Atuação de profissionais da Estratégia Saúde da Família no controle da tuberculose

OBJETIVO: Avaliar as ações desenvolvidas por profissionais das equipes da Estratégia Saúde da Família no controle da tuberculose, no Município de Teresina-PI. MÉTODOS: Pesquisa avaliativa, de abordagem quantitativa na qual foram entrevistados 286 profissionais de saúde (64 médicos, 76 enfermeiros, 68 auxiliares de enfermagem e 78 agentes comunitários de saúde) da Estratégia Saúde da Família. RESULTADOS: Dos 286 participantes da pesquisa, 86% relataram ter sido capacitados no Programa de Controle da Tuberculose e 69,5% citaram que a capacitação foi suficiente para realizar as ações preconizadas no Programa. Na verificação de associação das ações preconizadas no diagnóstico e no acompanhamento do doente de tuberculose e sua realização pelos profissionais, constatou-se associação estatística significativa em todas as variáveis estudadas, com p<0,05. CONCLUSÃO: O desenvolvimento de ações do programa está associado à categoria profissional de quem as realizam, portanto, é importante que cada componente da equipe conheça suas reais atribuições.

La matematica fuzzy nell'ingegneria dei materiali. Applicazioni alla durevolezza e alla conservazione dei materiali in opera nei siti archeologici

La ricerca presentata è un’ampia esplorazione delle possibili applicazioni di concetti, metodi e procedure della Fuzzy Logic all’Ingegneria dei Materiali. Tale nuovo approccio è giustificato dalla inadeguatezza dei risultati conseguiti con i soli metodi tradizionali riguardo alla reologia ed alla durabilità, all’utilizzo di dati di laboratorio nella progettazione e alla necessità di usare un linguaggio (informatizzabile) che consenta una valutazione congiunta degli aspetti tecnici, culturali, economici, paesaggistici della progettazione. – In particolare, la Fuzzy Logic permette di affrontare in modo razionale l’aleatorietà delle variabili e dei dati che, nel settore specifico dei materiali in opera nel costruito dei Beni Culturali, non possono essere trattati con i metodi statistici ordinari. – La scelta di concentrare l’attenzione su materiali e strutture in opera in siti archeologici discende non solo dall’interesse culturale ed economico connesso ai sempre più numerosi interventi in questo nuovo settore di pertinenza dell’Ingegneria dei Materiali, ma anche dal fatto che, in tali contesti, i termini della rappresentatività dei campionamenti, della complessità delle interazioni tra le variabili (fisiche e non), del tempo e quindi della durabilità sono evidenti ed esasperati. – Nell’ambito di questa ricerca si è anche condotto un ampio lavoro sperimentale di laboratorio per l’acquisizione dei dati utilizzati nelle procedure di modellazione fuzzy (fuzzy modeling). In tali situazioni si è operato secondo protocolli sperimentali standard: acquisizione della composizione mineralogica tramite diffrazione di raggi X (XRD), definizione della tessitura microstrutturale con osservazioni microscopiche (OM, SEM) e porosimetria tramite intrusione forzata di mercurio (MIP), determinazioni fisiche quali la velocità di propagazione degli ultrasuoni e rotoviscosimetria, misure tecnologiche di resistenza meccanica a compressione uniassiale, lavorabilità, ecc. – Nell’elaborazione dei dati e nella modellazione in termini fuzzy, la ricerca è articolata su tre livelli: a. quello dei singoli fenomeni chimico-fisici, di natura complessa, che non hanno trovato, a tutt’oggi, una trattazione soddisfacente e di generale consenso; le applicazioni riguardano la reologia delle dispersioni ad alto tenore di solido in acqua (calci, cementi, malte, calcestruzzi SCC), la correlazione della resistenza a compressione, la gelività dei materiali porosi ed alcuni aspetti della durabilità del calcestruzzo armato; b. quello della modellazione della durabilità dei materiali alla scala del sito archeologico; le applicazioni presentate riguardano i centri di cultura nuragica di Su Monte-Sorradile, GennaMaria-Villanovaforru e Is Paras-Isili; c. quello della scelta strategica costituita dalla selezione del miglior progetto di conservazione considerando gli aspetti connessi all’Ingegneria dei Materiali congiuntamente a quelli culturali, paesaggistici ed economici; le applicazioni hanno riguardato due importanti monumenti (Anfiteatro e Terme a Mare) del sito Romano di Nora-Pula.

