Avaliação comparativa da eficácia dos meios de diagnóstico das vulvovaginites: implantação de tecnologia no ensino prático da ginecologia

Inaccurate diagnosis of vulvovaginitis generates inadequate treatments that cause damages women's health. Objective: evaluate the effectiveness of methods when diagnosing vulvovaginitis. Method: a cross-sectional study was performed with 200 women who complained about vaginal discharge. Vaginal smear was collected for microbiological tests, considering the gram stain method as gold standard. The efficacy of the available methods for diagnosis of vaginal discharge was assessed (sensitivity, specificity, positive predictive value and negative predictive value). Data were inserted to Graphpad Prism 6, for statistical analysis. Results: the following results were obtained: wet mount for vaginal candidiasis: sensitivity = 31%; specificity = 97%; positive predictive value (PPV) = 54%; negative predictive value (NPV) =93%; accuracy = 91%. Wet mount for bacterial vaginosis: sensitivity = 80%; specificity =95%; positive predictive value (PPV) = 80%; negative predictive value (NPV) = 95%; accuracy = 92%. Syndromic approach for bacterial vaginosis: sensitivity = 95%; specificity=43%; positive predictive value (PPV) =30%; negative predictive value (NPV) = 97%; accuracy = 54%. Syndromic approach for vaginal candidiasis: sensitivity = 75%; specificity =91%; positive predictive value (PPV) = 26%; negative predictive value (NPV) = 98%; accuracy = 90%. Pap smear for vaginal candidiasis: sensitivity = 68%, specificity = 98%; positive predictive value (PPV) = 86%; negative predictive value (NPV) =96%; accuracy = 96%. Pap smear for bacterial vaginosis: sensitivity = 75%; specificity = 100%; positive predictive value (PPV) = 100%; negative predictive value (NPV) =94%; accuracy = 95%. There was only one case of vaginal trichomoniasis reported – diagnosed by oncological cytology and wet mount – confirmed by Gram. The syndromic approach diagnosed it as bacterial vaginosis. From the data generated and with support on world literature, the Maternidade Escola Januário Cicco’s vulvovaginitis protocol was constructed. Conclusion: Pap smear and wet mount showed respectively low and very low sensitivity for vaginal candidiasis. Syndromic approach presented very low specificity and accuracy for bacterial vaginosis, which implies a large number of patients who are diagnosed or treated incorrectly.

Performance comparativa entre R437A e R134A paradrop-in em um condicionador de ar automotivo

The reduction in energy consumption is the main requirement to be satisfied in refrigeration and air conditioning by mechanical vapor compression system. In automotive system isn´t different. Thermal analyses in these systems are crucial for a better performance in automotive air conditioner. This work aims to evaluate the conditions of use of R134A refrigerant (used in vehicles) and compare with R437A (alternative refrigerant), varying the speed of the electric fan in the evaporator. All tests were performed in automotive air conditioning unit ATR600, simulating the thermal conditions of the system. The equipment is instrumented for data acquisition temperature, condensation and evaporation pressures and electrical power consumed to determine the coefficient of performance of the cycle. The system was tested under rotations of 800, 1600 and 2400 rpm with constant load of R- 134a. It occurred with the same conditions with R437A. Both recommended by the manufacturer. The results show that the best system performance occurs in the rotation of 800 RPM for both refrigerants.

Representações sociais da identidade docente na formação inicial de professores de sociologia da UFRN

