1000 resultados para Redução de casos
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Examine the effects Global Postural Reeducation, (GPR) in hyperkyphosis and respiratory variables in the elderly was the objective in the research. For this, two elderly participated, one is 62 years old (voluntary 1) and another is 66 years old (voluntary 2), without lung, heart, kidney and/or skeletal-muscle diseases diagnosed. The volunteer have been assessed for Quality of Life (QOL) through the questionnaire SF-36, the degree of toracic kyphosis, the muscular respiratory strength and the thoracic-abdominal mobility. The GRP treatment consisted in eight sessions applied, once one hour each session. After the eight sessions the volunteer were reevaluated. The data concerning assessments before and after treatment were analysed describly. According to the results there was an improvement in the degree of kyphosis in both volunteers, highlighting voluntary 2. Respiratory variables also improvements after treatment. In relation to the Quality of life in most areas there has been an increase in scores indicating improved QOL. These data showed that the GPR has been effective to decrease the level of kyphosis, improves respiratory variables and the quality of life in the elderly treated. However, further work with a greater number of subjects must be carried out to analyze the effectiveness of therapy in the elderly.
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This work proposes a study on the materials selections and processes for the manufacture of aircraft and showing a methodology to reduce the manufacturing cost. The DFMA can be understood as a methodology that aims at reducing manufacturing and assembly costs and coupled with the increase of product quality through design simplifications. The most commonly material used in the manufacture of aircraft is aluminum alloys due to these possess great structural strength, good elasticity, and being stainless having a low specific weight (about 1/3 that of steel), reducing the weight of the aircraft. A case study in which an operation in the process of verifying the quality was generating unnecessary costs time / man for the company was also developed. The problem solution was simple, just removing the attachment process. It was found that the DFMA methodology is extremely important for the simplification of processes and projects, contributing to the reduction of manufacturing costs of aircraft
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Continuous improvement of industrial processes is one way to become companies more competitive in the market. For this, a fairly widespread use is the methodology of lean production systems, by eliminating waste. One of the tools of these systems is the method of rapid exchange of die or also called SMED, which will be applied in this study. The study aims to develop proposals for reducing the time of set up of two machines in two machining lines, watching also the ergonomics and safety conditions in this operations. The set up time reduction is justified among others, due to increase the machine productivity. In applying the connecting rod machining line, there were two types of exchange. Reductions in time to set up proposals reached values of 47% to one of them, and 55% to the other. It is important to underline that to reach this result, there was no need for large investments. In the application in block machining line, was developed an improvement in the ergonomic area. It was placed a pulley block that came to increase the time of tool change. Aiming to improve the security of the exchange, without productivity loss, the method was applied to reduce this time. It was developed two proposals.: the first would reduce that time by 19%, and does not require many resources of the company. The second involves the parallelization of the exchange, so that the reduction is 48%. However, this proposal requires one more manpower at the time of exchange and it is not always possible
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This study aims to verify the reduction phenomenon and/or disappearance of vowels, especially unstressed vowels in PE compared to the PB, obtained by analysis of the recording of an oral reading sample of the Mar Português poem, by Fernando Pessoa, made by informants of the two variants. The noticeable difference in pronunciation of the informants, with any possibility of reaching up to no understanding of European pronunciation by Brazilian speakers motivated the development of an experiment that allowed us to compare the duration of vowels produced in the two variants. By isolating and measuring the vowels at Praat audio analysis program, this study was to confirm the reduction and, in extreme cases, the disappearance of unstressed vowels in PE, a phenomenon described in Mateus and D'Andrade (2000)
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O texto apresenta as principais características e controvérsias jurídicas sobre a declaração de inconstitucionalidade sem redução de texto e a interpretação conforme a Constituição. São analisadas as hipóteses de cabimento, seus efeitos processuais, assim como casos de sua aplicação jurisprudencial. Em paralelo, são analisadas criticamente divergências doutrinárias sobre a natureza desses institutos e seus efeitos processuais. O texto apresenta esclarecimentos conceituais acerca dos limites impostos na aplicação dessas técnicas e indica sua relevância para o exercício do controle judicial de constitucionalidade.
