The methods of fixation of the facial prostheses, it has been developing for larger comfort and safety, improving the quality and the patients' life. Consulting the information informs on the theme, there was the coincidence of subjects studied in some of these goods, having, also the disagreement possibility in their conclusions. The objective of this study was to evaluate the fixation methods (implants extra orals and stickers) of facial prosthesis in patient of cancer, through a systematic review (Meta analysis). Searches were accomplished by rehearsals controlled randomized of studies about fixation of facial prosthesis in patient of cancer through stickers and implants facial in bases of bibliographical data. It was located 259 summaries that were read and selected by two examiners, according to eligibility criteria and quality. The clinical endings of fixation mechanic's methods and anatomical, it was not possible to accomplish methanalysis. For the studies whose fixation method was adhesive and facial implants, it took place methanalysis eleven goods, selected were considered eligible and presenting quality for the study, involving 787 patient that do use of facial prosthesis. The methanalysis shows evidences of the beneficial effects of the use of implants extra orals for retention of the facial prostheses. The good effectiveness of the fixation methods is evidenced by implants extra orals, but for cases where no there is a good selection of the bone type and all is not possible the placement of implants the stickers is an alternative to keep the prostheses facial. / Os métodos de fixação das próteses faciais têm evoluído para maior conforto e segurança, melhorando a qualidade de vida dos pacientes. Consultando as informações cientificas sobre o tema, houve a coincidência de assuntos estudados em alguns destes artigos, havendo, também a possibilidade de discordância nas suas conclusões. O objetivo deste estudo foi avaliar os métodos de fixação (implantes extra-orais e adesivos) de próteses faciais em pacientes oncológicos, por intermédio de uma revisão sistemática (meta análise). Foram realizados buscas por ensaios aleatorizados controlados de estudos sobre fixação de prótese facial em pacientes oncológicos por meio de adesivos e implantes extra orais em bases de dados bibliográficos. Localizouse 259 resumos que foram lidos e selecionados por examinadores, segundo critérios de elegibilidade e qualidade. Para os desfechos clínicos dos métodos de fixação por adesivos, não foi possível realizar metanálise. Para os estudos cujo método de fixação eram adesivos e implantes faciais, realizou-se metanálise. Dez artigos, selecionados foram considerados elegíveis e apresentando qualidade para o estudo, envolvendo 787 pacientes que fazem uso de prótese facial. A metanálise mostra evidencia dos efeitos benéficos do uso de implantes extra orais para retenção das próteses faciais. Para casos onde não há quantidade e qualidade óssea e onde foi submetido a tratamento radioterápico, quando não for possível a colocação de implantes, os adesivos são uma alternativa para reter próteses faciais, mas pode trazer irritação a pele quando usado por um longo período. / Mestre em Odontologia

