929 resultados para ICD,monitoraggio da remoto,cuore,aritmie cardiache.


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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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A qualidade de vida para o ser humano depende do resultado das relações entre os processos biológicos, ecológicos, culturais e socioeconômicos que acontecem no espaço. Assim, a preocupação com a influência de zonas urbanas sobre o meio ambiente e a população tem sido um tema de crescente importância no Brasil, associando o desenvolvimento de novas políticas de gestão e reestruturação de grandes cidades. Nessa discussão, incluiu-se a questão da transformação da paisagem em ambientes urbanos, com impacto na manutenção dos serviços ecossistêmicos e na qualidade de vida da população humana. Este estudo propôs a caracterização da evolução da cobertura e uso do solo para a cidade de Carapicuíba, na Grande São Paulo, através da elaboração de seis mapas temáticos de uso e ocupação do solo do município, entre o período de 1962 e 2013. Além disso o projeto também pretendia fazer a modelagem de cenários futuros de mudanças, através de uma abordagem baseada no uso integrado de sensoriamento remoto, sistema de informações geográficas e modelos espaciais dinâmicos. Os mapas temáticos foram elaborados através de três mosaicos de fotografias aéreas adquiridas em 1962, 1972 e 1994, uma imagem orbital do sensor Ikonos de 2002, um mosaico de ortofotos aéreas adquirido em 2008, e uma imagem do sistema orbital RapidEye adquirida em 2013, para avaliação da dinâmica de ocupação da superfície da terra. As datas de imageamento disponíveis conseguiram representar momentos diferentes na história do município, referentes a acontecimentos importantes e que influenciaram significativamente na alteração da paisagem urbana: o grande crescimento demográfico e a construção das vias de acesso a Carapicuíba. As análises de dados e discussões apontam que o tipo de via de acesso à Carapicuíba e o tipo de uso do solo urbano, influenciaram na estratificação socioeconômica e na conservação de cobertura vegetal...

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This paper presents one proposal of the energy management's model system using photovoltaic panels. The module proposed seeks to monitor photovoltaic panels, which have intermittency in power generation caused by environmental or load conditions, in order to control the coupling between the panel and the load - through the charge controller, of aiming that the panel's operation will be always on the maximum power transfer point as possible. For this, it used the maximum power point tracking technique - MPPT, implemented in LabVIEW software, also utilizing the data acquisition card NI myDAQ. In addition, it was implemented the controller access remote module, from the sharing of network data, so the panels performance can be through a tablet, monitored and controlled with no need for direct contact with the Supervisory server

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This work aimed to carry out a study of the environmental conditions of the Permanent Preservation Areas (PPAs) in the sub-basin of Marimbondo Stream in the city of Jales (SP), through remote sensing techniques and taking as the basis Brazilian environmental legislation, the Forest Code Federal Law Nº 12,651/2012. Permanent Preservation Areas are inserted intrinsically improved conditions in the quantity and quality of water in the areas of springs and along water bodies in rural properties. Therefore, we also carried out studies on the new Forest Code compared to the old Federal Law Order no. 4771/1965 and the observation of its application in the area of sub-basin as well as carrying out the simulation. The results of this research allowed toverify the need for direct implementation of the monitoring measures with the Forest Code, and this water management tool in Brazil, which will ensure sustainable management practices of land use and land cover, with direct benefits to water production, mainly for public supply. Also there was a greater need for involvement by the public actors, the Basin Committee of the São José dos Dourados and the municipal government of Jales, in order to truly act aimed at the protection and maintenance of the water body Stream Wasp

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Pós-graduação em Engenharia Mecânica - FEG

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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A qualidade de vida para o ser humano depende do resultado das relações entre os processos biológicos, ecológicos, culturais e socioeconômicos que acontecem no espaço. Assim, a preocupação com a influência de zonas urbanas sobre o meio ambiente e a população tem sido um tema de crescente importância no Brasil, associando o desenvolvimento de novas políticas de gestão e reestruturação de grandes cidades. Nessa discussão, incluiu-se a questão da transformação da paisagem em ambientes urbanos, com impacto na manutenção dos serviços ecossistêmicos e na qualidade de vida da população humana. Este estudo propôs a caracterização da evolução da cobertura e uso do solo para a cidade de Carapicuíba, na Grande São Paulo, através da elaboração de seis mapas temáticos de uso e ocupação do solo do município, entre o período de 1962 e 2013. Além disso o projeto também pretendia fazer a modelagem de cenários futuros de mudanças, através de uma abordagem baseada no uso integrado de sensoriamento remoto, sistema de informações geográficas e modelos espaciais dinâmicos. Os mapas temáticos foram elaborados através de três mosaicos de fotografias aéreas adquiridas em 1962, 1972 e 1994, uma imagem orbital do sensor Ikonos de 2002, um mosaico de ortofotos aéreas adquirido em 2008, e uma imagem do sistema orbital RapidEye adquirida em 2013, para avaliação da dinâmica de ocupação da superfície da terra. As datas de imageamento disponíveis conseguiram representar momentos diferentes na história do município, referentes a acontecimentos importantes e que influenciaram significativamente na alteração da paisagem urbana: o grande crescimento demográfico e a construção das vias de acesso a Carapicuíba. As análises de dados e discussões apontam que o tipo de via de acesso à Carapicuíba e o tipo de uso do solo urbano, influenciaram na estratificação socioeconômica e na conservação de cobertura vegetal...

