21 resultados para desafiador opositor
em Repositório Institucional UNESP - Universidade Estadual Paulista "Julio de Mesquita Filho"
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This paper presents a review of the literature on the opposition defiant disorder (ALL), highlighting the main factors that contribute to the emergence of the problem. Although there are relatively few studies available on the subject to date. The literature suggests that an integrated set of aspects of biological, psychological and social can influence the onset of the disorder. However, although more research is needed in order to characterize the weight or importance of different variables.
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Objective: Review of scientific literature on the history of tuberculosis (TB), the natural history of TB in humans, extrapulmonary TB in urogenital form, including epidemiology, diagnosis and treatment. Method: Literature review using PubMed databases, BIREME, SciELO, LILACS and Google Scholar, as well as books, manuals and official documents of Ministério da Saúde (MS) and World Health Organization (WHO). Results: Focused as discussion topics, history, diagnosis and treatment of urogenital tuberculosis and reflection on the diagnostic challenge to be faced by health professionals. Conclusion: The diagnosis of urogenital tuberculosis is difficult and often delayed and may lead to important consequences. Faced with a patient with chronic urinary symptoms or infertility tuberculosis should always be investigated.
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A osteomalacia oncogênica é um diagnóstico clínico desafiador, caracterizado pela perda renal de fosfato e baixos níveis de 1,25-di-hidroxivitamina D3, ocorrendo na presença de um tumor produtor de altos níveis de fator de crescimento de fibroblasto 23. No entanto, é possível que se trate muito mais de uma falha de diagnóstico clínico do que propriamente uma doença rara. Os autores relatam o caso de um homem de 42 anos com histórico de fraqueza muscular progressiva por cinco anos e restrição à cadeira de rodas, sem diagnóstico. Seus exames laboratoriais evidenciavam baixos níveis de fósforo. A remoção cirúrgica de um hemangiopericitoma detectado previamente em cavidade nasal levou à resolução completa dos sintomas. Os autores enfatizam que, mesmo com a etiologia já evidenciada, o paciente consultou diversos clínicos no decorrer dos cinco anos até que fossem instituídos o diagnóstico e o tratamento adequados. Arq Bras Endocrinol Metab. 2012;56(8):570-3
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Pós-graduação em Medicina Veterinária - FMVZ
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Disorders in gait are identified in Parkinson’s disease patients. As a result, the capacity of walking independently and the interaction with the environment can be impairment. So, the auditory cues have been utilized as a non-pharmacological treatment to improve the locomotor impairment of the PD patients. However, these effects were observed in the regular lands and it’s not known the effects of auditory cues in gait during avoidance obstacles that could be more threaten for these patients. Yet, few studies in the literature compare the Parkinson’s disease patients with the older adults during the locomotor tasks and obstacle avoidance in association with the effects of auditory cues. The aim of the study is to compare the effects of the auditory cues in the gait and during obstacle avoidance in PD patients and older adults. 30 subjects distributed in two groups (Group 1 - 15, Parkinson’s disease patients; Group 2 - 15, healthy older adults) are going to participate of this study. After the participation approval, the assessment of clinical condition will be done by a physician. So, to investigate the locomotor pattern, it will be done a kinematic analysis. The experimental task is to walk on 8 m pathway and 18 trials will be done (6 for the free gait and 12 for adaptive gait). For the adaptive gait, two different obstacle heights will be manipulated: high obstacle (HO) and low obstacle (LO). In order to verify possible differences between the groups and the experimental condition, multivariance tests will be used with a significance level of 0.05. MANOVA revealed effect of condition and task. Thus, with DA, we observed an increase in cadence and reduced single support and stride length. When the tasks were compared, it was observed that the LO task, subjects had lower velocity and stride length... 9Complete abstract click electronic access below)
