Introdução: a falta de controle dos hipertensos tem sido um desafio para os profissionais de saúde, e a medida da pressão em casa pode ser um recurso para aumentar o controle da pressão arterial. Realizou-se um estudo para avaliar o efeito do uso da medida da pressão em casa no controle da pressão arterial em um grupo de hipertensos. Objetivos: avaliar o efeito do uso da medida da pressão em casa no controle da pressão arterial em grupo de hipertensos do Município de Peruibe SP. Objetivos específicos: 1- comparar o controle da pressão arterial dos hipertensos submetidos à medida da pressão em casa; 2- avaliar o controle da pressão arterial dos hipertensos, considerando a monitorização residencial da pressão (MRPA) como método de avaliação pré e pós-medida da pressão em casa; 3- identificar associações entre o controle da pressão arterial com as variáveis biopsicossociais, hábitos de vida, comportamentos e atitudes frente à doença e tratamento; 4- avaliar adesão ao tratamento utilizando o questionário Fatores Dificultadores da Adesão (FDA) e o teste de Morisky e Green. Casuística e Método: pesquisa de campo, longitudinal, pareada com abordagem quantitativa. Os participantes realizaram a medida da pressão arterial em consultório no início e final do estudo. A medida da pressão em casa foi realizada com aparelho automático, validado durante 8 semanas às segundas, quartas e sextas-feiras pela manhã (entre 6 e 10h) e à noite (entre18 e 22h). A utilização da monitorização residencial da pressão arterial (MRPA), no início e no final do estudo, teve o propósito de avaliar a eficácia do uso da medida da pressão em casa, como estratégia de aumento do controle da pressão arterial, foi realizada nas semanas 1 e 10 durante 7 dias com o mesmo aparelho, três medidas pela manhã (entre 6 e 10h) e 3três medidas à noite (entre18 e 22h) na posição sentada com 10 minutos de repouso e com manguito adequado. Os valores de p<0,05 foram considerados significantes. Exames de glicemia em jejum, colesterol total e frações, triglicérides, ureia e creatinina foram coletados. Avaliou-se adesão com o questionário fatores dificultadores da adesão e o teste de Morisky e Green, presença de transtornos mentais comuns com o Self Report Questionnaire (SRQ 20), risco de danos à saúde relacionado ao uso de bebidas alcoólicas com o questionário Alcohol Use Disorders Identification (AUDIT) e suporte social com a Escala de Apoio Social. Resultados: foram estudados 71 hipertensos com idade de 63,3±11 anos; 53,5% homens; 77,5% brancos; 77,1% ensino fundamental/médio; 53,5% aposentados; 52,1% renda 2 salários mínimos e não tabagista;19,7% sedentários; índice de massa corporal 30,8±5,8 kg/m2; 35,2% etilista, 43,7% aderentes ao teste de Morisky e Green e 32,4% positivos para o SRQ-20. Destaca-se que em 19 das 25 perguntas do formulário fatores dificultadores da adesão, foi obtido percentual acima de 90% no apontamento dos fatores que menos dificultam o tratamento, os maiores percentuais de concordância foram para as questões: chegar à consulta e não ter médico (36,6%), o tempo de espera para consulta é longo e não estar melhorando da pressão (16,9% e 14,1% respectivamente). Exames laboratoriais: glicemia 121,3±43,6 mg/dL, colesterol total 204,8±41,6 mg/dL, HDL 48,5±11,25 mg/dL, VLDL 29,5±15,2 mg/dL, LDL 123,6±39,2 mg/dL, triglicérides 150,1±88 mg/dL, ureia 45,1±16,4 mg/dL e creatinina 1,0±0,5 mg/dL. Houve diminuição significativa (p<0,05) da pressão arterial na MRPA inicial em relação à final 144,9±15,7 vs 140,6±16,8 mmHg para pressão sistólica matutina, 145,7±18,0 vs 141,7±17,5 mmHg para pressão sistólica noturna, 85,8±9,4 vs 83,5±9,6 mmHg para diastólica matutina e 84,5±9,9 vs 