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This paper presents one proposal of the energy management's model system using photovoltaic panels. The module proposed seeks to monitor photovoltaic panels, which have intermittency in power generation caused by environmental or load conditions, in order to control the coupling between the panel and the load - through the charge controller, of aiming that the panel's operation will be always on the maximum power transfer point as possible. For this, it used the maximum power point tracking technique - MPPT, implemented in LabVIEW software, also utilizing the data acquisition card NI myDAQ. In addition, it was implemented the controller access remote module, from the sharing of network data, so the panels performance can be through a tablet, monitored and controlled with no need for direct contact with the Supervisory server

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This work aimed to carry out a study of the environmental conditions of the Permanent Preservation Areas (PPAs) in the sub-basin of Marimbondo Stream in the city of Jales (SP), through remote sensing techniques and taking as the basis Brazilian environmental legislation, the Forest Code Federal Law Nº 12,651/2012. Permanent Preservation Areas are inserted intrinsically improved conditions in the quantity and quality of water in the areas of springs and along water bodies in rural properties. Therefore, we also carried out studies on the new Forest Code compared to the old Federal Law Order no. 4771/1965 and the observation of its application in the area of sub-basin as well as carrying out the simulation. The results of this research allowed toverify the need for direct implementation of the monitoring measures with the Forest Code, and this water management tool in Brazil, which will ensure sustainable management practices of land use and land cover, with direct benefits to water production, mainly for public supply. Also there was a greater need for involvement by the public actors, the Basin Committee of the São José dos Dourados and the municipal government of Jales, in order to truly act aimed at the protection and maintenance of the water body Stream Wasp

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Pós-graduação em Engenharia Mecânica - FEG

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Although traditionally obsessive-compulsive disorder (OCD) and impulse control disorders (ICD) have represented opposing ends of a continuum, recent research has demonstrated a frequent co-occurrence of impulsive and compulsive behaviours, which may contribute to a worse clinical picture of some psychiatric disorders. We hypothesize that individuals with 'impulsive' OCD as characterized by poor insight, low resistance, and reduced control towards their compulsions will have a deteriorative course, greater severity of hoarding and/or symmetry/ordering symptoms, and comorbid ICD and/or substance use disorders (SUD). The sample consisted of 869 individuals with a minimum score of 16 on the Yale-Brown Obsessive Compulsive Scale (Y-BOCS). Of these, 65 had poor insight, low resistance, and reduced control towards compulsions ('poor IRC') and 444 had preserved insight, greater resistance and better control over compulsions ('good IRC'). These two groups were compared on a number of clinical and demographic variables. Individuals with poor IRC were significantly more likely to have a deteriorative course (p < 0.001), longer duration of obsessions (p = 0.017), greater severity of symmetry/ordering (p < 0.001), contamination/cleaning (p < 0.001) and hoarding (p = 0.002) symptoms, and comorbid intermittent explosive disorder (p = 0.026), trichotillomania (p = 0.014) and compulsive buying (p = 0.040). Regression analysis revealed that duration of obsessions (p = 0.037) and hoarding severity (p = 0.005) were significant predictors of poor IRC. In the absence of specific measures for impulsivity in OCD, the study highlights the utility of simple measures such as insight, resistance and control over compulsions as a phenotypic marker of a subgroup of OCD with impulsive features demonstrating poor clinical outcome. (C) 2012 Elsevier Ltd. All rights reserved.

