bluuebunny/crossref_metadata_2025 huggingface dataset:
BETTER UNDERSTANDING OF SOCIAL INTEGRATION AND SOLIDARITY AS PARAMETERS FOR POSTGRADUATE PROGRAM EVALUATION OF MEDICINE III
Authors: Matias Jorge Eduardo Fouto
Published: July 2016

Objective: To provide information in the maturation process of the general conception of social inclusion and solidarity. Methods: The following official CAPES sources were consulted: resolutions of the Technical-Scientific Council; models of evaluation forms; current legislation and ordinances; relationship with the Great Area courses; Dinter and Minter evaluation projects; and the assessment application. Results: Social inclusion and solidarity are recent and innovative parameters to be developed by postgraduate programs and evaluated by area committees organized by Capes. There is need for better understanding by the postgraduate faculty of Medicine III the characteristics of relevant actions on social inclusion. The basic theme of life support help in understanding how Medicine III can expand its operations in basic education without compromising the innovative and transformer character of postgraduate. Conclusion: Postgraduate must innovate its insertion in teaching processes, managed care or any other field. What is sought is the power of social transformation, inherent to its spirit and exercise.
SCIENTIFIC LEADERS FOR THE FUTURE: PRIMARY AND SECONDARY EDUCATION
Authors: Nascimento Fernanda Amorim de Morais , Gregório Bianca Martins , Souza Diogo Benchimol de , Sampaio Francisco José Barcellos , Ferreira Lydia Masako
Published: July 2016

Objective: To present a high school insertion pilot project in post graduate programs (PPG) and discuss the mechanisms for the formation of leaders in science. Methods: This study presents a review and pilot project. Bibliographic search occurred in sites of CAPES, MEC, SciELO and library of virtual books from January/ 2014 to February/2015. The pilot is in PPG-Medicine III Translational Surgery/UNIFESP and Pathophysiology and Surgical Sciences / UERJ. The junior undergraduate students (ICj) came from public school and develop scientific activities: scientific meetings, graduation and inclusion in research projects. The evaluation will occur at the end of one year, with the results essays, reports and participation in scientific events. Results: In Brazil, one of the main challenges of education is the high average years of study. The PNPG (2011-2020) shows the insertion of basic education in all PPG. In the Pathophysiology and Surgical Sciences/UERJ there are currently 11 high school students who have followed the scientific meetings and are being prepared for the inclusion in research projects. There was 30% of absence, owing to the high school hours. This result and the experience allow creating future alternatives to enhance the integration project. Conclusion: The leadership in science is formed from a complex relationship between basic education and investment in research. PPG-Medicine III courses follow the vanguard with initiatives focused on scientific and technological development. Thus, projects involving basic education students represent promoter model and environment leaders.
SOCIAL INCLUSION AND SOLIDARITY IN STRICT POST-GRADUATION: EXPERIENCING THE LABORATORY "SCIENTIFIC WAKE FOR THE FUTURE" (PRIMARY AND SECONDARY EDUCATION)
Authors: Noronha Silvana Aparecida Alves Corrêa de , Bernardes Linda , Noronha Samuel Marcos Ribeiro de , Nascimento Fernanda Amorim de Morais , Ferreira Lydia Masako
Published: July 2016

Objective: To stimulate and awakening the interest of students of high school or elementary public schools in research and science through scientific initiation stages in the Postgraduate Program in Translational Surgery. To stimulate and awakening the interest of students of high school or elementary public schools in research and science through scientific initiation stages in the Postgraduate Program in Translational Surgery. Method: The target audience for the development of scientific activities were students enrolled in mid-level course (second year initially) and have approval of their participation in this project by the school and by legal guardians. The inclusion criteria were: physical proximity to the higher education institution, signing the consent form by the legal responsible for the students, and for the board of the school unit and the researcher. Initially, students performed diagnostic evaluation about the prior knowledge of biology, science and scientific research. From there, the classes were prepared based on the result of this test, then started the activities of Junior Scientific Initiation in basic education. Results: The school chosen for this initial phase of the pilot project was the State School Rui Bloem which has 13 classrooms for the second year of medium education in a total of 390 students. Of these, 160 (41%) were interested but only 16 (10%) were eligible to start the pilot project in Translational Surgery Laboratory of Unifesp. These students showed average yield of 50% in diagnostic test and should start the next training in cell and molecular biology laboratory and also to attend scientific meetings. Conclusion: In the initial phase of the project, was observed the great student interest in scientific career, but at the same time, a great need for improvement. The choice of public school was for access to university and proximity. In addition, these students have more shortcomings and deficiencies. But this does not mean that the fascination for scientific career cannot turn them into great researchers thus contributing to the economic, social and intellectual growth of our country through scientific research.
QUALIS PERIODIC EVALUATION: ANALYSIS OF QUALIS UPGRADE IN MEDICINE III
Authors: Jukemura José , Diniz Márcio Augusto
Published: July 2016

Objective: To evaluate the preliminary results related to journals up-grade that was used by Medicine III, through opportunity offered by Capes to all agency areas programs. Methods: Were used area document of Medicine I, II and III, besides other relevant topics available online at Capes site, between 2009 and 2013. The research was focused to answer two questions: 1) the stratification of Qualis is similar in the three areas of medicine? and 2) the evolution of Qualis in Medicine III was higher? Results: Medicine III showed an increase in its Qualis classification and is publishing in journals with higher impact factors, virtually the same as the Medicine I and II. Conclusion: The area showed the strongest growth in recent three-year periods.
ANALYSIS OF OTORHINOLARYNGOLOGY, ORTHOPEDICS AND THORACIC SURGERY JOURNALS
Authors: Lima Wilma Terezinha Anselmo
Published: July 2016