81,8±9,3 mmHg para diastólica noturna. Na medida da pressão em casa, diminuição significativa foi observada na comparação das primeira e oitava semanas 144,4±17,3 vs 139,3±15,9 mmHg para sistólica matutina, 144,7±19,8 vs 140,8±17,8 mmHg para sistólica noturna, 86,8±18,8 vs 82,7±10,1mmHg para diastólica matutina, 83,2±10,5 vs 82,2±10,4 mmHg para diastólica noturna. Na medida de consultório também houve diminuição significativa (p<0,05) entre a do início do estudo e o final (157,6±13,6 / 91,4±8,3 vs 146,9±19,9 / 85,1±11,5 mmHg). Dessa forma, a diminuição no percentual de hipertensos controlados foi: 67,6% e 57,7% na MRPA e 73,2% e 70,4% na medida de consultório, para as pressões sistólica e diastólica, respectivamente. A análise multivariada mostrou que o controle da pressão arterial associou-se com: a) sistólica na medida residencial: teste de Morisky e Green (OR: 0,187; IC 95%; 0,57-0,619) e o domínio crenças pessoais do questionário fatores dificultadores da adesão (OR: 0,696; IC 95%; 0,502-0,965); b) diastólica na medida em casa: idade entre 55 e 65 anos (OR: 0,138; IC 95%; 0,030-0,637), idade acima de 65 anos (OR: 0,216; IC 95%; 0,055-0,845 e prática de esportes (OR: 0,179; IC 95%; 0,044-0,730); c) diastólica de consultório: Self Report Questionnaire - SRQ-20 (OR: 8,746; IC 95%; 2,243-34,103), HDL - colesterol < 40 e 40-59 mg/dL (OR: 3,644; IC 95%; 0,338-39,338) e HDL - colesterol 60 mg/dL (OR: 37,323; 95%; 2,079-670,022); d) sistólica e diastólica na MRPA: variável domínio institucional do instrumento fatores dificultadores da adesão (OR: 1,260; IC 95%; 1,036-1,533) e (OR: 1,212; IC 95%; 1,003-1,464). Conclusão: a estratégia de controle da medida da pressão arterial em casa foi eficiente para o aumento do controle da pressão arterial desse grupo de hipertensos. / Introduction Hypertensive patients lack of control has been a challenge for health professional, and home pressure measurement can be a resource to enhance blood pressure control. General aim: To assess the effect of using home pressure measurement on blood pressure control in a group of hypertensive patients from Peruibe SP. Specific aims: 1- To compare the blood pressure control of hypertensive patients submitted to home pressure measurement. 2- To assess the blood pressure control of hypertensive patients, considering home blood pressure monitoring (HBPM) as the pre and post home pressure measurement assessment method. 3- To assess treatment adherence using the Inhibiting Factors of Adherence (IFA) questionnaire and the Morisky and Green test. 4- To identify associations between blood pressure control and biopsychosocial variables, life habits, behaviors and attitudes towards the disease and treatment. Cases and Method: Longitudinal field research combined with a quantitative approach. The study was carried out in Peruíbe-SP, at the Hypertension and Diabetes Referral Center and the medical specialty outpatient clinic. The nurse performed outpatient blood pressure measurement at the start and end of the study. The patient measured blood pressure at home, using a validated automatic device, during 8 weeks, on Monday, Wednesday and Friday mornings (between 6 and 10 a.m.) and nights (between 18 and 22h). Home blood pressure monitoring (HBPM) was performed at the start and end of the study, in week 1 and 10, during 7 days, using the same device, with three measures in the morning (between 6 and 10h) and 3 measures at night (between 18 and 22h), in the sitting position, after a ten-minute rest and using an adequate cuff. Fasting glucose, total cholesterol and fractions, triglycerides, urea and creatinine tests were also performed. Treatment adherence was assessed with the