61 resultados para Síndromes de Compressão Nervosa
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The Catuama((R)) is composed of four Brazilian plants extracts (Paullinia cupana, Trichilia catigua, Ptychopetalum olacoides e Zingiber officinale). The Catuama((R)) is known as having neuroprotector, anti-inflammatory, antioxidant and antidepressant effects. Bilobalide, extracted from leaves of Ginkgo biloba, is known by its neuroprotective effect in the central and peripheral nervous systems. The present study evaluates the effect of Catuama((R)) and bilobalide on peripheral nerve regeneration in rats following a sciatic nerve section. Sciatic nerve of forty adult rats was transected with a 10-mm gap and the proximal and distal nerve stumps were fixed in a silicone tube filled with liquid collagen. The animals were divided into four groups: the control group (A), two groups treated with Catuama((R)) by gavage along 28 days after the surgery in different doses of 100 (B) and 400mg. kg(-1) (C) and the group using 200 mu M bilobalide (D) associated with the liquid collagen in the silicone tube. Evaluations were done by a walk test on the first, fifth and tenth week after the surgery. Electrophysiological stimulation and quantitative and qualitative histological analyses of the sciatic nerve and gastrocnemius muscle were also performed on the tenth week after the surgery. All groups showed good regeneration but no statistical difference was found between treatments and control groups (P > 0.05).
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Novos compósitos têm surgido no mercado especificamente destinados à confecção de restaurações estéticas posteriores. Entretanto, embora tais materiais apresentem resultados iniciais animadores, há a necessidade de comprovações adicionais para que possam ser utilizados com segurança. Resinas compostas posteriores são submetidas a estresses complexos de compressão e abrasão durante a mastigação e a aplicação de selantes superficiais tem sido relatada como forma de aumentar a resistência ao desgaste destes materiais. O presente trabalho teve como propósito avaliar a dureza e a resistência à compressão das resinas compostas Alert (Jeneric/Pentron), Ariston (Vivadent), Definite (Degussa), P60 (3M), Solitarie (Kulzer), Surefil (Dentsply) e Z100 (3M) após 90 dias de imersão em água destilada, recobertas com selante Protect It (Jeneric/Pentron) e submetidas à ciclagem mecânica (10.000 ciclos, 600N, 5Hz). Os ensaios de dureza (n=8) foram realizados em aparelho Wolpert, com diamante Vickers e peso de 50gf aplicado por 30 segundos, antes e após períodos de imersão de 30, 60 e 90 dias. Os ensaios de resistência à compressão (n=8) foram realizados somente após 90 dias, em corpos-de-prova cilíndricos medindo 8mm de altura por 4mm de diâmetro. Apenas os espécimes destinados à compressão foram ciclados mecanicamente. Os ensaios foram realizados em máquina MTS 810, equipada com célula de carga de 10kN (ciclagem) e 100kN (compressão) e velocidade de 0,5mm/min. Após análise de variância (p<0,05), os resultados mostraram, previamente à imersão, maiores valores de dureza para os materiais Z100 (74,253VHN) e Ariston (71,308VHN). A seguir, com valor semelhante à resina Ariston, mas inferior à resina Z100, apresentou-se o material Surefil (69,969VHN)...(Resumo completo, clicar acesso eletrônico abaixo)
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Background Anorexia Nervosa ( AN) is an illness characterised by extreme concern about body weight and shape, severe self-imposed weight loss, and endocrine dysfunction. In spite of its high mortality, morbidity and chronicity, there are few intervention studies on the subject.Objectives The aim of this review was to evaluate the efficacy and acceptability of antidepressant drugs in the treatment of acute AN.Search strategy The strategy comprised of database searches of the Cochrane Collaboration Depression, Anxiety and Neurosis Controlled Trials Register, MEDLINE (1966 to April 28th, 2005), EMBASE (1980 to week 36, 2004), PsycINFO (1969 to August week 5, 2004), handsearching the International Journal of Eating Disorders and searching the reference lists of all papers selected. Personal letters were sent to researchers in the field requesting information on unpublished or in-progress trials.Selection criteria All randomised controlled trials of antidepressant treatment for AN patients, as de fined by the Diagnostic and Statistical Manual, fourth edition (DSM-IV) or similar international criteria, were selected.Data collection and analysis Quality ratings were made giving consideration to the strong relationship between allocation concealment and potential for bias in the results; studies meeting criteria A and B were included. Trials were excluded if non-completion rates were above 50%. The standardised mean difference and relative risk were used for continuous data and dichotomous data comparisons, respectively. Whenever possible, analyses were performed according to intention- to-treat principles. Heterogeneity was tested with the I-squared statistic. Weight change was the primary outcome. Secondary outcomes were severity of eating disorder, depression and anxiety symptoms, and global clinical state. Acceptability of treatment was evaluated by considering non-completion rates.Main results Only seven studies were included. Major methodological limitations such as small trial size and large confidence intervals decreased the power of the studies to detect differences between treatments, and meta-analysis of data was not possible for the majority of outcomes. Four placebo-controlled trials did not find evidence that antidepressants improved weight gain, eating disorder or associated psychopathology. Isolated findings, favouring amineptine and nortriptyline, emerged from the antidepressant versus antidepressant comparisons, but cannot be conceived as evidence of efficacy of a specific drug or class of antidepressant in light of the findings from the placebo comparisons. Non-completion rates were similar between the compared groups.Authors' conclusions A lack of quality information precludes us from drawing de finite conclusions or recommendations on the use of antidepressants in acute AN. Future studies testing safer and more tolerable antidepressants in larger, well designed trials are needed to provide guidance for clinical practice.
