Fatores associados à ocorrência de exacerbação em pacientes com DPOC

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Modalizações da gaucherie em autores brasileiros e portugueses contemporâneos

Pós-graduação em Letras - IBILCE

Violência, ideologia e estranhamento na era das imagens virtuais.

O texto trata do impacto dos videojogos na cultura e na sociedade contemporâneas. Procura demonstrar que nas experiências vivenciadas, através desses jogos e acessórios (óculos, capacetes, joysticks), há uma espécie de simbiose entre a sensação física real e a representação virtual, que permite criar um simulacro da realidade que funciona como um bálsamo para as desesperanças. Para orientar a discussão abordar-se-á dois temas-eixo dos jogos eletrônicos – a violência e o mito do herói – não só por serem recorrentes ou suscitarem polêmica e inquietação particularmente entre não-jogadores, mas por serem reveladores de algumas particularidades da sociabilidade contemporânea.

Evolução de pacientes portadores de peumopatias crônicas e hipoxemia transitória ao esforço tratados com oxigenoterapia domiciliar prolongada durante o sono e ao esforço

Pós-graduação em Fisiopatologia em Clínica Médica - FMB

Estudo clínico de prevalência de sinais e sintomas de disfunções craniomandibulares e contatos oclusais cêntricos em pacientes portadores de lesão labiopalatal

A clinical investigation was undertaken to find out the prevalence of craniomandibular signs and symptoms in a group of 11 patients with labiopalatal lesions. The number and distribution of occlusal contacts was evaluated through questionnaire, clinical examination and analysis of mounted casts in partially adjustable articulators in the position of maximum inter cuspation. The most frequent signs and symptoms were articular sounds and lateral pterygoid muscle tenderness to palpation followed by restriction of mouth opening and sensation of tiredness. The number of occlusal contacts was small, mean of 5 contacts per patient, and the site was considered as atypical, 62% of them were on inclined plane surfaces , suggesting occlusal instability. The frequency of signs and symptoms was low and they were of a mild character. The most prevailing signs of craniomandibular dysfunction - articular sounds, muscular tenderness to palpation and restriction of mouth opening - was noticed in only one of the patients

O perfil da sexualidade em homens com lesão medular

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

Comparison of pain threshold and duration of pain perception in men and women of different ages

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

Ivabradine: Just another New Pharmacological Option for Heart Rate Control?

Ivabradine (IVB) is a heart rate lowering agent that acts via selective inhibition of the pacemaker funny current in sinoatrial nodal P cells, thus, reducing heart rate at rest and during exercise with minimal effect on myocardial contractility, blood pressure, and intracardiac conduction. IVB exerts no effect on external respiratory function parameters and it may also play a role in patients with concurrent chronic obstructive pulmonary disease. This property constitutes an important advantage over β-blockers. IVB acts by reducing the heart rate in a mechanism different from β-blockers, calcium channel blockers or late sodium channel blockers, three commonly prescribed antianginal drugs. As clinical trials have shown, it is remarkably well-tolerated and offers an alternative for patients who cannot take β-blockers. The combination of IVB and atenolol at commonly used doses in patients with chronic stable angina produced additional efficacy with no untoward effect on safety or tolerability. Additionally, side effects are rare and largely limited to a luminous phenomenon or phosphenes. This sensation is thought to be due to a block of Ih in the retina, a current very similar to cardiac If channels. IVB is contraindicated in patients with sick sinus syndrome or sinus node dysfunction and in patients taking hepatic inhibitors of Cytochrome P450 family 3, subfamily A, polypeptide 4 (abbreviated CYP3A4), with exception of omeprazole or lansoprazole. This review briefly summarizes the main studies regarding this drug.

Air versus saline in the loss of resistance technique for identification of the epidural space

BackgroundThe success of epidural anaesthesia depends on correct identification of the epidural space. For several decades, the decision of whether to use air or physiological saline during the loss of resistance technique for identification of the epidural space has been governed by the personal experience of the anaesthesiologist. Epidural block remains one of the main regional anaesthesia techniques. It is used for surgical anaesthesia, obstetrical analgesia, postoperative analgesia and treatment of chronic pain and as a complement to general anaesthesia. The sensation felt by the anaesthesiologist from the syringe plunger with loss of resistance is different when air is compared with saline (fluid). Frequently fluid allows a rapid change from resistance to non-resistance and increased movement of the plunger. However, the ideal technique for identification of the epidural space remains unclear.ObjectivesTo evaluate the efficacy and safety of both air and saline in the loss of resistance technique for identification of the epidural space.To evaluate complications related to the air or saline injected.Search methodsWe searched the Cochrane Central Register of Controlled Trials (CENTRAL) (2013, Issue 9), MEDLINE, EMBASE and the Latin American and Caribbean Health Science Information Database (LILACS) (from inception to September 2013). We applied no language restrictions. The date of the most recent search was 7 September 2013.Selection criteriaWe included randomized controlled trials (RCTs) and quasi-randomized controlled trials (quasi-RCTs) on air and saline in the loss of resistance technique for identification of the epidural space.Data collection and analysisTwo review authors independently assessed trial quality and extracted data.Main resultsWe included in the review seven studies with a total of 852 participants. The methodological quality of the included studies was generally ranked as showing low risk of bias inmost domains, with the exception of one study, which did not mask participants. We were able to include data from 838 participants in the meta-analysis. We found no statistically significant differences between participants receiving air and those given saline in any of the outcomes evaluated: inability to locate the epidural space (three trials, 619 participants) (risk ratio (RR) 0.88, 95% confidence interval (CI) 0.33 to 2.31, low-quality evidence); accidental intravascular catheter placement (two trials, 223 participants) (RR 0.90, 95% CI 0.33 to 2.45, low-quality evidence); accidental subarachnoid catheter placement (four trials, 682 participants) (RR 2.95, 95% CI 0.12 to 71.90, low-quality evidence); combined spinal epidural failure (two trials, 400 participants) (RR 0.98, 95% CI 0.44 to 2.18, low-quality evidence); unblocked segments (five studies, 423 participants) (RR 1.66, 95% CI 0.72 to 3.85); and pain measured by VAS (two studies, 395 participants) (mean difference (MD) -0.09, 95% CI -0.37 to 0.18). With regard to adverse effects, we found no statistically significant differences between participants receiving air and those given saline in the occurrence of paraesthesias (three trials, 572 participants) (RR 0.89, 95% CI 0.69 to 1.15); difficulty in advancing the catheter (two trials, 227 participants) (RR 0.91, 95% CI 0.32 to 2.56); catheter replacement (two trials, 501 participants) (RR 0.69, 95% CI 0.26 to 1.83); and postdural puncture headache (one trial, 110 participants) (RR 0.83, 95% CI 0.12 to 5.71).Authors' conclusionsLow-quality evidence shows that results do not differ between air and saline in terms of the loss of resistance technique for identification of the epidural space and reduction of complications. Applicability might be compromised, as most of the results described in this review were obtained from parturient patients. This review underlines the need to conduct well-designed trials in this field.