Inhibiting Factors of Adherence (IFA) questionnaire and the Morisky and Green test. The presence of common mental disorders was assessed with the Self Report Questionnaire (SRQ 20), the risk for health damage related to the use of alcoholic beverages with the Alcohol Use Disorders Identification (AUDIT) and social support with the Social Support Scale. Univariate and multivariate analyses were performed. Significance was set at p<0.05. Results: Seventy-one hypertensive patients were studied, with a mean age of 63.3±11 years; 53.5% men; 77.5% white; 77.1% with primary/secondary education; 53.5% retired; 52.1% income 2 minimum wages and non smokers; 19.7% sedentary; body mass index 30.8±5.8 kg/m2; 35.2% alcohol consumers, 43.7% adherent to treatment according to the Morisky and Green test and 32.4% with common non-psychotic mental disorders. On 19 out of 25 questions on the inhibiting factors of adherence form, scores for factors that least hampered treatment exceeded 90%. The highest agreement percentages were for: arriving for a consultation without the presence of a physician (36.6%), long waiting time for a consultation (16.9%) and not achieving blood pressure improvements (14.1%). Laboratory test results were: glucose- 121.3±43.6 mg/dL, total cholesterol 204.8±41.6 mg/dL, HDL-c- 48.5±11.25 mg/dL, VLDL-c- 29.5±15.2 mg/dL, LDL-c- 123.6±39.2 mg/dL, triglycerides- 150.1±88 mg/dL, urea- 45.1±16.4 mg/dL and creatinine- 1.0±0.5 mg/dL. A significant decrease (p<0.05) in blood pressure occurred between initial and final HBPM in the morning (144.9±15.7/85.8±9.4 vs 140.6±16.8/ 83.5±9.6 mmHg) and night period (145.7±18.0/84.5±9.9 vs 141.7±17.5/81.8±9.3 mmHg), as well as in the total average (145.1±16.2/85.0±9.4 vs 141.1±16.4/82.6±9.1 mmH). In home pressure measurement, a significant decrease in systolic pressure also occurred when comparing the first and eight week, measured in the morning (144.4±17.3/86.8±18.8 vs. 139.3±15.9/82.7±10.1 mmHg) and at night (144.7±19.8/83.2±10.5 vs. 140.8±17.8/82.2±10.4 mmHg), and also in the total average (144.4±17.6/85.1±12.2 vs. 140.2±16.2/83.4±9.3 mmHg). A significant decrease (p<0.05) also occurred in the outpatient measurement between the start and end of the study (157.6±13.6/91.4±8.3 vs. 146.9±19.9/85.1±11.5 mmHg). Thus, the decrease in the percentage of controlled hypertensive patients corresponded to: 67.6% and 57.7% in HBPM and 73.2% and 70.4% in outpatient measurement for systolic and diastolic pressure, respectively. Multivariate analysis showed that blood pressure control was associated with the following blood pressure assessments: a) systolic pressure measured at home with Morisky and Green test (OR: 0.187; CI 95%; 0.57-0.619) and the personal beliefs domain in the inhibiting factors of adherence questionnaire (OR: 0.696; CI 95% 0.502-0.965); b) diastolic pressure measured at home with age between 55 and 65 years (OR: 0.138; CI 95%; 0.030-0.637), age over 65 years (OR: 0.216; CI 95%; 0.055-0.845) and doing physical exercise (OR: 0.179; CI 95%; 0.044-0.730); c) outpatient diastolic pressure measure with presence of common mental disorders (OR: 8.746; CI 95%; 2.243-34.103), HDL - cholesterol < 40 and 40-59 mg/dL (OR: 3.644; CI 95%; 0.338-39.338) and HDL - cholesterol 60 mg/dL (OR: 37.323; CI 95%; 2.079-670.022); d) systolic and diastolic pressure in HBPM with institutional domain variable of inhibiting factors of adherence questionnaire (OR: 1.260; CI 95%; 1.036-1.533) and (OR: 1.212; CI 95%; 1.003-1464), respectively. Conclusion: The strategy to have patients measure their blood pressure at home was effect to increase blood pressure control in the group of hypertensive patients under analysis.

