232 resultados para Realismo clínico


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The proposal of this study was to compare a wound healing between conventional suture and vaporization with CO2 laser in rats skin. ln such case 24 rats were utilized, making two longitudinal incisions in dorsum by scalpel. ln the left side incision the wound was sutured with nylon thread. ln the right side incision the wound were close by approach and vaporized with C02 laser, defocusing, 8 watts in continuous mode. The wound healing was followed by clinical photographic taking at the times: immediately after the procedure, 24 hours, 3, 7, 14, and 21 days. The results showed an early delay of reparation in healing vaporized in comparison with the sutured one, however occurred 21 days both repair tissue showed the same clinical characteristic. This results suggested that the C02 laser can be used by eventual substitute of suture.

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A clinical investigation was undertaken to find out the prevalence of craniomandibular signs and symptoms in a group of 11 patients with labiopalatal lesions. The number and distribution of occlusal contacts was evaluated through questionnaire, clinical examination and analysis of mounted casts in partially adjustable articulators in the position of maximum inter cuspation. The most frequent signs and symptoms were articular sounds and lateral pterygoid muscle tenderness to palpation followed by restriction of mouth opening and sensation of tiredness. The number of occlusal contacts was small, mean of 5 contacts per patient, and the site was considered as atypical, 62% of them were on inclined plane surfaces , suggesting occlusal instability. The frequency of signs and symptoms was low and they were of a mild character. The most prevailing signs of craniomandibular dysfunction - articular sounds, muscular tenderness to palpation and restriction of mouth opening - was noticed in only one of the patients

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Introduction: Equine therapy is a therapy that uses horses to provide the practitioner in rehabilitation aspects of motor, sensory, behavioral and social. Objective: To investigate the effect of the combination of playful activities with hippotherapy sessions on the trunk balance and range of motion. Methods: We selected 18 practitioners diagnosed with cerebral palsy were randomly divided into two groups. The group 1 held hippotherapy sessions, and group 2 held equine therapy with recreational activities and sports. Before and after treatment, the trunk control and range of motion of the practitioners were evaluated. The data were analyzed using the Student’s t-test (p <0.05). Results: There was an improvement in range of motion and balance in both groups. Conclusion: Equine therapy is an effective treatment for individuals with cerebral palsy, regardless of accomplishing it with or without recreational activities.

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The approach about the ideas, understood as metal representations, has practically bookmarked the whole Philosophy History, since the ancient Greece to the contemporary period. A lot of interpretations have been given to the meaning and to the nature of the ideas by many schools, among them lots of Realism slopes. This paper aims to present, from a historical and epistemological fragment, some theoretical perpectives, with emphasis in the realistic, nominalist and Cartesian proposals in relation to the formation and nature of the ideas.

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Protrusion of the intervertebral disc can cause chronic progressive compression of the spinal cord, and the neurological associated signs vary according to anatomical location, duration and dynamic force of compression. The type II disc disease is not fully understood, and there are many controversies about is clinical significance and best form of treatment. The most important aspect of conservative treatment is rest and physiotherapy associated with mild exercise, and use of corticosteroids to reduce vasogenic edema. The spinal decompression by surgery for removal of disc material from within the medullary canal is the surgical treatment of choice in type I disc disease, but has technical limitations in the type II disc disease. The purpose of this paper is to review the pathophysiology and treatment of chronic intervertebral disc disease and discuss the controversies in medical treatment and the use of some traditional and new surgical techniques.

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The urbanization process established in Brazilian society since the middle of last century brought changes in the population habits and customs, which was responsible for the increased of chronic diseases incidence, such as arterial hypertension, for example. Although this is a common disease nowadays, it is still difficult to establish a significant control in subjects with this disease and its consequences. This is apparently due to lack of interest to the correct plan of care developed for the treatment of this disease. The nursing consultation identifies potential problematic situations and the patient needs, setting actions that are complementary to their benefit in order to promote health. The present work aims to observe how the nursing consultation is being used as strategy for patients with arterial hypertension, and to understand the difficulties faced during treatment of these patients. For this purpose, it was performed qualitative and quantitative studies with patients from Centro Saúde Escola (CSE), Unidade Auxiliar, Faculdade de Medicina de Botucatu, UNESP, located in Botucatu, employing as methodology the Discourse of the Collective Subject and descriptive statistical analysis of quantitative results. The vast majority of consultations were held by medical professionals and it was observed that the multidisciplinary work still needs to be recognized and valued by users. The lack of knowledge of some individuals in relation to the potential and importance of the nursing consultation occurs not only for the treatment of arterial hypertension, but for the treatment and monitoring of the individual as a whole. Therefore, it is still necessary to clarify the true essence and necessity of the nursing consultation, since so important tool should be used in its entirely. Moreover, the role of the multidisciplinary team should be more discussed

