995 resultados para Avaliação do paciente


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The 131I (radioactive iodine) is one of the most used radionuclides in nuclear medicine for diagnosis and treatment. The present study evaluates the dosimetric aspects related to radioiodine therapy after thyroidectomy in patients with thyroid cancer. The samples were studied with 50 patients undergoing treatment, by assessing the exposures of workers (nursing assistants, staff hygiene, medical and physical), the general public (accompanying and family members) and on the environment. To evaluate the workers, was made a survey of the environmental conditions of the room radioiodine and routines adopted by them during the treatment period. Estimating the dose equivalent per month for each employee, we observed that the maximum levels obtained for nursing assistants, the team of hygiene, medical and physicians were considered low in relation to the extent permitted by law. In order to assess the public, some situations have been suggested for the calculation of equivalent doses in which it was possible to verify the fundamental importance of isolating the patient in the 2 days first. Regarding the environment, the radioactive waste generated by patient had volume of 1.0 m3 and activity estimated at 0.91 mCi, taking a decay time for eliminating them about 75 days to reach the allowable value of 2 μCi / kg system of collecting garbage. Therefore, all radioactive waste removed from the patient's room should be sent to the warehouse for temporary storage of radioactive waste, located away from normal work areas

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Pós-graduação em Engenharia Mecânica - FEG

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

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The study aimed to assess the degree of dental crowding correction on the lower anterior region of patients treated with T4k functional appliance using Little’s irregularity index. Twenty caucasian patients of both gender (10 female and 10 male) were selected. They featured malocclusion Class I and II in mixed dentition, with chronological age between 5.7 and 11 years. The treatment lasted from 1 year and 11 months up to 3 years and 11 months. Lower anterior crowding was measured using Little’s irregularity index. Measurements were obtained on study models achieved before and after functional orthopedic therapy, using a digital caliper in millimeters and placed parallel to the occlusal plane. Overjet and overbite measurements were also performed using a caliper. Results demonstrated that the therapy provided significant decrease in overjet (average = 1.55 mm) and also in the irregularity index (average = 1.23 mm). There was a nonsignificant raise in overbite. There was no relation between the studied variables and the treatment period or even with the patient’s age in the beginning of the therapy. The treatment with T4k resulted on reduction and improvement of dental crowding.

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This study aimed to evaluate the clinical and microscopic changes of MIH, and compare them to areas of healthy dental enamel. Methodology: epoxy resin replicas of healthy incisors and affected by MIH were evaluated qualitatively by scanning electron microscopy (SEM) photographs. Results: Clinically it was observed that MIH incisors showed changes in color and surface, with significant structural losses. By SEM, these had irregular surfaces and margins with structural losses. Conclusions: The teeth affected by HMI have clinical and morphological characteristics that are important for the definition of patient's treatment plan.

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To calculate the estimated and actual height and weight measures in cancer patients, evaluate the correlation and concordance of these measures and to identify the malnutrition patients. 62 cancer patients, treated at the Amaral Carvalho Hospital (Jaú- SP). For classifi cation of nutritional status, the Patient-Generated Subjective Global Assessment, the Body Mass Index and the relationship with usual weight were used. For the estimated weight was used the algorithm Chumlea et al.7 and estimated height, the equation proposed by Chumlea et al.8 and Kwok & Whitelaw24. The Pearson Correlation Coeffi cient and the Intraclass Correlation Coeffi cient was calculated and simple linear regression was conducted. To compare the malnutrition detected by different methods, the Cochran’s Q test were performed. There was a strong and signifi cant correlation between the estimated and actual weight (r=0,95; CI95%=0,92-0,97; p<0,001) and excellent concordance (ρ=0,95). For height measurements, a signifi cant correlation was observed between the actual and estimated measurement the method Chumlea et al.8 (r=0,78; CI95%=0,66-0,86; p<0,001) and Kwok & Whitelaw24 (r=0,85; CI95%: 0,75-0,90; p<0,001). Concordance was “Good” (ρ=0,72) and “Moderate” (ρ=0,67) between the actual height and estimated by Chumlea et al.8 and Kwok & Whitelaw,24 respectively. There was a strong correlation between the actual and estimated weight and height measures. The reproducibility of the equation proposed by Chumlea et al.8 to calculate height was better. The nutritional status, the patients classifi ed as malnutrition was greater when using the Patient-Generated Subjective Global Assessment and the relationship with usual weight.

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The burning mouth syndrome (BMS) is a relevant pathology that has been defined as a chronic pain with difficult diagnosis and treatment. The prevalence of BMS is estimate to be 15% of the general population, being more common in the elderly and middle-aged. Characterized by a burning sensation in more than one area, more frequently on the two thirds of the tongue, on the anterior half of the hard palate and on the mucosa of the upper lip, the BMS is associated with clinical signs of normality and normal laboratory findings. For several studies the BMS etiology is controversial because it is multifactorial since it can be caused by local, neuropathic, psychological and/or systemic factors. These controversies make the diagnosis more difficult, especially if the dentist does not have knowledge about the syndrome. Thus, the aim of this paper is to present, by means of a literature review, the main features of BMS, indicating the procedures that may be useful for diagnosis, and also the available therapeutic modalities in order to increasing the knowledge of health professionals so that patients with BMS may benefit from appropriate treatment, support and professional confidence, always aiming to better quality of life.

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Pós-graduação em Fisiopatologia em Clínica Médica - FMB

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