221 resultados para Procedimentos cirúrgicos oftalmológicos


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OBJETIVO: Avaliar a evolução metodológica e do delineamento estatístico nas publicações da Revista Brasileira de Ginecologia e Obstetrícia (RBGO) a partir da resolução 196/96. MÉTODOS: Uma revisão de 133 artigos publicados nos anos de 1999 (65) e 2009 (68) foi realizada por dois revisores independentes com formação em epidemiologia clínica e metodologia da pesquisa científica. Foram incluídos todos os artigos clínicos originais, séries e relatos de casos, sendo excluídos os editoriais, as cartas ao editor, os artigos de revisão sistemática, os trabalhos experimentais, artigos de opinião, além dos resumos de teses e dissertações. Características relacionadas com a qualidade metodológica dos estudos foram analisadas por artigo, por meio de check-list que avaliou dois critérios: aspectos metodológicos e procedimentos estatísticos. Utilizou-se a estatística descritiva e o teste do χ2 para comparação entre os anos. RESULTADOS: Observa-se que houve diferença entre os anos de 1999 e 2009 no tocante ao desenho dos estudos e ao delineamento estatístico, demonstrando maior rigor nos respectivos procedimentos com o uso de testes mais robustos, relativamente, entre os anos de 1999 e 2009. CONCLUSÕES: Na RBGO, observou-se evolução metodológica dos artigos publicados entre os anos de 1999 e 2009 e aprofundamento nas análises estatísticas com o uso de testes mais sofisticados, como o uso mais frequente das análises de regressão e da análise multinível, que são técnicas primordiais na produção do conhecimento e planejamento de intervenções em saúde. Isso pode resultar em menos erros de interpretações.

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The duality care-education is an aspect to be considered in the routine of childhood education institutions that have a nursery. The concepts of professionals who work in the nursery interfere with the developed practice, and require great concern regarding the continuing education. The objective of this study was to verify the effects of educational procedures on the concepts related to functions and benefi ts of the nursery for the child – from the professionals who work in a childhood education institution. These professionals were teachers and development assistants from municipal nurseries of Marília, interviewed four times – initially, after each of the two rearing procedures, and six months after the procedures. These procedures consisted of educational workshops, once a week, for one month, and 15 hours of supervised practices in the nursery. Both practices focused on the activities and their benefi ts to the child’s development. We found that the educators’ knowledge comes from common sense, and that educational workshops provided changes on their information levels, which were strengthened by supervised practice. The analysis indicates that the initial and continuing education of professionals need to consider specifi c aspects of child development, so more adequate concepts are built.

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This study was aimed to analyze a procedure that makes the description of pictures in printed text from a book that promotes accessibility for blind people. In addition, the study was aimed to analyze the reformulations suggested by the judges and the index of agreement between researcher and judges. The descriptions were submitted to judges to evaluate the content of the material. The results were obtained through the analysis of two assessments: 1) agreement rate ‒ between the researcher and judges A and B, and between judge A and judge B and 2) analysis of the suggested reformulation. In quantitative terms, the results indicated that the material described achieved a high reliability. In qualitative terms, the reliability achieved represents the quality of the material offered, with well structured descriptions where writing meaning is equivalent to image information, fulfilling the purpose to present in printed text the elements represented in the pictures, effectively conveying their meaning.

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O objetivo deste texto foi realizar uma revisão crítica de trabalhos realizados após o doutoramento do autor, de parte de uma linha de pesquisa focalizada na dentística em odontopediatria. Desta forma, foram revisados artigos referentes a alguns procedimentos realizados na prática da odontologia restauradora, envolvendo estudos de microinfiltração, onde foi avaliada a influência de técnicas e materiais restauradores sobre este fenômeno. Outros trabalhos revisados relacionaram-se ao uso do microscópio eletrônico de varredura. Neste caso, foram descritos estudos que avaliaram aspectos micromorfológicos das estruturas dentárias (esmalte e dentina) de dentes permanentes, mas principalmente decíduos. Foram observados os efeitos de diferentes tratamentos realizados sobre as estruturas dentárias, como a ação de agentes condicionadores e métodos de desgaste das estruturas dentárias (laser, abrasão a ar, instrumentos cortantes rotatórios e ponta CVD). Também foram apresentados os trabalhos que avaliaram a interface adesiva, após diferentes tratamentos da dentina. Finalmente foram realizados comentários sobre os trabalhos revisados e apresentadas as tendências futuras desta linha de pesquisa.

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The Brazilian construction is with high production which resulted in many service industries and also for businesses that work in conjunction with it. For the furniture industries would not be different, since they are intimately involved with the construction. To meet the demand for furnishings in Brazil, some clusters of industries have developed in recent years, as in the case of Uba (MG), Arapongas (PR) and Bento Gonçalves (RS). For industries sector can always increase its production combining quality and customer satisfaction, is necessary for their production procedures are studied and improved every day. The aim of this research is to propose a solution for simple information system involving the issue of tracking parts of the furniture produced in an industry custom furniture that depend on outsourced services. The research occurred during four months of the year 2013 for the observation of the production of the industry, where possible observing interference could be carried out with the aim of obtaining improvements in the production line. It is concluded that control of the finished product in a custom furniture industry is a very complex work, because the information system must transmit information faithful, which has not happened formerly, but after the implementation of the identification system was significant improvement the transfer of information between sectors mounts internal and external furniture

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The challenge of coexistence in a socio-economic development with the recuperation and maintenance of environmental quality drove the control instruments implementation and planning of capable activities to cause the environment degradation which detaches the environmental license. However, the expressive number of applicable norms and the fragmented form whose are formulated injure its comprehension and its application. Therefore, the objectives of this present work was raise and discuss in a systematic and integrated form the main lawful directives and its co accounts technical procedures to the environmental license in the State of São Paulo.