L'éolienne Darrieus connaît un intérêt accru ces dernières années parce qu'elle représente une solution alternative potentielle de production d'électricité dans les milieux urbains. En particulier,une éolienne de forte solidité peut être choisie car certaines de ses propriétés peuvent être avantageuses pour son implantation proche de zones habitées. A l'inverse, certaines difficultés aérodynamiques émergent. Ce type d'éolienne fonctionne à de faibles vitesses réduites pour lesquelles le décrochage dynamique a un rôle très significatif. L'objectif de ce travail de thèse consiste à compléter la connaissance du phénomène de décrochage dynamique sur une éolienne à axe vertical afin d'améliorer les modèles numériques de prédiction existants. Cette étude s'appuie sur une analyse combinée de résultats numériques et expérimentaux. Les simulations numériques sont produites avec une méthode des panneaux bidimensionnelle instationnaire. Les effets de la viscosité sont introduits par des corrections utilisant notamment un modèle semi-empirique de décrochage dynamique. Le travail expérimental s'est concentrée sur la dynamique tourbillonnaire à proximité immédiate du rotor résultante du décrochage dynamique. Le montage se compose d'une éolienne à pale droite placée dans une soufflerie. Des mesures instationnaires de la répartition de pression pariétale le long de la corde et des mesures de champ de vitesse par vélocimétrie par images de particules ont été accomplies. Les résultats révèlent la manière dont les caractéristiques du décrochage dynamique sont conditionnées par la vitesse réduite. Le retard au décrochage, l'intensité de l'effet du tourbillon de décrochage dynamique et sa convection ont été quantifiés. Enfin, un examen critique de l'applicabilité du modèle de Leishman-Beddoes pour simuler efficacement les effets du décrochage dynamique a été réalisé. / The Darrieus wind turbine has entered a period of renewed interest over the last years because it may stand for an alternative solution to produce electricity in urban areas. In particular, high solidity wind turbine can be chosen to take benefit from some of its key properties for use near populated city areas. Conversely, some aerodynamic problems arise. This type of wind turbine operates at low tip speed ratio for which dynamic stall has a very significant role. The goal of this work is to provide valuable data to complement the knowledge of the dynamic stall phenomenon that occurs on a vertical axis wind turbine in order to improve existing numerical models. This study relies on a combined analysis of numerical and experimental results. The numerical simulations are based on a bidimensional unsteady vortex panel method. Effects of viscosity are introduced by adding corrections computed with a semi-empirical dynamic stall model. The experimental work focuses on the dynamics of the shed vortices existing in the vicinity of the rotor as a result of dynamic stall. The set-up consists of a straight-bladed wind turbine tested in a wind tunnel. Unsteady pressure distribution measurements along the chord and velocity fields measurements by particle image velocimetry were carried out. Results indicate how the characteristics of dynamic stall are conditioned by the tip speed ratio. Stall inception delay, magnitude of the dynamic stall vortex effects and its convection velocity were evaluated. Blade/Vortex interaction was analyzed through the observation of the vortical system downstream of the rotor. In addition, a critical review of the suitability of the Leishman-Beddoes model to effectively simulate the effects of dynamic stall was accomplished.

The development flow region of stepped chutes was studied experimentally. Three configuration of chute bed slopes 3.5H:1V, 5H:1V, and 10H:1V were used to study the flow characteristics. Each model had five horizontal steps and with constant step height of 15 cm. Constant temperature anemometry was used to investigate the velocity field characteristics as well as local void fraction. Pressure transducers were used to examine the pressure distribution. The conditions of aerated and non-aerated cavity were studied. It was found that the temperature anemometry is a valuable tool in the study of water flow problems due to its good spatial and temporal resolution. It is recommended that the constant overheat ratio procedure should be used in dealing with non-isothermal water flows. Flow conditions along the development flow region were found to be quite complex with abrupt changes between steps depending whether or not the flow jet has disintegrated. The flow on this region does not resemble a drop structure and after the first step, the step cavity condition does not affect the flow parameters. Pressure distribution was also found to be complex. It was found that there are no conclusive pressure profiles either on the step treads nor on step risers. No correlation was observed with the values of pool depth. The instantaneous characteristics of the velocity field along the jet of a drop structure were also studied. It was concluded that the cavity condition does not affect the velocity field of the sliding jet. The shear stress layer at the jet/pool interface was quantified. / May 2006

