55 resultados para Presumption of authorization to use force

em Repositório Institucional UNESP - Universidade Estadual Paulista "Julio de Mesquita Filho"


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This study verified the resistance to displacement of six miniplate fixation methods after sagittal split osteotomy (SSO). SSO was performed in 30 polyurethane synthetic mandible replicas. The distal segments were advanced (4 mm) and specimens were grouped according to the fixation method: four-hole standard miniplate; four-hole locking miniplate; six-hole standard miniplate; six-hole locking miniplate; six-hole standard sagittal miniplate; six-hole locking sagittal miniplate. Biomechanical evaluation was performed by applying compression loads to three points on the second molar region, using an Instron universal testing machine until a 3 mm displacement of the segments occurred. Compression loads able to produce 3 mm displacement were recorded in kN and subjected to analysis of variance (P < 0.01) and Tukey's tests for comparison between groups (P < 0.05). The locking sagittal miniplate showed higher resistance to displacement than the regular four- and six-hole locking and standard miniplates. No significant differences were observed between the locking sagittal miniplate and the regular sagittal or the four-hole locking miniplates. Two of the three groups with the best results had locking plate fixation methods. Fixation of SSO with a single miniplate is better accomplished using six-hole locking sagittal miniplates, six-hole standard sagittal miniplates, or four-hole locking miniplates; these methods are more resistant to displacement.

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Background: Prescribing is a complex and challenging task that must be part of a logical deductive process based on accurate and objective information and not an automated action, without critical thinking or a response to commercial pressure. The objectives of this study were 1) develop and implement a discipline based on the WHO's Guide to Good Prescribing; 2) evaluate the course acceptance by students; 3) assess the impact that the Rational Use of Medicines (RUM) knowledge had on the students habits of prescribing medication in the University Hospital.Methods: In 2003, the RUM principal, based in the WHO's Guide to Good Prescribing, was included in the official curriculum of the Botucatu School of Medicine, Brazil, to be taught over a total of 24 hours to students in the 4th year. We analyzed the students' feedback forms about content and teaching methodology filled out immediately after the end of the discipline from 2003 to 2010. In 2010, the use of RUM by past students in their medical practice was assessed through a qualitative approach by a questionnaire with closed-ended rank scaling questions distributed at random and a single semistructured interview for content analysis.Results: The discipline teaches future prescribers to use a logical deductive process, based on accurate and objective information, to adopt strict criteria (efficacy, safety, convenience and cost) on selecting drugs and to write a complete prescription. At the end of it, most students considered the discipline very good due to the opportunity to reflect on different actions involved in the prescribing process and liked the teaching methodology. However, former students report that although they are aware of the RUM concepts they cannot regularly use this knowledge in their daily practice because they are not stimulated or even allowed to do so by neither older residents nor senior medical staff.Conclusions: This discipline is useful to teach RUM to medical students who become aware of the importance of this subject, but the assimilation of the RUM principles in the institution seems to be a long-term process which requires the involvement of a greater number of the academic members.

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

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Three methods of extraction of lipopolysaccharide (LPS) were compared-the conventional hot phenol-water method with 40% phenol, a modified form of this method using 10% phenol, and the hot saline method. Good recovery of LPS was achieved by each of the three methods, with the LPS found in the aqueous phase with the two phenol-based procedures. The application of SDS-PAGE to the LPS extracts, followed by silver staining, showed similar banding with all three methods of extraction. When the hot saline extraction LPS fraction from eight strains of Bradyrhizobium spp. and eight strains of Bradyrhizobium japonicum was compared with SDS-PAGE, characteristic profiles were achieved. Serological analysis of eight strains of Bradyrhizobium spp., using antisera prepared against whole cells in agglutination reactions, showed extensive sharing of antigens. When antisera was prepared using outer membrane LPS, extracted by the hot saline method, the amount of cross-reaction was reduced greatly. The results indicated that LPS provide an efficient means of obtaining monospecific antisera to be used for serological identification of strains of Bradyrhizobium spp. and that the hot saline extraction method is recommended for a fast, simple and efficient way to obtain LPS and characterize this bacterium.

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A reliable method of labeling is needed to study dispersal of the braconid parasitoid, Lysiphlebus testaceipes (Cresson), an important biological control of greenbugs, Schizaphis graminum (Rondani), on grain sorghum, Sorghum bicolor (L.) Moench. The feasibility of using aqueous solutions of rubidium chloride (RbCl) applied as a foliar spray or soil drench to label greenbugs and L. testaceipes developing within greenbugs was studied. Laboratory and field studies were conducted to identify the minimal concentration of RbCl to assure labeling of greenbugs and wasps, persistence of Rb throughout the wasp's life span, mobility of Rb to unsprayed sorghum leaves, and feasibility of studying dispersal using a release-recapture technique with Rb-labeled wasps. Both greenbugs and wasps could be labeled using RbCl at concentrations of 2,500-10,000 ppm. Rubidium content in labeled wasps did not significantly vary during the first 7 d after emergence. Greenbugs feeding on unsprayed leaves were labeled up to 4 wk after leaves were sprayed. Rb-labeled wasps were found at the maximum trap distance from the release site (60 m) within 1 d after release.