Analisi congiunturale e strutturale delle economie regionali: un approccio "fuzzy" alla specializzazione produttiva

Nel 2009 l'Italia attraversa la più grande crisi economica del secondo dopoguerra. Lo studio di ciò che accade, attraverso uno sguardo attento alle principali variabili congiunturali prodotte nel paese, è fondamentale per capire quali sono state le cause che hanno portato a questa situazione e per dare la possibilità  ai policy maker di limitarne gli effetti in futuro. Ma l'Italia non è un territorio dalle caratteristiche monolitiche, è un aggregato di parti molto diverse fra loro. Analizzando il territorio italiano come insieme delle sue parti, osserveremo le medesime condizioni economiche ripetersi in ogni territorio del paese? L'esperienza ci suggerisce di no. La tesi vuole evidenziare come e quanto la struttura caratteristica del tessuto produttivo regionale è responsabile anche della performance economica. La tesi è quindi caratterizzata da due parti. Da un lato si è cercato di analizzare quali siano le differenze nei cicli economici regionali, dall'altro, attraverso l'utilizzo di un sistema di valutazione "fuzzy", si è cercato di ricostruire la natura strutturale delle regioni, al fine di determinare quali siano le specializzazioni che ogni territorio è in grado di mettere in campo. La tesi si conclude con un'analisi comparativa degli indici di dissimilarità  tra cicli regionali e nazionale e i livelli sintetici di specializzazione, si è verificato che esiste una relazione forte che lega le caratteristiche strutturali delle regioni alle distanze tra i loro cicli, dimostrando quindi la tesi che struttura regionale e performance economica siano strettamente interconnesse.

Sviluppo di un approccio congiunto fuzzy-Bayesiano per l'analisi e la modellizzazione degli ecosistemi: applicazione ad ecosistemi marini costieri.

Nell’attuale contesto di aumento degli impatti antropici e di “Global Climate Change” emerge la necessità di comprenderne i possibili effetti di questi sugli ecosistemi inquadrati come fruitori di servizi e funzioni imprescindibili sui quali si basano intere tessiture economiche e sociali. Lo studio previsionale degli ecosistemi si scontra con l’elevata complessità di questi ultimi in luogo di una altrettanto elevata scarsità di osservazioni integrate. L’approccio modellistico appare il più adatto all’analisi delle dinamiche complesse degli ecosistemi ed alla contestualizzazione complessa di risultati sperimentali ed osservazioni empiriche. L’approccio riduzionista-deterministico solitamente utilizzato nell’implementazione di modelli non si è però sin qui dimostrato in grado di raggiungere i livelli di complessità più elevati all’interno della struttura eco sistemica. La componente che meglio descrive la complessità ecosistemica è quella biotica in virtù dell’elevata dipendenza dalle altre componenti e dalle loro interazioni. In questo lavoro di tesi viene proposto un approccio modellistico stocastico basato sull’utilizzo di un compilatore naive Bayes operante in ambiente fuzzy. L’utilizzo congiunto di logica fuzzy e approccio naive Bayes è utile al processa mento del livello di complessità e conseguentemente incertezza insito negli ecosistemi. I modelli generativi ottenuti, chiamati Fuzzy Bayesian Ecological Model(FBEM) appaiono in grado di modellizare gli stati eco sistemici in funzione dell’ elevato numero di interazioni che entrano in gioco nella determinazione degli stati degli ecosistemi. Modelli FBEM sono stati utilizzati per comprendere il rischio ambientale per habitat intertidale di spiagge sabbiose in caso di eventi di flooding costiero previsti nell’arco di tempo 2010-2100. L’applicazione è stata effettuata all’interno del progetto EU “Theseus” per il quale i modelli FBEM sono stati utilizzati anche per una simulazione a lungo termine e per il calcolo dei tipping point specifici dell’habitat secondo eventi di flooding di diversa intensità.

Pond head level control in a run-of-river hydro power plant using fuzzy controller

The run-of-river hydro power plant usually have low or nil water storage capacity, and therefore an adequate control strategy is required to keep the water level constant in pond. This paper presents a novel technique based on TSK fuzzy controller to maintain the pond head constant. The performance is investigated over a wide range of hill curve of hydro turbine. The results are compared with PI controller as discussed in [1].

