996 resultados para compromise


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Pós-graduação em Enfermagem (mestrado profissional) - FMB

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Crohn’s disease is a chronic infl ammatory bowel disease with segmental transmural infl ammation, which complicate with formation of fi stulas and abscesses. The hidradenitis suppurativa (HS) is characterized by recurrent abscesses, with a predilection for areas rich in apocrine glands such as the axillary, inguinal and perineal. The differential diagnosis between these diseases is diffi cult and may compromise treatment. Report case: C.R.M.A., 40 year-old, female, white, ileal and colonic Crohn’s disease complicated with perianal and rectovaginal fi stula for 12 years, treated with biological therapy since May 2010. In Sep/2010 presented with an abscess in the buttock D with purulent discharge refractory to the use of ciprofl oxacin and metronidazole. USG: collection of 30 cm3 in buttock D. The diagnosis was HS and the patient underwent extensive surgical removal of the affected areas (10 x 2 cm) with healing by secondary intention. Skin graft performed unsuccessfully in Dec/2010. The patient returned in jan/2011 with a new fi stula at the site of resection, consistent with Crohn’s disease. In fev/2011 underwent drainage of abscesses and placement of setons in perianal fi stulas. Currently in therapy with good biological evolution of fi stulas. The prevalence of HS varies from 0.3 to 4% of the population in general. The axilla is the region most affected and perianal lesions are associated with greater weakness. There are published reports of association between HS and Crohn’s disease sporadically and further studies are needed to assess a common pathogenesis. The differential diagnosis should be performed in all cases planning immediate treatment, avoiding complications and worsening of the patient’s quality of life.

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The aim of this study was to evaluate the quality of weight measurements produced in Primary Health Care Centers in Botucatu and surroundings. 14 Health Care Centers were included, all of them located in four towns in the area of Botucatu (4,555; 5,656; 18,761 and 128,397 inhabitants). General conditions and scale calibration conditions found in those Health Care Centers were evaluated. In order to evaluate the weight accuracy obtained by the local team, 10 adult users of each Center were addressed by the rater during the service routine in order to get a new weight evaluation, immediately after the measurement made by the team. The statistic method applied for checking the weight measurement held in the Heath Care Center and the scales accuracy was the measurement error technique (MET). The results have showed that out of 19 scales, 6 of them overestimated the weight by 50 grams, 1 of them underestimated the weight by 200 grams and the others were accurate. Evaluated as a group, the result of the scale MET was 44.3g. Regarding the conformity of the measures obtained by the MET of the adults weighing in the Health Care Centers compared to the ones obtained by the researcher, the expected result was obtained in only one Center (< 100g). The results have showed data compromise, rather due to lack of health team training than due to the conditions of the equipment used for the measurement.

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The Culture of crambe became promising since its grains presents high oil content. The methods of drying may influence the quality of crude oil extracted from the beans, depending on the way it is managed. This study goal was to evaluate the influence of different drying methods on the quality of the crude oil extracted from crambe grain. The experimental design was completely randomized with five treatments (drying with heated air, natural air, yard, shade, and at the field), and with four tests for each. In order to check the quality of the grains, we performed an analysis of fat acidity, and to evaluate the crude oil quality, we conducted analysis of iodine value, acid value, water content, density at 20ºC, and a kinematic viscosity at 40°. After obtaining the data, the results were submitted to analysis of variance. When significant means were detected, they were compared by t-test (p ≤ 0.05). The method of drying with heated air provided a lower rate of fatty acid in grains. The drying methods evaluated did not compromise the quality of the oil extracted from the crambe grain.

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

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Pós-graduação em Engenharia Elétrica - FEIS

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Pós-graduação em Arquitetura e Urbanismo - FAAC

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Pós-graduação em Ciência e Tecnologia Animal - FEIS

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Pós-graduação em Geografia - IGCE

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Pós-graduação em Desenvolvimento Humano e Tecnologias - IBRC

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The objective of this paper is to investigate the physical and chemical quality of the water of the Descoberto River during the dry and rainy seasons by measuring pH, temperature, electric conductivity, total dissolved solids, turbidity, color, alkalinity and NO3-, SO42-, PO43-, NH4+, Cl- and HCO3-, and the elements Sr, Mo, Cd, Y, Ti, Ca, V, Mg, Fe, Si, Ni, Zr, Cu, Al, Cr, Mn, Ba, Co, Zn, P, Na and K. The results showed high concentrations in both seasons, with dilution along the course of the river, minimizing for a while problems that compromise the quality of the water of this source. However, a progressive deterioration can occur due to an increase in the discharge of pollutants, resulting from population growth, agricultural activities and other factors.

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Bovine tuberculosis (BTB) was introduced into Swedish farmed deer herds in 1987. Epidemiological investigations showed that 10 deer herds had become infected (July 1994) and a common source of infection, a consignment of 168 imported farmed fallow deer, was identified (I). As trace-back of all imported and in-contact deer was not possible, a control program, based on tuberculin testing, was implemented in July 1994. As Sweden has been free from BTB since 1958, few practicing veterinarians had experience in tuberculin testing. In this test, result relies on the skill, experience and conscientiousness of the testing veterinarian. Deficiencies in performing the test may adversely affect the test results and thereby compromise a control program. Quality indicators may identify possible deficiencies in testing procedures. For that purpose, reference values for measured skin fold thickness (prior to injection of the tuberculin) were established (II) suggested to be used mainly by less experienced veterinarians to identify unexpected measurements. Furthermore, the within-veterinarian variation of the measured skin fold thickness was estimated by fitting general linear models to data (skin fold measurements) (III). The mean square error was used as an estimator of the within-veterinarian variation. Using this method, four (6%) veterinarians were considered to have unexpectedly large variation in measurements. In certain large extensive deer farms, where mustering of all animals was difficult, meat inspection was suggested as an alternative to tuberculin testing. The efficiency of such a control was estimated in paper IV and V. A Reed Frost model was fitted to data from seven BTB-infected deer herds and the spread of infection was estimated (< 0.6 effective contacts per deer and year) (IV). These results were used to model the efficiency of meat inspection in an average extensive Swedish deer herd. Given a 20% annual slaughter and meat inspection, the model predicted that BTB would be either detected or eliminated in most herds (90%) 15 years after introduction of one infected deer. In 2003, an alternative control for BTB in extensive Swedish deer herds, based on the results of paper V, was implemented.