Avalia????o da modula????o simp??tica e vagal, da press??o arterial e do perfil metab??lico de mulheres jovens usu??rias e n??o usu??rias de contraceptivo hormonal oral combinado
Ano de defesa: | 2014 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Nove de Julho
|
Programa de Pós-Graduação: |
Programa de Mestrado em Medicina
|
Departamento: |
Sa??de
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://bibliotecatede.uninove.br/handle/tede/1144 |
Resumo: | Evidence suggests the association of combined oral contraceptives (COC) with the development of hypertension, metabolic dysfunction and cardiovascular risk. The mechanisms involved in such association are not fully understood. It was demonstrated in previous studies by our group that there is an autonomic modulation imbalance before the development of hypertension in people with a positive family history of hypertension. This project evaluates the impact of combined oral contraceptives on anthropometric (BMI, abdominal circumference), hemodynamic (blood pressure, heart rate, cardiac outflow and total peripheral resistance), metabolic (serum glucose, total cholesterol and triglycerides) and autonomic (serum cathecolamines, heart rate variability) in normotensive and in hypertensive women (18 to 35 years of age) under combined oral contraceptives. We did not observe any significant change in blood pressure, hemodynamic and autonomic variables in the normotensive group under second and third generation of combined oral contraceptives. The same with hypertensive women under drospirenona (DRSP) and etinilestradiol (EE). Concerning the metabolic variables (against the control group), the normotensive women under combined oral contraceptives showed an increase in both means of total cholesterol (165.95 ?? 29.21 vs 189.11 ?? 28.96) and triglycerides (72.62 ?? 23.44 vs 110.07 ?? 40.60). Hypertensive women under DRSP+EE had also a significant increase in triglycerides when comparing basal (72.62 ?? 23.44 vs 110.07 ?? 40.60) with the later 6 month period( 72.62 ?? 23.44 vs 110.07 ?? 40.60). Moreover, in this same group of hypertensive women under Drospirenone-containing oral contraceptive, no change was found in potassium levels, the aldosterone-renin-angiotensin system or pharmacological interactions with anti-hypertensive drugs. Our conclusion is that second and third generation combined hormonal oral contraceptives causes no significant change in blood pressure or hemodynamic and autonomic variables. Also, DRSP+EE demonstrates a safe profile when used by young hypertensive women under anti-hypertensive drugs. No detectable variations in blood pressure and neuro-humoral activation, no hydro electrolyte imbalance and no metabolic change (except for a slight triglycerides augmentation) was encountered. |
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Consolim-Colombo, Fernanda Marcianohttp://lattes.cnpq.br/8102854014364848Tinucci, Taishttp://lattes.cnpq.br/9810353999214630Angelis, K??tia dehttp://lattes.cnpq.br/429934481050996532307177833http://lattes.cnpq.br/8978321465509227Morais, T??rcio Lemos de2015-07-27T13:13:00Z2014-02-21Morais, T??rcio Lemos de. Avalia????o da modula????o simp??tica e vagal, da press??o arterial e do perfil metab??lico de mulheres jovens usu??rias e n??o usu??rias de contraceptivo hormonal oral combinado. 