1000 resultados para CASOS
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An important tool for organizational change is the standardization of procedures for developing standards so that companies have greater control, thus providing a broad view of their processes and needs. This paper presents and analyzes a model of standard processes developed by the bakeries in PROPAN (Support Programme Bakery), detailing each stage of deployment to evaluate both its benefits for companies and employees and its shortcomings, to make proposals for improvements. Five bakeries were selected for this multi-case study, whose methodology consists of qualitative research using semi-structured interviews, on-site observations and document analysis. The main positive points of the model are the possibility of standardized recipes and procedures, a large decrease in wasted raw material and a significant increase in worker productivity. The main challenges are the lack of employee and owner commitment to the project, the lack of materials needed for deployment and the resistance of employees to change.
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Twelve granulomatous lesions in the thoracic and pelvic limbs of horses from pantaneira breed were evaluated. It was performed suggestive diagnostic of cutaneous pythiosis according to the clinic characteristics of the lesions and histopathological exams using hematoxylin and eosin (HE) and Grocott's methenamine silver (GMS) stains. The confirmation of the diagnoses was performed by the labelled streptavidin biotin (LSAB) method (immunohistochemistry). Extensive focal pyogranulomatous dermatitis associated with pseudo hyphae characteristic of Pythium insidiosum (subcutaneous pythiosis) was the histopathological diagnosis for all 12 horses used in this study. It was confirmed in 100% of the cases by the positive result to Pythium insidiosum in the immunohistochemistry exam, characterized by the visualization of branched and septated structures. It was observed 100% of parity between the techniques. We can conclude that clinical characterization of the granulomatous lesions with pythiosis aspects in horses associated with histopathology suggestive of equine pythiosis constitute a reliable method of diagnostic that can be confirmed by immunohistochemistry technique.
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Pós-graduação em Geografia - IGCE
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Although one cannot prevent the birth of human beings with cleft palate lesions one can adopt attitudes and various procedures entirely viable to rehabilitate and recuperate these persons through a team work composed of the facilities of a hospital, physician, dentist, psychotherapist, epeech pathologist, pedagogue and a social worker. In order to reduce the suffering of these patients we took up this work to prove that even if not in an ideal manner nevertheleses in an acceptable one we can reintegrate these persons to their families, friends and social milieu, offering them more security in their social, psychic and human relationships. We have made a review of the literature during the last three decades where we found many possibilities of prosthetic recuperations which concerns esthetics, mastication and maxillomandibular relationships beyond allowing these pacients conditions to perform satisfactory the functions of deglution and speech. We have selected and executed 5 clinical cases out of 15 pacients formely choosen looking to different prosthetic plannings. We have also shown the major contribution that the osseous integrated implants can offer to the rehabilitation and recuperation of pacients whith congenitall labio palatal lesions. To simplify the understanding we tried to discuss the most varied types of prosthesis in well defined subjects having a separate approach for each of them and we still showed that the specificity of each case leads to a specific type of rehabilitation founded om esthetics, occlusion, osseous suport, edentulous space, and above all based in the common sense and Professional integrity
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Examine the effects Global Postural Reeducation, (GPR) in hyperkyphosis and respiratory variables in the elderly was the objective in the research. For this, two elderly participated, one is 62 years old (voluntary 1) and another is 66 years old (voluntary 2), without lung, heart, kidney and/or skeletal-muscle diseases diagnosed. The volunteer have been assessed for Quality of Life (QOL) through the questionnaire SF-36, the degree of toracic kyphosis, the muscular respiratory strength and the thoracic-abdominal mobility. The GRP treatment consisted in eight sessions applied, once one hour each session. After the eight sessions the volunteer were reevaluated. The data concerning assessments before and after treatment were analysed describly. According to the results there was an improvement in the degree of kyphosis in both volunteers, highlighting voluntary 2. Respiratory variables also improvements after treatment. In relation to the Quality of life in most areas there has been an increase in scores indicating improved QOL. These data showed that the GPR has been effective to decrease the level of kyphosis, improves respiratory variables and the quality of life in the elderly treated. However, further work with a greater number of subjects must be carried out to analyze the effectiveness of therapy in the elderly.
