944 resultados para Nautical charts
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Pós-graduação em Engenharia Mecânica - FEG
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The aim of this study is to analyze the success of extraoral osseointegrated implants used to support and contain prosthesis designed to rehabilitate craniofacial deformities.Method: This study was based on the retrospective assessment of charts from 59 patients submitted to cancer surgery and who received 164 extraoral implants to contain facial prosthesis.Results: Among 164 implants, 42 were fixed in previously irradiated regions. Eight of the implants did not have osseointegration; and from these, 2 were fixed in irradiated bone. The result show 116 (95.1%) successfully osseointegrated implants in non-irradiated sites. The success rate among 42 implants fixed in previously irradiated bones was 40 (95.3%) osseointegrated implants.Conclusion: The use of extraoral craniofacial implants represents a safe and effective approach to treat facial deformities as a support for the rehabilitation prosthesis. Radiotherapy treatment does not prevent osseointegration.
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Patients submitted to hemodialysis are at a high risk for healthcare-associated infections (HAI). Presently there are scarce data to allow benchmarking of HAI rates in developing countries. Also, most studies focus only on bloodstream infections (BSI) or local access infections (LAI). Our study aimed to provide a wide overview of HAT epidemiology in a hemodialysis unit in southeastern Brazil. We present data from prospective surveillance carried out from March 2010 through May 2012. Rates were compared (mid-p exact test) and temporally analyzed in Shewhart control charts for Poisson distributions. The overall incidence of BSI was 1.12 per 1000 access-days. The rate was higher for patients performing dialysis through central venous catheters (CVC), either temporary (RR = 13.35, 95% CI = 6.68-26.95) or permanent (RR = 2.10,95% CI = 1.09-4.13), as compared to those with arteriovenous fistula. Control charts identified a BSI outbreak caused by Pseudomonas aeruginosa in April 2010. LAI incidence was 3.80 per 1000 access-days. Incidence rates for other HAI (per 1000 patients-day) were as follows: upper respiratory infections, 1.72; pneumonia, 1.35; urinary tract infections, 1.25; skin/soft tissues infections, 0.93. The data point out to the usefulness of applying methods commonly used in hospital-based surveillance for hemodialysis units. (C) 2013 Elsevier Editora Ltda. All rights reserved.
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Abusive consumption of alcohol leads to several negative consequences to health and quality of life, as it increases the frequency of diseases that cause death or functional disabilities. The rates of patients admitted to hospital due to physical problems stemming from alcohol abuse are high. This study aimed at identifying patients according to variables age, gender and education level as well as at evaluating the prevalence of CAGE-positive patients and morbidity due to CID-10 (International Classification of Diseases) by the World Health Organization. It is a cross-sectional, observational, exploratory, descriptive and quantitative study. It was conducted at the Botucatu School of Medicine University Hospital (HC) from July to September 2010, at the Internal Medicine ward. This ward aggregates 5 specialties, namely, Cardiology, Hematology, General Medicine, Nephrology and Gastroclinic. Presently, it has 36 beds, of which four are for Intensive Care Therapy (ICT). Three hundred and ten medical charts were analyzed for identification of morbidities and of variables age, gender and schooling. A closed semistructured questionnaire including, among other questions, the CAGE test was applied to each individual. The CAGE test is a questionnaire that comprises four questions and considers that one who answers two or more of such questions affirmatively is a suspected case of alcoholism. The total population studied included 310 patients. Indexes of 60% (186) male and of 40% (124) female patients were found. As regards age range, a population with a higher prevalence of individuals from 51 to 70 years old (41%) was observed. The main education indexes were: incomplete Elementary School: 23.22% (72), complete Elementary School: 21.61% (67), incomplete Secondary School: 18.40% (57) and Illiteracy: 17.74% (55). As regards diseases, a higher proportion was observed for: ...(Complete abstract click electronic access below)
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This experimental study aimed the evaluation of the use of anthropomorphic phantoms in the analysis of the influence of the acquisition parameters in the contrast of radiographic images. The analyzed factors were the variation of the peak kilovoltage (kVp) and the product of the filament circuit by the time of exposition (mAs). The influence of these factors was verified for different anthropomorphic phantoms: foot, knee and chest. The image contrast behavior with the simulators was compared to values obtained with the use of an aluminum ladder being the behavior of this reference for analysis and discussion. To assure the reproducibility of images, quality control tests were made and evaluation of procedure conditions before the experiments. The results obtained are shown in a scale of images where it was possible to evaluate the impact in the darkness of images. Regions with different compositions were analyzed which were different in image, this way the values of optical density and contrast are represented as charts and graphics. We conclude that the use of anthropomorphic phantoms in the evaluation of the influence of tension of the tube and time of exposition in the contrast of the radiographic images is not indicated for a quantitative analysis through optical density, once they present incompatible results with the data as reference as the aluminum ladder even so these simulators present a great property in qualitative analysis regarding the differentiation of structures and subjective evaluations
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This study aimed to analyze the characteristics of temperature and air humidity from neighborhoods of Presidente Prudente according to the pattern of land use specific to each of them, over a representative period of winter (July 2011), at different times of day in order to identify the major changes in climatic elements and their causes in urban areas. The work is based mainly on the Monteiro’s theory (1976) of Urban Climate System and for its implementation was used data of temperature and relative humidity of the air in three urban neighborhoods and one rural area. With them, a Chart of Rhythmic Analysis was elaborated for identification of the operating atmospherics systems and basic climate conditions in the period. Were prepared, also, graphs and charts to evaluate and compare the data. There were significant differences in the characteristics of temperature and air humidity between the neighborhoods, especially when compared the urban areas with the rural area