Sistema de conversão de energia eólica baseado no gerador de indução duplamente alimentado: análise e contribuição ao controle da máquina

The humanity reached a time of unprecedented technological development. Science has achieved and continues to achieve technologies that allowed increasingly to understand the universe and the laws which govern it, and also try to coexist without destroying the planet we live on. One of the main challenges of the XXI century is to seek and increase new sources of clean energy, renewable and able to sustain our growth and lifestyle. It is the duty of every researcher engage and contribute in this race of energy. In this context, wind power presents itself as one of the great promises for the future of electricity generation . Despite being a bit older than other sources of renewable energy, wind power still presents a wide field for improvement. The development of new techniques for control of the generator along with the development of research laboratories specializing in wind generation are one of the key points to improve the performance, efficiency and reliability of the system. Appropriate control of back-to-back converter scheme allows wind turbines based on the doubly-fed induction generator to operate in the variable-speed mode, whose benefits include maximum power extraction, reactive power injection and mechanical stress reduction. The generator-side converter provides control of active and reactive power injected into the grid, whereas the grid-side converter provides control of the DC link voltage and bi-directional power flow. The conventional control structure uses PI controllers with feed-forward compensation of cross-coupling dq terms. This control technique is sensitive to model uncertainties and the compensation of dynamic dq terms results on a competing control strategy. Therefore, to overcome these problems, it is proposed in this thesis a robust internal model based state-feedback control structure in order to eliminate the cross-coupling terms and thereby improve the generator drive as well as its dynamic behavior during sudden changes in wind speed. It is compared the conventional control approach with the proposed control technique for DFIG wind turbine control under both steady and gust wind conditions. Moreover, it is also proposed in this thesis an wind turbine emulator, which was developed to recreate in laboratory a realistic condition and to submit the generator to several wind speed conditions.

Controle em modo dual adaptativo robusto aplicado a um sistema de geração de energia elétrica

Synchronous machines, widely used in energy generation systems, require constant voltage and frequency to obtain good quality of energy. However, for large load variati- ons, it is difficult to maintain outputs on nominal values due to parametric uncertainties, nonlinearities and coupling among variables. Then, we propose to apply the Dual Mode Adaptive Robust Controller (DMARC) in the field flux control loop, replacing the tradi- tional PI controller. The DMARC links a Model Reference Adaptive Controller (MRAC) and a Variable Structure Model Reference Adaptive Controller (VS-MRAC), incorpora- ting transient performance advantages from VS-MRAC and steady state properties from MRAC. Moreover, simulation results are included to corroborate the theoretical studies.

Critério de correntropia no treinamento de redes fuzzy wavelet neural networks para identificação de sistemas dinâmicos não lineares

The great interest in nonlinear system identification is mainly due to the fact that a large amount of real systems are complex and need to have their nonlinearities considered so that their models can be successfully used in applications of control, prediction, inference, among others. This work evaluates the application of Fuzzy Wavelet Neural Networks (FWNN) to identify nonlinear dynamical systems subjected to noise and outliers. Generally, these elements cause negative effects on the identification procedure, resulting in erroneous interpretations regarding the dynamical behavior of the system. The FWNN combines in a single structure the ability to deal with uncertainties of fuzzy logic, the multiresolution characteristics of wavelet theory and learning and generalization abilities of the artificial neural networks. Usually, the learning procedure of these neural networks is realized by a gradient based method, which uses the mean squared error as its cost function. This work proposes the replacement of this traditional function by an Information Theoretic Learning similarity measure, called correntropy. With the use of this similarity measure, higher order statistics can be considered during the FWNN training process. For this reason, this measure is more suitable for non-Gaussian error distributions and makes the training less sensitive to the presence of outliers. In order to evaluate this replacement, FWNN models are obtained in two identification case studies: a real nonlinear system, consisting of a multisection tank, and a simulated system based on a model of the human knee joint. The results demonstrate that the application of correntropy as the error backpropagation algorithm cost function makes the identification procedure using FWNN models more robust to outliers. However, this is only achieved if the gaussian kernel width of correntropy is properly adjusted.

Contribuições para estratégia de controle aplicada à geração fotovoltaica interconectada à rede elétrica

Generation systems, using renewable sources, are becoming increasingly popular due to the need for increased use of electricity. Currently, renewables sources have a role to cooperate with conventional generation, due to the system limitation in delivering the required power, the need for reduction of unwanted effects from sources that use fossil fuels (pollution) and the difficulty of building new transmission and/or distribution lines. This cooperation takes place through distributed generation. Therefore, this work proposes a control strategy for the interconnection of a PV (Photovoltaic) system generation distributed with a three-phase power grid through a connection filter the type LCL. The compensation of power quality at point of common coupling (PCC) is performed ensuring that the mains supply or consume only active power and that his currents have low distorcion. Unlike traditional techniques which require schemes for harmonic detection, the technique performs the harmonic compensation without the use of this schemes, controlling the output currents of the system in an indirect way. So that there is effective control of the DC (Direct Current) bus voltage is used the robust controller mode dual DSMPI (Dual-Sliding Mode-Proportional Integral), that behaves as a sliding mode controller SM-PI (Sliding Mode-Proportional Integral) during the transition and like a conventional PI (Proportional Integral) in the steady-state. For control of current is used to repetitive control strategy, which are used double sequence controllers (DSC) tuned to the fundamental component, the fifth and seventh harmonic. The output phase current are aligned with the phase angle of the utility voltage vector obtained from the use of a SRF-PLL (Synchronous Reference Frame Phase-Locked-Loop). In order to obtain the maximum power from the PV array is used a MPPT (Maximum Power Point Tracking) algorithm without the need for adding sensors. Experimental results are presented to demonstrate the effectiveness of the proposed control system.