Objectives: To perform an extensive analysis of journals in Medicine III - CAPES, and specifically those in the areas of Otorhinolaryngology, Orthopedics and Traumatology and Chest Surgery. Method: An active search for the impact factors in the Journal Citation Reports, Scimago, their indexation in Scielo, Lilacs, Scopus and Google Scholar, and their stratification in WebQualis was done. Results: Forty-four journals with measured impact factors ranging from 3.006 to 0.128 were detected in the area of Otorhinolaryngology; however, only 26 of them (60%) had a Qualis measured by CAPES; in the stratification, no journal was detected in A1, three were A2 and nine B1. Three journals were located for Chest Surgery, with only one of them having a measured Qualis (A2) with a mean of 3.61. Sixty-seven journals were detected for Orthopedics and Traumatology, with an impact factor ranging from 4.699 to 0.156; Qualis was measured in only 38 of them (60%); there were three journal stratified as A1, seven as A2 and 25 as B1. Conclusion: The search for journals of higher impact induces authors to not publish in journals related to their area and facing more difficulties than investigators from other areas.
QUALIS EVALUATION OF MEDICINE III: ANALYSIS OF ANESTHESIOLOGY AND GYNECOLOGY AND OBSTETRICS JOURNALS
Authors: Calderon Iracema de Mattos Paranhos
Published: July 2016

Objective: To know the current publication of Anesthesiology and Obstetrics and Gynecology subareas, to support the updating of Qualis Journals criteria in these specific subareas. Method: Cross-sectional, descriptive study in which was evaluated in quantitatively and qualitatively way the bibliographic production of Anesthesiology and Obstetrics and Gynecology subareas, from January 2010 to December 2012. Were investigated the values of the impact factor; calculated (i) the number (n) and the percentage of journals in each stratum Qualis A1, A2, B1, B2, B3, B4 and B5, and (ii) the median values and their extreme limits (minimum values and maximum) and quartiles (p25; p50; p75; p90) of the impact factors in the different strata. Results: The bibliographic production of the three-year period 2010-2012 was published in 69 journals in Anesthesiology subarea and in 345 in Gynecology and Obstetrics. In Anesthesiology, 44% were within the limits of impact factor of superior A1, A2 and B1; in Obstetrics and Gynecology, 42.4% were in those limits and strata. Conclusions: Despite lagging behind by international standards, publications of Anesthesiology and Obstetrics and Gynecology showed tendency to improve the quality. In these sub-areas, the median of journals impact factor is beyond the limits defined by the area in the last assessment. Therefore, it must be reconsidered new indicators to assess this aspect.
EXPERIENCE WITH THE BRAZILIAN NETWORK FOR STUDIES IN REPRODUCTIVE AND PERINATAL HEALTH: THE POWER OF COLLABORATION IN POSTGRADUATE PROGRAMS
Authors: Cecatti José G , Silveira Carla , Souza Renato T , Fernandes Karayna G , Surita Fernanda G
Published: July 2016

The scientific collaboration in networks may be developed among countries, academic institutions and among peer researchers. Once established, they contribute for knowledge dissemination and a strong structure for research in health. Several advantages are attributed to working in networks: the inclusion of a higher number of subjects in the studies; generation of stronger evidence with a higher representativeness of the population (secondary generalization and external validity); higher likelihood of articles derived from these studies to be accepted in high impact journals with a wide coverage; a higher likelihood of obtaining budgets for sponsorship; easier data collection on rare conditions; inclusions of subjects from different ethnic groups and cultures, among others. In Brazil, the Brazilian Network for Studies on Reproductive and Perinatal Health was created in 2008 with the initial purpose of developing a national network of scientific cooperation for the surveillance of severe maternal morbidity. Since the establishment of this Network, five studies were developed, some of them already finished and others almost being completed, and two new ones being implemented. Results of the activities in this Network have been very productive and with a positive impact on not only the Postgraduate Program of Obstetrics and Gynecology from the University of Campinas, its coordinating center, but also on other participating centers. A considerable number of scientific articles was published, master´s dissertations and PhD theses were presented, and post-doctorate programs were performed, including students from several areas of health, from distinct regions and from several institutions of the whole country. This represents a high social impact taking into account the relevance of the studied topics for the country.
HOW TO REACH AND KEEP A NOTE 6?
Authors: Antunes Alberto Azoubel
Published: July 2016

Objective: To describe the main measures adopted in order to raise the concept of USP Urology program, and thus be able to help other programs with similar shortcomings to remedy these problems. Method: We highlighted the measures taken between the years 2005 and 2013 which contributed to the CAPES elevation of the Postgraduate Program of the USP Urology concept. Results: It was created new disciplines focused on researchers and teachers training rather than clinical aspects. Specific research areas have been created for each permanent teacher, and the theses and dissertations became linked research lines. The entire student body and faculty not interested or who had performance below the average was off the program. Was encouraged fundraising culture into program. It was also highlighted the creation of online medical record, where the clinical data of all patients treated at the Urology Division were stored. Conclusion: Rigorous selection of motivated faculty and students, able to create adequate infrastructure and achieving financial resources, is of fundamental importance for the consolidation of a postgraduate program.
HOW TO ACHIEVE AND MAINTAIN NOTE 6: POSTGRADUATE PROGRAM IN TRANSLATIONAL SURGERY - UNIFESP
Authors: Sabino-Neto Miguel , Ferreira Lydia Masako
Published: July 2016

