CONTEXT: Since anorectocele is usually associated with mucosa prolapse and/or rectal intussusceptions, it was developed a stapled surgical technique using one circular stapler. OBJECTIVE: To report the results of Transanal Repair of Rectocele and Rectal Mucosectomy with one Circular Stapler (TRREMS procedure) in the treatment of anorectocele with mucosa prolapse in a prospective multicenter trial. METHODS: It w...
Objetivos: Apresentar os resultados e analisar as variáveis implicadas no tratamento e prognóstico do carcinoma epidermóide do canal anal tratado através da radio e quimioterapia no Hospital Barão de Lucena-SUS-PE. Metodologia: Análise dos prontuários de pacientes com diagnóstico de câncer do canal anal submetidos a tratamento radioquimioterápico. O período de acompanhamento foi de junho de 1989 a junho de 2005...
In this paper, a general formulation for the computation of the first-order analytical sensitivities based on the direct method using automatic differentiation of flexible multibody systems is presented. The direct method for sensitivity calculation is obtained by differentiating the equations that define the response of the flexible multibody systems of composite materials with respect to the design variables,...
Abstract The paper presents a general optimization methodology for flexible multibody systems which is demonstrated to find optimal layouts of fiber composite structures components. The goal of the optimization process is to minimize the structural deformation and, simultaneously, to fulfill a set of multidisciplinary constraints, by finding the optimal values for the fiber orientation of composite structures...
In this work the flexible multibody dynamics formulations of complex models are extended to include elastic components made of laminated composite materials. The only limitation for the deformation of a structural member is that it must be elastic and linear when described in a body fixed frame. A finite element model for each flexible body is obtained such that the nodal coordinates are described with respect ...
Editorial note
SERVQUAL is the most popular instrument to ascertain service quality. However, some debate exists about its ability to characterize different service environments. Furthermore, there is not a consensus about the inclusion of customer expectations in the model. The research presented in this paper intends to discuss the applicability of SERVQUAL to restaurant services and to analyze the inclusion of customer exp...
This paper addresses the actuator e ect of a piezoelectric anisotropic plate model, depending on the location of the applied electric potentials, and for di erent clamped boundary conditions. It corresponds to integer optimization problems, whose objective functions involve the displacement of the plate. We adopt the two-dimensional piezoelectric anisotropic nonhomogeneous plate model derived in Figueiredo and ...
Editorial note
A survey to assess training needs in TQM was developed in several European countries, within the framework of a Leonardo’s project named IMVOCED. Beyond a comparison of the results in each country, a global analysis was performed to design a TQM programme to be delivered by WBL (Work Based Learning). Differences were found between countries, and the Portuguese results also revealed that different approaches to ...
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