Esplenectomias no Hospital de Caridade de Florianópolis

Trabalho de Conclusão de Curso - Universidade Federal de Santa Catarina. Curso de Medicina. Departamento de Clínica Médica

O TERREIRO DE UMBANDA COMO ESPAÇO DE CUIDADO: ALGUMAS REFLEXÕES

Editoria

The three Americas

The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file.Title from title screen of research.pdf file (viewed on April 21, 2009)Includes bibliographical references.Thesis (M.M.) University of Missouri-Columbia 2006.Dissertations, Academic -- University of Missouri--Columbia -- Music.This instrumental piece is the result of my attempt to mix principles of modern fine art composition techniques with melodies, rhythms, and harmonies, originated from the popular music of the three Americas. From South America, I used elements of baião, maracatú, afoxé, lundú, and samba. From Central America, I used elements of guaguancó (son), rumba, merengue. And finally from North America I used elements of rock, hip-hop, and especially contemporary jazz in which a lot of 20th century fine art composition techniques and theoretical aspects are employed. In addition, because popular music isextremely dance oriented, extensive use of ostinatos and or repeated figures is employed in my composition

Limnological Patterns in a Large Subtropical Reservoir Cascade

The study identified limnological patterns in the Paranapanema River reservoir cascade, one of the main tributaries of the high Paraná River, La Plata Basin, southeast Brazil. Samplings were carried out in eight reservoirs from a total of 37 sites. We analyzed the water transparency, depth, and vertical profiles of temperature, pH, conductivity, dissolved oxygen, biochemical oxygen demand, total solids, suspended solids, total nitrogen, total phosphorus, chlorophyll a, and thermotolerant coliforms. Additionally, the trophic state index for tropical/subtropical reservoirs, the water retention time and morphometric characteristics of each reservoir were calculated. Longitudinal compartmentalization is conspicuous in storage reservoirs, whereas the magnitude of temporal changes is higher in run-of-river systems. The lateral component of spatial heterogeneity was also very important for some reservoirs, determined basically by the entrance of tributary rivers. On the vertical dimension, summer thermal stratification, followed by oxygen decrease in bottom layers, in the central channel and lacustrine zones of deeper and larger reservoirs was observed. The ultraoligotrophic condition prevailed, despite signals of intensive land use for agriculture—recurrent high phosphorus values. The acquired experience provided a baseline for a permanent limnological and water quality program, which subsidizes management actions in the basin

Financing Chain Associations Industry Speaks

industry associations, contribution systems, citriculture, Fundercitus, Agribusiness, Agricultural Finance, Industrial Organization, Marketing,

Política de acesso livre para a UFBA: partilhando experiências do RepositóriUM

O objetivo deste trabalho é analisar a experiência da Universidade do Minho (UM) com a implantação do seu repositório institucional (RI) que serve de base para a implantação do RI da UFBA, em andamento, e de sua política de acesso livre. Para este estudo, procedeu-se a uma análise de diferentes tipos de documentos, entrevista semi-estrutrada e análise de dados referentes ao acesso ao RepositóriUM, registrados automaticamente pelo software de suporte. Quanto a implantação do RI da UFBA, além da verificação de documentos - portarias procedentes da administração central da universidade - utilizou-se o diário de campo onde estão registradas todas as ações. Por fim apresentam-se os aspectos peculiares adotados pelo RI da UFBA e os elementos inspiradores a partir da experiência da UM.Universidade do Minho. Centro de Investigação em Educação (CIEd)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES-Brasil

Avaliação diagnóstica do risco de sangramento em cirurgia cardíaca com circulação extracorpórea