Objective: To show the way to reach and stay in note 6 in the evaluation process of Medicine III of CAPES. Methods: Capes determinations were reviewed concerning this topic, grades 6 and 7, and also the difficulties and facilities of running a program that amounted to Note 6 after restructuring and being in compliance with regulations. Results: The main points to achieve and maintain Note 6 were: 1) regular production of master's and doctoral theses with appropriate distribution among all teachers; 2) average time of appropriate titration, as well as strict selection of students who resets the withdrawals and cancellations; 3) production of scientific articles in high impact journals and with academic and student participation in most part; 4) progressive and substantial increase in fundraising and patent search; 5) progressive increase in international exchanges with joint production; 6) visibility through new bilingual website and updated weekly; 7) numerous solidarity activities in research, but also in health services for the population and even in basic education; 8) rigorous selection of students (through design analysis, curriculum and teacher training program); 9) maintenance of high levels teachers production; 10) preparing new teachers for guidance through participation as co-supervision and involvement in the program to fit the needs. Conclusion: The Postgraduate Program in Translational Surgery went through difficult times; was submitted to a series of measures, adjustments, cooperation and understanding of the teaching staff, that took the program from note 3 - and almost closing - to a level of excellence keeping note 6 for three consecutive three-year periods of evaluation.
TOTAL COST OF HOSPITALIZATION OF PATIENTS UNDERGOING ELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY RELATED TO NUTRITIONAL STATUS
Authors: MENEZES Francisco Julimar Correia de , MENEZES Lara Gadelha Luna de , SILVA Guilherme Pinheiro Ferreira da , MELO-FILHO Antônio Aldo , MELO Daniel Hardy , SILVA Carlos Antonio Bruno da
Published: July 2016

ABSTRACT Background: In the Western world, the population developed an overweight profile. The morbidly obese generate higher cost to the health system. However, there is a gap in this approach with regard to individuals above the eutrofic pattern, who are not considered as morbidly obese. Aim: To correlate nutritional status according to BMI with the costs of laparoscopic cholecystectomy in a public hospital. Method: Data were collected from medical records about: nutritional risk assessment, nutricional state and hospital cost in patients undergoing elective laparoscopic cholecystectomy. Results: Were enrolled 814 procedures. Average age was 39.15 (±12.16) years; 47 subjects (78.3%) were women. The cost was on average R$ 6,167.32 (±1830.85) to 4.06 (±2.76) days of hospitalization; 41 (68.4%) presented some degree of overweight; mean BMI was 28.07 (±5.41) kg/m²; six (10%) individuals presented nutritional risk ≥3. There was a weak correlation (r=0.2) and not significant (p <0.08) between the cost of hospitalization of the sample and length of stay; however, in individuals with normal BMI, the correlation was strong (r=0,57) and significant (p<0.01). Conclusion: Overweight showed no correlation between cost and length of stay. However, overweight individuals had higher cost of hospitalization than those who had no complications, but with no correlation with nutritional status. Compared to those with normal BMI, there was a strong and statistically significant correlation with the cost of hospital stay, stressing that there is normal distribution involving adequate nutritional status and success of the surgical procedure with the consequent impact on the cost of hospitalization.
BREAST CANCER METASTASIS IN THE STOMACH: WHEN THE GASTRECTOMY IS INDICATED ?
Authors: RODRIGUES Marcus Vinicius Rozo , TERCIOTI-JUNIOR Valdir , LOPES Luiz Roberto , COELHO-NETO João de Souza , ANDREOLLO Nelson Adami
Published: July 2016

ABSTRACT Background: Breast cancer is the most common malignant neoplasm in the female population. However, stomach is a rare site for metastasis, and can show up many years after initial diagnosis and treatment of the primary tumor. Aim: Analyze a case series of this tumor and propose measures that can diagnose it with more precocity. Methods: Were analyzed 12 patients with secondary gastric tumors. Immunohistochemistry has demonstrated that primary tumor was breast cancer. We retrieved information of age, histological type, interval between diagnosis of the primary breast cancer and its metastases, immunohistochemistry results, treatment and survival. Results: The mean age was 71.3 years (ranging 40-86). Ten cases had already been underwent mastectomy in the moment of the diagnosis of gastric metastasis. Two patients had diagnosis of both primary and secondary tumors concomitantly. At average, diagnosis of gastric metastasis was seven years after diagnosis of primary breast cancer (ranging 0-13). Besides, nine cases had also metastases in other organs, being bones the most affected ones. Immunohistochemistry of the metastases has shown positivity for CK7 antibody in 83.34%, estrogen receptor in 91.67%, progesterone receptor in 66.67% and AE1AE3 antibody in 75%, considering all 12 cases. Moreover, CK20 was absent significantly (66.67%). The positivity of BRST2 marker did not present statistical significance (41.67%). Eight cases were treated with chemotherapy associated or not with hormonal blockade. Surgical treatment of gastric metastasis was performed in four cases: three of them with total gastrectomy and one with distal gastrectomy. Follow-up has shown a mean survival of 14.58 months after diagnosis of metastasis, with only two patients still alive. Conclusion: Patients with a history of breast cancer presenting endoscopic diagnosis of gastric cancer it is necessary to consider the possibility of gastric metastasis of breast cancer. The confirmation is by immunohistochemistry and gastrectomy should be oriented in the absence of other secondary involvement and control of the primary lesion.
MINIMALLY INVASIVE SURGERY FOR PSEUDOPAPILLARY NEOPLASM OF THE PANCREAS
Authors: NAMUR Guilherme Naccache , RIBEIRO Thiago Costa , SOUTO Marcelo M. , FIGUEIRA Estela Regina Ramos , BACCHELLA Telesforo , JUREIDINI Ricardo
Published: July 2016

