904 resultados para very slow


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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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A hanseníase é uma doença infecciosa crônica, granulomatosa, de curso lento, causada pelo Mycobacterium Leprae. O bacilo acomete principalmente os nervos periféricos, causando lesões na face, mãos e pés, que podem gerar incapacidades físicas severas que contribuem para a instalação de padrões deformantes e incapacidades. A lesão do tipo mão em garra é uma sequela que pode ser observada em pacientes com lesões ao nível dos membros superiores sendo muito incapacitante, dificultando a realização das atividades de vida diária destes indivíduos e consequentemente prejudicando sua qualidade de vida e satisfação pessoal. Estas lesões geram repercussões no contexto de vida do indivíduo contribuindo para a instalação de alterações nos aspectos psicoemocionais, além do estigma próprio da doença. A intervenção terapêutica ocupacional utilizando a tecnologia assistiva de baixo custo para auxílio nas atividades de vida diária de pacientes com mão em garra objetiva a minimização dos déficits funcionais apresentados durante a utilização de adaptações funcionais utilizadas na realização de suas atividades cotidianas como alimentação, higiene pessoal e vestuário. A intervenção realizou-se através da aplicação de um protocolo de avaliação em Terapia Ocupacional conhecido como Medida Canadense de Desempenho Ocupacional (COPM) que mede o grau de desempenho e Satisfação do paciente ao realizar suas atividades de vida diária. O protocolo foi aplicado inicialmente junto aos pacientes coletando dados sobre a realização das suas atividades de vida diária sem a utilização de recursos de tecnologia assistiva. A aplicação do protocolo baseou-se na definição de cinco problemas comuns a todos os participantes, revelando graus muito baixos de desempenho e satisfação obtidos durante a realização das atividades avaliadas. Posteriormente realizou-se o processo de prescrição, confecção e treinamento das adaptações desenvolvidas para cada paciente, somando-se um total de cento e vinte aparelhos (120) desenvolvidos. Aplicou-se novamente o mesmo protocolo com os mesmos pacientes abordando os mesmos problemas após a realização de um período de treinamento das adaptações funcionais desenvolvidas, comparando-se os dados coletados no primeiro e segundo COPM. Comparando-se aos dados iniciais apresentados, os dados coletados na segunda avaliação do COPM apontaram um aumento significativo do grau de desempenho e satisfação dos pacientes além de ganho funcional. Concluí-se com esta pesquisa que a proposta de intervenção terapêutica ocupacional utilizando equipamentos de tecnologia assistiva de baixo custo (adaptações) é viável, possui resultados satisfatórios e favorece um grande alcance social devido à redução de custos dos dispositivos desenvolvidos.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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BackgroundRetinopathy of prematurity (ROP) is a complex condition of the developing retinal blood vessels and is one of the leading causes of preventable childhood blindness. Several risk factors for ROP have been studied over the past 50 years. Among them, general immaturity (low birth weight and low gestational age) and prolonged oxygen therapy have been consistently related to disease onset. However, it is understood that the progression of the disease is multifactorial and may be associated with others risk factors, such as multiple gestation, apnoea, intracranial haemorrhage, anaemia, sepsis, prolonged mechanical ventilation, multiple transfusions and light exposure. Furthermore, the precise role of these individual factors in the development of the disease has not yet been well established.ObjectivesTo determine whether the reduction of early environmental light exposure reduces the incidence of retinopathy of prematurity (ROP) or poor ROP outcomes among very low birth weight infants.Search methodsWe searched the following databases: the Cochrane Neonatal Group Specialised Register, CENTRAL (The Cochrane Library), MEDLINE, EMBASE, CINAHL, HealthSTAR, Science Citation Index Database, CANCERLIT, the Oxford Database of Perinatal Trials and www.clinicaltrials.gov. We also searched previous reviews including cross-references, abstracts, conference and symposia proceedings, and contacted expert informants. This search was updated in October 2012.Selection criteriaRandomised or quasi-randomised controlled trials that reduced light exposure to premature infants within the first seven days following birth were considered for this review. We also considered cluster-randomised controlled trials.Data collection and analysisData on clinical outcomes including any acute ROP and poor ROP outcome were extracted by both review authors independently and consensus reached. We conducted data analysis according to the standards of the Cochrane Neonatal Review Group.Main resultsData from four randomised trials with a total of 897 participants failed to show any reduction in acute ROP or poor ROP outcome with the reduction of ambient light to premature infants' retinas. The overall methodological quality of the included studies was about evenly split between those in which the classification was unclear and those in which the studies were categorised as low risk of bias. There was no report on the secondary outcomes considered in this review: quality of life measures; and time of exposure to oxygen.Authors' conclusionsThe evidence shows that bright light is not the cause of retinopathy of prematurity and that the reduction of exposure of the retinas of premature infants to light has no effect on the incidence of the disease.