Vertebrate evolution has resulted in a diversity of feeding mechanisms. Cetaceans are secondarily derived tetrapods that have returned to a marine habitat. As a result, they display feeding modes that have converged with more basal aquatic vertebrates, but display a diversity of new solutions and adaptations. To begin to explore the diversity of feeding adaptations among odontocetes, kinematics of feeding modes and feeding adaptations for belugas (Delphinapterus leucas), Pacific white-sided dolphins (Lagenorhynchus obliquidens), and long-finned pilot whales (Globicephala melas) were characterized. In addition, direct measurements of intraoral pressure were collected to determine maximum suction performance. Characters from these analyses were combined with data for other odontocetes, and were mapped onto a phylogeny of Odontoceti to begin to explore where changes in feeding modes took place. Feeding modes were diverse in belugas, Pacific white-sided dolphins, and pilot whales and included suction, ram, and a combination of both. In general, four phases were observed: (I) preparatory, (II) jaw opening, (III) gular depression, and (IV) jaw closing. Suction was a large component of the prey capture method in belugas and subambient pressures in excess of 100 kPa were generated. Belugas were also capable of lateral lip gape occlusion and anterior lip pursing to form a small anterior aperture. Pacific whitesided dolphins relied on ram to capture prey. However, some degree of pursing and resultant subambient pressure was observed that was likely used to compensate for high ram speeds or for prey manipulation and transport to the esophagus. Pilot whales were more similar to belugas in kinematics, but maintained high approach velocities and did not generate significant suction pressures; suction and ram were used in combination. Belugas and pilot whales appeared to employ hyolingual depression as a primary suction generation mechanism, whereas Pacific white-sided dolphins relied on fast jaw opening. Ancestral state reconstructions indicated that suction feeding capability evolved independently at least six times within Odontoceti. These results indicate the diversity of feeding behaviors in odontocetes and provide directives for future studies on the diversity of feeding in secondarily aquatic mammals.

Für die Untersuchung von Luft/Wasser-Strömungen wurde ein horizontaler Acrylglas-Kanal mit rechteckigem Querschnitt gebaut. Der Kanal ermöglicht Gleich- und Gegenstrom-Versuche bei Atmosphärendruck, insbesondere die Untersuchung der Schwallströmung. Es wurden optische Messungen mit einer Hochgeschwindigkeits-Kamera durchgeführt, die durch synchronisierte dynamische Druckmessungen ergänzt wurden. Für die Analyse der Bilder wurde eine Methode zur Erfassung der Phasengrenze entwickelt und diese anhand möglicher Anwendungen getestet. Die Druckmessungen zeigten, dass der Druck bei Schwallströmungen um einige Kilopascal ansteigt und wieder abfällt, sobald der Schwall aus dem Kanal austritt. Zudem wurden Geschwindigkeiten in der flüssigen Phase mittels nicht invasiver Verfahren gemessen. Das durchschnittliche Geschwindigkeits-Profil am Kanaleintritt wurde mit Ultraschall-Köpfen bestimmt. Die Ermittlung des Geschwindigkeitsfeldes in einem Schwall erfolgte mit PIV (Particle Image Velocimetry).

The development flow region of stepped chutes was studied experimentally. Three configuration of chute bed slopes 3.5H:1V, 5H:1V, and 10H:1V were used to study the flow characteristics. Each model had five horizontal steps and with constant step height of 15 cm. Constant temperature anemometry was used to investigate the velocity field characteristics as well as local void fraction. Pressure transducers were used to examine the pressure distribution. The conditions of aerated and non-aerated cavity were studied. It was found that the temperature anemometry is a valuable tool in the study of water flow problems due to its good spatial and temporal resolution. It is recommended that the constant overheat ratio procedure should be used in dealing with non-isothermal water flows. Flow conditions along the development flow region were found to be quite complex with abrupt changes between steps depending whether or not the flow jet has disintegrated. The flow on this region does not resemble a drop structure and after the first step, the step cavity condition does not affect the flow parameters. Pressure distribution was also found to be complex. It was found that there are no conclusive pressure profiles either on the step treads nor on step risers. No correlation was observed with the values of pool depth. The instantaneous characteristics of the velocity field along the jet of a drop structure were also studied. It was concluded that the cavity condition does not affect the velocity field of the sliding jet. The shear stress layer at the jet/pool interface was quantified.