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GOALS: This research evaluated the change in arterial pressure before and after two procedures of dental prophylaxis: Jet system baking soda and conventional prophylaxis and patient's opinion regarding the comfort of each one. MATERIAL AND METHOD: Were selected 32 patients with age between 18 to 30 years old, who need prophylaxis to remove biofilm and were subjected to three different types of treatment: sodium bicarbonate jet (G1), prophylaxis conventional (G2) and placebo (G3) at intervals of one month between them. Patients were divided randomly. Arterial pressure was measured by wrist digital Omron HEM – 6111. The measurements were realized in four times: before the prophylaxis, immediately the end of procedure, 15 and 30 minutes after finished of treatment. Patient comfort was measured by a Visual Analog Scale (VAS) after the end of the treatment. The data were analyzed using the variance test. The results showed that there was statistically significant difference to the comfort of the procedures. RESULTS: There was a statistically significant difference to the comfort of the procedures, and G2 and G3 better than G1. Regarding the variation of arterial pressure there was no statistically significant difference between groups. CONCLUSIONS: The methods of prophylaxis no effect on arterial pressure, but conventional prophylaxis is more comfortable than others treatments

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Oncology is presenting an important role in clinical practice as a speciality in recent years in Veterinary Medicine. Mammary gland tumors are detected mainly in old and middleaged bitches that are sexually intact or spayed and the caudal abdominal and inguinal mammary glands are the most affected and they present a percentage up to 75% of malignancy. The majority of dogs with mammary neoplasms are clinically healthy at the time of diagnosis and the tumors can be identified by the owner or a professional during a routine physical examination. Cytological examination of fine needle aspirates can be performed. This procedure is easy and low cost and some criteria that may indicate malignancy are evaluated, however to obtain a definitive diagnosis is performed histopathology of the excised tissue or from biopsy. Regional lymph nodes are the first lymph node to receive lymphatic drainage from the neoplasm. They are at the highest risk of regional metastasis, while the lung is the most common site for distant metastasis. Determining the clinical stage enables the definition of the extension of the tumor. As a consequence, this allows a prognosis to be established and treatment to be planned. The type of therapy to be chosen incites controversy since there are numerous treatment options described, but the surgery is the chosen treatment. However, surgery is not always effective for malignant tumors, and recurrences may occur and in these cases, auxiliary chemotherapy treatments are used. The prognosis for animals that have mammary tumors depends on several factors, such as: size, stage, type of tumor cells and clinical behavior of the tumor, age and medical condition of the animal, and presence of metastasis. Because of this, more detailed studies are needed based on epidemiological surveys in order to provide more informations about risk factors, prevalence and follow-up after treatment of mammary... (Complete abstract click electronic access below)

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Dans ce texte on a étudié, afin de comprendre et d'analyser les contes réalistes de Guy de Maupassant, comment Erich Auerbach, dans Mimesis (2009), parcourt les sentiers de la littérature occidentale pour dresser un tableau des traits communs qui existent entre les grandes oeuvres réalistes de l'Occident. L'auteur a réalisé des recherches et des commentaires sur les caractéristiques les plus récurrentes du réalisme littéraire dans les oeuvres d'écrivains tels que Homero, Shakespeare, Voltaire, Flaubert, parmi d'autres. Notre recherche vise, dans sa première étape, à présenter, à expliquer ou à identifier dans les contes de Guy de Maupassant, écrivain de la fin du XIXe siècle, les tendances réalistes discutées par ce théoricien et par d'autres au fil du temps, comme, par exemple, Roland Barthes, dans Crítica e verdade (2007), Bersani, dans Le réalisme et la peur du désir (1975) et Philippe Hamon, dans Un discours contraint (1973, p. 411-445). À partir de ces chercheurs, on essaie d'expliciter et d'affirmer le caractère réaliste d'un des maîtres du récit court - sûrement un représentant du réalisme parmi les grands écrivains de cet art - car dans Mimesis (2009) Zola est considéré par Auerbach comme le dernier des grands réalistes français. En plus, pour la deuxième partie de ce travail, on a l'intention de traiter l'émergence de l'impressionnisme artistique en France, et de présenter les concepts et les thèmes qui ont influencé ce mouvement et se présentent dans la construction des récits de Maupassant. Pour le faire, O impressionismo (1962) de Balzi, O impressionismo (1965) de Serullaz, Impressionniste et symboliste devant la presse (1959) de Jacques Lethève, Impressionismo (2010) de Lobstein e autres, mentionnés dans la bibliographie de cette recherche, ont ouvert la voie aux analyses... (Completo abstract click electronic access below)

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Pretende-se, com a apresentação deste trabalho, estudar não somente o escritor francês Guy de Maupassant no interior da vertente realista/naturalista, mas como explorador do veio do fantástico e como tais disposições literárias encontram-se trabalhadas em suas obras. As selecionadas para estudo são: o romance Bel- Ami de 1885 e os contos Bola de Sebo, publicado em 1880 e A Noite, publicado em 1887. Considera-se muito a vida literária de Maupassant, tanto como discípulo e correspondente de Gustave Flaubert (1821-1880), como grande amigo de Èmile Zola (1840- 1902), que o admirou. Por fim, como fundamentação teórica, utiliza-se de dois teóricos – Boris Tomachevski e Tezvetan Todorov –, com os quais se busca entender, prioritariamente, como ler Maupassant por meio dos conceitos de “interesse”, “motivação realista” e “estética”, propostos por Tomachevski e o Fantástico, pelas considerações de Tezvetan Todorov