2014. 72 f. Disserta????o( Programa de Mestrado em Medicina) - Universidade Nove de Julho, S??o Paulo .http://bibliotecatede.uninove.br/handle/tede/1144Evidence suggests the association of combined oral contraceptives (COC) with the development of hypertension, metabolic dysfunction and cardiovascular risk. The mechanisms involved in such association are not fully understood. It was demonstrated in previous studies by our group that there is an autonomic modulation imbalance before the development of hypertension in people with a positive family history of hypertension. This project evaluates the impact of combined oral contraceptives on anthropometric (BMI, abdominal circumference), hemodynamic (blood pressure, heart rate, cardiac outflow and total peripheral resistance), metabolic (serum glucose, total cholesterol and triglycerides) and autonomic (serum cathecolamines, heart rate variability) in normotensive and in hypertensive women (18 to 35 years of age) under combined oral contraceptives. We did not observe any significant change in blood pressure, hemodynamic and autonomic variables in the normotensive group under second and third generation of combined oral contraceptives. The same with hypertensive women under drospirenona (DRSP) and etinilestradiol (EE). Concerning the metabolic variables (against the control group), the normotensive women under combined oral contraceptives showed an increase in both means of total cholesterol (165.95 ?? 29.21 vs 189.11 ?? 28.96) and triglycerides (72.62 ?? 23.44 vs 110.07 ?? 40.60). Hypertensive women under DRSP+EE had also a significant increase in triglycerides when comparing basal (72.62 ?? 23.44 vs 110.07 ?? 40.60) with the later 6 month period( 72.62 ?? 23.44 vs 110.07 ?? 40.60). Moreover, in this same group of hypertensive women under Drospirenone-containing oral contraceptive, no change was found in potassium levels, the aldosterone-renin-angiotensin system or pharmacological interactions with anti-hypertensive drugs. Our conclusion is that second and third generation combined hormonal oral contraceptives causes no significant change in blood pressure or hemodynamic and autonomic variables. Also, DRSP+EE demonstrates a safe profile when used by young hypertensive women under anti-hypertensive drugs. No detectable variations in blood pressure and neuro-humoral activation, no hydro electrolyte imbalance and no metabolic change (except for a slight triglycerides augmentation) was encountered.Existem evid??ncias da associa????o entre uso de contraceptivo hormonal oral combinado (CHOC) com o desenvolvimento de hipertens??o arterial, dist??rbios metab??licos e risco cardiovascular. Os mecanismos envolvidos ainda n??o est??o totalmente elucidados. Estudos pr??vios do nosso grupo demonstraram que h?? um desequil??brio na modula????o auton??mica, mensurada pela an??lise da variabilidade da frequ??ncia card??aca, antecedendo o desenvolvimento de HAS em filhos de hipertensos. No presente projeto, avaliamos o impacto do uso de CHOC em par??metros antropom??tricos (??ndice de massa corp??rea, circunferncia abdominal), hemodin??micos (press??o arterial, frequencia card??aca, d??bito card??aco e resist??ncia vascular perif??rica), metab??licos (glicemia, colesterol total e triglic??rides), e