Influência da sazonalidade e fatores de risco associados ao desenvolvimento motor de lactentes nascidos a termo no município de Santa Maria – RS
Autor(a) principal: | |
---|---|
Data de Publicação: | 2017 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional Manancial UFSM |
Texto Completo: | http://repositorio.ufsm.br/handle/1/18495 |
Resumo: | The appropriate motor development involves a number of factors linked to the environment in which the child lives. From the assumption of that, the issue in this study bases on a possible interference of seasonal variation that the infant population of Santa Maria’s town is exposed during the year, and its influence in motor development on the first year of life. Aim: To investigate the influence of seasonality on the motor development of infants born full-term and healthy, at 7 and 10 months old and risk factors associated. Methods: The study came from an umbrella-project that was approved by the Ethics in Research Committee (CEP/UFSM) under the number 1487549. The study included term infants born in target months, which had experienced motor development milestones for the 2nd and 3rd quarters during summer or winter. The data collection was made on medical files, interviewing the parents and application of Alberta Infant Motor Scale, which was applied by an examiner who was experienced and blind to the aims of the study, for further calculation of score. This result allowed the classification of children in the risk for motor delay group (score ≤ P25) and no risk for motor delay group (score > P25). Results: 174 children were evaluated, 97 (55.75%) at 7 months and 77 (44.25%) at 10 months. The assessed groups, after summer and after winter, presented themselves as homogeneous in sample characterization. There were no statistically significant difference regarding global motor development outcomes, although they have experienced very different thermal periods (24.75 ± 2.58° C in the summer and 13.96 4.18 ±° C in the winter; p = 0.000). The time of the crawling acquisition of the crawl was statistically significantly higher in the post-winter group (p=0,004) at 10 months. When classified by the risk of motor delay, it was observed at seven the prevalence of pregnancy planning (p = 0,015), longer time of exclusive breastfeeding (p = 0,004) and the total time of breastfeeding (p = 0.012), in the no risk group, giving advantage to this group seven months both in prevalence and multivariate regression model, in which it highlighted an advantage to those who were breastfed at any time. At ten months the risk group had a lower gestational age (p = 0,040), older mothers (p = 0,020), a higher number of children per woman (p = 0,002), higher prevalence of socio-economic benefit (p = 0,002) and children spend most of the time they are awake in limited locations (p = 0,000) and the variables inherent to the number of children, receiving socio-economic benefit and to the place where the infant spend most of their time, remained after multivariate regression. Conclusion: In the present study, the cold weather did not showed itself as a decisive factor for motor development. However, considering the multifactorial of this change, the cold can represent a limiting adjunct when associated with other causes for infants who experience the milestone acquisitions season of the year. |
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2019-10-07T18:41:15Z2019-10-07T18:41:15Z2017-07-03http://repositorio.ufsm.br/handle/1/18495The appropriate motor development involves a number of factors linked to the environment in which the child lives. From the assumption of that, the issue in this study bases on a possible interference of seasonal variation that the infant population of Santa Maria’s town is exposed during the year, and its influence in motor development on the first year of life. Aim: To investigate the influence of seasonality on the motor development of infants born full-term and healthy, at 7 and 10 months old and risk factors associated. Methods: The study came from an umbrella-project that was approved by the Ethics in Research Committee (CEP/UFSM) under the number 1487549. The study included term infants born in target months, which had experienced motor development milestones for the 2nd and 3rd quarters during summer or winter. The data collection was made on medical files, interviewing the parents and application of Alberta Infant Motor Scale, which was applied by an examiner who was experienced and blind to the aims of the study, for further calculation of score. This result allowed the classification of children