ABSTRACT Background: Solid pseudopapillary pancreatic neoplasia is usually a large well-circumscribed pancreatic mass, with cystic and solid areas more frequently found in young women. It is a benign pancreatic neoplasia in most cases, therefore minimally invasive surgery could be an interesting approach. Aim: Evaluate the results of minimally invasive surgery for this neoplasia. Methods: Patients with this tumor who underwent minimally invasive pancreatectomies between 2009 and 2015 in a single institution, were analyzed regarding demographic, clinical-pathological futures, post-operative morbidity and disease-free survival. Results: All were women, and their median age was 39 (18-54) years. Two patients with tumor in the head of the pancreas underwent laparoscopic pancreaticoduodenectomy, and another one underwent laparoscopic enucleation. Two patients with tumor in the neck underwent central pancreatectomy. Distal pancreatectomies were performed in the other five, one with splenic preservation. None required blood transfusion or conversion to open surgery. Two (20%) developed clinical relevant pancreatic fistulas, requiring readmission. Median length of postoperative hospital stay was five days (2-8). All resection margins were negative. Patients were followed for a median of 38 months (14-71), and there was no recurrence. Conclusions: Minimally invasive surgery for solid pseudopapillary pancreatic neoplasia is feasible for tumors in different locations in the pancreas. It was associated with acceptable morbidity and respected the oncologic principles for treatment.
ROBOTIC ASSISTED SINGLE SITE FOR BILATERAL INGUINAL HERNIA REPAIR
Authors: BOSI Henrique Rasia , GUIMARÃES José Ricardo , CAVAZZOLA Leandro Totti
Published: July 2016

ABSTRACT Background: The inguinal hernia is one of the most frequent surgical diseases, being frequent procedure and surgeon´s everyday practice. Aim: To present technical details in making hernioplasty using robotic equipment on bilateral inguinal hernia repair with single port and preliminary results with the method. Method: The bilateral inguinal hernia repair was performed by using the Single-Site(c) Da Vinci Surgical Access Platform to the abdominal cavity and the placement of clamps. Results: This technique proved to be effective for inguinal hernia and have more aesthetic result when compared to other techniques. Conclusions: Inguinal hernia repair robot-assisted with single-trocar is feasible and effective. However, still has higher costs needing surgical team special training.
BIODEGRADABLE BILIARY STENTS: A NEW APPROACH FOR THE MANAGEMENT OF HEPATICOJEJUNOSTOMY STRICTURES FOLLOWING BILE DUCT INJURY. PROSPECTIVE STUDY
Authors: GIMÉNEZ Mariano E. , PALERMO Mariano , HOUGHTON Eduardo , ACQUAFRESCA Pablo , FINGER Caetano , VERDE Juan M. , CÚNEO Jorge Cardoso
Published: July 2016

ABSTRACT Background: Once a biliary injury has occurred, repair is done by a hepaticojejunostomy. The most common procedure is to perform a dilatation with balloon with a success of 70 %. Success rates range using biodegradable stents is from 85% to 95%. Biodegradable biliary stents should change the treatment of this complication. Aim: To investigate the use of biodegradable stents in a group of patients with hepaticojejunonostomy strictures. Methods: In a prospective study 16 biodegradable stents were placed in 13 patients with hepaticojejunostomy strictures secondary to bile duct repair of a biliary surgical injury. Average age was 38.7 years (23-67), nine were female and four male. All cases had a percutaneous drainage before at the time of biodegradable stent placement. Results: In one case, temporary haemobilia was present requiring blood transfusion. In another, pain after stent placement required intravenous medication. In the other 11 patients, hospital discharge was the next morning following stent placement. During the patient´s follow-up, none presented symptoms during the first nine months. One patient presented significant alkaline phosphatase elevation and stricture recurrence was confirmed. One case had recurrence of cholangitis 11 months after the stent placement. 84.6% continued asymptomatic with a mean follow-up of 20 months. Conclusion: The placement of biodegradable stents is a safe and feasible technique. Was not observed strictures caused by the stent or its degradation. It could substitute balloon dilation in strictures of hepaticojejunostomy.
MINIMALLY INVASIVE SURGERY FOR GASTRIC CANCER: TIME TO CHANGE THE PARADIGM
Authors: BARCHI Leandro Cardoso , JACOB Carlos Eduardos , BRESCIANI Cláudio José Caldas , YAGI Osmar Kenji , MUCERINO Donato Roberto , LOPASSO Fábio Pinatel , MESTER Marcelo , RIBEIRO-JÚNIOR Ulysses , DIAS André Roncon , RAMOS Marcus Fernando Kodama Pertille , CECCONELLO Ivan , ZILBERSTEIN Bruno
Published: July 2016

ABSTRACT Introduction: Minimally invasive surgery widely used to treat benign disorders of the digestive system, has become the focus of intense study in recent years in the field of surgical oncology. Since then, the experience with this kind of approach has grown, aiming to provide the same oncological outcomes and survival to conventional surgery. Regarding gastric cancer, surgery is still considered the only curative treatment, considering the extent of resection and lymphadenectomy performed. Conventional surgery remains the main modality performed worldwide. Notwithstanding, the role of the minimally invasive access is yet to be clarified. Objective: To evaluate and summarize the current status of minimally invasive resection of gastric cancer. Methods: A literature review was performed using Medline/PubMed, Cochrane Library and SciELO with the following headings: gastric cancer, minimally invasive surgery, robotic gastrectomy, laparoscopic gastrectomy, stomach cancer. The language used for the research was English. Results: 28 articles were considered, including randomized controlled trials, meta-analyzes, prospective and retrospective cohort studies. Conclusion: Minimally invasive gastrectomy may be considered as a technical option in the treatment of early gastric cancer. As for advanced cancer, recent studies have demonstrated the safety and feasibility of the laparoscopic approach. Robotic gastrectomy will probably improve outcomes obtained with laparoscopy. However, high cost is still a barrier to its use on a large scale.
Método de coleta e análise de amostras de poeira para avaliação de riscos de explosões de pós em suspensão em unidades de recebimento e armazenagem de grãos
Authors: Costella Marcelo Fabiano , Pilz Silvio Edmundo , Bet Andrisio
Published: July 2016