Esse estudo analisou a dinâmica da produção de alimentos no estado do Rio Grande do Sul e suas consequências para as alterações nas áreas de pastagens naturais no Bioma Pampa. Para tanto, foram analisadas as mudanças no uso da terra nos municípios conforme os Censos Agropecuários de 1975, 1985, 1995/1996 e 2006 e da produção de alimentos de acordo com os relatórios de produção agrícola e pecuária municipais do Instituto Brasileiro de Geografia e Estatística (IBGE). Para analisar as variações na área das culturas e quantidade produzida foi calculado um índice de crescimento relativo. Os municípios foram ordenados conforme a área das categorias em seu território e sua localização por Escalonamento Multidimensional Não Métrico (NMDS). A influência do bioma sobre o uso da terra foi analisada por ENVIFIT e a diferença entre as categorias por PERMANOVA, no software R. No Bioma Pampa ocorreu um decréscimo de 26% nas pastagens naturais desde 1975, apresentando decréscimo de até 12.5%, entre 1975 e 1985. Destacam-se as taxas das lavouras e matas artificiais, em que para lavouras temporárias, apresentaram um crescimento considerável de 1985 para 2005. A influência do Bioma Pampa na composição das categorias de uso da terra manteve-se entre 14 e 15%, havendo diferença entre municípios localizados no Bioma Pampa em todos os anos analisados. Ao longo do tempo foi possível observar uma movimentação significativa das lavouras temporárias e das matas artificiais que principalmente entre 1995 e 2005 começam a integrar a paisagem do bioma. Para enfrentar o desafio de manter atividades agroecológicas em biomas ameaçados o Brasil deve investir em fiscalização, desenvolvendo sistemas de monitoramento capazes de detectar sutis alterações no uso da terra. Por outro lado, a produção de alimentos nesse estado apresentou crescimento na quantidade produzida. Foi observado um crescimento elevado na quantidade produzida de soja, sendo distribuição homogênea em todo o estado. O arroz apresentou redução na quantidade produzida no norte do estado e uma concentração expressiva nas regiões sul e fronteira oeste do estado. Os bovinos mantiveram seu rebanho estável com grande concentração na fronteira oeste. A silvicultura apresentou crescimento em praticamente todo estado, estando sua produção centrada na região sudeste do estado. As lavouras analisadas contribuíram para o PIB do estado e são capazes, hoje e no futuro, de suprir as demandas calóricas do Rio Grande do Sul em caso de necessidades, caso sejam mantidas as características atuais do agronegócio gaúcho. Dessas culturas, a soja foi a que mais disponibilizou calorias e retorno financeiro ao estado, sendo capaz de suprir a demanda local e oferecer excedentes para a exportação. Em todas as culturas, com exceção do milho, o aumento da quantidade de calorias disponibilizadas esteve relacionado ao aumento da área plantada, demandando maiores investimentos e incentivos ao incremento do rendimento das culturas. / This study analyzed the food production dynamics in the state of Rio Grande do Sul and its consequences for the changes in the natural grassland areas in the Pampa Biome. To this end, data for land use in the municipalities of Pampa Biome were collected from the Agricultural Censuses of 1975, 1985, 1995/1996 and 2006 as well as the food production data presented at the municipal agricultural and livestock reports published by the Brazilian Institute of Geography and Statistics (IBGE). To analyze the dynamics of the natural grasslands area of natural pastures, the micro-regions were compared every 10 years, the relative growth rate. The comparison between the municipalities was made by the adjusted mean the area allocated for the categories of land use. All municipalities were ranked as the area of the categories in its territory and its location by Multidimensional Scaling Not Metric (NMDS). The influence of the biome on land use was analyzed by ENVIFIT and the difference between the categories by PERMANOVA in Pampa Biome R. In software, there was a 26% decrease in natural pastures since 1975, presenting decrease of up to 12.5% between 1975 and 1985. Noteworthy are the rates of crops and artificial forest in which to temporary crops showed considerable growth from 1985 to 2005. The influence of the Pampa biome in the composition of land use categories remained between 14 and 15%, with significant differences between municipalities in the Pampa biome in all the years analyzed. Over time, it observed a significant movement of temporary crops and artificial forests that mainly between 1995 and 2005 begin to integrate the biome landscape. To face the challenge of maintaining agro-ecological activities threatened biomes in Brazil should invest in surveillance, developing monitoring systems capable of detecting subtle changes in land use. Moreover, the production of food in this state showed an increase in the amount produced. High growth for soy produced, being homogeneously distributed across the state was observed. Rice declined on the amount produced in the northern state and a significant concentration in the south and west of the state border. Cattle kept its stable herd with great concentration on the western border. Forestry grew in almost every state, with its production centered in the southeastern region of the state. The crops analyzed contributed to the state's GDP and are able, today and in the future, to meet the caloric demands of Rio Grande do Sul in the event purposes, if the current features of the gaucho agribusiness are maintained. These crops, soybean was the one that provided calories and financial return to the state, being able to meet local demand and provide surplus for exports. In all crops, except corn, increasing the amount of calories available was related to the increased planted area, requiring greater investments and incentives to increase crop yields.