La presencia hodierna de la Sociología en la educación básica brasileña es un elemento nuevo para los sujetos que a ella están relacionados y, para el grupo investigado en este estudio, los licenciandos y licenciandas del curso de Ciencias Sociales de la Universidade Federal do Rio Grande do Norte (UFRN), la situación no es diferente. Con el intuito de comprender cómo los saberes aprehendidos durante la formación inicial de profesores influencian el proceso de construcción de la identidad, se investigó las representaciones sociales que eses sujetos construyen cerca de la identidad docente, intentando comprender cómo estos representan las profesoras y profesores de Sociología. Por lo tanto, se hizo una comparación entre los elementos que compusieron los núcleos centrales de las representaciones sociales de los licenciados ingresantes y de los licenciandos en práctica del referido curso, además de un examen del plan de estudios de esa licenciatura. Se adoptó la Teoría de las Representaciones Sociales y el Abordaje Estructural como aporte teórico y de la Técnica de Asociación Libre de Palabras como recurso metodológico. Al llevar a cabo el análisis de los datos obtenidos durante la investigación, se hizo evidente que la memoria, mientras un conjunto de experiencias del sujeto, desarrolla un papel esencial en los procesos de construcción representacional e identificación, pues la familiaridad con la asignatura de Sociología en la Enseñanza Mediana trajo nuevos e importantes elementos para la composición del perfil de los actuales ingresantes en la licenciatura investigada. De este modo, al asociar representaciones sociales, identidades y formación de profesores en la tríade conceptual que condice esa investigación y teniendo as experiencias anteriores de los sujetos como un enlace, el objetivo fue demostrar cómo eses elementos componen partes de procesos sociales análogos e indisociables. Sin la acumulación de experiencias memoriales no hay representación, mucho menos identidad. Por el contrario, los datos muestran que las discusiones, erigidas por la reciente obligatoriedad de la Sociología en la Enseñanza Mediana, no encuentran eco en el cotidiano formativo de los licenciados permaneciendo alejado del currículo de la licenciatura en Ciencias Sociales de UFRN. Esa coyuntura se refleja en construcciones representacionales tanto de los licenciados ingresantes como de los estudiantes en práctica, asociados a una noción intervencionista de la asignatura de Sociología. Esta noción se convierte nebulosa una definición clara de la representación de la identidad docente de profesora y de profesor de Sociología para los licenciandos en formación. La intensa relación de esta representación con la asignatura y no con el hacer pedagógico, con la presencia intervencionista de una probable transformación y no con la compresión de las problemáticas y juegos sociales demuestran que la identidad docente del profesor de Sociología todavía es un objeto que está siendo basado por eses sujetos, que está siendo ajustado a partir de otras representaciones existentes y que la formación inicial de profesores necesita estar atenta a esas representaciones y adecuarse más apropiadamente a la realidad de enseñanza de Sociología que subvierte a docencia de esta asignatura en Rio Grande do Norte.

Análise comparativa de diferentes configurações de poços no processo de combustão in-situ

With an increasing number of mature fields, heavy oil recovery has performed one of the great challenges of the oil industry. The Brazilian Northeast, for example, has numerous heavy oil reservoirs are explored with the use of thermal methods. Among the types of methods used for heavy oil, there is the method of in-situ combustion, a technique in which heat is produced within the container, unlike the injection of heated fluid when the heat is generated at the surface and transported to the reservoir. In this type of process, it is common to use vertical wells as injectors and producers. However, methods which use horizontal wells like oil producers are increasingly studied because of greater contact area between the formation and combustion front. Thus, the main objective of this work was to study the different configurations of wells (CIS THAITM and CAGD) in the process of in-situ combustion in oil recovery using a semi-synthetic tank with Brazilian Northeast features. The method "toe-to-heel air injection" (THAITM) is a process of enhanced oil recovery, which is the integration of in-situ combustion with technological advances in drilling horizontal wells. This method uses horizontal wells such as oil producers, keeping vertical injection wells for injecting air. The oil drain process by differential gravitational assisted with combustion (CAGD) is an integrated, in this configuration the horizontal injector well is drilled at the top formation with a horizontal production well in the lower section. The simulations were performed in a commercial program of thermal processes, called "STARS" (Steam, Thermal, and Advanced Processes Reservoir Simulator), the company CMG (Computer Modelling Group). An analysis of the air flow injection was performed and it was found that each method had a maximum injection to the base model, a show that through this air injection limit was reduced cumulative production of oil. Analyses of operating parameters were used: injection flow, configuration and completion of wells. In the sensitivity analysis we found that the air injection flow showed greater influence on THAI method, since the CIS method the completion of the wells was the most influential parameter and CAGD configuration wells showed the greatest influence in the recovered fraction. The economic results have shown that the best case obtained in CAGD method because, despite having higher initial cost showed the best financial return compared to the best cases the CIS and THAI.

