259 resultados para Clínica Privada


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A inflamação é basicamente uma resposta de proteção tissular cuja função é proteger o organismo de micro-organismos e toxinas que promovem a lesão celular. A resposta inflamatória gera o aparecimento dos quatro sinais cardinais dor, edema, calor e rubor podendo posteriormente ocorrer a perda de função do tecido ou órgão. Os anti-inflamatórios não esteroides (AINEs) promovem sua atividade alterando a atividade de prostaglandinas (PGs), por inibição das isoformas de ciclo-oxigenases constitutivas (COX1) e induzidas (COX2). A inibição não seletiva destas enzimas (por AINEs clássicos) gera reações adversas graves, como as reações gastrointestinais, em pacientes pré-dispostos e/ou que as utilizam por um período prolongado. Os AINEs de segunda geração (inibidores seletivos de COX2), também se mostraram tóxicos, podendo causar alterações cardiovasculares. Neste sentido, o planejamento de novos compostos com atividade anti-inflamatória e destituídos de toxicidade ainda é um desafio para a química farmacêutica e medicinal. Dois derivados de ibuprofeno (AINE clássico) foram obtidos anteriormente no Lapdesf por Castro (2008) e Vizioli (2006), demonstrando atividade anti-inflamatória em modelo de inflamação aguda (edema de pata) e crônica (colite ulcerativa), destituídos de gastroulceração (VIZIOLI, 2009). Diante destes resultados o presente estudo visou à preparação dos compostos e o estudo pré-clínico de toxicidade em dose única (aguda) e em doses repetidas em camundongos, bem como as análises comportamentais, histopatológicas dos órgãos e ensaios bioquímicos. Os achados comportamentais, bioquímicos e histopatológicos permitem concluir que não foi observada toxicidade nos modelos estudados, exceto para o grupo de administração dose única de 2000 mg/kg via intraperitoneal do composto Lapdesf ibu-tau.

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Provides elements for a reflection on methodological strategies in the face of objects of study that prove difficult to approach. Through a case study in education, seeks to show that difficulties in obtaining information and data have been overcome by using an analytical model developed. It is shown that its use allowed inferences broader and reveal hidden inconsistencies in discussions on public and private education. Intended to assist reflection on qualitative research methods for those who deal with such studies. Concludes that the current expectations of management efficiency and transfer of resources sufficient quantity and quality have not materialized with a private enterprise under public education, even if we have succeeded in building a positive image by the promoters of this action with the sectors of public opinion. Prevailing trade policy interests at the expense of the motivations declared the initiative of aid to education, and even can not be said that the initiative has resulted in a private redefined the public character of the systems affected, there is evidence that its implementation represents a unique chapter focused "education", compared to a scenario in which stand out historically mutual aid agreements of a politicaleconomic development between state and private enterprise.

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The aim of this study was to evaluate in dental models the occlusal relationship of children treated or in orthodontic treatment of the Undergraduate Clinic of Araraquara Dental School – UNESP. It was analyzed the vertical, anteroposterior and transversal relationships of the casts models of 388 children by two previous calibrated examiners. The results were analyzed by descriptive statistics and it was found higher prevalence of occlusal deviations in the vertical direction, followed by the sagital dimension and in lower prevalence of the transverse direction.

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A TAS (Técnica do Arco Segmentado) representa uma alternativa à mecânica de deslizamento, muitas vezes dificultada pela incerteza da quantidade de força de atrito envolvida em cada sistema de forças utilizado. Nesse contexto, sabe-se que poucos cursos de Ortodontia no Brasil têm ensinado efetivamente a filosofia e o modo de trabalhar com a TAS. Portanto, este trabalho procura elucidar a forma de raciocínio das relaçÕes entre força e momento manipuladas na TAS, bem como mostrar a forma de confecção e utilização de mola "T" do grupo B, onde objetiva-se a movimentação recíproca dos segmentos posterior e anterior e, por fim, apresentar um caso clínico tratado com esse tipo de mecânica.

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This study aimed to evaluate the clinical and microscopic changes of MIH, and compare them to areas of healthy dental enamel. Methodology: epoxy resin replicas of healthy incisors and affected by MIH were evaluated qualitatively by scanning electron microscopy (SEM) photographs. Results: Clinically it was observed that MIH incisors showed changes in color and surface, with significant structural losses. By SEM, these had irregular surfaces and margins with structural losses. Conclusions: The teeth affected by HMI have clinical and morphological characteristics that are important for the definition of patient's treatment plan.