Objetivo: identificar los factores de riesgo asociados a casos de hemorragia excesiva en pacientes sometidos a cirugía cardíaca con circulación extracorpórea. Método: estudio de caso control de los factores de riesgo de hemorragia con análisis de datos de fichas médicas de 216 pacientes, sometidos a cirugía cardíaca, con circulación extracorpórea, de carácter electivo durante el período de tres años. Resultados: fueron analizadas variables comúnmente asociadas a hemorragia excesiva, en estudios en esta área, siendo considerados como factores de riesgo para el diagnóstico de enfermería “riesgo de hemorragia” (00206) en cirugía cardíaca con circulación extracorpórea, los siguientes: Índice de masa corporal <26,35 Kg/m² (Odds ratio = 3,64); Circulación extracorpórea mayor que 90 minutos (Odds ratio = 3,57); Hipotermia menor que 32°C (Odds ratio = 2,86); Acidosis metabólica (Odds ratio = 3,50); y Tiempo de tromboplastina parcial activada mayor que 40 segundos (Odds ratio = 2,55). Conclusión: esas variables pueden ser indicadores clínicos de naturaleza operacional para caracterizar mejor el factor de riesgo “régimen de tratamiento” y para perfeccionar el conocimiento relacionado a la coagulopatía inducida por la circulación extracorpórea; probablemente, actualmente incorporada a la categoría de “régimen de tratamiento” de la clasificación diagnóstica de enfermería de la NANDA International Inc.Objetivo: identificar os fatores de risco associados aos casos de sangramento excessivo em pacientes submetidos à cirurgia cardíaca com circulação extracorpórea. Método: estudo de caso-controle dos fatores de risco de sangramento com análise de dados de prontuários de 216 pacientes submetidos à cirurgia cardíaca com circulação extracorpórea de caráter eletivo durante o período de três anos. Resultados: foram analisadas variáveis comumente associadas ao sangramento excessivo em estudos na área, sendo considerados como fatores de risco para o diagnóstico de enfermagem “risco de sangramento” (00206) em cirurgia cardíaca com circulação extracorpórea: Índice de massa corporal menor que 26,35kg/m² (Odds ratio = 3,64); Circulação extracorpórea maior que 90 minutos (Odds ratio = 3,57); Hipotermia menor que 32°C (Odds ratio = 2,86); Acidose metabólica (Odds ratio = 3,50) e Tempo de tromboplastina parcial ativada maior que 40 segundos (Odds ratio = 2,55). Conclusão: tais variáveis podem ser indicadores clínicos de natureza operacional para melhor caracterização do fator de risco “regime de tratamento” e de um refinamento do conhecimento relacionado à coagulopatia induzida pela circulação extracorpórea, provavelmente hoje incorporada na categoria de “regime de tratamento” da classificação diagnóstica de enfermagem da NANDA International, Inc.Objective: to identify the risk factors associated with cases of excessive bleeding in patients submitted to cardiac surgery with extracorporeal circulation. Method: case-control study on the factors of risk for bleeding based on the analysis of data from the medical charts of 216 patients submitted to cardiac surgery with elective extracorporeal circulation during a three-year period. Results: variables that are commonly associated with excessive bleeding in studies in the field were analyzed, and the following were considered as risk factors for the nursing diagnosis “risk for bleeding” (00206) in cardiac surgery with extracorporeal circulation: Body mass index lower than 26.35kg/m² (Odds ratio = 3.64); Extracorporeal circulation longer than 90 minutes (Odds ratio = 3.57); Hypothermia lower than 32°C (Odds ratio = 2.86); Metabolic acidosis (Odds ratio = 3.50) and Activated partial thromboplastin time longer than 40 seconds (Odds ratio = 2.55). Conclusion: such variables may be clinical indicators of an operational nature for a better characterization of the risk factor “treatment regimen” and a refinement of knowledge related to coagulopathy induced by extracorporeal circulation, which is currently presumably incorporated into the “treatment regimen” category of the nursing diagnostic classification by NANDA International, Inc

Energy efficiency vs. economic cost of cellular networks under co-channel interference

In this paper we analyze the efficiency of cellular network designs, by taking into account the co-channel interference among cells, different amounts of available bandwidths, and frequency reuse. A realistic power consumption model is considered for the energy efficiency analysis, and for the economic analysis it is employed a model in which the total cost is composed by three factors: spectrum license, energy and infrastructure costs. Our results show that different conclusions can be obtained according to the focus of the network design: energy efficiency or total costs. Assuming an economic point of view, the most cost efficient solutions can be obtained when the number of base stations and the available bandwidth are the factors to be balanced, as the infrastructure cost and the spectrum license costs correspond to the most relevant fraction of the total costs. However, considering the energy efficiency anlysis, it can be more beneficial to employ a higher system bandwidth and balance the number of base stations and the reuse of frequencies in order to minimize the required transmit power