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / INTRODUCTION: Increasing morbidity and mortality rates caused by arterial hypertension and health care expenditures have been a serious public health problem. Adherence to treatment is critical to overcome this problem. There are a large number of studies on the subject, but rarely all relevant points and potential interventions for the situation are addressed in a single systematic review, leaving a gap for decisions in clinical practice. So this justifies the importance of elaborating an overview able to compile information from relevant reviews on adherence to pharmacotherapy in hypertensive patients. METHODOLOGY: The research design is in accordance with the definitions reported in the PRISMA statement. The sample is composed of systematic reviews that address the adherence of hypertensive patients to the treatment. The search for the studies was carried out in the databases COCHRANE, LILACS, PubMed / Medline, SCOPUS, Web of Science and the evaluation of the methodological quality of the studies was evaluated through the AMSTAR instrument. RESULTS: A total of 1,094 records were identified on the subject in the respective databases. At the end of the selection process, 17 systematic reviews fulfilled the inclusion criteria in this study. The quality of the systematic reviews ranged from low (3 points) to high (10 points), according to the AMSTAR quality assessment instrument. The number of studies included in the systematic reviews ranged from 6 to 101, with an average of 36 studies per systematic review, providing a total of 612 primary studies included in the overview. The most used methodologies to measure adherence were self-report, pill count and electronic medication monitoring (MEMS). Interventions were more effective in women, elderly and moderate in patients with high socioeconomic status. And increased adherence to antihypertensive drugs and blood pressure control were more effective in multifactorial or complex interventions, including combinations of different strategies, which are performed over several days. CONCLUSIONS: Several sources of heterogeneity were identified in the systematic reviews and meta-analysis on the adherence of hypertensive patients to treatment, thus demonstrating that there is a need to create specific quality criteria for studies that evaluated adherence. In addition, no method described in the literature can be considered the gold standard for assessing adherence to treatment in hypertensive patients and there is no single intervention that can be considered as the best option to improve adherence to the treatment of hypertensive patients. Due to the complexity of the adhesion process, it is necessary for the health professional to know the individual characteristics of the patients and to formulate specific interventions according to the needs of each individual. / INTRODUÇÃO: As crescentes taxas de morbimortalidade ocasionadas pela hipertensão arterial e os gastos gerados em saúde têm constituído um grave problema de saúde pública. A adesão ao tratamento é fundamental para contornar este problema. Há uma grande quantidade de estudos acerca do tema, mas raramente todos os pontos relevantes e as potenciais intervenções para a situação são abordadas numa única revisão sistemática, deixando uma lacuna para as decisões na prática clínica, o que justifica a importância da elaboração de uma overview capaz de compilar as informações de revisões relevantes sobre adesão a farmacoterapia em pacientes hipertensos. METODOLOGIA: O delineamento da pesquisa está de acordo com a declaração PRISMA. A amostra é composta por revisões sistemáticas que abordam a adesão de pacientes hipertensos ao tratamento. A busca dos estudos foi realizada nas bases de dados COCHRANE, LILACS, PubMed/Medline, SCOPUS, Web of Science e a avaliação da qualidade metodológica dos estudos foi avaliada por meio do instrumento AMSTAR. RESULTADOS: Foram identificados inicialmente 1,094 registros sobre o tema nas respectivas bases de dados, sendo que ao final do processo de seleção, 17 revisões sistemáticas preencheram os critérios de inclusão nessa pesquisa. A qualidade das revisões sistemáticas variou de baixa (3 pontos) a alta (10 pontos), de acordo com o instrumento de avaliação de qualidade AMSTAR. O número de estudos incluídos nas revisões sistemáticas variou de 6 a 101, com uma média de 36 estudos por revisão sistemática, fornecendo um total de 612 estudos primários incluídos na overview. As metodologias mais utilizadas para mensurar a adesão foram o autorrelato, a contagem de comprimidos e o monitoramento eletrônico de medicamentos (MEMS). As intervenções foram mais efetivas em mulheres, idosos e moderada em pacientes de alto status socioeconômico. Foram mais eficazes no aumento da adesão aos medicamentos anti-hipertensivos e controle da pressão arterial as intervenções multifatoriais ou complexas, incluindo combinações de diferentes estratégias e que são realizadas ao longo de vários dias. CONCLUSÕES: Foram identificadas várias fontes de heterogeneidades nas revisões sistemáticas e metanálises sobre adesão dos pacientes hipertensos ao tratamento, demonstrando assim a necessidade de criação de critérios de qualidade específicos para estudos que avaliam a adesão. Nenhum método descrito na literatura pode ser considerado o padrão-ouro para avaliação da adesão ao tratamento em pacientes hipertensos e não existe uma única intervenção que possa ser considerada como a melhor opção para melhorar a adesão ao tratamento de hipertensos. Devido a complexidade do processo de adesão é necessário que o profissional de saúde conheça as características individuais dos pacientes e que formule intervenções específicas de acordo com a necessidade de cada indivíduo. / São Cristóvão, SE

Master of Science / Department of Family Studies and Human Services / Anthony Jurich / Play is essential to child development because it contributes to the cognitive, physical, social, and emotional well-being of children and youth. The integration of play and play therapy techniques with child and family therapy offers a creative, age appropriate way to provide mental health treatment. This report offers an overview of play therapy, the therapeutic value of play, the historical background, theory, techniques, materials, and settings. Further, it provides the reader with many therapeutic modalities in which to implement play in family therapy. Because play therapy is a specialized field, this report also provides the reader with information on how to use this to create a marketing niche. This report was written with the Masters’ or Doctoral student in mind, as well as practicing therapists; with hopes to provide them a creative avenue in which to enhance their current therapeutic modalities.