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The aim of this study was to evaluate the clinical, tomographic, and histological similarity within the use of HA+β-TCP (Boneceramic) alone or associated with enamel matrix derived (EMD) proteins in sinus lifting procedures with subsequent dental implant placement. We selected two patients with residual bony ridges between 3 mm and 5 mm in height in need of bone grafts. Six months later, eight implants were installed (two implants at each site). Biopsies were made, and the tissue was processed and stained with HE solution. Tomographic evaluation showed bone height gain up to 10.0 mm on average. Histology showed new bone formation for both groups, with similar bone density and trabecular interconnectivity. It can be concluded that the HA+β-TCP graft isolated or associated to EMD provided bone height gain in sinus lifting procedures, with similar clinical, tomographic and histological characteristics.

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

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Aim: observe the knowledge of dental caries and periodontal disease of primary schoolteachers, according to type of institution (public and private) from Araraquara city. methodology: for that participants were 113 teachers from public schools and 57 from private schools. The instrument of analysis was based on a questionnaire with closed and open questions concerning the etiology, prevention and development of dental caries and periodontal disease. Results: 97,3% of public ́s schoolteachers and 91,2% of private ́s schoolteachers answered that they knows what is dental caries, but they didn ́t answer correctly about the caries etiology as being multifactorial and about methods of prevention. Both of schoolteachers (public and private) had more sucessful when answered about bacterial plaque than periodontal disease and yours manifestation. Conclusion: the dental knowledge of schoolteachers in public and private school was evaluated and limited educational programs should be directed to both public and private schoolteachers, in order to increase the level of dental knowledge of them, so that they can act as educational agents with the children.

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Esta revisão avaliou a eficácia da utilização da vacina E. coli J5, na imunização de vacas e novilhas leiteiras no pós-parto, em relação à prevenção de novos casos de mastite clínica, redução na gravidade dos sinais clínicos dos animais acometidos pela enfermidade, assim como na contagem de células somáticas presentes no leite dos animais doentes. O experimento contou com a avaliação dos dados encontrados em seis trabalhos científicos, divididos em dois grupos, três com estudos em vacas e três com estudos em novilhas. A prevenção de casos de mastite clínica foi observada somente em vacas; no grupo das novilhas não houve diferença entre vacinados e não vacinados. Em relação à gravidade dos sinais clínicos dos animais acometidos com mastite, tanto no grupo das novilhas quanto no das vacas, a vacina mostrou-se eficaz, reduzindo custos com tratamentos, descarte de leite e de animais. Sobre a eficácia da vacina em reduzir contagem de células somáticas presentes no leite dos animais com mastite, a vacina não se mostrou eficaz em vacas e novilhas. Análise econômica indica que a vacina E. coli J5 é lucrativa para produtores de leite de grande, médio e pequeno porte, sendo recomendada tanto para vacas quanto para novilhas, por reduzir os custos de produção e facilitar o manejo das granjas leiteiras

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

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The conducts that occur in the context of intersubjectivity are arranged from unconscious psychological fields which influence individual and collective practices. Therefore, it becomes important to consider the collective imagination of psychology students as this may interfere about the exercise of their clinical practice. The aim of this study was to investigate the collective imaginary of psychology students about the clinical practice with patients considered difficult in the analytic setting. Based on the psychoanalytic method, this research utilized the Procedure of Drawings-Stories with Theme in group interview, for the purpose of discuss on the vicissitudes of contemporary clinical work with these patients. In the present study, participated eight undergraduates of the eighth semester of a psychology course.The resulting material of the interview constituted by drawings-stories and the narrative was psychoanalytically analyzed, in the light of the Multiple Fields Theory proposed by Herrmann and in dialogue with the winnicottian thought, allowing to apprehend the follows fields of affective-emotional meaning: “Insecurity”, “Perfect Therapist”, “Mutuality”, “Experience”, “Negation of Madness” and “Madness as tal”. In general the imaginary manifestations of psychology students constitute the analytic relationship with the difficult patients by mobilizing feelings of insecurity, distress, anxiety, incapacity and helplessness.

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The objective of this work is to answer the question posed in the title, based on the texts of D. W. Winnicott. To this effect we addressed the origins of the concept of transitional object in the author’s work, the chronology of its first appearances, direct references to the topic and a discussion of a clinical case. Winnicott rarely referred to a person as being another person’s transitional object, and when he did so, he situated this experience in the field of pathology, and when referring to it, used such terms as “comforter object”, “fetish object” and “regressive object”. In contrast, the concept of transitional object is linked to an experience indicative of mental health, of transition between fusion and mother-baby separation, and of the personal and symbolic use of objects of the sensory field. Maintaining this conceptual specificity enables us to discriminate nuances in the evolution of the use of material objects by the child, and helps to guide anamnesis, diagnosis and the therapeutic process.