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The connections in the wood structures are the places with high concentrations of stresses and therefore are more fragile than the rest of the structure. The connections between pieces of wood can be made by metal pins (nails or screws). The compression and embedment strength has significant influence on the calculation of the connections. The main aim of this work was to evaluate the compression and embedment strength in the directions parallel, inclined at 45° and normal to the grain, using standard specimens according to ABNT NBR 7190/1997 standard. The compression and embedment strength were initially evaluated according to ABNT NBR 7190/1997, which admits the deformation of 2‰ as limit of embedment and the ratio between the ultimate strength and the area of application of load in the specimen for the compressive strength. Afterward, the embedment strength was evaluated by the EUROCEDE 5 /1995 European standard, which use the limit of 5 mm of the displacement for the embedment. Specimens of Pinus oocarpa, Cumaru and Pinus taeda were used in tests to calibration of equipment and specimens of Pinus taeda and Eucalipto citriodora were used to compare the results of strength. The results of strength were evaluated based on statistical analysis. The results of compressive strength for the Pinus taeda showed no significant differences in embedment strength in the directions parallel and normal to the grain. For the Eucalipto citriodora only in the direction parallel to grain the compression strength was not significant compared with the embedment strength. For both species, only the parallel compression strength and inclined at 45o to the grain, which were to the grain, which were admitted the strain of 2‰ were not significantly different compared with the compression strength determined according to ABNT NBR 7190/1997. The normal compression strength obtained according to ABNT NBR 7190/1997 and ultimate compression strength not ...
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This work focuses on the study of video compression standard MPEG. To this end, a study was undertaken starting from the basics of digital video, addressing the components necessary for the understanding of the tools used by the video coding standard MPEG. The Motion Picture Experts Group (MPEG) was formed in the late '80s by a group of experts in order to create international standards for encoding and decoding audio and video. This paper will discuss the techniques present in the video compression standard MPEG, as well as its evolution. Will be described in the MPEG-1, MPEG-2, MPEG-4 and H.264 (MPEG-4 Part 10), however, the last two will be presented with more emphasis, because the standards are present in most modern video technologies, as in HDTV broadcasts
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Tumoral masses can cause several direct problems in the organism, such as invading organs and altering their functions, leading to other problems such as the Paraneoplastic syndrome. The paraneoplastic syndrome is an alteration in the structure and function of the body due to the non-invasive actions of the tumor, for example, liberating hormones, peptides, cytokines and leading to cross reactions between normal tissues. The syndrome can affect different locations in the body, being that some are indicative of specific tumors, however the interpretation of the clinical and pathological findings referring to this syndrome should be utilized in the diagnostic and treatment. In the hematological paraneoplastic syndrome, there are alterations that occur due to indirect actions of the tumor on the blood cellular elements and the coagulation system, and that are generally detected in routine clinical and laboratorial exams. This study objective is to aboard some hematological paraneoplastic syndromes in dogs such as: anemia, thrombocytopenia, neutrophilic leukocytosis, hypergammaglobulinemia and erythrocytosis, emphasizing the different etiologies that may assist in differential diagnosis and the principal neoplasm related to this syndrome. Besides this, the early discovery and treatment of the paraneoplatic syndrome is important as the tumor itself, as it improves the prognostic and quality of life of the patient
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Paraneoplastic syndromes are being increasingly recognized in dogs and cats in veterinary medicine as they often are oncological emergencies and may help in early diagnosis of primary neoplasm, performing a more effective treatment, which usually is the removal of the tumor, and thereby improving the quality of life of the animal and perhaps prognosis. The syndrome is caused by the tumor through the production of substances such as hormones and cytokines that are released into circulation and are responsible for the appearance of distant signals from the primary neoplasm. These syndromes can involve multiple systems of the body, among them we mention: the hematology, the dermatologist, the neurologist, endocrine and musculoskeletal
