Instrumento de avaliação de processos cognitivos para a aprendizagem de subestações de energia em ambientes 2D e realidade virtual

This study describes the development of a prototype to evaluate the potential of environments based on two-dimensional modeling and virtual reality as power substations learning objects into training environments from a central operation and control of power utility Cemig. Initially, there was an identification modeling features and cognitive processes in 2D and RV, from which it was possible to create frames that serve to guide the preparation of a checklist with assigning a metric weight for measuring cognitive potential learning in the study sites. From these contents twenty-four questions were prepared and each was assigned a weight that was used in the calculation of the metric; the questions were grouped into skill sets and similar cognitive processes called categories. Were then developed two distinct environments: the first, the prototype features an interactive checklist and your individual results. And, second, a system of data management environment for the configuration and editing of the prototype, and the observation and analysis of the survey results. For prototype validation, were invited to access the virtual checklist and answer it, five professionals linked to Cemig's training area. The results confirmed the validity of this instrument application to assess the possible potential of modeling in 2D and RV as learning objects in power substations, as well as provide feedback to developers of virtual environments to improve the system.Dissertação (Mestrado)Esta pesquisa descreve o desenvolvimento de um protótipo para avaliar as potencialidades de ambientes baseados em modelagem bidimensional e em Realidade Virtual como objetos de aprendizagem de subestações de energia em espaços computacionais de treinamento de uma central de operação e controle da concessionária de energia Cemig. Inicialmente, realizou-se uma identificação de características de modelagem e processos cognitivos em 2D e RV, a partir das quais foi possível a criação de quadros que serviriam para nortear a confecção de um checklist com atribuição de pesos para medição das potencialidades cognitivas de aprendizagem nos ambientes estudados. A partir desses conteúdos, foram elaboradas vinte e quatro perguntas e, para cada uma delas, foi atribuído um peso, o qual foi utilizado no cálculo de uma métrica. As perguntas foram agrupadas em conjuntos de habilidades e processos cognitivos semelhantes denominados categorias. Foram, então, desenvolvidos dois ambientes distintos para o sistema proposto: o primeiro deles, o protótipo, apresenta um checklist interativo e seu resultado individual; o segundo, um ambiente de gerenciamento de dados, destinado à configuração e edição do protótipo, além da observação e análise dos resultados da pesquisa. Para validação do protótipo, cinco profissionais ligados à área de treinamento da Cemig foram convidados a acessar o checklist virtual e respondê-lo. Os resultados obtidos confirmaram a validade de aplicação desse instrumento para avaliar as possíveis potencialidades da modelagem em 2D e RV como objetos de aprendizagem em subestações de energia, como, também, ofereceram um feedback aos desenvolvedores dos ambientes virtuais para a melhoria do sistema

Image analysis software versus direct anthropometry for breast measurements

PURPOSE:To compare breast measurements performed using the software packages ImageTool(r), AutoCAD(r) and Adobe Photoshop(r) with direct anthropometric measurements.METHODS:Points were marked on the breasts and arms of 40 volunteer women aged between 18 and 60 years. When connecting the points, seven linear segments and one angular measurement on each half of the body, and one medial segment common to both body halves were defined. The volunteers were photographed in a standardized manner. Photogrammetric measurements were performed by three independent observers using the three software packages and compared to direct anthropometric measurements made with calipers and a protractor.RESULTS:Measurements obtained with AutoCAD(r) were the most reproducible and those made with ImageTool(r) were the most similar to direct anthropometry, while measurements with Adobe Photoshop(r) showed the largest differences. Except for angular measurements, significant differences were found between measurements of line segments made using the three software packages and those obtained by direct anthropometry.CONCLUSION:AutoCAD(r) provided the highest precision and intermediate accuracy; ImageTool(r) had the highest accuracy and lowest precision; and Adobe Photoshop(r) showed intermediate precision and the worst accuracy among the three software packages.Federal University of São PauloUniversidade Federal de São Paulo (UNIFESP) Department of SurgeryUNIFESPUNIFESP, Department of SurgeryUNIFESPSciEL

Atuação da Odontologia para pessoas com deficiências 2015

Assegurar o direito constitucional à saúde, pois o acesso à Odontologia é condição necessária para que o direito à saúde seja concretizado. Para promover um atendimento de qualidade é imprescindível que o profissional conheça o perfil do paciente, identificando suas peculiaridades e ou alguma deficiência que ele possa apresentar

