40 resultados para faculty of Medicine
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Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB
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Pós-graduação em Saúde Coletiva - FMB
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Pós-graduação em Saúde Coletiva - FMB
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Pós-graduação em Saúde Coletiva - FMB
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Pós-graduação em Fisiopatologia em Clínica Médica - FMB
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OBJECTIVE: To evaluated the clinical diagnostic, efficiency for basic death causes in patients dying of circulatory disease and de relative frequency of those diseases. METHODS: Analysis of medical record data of 82 patients, ages from 16 to 84 years old (68 over 40 years old), whose died of circulatory disease and had undergone necropsy in the period from 1988 to 1993 years in the University Hospital of Medicine Faculty of Botucatu-UNESP, Br. RESULTS: The functional class of patients were III or IV, in 78%, and 81.7% needed urgent hospitalization. By the clinical judgment the death were by ischemic heart disease in 32 (21 acute myocardial infarction), Chagas'disease in 12, valvopathy in 11, cardiomyopathy in 7, heart failure with no specification of cardiopathy in 11 and other causes in 9. At the necropsy the death cause was ischemic heart disease in 34 patients, valvopathy in 10, Chagas'disease in 10, cardiomyopathy in 5, and heart failure with no specification of cardiopathy in 2.The concordance taxes were in thhe same order: 94,6%, 90,0%, 83.3%, 71.4% and 28.5%. CONCLUSION: There was a great efficiency of clinical diagnosis for death cause in a general university hospital. The ischemic heart disease were the main causes of death.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Objective, the objective of this study was to evaluate the reliability of in vivo staining with toluidine blue in the detection of oral epithelial dysplasia, in situ carcinoma, and invasive squamous cell carcinomas in potentially malignant epithelial lesions (PMELs) and superficial oral ulcerations suggesting malignancy.Study design. Fifty patients with PMELs and superficial oral ulcerations suggestive of malignancy were selected from those treated at the Oral Medicine Service, Faculty of Dentistry, Araraquara, Brazil. All lesions were submitted to staining with an aqueous solution of 1% toluidine blue, followed by biopsy and histologic analysis. The sensitivity, specificity, and positive and negative predictive values were calculated.Results. Histologic diagnosis revealed that 14% of the lesions analyzed were in situ carcinoma and invasive squamous cell carcinomas, 12% were epithelial dysplasias, 13% were keratosis, 40% were lichen planus, and 8% were other benign lesions. The sensitivity uf the staining was 77%, the specificity 67%, and the positive and negative predictive values 43.5% and 88.9%, respectivelyConclusions, Staining with toluidine blue was demonstrated to be highly reliable in the detection of in situ carcinoma acid invasive squamous cell carcinoma, because false-negative results for the lesions did not occur. Toluidine blue staining is an adjunct to clinical judgment and not a substitute for either judgment or biopsy.
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The objective of this study was to evaluate the use of biofertilisers for the production of alfalfa shoot, root and nodule dry matter, and also, to evaluate the chemical properties of the soil. This study was conducted in the greenhouse of the Support Department, Animal Production and Health, Faculty of Veterinary Medicine/UNESP, Aracatuba - SP, from May to October 2010. The experimental design was completely randomised with six biofertiliser doses (0, 25, 50, 100, 200 and 400 m(3) ha(-1)) and five replicates. The biofertiliser doses were the primary treatments and the cuts (five) were subplots. The cuts were performed, on average, every 27 days at 10 cm above the soil. At the end of the experiment, the roots, nodules and soil from all experimental units were collected for chemical analysis. We observed a linear increase in dry matter production of the shoots relative to the doses studied. The dry matter production of the roots and nodules was not significantly different. The chemical properties of the soil significantly improved for calcium and magnesium as well as the sum of bases and base saturation with biofertiliser application. Biofertilisers can be used for agricultural production and favourably alter the soil characteristics.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)