auton??micos (dosagem s??rica de noradrenalina e variabilidade da frequ??ncia card??aca) em mulheres normotensas e hipertensas usu??rias e n??o usu??rias de CHOC, na faixa et??ria de 18 a 35 anos de idade. Como resultados, n??o observamos mudan??as significativas na press??o arterial, vari??veis hemodin??micas e auton??micas na coorte de mulheres normotensas usu??rias e n??o usu??rias de CHOC de segunda e terceira gera????o, bem como no estudo prospectivo de mulheres hipertensas usu??rias de drospirenona (DRSP) mais etinilestradiol (EE). Com rela????o ??s vari??veis metab??licas, comparado ao grupo controle, a coorte de mulheres normotensas usu??rias de CHOC apresentou valores m??dios de colesterol total (165,95 ?? 29,21 vs 189,11 ?? 28,96) e triglic??rides (72,62 ?? 23,44 vs 110,07 ?? 40,60) superiores aos observados no grupo das n??o usu??rias. As mulheres hipertensas usu??rias de DRSP+EE, tamb??m apresentaram valores m??dios de triglic??rides superiores estatisticamente significantes comparado ao momento inicial (124,3 ?? 57,7 vs 174,7 ?? 70,6), respectivamente basal e ap??s 6 meses. Ainda no grupo de hipertensas, o uso de CHOC contendo drospirenona n??o se associou a mudan??as na atividade do sistema renina angiotensina aldosterona, n??o alterou os n??veis s??ricos de pot??ssio, nem apresentou intera????es medicamentosas com medicamentos anti-hipertensivos usados. Conclu??mos que o uso de CHOC de segunda e terceira gera????o n??o causou altera????es significativas na press??o arterial, par??metros hemodin??micos e auton??micos, com modesto impacto negativo sobre o perfil lip??dico. E a DRSP+EE apresenta um perfil seguro quando usado como contraceptivo num grupo de mulheres hipertensas jovens j?? em uso de anti-hipertensivos, considerando-se que: n??o foram detectadas varia????es nos valores de press??o aretrial e de ativa????o neuro-humoral, n??o ocorreram dist??rbios hidro eletrol??ticos, e nem altera????es em par??metros metab??licos, execeto um leve aumento nos n??veis de triglic??rides.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2015-07-27T13:13:00Z No. of bitstreams: 1 Tercio Lemos de Morais.pdf: 1272228 bytes, checksum: ed3fb7d1f441b1f6ede36571fcb2cb7a (MD5)Made available in DSpace on 2015-07-27T13:13:00Z (GMT). No. of bitstreams: 1 Tercio Lemos de Morais.pdf: 1272228 bytes, checksum: ed3fb7d1f441b1f6ede36571fcb2cb7a (MD5) Previous issue date: 2014-02-21application/pdfporUniversidade Nove de JulhoPrograma de Mestrado em MedicinaUNINOVEBrasilSa??demulherespress??o arterialsistema nervoso aut??nomocontraceptivovariabilidade da frequ??ncia card??acadislipidemiawomenblood pressureautonomic nervous systemcontraceptivesheart rate variabilitydyslipidemiaCIENCIAS DA SAUDEAvalia????o da modula????o simp??tica e vagal, da press??o arterial e do perfil metab??lico de mulheres jovens usu??rias e n??o usu??rias de contraceptivo hormonal oral combinadoEvaluation of sympathetic and vagal modulation, blood pressure and metabolic profile of young women, users and non-users of combined oral hormonal contraceptiveinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALTercio Lemos de Morais.pdfTercio Lemos de