326 resultados para Medicina baseada na evidência


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Lasertherapy is a method of non-pharmacological treatment and surgery that can be used in several injuries and in various tissues, from bone fractures to tendonitis, skin wounds and damaged nerves, permitting the recovery of these structures and their functions without causing any side effects. Laser therapy aims to restore patients that suffered various injuries, such as bone fracture, inflammation, edema, tendon rupture, spinal cord injury, among others, without invasive intervention, and the results obtained in several studies and case reports have proven the high potential of this therapy to become an official treatment of various pathological changes

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Results of apatite fission tracks from twelve samples collected across a Borborema Province transect, northeastern Brazil, revealed two major paleothermal events: a cooling event occurred between Albian and late Cenomanian (110 - 80 Ma) and a second cooling event starting on early Paleocene (66 Ma). Given the wide expression of the studied area (sampling trend along four brazilian states) a correlation between the distribution of fission track data and the current geological / geomorphological scenario was made possible, considering the area’s tectono - stratigraphic past and its thermochronologic evolution until now. The fact that the employed thermochronologic tool relates to a relatively shallow geothermometer, substancially information for understanding the behavior of basement brittle tectonic was achieved. These data were used to analyze faults origin and reactivation, associated with sedimentary basins evolution in the context of South America - Africa continental breakup.

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Nuclear medicine uses non-sealed sources for exams and treatments, because the movement of these sources, source of patients injected or not, involve a wide range of environmental radiometric levels. To better control of these levels this study was aimed at monitoring points strategically distributed in all environments Sector Technical Nuclear Medicine, Hospital of the Botucatu Medical School, performing two measurements at random times daily for a period of three months, sampling the normal routine of the sector. The detector Geiger-Muller was used for the acquisition of exposure rates of the points, efficiency and reprodutibility test have shown good performance of this equipment for this purpose. The results allowed to make a projection of annual dose for each environment indicating higher risks for Occupationally Exposed Individuals as well as Public Individuals compared with the limits established by the National Commission of Nuclear Energy. Was developed a spatial map of dose that can be used as a visual warning to the regions with the highest exposure to ionizing radiation, enabling reduced risk of a potential exposure

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The tool proposed, known as WSPControl, enables remote monitoring of computers across the Internet using distributed applications. Through a Web Services architecture is possible the communication between these distributed applications across heterogeneous platforms, also eliminates the need for additional settings in computer networks, such as release of ports or proxy. The tool is divided into three modules, namely: • Client Interface: developed in C Sharp, is responsible for capturing data on performance of the monitored computer also connects to the Web Services to report this data. • Web Services Interface: developed in PHP using the PHP SOAP library, is responsible for facilitating the communication between internet applications and client. • Internet Interface: developed in PHP, is responsible for reading and interpreting the information captured these available on the Internet

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This project is comprised by an interactive mobile robotics’ environment, focused in human-robot interaction. The system was developed to work in a smartphone, with Android operating system, embedded in a small size mobile robot. Information provided by the smartphone’s camera and microp hone, as well as by proximity sensors embedded in the robot, is used as inputs of a control architecture, implemented in software. It is a behavior-based and receptive to human commands control architecture, to assist the robot’s navigation. The robot is controlled by its own behaviors or by commands em it ted by humans

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The goal of this study is to characterize the clinical outline of patients in postoperative of bariatric surgery attended in an Intensive Care Unit and identify the nursing diagnosis presented by these patients in accordance to Taxonomy II of North American Nursing Diagnosis Association (NANDA). This is a transversal, descriptive and prospective study that was desenvolved at the Intensive Care Unit of the Clinical Hospital of Botucatu Medical School – UNESP. The population was composed by all the patients who were submitted to the bariatric surgery and were attended at the Intensive Care Unit in the period between June and August of 2010, totalizing 13 patients. The data were collected based on the Nursing History that is composed by the Anamnesis, Physical Examination and Complementary Exams. The results were worked out: a) among the 13 patients studied, 10 are women (76,9%) and 3 men (23,1%); the majority is between 30 and 40 years old; 11 people of 13 are morbid obese, which means that they have Body Mass Index higher than 40 kg/m2; b) It was identified 22 nursing diagnosis and 14 of these were found in 100% of the patients. They belong to the dominions of Activity/Rest, Comfort, Elimination and Changing, Security and Protection, Functions and Relationships. Therefore, in relation to the factors, it was conclude that nursing diagnosis help nurses to understand the unsettled human answers or the risks to disturbance in an individual way, which contributes to plan specific interventions to these patients. It was possible to verify that the stage of the nursing diagnosis that is part of the nursing process should be executed by the nurses systematically, because it has been realized by the nurses’ clinical idea, but not in a systematical way