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This work evaluates the implementation of Lean Six Sigma into the Steam Turbine’s Blades Manufacturing Process, aiming to improve productivity, quality and operational efficiency. Therefore, several tools have been applied, such as VSM, Spaghetti Diagram, Ishikawa, Pareto, DMAIC, Benchmarking and Control Charts, seeking to propose process improvements, as well as Quality Indicators creation. It was obtained a significant waste reduction throughout the process, achieving a lead time reduction of 42% and 83,41% in transport. Also, were introduced the Lean Thinking concepts, such as pull production and Continuous material flow. At the same time, it was possible to calculate the process capability and the sigma level, evaluating and proposing some improvements
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Cartography is one of the languages that express the knowledge of the geographic space and, therefore, the official curriculum proposals have highlighted the importance of the geography teaching which articulates its contents with this language in primary education. So, we present an analysis of the content selected to the curriculum mapping specifications of the São Paulo faz escola material, specifically for the 6th year of Elementary School II, version 2009. From the perspective of qualitative research, with instruments and techniques of quantitative and qualitative research, we analyzed documents and observed little concern with the proposition works that present the physical and social characteristics of the state of São Paulo. Also, we noticed the lack of concern with representations in local and regional scales. The research brings many examples on the global scale. It explores few activities using graphics and charts. Despite bringing thematic maps in their entirety, it does not show an example of conical projection as well as cartograms and anamorphosis. Furthermore, the trend of a technicist education is announced in the document
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In the last 60 years, many Brazilian cities practically doubled their population contingent. As a result of this process, there was an increase on the occupation level on unstable areas, from a physical point of view, and on the anthropogenic interventions at the natural ambient, reorganizing the existent process and forms. Thus, this work shows the results of the analysis of geomorphological changes deriving from urbanization processes at the Lavapés Stream watershed, located at Rio Claro county (SP). The goal of this work was reached by means of historical-evolutionary geomorphological cartography. To achieve this result, it had been prepared geomorphological and land usage charts for the years of 1962, 1988 and 2010, and a declivity chart. Those scenarios have been analyzed from the point of view of the General Systems Theory. The results were attached into an urban use restrictions chart, which allowed identifying the areas that should not be occupied, by geomorphological view and by environmental law restrictions
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Currently, due to the highly competitive search among industries are becoming more tools for managing product that provides higher availability and therefore profitability. Maintenance as a strategic sector and of fundamental importance in business, it seeks to maximize availability and available resources, minimizing costs and waste, which directly impacts the company's results. The present work has as main objective the review of contracts for maintenance services for companies contracted by a chemical company in the Paraíba Valley, since most of its maintenance services are outsourced, and raise these contracts which are more critical and higher risk to the company's success, thus creating a tool for decision-making by maintenance managers in the act of seeking renewals or new contracts to provide services. As a result after drawing up a standard procedure for contracting of services and a better structuring of the same, we developed a method for the calculation of the criticality of the contracts and based on these calculations, charts were prepared which showed that the current scenario of maintenance contracts the company studied. Thus it is possible to evaluate the contracts which are most critical to the success or failure of the company studied, and also pave the way for further studies on how this criticality of a contract can affect the relationship, the contractor x contracted
Estudo de caso de controle estatístico de processo: levantamento estatístico de defeitos em molduras
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This graduate work approaches the study of Statistical Process Control - SPC, in a stage production of an industrial frame, aiming to use the tool of statistical process control (SPC) to assess the process capability. Where the process needs improvement as well not meet the specifications. Assessing the needs that the company needs to improve quality management, and the difficulties they present during the implementation of the CEP. The present study is to use the method of case study. The results are presented through study of the level of defects using Pareto diagrams and control chart by - (p) fraction defective, and checking the capacity and stability of the process using control charts and histograms XbarraR. The process demonstrated the need for improvements in process and quality management. At the end of the work are presented suggestions for improving the quality system of the company
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Fossil fuels are the main energy sources of the modern industrial age. Very sophisticated processes have been developed to extract these resources, due to increased demand on a global scale, as the extraction of oil. However, the complexity of these processes can cause accidents such as the release of oil to seas and oceans. In this context, this study proposes to carry out the implementation of a system of information to charts of environmental sensitivity to oil and prepare maps of vulnerability to oil for the city of Caraguatatuba-SP. The implementation of the database with geographical information of coastal environments was appropriate to be provided by the Internet, allowing wide access of data. The maps of vulnerability are important tool developed for the Individual Emergency Plans, because they were developed in operational scale, appropriate to actions to combat oil.