Resumo O fogo e a explosão devido à poeira orgânica em suspensão são riscos potencialmente mortais em toda a operação que tem como resultado secundário a formação de materiais pulverulentos em algumas etapas de seu processo produtivo. Este artigo apresenta um método de coleta e análise de amostras de poeira para avaliação de riscos de explosões de pós em suspensão, e foi testado em uma unidade de recebimento, limpeza, secagem, armazenagem e expedição de grãos (soja). O método de pesquisa consiste na avaliação da concentração de poeira total nos setores considerados de maior risco quanto à explosão de pó, sendo, neste estudo de caso, a moega com descarga manual, a moega com descarga através de tombador, o secador, o túnel subterrâneo, o redler, o elevador e a máquina de limpeza. Dentre os resultados destaca-se que as concentrações totais nos setores pesquisados após 8 horas de utilização ultrapassaram o recomendado em quatro locais dos sete amostrados. Observou-se o crescimento da concentração conforme o tempo de operação da unidade, ressaltando que, a partir da análise dos valores encontrados, uma parcela do pó decanta rapidamente e outra, com granulometria menor, permanece suspensa no ar por um longo tempo, o que consiste em um fator de risco altíssimo. Por fim, descreveram-se as medidas preventivas para evitar explosões em locais onde podem ser encontradas concentrações dentro da faixa de explosividade.
Modelo matemático para otimização da capacidade volumétrica de caminhões para transporte de produtos alimentícios
Authors: Pedruzzi Suzane , Nunes Luiz Paulo Amorim , Rosa Rodrigo de Alvarenga , Arpini Bianca Passos
Published: July 2016

Resumo Estudos que visem otimizar a utilização da capacidade dos caminhões são importantes no Brasil, país em que o transporte rodoviário representa 61,1% da movimentação de cargas, pois contribuem para a redução da quantidade de caminhões nas estradas, melhorando a fluidez e a segurança. O objetivo deste trabalho é promover um estudo logístico por meio de um modelo matemático baseado no Three Dimensional Bin Packing Problem para arrumação da carga dentro dos veículos utilizados no transporte de produtos alimentícios de forma a otimizar a sua capacidade volumétrica. O modelo proposto visa um melhor aproveitamento da capacidade volumétrica dos veículos considerando a disposição em três dimensões das cargas, área de suporte, sequência de entrega das cargas, para evitar bloqueios, rotação das caixas no plano X-Y e caixas de geometria paralelepipédica. A solução alcançada pelo modelo apresentou ganhos importantes em relação ao planejamento manual realizado pela empresa, reduzindo a utilização de caminhões e gerando ganhos econômicos.
Modelagem matemática para otimização de periodicidade nos planos de manutenção preventiva
Authors: Corrêa Rodrigo Fernandes , Dias Acires
Published: July 2016

Resumo Propõe-se, com este trabalho, apresentar o desenvolvimento de um modelo de otimização de periodicidade dos planos de manutenção preventiva de ativos industriais por meio do estudo da vida útil dos sistemas, fundamentado pelo uso, tempo, condição, custos. A modelagem matemática utilizada foi implementada computacionalmente por meio do MATLAB. O objetivo do modelo é proporcionar maior confiabilidade às instalações, alinhadas ao resultado financeiro do negócio. A linha de pesquisa está integrada ao processo de gerenciamento de manutenção centrada em confiabilidade (MCC).
Orientação estratégica e atividades inovativas: uma análise a partir dos dados da PINTEC no período de 1998 a 2011
Authors: Cássia Adalberto de Ramos , Zilber Silvia Novaes
Published: July 2016

Resumo A inovação é um processo organizacional que contribui para o desempenho competitivo de empresas e setores da economia, sendo que a disposição para sua adoção tem ligação com a orientação estratégica estabelecida pela alta gestão dos negócios. O objetivo deste artigo foi identificar evidências da orientação estratégica adotada no contexto da indústria de transformação brasileira, por meio da análise de dados agregados sobre atividades inovativas deste setor econômico. Buscou-se, também, identificar possíveis influências da orientação estratégica sobre componentes do desempenho deste setor. Para tanto, foram utilizados dados da Pesquisa de Inovação – PINTEC, em suas várias edições, que trazem dados agregados sobre a indústria de transformação brasileira. Os resultados sugerem que a orientação para o mercado está presente no contexto desta indústria, contribuindo para a reduzida disposição ao investimento em atividades inovativas e desestimulando o aprimoramento de capacidades para inovar. Os resultados sugerem que a orientação para o mercado representa uma forma de resposta do setor industrial à instabilidade e descontinuidade que prevalecem no ambiente, com reflexos importantes no investimento para o desenvolvimento dos recursos internos e capacidades inovativas empresariais.
Uma metodologia baseada no modelo SCOR® e em inferência fuzzy para apoiar a avaliação de desempenho de fornecedores
Authors: Lima Junior Francisco Rodrigues , Carvalho Giovani Mantovani Roza , Carpinetti Luiz Cesar Ribeiro
Published: July 2016