Controle ativo de vibração em estruturas inteligentes utilizando um controlador por modos deslizantes com compensação difusa

Smart structures and systems have the main purpose to mimic living organisms, which are essentially characterized by an autoregulatory behavior. Therefore, this kind of structure has adaptive characteristics with stimulus-response mechanisms. The term adaptive structure has been used to identify structural systems that are capable of changing their geometry or physical properties with the purpose of performing a specific task. In this work, a sliding mode controller with fuzzy inference is applied for active vibration control in an SMA two-bar truss. In order to obtain a simpler controller, a polynomial model is used in the control law, while a more sophisticated version, which presents close agreement with experimental data, is applied to describe the SMA behavior of the structural elements. This system has a rich dynamic response and can easily reach a chaotic behavior even at moderate loads and frequencies. Therefore, this approach has the advantage of not only obtaining a simpler control law, but also allows its robustness be evidenced. Numerical simulations are carried out in order to demonstrate the control system performance.

Controle ativo de vibração em estruturas inteligentes utilizando um controlador por modos deslizantes com compensação difusa

Smart structures and systems have the main purpose to mimic living organisms, which are essentially characterized by an autoregulatory behavior. Therefore, this kind of structure has adaptive characteristics with stimulus-response mechanisms. The term adaptive structure has been used to identify structural systems that are capable of changing their geometry or physical properties with the purpose of performing a specific task. In this work, a sliding mode controller with fuzzy inference is applied for active vibration control in an SMA two-bar truss. In order to obtain a simpler controller, a polynomial model is used in the control law, while a more sophisticated version, which presents close agreement with experimental data, is applied to describe the SMA behavior of the structural elements. This system has a rich dynamic response and can easily reach a chaotic behavior even at moderate loads and frequencies. Therefore, this approach has the advantage of not only obtaining a simpler control law, but also allows its robustness be evidenced. Numerical simulations are carried out in order to demonstrate the control system performance.

Resposta clínica periodontal e controle glicêmico em pacientes com e sem diabetes tipo II portadores de periodontite crônica ao tratamento periodontal “full mouth desinfection”

There is a bidirectional association between periodontal disease (PD) and diabetes mellitus, in which diabetes favors the development of PD and PD, if left untreated, can worsen the metabolic control of diabetes. Thus, periodontal disease should be treated to restore periodontal health and reduce the complications of diabetes. Therefore, the objective is assess the effect of full mouth periodontal therapy decontamination (Full Mouth Desinfection - FMD) in diabetic type II patients with chronic periodontitis during 12 months. Thirty-one patients in group one (G1) and 12 in group two (G2) were followed at baseline, 03, 06 09 and 12 months. There following clinical parameters were accessed: probing on bleeding (BOP), visible plaque index (PI), probing depth (PD), clinical attachment level (CAL) and gingival recession (GR). For diabetic patients, there were also made laboratory tests to evaluate blood parameters: fasting glucose and glycated hemoglobin. The results had been analyzed in two ways: all sites in the mouth and another with diseased sites. The Mann-Whitney, Friedman and Wilcoxon tests were used with 5% significance. Intergroup analysis of all sites it is clear that there was no significant difference over time concerning PD, BOP, PI, CAL and RG. However, when evaluating the diseased sites, we observed significant difference for CAL and PD, with higher values in G1. The intragroup analysis for all sites showed a statistically significant reduction at PD, PI and BOP in both groups. Intragroup analysis of periodontal affected sites showed a statistically significant reduction in PD, BOP and CAL in both groups. There was also a statistically significant increase in RG values. There was no significant change concerning glycated hemoglobin and fasting glucose in the G1. Therefore, it can be concluded that there were improvements in periodontal parameters over the 12 months of research, but without changes in glycemic levels of diabetic patients. Thus, periodontal therapy proved effective in maintaining oral health.