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The Orchidaceae is one of the most numerous and diversified families in the Plant Kingdom. Miltonia flavescens Lindl. is a native orchid to the southern region of Brazil. Studies related to the nutrition and fertilization of orchids are scarce, specific and existent only for few species. The objective of this work was to evaluate the effect of different doses of a slow release fertilizer (Osmocote (R) 9/15/12 + micro) on the development of M. flavescens var. stellata Regel cultivated in pots with pine bark and coconut fiber (1:1, v:v) as the substrate. The treatments consisted of: no fertilizer application (control), application of 2.5 g, 5 g and 10 g of fertilizer per liter of substrate. The experimental design was set in randomized blocks, with five replications and three plants per plot. The experiment was carried out along 25 months and the fertilizer was applied every five months. The evaluated plant parameters were: length of the longest pseudobulb, number of pseudobulbs, diameter of pseudobulbs, number of shoots, number of leaves and flowering. There was a significant increment on all evaluated characteristics with the increase of the fertilizer dose. The highest dose provided a more profuse flowering, with a larger number of flower stems and flowers, in addition to bigger flower stems and flowers. These results show that the supply of nutrients in an appropriate amount is of a great importance for the development and flowering of M. flavescens.

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

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The organization of the inclusive education is a slow and complex process, which has the necessity of investments in supports for all the scholar team. Aiming at spreading one of the actions carried out for the promotion of the inclusive educational practices in a municipal education system in a western city in the state of São Paulo, this paperwork has the objective of presenting an elaborated manual of orientations for the implementation of the individual curricular adaptations (ACIs) for students who demand special educational necessities (NEEs). The material was constituted on the basis of three data sets: 1) tabulation of the evaluations of the curricular adaptations already made; 2) the literature review; 3) analysis of the themes which have emerged during case discussion meetings mediated by the researchers with teachers from the Specialized Pedagogical Support Service (SAPE), with teachers and administrators from the common education system and the technical-pedagogical team. The final version of the manual contemplates the theoretical-operational aspects about the themes: flexibility and curricular adequation, inclusive education, definitions of NEEs, how SAPE works; and it finishes with a model proposal of ACI. It is expected that the spreading of this material can subside new curricular propositions for students with deficiency that are very distant from the academic level expected for the current scholar year.

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Background: Late-onset sepsis (LOS) is an important cause of morbidity and mortality in very low birth weight (VLBW) infants.Aim: To determine the incidence, risk factors and etiology of LOS.Methods: LOS was investigated in a multicenter prospective cohort of infants at eight public university neonatal intensive care units (NICUs). Inclusion criteria included inborn, 23-33 weeks of gestational age, 400-1499 g birth weight, who survived >3 days.Results: Of 1507 infants, 357 (24%) had proven LOS and 345 (23%) had clinical LOS. Infants with LOS were more likely to die. The majority of infections (76%) were caused by Gram-positive organisms. Independent risk factors for proven LOS were use of central venous catheter and mechanical ventilation, age at the first feeding and number of days on parenteral nutrition and on mechanical ventilation.Conclusion: LOS incidence and mortality are high in Brazilian VLBW infants. Most risk factors are associated with routine practices at NICU.

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Given the increasing demand for fossil fuels to power the engines of the global economy, and also the slow process of synthesis of oil, it becomes necessary to develop new sources of renewable energy in addition to improve promising sources that already exist, turning them competitive. Based on this, biomass is shown very promising between the most popular energy sources due to its availability, applicability, and above all, the fact of not emitting green house gases when analyzing the whole carbon cycle. In this sense, this work presents, through an environmental, technical and economic analysis, the impact in an aluminum mill of replacing the use of electricity, in one process, by a boiler fueled with biomass from waste process of packaging the finished product with pallets. Thus, besides the reduction of CO2 emissions, financial gains are targeted, since the main goal of the corporations that require such power is to maximize its profits

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Because the routine use of frozen semen has some limitation that don´t permit its use in a large-scale, it is necessary to use the cooled semen. The equine cooled semen is normally used to enable that a genetic material with high quality be spread over long distances. When it reaches the temperature of refrigeration, the sperm metabolic activity decreases and the free radicals formation minimize. These ones cause irreversible damages to the sperm cells and, so, its lower formation is very advantageous. However, when we manipulate the semen using conservation techniques, like refrigeration, it is necessary to be aware about the sperm characteristics and fragilities, because, if performed erroneously, this technique can be harmful to the sperm function as well as to the time of sperm capacitation and acrosome reaction. It is necessary that cooling rate is slow and that the time and the storage temperature of the sperm obey the ranges that are already established. Moreover, we should make use of diluents and obtain the ideal sperm dilution, so that its use can be optimized. It´s also important to emphasize that to obtain good fertility rates, the semen, after processed (collected and diluted) must be conditioned in recipients specially developed for this purpose