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Aspects are discussed on the chirality of drugs and their action in the human body, the benefits of using a drug in enantiomerically pure form and why, even today, despite the risks, many drugs are marketed as racemic mixture. Among the methods of separation there is the High Performance Liquid Chromatography (HPLC) which can be given in different ways using chiral additives in the mobile phase as in the system of ligand exchange in the ion pair system and the system of cavity or inclusion. Note also the wide variety of chiral stationary phases available in the market that allow high specificity using them according to the need and purpose of the method. The review of the topic is extremely important since it is a matter of public interest world that brings into play issues and financial policies

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Pyometra occurs when bacteria colonize the uterus that is under the progesterone dominance. The diagnosis can be carried out based on anamnesis, clinical signals, physical examination and laboratory findings. The prognostic of this desease is relative when the medical therapy is used as an option. The best prevention is the surgery. The present report has an objective accomplishes a literature revision it informs on the pathology in subject gathering the available information regarding the several etiologies of that desease, diagnosis, differential diagnosis, complemental exams and treatment

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O presente trabalho apresenta em sua essência conceitos relacionados as práticas de Governança Corporativa no mundo e, principalmente, no Brasil. Tais práticas são leis que ajudam na Bolsa de Valores, trazendo mais transparência e confiança para os agentes e está desenvolvido no segundo capítulo. Tais práticas, então, afetarão diretamente as expectativas dos agentes a investirem seus capitais de forma mais segura. Para tanto, é necessário ter uma ideia geral de como são afetadas tais expectativas e é onde está desenvolvido o primeiro capítulo. Para concluir, é feita uma análise empírica, baseada em séries temporais, de econometria para auxiliar se o que a teoria nos diz é comprovada na prática e são usadas como base os Bancos Nossa Caixa e Banco Bradesco

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This study aimed at evaluating the perception of leprosy patients, the disease, with regard to its concept and self-care practice, as well as their knowledge concerning drug therapy. Fifteen patients participated in the study, of whom 11 were classified as multibacillary and 04 as paucibacillary. Semi-structure interviews containing six guiding questions were used for data collection, and the Collective Subject Discourse (CSD) was utilized as a theoretical framework. Analysis was performed based on the Theory of Complexity. It showed that patients suffer pain, a fact that is reflected on the need to change habits and prevent disability. It also showed that patients have doubts and feel insecure about treatment and prognosis, and that they are also the target of social prejudice even thought the term leprosy has been replaced by Hansen‟s disease. As regards self-care, the subjects showed lack of autonomy, limitations and subjection to instructions from health care professionals, who, according to the discourse that emerged, are mostly responsible for transmitting the knowledge concerning self-care practice. This fact can be explained by evidence of self-knowledge deficit by the the subjects. Concerning polychemotherapy treatment, which is recommended by the Ministry of Health, it was observed that the knowledge concerning its action and adverse effects is precarious. This information is provided during consultation; however, CSD showed that the subjects do not apprehend it. Therefore, health care professionals must instruct their clients not only as regards conventional treatment practices, but they must also help them to know themselves and to improve their critical judgment so that they can choose the best form of living after being diagnosed with the disease, thus guiding self-care by taking such choice into account

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T he people’s daily lives are surrounded by computing devices, with increasing resources (sensors) and, with increasing processing. How these devices communicate is still not natural and This retards the growth of Ubiquitous Computing. This paper presents a way in which these devices can communicate using Jini technology and concepts of Service Oriented Architecture, applying these concepts in a test case of Ubiquitous Computing. To conduct the test case was constructed a fictitious system for management of a soccer championship, where users can interact with each other and with the system in a simplified way, have access to data in real time of the championship during the event. This communication is performed by services built using Jini technology, which were based on key SOA concepts, such as modularity and reusability