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O objetivo do estudo foi analisar o efeito da tarefa dupla na variabilidade do andar livre e adaptativo em pacientes com demência de Alzheimer. Foram avaliados 30 indivíduos de ambos os sexos. Os participantes realizaram 5 tentativas para cada condição de andar (livre e adaptativo, com tarefa dupla e sem tarefa dupla), totalizando 20 tentativas.As variáveis espaço-temporais foram coletadas através de um sistema optoeletrônico. Para o andar livre foram considerados os cinco passos centrais da passarela. Para o andar adaptativo foram considerados os três passos anteriores ao obstáculo, o passo de ultrapassagem e o primeiro passo após a ultrapassagem. Os valores do desvio-padrão de cada variável de cada indivíduo nas 5 tentativas para cada condição de andar foram utilizados para calcular a variabilidade dos seguintes parâmetros: comprimento, largura, duração da fase de suporte simples e de duplo suporte, e velocidade de cada passo. Para verificar as diferenças entre as condições experimentais, foram empregadas ANOVAs, com medidas repetidas para a condição experimental. Os resultados indicaram que a tarefa dupla teve pouco efeito na variabilidade do andar livre de pacientes com DA. As variações ocorreram com maior frequência quando a tarefa dupla foi exigida concomitante com o obstáculo, deixando claro que os efeitos da doença influenciam no planejamento da ação. Conclui-se que a tarefa executiva de contagem regressiva não exerceu influência nas variáveis da marcha livre e que o andar adaptativo com contagem apresentou resultados com maior variabilidade, sendo mais desafiador e exigindo maiores ajustes dos pacientes
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Air pollution is an environmental issue worldwide and frequently cause negative effects on population health and ecosystems on cities. The relationship between climate and atmospheric pollution can be used as a surrogate to the intensity of air pollution. The present and quantity of some gases can be used as indicators to air quality: particulate matter (PM), sulfur dioxide (SO2), carbon monoxide (CO), ozone (O3), and nitrogen dioxide (NO2). Among those gases, CO has its major source within the cities, where automobiles are the main emitter. But measure pollutant concentration are challenging, sometimes because the lack of good equipments due to high costs and of the large variability of models that varies in precision, way of measure and distribution of sellers. Modeling are useful when there are an intend to evaluate air pollution, its sources and evaluate scenarios. This work aims to use CAL3QHCR model developed by the U.S Environmental Protection Agency (EPA) to generate predictive surfaces of CO concentration distribution on a site within Campinas city, located in São Paulo state, Brazil. CAL3QHCR model use data urban automobile circulation to generate spatial results for CO distribution. We observed that the pollution concentration was lower on our modeling than the concentrations measured by Companhia Ambiental do Estado de São Paulo (CETESB), the main environmental company on the São Paulo state. Also the correlation between average estimates of our model and the measure by CETESB was weak, indicating that the model used on this study need to be or better parameterized, or the scale we measured of CO emissions need to be rescaled. Although the model failed to correlate to CETESB data, maybe one that explore the estimated emissions distributed within the sites to understand spatial distributions of CO on the regions. Also, the generated information can also be used to other studies, and come to be useful to explain heat island
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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The paper approaches the U.S. perceptions about the sources of insecurity from Latin America, considered a low risk area and priority of its foreign policy. El análisis se concentra en la evaluación de las amenazas y desafíos a sus intereses estratégicos y las modalidades de actuación privilegiadas en la esfera regional, en que se verifican coincidencias entre las administraciones Demócratas y Republicanas en la adopción de un liderazgo con prerrogativas clasificatorias sobre los tipos de régimen político, con una agenda concebida como promoción de la convergencia hemisférica de democracias y economías liberales. The analysis focuses on assessing the threats and challenges to its strategic interests and privileged modes of action at the regional level, which verifies similarities between Republican and Democratic administrations in taking a leadership prerogatives qualifiers on the types political regime, with an agenda designed as promoting hemispheric convergence of liberal democracies and economies. En ese contexto, cabe destacar la prioridad atribuida a los países de la Alternativa Bolivariana para las Américas (ALBA) como eje opositor de sus políticas. In this context, include the priority given to the countries of the Bolivarian Alternative for the Americas (ALBA) as the linchpin of his political opponent.
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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)