Análise dos fatores de risco para prematuridade em gestantes

Refere-se a uma Revisão Integrativa da Literatura, a qual objetiva investigar os principais fenômenos maternos associados ao favorecimento da prematuridade e, favorecer a criação de meios eficazes para minimizá-los e combatê-los, realizada através de uma busca nas bases de dados Literatura Latino Americana e do Caribe em Ciências da Saúde (LILACS), Sistema Online de Busca e Análise de Literatura Médica (MEDLINE) e Biblioteca Virtual de Enfermagem (BDENF). Dos 11 artigos encontrados, as produções foram originadas do Brasil (8), seguida de artigos do México (1), República Dominicana (1) e Índia (1). Evidenciou-se que as principais causas de prematuridade são a realização do pré-natal inadequado ou incompleto; o uso de drogas; recém-nascido pequeno para a idade gestacional; infecções maternas e neonatais; rotura de membranas amnióticas; pré-eclâmpsia; gravidez gemelar; placenta prévia; idade materna abaixo ou acima da recomendada; sangramento vaginal e condições socioeconômicas e ambientais. Destacaram-se a deficiência de apoio econômico e a baixa escolaridade como agravantes nesses casos. Nesse sentido, é importante a realização de informações por parte dos serviços de saúde em todos os níveis de atenção, a fim de propagar informações sobre a gestação e patologias maternas e fetais

Breast region measurements: direct or indirect anthropometry?

Introduction: Accurate female breast measurements are difficult due to the topography, volume, and projections present there. Therefore, this study aimed to compare breast region measurements obtained by direct (tape measurement) and indirect (computer-based photogrammetry) anthropometry. Methods: This is a transversal study. Forty women were evaluated, aged 18-60 years, body mass index of <29.2kg/m² that had 12 anatomical marks on the breast region and arms. These points' union formed 7 linear segments and 1 angle for each hemibody, and 1 segment common to both hemibodies. The photographs obtained in a standardized way were measured using computer-based photogrammetry with Image ToolTM software. The same segments were also measured by direct anthropometry, using a tape measure. The Shapiro-Wilk test was used to assess whether each variable was normally distributed. The Pearson correlation test was applied to evaluate the correlation between different methods: the direct (tape measurement) and indirect (photogrammetry by Image ToolTM) anthropometry. The significance level adopted for statistical tests was 5% (p<0,05). Results: Significant differences were found in the comparisons between the tape measurement and computer-based photogrammetry for all segments analyzed (p>0.05). Conclusion: There is a correlation between the breast measurements obtained by direct (tape measurement) and indirect (photogrammetry by Image ToolTM software) anthropometry, especially the papilla measures

Programa de Pós-Graduação em Enfermagem - Mestrado Profissional - Universidade Federal de Ciências da Saúde de Porto Alegre

Trata-se de um e-book que reúne a produção intelectual e técnica de professores, alunos e egressos da graduação e pós-graduação do Programa de Pós-Graduação em Enfermagem - Mestrado Profissional - da Universidade Federal de Ciências da Saúde de Porto Alegre

ATLANTIC EPIPHYTES: a data set of vascular and non-vascular epiphyte plants and lichens from the Atlantic Forest

Epiphytes are hyper-diverse and one of the frequently undervalued life forms in plant surveys and biodiversity inventories. Epiphytes of the Atlantic Forest, one of the most endangered ecosystems in the world, have high endemism and radiated recently in the Pliocene. We aimed to (1) compile an extensive Atlantic Forest data set on vascular, non-vascular plants (including hemiepiphytes), and lichen epiphyte species occurrence and abundance; (2) describe the epiphyte distribution in the Atlantic Forest, in order to indicate future sampling efforts. Our work presents the first epiphyte data set with information on abundance and occurrence of epiphyte phorophyte species. All data compiled here come from three main sources provided by the authors: published sources (comprising peer-reviewed articles, books, and theses), unpublished data, and herbarium data. We compiled a data set composed of 2,095 species, from 89,270 holo/hemiepiphyte records, in the Atlantic Forest of Brazil, Argentina, Paraguay, and Uruguay, recorded from 1824 to early 2018. Most of the records were from qualitative data (occurrence only, 88%), well distributed throughout the Atlantic Forest. For quantitative records, the most common sampling method was individual trees (71%), followed by plot sampling (19%), and transect sampling (10%). Angiosperms (81%) were the most frequently registered group, and Bromeliaceae and Orchidaceae were the families with the greatest number of records (27,272 and 21,945, respectively). Ferns and Lycophytes presented fewer records than Angiosperms, and Polypodiaceae were the most recorded family, and more concentrated in the Southern and Southeastern regions. Data on non-vascular plants and lichens were scarce, with a few disjunct records concentrated in the Northeastern region of the Atlantic Forest. For all non-vascular plant records, Lejeuneaceae, a family of liverworts, was the most recorded family. We hope that our effort to organize scattered epiphyte data help advance the knowledge of epiphyte ecology, as well as our understanding of macroecological and biogeographical patterns in the Atlantic Forest. No copyright restrictions are associated with the data set. Please cite this Ecology Data Paper if the data are used in publication and teaching events. © 2019 The Authors. Ecology © 2019 The Ecological Society of Americ

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030