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This work analyses the mental health policy-making activity of the Brazilian National Health Agency (ANS), responsible for controlling health insurance companies. Three points are discussed: a) the framework of an economic and private health assistance regulatory activity, b) the ANS and its regulation activity and c) the rules produced by ANS in the mental health care field. It was concluded that, despite advances like the legal obligation to ensure medical treatment to all the diseases listed in ICD-10, the inclusion of suicidal patient damage and self-inflicted damage care, care provided by a multiprofessional team, the increase in the number of sessions with a psychologist, with an occupational therapist and of psychotherapy sessions, and mental health day hospitals included as part of the services offered, the authors identified specific regulatory gaps in this area. Some issues that ANS has to solve so that it can really play its institutional role of defending the public interest in the private health system are: the regulation of co-participation and franchise mechanisms, the increasing co-participation as a limitation of psychiatric hospitalization, and the limited number of crisis intervention psychotherapy sessions.

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Objective: Major Depressive Disorder (MDD) is a debilitating condition with a marked social impact. The impact of MDD and Treatment-Resistant Depression (TRD+) within the Brazilian health system is largely unknown. The goal of this study was to compare resource utilization and costs of care for treatment-resistant MDD relative to non-treatment-resistant depression (TRD-). Methods: We retrospectively analyzed the records of 212 patients who had been diagnosed with MDD according to the ICD-10 criteria. Specific criteria were used to identify patients with TRD+. Resource utilization was estimated, and the consumption of medication was annualized. We obtained information on medical visits, procedures, hospitalizations, emergency department visits and medication use related or not to MDD. Results: The sample consisted of 90 TRD+ and 122 TRD-patients. TRD+ patients used significantly more resources from the psychiatric service, but not from non-psychiatric clinics, compared to TRD-patients. Furthermore, TRD+ patients were significantly more likely to require hospitalizations. Overall, TRD+ patients imposed significantly higher (81.5%) annual costs compared to TRD-patients (R$ 5,520.85; US$ 3,075.34 vs. R$ 3,042.14; US$ 1,694.60). These findings demonstrate the burden of MDD, and especially of TRD+ patients, to the tertiary public health system. Our study should raise awareness of the impact of TRD+ and should be considered by policy makers when implementing public mental health initiatives.

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Monitorar a condição de uso de toda a extensão das rodovias brasileiras é tarefa dispendiosa e demorada. Este trabalho trata de novas técnicas que permitem o levantamento da condição da superfície dos pavimentos rodoviários de forma ágil utilizando imagens hiperespectrais de sensor digital aeroembarcado. Nos últimos anos, um número crescente de imagens de alta resolução espacial tem surgido no mercado mundial com o aparecimento dos novos satélites e sensores aeroembarcados de sensoriamento remoto. Propõe-se uma metodologia para identificação dos pavimentos asfálticos e classificação das principais ocorrências dos defeitos na superfície do pavimento. A primeira etapa da metodologia é a identificação da superfície asfáltica na imagem, utilizando uma classificação híbrida baseada inicialmente em pixel e depois refinada por objetos. A segunda etapa da metodologia é a identificação e classificação das ocorrências dos principais defeitos nos pavimentos flexíveis que são observáveis nas imagens de alta resolução espacial. Esta última etapa faz uso intensivo das novas técnicas de classificação de imagens baseadas em objetos. O resultado final é a geração de índices da condição da superfície do pavimento a partir das imagens que possam ser comparados com os indicadores vigentes da condição da superfície do pavimento já normatizados pelos órgãos competentes no país.

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Introduction: Compulsive buying (CB) is currently classified as an impulse control disorder (ICD) not otherwise classified. Compulsive buying prevalence is estimated at around 5% of the general population. There is controversy about whether CB should be classified as an ICD, a subsyndromal bipolar disorder (BD), or an obsessive-compulsive disorder (OCD) akin to a hoarding syndrome. To further investigate the appropriate classification of CB, we compared patients with CB, BD, and OCD for impulsivity, affective instability, hoarding, and other OCD symptoms. Method: Eighty outpatients (24 CB, 21 BD, and 35 OCD) who were neither manic nor hypomanic were asked to fill out self-report questionnaires. Results: Compulsive buying patients scored significantly higher on all impulsivity measures and on acquisition but not on the hoarding subdimensions of clutter and "difficulty discarding." Patients with BD scored higher on the mania dimension from the Structured Clinical Interview for Mood Spectrum scale. Patients with OCD scored higher on obsessive-compulsive symptoms and, particularly, higher on the contamination/washing and checking dimensions from the Padua Inventory; however, they did not score higher on any hoarding dimension. A discriminant model built with these variables correctly classified patients with CB (79%), BD (71%), and OCD (77%). Conclusion: Patients with CB came out as impulsive acquirers, resembling ICD- rather than BD- or OCD-related disorders. Manic symptoms were distinctive of patients with BD. Hoarding symptoms other than acquisition were not particularly associated with any diagnostic group. (C) 2012 Elsevier Inc. All rights reserved.