Dilatacao pneumatica no megaesofago avancado. Resultados do sequimento tardio

Six patients with advanced Chagas' megaesophagus with poor condition for surgical indication due to severe malnutrition and concomitant diseases were submitted to pneumatic dilatation with the aid of the endoscope. The method consists in leading the tip of the pneumatic dilatator into the cardia with the tip of the endoscope. Insufflation of the balloon must be slow and progressive with visualization of the mucosa of the cardia after insufflating of 2 pounds of air pressure. An excellent symptomatic relief was seen in the five-year follow-up but without improvement in the degree of the esophageal dilatation.

Novos resultados sobre a estabilidade e controle de sistemas nao-lineares utilizando modelos fuzzy e LMI

Relaxed conditions for the stability study of nonlinear, continuous and discrete-time systems given by fuzzy models are presented. A theoretical analysis shows that the proposed method provides better or at least the same results of the methods presented in the literature. Digital simulations exemplify this fact. These results are also used for the fuzzy regulators design. The nonlinear systems are represented by the fuzzy models proposed by Takagi and Sugeno. The stability analysis and the design of controllers are described by LMIs (Linear Matrix Inequalities), that can be solved efficiently by convex programming techniques. The specification of the decay rate, constraints on control input and output are also described by LMIs. Finally, the proposed design method is applied in the control of an inverted pendulum.

Rectificacion de aceros fragiles y ductiles: Parametros de entrada para obtener los mejores resultados

In this work, the behavior of the steel surface grinding process with conventional grinding wheels was studied for various grinding conditions and a fixed dressing condition. The input parameters (wheel speed, workpiece speed, depth of cut), that set up the grinding conditions were determined as a function of the characteristics of the grinding machine. A test bench was established where the grinding power was measured in real time as a function of the volume of material removed. The results showed that in the grinding of fragile steels with a soft wheel and medium grit size, the average power of the cut shows a tendency to increase and become stabilized. The surface roughness of the piece decreased in all the tests and was proportional to the increase in the number of active grits. In tests on the grinding of ductile steels with a soft wheel and fine grit size, the wheel became dull until the moment that the abrasive grits were released from the cut surface.

As rochas intrusivas da Formação Serra Geral na Porção leste da Bacia do Paraná no Estado de São Paulo: Aspectos petrográficos e geoquímicos - Resultados preliminares

The purpose of this paper is to present preliminary aspects of the petrography and chemistry of intrusive rocks (sills and dykes) from the eastern portion of the Parana Basin in the State of Säo Paulo. Data from 80 samples of the region show a subaphyric and subophitic nature and have plagioclase (25-50%), augite (3-39%), pigeonite (0-10%) and magnetite (4-20%) as an essential minerals. Apatite and quartz are present as accessory minerals. The geochemical data of intrusive rocks show a basic to intermediate composition (48% < SiO 2 < 56%) and a high Ti nature (TiO 2 > 2%). Based on the minor and trace composition of the intrusive rocks, two different magma types were recognized, named Paranapanema and Pitanga. The spatial distribution of these magma types is not alleatory in the studied region. The intrusive rocks of Pitanga magma type are displayed in the Campinas-Paulinia region, while the Paranapanema magma type cover a large region above that one, between Rio Claro and Cajuru. Furthermore, the chemical composition of the lava flows of the Serra Geral Formation, sampled in this work, reveals a magma of Urubici type. So, the intrusive rocks of the eastern portion of the of State Säo Paulo are not the extension of the lava flows, or they aren't a portions which don't reach the surface.

Causas de ambliopia e resultados do tratamento

Objective: to evaluate the causes and the results of occlusion amblyopia treatment. Methods: a retrospective study was done including children under 12 years old. Sex, age of starting treatment, etiology, ocular deviation affection, visual acuity and time for the occlusion treatment were evaluated. Results: 158 children had all the requirements to compose the sample. 50.6% were males. 70.2% had esotropia, 13.2% exotropia, 0.7% hypertropia and 4.4% presented horizontal and vertical strabismus. 11.4% had no ocular deviation. 6.6% presented anisometropia, 0.7% congenital cataract and 6.6% other diagnoses. Visual acuity improved in 85.5%, faster in the ortophoric children. The occlusion treatment time was long in all the deviation types. Conclusion: the treatment was beneficial in improving amblyopia in the majority of the children evaluated.

Geração de VRS a partir de modelos atmosféricos: Conceito, implementação e resultados

Nowadays, with the implantation of GNSS (Global Navigation Satellite System) reference station networks, several positioning techniques have been developed and/or improved. Using such kind of network data it is possible to model the GNSS distance dependent errors and to compute correction terms for the network region. Several methods have been developed to formulate the corrections terms from network stations data. A method that has been received a great attention is the Virtual Reference Station (VRS). The idea is that the VRS data resemble as much as possible a real receiver data placed in the same local. Therefore, the user has the possibility of using the VRS as if it were a real reference station in your proximities, and to accomplish the relative positioning with a single frequency receiver. In this paper it is described a different methodology applied to implement the VRS concept, using atmospheric models developed by Brazilian researchers. Besides, experiments for evaluating the quality of generated VRS are presented, showing the efficiency of the proposed method.