Resumo Na literatura acadêmica, tanto a seleção quanto a avaliação para o desenvolvimento de fornecedores vêm sendo abordadas como um problema de tomada de decisão no qual um conjunto de fornecedores é avaliado com base em múltiplos critérios de desempenho. Embora já existam centenas de metodologias quantitativas voltadas para o apoio à etapa de seleção de fornecedores, a avaliação de desempenho objetivando o desenvolvimento de fornecedores ainda é pouco explorada na literatura. Além disso, a maioria das abordagens existentes apresentam algumas limitações devido ao uso de técnicas inadequadas. Diante disso, este estudo propõe uma nova metodologia de apoio à avaliação de desempenho de fornecedores, desenvolvida a partir da combinação de sistemas de inferência fuzzy com alguns indicadores de desempenho do modelo SCOR® (Supply Chain Operations Reference). A abordagem proposta permite avaliar aspectos relacionados ao desempenho das operações e aos custos do fornecedor. Os resultados dessa avaliação são usados para categorizar os fornecedores com desempenho similar e indicar diretrizes adequadas para o gerenciamento de cada grupo de fornecedores. Visando demonstrar o processo de modelagem e uso, bem como avaliar a adequabilidade da proposta, foi realizada uma aplicação piloto que envolveu a avaliação de 10 fornecedores de uma empresa do setor automotivo. Quatro sistemas de inferência fuzzy foram implementados usando MATLAB® e parametrizados de acordo com os julgamentos de dois funcionários da empresa. Também foi realizada uma análise de sensibilidade para verificar a consistência dos resultados fornecidos por esses sistemas. Os resultados obtidos reforçam a adequação da metodologia proposta e das parametrizações realizadas durante a implementação. Quando comparada com as metodologias de avaliação de fornecedores encontradas na literatura, esta abordagem apresenta vantagens como o apontamento de diretrizes para a gestão da base de fornecedores, a possibilidade de integração com a avaliação de desempenho de cadeias de suprimento, a capacidade de avaliar simultaneamente uma quantidade não limitada de fornecedores, a representação e o processamento de informações em formato linguístico e o mapeamento e armazenagem interna de todos os cenários de decisão do problema por meio de regras de inferência facilmente interpretáveis.
MICORRIZAS ARBUSCULARES NO CRESCIMENTO DE LEGUMINOSAS ARBÓREAS EM SUBSTRATO CONTENDO REJEITO DE MINERAÇÃO DE CARVÃO
Authors: Stoffel Shantau Camargo Gomes , Armas Rafael Dutra de , Giachini Admir José , Rossi Márcio José , Gonzalez David , Meyer Edenilson , Nicoleite Carlos Henrique , Rocha-Nicoleite Edilane , Soares Claudio Roberto Fonseca Sousa
Published: July 2016

RESUMO O objetivo desse trabalho foi avaliar o efeito da inoculação de fungos micorrízicos arbusculares (FMA) no crescimento, colonização micorrízica e absorção de P e elementos-traço em leguminosas arbóreas expostas a rejeito de mineração de carvão. Ensaios independentes para as leguminosas Mimosa scabrella Benth. (bracatinga), Mimosa bimucronata (DC.) Kuntze (maricá) e Parapiptadenia rigida (Benth.) Brenan (angico-vermelho) foram conduzidos em casa de vegetação em delineamento inteiramente casualizado com seis tratamentos. Foram avaliados cinco isolados de FMA autóctones de áreas de mineração (Acaulospora colombiana, Acaulospora morrowiae, Dentiscutata heterogama, Rhizophagus clarus e Rhizophagus irregularis), além de um tratamento controle não inoculado, com quatro repetições. Verificou-se que a colonização micorrízica foi superior a 60% para a bracatinga e o maricá, enquanto que, para o angico-vermelho, foi de no máximo 26%. De maneira geral, a inoculação de FMA favoreceu o crescimento das leguminosas arbóreas, atingindo incrementos de até 1430%. A absorção de fósforo foi beneficiada principalmente pela inoculação de A. colombiana, R. irregularis e A. morrowiae. Apesar de se verificar redução nos teores de elementos-traço na parte aérea das plantas, a inoculação de FMA ocasionou incrementos significativos no acúmulo de As, Cu, Zn e Cr para todas as leguminosas avaliadas. Desta forma, os FMA desempenham papel importante para o crescimento de espécies arbóreas em áreas de mineração de carvão, as quais apresentam ambientes pobres, degradados e muitas vezes contaminados.
EFEITOS DA XILANA NA PRODUÇÃO DE CELULOSE DE EUCALIPTO
Authors: Barbosa Bianca Moreira , Colodette Jorge Luiz , Muguet Marcelo Coelho dos Santos , Gomes Valéria Juste , Oliveira Rubens Chaves de
Published: July 2016

