Proposta de pontos de corte para indicação da obesidade abdominal entre adolescentes

FUNDAMENTO: A ausência de valores críticos para a identificação de risco cardiovascular entre adolescentes brasileiros representa uma importante limitação. OBJETIVOS: Elaborar valores críticos para circunferência de cintura e analisar sua eficiência na indicação de valores elevados de pressão arterial. MÉTODOS: Estudo transversal que avaliou 1.145 adolescentes de 11 a 17 anos (536 do sexo masculino e 609 do feminino), dos quais foram coletados valores de peso corporal, estatura, resistência, reatância, dobra cutânea tricepital, circunferência de cintura e pressão arterial (n= 334). A obesidade abdominal foi indicada por meio de valores de circunferência de cintura. RESULTADOS: Os adolescentes obesos apresentaram valores mais altos de circunferência de cintura e, independentemente de gênero e grupo etário, houve relação significativa entre os valores de circunferência de cintura e todos os indicadores de adiposidade adotados no estudo. Os valores críticos propostos apresentaram maior sensibilidade na indicação de valores elevados de pressão arterial. CONCLUSÕES: Os valores críticos propostos para circunferência de cintura foram mais sensíveis na indicação de valores elevados de pressão arterial. Entretanto, ainda são necessários estudos para averiguar a eficiência dos mesmos na indicação de outros parâmetros clínicos e laboratoriais.

Les patients atteints d'hypertension artérielle: approche de leur vécu

The study aims at exploring the experience of the patients suffering from high blood pressure, analysing the difficulties they evoke and trying to generate similarities. It is a qualitative study, based on the phenomenological method. The interviews highlight the fact that the patients are preoccupied only by the symptoms of high blood pressure. They also show that all the patients live through the disease with a lot of emotions, with feelings of frustration, stress, anxiety and helplessness. A better understanding of the patients' experience must enable the nurses to have better targeted actions.

Formulário do perfil psicossocial do paciente anoftálmico com indicação de prótese ocular

The patient with anophthalmia may present feelings of inferiority and rejection. Knowing his/her needs and expectations contribute to a better technical intervention. Purpose: To elaborate a questionnaire of the psychosocial profile of the patient with anophthalmia with indication of ocular prosthesis. Methods: An exploratory research was used to elaborate the questionnaire, by means of a guided interview followed by writing down what was said by the interviewees, who were adult patients of the Bucco-Maxillo-Facial Prosthesis Center of FOSJC - UNESP. The guided interview was made up of 14 items directly related to the future outline of the profile. Each item of the interview resulted in questions of the questionnaire, which was pretested twice before reaching its final version. Results: The patients reported, in the exploratory research, unpleasant feelings with the loss of the eye; relationship shyness; expectations regarding surgery and prosthesis use; a wish to receive explanations and to hold their opinion about the treatment. The questionnaire of the psychosocial profile of the patient with anophthalmia with indication of ocular prosthesis is, therefore, made of 43 questions divided into 5 blocks in order to aid the comprehension of the inquired aspects and to facilitate both the computation of data and discussion, and also to improve the selection of questions according to the objective of the researcher or professional. Conclusions: It was concluded that the questionnaire was viable, can be used in full or by selecting blocks and provide a panorama of the patient's history related to the problem he/she faces, from the loss of the ocular globe to the confection of the prosthesis.

Indicação para o uso da terra na bacia hidrográfica do rio salobra - serra da bodoquena, mato grosso do sul

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Proposta para indicação de áreas para a implantação de aterro sanitário no município de Bauru-SP, utilizando análise multi critério de decisão e técnicas de geoprocessamento

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Critérios para indicação de espécies prioritárias para a restauração da vegetação de cerrado

Knowing the attributes of the most suitable species to overcome the obstacles in different environmental conditions is an important tool for ecological restoration. To evaluate the comparative performance of native Cerrado species being cultivated at an arboretum (Assis State Forest, Assis, SP, Brazil), we categorized 106 species by the following attributes: average annual increment in height and crown diameter, survival rates, frequency of herbivory, frost susceptibility and seed dispersal syndrome. The score of each attribute may vary from 1 to 3, and the value of a species for restoration was generated from the sum of the scores for the different attributes converted to the scale of 0 to 100. Analyzing the species altogether, survival was 70%, the average annual increment was 30 cm in height and 21 cm in crown diameter. Only 8% of the species showed high susceptibility to frost and 17% high frequency of herbivory. Eighteen species had scores above 80, being the first Annona crassiflora, Cecropia pachystachya, Enterolobium gummiferum, Plathymenia reticulata e Protium heptaphyllum. In this group are the species that gather the highest number of favorable attributes for the restoration of Cerrado vegetation. We generated two separate lists of ten species of higher value, one for the cerrado sensu stricto and the other for cerradao the forest type of cerrado vegetation. We believe that using these species accelerates the recovery of vegetation structure and thus provide the restoration of ecological processes of ecosystems undergoing restoration. At the end of the list are species of low scores, which, if used, can lead to higher costs or delay in the recovery of structure and ecological processes of the ecosystem being restored.