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O objetivo deste trabalho é relatar dois casos de pacientes com síndrome de Cornelia de Lange, comparando seus quadros clínicos com os achados da literatura e ressaltando a variabilidade fenotípica existente que, eventualmente, pode dificultar o diagnóstico. São apresentados os relatos de dois pacientes com a síndrome. No primeiro caso a criança tem um quadro típico clássico, enquanto a segunda apresenta uma forma moderada da síndrome. O diagnóstico da síndrome de Cornelia de Lange é eminentemente clínico. A despeito de três genes terem sido identificados como possíveis causadores dessa síndrome, exames moleculares para confirmação diagnóstica não estão disponíveis na prática médica cotidiana e, mesmo quando factíveis, podem não confirmar uma suspeita clínica. Neste artigo se discutem as distintas apresentações fenotípicas da síndrome e os critérios clínicos mínimos necessários para confirmação diagnóstica.
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Pós-graduação em Engenharia de Produção - FEB
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Squamous cell carcinoma is a keratinocytes malignant tumor, the definitive diagnosis of this disease is based on histopathology examination of the lesions. The cats nostrils is one of regions commonly affected by this neoplasm. The response to chemotherapeutic agents, cryosurgery and radiotherapy is poor and for this reason surgical resection is instituted for remove the greatest amount of tissue engaged and provide free margins, in case of nasal involvement are indicated nosectomy often needing reconstructive techniques using as advance flaps for synthesis of surgical wounds. Due to the high incidence of feline patients with this entity, this study aims to report and discuss the effectiveness of nosectomy in seven cats with the disease. It is concluded that nosectomy as a therapeutic technique effective in five of seven cats, resecting tumor margin and providing acceptable time and quality life.
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The Auditory Evoked Middle Latency Response is one of the most promising objective tests in audiology and in revealing brain dysfunction and neuro-audiologic findings. The main advantages of its clinical use are precision and objectivity in evaluating children. This study aimed to analyze the auditory evoked middle latency response in two patients with auditory processing disorder and relate objective and behavioral measures. This case study was conducted in 2 patients (P1 = 12 years, female, P2 = 17 years old, male), both with the absence of sensory abnormalities, neurological and neuropsychiatric disorders. Both were submitted to anamnesis, inspection of the external ear canal, hearing test and evaluation of Auditory Evoked Middle latency Response. There was a significant association between behavioral test and objectives results. In the interview, there were complaints about the difficulty in listening in a noisy environment, sound localization, inattention, and phonological changes in writing and speaking, as confirmed by evaluation of auditory processing and Auditory Evoked Middle Latency Response. Changes were observed in the right decoding process hearing in both cases on the behavioral assessment of auditory processing; auditory evoked potential test middle latency shows that the right contralateral via response was deficient, confirming the difficulties of the patients in the assignment of meaning in acoustic information in a competitive sound condition at right, in both cases. In these cases it was shown the association between the results, but there is a need for further studies with larger sample population to confirm the data.