Morais.pdfapplication/pdf1272228http://localhost:8080/tede/bitstream/tede/1144/2/Tercio+Lemos+de+Morais.pdfed3fb7d1f441b1f6ede36571fcb2cb7aMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82089http://localhost:8080/tede/bitstream/tede/1144/1/license.txt7b5ba3d2445355f386edab96125d42b7MD51tede/11442015-07-27 10:13:00.216oai:localhost:tede/1144Tk9UQTogQ09MT1FVRSBBUVVJIEEgU1VBIFBSP1BSSUEgTElDRU4/QQpFc3RhIGxpY2VuP2EgZGUgZXhlbXBsbyA/IGZvcm5lY2lkYSBhcGVuYXMgcGFyYSBmaW5zIGluZm9ybWF0aXZvcy4KCkxJQ0VOP0EgREUgRElTVFJJQlVJPz9PIE4/Ty1FWENMVVNJVkEKCkNvbSBhIGFwcmVzZW50YT8/byBkZXN0YSBsaWNlbj9hLCB2b2M/IChvIGF1dG9yIChlcykgb3UgbyB0aXR1bGFyIGRvcyBkaXJlaXRvcyBkZSBhdXRvcikgY29uY2VkZSA/IFVuaXZlcnNpZGFkZSAKWFhYIChTaWdsYSBkYSBVbml2ZXJzaWRhZGUpIG8gZGlyZWl0byBuP28tZXhjbHVzaXZvIGRlIHJlcHJvZHV6aXIsICB0cmFkdXppciAoY29uZm9ybWUgZGVmaW5pZG8gYWJhaXhvKSwgZS9vdSAKZGlzdHJpYnVpciBhIHN1YSB0ZXNlIG91IGRpc3NlcnRhPz9vIChpbmNsdWluZG8gbyByZXN1bW8pIHBvciB0b2RvIG8gbXVuZG8gbm8gZm9ybWF0byBpbXByZXNzbyBlIGVsZXRyP25pY28gZSAKZW0gcXVhbHF1ZXIgbWVpbywgaW5jbHVpbmRvIG9zIGZvcm1hdG9zID91ZGlvIG91IHY/ZGVvLgoKVm9jPyBjb25jb3JkYSBxdWUgYSBTaWdsYSBkZSBVbml2ZXJzaWRhZGUgcG9kZSwgc2VtIGFsdGVyYXIgbyBjb250ZT9kbywgdHJhbnNwb3IgYSBzdWEgdGVzZSBvdSBkaXNzZXJ0YT8/byAKcGFyYSBxdWFscXVlciBtZWlvIG91IGZvcm1hdG8gcGFyYSBmaW5zIGRlIHByZXNlcnZhPz9vLgoKVm9jPyB0YW1iP20gY29uY29yZGEgcXVlIGEgU2lnbGEgZGUgVW5pdmVyc2lkYWRlIHBvZGUgbWFudGVyIG1haXMgZGUgdW1hIGM/cGlhIGEgc3VhIHRlc2Ugb3UgCmRpc3NlcnRhPz9vIHBhcmEgZmlucyBkZSBzZWd1cmFuP2EsIGJhY2stdXAgZSBwcmVzZXJ2YT8/by4KClZvYz8gZGVjbGFyYSBxdWUgYSBzdWEgdGVzZSBvdSBkaXNzZXJ0YT8/byA/IG9yaWdpbmFsIGUgcXVlIHZvYz8gdGVtIG8gcG9kZXIgZGUgY29uY2VkZXIgb3MgZGlyZWl0b3MgY29udGlkb3MgCm5lc3RhIGxpY2VuP2EuIFZvYz8gdGFtYj9tIGRlY2xhcmEgcXVlIG8gZGVwP3NpdG8gZGEgc3VhIHRlc2Ugb3UgZGlzc2VydGE/P28gbj9vLCBxdWUgc2VqYSBkZSBzZXUgCmNvbmhlY2ltZW50bywgaW5mcmluZ2UgZGlyZWl0b3MgYXV0b3JhaXMgZGUgbmluZ3U/bS4KCkNhc28gYSBzdWEgdGVzZSBvdSBkaXNzZXJ0YT8/byBjb250ZW5oYSBtYXRlcmlhbCBxdWUgdm9jPyBuP28gcG9zc3VpIGEgdGl0dWxhcmlkYWRlIGRvcyBkaXJlaXRvcyBhdXRvcmFpcywgdm9jPyAKZGVjbGFyYSBxdWUgb2J0ZXZlIGEgcGVybWlzcz9vIGlycmVzdHJpdGEgZG8gZGV0ZW50b3IgZG9zIGRpcmVpdG9zIGF1dG9yYWlzIHBhcmEgY29uY2VkZXIgPyBTaWdsYSBkZSBVbml2ZXJzaWRhZGUgCm9zIGRpcmVpdG9zIGFwcmVzZW50YWRvcyBuZXN0YSBsaWNlbj9hLCBlIHF1ZSBlc3NlIG1hdGVyaWFsIGRlIHByb3ByaWVkYWRlIGRlIHRlcmNlaXJvcyBlc3Q/IGNsYXJhbWVudGUgCmlkZW50aWZpY2FkbyBlIHJlY29uaGVjaWRvIG5vIHRleHRvIG91IG5vIGNvbnRlP2RvIGRhIHRlc2Ugb3UgZGlzc2VydGE/P28gb3JhIGRlcG9zaXRhZGEuCgpDQVNPIEEgVEVTRSBPVSBESVNTRVJUQT8/TyBPUkEgREVQT1NJVEFEQSBURU5IQSBTSURPIFJFU1VMVEFETyBERSBVTSBQQVRST0M/TklPIE9VIApBUE9JTyBERSBVTUEgQUc/TkNJQSBERSBGT01FTlRPIE9VIE9VVFJPIE9SR0FOSVNNTyBRVUUgTj9PIFNFSkEgQSBTSUdMQSBERSAKVU5JVkVSU0lEQURFLCBWT0M/IERFQ0xBUkEgUVVFIFJFU1BFSVRPVSBUT0RPUyBFIFFVQUlTUVVFUiBESVJFSVRPUyBERSBSRVZJUz9PIENPTU8gClRBTUI/TSBBUyBERU1BSVMgT0JSSUdBPz9FUyBFWElHSURBUyBQT1IgQ09OVFJBVE8gT1UgQUNPUkRPLgoKQSBTaWdsYSBkZSBVbml2ZXJzaWRhZGUgc2UgY29tcHJvbWV0ZSBhIGlkZW50aWZpY2FyIGNsYXJhbWVudGUgbyBzZXUgbm9tZSAocykgb3UgbyhzKSBub21lKHMpIGRvKHMpIApkZXRlbnRvcihlcykgZG9zIGRpcmVpdG9zIGF1dG9yYWlzIGRhIHRlc2Ugb3UgZGlzc2VydGE/P28sIGUgbj9vIGZhcj8gcXVhbHF1ZXIgYWx0ZXJhPz9vLCBhbD9tIGRhcXVlbGFzIApjb25jZWRpZGFzIHBvciBlc3RhIGxpY2VuP2EuCg==Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2015-07-27T13:13Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Avalia????o da modula????o simp??tica e vagal, da press??o arterial e do perfil metab??lico de mulheres jovens usu??rias e n??o usu??rias de contraceptivo hormonal oral combinado |
dc.title.alternative.eng.fl_str_mv |