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The uplift capacity of helical piles depends on the shear resistance of the soil above the helical plates. During helical pile installation, the soil traversed by the plates are sheared and displaced laterally, and consequently the soil structure is disturbed. Considering this fact, the aim of this paper is presenting the effect of helical piles installation in the soil mass by means of CPT tests carried out close to the soil cylinder above the pile helices. The CPT tests were performed at the CRHEA site from the Sao Carlos School of Engineering, Sao Carlos city, inland of Sao Paulo State, Brazil. In addition, an interpretation of CPT tests data for stratigrafic logging are presented and compared to Standard Penetration Tests (SPT) carried out at this site. This study showed that the CPT sleeve friction fs data were affected by the installation of helical pile in this particular tropical soil site. © 2013 Taylor & Francis Group.

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The yolk protein precursor, vitellogenin (Vg), in bees is synthesized in the fat body trophocytes, delivered to the hemolymph and ultimately absorbed from there during the vitellogenic phase of oocytes in the active ovary. The routes tracing the material exchange that occurs between the trophocytes and the hemolymph, in addition to the transportation from the hemolymph to the ovarian follicles, were marked by alkaline phosphatase and lanthanum nitrate (LN). Active ovaries from nurse workers and physogastric queens, as well as inactive ovaries of virgin queens, were examined by transmission electron microscopy. The LN permitted better visualization of the routes of exchanges between the organs and the hemolymph. Both methods demonstrate the apparent differences between the phases of the ovary and the bee caste. In inactive ovaries of the virgin queens, the routes from the follicular epithelium to the oocyte remain closed; conversely, they are open in active ovaries of the nurse workers and physogastric queens. The differences between the methods and classes of bees are discussed. © The Author 2013. Published by Oxford University Press [on behalf of The Japanese Society of Microscopy]. All rights reserved.

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Aural plaques occur on the skin of the medial surface of the pinnae of horses. In this study the presence of Equus caballus papillomavirus (EcPV)-3 and -4 DNA was assessed in 45 such plaques using a 'touchdown' PCR. Papillomaviruses (PVs) were detected in 62.3% (28/45) of samples: EcPV-3 and -4 DNA in 8.89% (4/45) and 37.78% (17/45) of samples, respectively, with 15.56% (7/45) of samples exhibiting co-infection. Viral DNA was not detected in 37.78% (17/45) of samples, suggesting the possible existence of other equine PVs. Neither EcPV-3 nor -4 were detected in negative control skin. This study is the first to evaluate the prevalence of these two viruses in equine aural plaques. © 2013 Elsevier Ltd.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Our objective was to determine the best additive to use for the ensiling of sugarcane SP81-3250 based on the nutritional properties and aerobic stability of the silages. The additives evaluated were (1) and (2): salt (NaCl) at rates of 1.0 or 2.0 kg/100 kg fresh sugarcane (as-is basis), respectively; (3) and (4): quicklime (CaO) at rates of 1.0 or 2.0 kg/100 kg fresh sugarcane, respectively; (5) and (6): commercial inoculants Silobac (R) and Maize All (R); and a control treatment. The addition of quicklime reduced the NDF and ADF contents of the silages by 11% compared with the control treatment, but did not increase the digestibility. On the other hand, after 24 h of in vitro fermentation, the application of 1.0 and 2.0% salt reduced the gas production by 34.15 and 33.55 mL/g OM, respectively, and the IVOMD was reduced 5.74 and 5.90%, respectively, compared with the untreated silage. Moreover, the addition of quicklime elevated the pH of the sugarcane silages, with a trend towards an increase in the DM recovery. In contrast, the bacterial inoculants did not alter the pH values, but there was an upward trend for a DM recovery. After the silos were opened, the silages that were treated with salt (independent of the dose) and 1.0% quicklime exhibited greater stability. We recommend applying 1.0 kg of quicklime to each 100 kg of sugarcane at the time of ensiling to improve the nutritional characteristics of sugarcane silage variety SP81-3250.

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Objective: The purpose of this study was to evaluate the influence of the addition of 2% chlorhexidine digluconate (CHX) associated with 5% calcium chloride (CaCl2 ) on antimicrobial activity, setting time, pH and calcium release of gray mineral trioxide aggregate (GMTA). Materials and Methods: GMTA powder was mixed with water, 2% CHX alone or 2% CHX combined with 5% CaCl2 . Antimicrobial activity was determined against Enterococcus faecalis (ATCC 29212) strains by agar diffusion test. Data obtained were submitted to kruskal wallis tests. Analysis of the setting time was evaluated by American society for testing and materials C266-03 requirements. The pH and calcium release analysis were evaluated, in 24 h, 7, 14 and 28 days using pH meter equipment and atomic absorption spectrophotometer, respectively. Data obtained were analyzed by ANOVA, in 5% significance level. Results: Significant differences were seen (P < 0.01) among the zones of bacterial growth inhibition produced by 5% CaCl2 + 2% CHX combination against E. faecalis when compared with water (P < 0.05). Regarding the setting time, that combination had the shortest setting time (P < 0.05). All associations were alkaline and released calcium. No statistical difference was observed between the experimental groups at the different periods of analysis (P > 0.05). Conclusion: Combination of 5% CaCl2 + 2% CHX reduced the setting time and enhanced the antimicrobial activity of GMTA without changing the pH and calcium release.