Background: In 2000, the American College of Obstetricians/Gynecologists (ACOG) established the 5 A's method of brief smoking cessation counseling (ask, advise, assess, assist, arrange) as a standard component of prenatal care. The purpose of this study was to describe use of the 5 A's in prenatal care in Northeast Tennessee, where pregnancy smoking rates are three times the national average, and to evaluate provider attitudes toward addressing pregnancy smoking. Method: Surveys were distributed to all obstetric practices in a 6-county area. Results: One-quarter of respondents indicated they always asked pregnant patients about smoking, with two-thirds always giving their pregnant smokers advice to quit. Over half reported always assessing willingness to quit, while one-quarter or fewer always provided quit assistance, or arranged follow up. Over half believed addressing smoking was of significant value. Secondhand smoke was infrequently addressed. Demographics, efficacy, and outcome beliefs predicted use of the 5 A's. Conclusions: Most obstetric providers in Northeast Tennessee are not following ACOG recommendations for pregnancy smoking. Efforts to address pregnancy smoking and associated adverse pregnancy outcomes in the region should include facilitation of smoking cessation interventions in prenatal care.

The procedure of Takimoto, Denault, and Hotta was followed in order to prepare 4-amino-3-hydrazino-5-methyl-s-triazole hydrochloride (II) and its precursor, triamino-guanidine hydrochloride (I).

Obesity is a major U.S. public health epidemic. A review of the current literature identified a lack of obesity counseling with individuals. The gap in practice was a lack of understanding of nutrition, nutrition labeling, and how foods affect health. The objective of this project was to identify the community assessment need related to obesity and then educate APRNs on ways to better communicate with obese patients. This project focused on an education program for advanced practice registered nurses (APRNs) on using the 5 A's framework for obesity counseling to improve their knowledge and skill in counseling their overweight and obese patients in a rural primary care clinic. Knowles' adult learning theory was used to develop the education project. The education program was presented to and evaluated by 2 APRNs at a rural health clinic. The providers requested the information be placed online so they could give the presentation their undivided attention. The audio-based PowerPoint presentation and printed copies of the presentation content were e-mailed to each of the providers. The presenter went to the clinic 3 days after placing the presentation online to obtain the evaluations and answer any questions. An impact evaluation assessed the presenter, audience learning experience, and confidence and skill of the participant. The participants reported they had a better understanding of the reality of the obese population and how they could improve their communication by using the 5 A's method of assessment. Both participants reported the presentation was clear and easy to understand. A recommendation was made to conduct a future quality improvement project expanding the use of the educational program. This project has the potential to impact social change by improving health care education and ultimately reducing obesity.

Orientador: Marcos Roberto Bormio / Banca: João Eduardo Guarnetti dos Santos / Banca: Jair Rosas da Silva / Resumo: A competição no mercado industrial esta altamente intransigente, tornandose de fundamental importância a aplicação de investimentos em melhorias que estimulam novas situações e mudanças dentro das organizações, objetivando redução de custos em ambientes com qualidade. A utilização das ferramentas de qualidade nos processos produtivos e na vida das pessoas resulta em lucratividade e satisfação na rotina das empresas. Frente a esta realidade, este trabalho teve como objetivo avaliar a aplicação do Programa 5 "S" em uma usina de processamento de cana-de-açúcar, com ênfase no setor de manutenção industrial. Foram realizadas pesquisas em documentações e registros sobre as necessidades de melhorias na usina de cana-de-açúcar no período de 1997 a 2003, época em que as preocupações para manter a organização, a limpeza, o bem estar no ambiente de trabalho e as conquistas no mercado eram necessárias para o crescimento industrial. Neste período foram analisadas todas as etapas de implantação do Programa 5 "S", incluindo um programa de apoio para o 4 e 5 "S", denominado POL - Programa de Organização e Limpeza. Após cinco anos do Programa 5 "S" implantado, foram realizadas, em setembro de 2008, novas avaliações para confirmação que o Programa 5 "S" continuou ativo durante este período.Os resultados mostraram que a implantação de programas de qualidade nas organizações, em especial do Programa 5 "S", gera lucro através da organização, limpeza, padronização de processos, satisfação dos colaboradores, aumento de produtividade e redução de perdas. A implementação de controles para a adequação de programas de segurança de alimentos, visando atender a legislação específica, alcançar a posição de fornecedor qualificado em todos os segmentos do mercado, com uma base sólida e ênfase em resultados fundamentados na relação custo/benefício... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Competition in the industrial market has become highly intransigent, thus becoming of utmost importance investment in improvement which stimulate new situations and changes within organizations, targeting, by doing so, cost reduction in quality environments. The utilization of quality tools in production processes as well as in people's lives results in profitability and satisfaction in the company's routines. Before such reality, this work aims to evaluate the application of the 5"S" Program in a sugar cane processing plant , with an emphasis on the industrial maintenance sector. Researches were performed considering documents and data, from 1997 to 2003, regarding the need of improvement in the sugar cane plant, period which concerns to maintain organization, cleanliness, well-being in the workplace and market conquest were necessary for industrial growth. In that period all the steps for the implementation of the 5 "S" Program were analyzed , including a support program for the "S" 4 and 5 , named POL - Program for Organization and Cleanliness. Five years after its implementation, in 2008/september, a new evaluation was carried out to confirm whether the 5"S" Program had remained active during that period.Competition in the industrial market has become highly intransigent, thus becoming of utmost importance investment in improvement which stimulate new situations and changes within organizations, targeting, by doing so, cost reduction in quality environments. The utilization of quality tools in production processes as well as in people's lives results in profitability and satisfaction in the company's routines. Before such reality, this work aims to evaluate the application of the 5"S" Program in a sugar cane processing plant , with an emphasis on the industrial maintenance sector. Researches were performed considering documents and data, from 1997 to 2003, regarding... (Complete abstract click electronic access below) / Mestre

