos municípios paulistas da região de Barretos e região central: algumas discussões para responsabilização e comprometimento

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Tratamento ortodôntico da agenesia de incisivo lateral superior com envolvimento de fratura radicular de incisivo central superior

Patients with agenesis of maxillary lateral incisor must have in your planning functional and aesthetic considerations, important to the success of the treatment, regardless of whether the choice of treatment is closing or opening and maintenance of space for rehabilitation with prosthesis. This choice will depend on factors such as skeletal and tooth structure and profile. Children and adolescents are the group of individuals most exposed to trauma and fracture of the maxillary lateral incisor due to the activities they perform. Proper diagnosis and good treatment are essential to the success of the treatment. This article aims to report a case of agenesis of the maxillary lateral incisor along with the involvement of a root fracture of the maxillary central incisor. The orthodontic treatment was successfully finished with a favorable prognosis for the fractured incisor to stay in a esthetic and functional position.

Mapeamento geológico-geotécnico do núcleo urbano central do município de Ilhabela - SP

Pós-graduação em Geociências e Meio Ambiente - IGCE

An interactive surgical planning tool for acetabular fractures: initial results

Background Acetabular fractures still are among the most challenging fractures to treat because of complex anatomy, involved surgical access to fracture sites and the relatively low incidence of these lesions. Proper evaluation and surgical planning is necessary to achieve anatomic reduction of the articular surface and stable fixation of the pelvic ring. The goal of this study was to test the feasibility of preoperative surgical planning in acetabular fractures using a new prototype planning tool based on an interactive virtual reality-style environment. Methods 7 patients (5 male and 2 female; median age 53 y (25 to 92 y)) with an acetabular fracture were prospectively included. Exclusion criterions were simple wall fractures, cases with anticipated surgical dislocation of the femoral head for joint debridement and accurate fracture reduction. According to the Letournel classification 4 cases had two column fractures, 2 cases had anterior column fractures and 1 case had a T-shaped fracture including a posterior wall fracture. The workflow included following steps: (1) Formation of a patient-specific bone model from preoperative computed tomography scans, (2) interactive virtual fracture reduction with visuo-haptic feedback, (3) virtual fracture fixation using common osteosynthesis implants and (4) measurement of implant position relative to landmarks. The surgeon manually contoured osteosynthesis plates preoperatively according to the virtually defined deformation. Screenshots including all measurements for the OR were available. The tool was validated comparing the preoperative planning and postoperative results by 3D-superimposition. Results Preoperative planning was feasible in all cases. In 6 of 7 cases superimposition of preoperative planning and postoperative follow-up CT showed a good to excellent correlation. In one case part of the procedure had to be changed due to impossibility of fracture reduction from an ilioinguinal approach. In 3 cases with osteopenic bone patient-specific prebent fixation plates were helpful in guiding fracture reduction. Additionally, anatomical landmark based measurements were helpful for intraoperative navigation. Conclusion The presented prototype planning tool for pelvic surgery was successfully integrated in a clinical workflow to improve patient-specific preoperative planning, giving visual and haptic information about the injury and allowing a patient-specific adaptation of osteosynthesis implants to the virtually reduced pelvis.

Strategic Emergency department design: An approach to capacity planning in healthcare provision in overcrowded emergency rooms

Healthcare professionals and the public have increasing concerns about the ability of emergency departments to meet current demands. Increased demand for emergency services, mainly caused by a growing number of minor and moderate injuries has reached crisis proportions, especially in the United Kingdom. Numerous efforts have been made to explore the complex causes because it is becoming more and more important to provide adequate healthcare within tight budgets. Optimisation of patient pathways in the emergency department is therefore an important factor. This paper explores the possibilities offered by dynamic simulation tools to improve patient pathways using the emergency department of a busy university teaching hospital in Switzerland as an example.

The new final Clinical Skills examination in human medicine in Switzerland: Essential steps of exam development, implementation and evaluation, and central insights from the perspective of the national Working Group

Objective: Since 2011, the new national final examination in human medicine has been implemented in Switzerland, with a structured clinical-practical part in the OSCE format. From the perspective of the national Working Group, the current article describes the essential steps in the development, implementation and evaluation of the Federal Licensing Examination Clinical Skills (FLE CS) as well as the applied quality assurance measures. Finally, central insights gained from the last years are presented. Methods: Based on the principles of action research, the FLE CS is in a constant state of further development. On the foundation of systematically documented experiences from previous years, in the Working Group, unresolved questions are discussed and resulting solution approaches are substantiated (planning), implemented in the examination (implementation) and subsequently evaluated (reflection). The presented results are the product of this iterative procedure. Results: The FLE CS is created by experts from all faculties and subject areas in a multistage process. The examination is administered in German and French on a decentralised basis and consists of twelve interdisciplinary stations per candidate. As important quality assurance measures, the national Review Board (content validation) and the meetings of the standardised patient trainers (standardisation) have proven worthwhile. The statistical analyses show good measurement reliability and support the construct validity of the examination. Among the central insights of the past years, it has been established that the consistent implementation of the principles of action research contributes to the successful further development of the examination. Conclusion: The centrally coordinated, collaborative-iterative process, incorporating experts from all faculties, makes a fundamental contribution to the quality of the FLE CS. The processes and insights presented here can be useful for others planning a similar undertaking. Keywords: national final examination, licensing examination, summative assessment, OSCE, action research

Ultra-low-dose dual-source CT coronary angiography with high pitch: diagnostic yield of a volumetric planning scan and effects on dose reduction and imaging strategy

OBJECTIVE To evaluate the role of an ultra-low-dose dual-source CT coronary angiography (CTCA) scan with high pitch for delimiting the range of the subsequent standard CTCA scan. METHODS 30 patients with an indication for CTCA were prospectively examined using a two-scan dual-source CTCA protocol (2.0 × 64.0 × 0.6 mm; pitch, 3.4; rotation time of 280 ms; 100 kV): Scan 1 was acquired with one-fifth of the tube current suggested by the automatic exposure control software [CareDose 4D™ (Siemens Healthcare, Erlangen, Germany) using 100 kV and 370 mAs as a reference] with the scan length from the tracheal bifurcation to the diaphragmatic border. Scan 2 was acquired with standard tube current extending with reduced scan length based on Scan 1. Nine central coronary artery segments were analysed qualitatively on both scans. RESULTS Scan 2 (105.1 ± 10.1 mm) was significantly shorter than Scan 1 (127.0 ± 8.7 mm). Image quality scores were significantly better for Scan 2. However, in 5 of 6 (83%) patients with stenotic coronary artery disease, a stenosis was already detected in Scan 1 and in 13 of 24 (54%) patients with non-stenotic coronary arteries, a stenosis was already excluded by Scan 1. Using Scan 2 as reference, the positive- and negative-predictive value of Scan 1 was 83% (5 of 6 patients) and 100% (13 of 13 patients), respectively. CONCLUSION An ultra-low-dose CTCA planning scan enables a reliable scan length reduction of the following standard CTCA scan and allows for correct diagnosis in a substantial proportion of patients. ADVANCES IN KNOWLEDGE Further dose reductions are possible owing to a change in the individual patient's imaging strategy as a prior ultra-low-dose CTCA scan may already rule out the presence of a stenosis or may lead to a direct transferal to an invasive catheter procedure.