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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
11

Healthcare access under health system decentralization in Honduras: A mixed methods study

Bailey, Emelie January 2016 (has links)
No description available.
12

Uso de DHS - dynamic hip screw - em fraturas instáveis do fêmur proximal : uma abordagem comparativa entre as deformações no fêmur normal e no fêmur com DHS

Ribeiro, Rita Elise Vaghetti January 2017 (has links)
O estudo fez comparações entre a intensidade e a distribuição das deformações a que fica submetido o fêmur proximal intacto e o fêmur proximal fraturado e implantado com o sistema parafuso deslizante Dynamic Hip Screw – DHS, em fraturas transtrocantéricas do tipo 31 - A2 – 2. Para isso, foram produzidas deformações, mediante carregamentos cíclicos, em fadiga. As amostras constituíram-se de ossos de fêmur sintéticos, intactos, e de ossos de fêmur sintéticos onde foram feitos cortes em laboratório produzindo situações de fratura do tipo 31 –A2.2. Nas amostras fraturadas foram colocadas as placas DHS simulando situações reais de osteossíntese. Os conjuntos de ossos mais placas foram então submetidos a ensaios de fadiga. Os resultados demonstraram que as presenças da fratura e do implante DHS alteraram a amplitude das deformações em todas as regiões do fêmur. Houve absorção da carga pelo implante DHS em todas as regiões de medição. Na região do colo femoral, o DHS absorveu 98% da carga, na região lateral 97%, no centro medial transversal 48%, no centro medial longitudinal 92%, no centro medial a 45 graus 94%, no calcar, antes da linha da fratura, 80%, na região do calcar, depois da linha da fratura, 81%, na região do segundo parafuso cortical transversal 81%, na região do segundo parafuso cortical longitudinal 73% e na região do segundo parafuso cortical a 45 graus 92%. A região do centro do pino guia e a região do segundo parafuso cortical foram as regiões de maior instabilidade mecânica. Para as condições de fratura do tipo 31 – A2.2 o implante do tipo DHS não absorve totalmente as deformações geradas, apresentando mobilidade do foco da fratura. Pequenas oscilações entre os ensaios causaram modificações importantes nos resultados, indicando que a relação ponto de medição ou a posição exata do implante podem implicar num desgaste ou afrouxamento prematuro do mesmo devido a uma sobrecarga. / The study compared the intensity and distribution of the deformations to the intact proximal femur and the proximal femur fractured and implanted with the slide screw system, Dynamic Hip Screw – DHS, in transtrochanteric fractures, 31 – A2 – 2 type. In this way, deformations were produced, by means of cyclic loads, in fatigue. The samples consisted of synthetic femoral bones intact and synthetic femoral bones that were cut in the laboratory producing fracture situations of type 31 – A2.2 type. In the fractured samples the DHS plates were placed simulating real osteosynthesis situations. The bone sets and plaques were then subjected to fatigue testing. The results showed that the presence of fracture and DHS implant altered the amplitude of deformations in all regions of the femur. The load was absorbed by the DHS implant in all measurement regions. In the femoral neck region, DHS absorbed 98% of the load, in the lateral region 97%, in the medial center – transverse – 48%, in the medial center – longitudinal – 92%, in the medial center – 45 degrees – 94%, in the calcar region, before the fracture line 80%, in the calcar region, after the fracture line, 81%, in the region of the second cortical screw – transverse – 81%, in the region of the second cortical screw – longitudinal – 73% and in the region of the second cortical screw – 45 degrees – 92% . The region of the center of the guide pin and the region of the second cortical screw were the regions of greater mechanical instability. For fracture conditions of type 31 - A2.2, the DHS type implant does not totally absorb the generated deformations, presenting mobility of the fracture focus. Small oscillations between the tests caused significant changes in the results, indicating that the relationship between the point of measurement and the exact position of the implant may lead to premature wear or loosening of the implant due to an overload.
13

Uso de DHS - dynamic hip screw - em fraturas instáveis do fêmur proximal : uma abordagem comparativa entre as deformações no fêmur normal e no fêmur com DHS