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Esta revisão avaliou a eficácia da utilização da vacina E. coli J5, na imunização de vacas e novilhas leiteiras no pós-parto, em relação à prevenção de novos casos de mastite clínica, redução na gravidade dos sinais clínicos dos animais acometidos pela enfermidade, assim como na contagem de células somáticas presentes no leite dos animais doentes. O experimento contou com a avaliação dos dados encontrados em seis trabalhos científicos, divididos em dois grupos, três com estudos em vacas e três com estudos em novilhas. A prevenção de casos de mastite clínica foi observada somente em vacas; no grupo das novilhas não houve diferença entre vacinados e não vacinados. Em relação à gravidade dos sinais clínicos dos animais acometidos com mastite, tanto no grupo das novilhas quanto no das vacas, a vacina mostrou-se eficaz, reduzindo custos com tratamentos, descarte de leite e de animais. Sobre a eficácia da vacina em reduzir contagem de células somáticas presentes no leite dos animais com mastite, a vacina não se mostrou eficaz em vacas e novilhas. Análise econômica indica que a vacina E. coli J5 é lucrativa para produtores de leite de grande, médio e pequeno porte, sendo recomendada tanto para vacas quanto para novilhas, por reduzir os custos de produção e facilitar o manejo das granjas leiteiras
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Pós-graduação em Odontologia Preventiva e Social - FOA
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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OBJETIVOS: conhecer os aspectos clínicos e patológicos dos casos de câncer de mama feminino cadastrados num serviço público de oncologia de Sergipe. MÉTODOS: procurou-se fazer uma associação do estadiamento com as características presentes nos tumores. A coleta de dados foi realizada em 165 prontuários de mulheres cadastradas no período de 2005 a 2008 no ambulatório de oncologia do Hospital Cirurgia, localizado em Aracaju-Sergipe, por meio de formulário de coleta de dados, em 2009. RESULTADOS: identificou-se o carcinoma ductal invasivo como o tipo de neoplasia mamária mais frequente com 80,8% dos casos; 76 (46,1%) neoplasias foram diagnosticadas em estádio avançado (IIB, III e IV) e a mastectomia prevaleceu como tipo de cirurgia utilizado no tratamento independente do estadiamento. Quanto aos receptores hormonais todos apresentaram associação com o grau do estádio e, ainda, notou-se que a positividade do estrogênio e progesterona é fator de proteção para um pior prognóstico. CONCLUSÃO: é notável que os casos de câncer de mama estudados apresentam maior agressividade biológica, cursando com pior prognóstico, considerando o estádio clínico. Fazem-se necessárias ações de detecção precoce voltadas ao câncer de mama na atenção básica de Sergipe para redução da morbi-mortalidade, melhora da sobrevida e qualidade de vida entre as mulheres acometidas por essa neoplasia.
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Erros médicos preveníveis(EMP) em hospitais excedem às mortes causadas por acidentes automobilísticos, câncer de mama e AIDS. O Institute of Medicine estima até 98.000 mortes causadas por EMP. O risco é aumentado quando os EMPs ocorrem em pacientes criticamente enfermos ou com medicações que variam com o peso do paciente. A demora da primeira prescrição é uma preocupação em UTI. Fadiga e sobrecarga podem comprometer a segurança numa UTI pediátrica. Objetivos: Comparar a funcionalidade de um Sistema Especialista(SE) experimental com a prescrição médica convencional Materiais/Métodos: Após termo de consentimento, pediatras de um hospital universitário são convidados a fazer a prescrição de 10 itens medicamentosos completos(soro de manutenção, adenosina, adrenalina, atropina, difenilhidantoína, vancomicina , ceftadizima, anfotericina_B, dobutamina, fentanil) para uma criança hipotética. Comparou-se a prescrição convencional com a prescrição feita no SE, após um treinamento prévio de 2 minutos. Uma equipe(médicos, enfermeiras e farmacêuticas) avaliaram os EMPs. Comparações feitas pelo X2, teste exato de fisher, teste t-student pareado ou Wilconson, quando aplicáveis. Significância considerada: p<0.05. Resultados:13 médicos residentes e 7 assistentes participaram do estudo com tempo médio de formação de 10,1+/-9 anos . Constatados 57 casos de EMP (9 ilegibilidades, 23 omissões, 6 erros de dose, 14 erros de diluição e 5 erros de velocidade de infusão) pela prescrição convencional comparado com 1 duplicação de medicação na prescrição por SE(p<0,001). O tempo médio de prescrição dos 10 medicamentos utilizando a abordagem ONE TOUCH do SE foi de 22,4 +/- 5,6 segundos_[13-36 segundos] e estava significantemente abaixo do tempo de prescrição convencional (média:557 +/- 164 segundos; p=0,00088). O tempo médio de prescrição com SE foi 27 vezes(IC95% 21,5- 32,5)) mais rápido que a convencional com economia de 89,1 minutos em uma UTI de 10 leitos. Conclusão:Embora não infalível, o uso de SE requer pouco tempo de treinamento e resulta em significante diminuição de erros e sobrecarga de trabalho.