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Several alloys present the shape memory effect and among them, the equiatomic NiTi alloy, nitinol, is the most important one. It is usually used in several engineering applications and also in biomedical devices, in the fabrication of orthodontic wire, stents and Judet staples. Although a considerable amount of these biomedical devices is utilized in Brazil and a fraction of it is already made here, all nitinol used is bought abroad. Thus, it is important to develop the necessary know-how to fabricate NiTi wire and sheet. It would mean less importation with job creation and wealth generation for the country. In this work nitinol was obtained powder metallurgy from elemental powders of Ti and Ni using uniaxial compression and uniaxial compression followed by isostatic compression. The final densities achieved were determined by the Archimedes method. The precipitation of intermetallic secondary phases was studied and the samples were characterized by metallographic analysis, optical microscopy and X-ray diffraction. Results indicated that 50 hours sintering route showed a low amount of intermetallics, and no trace of unreacted powder. XRD and metallography at room temperature indicated B19’ as the predominant phase, which corresponds to martensite. Although density results showed little dispersion, the most dense sample was compacted under uniaxial compression and presented 4.8 g/cm3, corresponding to 20.84% porosity. Density variation was considered normal to the measurement process and independent of the compaction mode
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Pós-graduação em Cirurgia Veterinária - FCAV
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To establish guidelines based on cientific evidences for the management of cryopyrin associated periodic syndromes. The Guideline was prepared from 4 clinical questions that were structured through Pico (Patient, Intervention or indicator, Comparison and Outcome), to search in key primary scientific information databases. After defining the potential studies to support the recommendations, these were graduated considering their strength of evidence and grade of recommendation. 1215 articles were retrieved and evaluated by title and abstract; from these, 42 articles were selected to support the recommendations. 1. The diagnosis of Caps is based on clinical history and clinical manifestations, and later confirmed by genetic study. Caps may manifest itself in three phenotypes: FCAS (mild form), MWS (intermediate form) and Cinca (severe form). Neurological, ophthalmic, otorhinolaryngological and radiological assessments may be highly valuable in distinguishing between syndromes; 2. The genetic diagnosis with NLRP3 gene analysis must be conducted in suspected cases of Caps, i.e., individuals presenting before 20 years of age, recurrent episodes of inflammation expressed by a mild fever and urticaria; 3. Laboratory abnormalities include leukocytosis and elevated serum levels of inflammatory proteins; 4. Targeted therapies directed against interleukin-1 lead to rapid remission of symptoms in most patients. However, there are important limitations on the long-term safety. None of the three anti-IL-1β inhibitors prevents progression of bone lesions.
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To establish guidelines based on scientific evidence for the management of periodic fever, aphthous stomatitis, pharyngitis and adenitis (PFAPA) syndrome. The Guideline was prepared from 5 clinical questions that were structured through PICO (Patient, Intervention or indicator, Comparison and Outcome), to search in key primary scientific information databases. After defining the potential studies to support the recommendations, these were graduated considering their strength of evidence and grade of recommendation. 806 articles were retrieved and evaluated by title and abstract; from these, 32 articles were selected to support the recommendations. 1. PFAPA is a diagnosis of exclusion established on clinical grounds, and one must suspect of this problem in children with recurrent and periodic febrile episodes of unknown origin, or with recurrent tonsillitis interspersed with asymptomatic periods, especially in children in good general condition and with preservation of weight and height development; 2. Laboratory findings are nonspecific. Additional tests do not reveal pathognomonic changes; 3. The evidence supporting an indication for surgical treatment (tonsillectomy with or without adenoidectomy), is based on two non-blinded randomized clinical trials with small numbers of patients; 4. The use of prednisone at the onset of fever in patients with PFAPA proved to be an effective strategy. There is still need for more qualified evidence to support its use in patients with PFAPA; 5. Despite promising results obtained in studies with IL-1ß inhibitors, such studies are limited to a few case reports.