Orientador: Carlos Antonio Gamero / Banca: Carlos Eduardo Angeli Furlani / Banca: Maria Hele na Moraes / Resumo: Na operação de semeadura, o estande adequado e a uniformidade de distribuição de sementes são componentes de grande influência na produtividade do milho. Esses fatores podem ser afetados por inúmeras variáveis, sendo a velocidade de operação da semeadora-adubadora uma das mais importantes, além da adequação semente/orifício no disco dosador. A velocidade de deslocamento e a regulagem da semeadora, sendo inadequadas, podem proporcionar baixa população de plantas, acarretando em uma produtividade não desejada. O presente trabalho teve como objetivo analisar o desempenho operacional de uma semeadora-adubadora de precisão, em função de cinco velocidades de deslocamento e dois tipos de martelete, utilizada para a semeadura da cultura do milho em sistema plantio direto. O experimento foi instalado e conduzido em área experimental pertencente à Faculdade de Ciências Agronômicas, UNESP - Botucatu, SP, no período de dezembro de 2007 a maio de 2008. O solo da área experimental foi classificado como Nitossolo Vermelho Distroférrico, textura muito argilosa. O delineamento experimental utilizado foi de blocos ao acaso, com parcelas subdivididas, em esquema fatorial 2x5, sendo dois tipos de marteletes (4 e 5 dentes) e cinco velocidades de deslocamento (3,0; 4,5; 5,0; 7,0 e 9,0 km h-1) com quatro repetições. Assim, o experimento teve 10 tratamentos, totalizando 40 parcelas experimentais. Foram avaliados os dados referentes à porcentagem de cobertura do solo, profundidade do sulco de semeadura, área de solo mobilizado e de deposição de sementes, consumo horário e operacional de combustível, força na barra de tração do trator, velocidade de deslocamento, capacidade de campo efetiva, distribuição longitudinal de sementes, número médio de dias para emergência de plântulas, componentes morfológicos e componentes de produção da planta de milho, danos mecânicos nas... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: In the sowing operation, the appropriate stand and the uniformity on the distribution of seeds are mentioned as factors of great influence on the corn yield.. These factors can be affected by several variables, being the planter displacement velocity one of the most important of them, besides the adjustment of seeds in the perforated disc device for seed dosage. The inadequate displacement velocity and adjustment of the planter may provide low population of plants, leading to an undesired yield. The current paper had as its objective to analyze the precision planter's operational and energetically performances according to five different displacement velocities and two types of jumpers used for planting no-tillage corn.The experiment was installed and conducted at the experimental area belonging to the College of Agricultural Science - UNESP located in Botucatu, Sao Paulo state, in the period comprised between December, 2007 and May, 2008. The experimental soil area was classified as Nitossolo Vermelho Distroférrico presenting a deep argillaceous texture. The experimental design consisted of blocks at random with parcels subdivided in factorial scheme 2x5, two types of jumpers (4 and 5 staples) and 5 different displacement velocities (3,0; 4,5; 5,0; 7,0 e 9,0 Km h-1) with four repetitions. Thus, the experiment was composed by 10 treatments, totalizing 40 experimental plots. The evaluated data regarded to the percentage of soil coverage, the sowing line depth, mobilized soil and seed overthrown area, horal and operational fuel consumption, force on the tractor traction bar, displacement velocity, effective field capacity, longitudinal distribution of seeds, average number of days for the emergence of seedlings, morphological and corn production components, mechanical harm on seeds and grain production. The displacement velocity effect was verified on the following variables: horal... (Complete abstract click electronic access below) / Mestre

Main topic of the thesis was to evaluate fatigue properties of the titanium alloy Ti-A13-V2,5, labelled by ASTM as Grade 9. Most attention was focused on fatigue behaviour of the alloy in the range of high cycle fatigue. Fatigue testing was realised to detect the fatigue properties and consequently to generate the Wöhler curve and the Haigh diagram. In addition to this, tension and bending tests were performed. Metallographic and fractographic analyses of fatigue fracture form part of the overview about material properties, which was accomplished by use of REM. Experimental part of the thesis was backed by the literature research. The first half of it contains a short summary of basic information about the titanium and its alloys, so as some chapters about the history and properties of titanium, the way of its production, classification of titanium alloys and its thermic treatment. The fatigue is thoroughly scrutinised in the second half of the background research. Here can also be found the information about the fatigue process, its stages, the fatigue life and the most significant attributes of the fatigue fracture. The last chapters of the thesis are dedicated to the alloy Ti-A13-V2,5 - being examined in the experimental part - so as to its fatigue properties. The main benefit of this thesis is the completion of the missing information concerning the fatigue behaviour of the alloy, which is – according to the literature research - generally not available.