Ribeiro, Rita Elise Vaghetti January 2017 (has links)
O estudo fez comparações entre a intensidade e a distribuição das deformações a que fica submetido o fêmur proximal intacto e o fêmur proximal fraturado e implantado com o sistema parafuso deslizante Dynamic Hip Screw – DHS, em fraturas transtrocantéricas do tipo 31 - A2 – 2. Para isso, foram produzidas deformações, mediante carregamentos cíclicos, em fadiga. As amostras constituíram-se de ossos de fêmur sintéticos, intactos, e de ossos de fêmur sintéticos onde foram feitos cortes em laboratório produzindo situações de fratura do tipo 31 –A2.2. Nas amostras fraturadas foram colocadas as placas DHS simulando situações reais de osteossíntese. Os conjuntos de ossos mais placas foram então submetidos a ensaios de fadiga. Os resultados demonstraram que as presenças da fratura e do implante DHS alteraram a amplitude das deformações em todas as regiões do fêmur. Houve absorção da carga pelo implante DHS em todas as regiões de medição. Na região do colo femoral, o DHS absorveu 98% da carga, na região lateral 97%, no centro medial transversal 48%, no centro medial longitudinal 92%, no centro medial a 45 graus 94%, no calcar, antes da linha da fratura, 80%, na região do calcar, depois da linha da fratura, 81%, na região do segundo parafuso cortical transversal 81%, na região do segundo parafuso cortical longitudinal 73% e na região do segundo parafuso cortical a 45 graus 92%. A região do centro do pino guia e a região do segundo parafuso cortical foram as regiões de maior instabilidade mecânica. Para as condições de fratura do tipo 31 – A2.2 o implante do tipo DHS não absorve totalmente as deformações geradas, apresentando mobilidade do foco da fratura. Pequenas oscilações entre os ensaios causaram modificações importantes nos resultados, indicando que a relação ponto de medição ou a posição exata do implante podem implicar num desgaste ou afrouxamento prematuro do mesmo devido a uma sobrecarga. / The study compared the intensity and distribution of the deformations to the intact proximal femur and the proximal femur fractured and implanted with the slide screw system, Dynamic Hip Screw – DHS, in transtrochanteric fractures, 31 – A2 – 2 type. In this way, deformations were produced, by means of cyclic loads, in fatigue. The samples consisted of synthetic femoral bones intact and synthetic femoral bones that were cut in the laboratory producing fracture situations of type 31 – A2.2 type. In the fractured samples the DHS plates were placed simulating real osteosynthesis situations. The bone sets and plaques were then subjected to fatigue testing. The results showed that the presence of fracture and DHS implant altered the amplitude of deformations in all regions of the femur. The load was absorbed by the DHS implant in all measurement regions. In the femoral neck region, DHS absorbed 98% of the load, in the lateral region 97%, in the medial center – transverse – 48%, in the medial center – longitudinal – 92%, in the medial center – 45 degrees – 94%, in the calcar region, before the fracture line 80%, in the calcar region, after the fracture line, 81%, in the region of the second cortical screw – transverse – 81%, in the region of the second cortical screw – longitudinal – 73% and in the region of the second cortical screw – 45 degrees – 92% . The region of the center of the guide pin and the region of the second cortical screw were the regions of greater mechanical instability. For fracture conditions of type 31 - A2.2, the DHS type implant does not totally absorb the generated deformations, presenting mobility of the fracture focus. Small oscillations between the tests caused significant changes in the results, indicating that the relationship between the point of measurement and the exact position of the implant may lead to premature wear or loosening of the implant due to an overload.
14

Uso de DHS - dynamic hip screw - em fraturas instáveis do fêmur proximal : uma abordagem comparativa entre as deformações no fêmur normal e no fêmur com DHS