Análise da prática de meditação em duas escolas do município de Rio Claro - SP

Nowadays, meditation had become larger than the mystic’s scope, entering the academy through the scientific interest in this topic. Results documented for so many centuries or the experienced monks that practice meditation for a long time are the aims for researches that want, ultimately, establish the real effects of such techniques upon the human body. Research has gone far, and many effects can be evaluated using more precise methods, specially in the medical field and neuroscience, which had greatly backed up new discoveries about the correlation between the mind, emotions, thoughts and the body, making so that mediation can walk the therapeutic ways and complementary health with more certainty and reliable results, as it is happening with acupuncture and yoga. Facing a promising scenario in the correlation between meditation and life’s quality, well being sensation and happiness, there is the possibility of using it in schools, since because of the difficulties and present challenges, those factors are not commonly associated with the acts of teaching and learning, and acupuncture and Yoga have more restrictions because of their own limitations of time and space necessary for their wide application. Therefore, the current study focused on contextualizing the meditation’s fundaments in the scientific perspective, and apply it, even if qualitatively, in two schools of Rio Claro municipality, researching 57 students from Educação de Jovens e Adultos (EJA). Therefore, it was chosen only one meditation tecnique to be applied on the treatment group. As for the control group, it perfomed normal breathing, i.e., without tecniques. The differences were then analyzed through the filmings of all the sessions of the meetings, counting the number of movements and the agitation among the students for the two groups. Another method of analysis was forms filled by both groups and the presence in a meeting at Unesp – Rio Claro. At the end,...

Infância, sexualidade e educação através dos desenhos animados

This article discusses the import o clock work and child sexuality for the overall development of children. To them as individuals socially and historically constitutional. Of that uses this instrument to express vivences and sensation. Es often unnoticed by adults look. We seek to ensnare a set of reflex. It’s fundamental about the multiples management possibilities you Rich and practical knowledge of the obvious sexuality analyzing brands present in the cartoons that are part of everyday life and education. The child to speak about the body of knowledge that the child to have, and what their relations with the same body, weaving some notes on sexuality and space the discovery, demonstrating the sensitivity surrounding the object of our study. During the course of this research, we remain based on studies of the reference you? Rich presented by: Freud (1997), Camargo and Ribeiro (1999), La Taille (2002) and Souza (1997). Where the main purpose for analyze the educational development of children having as a basis for an Dialysis cartoon that can serve as subside s difficulties in practice teacher, immersing ourselves in the gap left by the way deficit of educators regarding spec. I now proposed to issue, contributing, at least in part, to the improvement of Education and the professionals who work in it.

Estudo clínico longitudinal de dentes restaurados com sistemas cerâmicos livres de metal: estudo prospectivo sobre a hipersensibilidade dental pós-operatória

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação do efeito do citral na dor neuropática e na inflamação

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

Qualidade de vida em portadores de paralisia cerebral: associação com nível funcional e aspectos sócio-demográficos

Pós-graduação em Saúde Coletiva - FMB

Síndrome da ardência bucal: avaliação e tratamento

The burning mouth syndrome (BMS) is a relevant pathology that has been defined as a chronic pain with difficult diagnosis and treatment. The prevalence of BMS is estimate to be 15% of the general population, being more common in the elderly and middle-aged. Characterized by a burning sensation in more than one area, more frequently on the two thirds of the tongue, on the anterior half of the hard palate and on the mucosa of the upper lip, the BMS is associated with clinical signs of normality and normal laboratory findings. For several studies the BMS etiology is controversial because it is multifactorial since it can be caused by local, neuropathic, psychological and/or systemic factors. These controversies make the diagnosis more difficult, especially if the dentist does not have knowledge about the syndrome. Thus, the aim of this paper is to present, by means of a literature review, the main features of BMS, indicating the procedures that may be useful for diagnosis, and also the available therapeutic modalities in order to increasing the knowledge of health professionals so that patients with BMS may benefit from appropriate treatment, support and professional confidence, always aiming to better quality of life.