Diagnóstico automático de eventos e distúrbios em unidades geradoras e usinas utilizando lógica fuzzy

The electric power systems are getting more complex and covering larger areas day by day. This fact has been contribuiting to the development of monitoring techniques that aim to help the analysis, control and planning of power systems. Supervisory Control and Data Acquisition (SCADA) systems, Wide Area Measurement Systems and disturbance record systems. Unlike SCADA and WAMS, disturbance record systems are mainly used for offilne analysis in occurrences where a fault resulted in tripping of and apparatus such as a transimission line, transformer, generator and so on. The device responsible for record the disturbances is called Digital Fault Recorder (DFR) and records, basically, electrical quantities as voltage and currents and also, records digital information from protection system devices. Generally, in power plants, all the DFRs data are centralized in the utility data centre and it results in an excess of data that difficults the task of analysis by the specialist engineers. This dissertation shows a new methodology for automated analysis of disturbances in power plants. A fuzzy reasoning system is proposed to deal with the data from the DFRs. The objective of the system is to help the engineer resposnible for the analysis of the DFRs’s information by means of a pre-classification of data. For that, the fuzzy system is responsible for generating unit operational state diagnosis and fault classification.

Análise e proposição de estratégias de estimação e controle de velocidade para motores de indução trifásicos

This study presents a proposal of speed servomechanisms without the use of mechanical sensors (sensorless) using induction motors. A comparison is performed and propose techniques for pet rotor speed, analyzing performance in different conditions of speed and load. For the determination of control technique, initially, is performed an analysis of the technical literature of the main control and speed estimation used, with their characteristics and limitations. The proposed technique for servo sensorless speed induction motor uses indirect field-oriented control (IFOC), composed of four controllers of the proportional-integral type (PI): rotor flux controller, speed controller and current controllers in the direct and quadrature shaft. As the main focus of the work is in the speed control loop was implemented in Matlab the recursive least squares algorithm (RLS) for identification of mechanical parameters, such as moment of inertia and friction coefficient. Thus, the speed of outer loop controller gains can be self adjusted to compensate for any changes in the mechanical parameters. For speed estimation techniques are analyzed: MRAS by rotóricos fluxes MRAS by counter EMF, MRAS by instantaneous reactive power, slip, locked loop phase (PLL) and sliding mode. A proposition of estimation in sliding mode based on speed, which is performed a change in rotor flux observer structure is displayed. To evaluate the techniques are performed theoretical analyzes in Matlab simulation environment and experimental platform in electrical machinery drives. The DSP TMS320F28069 was used for experimental implementation of speed estimation techniques and check the performance of the same in a wide speed range, including load insertion. From this analysis is carried out to implement closed-loop control of sensorless speed IFOC structure. The results demonstrated the real possibility of replacing mechanical sensors for estimation techniques proposed and analyzed. Among these, the estimator based on PLL demonstrated the best performance in various conditions, while the technique based on sliding mode has good capacity estimation in steady state and robustness to parametric variations.

Integración de Arbotix, Raspberry Pi y motores Dynamixel Ax-12+ para un robot humanoide que busca y patea pelotas

En este artículo se presenta a DeBuPa (Detección Búsqueda Pateo) un humanoide de tamaño pequeño (38 cm de alto) construido con las piezas del kit Bioloid. Del kit se ha excluido la tarjeta CM-510 para sustituirla por la tarjeta controladora Arbotix, que será la que controle los 16 motores Dynamixel Ax-12+ (para mover al robot) y 2 servomotores analógicos (para mover la cámara). Además se ha agregado un mini computador Raspberry Pi, con su cámara, para que el robot pueda detectar y seguir la pelota de forma autónoma. Todos estos componentes deben ser coordinados para que se logre cumplir la tarea de detectar, seguir y patear la pelota. Por ello se hace necesaria la comunicación entre la Arbotix y la Raspberry Pi. La herramienta empleada para ello es el framework ROS (Robot Operating System). En la Raspberry Pi se usa el lenguaje C++ y se ejecuta un solo programa encargado de captar la imagen de la cámara, filtrar y procesar para encontrar la pelota, tomar la decisión de la acción a ejecutar y hacer la petición a la Arbotix para que dé la orden a los motores de ejecutar el movimiento. Para captar la imagen de la cámara se ha utilizado la librería RasPiCam CV. Para filtrar y procesar la imagen se ha usado las librerías de OpenCV. La Arbotix, además de controlar los motores, se encarga de monitorizar que el robot se encuentre balanceado, para ello usa el sensor Gyro de Robotis. Si detecta un desbalance de un cierto tamaño puede saber si se ha caído y levantarse.