Ribeiro, Rita Elise Vaghetti January 2017 (has links)
O estudo fez comparações entre a intensidade e a distribuição das deformações a que fica submetido o fêmur proximal intacto e o fêmur proximal fraturado e implantado com o sistema parafuso deslizante Dynamic Hip Screw – DHS, em fraturas transtrocantéricas do tipo 31 - A2 – 2. Para isso, foram produzidas deformações, mediante carregamentos cíclicos, em fadiga. As amostras constituíram-se de ossos de fêmur sintéticos, intactos, e de ossos de fêmur sintéticos onde foram feitos cortes em laboratório produzindo situações de fratura do tipo 31 –A2.2. Nas amostras fraturadas foram colocadas as placas DHS simulando situações reais de osteossíntese. Os conjuntos de ossos mais placas foram então submetidos a ensaios de fadiga. Os resultados demonstraram que as presenças da fratura e do implante DHS alteraram a amplitude das deformações em todas as regiões do fêmur. Houve absorção da carga pelo implante DHS em todas as regiões de medição. Na região do colo femoral, o DHS absorveu 98% da carga, na região lateral 97%, no centro medial transversal 48%, no centro medial longitudinal 92%, no centro medial a 45 graus 94%, no calcar, antes da linha da fratura, 80%, na região do calcar, depois da linha da fratura, 81%, na região do segundo parafuso cortical transversal 81%, na região do segundo parafuso cortical longitudinal 73% e na região do segundo parafuso cortical a 45 graus 92%. A região do centro do pino guia e a região do segundo parafuso cortical foram as regiões de maior instabilidade mecânica. Para as condições de fratura do tipo 31 – A2.2 o implante do tipo DHS não absorve totalmente as deformações geradas, apresentando mobilidade do foco da fratura. Pequenas oscilações entre os ensaios causaram modificações importantes nos resultados, indicando que a relação ponto de medição ou a posição exata do implante podem implicar num desgaste ou afrouxamento prematuro do mesmo devido a uma sobrecarga. / The study compared the intensity and distribution of the deformations to the intact proximal femur and the proximal femur fractured and implanted with the slide screw system, Dynamic Hip Screw – DHS, in transtrochanteric fractures, 31 – A2 – 2 type. In this way, deformations were produced, by means of cyclic loads, in fatigue. The samples consisted of synthetic femoral bones intact and synthetic femoral bones that were cut in the laboratory producing fracture situations of type 31 – A2.2 type. In the fractured samples the DHS plates were placed simulating real osteosynthesis situations. The bone sets and plaques were then subjected to fatigue testing. The results showed that the presence of fracture and DHS implant altered the amplitude of deformations in all regions of the femur. The load was absorbed by the DHS implant in all measurement regions. In the femoral neck region, DHS absorbed 98% of the load, in the lateral region 97%, in the medial center – transverse – 48%, in the medial center – longitudinal – 92%, in the medial center – 45 degrees – 94%, in the calcar region, before the fracture line 80%, in the calcar region, after the fracture line, 81%, in the region of the second cortical screw – transverse – 81%, in the region of the second cortical screw – longitudinal – 73% and in the region of the second cortical screw – 45 degrees – 92% . The region of the center of the guide pin and the region of the second cortical screw were the regions of greater mechanical instability. For fracture conditions of type 31 - A2.2, the DHS type implant does not totally absorb the generated deformations, presenting mobility of the fracture focus. Small oscillations between the tests caused significant changes in the results, indicating that the relationship between the point of measurement and the exact position of the implant may lead to premature wear or loosening of the implant due to an overload.
15

Análise da eficiência de um sistema combinado de alagados construídos na melhoria da qualidade das águas / Assessment of efficiency of combined constructed wetlands system for water quality improvement

