269 resultados para Alta do doente


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Pós-graduação em Ciências Cartográficas - FCT

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Compreendendo uma mistura preparada a partir de materiais "fritados" (fundidos) e matérias primas cruas, em proporções variadas de diferentes componentes, a fim de obter esmaltes com elevada resistência à abrasão.

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OBJECTIVE: To determine whether the addition of discharge standard illustrated cards improves understanding of patients in the emergency room. METHODS: We conducted a prospective, randomized, interventional study with 228 patients discharged from the emergency department. All patients were interviewed and tested for the level of understanding of discharge instructions. Some of them received the intervention, with the standard cards, and another did not, constituting the control group. RESULTS: The average of followed discharge guidelines of the group that received the cards was higher than the control group, with statistical significance (p=0.009). When segregated by age, the group between 16 and 35 years of both sexes had the best average of followed guidelines, statistically, than the average of the control group (p=0.01). The difference between the mean orientations between the control group and the card for patients undergoing procedures was statistically significant (p=0.02); as for the stratification according to the number of procedures, the significance increases when that is equal to 1 (p=0.001) and decreased the more procedures were carried out. CONCLUSION: The introduction of discharge standard orientation cards was associated with improvement in the understanding of patients. Without replacing the verbal directions, which establishes dialogue and doctor-patient bonding, cards appear as auxiliary elements, facilitating understanding and care guidelines.

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Among alternatives to replace ionophores, which are classified as antibiotics by some committees, the feeding of polyclonal antibodies have shown an interesting and economically efficient alternative. Recent studies have demonstrated some advantages of adding polyclonal antibodies into high-concentrate diets for feedlot cattle, showed by increased performance and ruminal health, in some cases similar to sodium monensin. However, there are blind spots of this innovated technology that still need to be elucidated, as example, if the dry form of the preparation is inactivated and decreased carcass-dressing percentage. All in all, this review demonstrates the possibility of replacing sodium monensin by this feed additive without negatively impacting animal performance and profit of cattle feeders in Brazil.

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High-density polyethylene (HDPE) water-proof membranes are used as coatings in vinasse (leachate from sugar cane) storage tanks. The leachate is pumped into the tanks at temperatures of 80-90 °C. Due to these high temperatures and acidity of the waste, these membranes can be degraded, cracked and then loose the function for which they have been designed. This may cause contamination of the soil and groundwater. This study evaluated the effect of vinasse in HDPE membranes after 4 months of exposure in a controlled environment. An aggressive, alkaline pH liquid (sodium hydroxide) was also used. The objective was to evaluate the membrane resistance in contact with acidic and alkaline residues. Physical and mechanical tests, measurement of the carbon black content and thermo gravimetric analysis (TGA) were used to determine degradation of polymer membranes after chemical immersion. While sodium hydroxide resulted caused only minor changes in the physical properties, vinasse induced a thickness change of 7.8%. With immersion in vinasse, an average decrease in strength and deformability (yield) of 34% and 23.5% were measured, respectively. The stiffness increased by 7.8% (average) and the tear strength decreased by 2.7% (average).

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Pós-graduação em Engenharia Elétrica - FEIS

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The purpose of the study was to examine the relationships between intermittent high-intensity efforts (RAST) parameters and variables related to aerobic metabolism (anaerobic threshold; LAN, maximal oxygen uptake; VO2MAX and velocity correspondent to VO2MAX; iVO(2MAX)). Eight under-17 (U17) soccer players (16 +/- 1 years) participated in the study. The participants were submitted to a graded exercise test and six maximal sprints of 35m with 10 seconds of passive recovery between each effort (RAST). The RAST parameters were not significant correlated with VO2MAX and LAN. However absolute and relative mean power were significantly correlated with iVO(2MAX) (r=0.79 e r=0.85, respectively). Furthermore, the fatigue index and the relative peak power were significantly correlated with the iVO(2MAX) (r=-0,57 e r=0,73, respectively). In conclusion, the only aerobic variable correlated with performance in consecutive efforts with brief recovery periods, such as RAST, is iVO(2MAX).

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The aim of this study was to evaluate the influence of the bed in High Density Porous Polyethylene (Medpor) implants integration. Two different kind of beds -- corticalized and decorticalized -- were made in six dogs. The animals were killed thirty, sixty and ninety days after implantation. Blocks including implant and adjacent bone were harvested, submitted to histological procedures, stained in hematoxiline-eosine and analyzed in optic microscope. The results demonstrated an absence of infection and foreign body reaction associated with High Density Porous Polyethylene (Medpor) implants. Furthermore, bony and fibrovascular ingrowth could be observed into its pores. The best integration was noted in decorticalized group, in which occurred a greater bony and fibrovascular ingrowth in comparison to the corticalized group