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O presente trabalho apresenta estudos de casos de expressões audiovisuais reunidas por Jan Simons sob a denominação de narrativas complexas, propondo a sua utilização como referência para aplicação de interação na TV Digital. O corpus é constituído das seguintes produções submetidas a essa classificação: forking path narratives e puzzle films com The Butterfly Effect (Erci Bress e J. Mackye Gruber, 2004); mind-game films com Lola Rennt (Tom Tykwer, 1998); modular narratives com Nine Lives (GPS films, 2005), database narratives e modular narratives com Pulp Fiction (Quentin Tarantino, 1994); network narratives com Babel (Alejandro Gonzalez, 2006) e subjectives stories com Being John Malkovich (Spike Jonze, 1999). Compreendida como uma técnica de seleção e articulação de fragmentos de sentidos na composição do discurso audiovisual, aponta-se a montagem como um mecanismo propulsor de interação, manifestada pela transferência da sincronização dos módulos de sentidos que compõe a mensagem ou na construção de discursos audiovisuais com linearidade que se difere do nível dos acontecimentos. A pesquisa gerou um capítulo de livro, duas publicações em revistas científicas, além de integrar anais de diversos eventos acadêmicos
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Este trabalho tem como objetivo levantar o número de casos encaminhados ao Conselho Tutelar de Rio Claro no ano de 2007, caracterizar os motivos e as queixas que originaram esses encaminhamentos, verificar as orientações dadas pelos Conselheiros e mapear os bairros da cidade que foram atendidos pelo Conselho. O trabalho está baseado em pesquisa bibliográfica, análise das planilhas que são preenchidas mensalmente e dados coletados em entrevistas realizadas com duas Conselheiras Tutelares. Foi constatado que o Conselho Tutelar de Rio Claro registrou, naquele ano, 227 casos, sendo 441 novos, 597 retornos e 189 acompanhamentos de casos. As queixas registradas são as mais diversas, indo de violência sexual até requisição de certidão de nascimento. Predominam queixas de evasão escolar e reiteração de faltas, seguida pelas de maus tratos e comportamental. Com relação às medidas aplicadas pelos Conselheiros à criança ou adolescente, predomina aquela relativa à matrícula e freqüência obrigatória em estabelecimento oficial de ensino fundamental. Já no que diz respeito às medidas aplicadas aos pais ou responsáveis, a medida de maior registro foi a de orientação, seguida pela de obrigação em matricular filho e acompanhar sua freqüência e aproveitamento. Verificou-se também que não somente os bairros periféricos da cidade são atendidos pelo Conselho Tutelar, mas também bairros considerados de classe média e alta.
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This work proposes a study on the materials selections and processes for the manufacture of aircraft and showing a methodology to reduce the manufacturing cost. The DFMA can be understood as a methodology that aims at reducing manufacturing and assembly costs and coupled with the increase of product quality through design simplifications. The most commonly material used in the manufacture of aircraft is aluminum alloys due to these possess great structural strength, good elasticity, and being stainless having a low specific weight (about 1/3 that of steel), reducing the weight of the aircraft. A case study in which an operation in the process of verifying the quality was generating unnecessary costs time / man for the company was also developed. The problem solution was simple, just removing the attachment process. It was found that the DFMA methodology is extremely important for the simplification of processes and projects, contributing to the reduction of manufacturing costs of aircraft
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A utilização de programas computacionais específicos como ferramentas para análise estatística em identificação humana e de vínculos genéticos tem se tornado imprescindível, principalmente em casos de maior complexidade ou em grande escala. A análise de casos em que há genealogia incompleta gera resultados inconclusivos tornado os cálculos estatísticos mais laboriosos, consumindo tempo e pessoal qualificado. Os objetivos desse estudo são: o estudo simulado de casos reais de identificação humana e vínculos genéticos em situações especiais (meios irmãos na ausência dos pais, reconstrução), utilizando programas computacionais livres de cálculos estatísticos como ferramenta; a verificação do melhor programa livre de análise estatística disponível para utilização nos centros públicos brasileiros; e o levantamento estatístico dos casos reais brasileiros (vínculos genéticos, negatória, exclusão) para se obter uma visão da realidade brasileira em relação às suas relações familiares. Os principais métodos foram: análise das informações contidas nas fichas de registro e documentos anexados aos exames de vínculo genético dos participantes; e inserção nos softwares dos resultados de perfis genéticos obtidos de diferentes casos, de acordo com as especificações de uso. A amostra populacional dos casos analisados nesse trabalho incluiu 3.871 indivíduos. Em relação aos casos reais brasileiros, o exame de vínculo genético mais requisitado foi o de paternidade tipo trio; 68% dos casos incluíram o suposto pai como o pai biológico e 27% dos supostos pais estavam registrados na certidão de nascimento do filho e requisitaram o exame de paternidade para confirmá-la. A taxa de mutação encontrada variou de 0,4 a 2 x 10-3 per locus per gamete per generation. Após os estudos simulados... (Resumo completo, clicar acesso eletrônico abaixo)