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The environmental problems generated by construction activity have been widely discussed in Brazil, which has begun to incorporate sustainable building techniques in your ventures. Based on these facts, this work focused on addressing the main characteristics of a sustainable building project. Among them are water conservation, energy efficiency in buildings, managing a construction site with little environmental impact and reuse of materials and construction elements. This work, after the presentation of the main characteristics of a sustainable building project, shows a case study about the implementation of environmental certification LEED Gold level in a large building, located in São Paulo - SP, Brazil. With that, we want to produce a research document about the topic of sustainable buildings

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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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Means for milk, not otherwise specified, the product from complete and uninterrupted milking , in a hygienic, healthy cows, well fed and rested. The milk of other animals must be called according to origin of species. One of the main characteristics that defined the milk is the set of their sensory characteristics, and the main flavor. The control of milk quality in Brazil has been an important factor for the consolidation of the entire production chain, passing necessarily by the dairy industry. The production of milk with good quality guarantees, of course, food safety for consumers. The measures to obtain milk begin on the property, in carrying out correct procedures for milking, storage and transportation of the product also in the dairy. Later, in the laboratory evaluation of physicochemical properties, research fraud, and microbiological examinations. Finally, measures of health education are need for producers to become aware of the economic benefits by obtaining a better quality milk. The objective of this review is to emphasize the importance of using diagnostic procedures methods for the control of mastitis and consequently obtain better Milk quality

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The biological principles of osseointegration caused the rehabilitation treatment with osseointegrated implant become a safe, well alternative accepted by the dental community for the high success rate, allowing the preparation of functional and aesthetic prostheses in edentulous and partial patients. We passed the initial phase of functional vision for an aesthetic approach, too, depending on the demands of the patient and the quest for excellence by professionals. Over these last years, implant treatment has undergone many changes in surgical and prosthetic protocols. The less invasive surgical techniques and the development of restorative materials, especially ceramics allow the prosthetic rehabilitation of high functional quality and aesthetics. The installation of implants in sockets immediately after extraction of teeth involved by fracture, periodontal disease, endodontic lesions, is part of the arsenal of techniques for rehabilitating a number of advantages that we get to the outcome of multidisciplinary treatment. For this, we must consider several criteria in its planning as a fundamental unit, adjacent teeth, multiple losses, system, form and number of implants, type of retention of the prosthesis components, the patient expectation of the outcome perspective, gingival biotype, standard of ridge resorption, the smile line, etc. occlusal analysis. With the three-dimensional placement of the implant can immediately join the biological processes of repair of the socket, implant osseointegration, speeding treatment time. Much has been made by companies in the surface treatment of endosseous implants to be osseointegration shortened and restorative procedures started earlier, bringing benefits to the patient and professional. Among the main advantages we can emphasize the preservation of the structures adjacent to the teeth replaced, minor resorption of bone tissue involved... (Complete abstract click electronic access below)

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Radiography is currently an important method of diagnosis, both medical, dental and veterinary. The image in this type of survey is obtained using an X-ray beam, where the radiologist can possibly view structures of interest. It isn't always possible to get the desired images due to various factors, such as equipment limitations. The Administrative Law 453/98, the State Resolution SS 625/94, and other standards require testing and quality control acceptance limits that guarantee a good performance of the equipment for the security and quality of care, giving service users greater effectiveness in exams. This study were performed in the accompaniment of testing procedures for quality control established by Administrative Law 453/98 in several X-ray equipment to make a comparison and optimization in the descriptions of the procedures used by the Institute for Electrical Energy and the University of São Paulo (IEE / USP / SP).The optimization of the procedures were performed with the aid of a current literature, the Resolution 453/98, State Resolution SS 625/94 and other international standards. On this basis it was possible to observe the importance of regular monitoring of tests for an update, following the technological development of instruments used in the service

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Estima-se que anualmente, em função do tráfico de animais silvestres, cerca de 12 milhões de espécimes sejam retirados de nossas florestas, sendo que apenas uma ínfima porcentagem de indivíduos é recuperada e destinada à soltura com o devido rigor técnico. O tráfico de animais silvestres constitui um dos fatores mais relevantes da destruição da fauna, acarretando em um desequilíbrio na estruturação e manutenção dos ecossistemas. Este comércio ilegal constituise o terceiro maior do mundo, perdendo apenas para o tráfico de narcóticos e armas. Assim, para otimizar o processo de soltura da fauna como estratégia para conservação de espécies torna-se necessário uma análise quantitativa e qualitativa da fauna atendida e dos procedimentos realizados nos Centros de Triagem de Animais Silvestres (CETAS). Nesse sentido, o presente trabalho teve como objetivo fazer uma caracterização da fauna recebida e uma avaliação dos procedimentos realizados em dois CETAS, além de discutir sobre a importância desse órgão na triagem, reabilitação e conservação de animais silvestres. O presente estudo é justificado pela escassez de informações sobre a fauna retirada da natureza. Estas são necessárias para servir de base científica para a adoção de políticas públicas para o combate ao tráfico de animais silvestres; elaborar um programa de fauna que contemple a triagem e destinação adequada e contribuir para o desenvolvimento de trabalhos educativos com o fim de esclarecimento da sociedade. Foram analisados o “Livro de Registro” do CETAS da Fundação Animália e o “Livro de Plantão” do CETAS DEPAVE – 3, bem como os “Relatórios CETAS” que esses dois Centros enviaram ao IBAMA. O período escolhido foi do ano de 2003 a 2008. Os dados foram compilados e organizados em planilhas do Microsoft Office Excel e foram elaborados tabelas e gráficos para análise dos resultados.