The aim of this work is the issue of Enterprise Resource Planning offered by way of Systems as a service and the suitability of this implementation for small and medium enterprises. Theoretical part describes the genesis and development of Enterprise Resource Planning, their functionality and purpose. There's also specified the term Cloud computing, its principles, advantages and disadvantages and options of distribution. One of the principles of the distribution, System as a Service is described in detail, including the necessary Service-level agreement, and its capabilities in providing Enterprise Resource Planning. The practical part of the work consists of developing a comprehensive overview of the Czech market of Enterprise Resource Planning offered in the form of rent System as a Service. This list is analyzed from the perspective of a key customer for this product, namely Small and medium enterprises. The last part of this work consists of obtaining customer references and supplier experiences from already realized projects.

Bakgrund: Överrapportering vid skiftbyte är en essentiell del av sjuksköterskans kliniska arbete, trots detta råder inte konsensus om vilken rapporteringsmetod som är bästa praxis. I takt med en större personcentrering av vården står patientens rätt till delaktighet och medbestämmande i större fokus, och bedsiderapportering har vuxit fram som ett alternativ till den traditionella rapporten. Syfte: Att belysa hur sjuksköterskor och vuxna patienter i den somatiska slutenvården beskriver sin upplevelse av bedsiderapportering. Metod: Denna litteraturöversikt genomfördes som en förenklad metasyntes där dataanalysen baserades på kvalitativ innehållsanalytisk teknik. Resultat: Tre huvudteman framkom gällande patienters upplevelse av bedsiderapportering: patientmedverkan, bättre vårdupplevelse samt möjliga hinder. Ytterligare tre huvudteman framkom för sjuksköterskors upplevelser: upplevda fördelar, möjliga hinder och förutsättningar för bedsiderapportering. Både patienter och sjuksköterskor beskrev positiva upplevelser av bedsiderapportering med den främsta fördelen att patienten blev mer delaktig i vården. Patienter beskrev en ökad trygghetskänsla och ett tillgodosett informationsbehov. Sjuksköterskor beskrev hur patientsäkerheten förbättrades och prioriteringar underlättades av bedsiderapportering. Oro kring sekretess och känslig information lyftes av både sjuksköterskor och patienter. Slutsats: Bedsiderapportering kan utgöra ett värdefullt verktyg i en mer personcentrerad vård, men att ytterligare kunskap behövs kring hantering av sekretessen. / Background: Shift reporting is an essential part of the nurse’s clinical work, despite this there is no consensus about what constitutes best practice. As personcentredness is becoming more important, more focus is on the patients’ right to participation and shared decision-making, and bedside reporting has become an alternative to the traditional shift report. Aim: To illustrate how nurses and adult inpatients within the somatic care describe their experience of bedside handover. Method: This literature review was conducted through a simplified meta-synthesis approach based on qualitative content analysis as a tool for the analysis of data. Results: Three main themes regarding patients’ experiences of bedside handover emerged: patient participation, improved care experience and possible barriers. Three additional main themes regarding nurses’ experiences emerged: perceived advantages, possible barriers and enabling factors for bedside handover. Both patients and nurses reported positive experiences of bedside handover, with the foremost advantage being the patients’ involvement in their care. Patients described an increased feeling of safety and that their needs of information were met. Nurses described how patient safety was improved and how prioritization was facilitated. Both nurses and patients had concerns about confidentiality and sensitive information. Conclusion: Bedside handover can be used as a valuable tool in the work towards a more person centred care, but there is a need for further knowledge about how confidentiality can be managed.

The master thesis done within the master study programme Transport vehicles and handing machinery presents a design of a wood splitting machine. The first part of the thesis is a literary review focused on current state in the field of wood splitting machines and on the overview of the most common wood species including their technical parameters. In the second part of the thesis, suitable machine components were chosen for the conceptual design of the wood splitter, taking into account predefined parameters. Then a machine frame was designed and its strength was verified by analytical and FEM method. Finally, drawing documentation for the machine, machine frame and splitting tool was created.

