The study analyzed the effect of regular and monitored physical activity in patients (P) with Cha... more The study analyzed the effect of regular and monitored physical activity in patients (P) with Chagas disease (CD) and chronotropic incompetence using a blended sensor pacemaker. This was an open-label, longitudinal, prospective and randomized clinical trial. The 43 out of 50 selected P were evaluated in pre-ambulatory and 120 days after the randomization. 24 Pwere allocated to group G1 (with exercise activity walking for 50 minutes at least 3 times per week) or G2 (without exercise activity; 19 P). The parameters recorded by the devices in percentages (%) were: "atrial sensing" (AS); atrial pacing (AP); time the patient remained at maximum sensor rate during physical activity (MSR), time the sensor detected mild to moderate physical activity (AT), time the sensor detected no physical activity (NAT No activity), and the mean sensor rate (HR). The mean age was 65.58 ± 10.57 years, (58.14%) were women. After 120 days, MSR and NAT between G1 and G2 were statistically significa...
INTRODUCTION Dued to ageing population and growing of chronic advanced illnesses, nowadays, the m... more INTRODUCTION Dued to ageing population and growing of chronic advanced illnesses, nowadays, the majority of deaths take place in hospitals. Terminal patients with cancer and other non-malignant diseases share the same type of problems which, once correctly accessed, may have similar approach. Inappropriate terminal care can lead to unnecessary suffering of patients and their families. METHODS A retrospective chart review was done for the first 96 patients who died in 2005 due to advanced chronic illnesses in a Internal Medicine ward (48 patients) and in a Palliative Care unit (48 patients). The main outcome was the documentation of the presence/absence of a group of symptoms, the ability of the medical staff to perceive the patients as dying and the adjustments made in the comfort care plans. RESULTS There were no demographic differences between the two sets of populations. In the Internal medicine ward it was seen an acute pattern of treatment even though the situation was clearly ...
Several years ago software development has become critical to the global market. In the past deca... more Several years ago software development has become critical to the global market. In the past decade, as a reflection of globalization, software companies began to distribute their development processes in different places, creating distributed software development (DSD). With the growing of Distributed Software Development, organizations have attempt to sketch the best possible development structure, in order to improve productivity and quality. The aim of this paper is to present a Systematic Review of Literature to identify which ways of collaboration are commonly used by software organizations where teams are temporal and geographically dispersed, with also different native languages and culture. Further, the research was based on the basic life cycle of the traditional development, and where phases of the project are performed: onsite, distributed/offshore and multi-site. The systematic review have examined 868 papers published between 2000 and 2010.
Resumo. O Desenvolvimento Distribuído de Software herdou os problemas existentes no desenvolvimen... more Resumo. O Desenvolvimento Distribuído de Software herdou os problemas existentes no desenvolvimento tradicional e por diversas razões acrescentou outras dificuldades. Este artigo apresenta quais são os desafios de cada fase do ciclo de vida do desenvolvimento de software das empresas. Para identificar os desafios das fases do desenvolvimento foi realizada uma pesquisa de campo no mercado nacional de software, que através de um questionário as empresas citaram os problemas que enfrentam. Dessa forma, é possível ...
The study analyzed the effect of regular and monitored physical activity in patients (P) with Cha... more The study analyzed the effect of regular and monitored physical activity in patients (P) with Chagas disease (CD) and chronotropic incompetence using a blended sensor pacemaker. This was an open-label, longitudinal, prospective and randomized clinical trial. The 43 out of 50 selected P were evaluated in pre-ambulatory and 120 days after the randomization. 24 Pwere allocated to group G1 (with exercise activity walking for 50 minutes at least 3 times per week) or G2 (without exercise activity; 19 P). The parameters recorded by the devices in percentages (%) were: "atrial sensing" (AS); atrial pacing (AP); time the patient remained at maximum sensor rate during physical activity (MSR), time the sensor detected mild to moderate physical activity (AT), time the sensor detected no physical activity (NAT No activity), and the mean sensor rate (HR). The mean age was 65.58 ± 10.57 years, (58.14%) were women. After 120 days, MSR and NAT between G1 and G2 were statistically significa...
INTRODUCTION Dued to ageing population and growing of chronic advanced illnesses, nowadays, the m... more INTRODUCTION Dued to ageing population and growing of chronic advanced illnesses, nowadays, the majority of deaths take place in hospitals. Terminal patients with cancer and other non-malignant diseases share the same type of problems which, once correctly accessed, may have similar approach. Inappropriate terminal care can lead to unnecessary suffering of patients and their families. METHODS A retrospective chart review was done for the first 96 patients who died in 2005 due to advanced chronic illnesses in a Internal Medicine ward (48 patients) and in a Palliative Care unit (48 patients). The main outcome was the documentation of the presence/absence of a group of symptoms, the ability of the medical staff to perceive the patients as dying and the adjustments made in the comfort care plans. RESULTS There were no demographic differences between the two sets of populations. In the Internal medicine ward it was seen an acute pattern of treatment even though the situation was clearly ...
Several years ago software development has become critical to the global market. In the past deca... more Several years ago software development has become critical to the global market. In the past decade, as a reflection of globalization, software companies began to distribute their development processes in different places, creating distributed software development (DSD). With the growing of Distributed Software Development, organizations have attempt to sketch the best possible development structure, in order to improve productivity and quality. The aim of this paper is to present a Systematic Review of Literature to identify which ways of collaboration are commonly used by software organizations where teams are temporal and geographically dispersed, with also different native languages and culture. Further, the research was based on the basic life cycle of the traditional development, and where phases of the project are performed: onsite, distributed/offshore and multi-site. The systematic review have examined 868 papers published between 2000 and 2010.
Resumo. O Desenvolvimento Distribuído de Software herdou os problemas existentes no desenvolvimen... more Resumo. O Desenvolvimento Distribuído de Software herdou os problemas existentes no desenvolvimento tradicional e por diversas razões acrescentou outras dificuldades. Este artigo apresenta quais são os desafios de cada fase do ciclo de vida do desenvolvimento de software das empresas. Para identificar os desafios das fases do desenvolvimento foi realizada uma pesquisa de campo no mercado nacional de software, que através de um questionário as empresas citaram os problemas que enfrentam. Dessa forma, é possível ...
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