Cunha, Caroline de Andrade Gomes da 14 September 2006 (has links)
Este trabalho teve como objetivo avaliar a eficiência de um sistema combinado de alagados construídos, localizado no Parque Ecológico do Tietê em São Paulo, na melhoria da qualidade das águas. A estação de estudo é composta por um canal de decantação, um canal de macrófitas flutuantes (Eicchornia crassipes, Pistia stratioides, Salvinia auriculata) e emergentes (Typha angustifolia) de fluxo superficial, e duas células paralelas de solos filtrantes de fluxo vertical descendente cultivados com arroz (Oryza sativa). As coletas de água foram realizadas mensalmente, na entrada e saída de cada etapa do sistema, no período de fevereiro, março, junho e julho de 2004 e de março a setembro de 2005. As variáveis físicas, químicas e biológicas da água foram medidas e taxas de eficiência de remoção parcial e total do sistema foram calculadas. A estação construída de alagados mostrou-se eficiente principalmente na remoção de sulfato (52%), turbidez (86%), 'DBO IND.5' (41 - 64%), fósforo total (51 – 68%), nitrogênio albuminóide (51,7%), nitrito (77,8%) e nitrogênio amoniacal (57 – 84%). Os canais de macrófitas apresentaram um alto desempenho de remoção média para maioria das variáveis analisadas no trabalho, contribuindo com a maior porção na taxa de remoção total do sistema. Durante o período de estudo, provavelmente devido à falta de manejo do sistema, observou-se a volta dos nutrientes assimilados pelas macrófitas para a coluna d`água (N, P, Fe) com a decomposição das plantas e condições de anaerobiose nos solos filtrantes. Esses fatores, juntamente com a presença dos animais do parque atraídos pelo arroz, contribuíram com o baixo desempenho do canal de macrófitas e dos solos filtrantes na remoção de cor, turbidez, ferro total e coliformes em alguns meses de coleta. Para a maioria das variáveis analisadas, a água tratada pelo sistema de alagados construídos alcançou os limites e padrões estabelecidos pela Resolução CONAMA 357/2005 para águas doces de classe 2 (BRASIL, 2005). Contudo, em função dos dados obtidos, não se pode enquadrar totalmente o efluente, embora seja esperado que com a estabilização do sistema e um manejo adequado, a água tratada consiga atingir as características exigidas e possa ser enquadrada em águas doces de classe 2. / The aim of this work was evaluate the efficiency of combined constructed wetlands, located in the Tiete Ecological Park in São Paulo, in water quality improvement. The station consists of a settling channel, one free-floating (Eichhornia crassipes, Salvinia auriculata, Pistia stratiotes) and rooted emergent macrophyte-based system (Typha angustifolia) with surface flow and two cells of vertical flow filter soils in parallel, planted with rice (Oryza sativa). The water samples were collected monthly at the inlet and outlet of each step of the system, in the period of February, March, June and July of 2004 and of March to September of 2005. The physical, chemical and biological variables of the water were measured and efficiency rates of the system were made. The constructed wetlands system mainly showed efficient removal rates in sulphate (52%), turbidity (86%), BDO (41 - 64%), total phosphorus (51 - 68%), organic nitrogen (51,7%), nitrite (77,8%) and ammonia nitrogen (57 - 84%). The settling channel and macrophyte-based system presented a high removal performance for most of the variables analyzed in the work, contributing with the largest portion in the total removal rate of the system. During the study period, probably due to the lack of system management, the return of nutrients previously uptaken (N, P, Fe) by macrophytes for the water column was observed with the decay of aging plants and anaerobic conditions in the HDS system. Those factors, added with the presence of the park´s animals attracted for the rice, contributed with the low performance of macrophyte-based and HDS system in the removal of color, turbidity, total iron and coliforms in some months of collection. For most of the analyzed variables, the water treated by the constructed wetlands system reached the limits and patterns established by the Resolution CONAMA 357/2005 for fresh water of class 2 (BRAZIL, 2005). However, due to the obtained data, the treated water cannot be totally classified as class 2, although it is expected that with the stabilization of the system and appropriate handling, the treated water reach the demanded characteristics and can be classified in fresh water of class 2.
16

Investigating the Role of Deoxyhypusine Synthase in the Invasiveness of PC3 Cells Using siRNA

Adam, Eva January 2008 (has links)
Deoxyhypusine synthase (DHS) catalyzes the first step in the hypusination of eukaryotic translation initiation factor 5A (eIF5A). In human cells, two eIF5A isoforms are present, eIF5A-1 and eIF5A-2, and DHS catalyzes the hypusination of both. Since both eIF5As are substrates for DHS, the biological functions of DHS are likely to be exerted through the various post-translational forms of these two eIF5As. The lysine form of eIF5A-1 has been associated with apoptosis, while the hypusinated form of eIF5A-1 has been associated with cell viability and proliferation. eIF5A-2 has been found to be over-expressed in certain cancers and has been proposed to function as an oncogene. Dhs is also over-expressed in certain human cancers and is a metastatic signature gene. The purpose of the present study was to investigate the role of DHS in cancer cell invasiveness, cell proliferation, and apoptosis using RNA interference. The main finding of the study is that DHS siRNA treatment decreases invasiveness of PC3 cells in vitro. Both DHS 0 siRNA treatment and DHS 1/b siRNA treatment significantly reduced cell invasiveness of PC3 cells as measured by the Matrigel invasion assay. Potential confounding variables, such as differences in cell proliferation or differences in apoptosis in response to DHS siRNA treatment, were assessed using the XTT cell proliferation assay and the Annexin V/Pi apoptosis assay, and they were found not to have an effect. In the absence of serum, DHS siRNA treatment did not result in significant decrease in cell proliferation compared to the control siRNA treatment. Furthermore, DHS siRNA treatment did not induce apoptosis in PC3 cells under the present experimental conditions. In conclusion, depletion of DHS with RNAi reduces invasiveness, but does not induce apoptosis in PC3 cells. The significance of the research is that the anti-invasiveness effect of DHS depletion in metastatic cancer cells is shown for the first time in the present study. Thus, DHS depletion may be useful to combat cancer in conjunction with L-eIF5A-1 over-expression.
17

Investigating the Role of Deoxyhypusine Synthase in the Invasiveness of PC3 Cells Using siRNA