Análise comparativa de diferentes configurações de poços no processo de combustão in-situ

With an increasing number of mature fields, heavy oil recovery has performed one of the great challenges of the oil industry. The Brazilian Northeast, for example, has numerous heavy oil reservoirs are explored with the use of thermal methods. Among the types of methods used for heavy oil, there is the method of in-situ combustion, a technique in which heat is produced within the container, unlike the injection of heated fluid when the heat is generated at the surface and transported to the reservoir. In this type of process, it is common to use vertical wells as injectors and producers. However, methods which use horizontal wells like oil producers are increasingly studied because of greater contact area between the formation and combustion front. Thus, the main objective of this work was to study the different configurations of wells (CIS THAITM and CAGD) in the process of in-situ combustion in oil recovery using a semi-synthetic tank with Brazilian Northeast features. The method "toe-to-heel air injection" (THAITM) is a process of enhanced oil recovery, which is the integration of in-situ combustion with technological advances in drilling horizontal wells. This method uses horizontal wells such as oil producers, keeping vertical injection wells for injecting air. The oil drain process by differential gravitational assisted with combustion (CAGD) is an integrated, in this configuration the horizontal injector well is drilled at the top formation with a horizontal production well in the lower section. The simulations were performed in a commercial program of thermal processes, called "STARS" (Steam, Thermal, and Advanced Processes Reservoir Simulator), the company CMG (Computer Modelling Group). An analysis of the air flow injection was performed and it was found that each method had a maximum injection to the base model, a show that through this air injection limit was reduced cumulative production of oil. Analyses of operating parameters were used: injection flow, configuration and completion of wells. In the sensitivity analysis we found that the air injection flow showed greater influence on THAI method, since the CIS method the completion of the wells was the most influential parameter and CAGD configuration wells showed the greatest influence in the recovered fraction. The economic results have shown that the best case obtained in CAGD method because, despite having higher initial cost showed the best financial return compared to the best cases the CIS and THAI.

Identidade e imagem da marca: uma análise comparativa em uma empresa do setor de serviços de telecomunicações

In a highly connected society, avid for information and technological innovations, constantly changing the consumption patterns, the brand management strategy occupies a growing place. Allied with the increased competition among companies, the brand that can differentiate in consumers’ minds becomes strong. This aspect is even more important in the service industry, where the consumer experience, the definition and support of the brand’s values are vital to the continued strength of both your identity and image. These aspects are seen as a process of communication in which the way the image is developed in the minds of consumers comes from how identity is constructed and transmitted to them (DE CHERNATONY; DRURY; SEGAL-HORN, 2004). Considering the dynamic and complex scenario, this study aims to identify and analyze the possible convergences or divergences between the identity built by the organization and the brand image perceived by consumers of a telecommunications services company. To achieve this objective, the model proposed by De Chernatony, Drury and Segal-Horn (2004) was used as a theoretical basis, which addresses the transformation of identity in brand image, specifically under the perspective of Pontes (2009). For him, customers are more motivated to buy and consume products that they believe that take a complementary image that they have of themselves, and proposes the existence of multiple selves: the perceived, which refers to the employees and the organization’s management opinions on the brand; the ideal, which deals with effective brand identity thought by its leaders, the vision of what it should be; social, which shows how managers think that consumers see it; the apparent, formed by the image of the brand by customers; and finally the real self, that would be an integrated composite of all of these visions. In this regard, a case study was made in a telecommunications company with regional actions, from a qualitative and quantitative approach. It was identified the company’s vision through semi-structured interviews with marketing managers and analysis of documents related to the brand strategy. The point of view of consumers was addressed for text mining techniques applied to internal unstructured data coming from the collection of posts made on Facebook and Twitter, related to the brand, and customer interaction with the company through these social networks. The results showed the importance of the concepts of identity and brand image, and how they are interrelated. Moreover, the qualitative analysis it was shown that the vision of marketing executives is quite close and in line with the Brand Book, showing that there is a cohesive and well disseminated speech internally in the organization. On the other hand, when evaluating the customer's point of view there was no specific comments on the brand, and it was not possible to identify the evaluation of Algar Telecom image by consumers. Nevertheless, other relevant aspects could be identified for the consolidation of the brand identity, as the occurrence of a number of complaints, especially regarding the internet as well as the concern of customers for the quality of the provision of services.