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Introduction: the term paraneoplastic is a clinical, biochemical, hormonal, neurological and/or associated disorder with hematologic malignancies, but not directly related to primary tumor invasion and metastasis. Paraneoplatic syndromes may be the first sign of a malignancy. Review of literature: the syndromes that are most commonly related to dentistry are of lambertt-Eaton, Gardner, Cowden disease, Peutz-Jeghers, Sjögren, multiple endocrine neoplasic, multiple neurofibromatosis of Von Recklinghausen, nevoid basal cell carcinoma, acanthosis nigrans and pemphigus paraneoplastic. Conclusion: early diagnosis of malignant neoplasms favors prognosis and paraneoplastic syndromes assist in diagnosis. It is important that surgeons-dentists know these events in order to diagnose them as soon as possible and refer these patients to specialized treatment.
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Metidos a movimentação dentária induzida. Métodos: utilizou-se 30 ratos Wistar, divididos em três grupos (GI, GII e GIII), compostos por 10 animais cada e sacrificados, respectivamente, 7, 14 e 21 dias após o início do experimento. Os valores médios individuais dos grupos experimentais foram comparados com seu respectivo controle por meio do teste Mann-Whitney. Comparou-se, também, os valores entre regiões em um mesmo período de tempo e, ainda, entre períodos de tempo diferentes em uma mesma região através da Análise de Variância (ANOVA), Kruskal-Wallis e subsequente teste de Tukey. Resultados: os grupos GI e GII exibiram a dimensão do LPD diminuída nas regiões apical da raiz mesiovestibular e cervical da raiz distovestibular, e aumentada nas regiões cervical da raiz mesiovestibular, apical da raiz distovestibular e média de ambas as raízes. Conclusão: a diminuição e o aumento da dimensão do LPD evidenciada em uma mesma raiz — mesiovestibular ou distovestibular —, caracterizou o movimento dentário no sentido de inclinação. As três regiões, apical, média e cervical, comparadas entre si em cada período de tempo, bem como os três períodos de tempo, 7, 14 e 21 dias, comparados entre si em cada região, confirmaram o movimento de inclinação em GI e GII, e a diminuição gradual da intensidade dos fenômenos de GI para GII, até o restabelecimento da normalidade dimensional em GIII.
Impacto de diferentes métodos de avaliação da obesidade abdominal após síndromes coronarianas agudas
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Background: Abdominal obesity is an important cardiovascular risk factor. Therefore, identifying the best method for measuring waist circumference (WC) is a priority. Objective: To evaluate the eight methods of measuring WC in patients with acute coronary syndrome (ACS) as a predictor of cardiovascular complications during hospitalization. Methods: Prospective study of patients with ACS. The measurement of WC was performed by eight known methods: midpoint between the last rib and the iliac crest (1), point of minimum circumference (2); immediately above the iliac crest (3), umbilicus (4), one inch above the umbilicus (5), one centimeter above the umbilicus (6), smallest rib and (7) the point of greatest circumference around the waist (8). Complications included: angina, arrhythmia, heart failure, cardiogenic shock, hypotension, pericarditis and death. Logistic regression tests were used for predictive factors. Results: A total of 55 patients were evaluated. During the hospitalization period, which corresponded on average to seven days, 37 (67%) patients had complications, with the exception of death, which was not observed in any of the cases. Of these complications, the only one that was associated with WC was angina, and with every cm of WC increase, the risk for angina increased from 7.5 to 9.9%, depending on the measurement site. It is noteworthy the fact that there was no difference between the different methods of measuring WC as a predictor of angina. Conclusion: The eight methods of measuring WC are also predictors of recurrent angina after acute coronary syndromes. Key words: Evaluation; Acute Coronary Syndrome; Abdominal Circumference
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The world population is growing at exponential scales, thus the demand for food grows significantly. The use of pesticides is seen as a way to meet the demand for food and increase the efficiency and productivity of the agricultural sector. BASF SA in partnership with packaging suppliers represent a remarkable scene in the Brazilian market in the agrochemicals sector. In 2014, the Department of Agro from BASF Packaging, identified in its production process certain deformation of its rigid packaging during the filling process of pesticides. This phenomenon is probably caused by the low resistance to compression that the package is used. In order to eliminate the deformation of rigid packaging arising from the filling step, a study will be conducted in conjunction with the supplier JET UNIPAC whose on line problems occurred more frequently. The study is to identify the strength of the rigid containers standardize a compression resistance value at which the package is not deformed after the filling step. This study will present an investigation through experiments combined with theoretical concepts in order to determine possible causes for the emergence of this phenomenon. At the end of the study, a solution to eliminate or reduce to the maximum the packaging deformation problem appears