540 resultados para Clínica e cirurgia


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Pós-graduação em Cirurgia Veterinária - FCAV

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Pós-graduação em Cirurgia Veterinária - FCAV

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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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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.

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

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

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This study's aim was to verify coping strategies among children aged between 7 and 12 years old who will be experiencing surgery and the potential relationship of coping strategies with sociodemographic variables, stress in children and in companions, and the child's prior experience with surgery. A total of 58 children hospitalized and waiting for elective surgeries responded to the Assessment Instrument of Coping to Hospitalization and an instrument to assess stress. The companion received a sociodemographic questionnaire and the Lipp Stress Symptom Inventory. Problem-solving strategies and distraction were the most frequent strategies used, while social withdrawal and opposition were the least frequent. Girls and children of stressful parents used emotion regulation strategies with significantly more frequency. Likewise, greater cognitive restructuring was observed in older children and those with prior experience with surgeries. The results show the need to consider the studied variables when developing pre-operative preparation programs.

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Pós-graduação em Genética - IBILCE

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Pós-graduação em Bases Gerais da Cirurgia - FMB