The development flow region of stepped chutes was studied experimentally. Three configuration of chute bed slopes 3.5H:1V, 5H:1V, and 10H:1V were used to study the flow characteristics. Each model had five horizontal steps and with constant step height of 15 cm. Constant temperature anemometry was used to investigate the velocity field characteristics as well as local void fraction. Pressure transducers were used to examine the pressure distribution. The conditions of aerated and non-aerated cavity were studied. It was found that the temperature anemometry is a valuable tool in the study of water flow problems due to its good spatial and temporal resolution. It is recommended that the constant overheat ratio procedure should be used in dealing with non-isothermal water flows. Flow conditions along the development flow region were found to be quite complex with abrupt changes between steps depending whether or not the flow jet has disintegrated. The flow on this region does not resemble a drop structure and after the first step, the step cavity condition does not affect the flow parameters. Pressure distribution was also found to be complex. It was found that there are no conclusive pressure profiles either on the step treads nor on step risers. No correlation was observed with the values of pool depth. The instantaneous characteristics of the velocity field along the jet of a drop structure were also studied. It was concluded that the cavity condition does not affect the velocity field of the sliding jet. The shear stress layer at the jet/pool interface was quantified.

Submitted by Maria Medeiros (maria.dilva1@ufcg.edu.br) on 2018-09-24T13:22:31Z No. of bitstreams: 1 ANTONO AUGUSTO PEREIRA DE SOUSA - TESE (PPGEP) 2007.pdf: 1426545 bytes, checksum: 83eb8c3bb345a67ce10d7dedea6c4ace (MD5) / Made available in DSpace on 2018-09-24T13:22:31Z (GMT). No. of bitstreams: 1 ANTONO AUGUSTO PEREIRA DE SOUSA - TESE (PPGEP) 2007.pdf: 1426545 bytes, checksum: 83eb8c3bb345a67ce10d7dedea6c4ace (MD5) Previous issue date: 2007-09-14 / O Brasil têm participação significativa no mercado mundial de rochas ornamentais e o Nordeste vem se destacando como uma região de granitos exclusivos e de grande aceitação no mercado externo, especialmente, no fornecimento de blocos. O emprego de argamassa expansiva para desmonte de rochas ornamentais, vem sendo um dos métodos mais procurados pelas indústrias extrativas, por suas inúmeras vantagens, ante os outros métodos para lavra. Entretanto, os aspectos econômicos inibem o incremento do uso de argamassa expansiva no Brasil, devido ao elevado custo, por se tratar de um produto importado. O objetivo deste trabalho é estudar algumas matérias-primas de origem nacional, especialmente, minerais não-metálicos do nordeste brasileiro, visando à obtenção de argamassa expansiva. Para desenvolvimento deste trabalho foram realizados ensaios de caracterização como fluorescência de raios-X (FRX), microscopia eletrônica de varredura (MEV), difração de raios-X (DRX), granulometria a laser e análises térmicas (ATD e ATG) e propriedade tecnológica da pressão de expansão das argamassas comerciais para utilizá-las como padrão, em seguida, foram estudadas composições preliminares de argamassa de diferentes formulações. Durante o estudo foi projetado e executado um equipamento para medição da pressão de expansão das argamassas. Os resultados indicaram que as formulações estudadas apresentaram características e desempenho próximos aos das argamassas comerciais. Os resultados obtidos indicaram a utilização do carbonato como principal matéria-prima para a obtenção do constituinte CaO que é o responsável pela pressão de expansão que provoca o desmonte de rochas ornamentais pelo uso de argamassa expansiva. Finalmente, foi desenvolvida e aplicada in loco num bloco de granito uma argamassa teste com 70% de CaO, 20% de CaCO3,10% de Cimento e 4% de retardador Industrial a base de carboximetilcelulose (CMC), hidratada com 42% de H20 potável, provocando a ruptura num período de 29 horas após a aplicação. / Brazil has significant participation in the ornamental rock world market and the Northeast of Brazil is outstanding as a region with fashionable granite and with great acceptation in the outside market, especially in the blocks supply. The use of expansive mortar to ornamental rock dismount is become one of most important method in the extractive industries, due to their advantages when compared with other methods. However, the economic aspects inhibit the increase in the use of expansive mortar in Brazil, due to elevated costs, once is an imported product. The aim of this work is to study some national raw materials, mainly non-metallic minerals from Brazilian northeast region, to obtain expansive mortar. To development of the research it was done characterization analysis (X-ray fluorescence (XRF), scanning electron microscopy (SEM), X-ray diffraction (XRD), particle size by laser and thermal analysis (DTA and TG)) and technological properties measurement (expansion pressure) for the commercial mortar, to be used as a standard. It was studied some preliminary formulations and from this it was proposed the construction of a laboratory equipment to measure the expansion pressure of the mortars. The results indicate that the formulation show performance and characteristics close to the commercial mortars. The results also indicate the use of calcium carbonate as the main raw material to produce CaO, which is responsible for the expansion pressure and for the dismount of the ornamental rocks by expansive mortar. Finally, it was developed in laboratory and applied “in loco” in a granite block an expansive mortar with 70% of CaO, 20% of CaCO3, 10% of cement and 4% of industrial additive (carboxyl methyl cellulose) with 42% of brackish water and a rupture of the rock occurred with 29 hours after employed.