RESUMO A busca por uma melhor utilização da madeira na indústria de celulose tem alimentado o interesse em uma utilização mais racional dos seus componentes, em particular as xilanas. O impacto da remoção das xilanas e de sua redeposição nas propriedades da polpa solúvel e tipos de papel de imprimir e escrever (P&W), são discutidos neste trabalho. Celulose kraft (15,6% xilanas) tratamento com 10-70 g.L-1 NaOH resultou em polpas de 14,5-5,9% de xilanas. Os tratamentos diminuiu a lignina e teores de HexA e causou impacto positivo significativo na deslignificação com oxigênio e posterior branqueamento ECF. A remoção de xilanas diminuiu a refinabilidade da polpa, índice de retenção de água e índice de tração, mas aumentou a drenabilidade, a capacidade de absorção de água, a capilaridade Klemm e o bulk. No geral, polpas com baixo teor de xilanas mostrou propriedades quase ideais de polpas para dissolução. Em uma segunda etapa da pesquisa, xilanas extraída de polpa não branqueada (BXL) e polpa de eucalipto branqueada (WXL) por extração cáustica fria (CCE) foram adicionados a uma polpa marrom comercial na deslignificação com oxigênio (O-estágio) e foi branqueada. Deposição de xilanas ocorreu em grau variável (até 7% em peso de celulose), dependendo do pH da reação do O-estágio. O branqueamento da polpa não foi prejudicada por WXL deposição de xilanas, mas ligeiramente afetada negativamente por xilanas BXL. A refinabilidade da polpa celulósica foi melhorada pela deposição de xilanas. As xilanas depositadas foram bastante estáveis ao longo do branqueamento, apesar de, com as xilanas WXL ser mais estável do que com as BXL. Em baixo consumo de energia, as xilanas depositados melhorou as propriedades física e mecânicas. A extração de xilanas pelo CCE com posterior deposição em polpa no O-estágio mostrou atraente para a fabricação de polpa com alto conteúdo de xilanas tipos de papel P&W.
APPLYING CLASSICAL FOREST REGULATION METHODS TO SMALLHOLDINGS WITH COOPERATIVE CONSTRAINTS
Authors: Rode Rafael , Leite Helio Garcia , Binoti Daniel Henrique Breda , Ribeiro Carlos Antonio Álvares Soares , Souza Agostinho Lopes , Cosenza Diogo Nepomuceno , Boechat Carlos Pedro
Published: July 2016

ABSTRACT This study aims to assess the cooperative regulation process of forestry producers in comparison to the traditional individual regulation of properties. Twenty (20) forest properties are studied as examples of the development of three forest regulation scenarios: 1) individual regulation, 2) group regulation, and 3) cooperative regulation. The Net Present Value (NPV) of each of the scenarios is optimized according to mathematical programming models and compared to a baseline scenario without forest regulation. According to the proposed cooperative regulation, properties had a proportion factor for annual net revenue distribution calculated from results of the baseline scenario. By comparing the NPV maximization results from scenarios 1 and 3 with the non-regulation scenario, the cost for individual regulation is on average 25%, while being only 11% for cooperative regulation, that is, a 14% reduction in property regulation costs. Additionally, cooperative regulation had the advantage of dividing properties into fewer areas when compared to individual regulation.
CONTINUIDADE ESPACIAL DO NÚMERO DE ÁRVORES E DA ÁREA BASAL DE UMA FLORESTA OMBRÓFILA MISTA SOB DIFERENTES FORMAS E TAMANHOS DE UNIDADES AMOSTRAIS
Authors: Roveda Marcelo , Filho Afonso Figueiredo , Pelissari Allan Libanio , Santos Ricardo Murilo Malheiros dos
Published: July 2016

RESUMO O tamanho e a forma das unidades amostrais são fundamentais para a percepção da continuidade espacial nas florestas nativas, em que torna-se importante caracterizar os padrões dos fenômenos estruturados no espaço sob diferentes escalas. Dessa forma, o objetivo deste trabalho foi identificar a continuidade espacial do número de árvores e da área basal e avaliar a influência do tamanho e da forma das unidades amostrais em um fragmento de Floresta Ombrófila Mista no estado do Paraná. Uma área de 25 hectares de parcelas permanentes foi dividida em unidades amostrais quadradas de 50 m x 50 m e 25 m x 25 m e, também, retangulares de 10 m x 50 m e 20 m x 50 m, sendo nelas determinado o número de árvores (n.ha-1) e área basal (m². ha-1), com a possível continuidade espacial analisada por meio de análise geoestatística. Foi identificada a influência do tamanho e da forma das unidades de amostra sob a estrutura da continuidade espacial. Ainda, por meio dos semivariogramas ajustados, foi observado que a correlação entre unidades de amostra vizinhas foi mais forte para o número de árvores, quando comparada à área basal. No entanto, devido à semelhança dos semivariogramas, ambos os formatos e tamanhos podem ser utilizados para descrever a estrutura espacial do número de árvores, enquanto as unidades de amostras quadradas foram mais adequadas para a área basal.
Crise social extrema, processos identificatórios e resistência psíquica Os Druzos na guerra do Líbano
Authors: Zugueib Neto Jamil
Published: July 2016

O trabalho se propõe analisar os impactos que uma crise social extrema pode ter sobre a construção identitária e nas condições psíquicas dos cidadãos. Procurou-se identificar quais foram os dinamismos psíquicos e sociais que tiveram relevância para enfrentar o perigo, ultrapassar a crise e, ao final dos combates, nas recomposições de suas vidas. O Líbano foi escolhido, por ter sido cenário de uma longa guerra inter-étnica, onde o povo Druzo esteve no centro das confrontações. Para conhecer esta realidade foram realizadas treze histórias de vida. A análise do material recolhido mostra o papel da memória coletiva e do discurso étnico como propiciadores da coesão grupal. A idealização e as crenças através de suas ideologias, serviram como garantia de sentido na mediação do vivido catastrófico.
A clínica da psicose no campo da saúde mental: transferência e desejo do analista
Authors: Meyer Gabriela Rinaldi
Published: July 2016

O presente artigo procura refletir sobre a clínica da psicose no campo da saúde mental pelo viés da transferência e do que Lacan chamou de desejo do analista. Para isto, são trabalhados fragmentos de dois casos clínicos atendidos numa instituição de saúde mental, o CAPS Clarice Lispector, situado no município do Rio de Janeiro, no território do IMAS-Nise da Silveira. A partir da análise dos dois casos apresentados, a discussão do trabalho gira em torno de uma reflexão sobre a clínica da psicose no contexto institucional e sobre o lugar ocupado pelo psicanalista nesta clínica.
As “loucuras raciocinantes” e a constituição do campo da paranóia na psicopatologia atual
Authors: Pereira Mário Eduardo Costa
Published: July 2016