in the risk for motor delay group (score ≤ P25) and no risk for motor delay group (score > P25). Results: 174 children were evaluated, 97 (55.75%) at 7 months and 77 (44.25%) at 10 months. The assessed groups, after summer and after winter, presented themselves as homogeneous in sample characterization. There were no statistically significant difference regarding global motor development outcomes, although they have experienced very different thermal periods (24.75 ± 2.58° C in the summer and 13.96 4.18 ±° C in the winter; p = 0.000). The time of the crawling acquisition of the crawl was statistically significantly higher in the post-winter group (p=0,004) at 10 months. When classified by the risk of motor delay, it was observed at seven the prevalence of pregnancy planning (p = 0,015), longer time of exclusive breastfeeding (p = 0,004) and the total time of breastfeeding (p = 0.012), in the no risk group, giving advantage to this group seven months both in prevalence and multivariate regression model, in which it highlighted an advantage to those who were breastfed at any time. At ten months the risk group had a lower gestational age (p = 0,040), older mothers (p = 0,020), a higher number of children per woman (p = 0,002), higher prevalence of socio-economic benefit (p = 0,002) and children spend most of the time they are awake in limited locations (p = 0,000) and the variables inherent to the number of children, receiving socio-economic benefit and to the place where the infant spend most of their time, remained after multivariate regression. Conclusion: In the present study, the cold weather did not showed itself as a decisive factor for motor development. However, considering the multifactorial of this change, the cold can represent a limiting adjunct when associated with other causes for infants who experience the milestone acquisitions season of the year.O desenvolvimento motor adequado está relacionado a uma série de fatores ligados ao meio em que a criança vive. A partir dessa premissa, a temática do presente estudo baseia-se na possível interferência da variação sazonal, à que a população infantil da cidade de Santa Maria, está exposta ao longo de um ano sobre o desenvolvimento motor no primeiro ano de vida. Objetivo: Investigar a influência da sazonalidade sobre o desenvolvimento motor de lactentes hígidos e nascidos a termo, aos 7 meses e 10 meses de idade e fatores de risco associados, tanto ao ambiente quanto ao binômio mãe-lactente. Metodologia: Estudo aprovado pelo Comitê de Ética em Pesquisa (CEP/UFSM) sob nº 1487549. Foram incluídos neste estudo lactentes a termo nascidos em meses alvo, os quais terão vivenciado os marcos de desenvolvimento referentes ao 2º e 3º trimestres no verão ou no inverno. A coleta dos dados foi feita por meio de análise de prontuários, de entrevista com os cuidadores e aplicação da Alberta Infant Motor Scale, por examinador experiente e cego aos objetivos do estudo, para posterior cálculo de escore. Este resultado possibilitou a classificação da criança em grupo de risco para o desenvolvimento motor (escore ≤ P25) e grupo fora de risco (escore > P25). Resultados: Foram avaliadas 174 crianças, sendo 97(55,75%) com sete meses e 77(44,25%) com 10 meses. Os grupos pós-verão e pós-inverno, foram homogêneos na caracterização da amostra. Não houve diferença estatisticamente significante a nível de desenvolvimento motor global embora tenham realmente vivenciado períodos térmicos bem distintos (24,75±2,58°C no verão e 13,96±4,18°C no inverno; p=0,000). O tempo de aquisição do engatinhar foi maior (p=0,004) no grupo pós-inverno aos 10 meses. Quando classificados em virtude do risco para atraso no desenvolvimento motor, observou-se, aos sete meses maior prevalência de planejamento da gravidez (p=0,015), maior tempo de aleitamento materno exclusivo (p=0,004) e tempo total de amamentação (p=0,012) no grupo sem risco, conferindo vantagem a este grupo aos sete meses tanto na análise de prevalência quanto no modelo de regressão multivariada, onde também se destacou uma vantagem para ter sido amamentado a qualquer tempo (p=0,053). Aos 10 meses, o grupo com risco tinha menor idade gestacional ao nascer (p=0,040), as mães eram mais velhas (p=0,020), tinham maior número de filhos por mulher (p=0,002), maior prevalência no recebimento de benefício socioeconômico (p=0,002) e as crianças passavam a maior parte do tempo, quando acordadas, em locais limitados (p=0,000) e as variáveis inerentes ao número de filhos, benefício socioeconômico e local de permanência do lactente, permaneceram após regressão multivariada. Conclusão: No presente