Evaluation of sympathetic and vagal modulation, blood pressure and metabolic profile of young women, users and non-users of combined oral hormonal contraceptive |
title |
Avalia????o da modula????o simp??tica e vagal, da press??o arterial e do perfil metab??lico de mulheres jovens usu??rias e n??o usu??rias de contraceptivo hormonal oral combinado |
spellingShingle |
Avalia????o da modula????o simp??tica e vagal, da press??o arterial e do perfil metab??lico de mulheres jovens usu??rias e n??o usu??rias de contraceptivo hormonal oral combinado Morais, T??rcio Lemos de mulheres press??o arterial sistema nervoso aut??nomo contraceptivo variabilidade da frequ??ncia card??aca dislipidemia women blood pressure autonomic nervous system contraceptives heart rate variability dyslipidemia CIENCIAS DA SAUDE |
title_short |
Avalia????o da modula????o simp??tica e vagal, da press??o arterial e do perfil metab??lico de mulheres jovens usu??rias e n??o usu??rias de contraceptivo hormonal oral combinado |
title_full |
Avalia????o da modula????o simp??tica e vagal, da press??o arterial e do perfil metab??lico de mulheres jovens usu??rias e n??o usu??rias de contraceptivo hormonal oral combinado |
title_fullStr |
Avalia????o da modula????o simp??tica e vagal, da press??o arterial e do perfil metab??lico de mulheres jovens usu??rias e n??o usu??rias de contraceptivo hormonal oral combinado |
title_full_unstemmed |
Avalia????o da modula????o simp??tica e vagal, da press??o arterial e do perfil metab??lico de mulheres jovens usu??rias e n??o usu??rias de contraceptivo hormonal oral combinado |
title_sort |
Avalia????o da modula????o simp??tica e vagal, da press??o arterial e do perfil metab??lico de mulheres jovens usu??rias e n??o usu??rias de contraceptivo hormonal oral combinado |
author |
Morais, T??rcio Lemos de |
author_facet |
Morais, T??rcio Lemos de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Consolim-Colombo, Fernanda Marciano |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/8102854014364848 |
dc.contributor.referee1.fl_str_mv |
Tinucci, Tais |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/9810353999214630 |
dc.contributor.referee2.fl_str_mv |
Angelis, K??tia de |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/4299344810509965 |
dc.contributor.authorID.fl_str_mv |
32307177833 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/8978321465509227 |
dc.contributor.author.fl_str_mv |
Morais, T??rcio Lemos de |
contributor_str_mv |
Consolim-Colombo, Fernanda Marciano Tinucci, Tais Angelis, K??tia de |
dc.subject.por.fl_str_mv |
mulheres press??o arterial sistema nervoso aut??nomo contraceptivo variabilidade da frequ??ncia card??aca dislipidemia |
topic |
mulheres press??o arterial sistema nervoso aut??nomo contraceptivo variabilidade da frequ??ncia card??aca dislipidemia women blood pressure autonomic nervous system contraceptives heart rate variability dyslipidemia CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