Adam, Eva January 2008 (has links)
Deoxyhypusine synthase (DHS) catalyzes the first step in the hypusination of eukaryotic translation initiation factor 5A (eIF5A). In human cells, two eIF5A isoforms are present, eIF5A-1 and eIF5A-2, and DHS catalyzes the hypusination of both. Since both eIF5As are substrates for DHS, the biological functions of DHS are likely to be exerted through the various post-translational forms of these two eIF5As. The lysine form of eIF5A-1 has been associated with apoptosis, while the hypusinated form of eIF5A-1 has been associated with cell viability and proliferation. eIF5A-2 has been found to be over-expressed in certain cancers and has been proposed to function as an oncogene. Dhs is also over-expressed in certain human cancers and is a metastatic signature gene. The purpose of the present study was to investigate the role of DHS in cancer cell invasiveness, cell proliferation, and apoptosis using RNA interference. The main finding of the study is that DHS siRNA treatment decreases invasiveness of PC3 cells in vitro. Both DHS 0 siRNA treatment and DHS 1/b siRNA treatment significantly reduced cell invasiveness of PC3 cells as measured by the Matrigel invasion assay. Potential confounding variables, such as differences in cell proliferation or differences in apoptosis in response to DHS siRNA treatment, were assessed using the XTT cell proliferation assay and the Annexin V/Pi apoptosis assay, and they were found not to have an effect. In the absence of serum, DHS siRNA treatment did not result in significant decrease in cell proliferation compared to the control siRNA treatment. Furthermore, DHS siRNA treatment did not induce apoptosis in PC3 cells under the present experimental conditions. In conclusion, depletion of DHS with RNAi reduces invasiveness, but does not induce apoptosis in PC3 cells. The significance of the research is that the anti-invasiveness effect of DHS depletion in metastatic cancer cells is shown for the first time in the present study. Thus, DHS depletion may be useful to combat cancer in conjunction with L-eIF5A-1 over-expression.
18

Sensory evaluation and quality assessment of an alternative inner coating film in yogurt cartons

Arding, Fredrik January 2015 (has links)
The dairy food industry is continuously striving towards products with higher quality and longer shelf-life available to the customer at low prices. Arla Foods in Linköping, Sweden, is currently investigating the possibilities of changing the material in yogurt packaging containers by replacing the currently used carton with a different and cheaper alternative. A successful switch will give the company an economical advantage without affecting the sensory attributes (smell, taste, sight, and consistency), aroma profile or other important trademarks of the yogurt. This study is designed to examine and compare yogurt that has been stored in different packaging cartons, one coated with a single-layered low-density polyethylene (LDPE) and one coated with a currently used multi-layered ethylene-vinyl alcohol (EVOH). The study was based on the analysis and measurement of sensory attributes performed by experts, physical properties in laboratory and chemical composition in GC-FID/MS together with a discriminative test where a group of people would identify any difference between the yogurts. Together, these analyses would provide an explanation about any differences between the packaging materials by connecting physical, chemical and/or sensory characteristics. The collected results would give a better and more comprehensive picture than each analysis would do separately. The results from the study show that there is a difference between yogurts stored in LDPE-based containers and yogurts stored in EVOH-based containers and that the product was chemically affected, mainly by the level of oxygen in contact with the food. The overall assessment is that the largest difference was discovered in the taste.
19

Análise da eficiência de um sistema combinado de alagados construídos na melhoria da qualidade das águas / Assessment of efficiency of combined constructed wetlands system for water quality improvement