Esta apresentação tem por objetivo situar o estudo clássico de Sérieux e Capgras sobre as loucuras raciocinantes no contexto da delimitação contemporânea do conceito de “paranóia”. Em particular, discute-se o uso feito por Kraepelin desse célebre trabalho na elaboração de sua própria definição de paranóia, apresentada na oitava edição de seu Tratado de Psiquiatria, de 1915.
Reducing bed rest time from five to three hours does not increase complications after cardiac catheterization: the THREE CATH Trial
Authors: Matte Roselene , Hilário Thamires de Souza , Reich Rejane , Aliti Graziella Badin , Rabelo-Silva Eneida Rejane
Published: July 2016

Abstract Objective: to compare the incidence of vascular complications in patients undergoing transfemoral cardiac catheterization with a 6F introducer sheath followed by 3-hour versus 5-hour rest. Methods: randomized clinical trial. Subjects in the intervention group (IG) ambulated 3 hours after sheath removal, versus 5 hours in the control group (CG). All patients remained in the catheterization laboratory for 5 hours and were assessed hourly, and were contacted 24, 48, and 72 h after hospital discharge. Results: the sample comprised 367 patients in the IG and 363 in the GC. During cath lab stay, hematoma was the most common complication in both groups, occurring in 12 (3%) IG and 13 (4%) CG subjects (P=0.87). Bleeding occurred in 4 (1%) IG and 6 (2%) CG subjects (P=0.51), and vasovagal reaction in 5 (1.4%) IG and 4 (1.1%) CG subjects (P=0.75). At 24-h, 48-h, and 72-h bruising was the most commonly reported complication in both groups. None of the comparisons revealed any significant between-group differences. Conclusion: the results of this trial show that reducing bed rest time to 3 hours after elective cardiac catheterization is safe and does not increase complications as compared with a 5-hour rest. ClinicalTrials.gov Identifier: NCT-01740856
Risk Factors for premature birth in a hospital
Authors: Ahumada-Barrios Margarita E. , Alvarado German F.
Published: July 2016

Abstract Objective: to determine the risk factors for premature birth. Methods: retrospective case-control study of 600 pregnant women assisted in a hospital, with 298 pregnant women in the case group (who gave birth prematurely <37 weeks) and 302 pregnant women who gave birth to a full-term newborn in the control group. Stata software version 12.2 was used. The Chi-square test was used in bivariate analysis and logistic regression was used in multivariate analysis, from which Odds Ratios (OR) and Confidence Intervals (CI) of 95% were derived. Results: risk factors associated with premature birth were current twin pregnancy (adjusted OR= 2.4; p= 0.02), inadequate prenatal care (< 6 controls) (adjusted OR= 3.2; p <0.001), absent prenatal care (adjusted OR= 3.0; p <0.001), history of premature birth (adjusted OR= 3.7; p <0.001) and preeclampsia (adjusted OR= 1.9; p= 0.005). Conclusion: history of premature birth, preeclampsia, not receiving prenatal care and receiving inadequate prenatal care were risk factors for premature birth.
Nurses' experiences working with nursing students in a hospital: a phenomenological enquiry
Authors: Lapeña-Moñux Yolanda Raquel , Cibanal-Juan Luis , Orts-Cortés Mª Isabel , Maciá-Soler Mª Loreto , Palacios-Ceña Domingo
Published: July 2016

Abstract Objective: this paper explores the experiences of registered nurses working with Spanish nursing students within the hospital. Methods: a qualitative phenomenological approach was followed. Purposeful sampling was employed. Twenty-one registered nurses, from a public hospital located in Spain, were included in the study. Data were collected by means of unstructured and semi-structured interviews and were analysed using Giorgi's proposal. The Consolidated Criteria for Reporting Qualitative Research were followed. Results: three main themes described the experience of registered nurses: "The nurse's relationship with nursing students"; most nurses emphasized the importance of the first contact with students and they considered students' attitude to be key. "Defining the role of the student in clinical practice"; it is necessary to unify the nurse's role and interventions to avoid misleading students and establish priorities in clinical practice. "Building bridges between clinical settings and the University"; the need to establish a common ground and connection between the university and hospital clinical settings was emphasized. Nurses felt that the training program should also be designed by the clinical settings themselves. Conclusions: understanding the meaning of nursing students with registered nurses might gain a deeper insight into their expectations.
Clinical importance of a star shaped branch of internal iliac artery and unusual branches of an abnormal obturator artery: rare vascular variations
Authors: Nayak Satheesha Badagabettu , Guru Anitha , Reghunathan Deepthinath , Maloor Prasad Alathadi , Padavinangadi Abhinitha , Shantakumar Swamy Ravindra
Published: July 2016

Abstract The internal iliac artery (IIA) is one of the branches of the common iliac artery and supplies the pelvic viscera, the musculoskeletal part of the pelvis, the gluteal region, the medial thigh region and the perineum. During routine cadaveric dissection of a male cadaver for undergraduate Medical students, we observed variation in the course and branching pattern of the left IIA. The artery gave rise to two common trunks and then to the middle rectal artery, inferior vesicle artery and superior vesicle artery. The first, slightly larger, common trunk gave rise to an unnamed artery, the lateral sacral artery and the superior gluteal artery. The second, smaller, common trunk entered the gluteal region through the greater sciatic foramen, below the piriformis muscle and presented a stellate branching pattern deep to the gluteus maximus muscle. Two of the arteries forming the stellate pattern were the internal pudendal artery and the inferior gluteal artery. The other two were muscular branches.