Avaliação dos resultados neonatais do método canguru no Brasil

Objective: To evaluate the results of the kangaroo mother method in Brazil. Methods: A prospective cohort study comparing 16 units that have or do not have the second phase of the kangaroo mother method: eight were national centers of excellence for the kangaroo mother method (study group) and eight were part of the Brazilian Neonatal Research Network (control group). A total of 985 newborn infants with birth weights of 500 to 1,749 g were enrolled. Multivariate analyses employedmultiple linear regression and Poisson regression with robust adjustment. Results: The adjusted analysis (controlled for birth weight, gestational age, Score for Neonatal Acute Physiology Perinatal Extension II, Neonatal Therapeutic Intervention Scoring System, and maternal age and educational level) demonstrated that mean length of hospital stay (p = 0.14) and intercurrent clinical conditions in the intermediate or kangaroo unit were equal for both groups. Weight (p = 0.012), length (p = 0.039) and head circumference (p = 0.006) at 36 weeks' corrected gestational age were all lower at the kangaroo units. The kangaroo units exhibited superior performance in relation to exclusive breastfeeding at discharge (69.2 vs. 23.8%, p=0.022). Conclusions: The evidence suggests that the humanization strategy adopted by the Brazilian Ministry of Health is a safe alternative to conventional treatment and a good strategy for promoting breastfeeding. Copyright © 2008 by Sociedade Brasileira de Pediatria.

El presupuesto por resultados en América Latina: un análisis de economía política de sus determinantes

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Las drogas ilegales en los países andinos: resultados de estudios recientes patrocinados por el PNUD

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Informe preliminar del segundo estudio nacional de consumo de drogas en Chile, y comparación de los principales resultados con el primer estudio nacional, años 1994 y 1996

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Crecimiento lento en América Latina: ¿resultados comunes, causas comunes?

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Geração de dados GPS de pseudodistância para uma estação virtual: Métodos, implementação e análise dos resultados

This paper aims to evaluate the quality of the pseudorange observables generated for a Virtual Reference Station (VRS). In order to generate the VRS data three different approaches were implemented and tested. In the first one, raw data from the reference station network were used while in the second it was based on double difference reference station corrections. Finally, in the third approach atmospheric models (ionosphere and troposphere) were used to create the VRS data. Sao Paulo State Network stations were used in all experiments. The VRS data were generated in a reference station position of known coordinates (real file). In order to validate the approaches, the VRS data were compared with the real data file. The results were quite similar, reaching the decimeter or centimeter level, depending on the approach applied.

Uso y difusión de las TIC en el tejido empresarial argentino: resultados de una encuesta en los sectores de la industria, el comercio y los servicios

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A síndrome do hiperestímulo ovariano não influencia os resultados clínicos após ciclos de descongelamento de embriões provenientes de ciclos de ICSI

Objective: The objective of this study was evaluate if the embryos cryopreservation from OHSS patients Intracytoplasmic Sperm Injection (ICSI) cycles could be influence the clinical outcomes when compared to patients who receive oocytes from donors but the endometrium was not prepared and the embryos were cryopreserved. Methods: Fifty eight couples submitted to ICSI cycles in which 26 with OHSS clinical manifestation (OHSS group) and 32 couples who have received oocytes from donors (control group). The embryos were frozen on day+2 or +3of development. All patients included in this study had embryos crypreserved before the transfer, and in the thawing cycle, only the endometrium preparation was performed. The embryo survival, implantation, pregnancy and miscarriage rates were evaluated in the embryo thawing cycle. Results: There was no difference among the groups in relation to fertilization rate (OHSS: 71.89% ± 15.45, Control: 79.75% ± 21.68, p= 0.234), survival embryos rate (OHSS: 68.85 ± 21.10, Control: 59.53 ± 36.79, p= 0.233), high quality embryos rate (OHSS: 25.20 ± 23.90, Control: 27.40 ± 30.30, p= 0.760), implantation rate (OHSS: 17.9 ± 26.9, Control: 12.5 ± 23.7, p= 0.435), pregnancy rate (OHSS: 38.50, Control: 28.60, p= 0.441) and miscarriage rate (OHSS: 40.00, Control: 25.00, p= 0.332). Conclusion: Our findings suggest that clinical outcomes in freeze and thawing cycles were not affected by the presence of ovarian hyperstimulation syndrome clinical manifestation after controlled ovarian stimulation.

Caracterización del proceso de creación de estadísticas armonizadas sobre TIC en los organismos nacionales de estadística. Análisis de los resultados de la encuesta aplicada a los organismos nacionales de estadística de los países de América Latina y el Caribe

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