Táto diplomová práca sa zaoberá prieskumom a taxonómiou sieťových forenzných nástrojov. Popisuje základné informácie o sieťovej forenznej analýze, vrátane procesných modelov, techník a zdrojov dát používaných pri forenznej analýze. Ďalej práca obsahuje prieskum existujúcich taxonómií sieťových forenzných nástrojov vrátane ich porovnania, na ktorý naväzuje prieskum sieťových forenzných nástrojov. Diskutované sieťové nástroje obsahujú okrem nástrojov spomenutých v prieskume taxonómií aj niektoré ďalšie sieťové nástroje. Následne sú v práci detailne popísané a porovnané datasety, ktoré sú podkladom pre analýzu jednotlivými sieťovými nástrojmi. Podľa získaných informácií z vykonaných prieskumov sú navrhnuté časté prípady použitia a nástroje sú demonštrované v rámci popisu jednotlivých prípadov použitia. Na demonštrovanie nástrojov sú okrem verejne dostupných datasetov použité aj novo vytvorené datasety, ktoré sú detailne popísane vo vlastnej kapitole. Na základe získaných informácií je navrhnutá nová taxonómia, ktorá je založená na prípadoch použitia nástrojov na rozdiel od ostatných taxonómií založených na NFAT a NSM nástrojoch, uživateľskom rozhraní, zachytávaní dát, analýze, či type forenznej analýzy.

Bakgrund: Diabetes typ 1 är en kronisk autoimmun sjukdom som kännetecknas av insulinbrist. Förekomsten av diabeteskomplikationer under barndomen är låg men unga vuxna har en högre risk att utveckla komplikationer samt bristfällig diabetes hantering under olika utvecklingsfaser. Unga vuxna befinner sig i en utmanande tid och att leva med Diabetes typ 1 är en faktor som ökar bördan till de redan befintliga stressfaktorerna. Personcentrerad vård främjar unga vuxnas egenförmåga att självständigt hantera sin diabetes. Syfte: Studiens syfte var att beskriva unga vuxnas erfarenheter att leva med Diabetes typ 1. Metod: Metoden som användes för att besvara studiens syfte var litteraturöversikt. Databaserna som användes vid datainsamlingen var PubMed samt CINAHL. Artiklarna var publicerade mellan år 2011–2021. Unga vuxna definierades utifrån åldern 15–40 år. Integrerad analysmetod användes för att analysera och sammanställa resultatet. Resultat: Resultatet är baserat på 15 vetenskapliga artiklar och presenteras med två huvudkategorier samt fyra underkategorier. Resultatet belyser både upplevelsen av sociala sammanhang samt hur unga vuxna upplever att det är att leva med diabetes typ 1. Områden som resultatet djupare går in på är skolgång, arbetsliv, kontakt med vården, förändringar och motgångar och påverkan av tidigare erfarenheter. Slutsats: Studien visar att unga vuxna påverkas på flera sätt av diagnosen DM1. Skolgång och arbetsliv påverkas och den unga vuxna kan känna sig annorlunda och utanför i samhället. Genom att hitta gemenskap med andra unga med DM1 samt bra stöd från hälso- och sjukvård samt anhöriga upplever den unga vuxna att hanteringen av sin diabetes typ 1 underlättas. / Background: Type 1 diabetes is a chronic autoimmune disease characterized by insulin deficiency. The incidence of diabetic complications during childhood is low, but young adults have a higher risk of developing complications and inadequate diabetes management during different developmental stages. Young adults are in a challenging time and living with Type 1 diabetes is a factor increasing the burden of the already existing stressors. Person-centered care promotes young adults to manage their diabetes independently. Purpose: The purpose of the study was to describe young adults' experiences of living with type 1 diabetes. Method: The method used to answer the purpose of the study was a literature review. The databases used were PubMed and CINAHL for data collection. Articles were published between year 2011-2021. Young adults were defined as 15-40 years old. Integrated analysis method was used to analyze and compile the results. Result: The result is based on 15 scientific articles and is presented with two main categories and four subcategories. The results shed light on both the experience of social contexts and how young adults experience what it is like to live with type 1 diabetes. Areas that the results go into more deeply are schooling, working life, contact with care, changes and setbacks and the impact of earlier experience. Conclusion: The study shows that young adults are affected in several ways by their Type 1 diabetes. Schooling and working life are affected and the young adult may feel different and outside of society. By finding fellowship with other young people with DM1 and good support from health and medical care and relatives, the young adult experiences that the management of their DM1 is facilitated.

Master’s thesis deals with the design of the drive of the press LKJP 630, the configuration is a fixed range by the construction of LKJP. The thesis was ordered by partnership with company ŽĎAS, which is introduced. The first part is devoted to analysis of solved problems, it primarily contains the overview on forming machines, used drives and a description of their main parts. The second part deals with the drive itself, there is accomplished the design and performed the strength analysis of the major parts of the drive. Drawing documentation and bill of materials are included.