estudo, o clima frio não se mostrou um determinante isolado para atraso no desenvolvimento motor. Porém, considerando a multifatorialidade desta alteração, o frio pode representar uma limitação adjuvante, quando associada a outras causas, para os lactentes que vivenciam aquisições de marcos motores nessa época do ano.porUniversidade Federal de Santa MariaCentro de Ciências da SaúdePrograma de Pós-Graduação em Ciências da SaúdeUFSMBrasilMedicinaAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessEstações do anoCuidado do lactenteDesenvolvimento infantilSeasonsInfant careChild developmentCNPQ::CIENCIAS DA SAUDE::MEDICINAInfluência da sazonalidade e fatores de risco associados ao desenvolvimento motor de lactentes nascidos a termo no município de Santa Maria – RSInfluence of seasonality in the motor development of healthy infants, born at term on the town of Santa Maria – RSinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisWeinmann, Angela Regina Macielhttp://lattes.cnpq.br/9151119377173425Trevisan, Claudia Moraishttp://lattes.cnpq.br/5407756721678779Valentini, Nadia Cristinahttp://lattes.cnpq.br/3458947518634904Copetti, Fernandohttp://lattes.cnpq.br/3441292649893301http://lattes.cnpq.br/8082653072615230Hermes, Letícia4001000000066001c5aefd6-6508-4d33-80c5-ebfe9227f0ff4f36e3ba-ecbf-4e58-bd45-c4d66d1fa04cca6ee1b6-4056-4764-8b69-608b002c821b5f08e78b-8abf-4f29-8675-e28a09195bfc705e8c48-3661-4896-92c5-5c5375bb9974reponame:Repositório Institucional Manancial UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMORIGINALDIS_PPGCS_2017_HERMES_LETICIA.pdfDIS_PPGCS_2017_HERMES_LETICIA.pdfDissertação de Mestradoapplication/pdf4325541http://repositorio.ufsm.br/bitstream/1/18495/1/DIS_PPGCS_2017_HERMES_LETICIA.pdf82a54e9454d0209daec97fa27ad1e929MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; 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dc.title.por.fl_str_mv |
Influência da sazonalidade e fatores de risco associados ao desenvolvimento motor de lactentes nascidos a termo no município de Santa Maria – RS |
dc.title.alternative.eng.fl_str_mv |
Influence of seasonality in the motor development of healthy infants, born at term on the town of Santa Maria – RS |
title |
Influência da sazonalidade e fatores de risco associados ao desenvolvimento motor de lactentes nascidos a termo no município de Santa Maria – RS |
spellingShingle |
Influência da sazonalidade e fatores de risco associados ao desenvolvimento motor de lactentes nascidos a termo no município de Santa Maria – RS Hermes, Letícia Estações do ano Cuidado do lactente Desenvolvimento infantil Seasons Infant care Child development CNPQ::CIENCIAS DA SAUDE::MEDICINA |
title_short |
Influência da sazonalidade e fatores de risco associados ao desenvolvimento motor de lactentes nascidos a termo no município de Santa Maria – RS |
title_full |
Influência da sazonalidade e fatores de risco associados ao desenvolvimento motor de lactentes nascidos a termo no município de Santa Maria – RS |
title_fullStr |
Influência da sazonalidade e fatores de risco associados ao desenvolvimento motor de lactentes nascidos a termo no município de Santa Maria – RS |
title_full_unstemmed |
Influência da sazonalidade e fatores de risco associados ao desenvolvimento motor de lactentes nascidos a termo no município de Santa Maria – RS |
title_sort |
Influência da sazonalidade e fatores de risco associados ao desenvolvimento motor de lactentes nascidos a termo no município de Santa Maria – RS |
author |
Hermes, Letícia |
author_facet |
Hermes, Letícia |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Weinmann, Angela Regina Maciel |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/9151119377173425 |
dc.contributor.advisor-co1.fl_str_mv |
Trevisan, Claudia Morais |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/5407756721678779 |
dc.contributor.referee1.fl_str_mv |
Valentini, Nadia Cristina |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/3458947518634904 |
dc.contributor.referee2.fl_str_mv |
Copetti, Fernando |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/3441292649893301 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/8082653072615230 |
dc.contributor.author.fl_str_mv |
Hermes, Letícia |
contributor_str_mv |
Weinmann, Angela Regina Maciel Trevisan, Claudia Morais Valentini, Nadia Cristina Copetti, Fernando |
dc.subject.por.fl_str_mv |
Estações do ano Cuidado do lactente Desenvolvimento infantil |
topic |
Estações do ano Cuidado do lactente Desenvolvimento infantil Seasons Infant care Child development CNPQ::CIENCIAS DA SAUDE::MEDICINA |
dc.subject.eng.fl_str_mv |