women blood pressure autonomic nervous system contraceptives heart rate variability dyslipidemia |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Evidence suggests the association of combined oral contraceptives (COC) with the development of hypertension, metabolic dysfunction and cardiovascular risk. The mechanisms involved in such association are not fully understood. It was demonstrated in previous studies by our group that there is an autonomic modulation imbalance before the development of hypertension in people with a positive family history of hypertension. This project evaluates the impact of combined oral contraceptives on anthropometric (BMI, abdominal circumference), hemodynamic (blood pressure, heart rate, cardiac outflow and total peripheral resistance), metabolic (serum glucose, total cholesterol and triglycerides) and autonomic (serum cathecolamines, heart rate variability) in normotensive and in hypertensive women (18 to 35 years of age) under combined oral contraceptives. We did not observe any significant change in blood pressure, hemodynamic and autonomic variables in the normotensive group under second and third generation of combined oral contraceptives. The same with hypertensive women under drospirenona (DRSP) and etinilestradiol (EE). Concerning the metabolic variables (against the control group), the normotensive women under combined oral contraceptives showed an increase in both means of total cholesterol (165.95 ?? 29.21 vs 189.11 ?? 28.96) and triglycerides (72.62 ?? 23.44 vs 110.07 ?? 40.60). Hypertensive women under DRSP+EE had also a significant increase in triglycerides when comparing basal (72.62 ?? 23.44 vs 110.07 ?? 40.60) with the later 6 month period( 72.62 ?? 23.44 vs 110.07 ?? 40.60). Moreover, in this same group of hypertensive women under Drospirenone-containing oral contraceptive, no change was found in potassium levels, the aldosterone-renin-angiotensin system or pharmacological interactions with anti-hypertensive drugs. Our conclusion is that second and third generation combined hormonal oral contraceptives causes no significant change in blood pressure or hemodynamic and autonomic variables. Also, DRSP+EE demonstrates a safe profile when used by young hypertensive women under anti-hypertensive drugs. No detectable variations in blood pressure and neuro-humoral activation, no hydro electrolyte imbalance and no metabolic change (except for a slight triglycerides augmentation) was encountered. |
publishDate |
2014 |
dc.date.issued.fl_str_mv |
2014-02-21 |
dc.date.accessioned.fl_str_mv |
2015-07-27T13:13:00Z |
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info:eu-repo/semantics/publishedVersion |
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dc.identifier.citation.fl_str_mv |
Morais, T??rcio Lemos de. Avalia????o da modula????o simp??tica e vagal, da press??o arterial e do perfil metab??lico de mulheres jovens usu??rias e n??o usu??rias de contraceptivo hormonal oral combinado. 2014. 72 f. Disserta????o( Programa de Mestrado em Medicina) - Universidade Nove de Julho, S??o Paulo . |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/1144 |
identifier_str_mv |
Morais, T??rcio Lemos de. Avalia????o da modula????o simp??tica e vagal, da press??o arterial e do perfil metab??lico de mulheres jovens usu??rias e n??o usu??rias de contraceptivo hormonal oral combinado. 2014. 72 f. Disserta????o( Programa de Mestrado em Medicina) - Universidade Nove de Julho, S??o Paulo . |
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http://bibliotecatede.uninove.br/handle/tede/1144 |
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