68 resultados para angina instável
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Pós-graduação em Engenharia Elétrica - FEIS
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Background/aims: Cardiovascular diseases are major causes of mortality in chronic renal failure patients before and after renal transplantation. Among them, coronary disease presents a particular risk; however, risk predictors have been used to diagnose coronary heart disease. This study evaluated the frequency and importance of clinical predictors of coronary artery disease in chronic renal failure patients undergoing dialysis who were renal transplant candidates, and assessed a previously developed scoring system. Methods: Coronary angiographies conducted between March 2008 and April 2013 from 99 candidates for renal transplantation from two transplant centers in Sao Paulo state were analyzed for associations between significant coronary artery diseases (>= 70% stenosis in one or more epicardial coronary arteries or >= 50% in the left main coronary artery) and clinical parameters. Results: Univariate logistic regression analysis identified diabetes, angina, and/or previous infarction, clinical peripheral arterial disease and dyslipidemia as predictors of coronary artery disease. Multiple logistic regression analysis identified only diabetes and angina and/or previous infarction as independent predictors. Conclusion: The results corroborate previous studies demonstrating the importance of these factors when selecting patients for coronary angiography in clinical pretransplant evaluation.
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Objective: To understand the meaning of the aromatherapy massage intervention in mental health for the patient during psychiatric hospitalization.Methods: A qualitative study including 22 participants with a diagnosis of personality disorder hospitalized in a psychiatric unit of a general hospital. We used semi-structured interviews with a guiding question for participants, for whom the aromatherapy massage intervention was performed. The content of the interviews was assessed according to content analysis.Results: Among the study subjects, there was a predominance of females and the majority presented a diagnosis of Emotionally Unstable Personality Disorder. Two categories that emerged were identified from qualitative data: "Identifying the benefits of aromatherapy" and "Enabling self-knowledge."Conclusion: The meaning of the aromatherapy massage intervention was represented by improvements in nursing care and treatment during psychiatric hospitalization, while assisting in the reduction of anxiety symptoms and coping with mental illness.
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Pós-graduação em Desenvolvimento Humano e Tecnologias - IBRC
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In the region of Badejo oil Ffeld (Campos Basin) lies an Lower Albian dolomitic layer that shows reservoir rock and seal conditions, among others and, it is occasionally karstified. This work applies geostatistical techniques of ordinary and indicatior kriging, in an attempt to determine a method that assists the analysis of different scenarios offered for petroleum drilling from a quantitative point of view this fact is justified, because there are different visions and strategies that would be adopted under different dolomite conditions (stable - low porosity and high density; reservoir - high porosity and medium density; instable - high porosity and low dentisty). The main objective is a methodological introduction that has not been tested in dolomites before aiming to characterize the distribution of the three conditions described above by ordinary and indicatior kriging, which was based on the obtained data from the dolomite layer identification through well logs interpretation and correlation, followed by seismic interpretation. In addition, it was generated structural contour maps, based on 2D and 3D seismic data interpretation, and then, seismic attributes maps were calculated, in order to transform them into pseudo-density maps, i.e., maps that correlate the density values with the attribute values. As primary results, structural contour maps and seismic attributes were obtained and ordinary and indicatior kriging maps were done, on which it is possible to interpret the distribution of the main reservoir and risk probability for drilling of exploration wells obtaining trends N35E and N10W direction for areas of stability or reservoir levels, while the central part of the map presents a higher risk for loss of drilling fluid. The cut-off values levels were based on the values of first and third quartiles of cumulative histogram (instable and stable zones, respectively), as well as the reservoir level was set as the interval...
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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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)