20 resultados para Regras : Associacao

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


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Since the sport of football field as the main focus and it is directly related to sports phenomenon up to understood of changes occurring in the rules and game systems over the years. The main aim was analyzed the historical changes in the soccer with relation to the game systems and rules, and their consequences. The research is qualitative type and uses the bibliographic collection as instrument. For this, it was searched in the published literature data about the present study subject. The results indicated for a soccer tactics and rules set that it was constructed with the evolution and consolidation of the soccer. It was concluded that the game system had suffered many alterations during the historical process of soccer development, but this process leaved poured the spectacle of the game. In the other way, the rules had suffered great alterations with regard to the soccer primaries, but after its consolidation as universal sport, they had remained almost the same, having assisted in the maintenance of the soccer characteristics and status.

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Purpose. To evaluate the antihypertensive efficacy and tolerability of captopril 50 mg + hydrochlorothiazide 25 mg daily in mild to moderate primary hypertension. Methods. Out-patients (n = 471) with mild to moderate hypertension, diastolic blood pressure (DBP) 95-115 mmHg, with 15 days of washout, were included to the treatment initially with half tablet of the association of captopril 50 mg + hydrochlorothiazide 25 mg once daily, for 30 days. After this period, patients with DBP > 90 mmHg had the dosage duplicated, while the others had the same dosage for 60 days more. Evaluation was performed 15 days before and then every month during active drug. Results. Twenty six patients were withdrawn, 13 (2,7%) by adverse effects and 13 by protocol violation. At the end of the wash-out period, the blood pressure (BP), 162 ± 16/103 ± 6 mmHg decreased significantly at the 30th day to 146 ± 14/92 ± 8 mmHg (p < 0,001 vs 0th day); 139 ± 12/86 ± 7 mmHg at the 60th day, (p < 0,001 vs 30th day), and further to 136 ± 11/84 ± 5 mmHg (p < 0,001 vs day 0) till the end of the 90th day. Antihypertensive efficay (DBP ≤ 90 mmHg and decreased for the DBP ≥ 10 mmHg) was obtained in 82% of the patients. There was no difference in BP control considering race, hypertension level, previous antihypertensive treatment and obesity. Cough (4%) was the main adverse event. Conclusion. Captopril + hydrochlorothiazide was effective and safe in the treatment of mild to moderate hypertension. The favorable response was observed in 82% of the patients independently of race, hypertensive level, previous antihypertensive treatment and obesity. Low incidence of side effects was reported, with no difference from others reported in the literature.

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Background and Objectives: - The effects of associating lipophilic opioids to local anesthetics in epidural anesthesia are not well defined. There are still questions and controversies about opioid doses to be used and their major effects in the epidural block. This study aimed at evaluating the epidural block effects in humans of the association of different fentanyl and sufentanil doses to bupivacaine with 1:200.000 epinephrine. Methods: - A double-blind randomized study was performed in 94 patients of both genders, physical status ASA I, aged between 18 and 60 years, submitted to lower abdomen, perineal or lower limb surgery. Patients without preanesthetic medication were epidurally injected with 100 mg (20 ml) 0.5% bupivacaine, 0.1 mg (0.1 ml) 1%o epinephrine plus a combination of the following drugs: BUPI Group (15 patients): 2 ml of 0.9% saline solution (SS); FENT50 Group (19 patients): 50 μg (1 ml) fentanyl + 1 ml SS; FENT100 Group (20 patients): 100 μg (2 ml) fentanyl; SUF30 Group (20 patients): 30 μg (0.6 ml) sufentanil + SS (1.4 ml); SUF100 Group (20 patients): 50 μg (1 ml) sufentanil + SS (1 ml). The following parameters were studied: onset of sensory block, analgesic block (onset time) in T12, T10 and T8, analgesic block duration in T10 and T12, motor block degree, consciousness degree, need for supplemental perioperative sedation and analgesia, hypotension, bradycardia and peri and post operative side-effects, analgesia duration, proportion of patients needing supplemental analgesia and evaluation of postoperative pain (pain analog visual scale). Results: Groups were demographically uniform. The addition of fentanyl or sufentanil did not alter major characteristics of perioperative epidural block and has not significantly increased postoperative analgesia duration as compared to the use of bupivacaine only. However, the addition of lipophilic opioids has increased the quality of perioperative anesthetic block, translated into a lesser need for supplemental analgesia (p < 0.02). The increased dose of fentanyl and especially of sufentanil has increased the incidence of perioperative drowsiness (p < 0.001) without significant increase in other side effects. Conclusions: In the conditions and doses used, the addition of lipophilic opioids to bupivacaine and the increased dose of lipophilic opioids have improved anesthetic block quality without changes in the epidural block characteristics or a significant increase in side effects, with the exception of drowsiness mainly caused by sufentanil. However, they were not able to provide a significant increase in postoperative analgesia duration.

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Diffuse cutaneous leishmaniasis (DCL) is a rare form of tegumentary leishmaniasis (TL) and 350 cases have been reported world wide. Presently in Brazil, there were 31 cases reported corresponding to 8.9% of the world cases. The state of Maranhao contributed with ten cases (32.3%) of national reports. Recently the authors had opportunity to follow two new cases of DCL, both from the countryside of that state totaling 12 cases. The parasite Leishmania L. amazonensis was incriminated in the disease, confirming the available data as being the unique species to produce DCL in this state. The therapy associating meglumine anthimoniate with paramomicine sulphate (Gabbrox®) during 90 days, showed good tolerance and favorable response, being another option for fills form of DCL that constituted a challenge to science so far.

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Pós-graduação em Física - IFT

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Pós-graduação em Psicologia - FCLAS

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Pós-graduação em Ciência da Computação - IBILCE

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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The Subject Cataloguing, in spite of its expres-sive historical trajectory in the information organization, has not been as discussed as the descriptive cataloguing, although they arise from the same process. Recovering the Cataloguing history, you can see that there is a dichotomy between the descriptive process and the subject one; the first one was emphasized for the developing of codes and interchange patterns. Nevertheless, the studies on subject cataloguing are essential to give bases to products for helping the searching of holdings. For this reason, based on the literature, it is discusses the subject cataloguing and the set of problems about a possible institution of rules/code that guides it.

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O desenvolvimento da moral na criança inicia-se muito cedo, na medida em que vivencia experiências sociomorais. Piaget observou num jogo infantil fases do desenvolvimento moral relativos à prática e a consciência da regra, a partir das quais é possível fazer uma analogia com toda a sociedade. A escola é um espaço privilegiado para manifestações de caráter eminentemente morais, podendo assim influenciar significativamente no desenvolvimento moral dos sujeitos. Uma prática comum nesse sentido é o estabelecimento de combinados de regras nas classes de Educação Infantil. Assim objetivou-se neste trabalho estudar como essa forma de construção de regras tem se constituído. Para tanto se realizaram observações sistemáticas em duas salas de aula em escolas públicas em um município do interior de São Paulo (em que se implantou o PROEPRE) e se aplicou questionário às professoras a fim de caracterizá-las enquanto sujeitos de pesquisa. Tais observações ocorreram entre fevereiro e maio de 2009, em momentos distintos da rotina de cada classe. Os dados coletados nos permitiram concluir que o tempo de experiência e formação dos sujeitos não se constituíram necessariamente em fatores relevantes para o tipo de trabalho desenvolvido com relação à construção de regras em suas salas de aula. Concluímos também que a maneira com que os professores conduziram a construção de regras com seus alunos não contribuiu significativamente para o desenvolvimento moral das crianças e para a superação da heteronomia e egocentrismo infantil segundo o referencial piagetiano