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O uso de plantas medicinais especialmente na América do Sul contribui significativamente para os cuidados básicos com a saúde. Para o tratamento de infecções comuns, muitas plantas são utilizadas no Brasil na forma de extrato bruto, infusões ou emplastros, sem nenhuma evidência científica de sua eficácia (PESSINI et al., 2003). AYRES et al. (2008) afirma que a busca de substâncias com atividades antimicrobianas tem direcionado a atenção sobre os produtos naturais e, entre estes, os derivados das plantas superiores têm, nos últimos anos, despertado a investigação para o potencial da flora brasileira. Byrsonima pachyphylla Griseb é uma árvore típica do cerrado. Na medicina popular, a casca é utilizada como antifebril, contra tosses e doenças pulmonares, os ramos com folhas são diuréticos e os frutos são laxantes brandos (SILVA JÚNIOR et al., 2005). Levantamento no NAPRALERT indicou que espécies deste gênero são comumente empregadas como antiasmáticas, contra a febre e infecção de pele (MENDES et al., 1999). Este trabalho teve como objetivo determinar qual o melhor método de extração, sendo eles a maceração, a maceração dinâmica, a digestão e a digestão + maceração dinâmica, visando à obtenção de extratos brutos de folhas de Byrsonima pachyphylla Griseb., considerando sua atividade biológica frente a bactéria Gram-positiva: Staphylococcus aureus; as bactérias Gram-negativas: Escherichia coli e Pseudomonas aeruginosa, e a levedura Cândida albicans, testada pelo método de diluição seriada de extratos em microplacas; além de comparar perfis cromatográficos dos extratos obtidos em cromatografia de camada delgada (CCD), bem como pesquisar as principais classes de metabólitos secundários nos extratos. Os resultados obtidos na cromatografia em camada delgada e na triagem fitoquímica preliminar possibilitaram sugerir a presença de taninos, flavonoides, terpenos e saponinas na espécie ...

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After the discovery of ionizing radiation, its applications in various fields of science began to take significant proportions. In the case of medicine, there are the application areas in radiotherapy, diagnostic radiology and nuclear medicine. It was then necessary to create the field of radiological protection to establish the conditions necessary for the safe use of such ionizing radiation. Apply knowledge obtained during the graduation stage and in the practice of radiological protection in the areas of nuclear medicine and diagnostic radiology. In the area of nuclear medicine, tests were made in the Geiger-Muller counters (GM) and the dose calibrator (curiometer), the monitoring tests of radiation, waste management, clean of the Therapeutic room and testing the quality control of gamma-chambers. In the area of radiology, were performed tests of quality control equipment for conventional X-ray equipment and x-ray fluoroscopy, all following the rules of the National Health Surveillance Agency (ANVISA), and reporting of tests. The routine developed in the fields of nuclear medicine in hospitals has proved very useful, since the quality control of GM counters contribute to the values of possible contamination are more reliable. The control of dose calibrator enables the patient not to receive different doses of the recommended amounts, which prevents the repetition of tests and unnecessary exposure to radiation. The management of waste following the rules and laws established and required for its management. Tests for quality control of gamma chambers help to evaluate its medical performance through image. In part of diagnostic radiology, tests for quality control are performed in order to verify that the equipment is acceptable for usage or if repairs are needed. The knowledge acquired at the internship consolidated the learning of graduation course

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This work seeks to explain the historical perspective of the building temporal western, showing the concepts of morphogenesis and morphodynamics as contemporary representations of geographical science for the synthesis forged about time. In this sense, it is the perspective of time in the Middle Ages, its implications and social substantiality, as interposed to time erected by the rise of a merchant class in Europe, we seek to present the social conception of this category in the West, stating that this not constituted as a supra-social element, but built by the organization itself and internal contradiction of European society. Finally, we saw the delineations drawn by geography, set in propositions about the dynamics of nature and society, such being the latest concepts in terms of the logic of assimilation weather prevailing. For this, we use literature review and comparison of temporal models at different times for the delineation of the contours of the research... (Complete abstract click electronic access below)

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The vehicle routing problem is to nd a better route to meet a set of customers who are geographically dispersed using vehicles that are a central repository to which they return after serving customers. These customers have a demand that must be met. Such problems have a wide practical application among them we can mention: school transport, distribution of newspapers, garbage collection, among others. Because it is a classic problem as NP-hard, these problems have aroused interest in the search for viable methods of resolution. In this paper we use the Genetic Algorithm as a resolution