Seasons Infant care Child development |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::MEDICINA |
description |
The appropriate motor development involves a number of factors linked to the environment in which the child lives. From the assumption of that, the issue in this study bases on a possible interference of seasonal variation that the infant population of Santa Maria’s town is exposed during the year, and its influence in motor development on the first year of life. Aim: To investigate the influence of seasonality on the motor development of infants born full-term and healthy, at 7 and 10 months old and risk factors associated. Methods: The study came from an umbrella-project that was approved by the Ethics in Research Committee (CEP/UFSM) under the number 1487549. The study included term infants born in target months, which had experienced motor development milestones for the 2nd and 3rd quarters during summer or winter. The data collection was made on medical files, interviewing the parents and application of Alberta Infant Motor Scale, which was applied by an examiner who was experienced and blind to the aims of the study, for further calculation of score. This result allowed the classification of children in the risk for motor delay group (score ≤ P25) and no risk for motor delay group (score > P25). Results: 174 children were evaluated, 97 (55.75%) at 7 months and 77 (44.25%) at 10 months. The assessed groups, after summer and after winter, presented themselves as homogeneous in sample characterization. There were no statistically significant difference regarding global motor development outcomes, although they have experienced very different thermal periods (24.75 ± 2.58° C in the summer and 13.96 4.18 ±° C in the winter; p = 0.000). The time of the crawling acquisition of the crawl was statistically significantly higher in the post-winter group (p=0,004) at 10 months. When classified by the risk of motor delay, it was observed at seven the prevalence of pregnancy planning (p = 0,015), longer time of exclusive breastfeeding (p = 0,004) and the total time of breastfeeding (p = 0.012), in the no risk group, giving advantage to this group seven months both in prevalence and multivariate regression model, in which it highlighted an advantage to those who were breastfed at any time. At ten months the risk group had a lower gestational age (p = 0,040), older mothers (p = 0,020), a higher number of children per woman (p = 0,002), higher prevalence of socio-economic benefit (p = 0,002) and children spend most of the time they are awake in limited locations (p = 0,000) and the variables inherent to the number of children, receiving socio-economic benefit and to the place where the infant spend most of their time, remained after multivariate regression. Conclusion: In the present study, the cold weather did not showed itself as a decisive factor for motor development. However, considering the multifactorial of this change, the cold can represent a limiting adjunct when associated with other causes for infants who experience the milestone acquisitions season of the year. |
publishDate |
2017 |
dc.date.issued.fl_str_mv |
2017-07-03 |
dc.date.accessioned.fl_str_mv |
2019-10-07T18:41:15Z |
dc.date.available.fl_str_mv |
2019-10-07T18:41:15Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://repositorio.ufsm.br/handle/1/18495 |
url |
http://repositorio.ufsm.br/handle/1/18495 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.cnpq.fl_str_mv |
400100000006 |
dc.relation.confidence.fl_str_mv |
600 |
dc.relation.authority.fl_str_mv |
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dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências da Saúde |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Ciências da Saúde |
dc.publisher.initials.fl_str_mv |
UFSM |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Medicina |
publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências da Saúde |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional Manancial UFSM instname:Universidade Federal de Santa Maria (UFSM) instacron:UFSM |
instname_str |
Universidade Federal de Santa Maria (UFSM) |
instacron_str |
UFSM |
institution |
UFSM |
reponame_str |
Repositório Institucional Manancial UFSM |
collection |
Repositório Institucional Manancial UFSM |
bitstream.url.fl_str_mv |
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MD5 MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional Manancial UFSM - Universidade Federal de Santa Maria (UFSM) |
repository.mail.fl_str_mv |
ouvidoria@ufsm.br |
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1808854690681585664 |