Avaliação comparativa da remodelação óssea periimplantar em implantes com junção cone-morse e hexágono externo: estudo clínico randomizado controlado, duplo cego, boca dividida

Background: Several theories, such as the biological width formation, the inflammatory reactions due to the implant-abutment microgap contamination, and the periimplant stress/strain concentration causing bone microdamage accumulation, have been suggested to explain early periimplant bone loss. However, it is yet not well understood to which extent the implant-abutment connection type may influence the remodeling process around dental implants. Aim: to evaluate clinical, bacteriological, and biomechanical parameters related to periimplant bone loss at the crestal region, comparing external hexagon (EH) and Morse-taper (MT) connections. Materials and methods: Twelve patients with totally edentulous mandibles received four custom made Ø 3.8 x 13 mm implants in the interforaminal region of the mandible, with the same design, but different prosthetic connections (two of them EH or MT, randomly placed based on a split-mouth design), and a immediate implant- supported prosthesis. Clinical parameters (periimplant probing pocket depth, modified gingival index and mucosal thickness) were evaluated at 6 sites around the implants, at a 12 month follow-up. The distance from the top of the implant to the first bone-to-implant contact – IT-FBIC was evaluated on standardized digital peri-apical radiographs acquired at 1, 3, 6 and 12 months follow-up. Samples of the subgingival microbiota were collected 1, 3 and 6 months after implant loading. DNA were extracted and used for the quantification of Tanerella forsythia, Porphyromonas gingivalis, Aggragatibacter actinomycetemcomitans, Prevotella intermedia and Fusobacterium nucleatum. Comparison among multiple periods of observation were performed using repeated-measures Analysis of Variance (ANOVA), followed by a Tukey post-hoc test, while two-period based comparisons were made using paired t- test. Further, 36 computer-tomographic based finite element (FE) models were accomplished, simulating each patient in 3 loading conditions. The results for the peak EQV strain in periimplant bone were interpreted by means of a general linear model (ANOVA). Results: The variation in periimplant bone loss assessed by means of radiographs was significantly different between the connection types (P<0.001). Mean IT-FBIC was 1.17±0.44 mm for EH, and 0.17±0.54 mm for MT, considering all evaluated time periods. All clinical parameters presented not significant differences. No significant microbiological differences could be observed between both connection types. Most of the collected samples had very few pathogens, meaning that these regions were healthy from a microbiological point of view. In FE analysis, a significantly higher peak of EQV strain (P=0.005) was found for EH (mean 3438.65 µ∑) compared to MT (mean 840.98 µ∑) connection. Conclusions: Varying implant-abutment connection type will result in diverse periimplant bone remodeling, regardless of clinical and microbiological conditions. This fact is more likely attributed to the singular loading transmission through different implant-abutment connections to the periimplant bone. The present findings suggest that Morse-taper connection is more efficient to prevent periimplant bone loss, compared to an external hexagon connection.

Relaciones interétnicas en el Fuerte San José (Patagonia, siglo XVIII). Una aproximación comparativa

El presente trabajo tiene por objeto presentar la primera aproximación a las relaciones interétnicas en el escenario del Fuerte San José y el Puesto de la Fuente, desde una perspectiva histórica y arqueológica. En particular, presentaremos los primeros resultados de las investigaciones históricas respecto de la problemática mencionada, sobre la base de información inédita analizada hasta el momento. Para ello nos centraremos en los primeros diez años de vida en el Fuerte (1779-1789) y estableceremos una comparación con los otros dos asentamientos que formaron parte del plan de poblamiento español de las costa patagónica (siglo XVIII): el Fuerte Nuestra Señora del Carmen y la Nueva Colonia de Floridablanca, a los efectos de destacar la particularidad del Fuerte San José en el marco de la variabilidad de la estructuración de las relaciones interétnicas en las colonias patagónicas.