Indicação e avaliação de potenciais áreas para implementação de aterros sanitários municipais – Apuí/AM

About eighty percent of the Brazilian municipalities have their residues in environmentally unsuitable sites and socially insalubrious. In this context, in the year 2010, instituted the National Policy on Solid Residues, which aims to integrated management and management environmentally appropriate of solid residues in Brazil (JUCA, 2002).The problem of urban residues is related to its origin and production in the same way that the concept of inexhaustibility and reflexes of compromising the environment, especially the pollution of soil, air and water resources (LIMA, 1995). Seeking a better residues management in the municipality of Apuí / AM and continuing work already started, Plan Solid Residues Management of the Apuí / AM, this work came to propose a better environmental compliance in relation to solid residues compared to 12305/2010 law that established deadlines / timelines on some actions such as landfills and the consequent elimination of environmentally sound disposal of residues by 2014 and thus began a study of potential areas for the implementation of the landfill were evaluated taking into consideration technical aspects (soil, vegetation, climate, hydrography, etc), legislation and Google Earth imagery. The result of the work over the 6 areas proposed by the City Hall was the choice of AREA 4 as the most indicated for the implementation of the landfill for the city of Apuí, which has 18,325 inhabitants (IBGE, 2011); some considerations were made if a new area can be proposed by the city to implement the landfill

Atenção Farmacêutica: o processo de indicação farmacêutica para Medicamentos Isentos de Prescrição

A Indicação de medicamentos isentos de prescrição é uma das atividades do profissional farmacêutico no âmbito da Atenção Farmacêutica. Essa prática deve ser orientada para todos os pacientes que buscam o uso de medicamentos e está intimamente relacionada ao processo de automedicação responsável. A ação fundamental do profissional nesta área é a triagem que deve ser feita para recomendar o paciente sobre a melhor ação a ser tomada. Para isso deve-se adquirir um grande conhecimento sobre os produtos que não exigem prescrição, obter informações dos pacientes por meio de uma entrevista, analisar todas as informações e por último deve ser feito o aconselhamento que inclui as orientações sobre a patologia e o medicamento. Para fazer uma indicação é importante saber como adquirir as informações do paciente e relacioná-las com o conhecimento epidemiológico das doenças e tratamento farmacológico mais adequado. Baseado nessa avaliação, a tomada de decisões deve ser ajustada em comum acordo com o paciente. Este trabalho tem como objetivo caracterizar e avaliar por meio de uma revisão não sistemática os artigos; documentos institucionais; livros; consensos e diretrizes com a temática Indicação Farmacêutica de Medicamentos Isentos de Prescrição nas seguintes temáticas: constipação, diarréia, infecções fúngicas da pele, resfriado e condições associadas e dor

Indicação geográfica e cafés especiais: circuito espacial produtivo e círculos de cooperação dos cafés da Região da Serra da Mantiqueira de Minas Gerais

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação da indicação do tratamento antirrábico humano em relação à situação epidemiológica da doença

Pós-graduação em Ciência Animal - FMVA

Perfil clínico de crianças com indicação da cirurgia das tonsilas em um hospital terciário universitário

The indications for adenotonsillectomy in pediatric patients have changed considerably during the 90th decade. Local or systemic complications of the adenoid or tonsil hypertrophy itself have now been substituted by signs of obstructive ventilatory disturbances, including obstructive sleep apnea as the major indications for surgery. Objective: This study analyses the clinical profile of children submitted to adenotonsilectomy in their pre and postoperative state, at Botucatu Medical School-State University São Paulo, UNESP. Methods: 332 children of both genders, aged 1 to 12 years, who underwent adenotonsillectomy between 1999 and 2004, were studied, focused on epidemiological profile, pre and postoperative (1 month) symptoms, obtained from medical records. Height and weight were compared to brazilian normal age related values. Results: We found a predominance of the male gender, except in he group aged from 10 to 12 years. Considering wheight and height, we found important failure to thrive, mostly for height deficit. Among clinical aspects, we found a significant reduction in obstructive symptoms like snoring or apneia (p<0001) in the postoperative period. Conclusion: Our results were similar to the literature findings of patients clinical profile. The major indication for adenotonsillectomy in our service was clinical diagnosis of obstructive sleep apnea.

Hemodiálise prolongada na lesão renal aguda associada a sepse: sobrevida dos pacientes de acordo com o momento da indicação e a dose de diálise recebida

Pós-graduação em Fisiopatologia em Clínica Médica - FMB