Introdução: A hipertensão arterial apresenta controle insatisfatório em todo o mundo, fazendo-se necessária a busca de estratégias que incrementem seu controle. Neste contexto inserem-se a educação em saúde e a medida residencial da pressão arterial. Objetivos: Identificar o controle da hipertensão arterial em Unidades Básicas de Saúde antes e após implementação de programa educativo aos hipertensos; comparar o controle obtido pela medida casual com o controle pela medida residencial; e associar o controle com as demais variáveis do estudo. Casuística e Método: O estudo foi realizado com hipertensos de duas Unidades Básicas de Saúde da região oeste da cidade de São Paulo divididos em dois grupos, um que participou de programa educativo em hipertensão (grupo I) e outro que não participou (grupo II). A pressão arterial foi verificada antes e depois do programa educativo na unidade de saúde por enfermeiro e na residência pelo próprio paciente. Utilizou-se para medida da pressão arterial aparelho automático validado (OMROM-HEM 705 CP). O nível de significância adotado foi de 0,05. Resultados: Foram estudados 82 hipertensos com as seguintes características: sexo feminino (56,1%), cor branca (63,0%), com companheiro (68,0%), com ensino fundamental (70,7%), com renda familiar até 3 salários mínimos (56,1%) idade de 60,0±10,8 anos, índice de massa corporal (IMC) 29,4±5,4 Kg/m2 e circunferência da cintura 99,9±13,9 cm. Eram tabagistas 8,5% dos hipertensos, 24,4% consumiam bebida alcoólica, 40,7% foram considerados \"com presença\" de transtornos mentais comuns e 30,4% praticavam exercícios físicos. Quanto a atitudes frente ao tratamento 76,9 % relataram ter o hábito de medir a pressão, 74,4% afirmaram não interromper o tratamento e 75,6% referiram não faltar às consultas médicas. Foram classificados como não aderentes, pelo Teste de Morisky e Green 69,3% da amostra e 29,9% apresentaram moderada ou muita dificuldade de aderir ao tratamento. A MRPA dos pacientes que participaram do programa educativo (grupo I) apresentou significativo decréscimo ao término das intervenções (131,4±15,6 vs 127,3±17,4 para pressão sistólica; 79,2±12,2 vs 74,7±9,7 para pressão diastólica, p<0,05). O controle da pressão arterial aumentou nos dois grupos do estudo pela medida realizada na unidade de saúde (62,0% vs 71,0%, para grupo I e 40,0% vs 50,0% para grupo II). O controle pela medida da pressão na unidade de saúde foi similar ao controle residencial para hipertensos do grupo I (71,0% vs 68,3%) e menor do que o residencial para hipertensos do grupo II (50,0% vs 62,5%). O controle da pressão arterial avaliado na unidade de saúde se associou (p<0,05) com sexo feminino, renda salarial acima de três salários e prática de exercício físico. Valores mais elevadas da MRPA se associaram com menor renda salarial, presença de transtornos mentais comuns, não interrupção do tratamento, e moderada ou muita dificuldade de aderir ao tratamento. O efeito do avental branco foi mais expressivo nos pacientes que não participaram das intervenções educativas. Conclusão: O controle da pressão arterial aumentou após programa educativo para hipertensos e a MRPA pode ser usada para essa avaliação. A influência do observador foi mais expressiva em hipertensos do grupo II, em que não houve interação profissional-paciente / Introduction: The hypertension presents unsatisfactory control in the whole world, becoming necessary the search of strategies that develop its control. In this context it insert health education and home blood pressure measurement. Objectives: To identify the control of hypertension in Health Basic Units before and after implementation of educative program to hypertensive patients; to compare the control gotten for the casual measurement with the control for the home measurement; to associate the control with the variables studied. Material and Method: The study was carried out with patients of two Health Basic Units of the city of São Paulo divided in two groups, one that participated of educative program in hypertension (group I) and another who did not participate (group II). The blood pressure was measured before and after the educative program in the health unit for nurse and at home for the own patient. Validated automatic device was used for measuring blood pressure (OMROM-HEM 705 CP). The significant level adopted 0,05. Results: 82 