Avaliação de Desempenho Organizacional: Análise Comparativa dos Modelos Teóricos e Pesquisa de Aplicação nas Instituições de Ensino Superior da Região Metropolitana de São Paulo

As Instituições de Ensino Superior (IES) brasileiras têm passado por grandes desafios devido ao aumento da concorrência. Paralelamente, no campo da Administração, um tema que tem sido estudado de forma recorrente são os modelos de avaliação organizacional. Nesse contexto, foi realizada uma pesquisa com o objetivo de identificar e comparar os principais métodos e indicadores de avaliação de desempenho organizacional desenvolvidos na literatura e sua forma de utilização nas IES da Região Metropolitana de São Paulo – RMSP. Com base em análise sistematizada da bibliografia consultada foram identificados 19 modelos de avaliação de desempenho, resumindo-se suas principais características, pontos fortes e fracos. Realizou-se, adicionalmente, uma análise comparativa destes modelos com base na consideração de 18 aspectos classificados em 5 grupos: clientes e mercado; econômico-financeiros; gestão e organização; recursos humanos; e sociedade em geral. Por meio de «survey» junto aos gestores de 14 significativas IES foram identificados seus formatos e indicadores de avaliação de desempenho organizacional constatando-se que a maioria realiza avaliação de desempenho por meio de modelos, sendo o «The Balanced Scorecard» o mais utilizado. Entre os 19 indicadores de desempenho pesquisados, os quatro utilizados com mais frequência e também considerados de maior importância pelas IES são os relacionados: à demanda por ensino; aos clientes, ou alunos; à qualidade e eficiência dos processos; e a aspectos econômico-financeiros. É possível levantar a hipótese de que a importância dos dois primeiros deve-se ao fato de serem relevantes direcionadores de receita, a do terceiro, ser direcionador de custo, e a do quarto, ser a síntese dos resultados.

Análise comparativa da abstenção nos círculos eleitorais de Santo Antão e São Vicente

Nas últimas décadas vêm-se ocorrendo de forma repetida altos índices de abstenção eleitoral, na democracia Cabo-Verdiana. Esta descida dos níveis de participação demonstra um crescente desinteresse dos cidadãos pelo sistema político, que não só coloca em causa a legitimidade das instituições políticas saídas dos processos eleitorais, como também ameaça tanto o partido no poder, assim como, os partidos da oposição, pois, reflete uma negação não só a um partido, como também ao próprio sistema político. Este trabalho analisa comparativamente os motivos da abstenção nos círculos eleitorais, nas ilhas de Santo Antão e São Vicente. Ao longo do trabalho podemos constatar que apesar dos eleitores se interessarem pouco pelos assuntos ligados a política, não implica que deixam de exercem o seu direito do voto. Ainda podemos perceber que o fator socio-demográfico é considerado como um dos motivos da abstenção eleitoral, nomeadamente na ilha de Santo Antão tendo em conta o meio geográfico.

Análise comparativa e teste empírico da validade dos modelos CAPM tradicional e condicional: o caso das ações da Petrobrás

ALVES, Janaína da Silva. Análise comparativa e teste empírico da validade dos modelos CAPM tradicional e condicional: o caso das ações da Petrobrás. Revista Ciências Administrativas, Fotaleza, v. 13, n. 1, p.147-157, ago. 2007.

Analisi comparativa di soluzioni per la post-elaborazione di dati sperimentali

Durante l’esecuzione di prove al banco su motori a combustione interna vengono acquisiti dati contenenti le caratteristiche del motore testato al regime di funzionamento scelto, sotto l’azione di alcuni o numerosi parametri variabili in base ai risultati che si vogliono ottenere dalla prova stessa ed in determinate condizioni ambientali. Per questo motivo è di fondamentale importanza disporre di uno strumento che consenta una rapida, ma allo stesso tempo precisa e quanto più possibile completa visualizzazione ed elaborazione di tali dati. A tale scopo con questo elaborato si vogliono valutare diverse soluzioni, in termini di software, per l’analisi di dati sperimentali, con particolare attenzione rivolta agli ambienti NI LabVIEW, The MathWorks MATLAB e NI DIAdem, e ad alcuni strumenti attualmente in uso, cercando sempre il giusto compromesso tra necessità riscontrate in ambito visualizzazione ed analisi dati ed il contenimento dei costi. Vengono, in seguito, esposte le motivazioni che hanno portato alla scelta di DIAdem per implementare le procedure di post-elaborazione dei dati.