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Graph Reduction Machines, are a traditional technique for implementing functional programming languages. They allow to run programs by transforming graphs by the successive application of reduction rules. Web service composition enables the creation of new web services from existing ones. BPEL is a workflow-based language for creating web service compositions. It is also the industrial and academic standard for this kind of languages. As it is designed to compose web services, the use of BPEL in a scenario where multiple technologies need to be used is problematic: when operations other than web services need to be performed to implement the business logic of a company, part of the work is done on an ad hoc basis. To allow heterogeneous operations to be part of the same workflow, may help to improve the implementation of business processes in a principled way. This work uses a simple variation of the BPEL language for creating compositions containing not only web service operations but also big data tasks or user-defined operations. We define an extensible graph reduction machine that allows the evaluation of BPEL programs and implement this machine as proof of concept. We present some experimental results.
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Increasingly, the Information Technology is used in the society, including the private, public and third sector organizational context. Technological tools are created in order to speed, automate, control and monitor processes. These technologies generate impacts on areas that permeate their use and the objective of this study is to investigate the implementation process of the Eletronic Invoice and the impacts arising from this technological tool in companies. For that, case studies have been conducted in three companies that emit and receive Eletronic Invoice, in a Information System consultancy, that provides softwares of Eletronic Invoice, and in a State Tax Department. Data collection was performed with organizations representatives through electronic questionnaires. The study concludes that it is expected, by the investigated organizations, that the tool reaches the benefits offered by the Tax Administration. However, these benefits have not been identified yet and neither have the use of methodologies in order to identify them. Moreover, the main impact found was the need for better training and participant´s technical qualification, followed by reducing printing costs and paper purchase
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New technologies appear each moment and its use can result in countless benefits for that they directly use and for all the society as well. In this direction, the State also can use the technologies of the information and communication to improve the level of rendering of services to the citizens, to give more quality of life to the society and to optimize the public expense, centering it in the main necessities. For this, it has many research on politics of Electronic Government (e-Gov) and its main effect for the citizen and the society as a whole. This research studies the concept of Electronic Government and wishes to understand the process of implementation of Free Softwares in the agencies of the Direct Administration in the Rio Grande do Norte. Moreover, it deepens the analysis to identify if its implantation results in reduction of cost for the state treasury and intends to identify the Free Software participation in the Administration and the bases of the politics of Electronic Government in this State. Through qualitative interviews with technologies coordinators and managers in 3 State Secretaries it could be raised the ways that come being trod for the Government in order to endow the State with technological capacity. It was perceived that the Rio Grande do Norte still is an immature State in relation to practical of electronic government (e-Gov) and with Free Softwares, where few agencies have factual and viable initiatives in this area. It still lacks of a strategical definition of the paper of Technology and more investments in infrastructure of staff and equipment. One also observed advances as the creation of the normative agency, the CETIC (State Advice of Technology of the Information and Communication), the Managing Plan of Technology that provide a necessary diagnosis with the situation how much Technology in the State and considered diverse goals for the area, the accomplishment of a course of after-graduation for managers of Technology and the training in BrOffice (OppenOffice) for 1120 public servers