Caroline de Andrade Gomes da Cunha 14 September 2006 (has links)
Este trabalho teve como objetivo avaliar a eficiência de um sistema combinado de alagados construídos, localizado no Parque Ecológico do Tietê em São Paulo, na melhoria da qualidade das águas. A estação de estudo é composta por um canal de decantação, um canal de macrófitas flutuantes (Eicchornia crassipes, Pistia stratioides, Salvinia auriculata) e emergentes (Typha angustifolia) de fluxo superficial, e duas células paralelas de solos filtrantes de fluxo vertical descendente cultivados com arroz (Oryza sativa). As coletas de água foram realizadas mensalmente, na entrada e saída de cada etapa do sistema, no período de fevereiro, março, junho e julho de 2004 e de março a setembro de 2005. As variáveis físicas, químicas e biológicas da água foram medidas e taxas de eficiência de remoção parcial e total do sistema foram calculadas. A estação construída de alagados mostrou-se eficiente principalmente na remoção de sulfato (52%), turbidez (86%), 'DBO IND.5' (41 - 64%), fósforo total (51 – 68%), nitrogênio albuminóide (51,7%), nitrito (77,8%) e nitrogênio amoniacal (57 – 84%). Os canais de macrófitas apresentaram um alto desempenho de remoção média para maioria das variáveis analisadas no trabalho, contribuindo com a maior porção na taxa de remoção total do sistema. Durante o período de estudo, provavelmente devido à falta de manejo do sistema, observou-se a volta dos nutrientes assimilados pelas macrófitas para a coluna d`água (N, P, Fe) com a decomposição das plantas e condições de anaerobiose nos solos filtrantes. Esses fatores, juntamente com a presença dos animais do parque atraídos pelo arroz, contribuíram com o baixo desempenho do canal de macrófitas e dos solos filtrantes na remoção de cor, turbidez, ferro total e coliformes em alguns meses de coleta. Para a maioria das variáveis analisadas, a água tratada pelo sistema de alagados construídos alcançou os limites e padrões estabelecidos pela Resolução CONAMA 357/2005 para águas doces de classe 2 (BRASIL, 2005). Contudo, em função dos dados obtidos, não se pode enquadrar totalmente o efluente, embora seja esperado que com a estabilização do sistema e um manejo adequado, a água tratada consiga atingir as características exigidas e possa ser enquadrada em águas doces de classe 2. / The aim of this work was evaluate the efficiency of combined constructed wetlands, located in the Tiete Ecological Park in São Paulo, in water quality improvement. The station consists of a settling channel, one free-floating (Eichhornia crassipes, Salvinia auriculata, Pistia stratiotes) and rooted emergent macrophyte-based system (Typha angustifolia) with surface flow and two cells of vertical flow filter soils in parallel, planted with rice (Oryza sativa). The water samples were collected monthly at the inlet and outlet of each step of the system, in the period of February, March, June and July of 2004 and of March to September of 2005. The physical, chemical and biological variables of the water were measured and efficiency rates of the system were made. The constructed wetlands system mainly showed efficient removal rates in sulphate (52%), turbidity (86%), BDO (41 - 64%), total phosphorus (51 - 68%), organic nitrogen (51,7%), nitrite (77,8%) and ammonia nitrogen (57 - 84%). The settling channel and macrophyte-based system presented a high removal performance for most of the variables analyzed in the work, contributing with the largest portion in the total removal rate of the system. During the study period, probably due to the lack of system management, the return of nutrients previously uptaken (N, P, Fe) by macrophytes for the water column was observed with the decay of aging plants and anaerobic conditions in the HDS system. Those factors, added with the presence of the park´s animals attracted for the rice, contributed with the low performance of macrophyte-based and HDS system in the removal of color, turbidity, total iron and coliforms in some months of collection. For most of the analyzed variables, the water treated by the constructed wetlands system reached the limits and patterns established by the Resolution CONAMA 357/2005 for fresh water of class 2 (BRAZIL, 2005). However, due to the obtained data, the treated water cannot be totally classified as class 2, although it is expected that with the stabilization of the system and appropriate handling, the treated water reach the demanded characteristics and can be classified in fresh water of class 2.
20

Factors associated with the place of delivery among ever-married women in Bangladesh : A secondary analysis of the Bangladesh Demographic and Health Survey, 2014

Ahmed, Munmun January 2020 (has links)
Abstract Background: Although the maternal mortality ratio has dropped globally, the ratio is still unacceptably high in many low and lower-middle-income countries, like Bangladesh. Maternal deaths can occur from preventable complications due to pregnancy and childbirth. Delivery at a health institution was proven to be one of the key interventions to minimize maternal mortality. This study aimed at investigating the associations between the socio-demographic and healthcare-related factors, and the place of delivery among ever-married women of reproductive age in Bangladesh.  Methods: A population-based cross-sectional study was conducted with 4487 ever-married women, aged 15-49 years. Data were extracted from the 2014 Bangladesh Demographic and Health Survey. To investigate the associations, multivariate logistic regression was performed.   Results: Of the 4487 ever-married women, 1794 (40%) gave birth by institutional delivery. Multivariate logistic regression showed that wealthier women, attending secondary or above education levels, and whose husbands had primary or above education were more likely to deliver at health institutions. Women who received counselling about danger signs and attended at least one or more ANC visits during pregnancy had higher odds of institutional delivery. Women living in rural areas, following Islam religion, and who were currently working were less likely to deliver at health institutions. Conclusion: The current study revealed that the socio-demographic and healthcare-related factors were associated with the place of delivery among ever-married women of reproductive age in Bangladesh.

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