974 resultados para Controle físico
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BACKGROUND AND OBJECTIVES: Low back pain is a common disease in several industrialized countries, being a public health and incapacity problem, especially among economically active people. This study aimed at grouping and updating knowledge about motor control exercises for low back pain. CONTENTS: Cochrane, Medline (Pubmed) and PEDro databases were queried in the period from 2000 to 2010, using the keywords low back pain, stabilization, multifidus, transversus, exercise and training. Six randomized clinical trials were found, which have shown that such exercises may be indicated for acute low back pain to prevent recurrences, in addition to their indication to decrease chronic low back pain and incapacity. CONCLUSION: Motor control exercises do not improve pain and incapacity in acute cases, but are effective for chronic cases to relieve pain, decrease incapacities and improve quality of life.
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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 Fisiopatologia em Clínica Médica - FMB
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Pós-graduação em Biotecnologia Animal - FMVZ
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Recent research advances in understanding the cellular and molecular mechanisms that underlie the processes of hypertrophy and atrophy. This may contribute to development of effective therapeutic strategies to attenuate or block the loss of muscle tissue associated with aging and pathological conditions. In this context, myogenic factors that control the activity of satellite cells have been studied to better understand the events involved in the recovery of muscle mass. Among them, we highlight the Myogenic Regulatory Factors (MRFs), which have been described as potential mediators of muscle growth. The objectives of this study evaluated the morphofunctional adaptations and gene expression of MRFs (MyoD and myogenin) in skeletal muscle (soleus) subjected to an atrophic stimulus followed by physical training. It was used 64 male Wistar rats (80 days, 250 to 300 g), divided into 8 groups (n = 8): C: control animals a week, I: Animals immobilized a week, C3: control animals 3 days; R3: Animals immobilized and recovered for 3 days, T3: Animals immobilized and submitted to exercise for 3 days; C7: Animals controls 7 days; R7: Animals immobilized and subsequently recovered by 7 days, T7: Animals immobilized and subsequently subjected to exercise for 7 days. Initially, the animals in groups I, R3, R7, T3 and T7, were submitted to 7 days of immobilization of the hind limb. Muscle atrophy was confirmed after a direct statistical comparison of the values of cross-sectional area (CSA) of muscle fibers studied in animals in groups I and C, sacrificed immediately after the immobilization period. Then, the groups T3 and T7 were submitted a rehabilitation program with muscle aerobic exercise (swimming) for 3 and 7 days respectively. The groups C, C3 and C7 were kept without stimulus atrophic and were not subjected to exercise. At the end of the experiment, the animals were sacrified and the soleus muscle removed. The quantitative analysis of gene expression ...
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Radiotherapy is a multidisciplinary speciality which uses complex equipment and radiation sources for delivery of treatment, using high-energy ionizing radiation to treat cancer at several stages of complexity. Since radiation therapy is a technique which involves a precalculated radiation dose, it shall be established quality assurance programs that provide an efficient and safety treatment. The International Commission on Radiation Units and Measurements (ICRU) report No. 50 has recommended dose uniformity between 5% of the prescribed dose throughout the region of interest. This is one of the most primordial points that justify the importance of a suitable attendance of the equipments quality and performance. For quality control, the medical physicist will be involved with establishing and running a Quality Control Program (QCP). He must adapt or develop the procedures of equipment acceptance and commissioning, besides verifying the use of principles and accepted protocols of national and international reports to assure the correct quality, quantity, and placement of radiation during the performance of a radiological procedure, establishing adequate protocols to ensure accurate patient dosimetry. This present work consists of a description of the activities carried through the Sectors of Radiation Therapy of the Hospital of Clinics of the Campinas State University (Unicamp), particularly in the implementation of the Quality Control Program
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The treatment of a tumor with ionizing radiation is an ongoing process with well differentiated stages. These ones include the tumor diagnosis and location, the decision on the treatment strategy, the absorbed dose planning and calculation, the treatment administration, the absorbed dose verification and the evaluation of results in short and long terms. The quality of a radiotherapy procedure is closely linked to factors that may be classified as clinical, such as the diagnosis, the tumor location, the treatment strategy chosen and the continuous treatment reassessment; dosimetric or physical, such as the uncertainty in the dose calculation, its optimization and verification, the suitability of the equipment to provide a radiation beam consistent with the treatment planning; finally, others which are related to the practical application of radiotherapy treatment and the handling of the patient. In order to analyze the radiotherapy quality, one should realize that the three aspects (medical, physical or dosimetric and practical application) should be considered in a combined way. This means that numerous actions of the radiotherapists, medical physicists and technicians in radiotherapy should be held jointly and their knowledge level will significantly affect the treatment quality. In this study, the main physical parameters used in dosimetry are defined as well as determined experimentally for a linear accelerator Mevatron - MXT. With this, it is intended to provide recommendations for the physical aspects of Quality Assurance (QA) in the radiotherapy treatments, and these will usually be applied by professionals in Medical Physics. In addition to these instructions, it is recommended that additional texts are prepared to address in detail the clinical aspects of the treatments QA