patients with the following characteristics had been studied: feminine sex (56.1%), white (63.0%), married (68.0%), with primary school level (70.7%), with familiar income until 3 minimum wages (56.1%) age of 60,0±10,8 years, index body mass of 29,4±5,4 Kg/m2 and waist circumference of 99,9±13,9 cm. 8.5% were smokers, 24.4% alcohol consumers , 40.7% had been considered \"with presence\" of common mental disturbs and 30.4% practiced physical exercises. About the attitudes face to treatment 76.9% had told to have the habit to measure the pressure, 74.4% had affirmed not to interrupt the treatment and 75.6% had related not to absent to the medical visits. They had been classified as not adherent, by the Test of Morisky and Green, 69.3% of sample and 29.9% had presented moderate or much difficulty to adhere to the treatment. The HBPM of the patients who had participated of the educative program (group I) presented significant decrease to the ending of the interventions (131,4±15,6 versus 127,3±17,4 for systolic pressure; 79,2±12,2 vs 74,7±9,7 for diastolic pressure, p< 0,05). The control of blood pressure increased in the two groups of the study by measurement carried through in the health unit (62.0% vs 71.0%, for group I and 40.0% vs 50.0% for group II). The control by pressure measurement in the health unit was similar to the home control for patients of group I (71.0% versus 68.3%) and minor of home one for patients of group II (50.0% versus 62.5%). The control of the blood pressure evaluated in the health unit was associated (p< 0,05) with feminine sex, wage income above of three salaries and pratice of physical exercise. Higher values of HBPM was associated with minor wage income, presence of common mental disturbs, interruption of the treatment, and moderate or much difficulty to adhering to the treatment. The effect of the white coat was bigger in the patients who had not participated of the educative interventions. Conclusion: Hypertensive control increased after educative program for hypertensive patients and HBPM can be used for this evaluation. The influence of the observer was more intense for patients of group II, which did not have interaction professional-patient

Essa dissertação desenvolve e faz uso de uma técnica de medição com objetivo de obter dados experimentais envolvidos no ciclo de trabalho dos compressores herméticos alternativos, largamente utilizados nos sistemas de refrigeração. O trabalho mostra o comportamento das válvulas de admissão e descarga durante o funcionamento do compressor, as pressões no cilindro, na sucção, na descarga e também a variação de rotação do eixo durante um ciclo de compressão completo. Todas as características mensuradas estão referenciadas à posição angular do eixo do compressor, o que permitiu monitorar todos os eventos em função do seu deslocamento angular. Para o desenvolvimento desse trabalho foi necessário planejar um sistema de medição robusto, não vulnerável aos fatores ambientais, presentes dentro da carcaça do compressor. A limitação do espaço físico foi um fator de grande importância na escolha dos sensores, assim como a velocidade de resposta dos instrumentos, pois um ciclo de compressão tem período menor que 0,020 segundos. A coleta dos dados e a análise dos sinais foram realizadas com o auxilio de hardware apropriado e software especialmente desenvolvido. / In this dissertation it is developed and applied measurement methods to obtain experimental data of a hermetic compressor work cycle, widely used in the refrigeration systems. This work shows the suction and discharge valve behaviors, the pressure in the cylinder, as well as in the discharge and suction chambers, and also crankshaft rotation variation during a complete compression cycle. All the measurements are reference to crankshaft angular position of compressor which allows to verify the events as a function of the crankshaft angular displacement. For the development of this work it was necessary to plan a reliability measure system, not affected by environmental factors inside the housing of compressor. The inner space limitation was an important feature for choosing the sensors as well as their time response, since the period compression cycle is less than 0.020 seconds. The data acquisition and signal analysis were done with appropriate hardware and it was developed a specific software.