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Coping Action Oriented to Early Stimulation of Children with Congenital Zika Virus Infection in Rio de Janeiro State

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Health 2019年第9期11卷 1152-1161页

作者： Miriam Ribeiro Calheiros de Sá Paula de Almeida Thomazinho Carla Trevisan Martins Ribeiro Natália Anachoreta Molleri Maria luciana de Siqueira Mayirink Polyanna Nascimento Mendes Tatiana Hamanaka lívia peluso rossi Thaís Severino da Silva Dayanne lucena Maria Elisabeth lopes Moreira National Institute of Women Children and Adolescents Health Fernandes Figueira-Fiocruz Rio de Janeiro Brazil Rio de Janeiro State Health Department The Superintendent of Primary Health Attention Rio de Janeiro Brazil

New health care demands directed at children with chronic conditions have been demanded mainly after the Zika virus epidemic. Given this, the Brazilian states have produced plans to cope with this congenital infection. In the state of Rio de Janeiro, the elaborated plan had as one of its actions a training proposal for physiotherapists, speech therapists and occupational therapists, focusing on early stimulation and focused on the health care network, especially primary care and specialized rehabilitation centers. Thus the purpose of this article is to describe the impact of a response strategy to Zika virus congenital infection, based on the multi-professional training proposal in earlier stimulation in the public health attention network of Rio de Janeiro State. Descriptive study, observational from the earlier stimulation training course to the public health attention network of Rio de Janeiro State as a coping action to the health care of children with Zika virus congenital infection. At the time of writing, partial results are available after 11 classes were performed. Based on the analysis of the evaluation form of the 11 courses taught by professionals of a referral hospital in Rio de Janeiro and student form, using the Excel program, 299 health network professionals were qualified, from 56 different municipalities of RJ, mostly females (n = 259;86.82%). 175 physiotherapists (59%), 88 speech therapists (29%), 32 occupational therapists (11%) and 4 academics or other professional backgrounds (1%). The articulation between the different levels of public assistance, specifically: primary, secondary and tertiary, in this context assumes a fundamental action for good practices being undertaken considering the population’s health demands. Especially in relation to childhood chronic disease conditions, this action permited the building of lines of care that meet the population’s health demands so that in any of a child’s entry points on the assistance network, eithe

关键词： Delivery of Health Care Zika Virus Chronic Disease Child Intersectoral Collaboration

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A systematic investigation of radiation collapse for disruption avoidance and prevention on JET tokamak

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Matter and Radiation at Extremes 2023年第4期8卷 55-75页

作者： R.rossi M.Gelfusa T.Craciunescu l.Spolladore I.Wyss E.peluso J.Vega C.F.Maggi J.Mailloux M.Maslov A.Murari on behalf of JET Contributors Department of Industrial Engineering University of Rome“Tor Vergata”via del Politecnico 1RomaItaly National Institute for laser Plasma and Radiation PhysicsMagurele-BucharestRomania laboratorio Nacional de Fusión CIEMATAv.Complutense 4028040 MadridSpain UKAEA-CCFE Culham Science CentreAbingdon OX143DBUnited Kingdom Consorzio RFX(CNR ENEAINFNUniversitàdi PadovaAcciaierie Venete SpA)Corso Stati Uniti 435127 PadovaItaly Istituto per la Scienza e la Tecnologia dei Plasmi CNRPadovaItaly EUROfusion Consortium JETCulham Science CentreAbingdon OX143DBUnited Kingdom

To produce fusion reactions efficiently,thermonuclear plasmas have to reach extremely high temperatures,which is incompatible with their coming into contact with material *** of plasmas using magnetic fields has progressed significantly in the last years,particularly in the tokamak ***,all tokamak devices,and particularly metallic ones,are plagued by catastrophic events called *** disruptions are preceded by anomalies in the radiation patterns,particularly in ITER-relevant *** specific forms of radiation emission either directly cause or reveal the approaching collapse of the *** the localization of these radiation anomalies in real time requires an innovative and specific elaboration of bolometric measurements,confirmed by visible cameras and the inversion of sophisticated tomographic *** information derived from these measurements can be interpreted in terms of local power balances,which suggest a new quantity,the radiated power divided by the plasma internal energy,to determine the criticality of the plasma *** with robust indicators of the temperature profile shape,the identified anomalous radiation patterns allow determination of the sequence of macroscopic events leading to disruptions.A systematic analysis of JET campaigns at high power in deuterium,full tritium,and DT,for a total of almost 2000 discharges,proves the effectiveness of the *** warning times are such that,depending on the radiation anomaly and the available actuators,the control system of future devices is expected to provide enough notice to enable deployment of effective prevention and avoidance strategies.

关键词： tokamak prevention approaching

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