Gestão de Estoques: análise e melhoria do processo de inventário físico em uma indústria siderúrgica
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Accuracy in physical inventory process is essential to develop anefficient inventorycontrol. This ensures the availability of products and ensure that the information contained in the information systems areinaccordancewith the reality of inventories. The inventory management policies of the company aim ofthis study established that all the materials in their inventory must becounted, which is proving a challenge. Therefore, the aim of thiswork is to identify the critical inventories and analyze them, seeking flaws and possible improvements in the inventory count process. For this, we used the tools of quality management, such as Pareto and Cause and Effect Diagrams in an action research. The results show that the stocks of finished products are critical in volume and can be hampered by a lack of training and personnel trained in performing the process, as well as limitations in ERP used. With the actions taken against these problems, we could notice an improvement in the process, because the data collection and processing of data has become easier, besides the occurrence of errors decreased. In addition, there was an acceleration in meeting targets compared to the previous period
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The crescent increasing demand of the electric power in Brazil has stimulated the implantation of Small Central Hydroelectric Power (SCHP) in several regions of the country. However, the silting up of the reservoirs is one of the main problems faced by hydroelectric power plants and SCHP. In this context, this research aimed evaluate the phenomenology and propose the enforcement of appropriate bioengineering techniques to control the intense erosive process of the hydrographical basin of the “Alto Rio Sucuriú,” that cause silting up of the reservoirs of the SCHP Costa Rica, located in the municipal district of Costa Rica (MS). In order to identify the phenomenology of the main falling in of this basin, a diagnosis of the conditions of the physical environment of the region (climate, geology, pedology, hydrology, and use of the ground) was realized. A surveying was also realized to specify the geometric feature of the falling in using the Total Station of the Ruide brand, series RTS 860R and the geodetic GPS of the Ashtech brand and the data obtained was used on the preparation of the Digital Elevation Model (DEM) of the falling in. Based on this diagnosis an official register of the falling in was done with identification of the different types of present erosion. Due to the advanced erosive stage of the falling in researched, the use of bioengineering techniques could be the best solution considering that the traditional engineering techniques make use of heavy material like concrete, iron and large machines that besides causing higher impact to the natural and esthetic aspects of the environment also require a higher investment of capital. This research establish a great cooperation to the knowledge of the erosive process and of the rehabilitation of the degraded areas with application of bioengineering techniques not only hydrographical basin of “Alto Rio Sucuriú” but also to other basins that show similar situation
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In this work, the dissociation dynamics of heteronuclear diatomic molecules is investigated by means of the classical driven Morse oscillator. The interaction of the molecule and the laser field is represented through the product of the molecule dipole function and the electric field of the laser. This interaction may lead to the breaking of the chemical bound, that is, to the dissociation of the molecule. The work was developed in two parts. In the first part, we studied the dissociation as a function of the range of the permanent dipole. In the second part, we maximized the dissociation probability manipulating the parameters of the external field. We have observed that the dissociation can be controlled by means of variations of parameters associated with the range of the permanent dipole
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The progress in radiology is related with the development of new systems of image formation with the lesser dose in the pacient. The improve of the dose in the pacient, without compromising the quality of the image, is one of the responsibilities of a medical physicist in a sector of diagnosis for image. This research has as objective to evaluate the conditions of use of an equipment of x-rays, from tests of quality control. The results gotten in this work have been part of data of an Effective Program of Quality Control (PECQ) of the sector of diagnosis for image of the Hospital das Clínicas da Faculdade de Medicina de Botucatu - UNESP (HCFMB-UNESP)