1000 resultados para Métodos de comunicación total


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The use of different methods and materials should be considered during the planning of implant-supported prostheses. Complications such as fractures of the acrylic resin base, wear and fracture of teeth can occur frequently, creating the need for careful planning for each patient, which can make the selection of the type of treatment more complex. Thus, this article describes the oral rehabilitation of a completely edentulous patient with bimaxillary fixed implant-supported prosthesis, with complaints on aesthetics, loss of vertical dimension and fracture of acrylic resin teeth of the upper arch. After the restoration of vertical dimension, his dentures were replaced with new bimaxillary implant-supported fixed prostheses, ceramic and acrylic resin were used as veneering material for maxilla and mandible, respectively. At the end of the treatment, the patient received bimaxillary flat occlusal splints to protect the teeth and implants of possible parafunctional habits. The approach for the treatment allowed a quick and effective resolution, with aesthetic and functional outcomes very favorable for the patient.

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Pós-graduação em Agronomia (Energia na Agricultura) - FCA

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Composting is considered a process that enables adding value to organic solid waste turning them into organic fertilizer. In this process, factors such as mishandling the windrow, failed to control the temperature, aeration and moisture content will result in the quality of waste decomposition, and thus affect the quality of the final compound. Decentralized systems such as home composting, composting in restaurants, food courts and schools are one of the solutions for valuing these waste in a non expensive way and with greater quality. For this purpose, the project aims to analyze the conditions for composting of solid waste of the University Restaurant of Rio Claro- SP, through two different composting systems: manual revolving windrow and static pile. It was found that in University Restaurant (RU) on average 33% by weight of the total waste generated in the property are capable of composting. In this sense, in order to investigate the preliminary process operation parameters were mounted one manual windrow composed of 100% of the UR waste and a static pile composed of 60% of the UR waste and 40% of pruning and grass residues (PG). This study analyzed the manual revolving windrow and static pile systems for the parameters: moisture content, pH, C / N ratio and temperature. The study of the proportions of the PG and UR waste pointed to the need for pruning and grass residues addition for composting, considering that the manual revolving windrow composed by 100% of the UR waste had no satisfactory performance due to low temperatures measured during 60 days analysis. The best ratio for manual revolving windrow method analyzed in this study was 60% of the UR waste and 40% of PG waste, in dry weight. From this proportion a static pile was assembled, composed of 60% of UR waste e 40% of PG waste from the maintenance activities of the green area of the university. The biological activity in the static pile reached the maximum temperature of ...

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The determination of occlusal vertical dimension (OVD) is one of the most important steps in the rehabilitation treatment. Although various techniques have been used to measure it, none has proven to be scientifically accurate. Thus, the purpose of this study was to survey the different methods of measuring the vertical dimension and describe the clinical sequence of a method that we deem reliable.

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Introduction: distance education is defined as a learning mode in which pedagogical and didactic mediation in teaching and learning processes is characterized by the use of information and communication means and technology by both teachers and students, and the development of educational activities at different settings and technologyand. Objective: evaluate the knowledge obtained by students from the last year of Odontology about distance education and their opinions about the subject. Methods: across-sectional descriptive exploratory study was conducted. Of the total 140 university students, 120 participated in the study. A self-applied questionnaire was developed with questions related to the student, the use of the Internet and distance education. The professional updating alternatives included were graduate courses and subscription to newspapers. Results: 29.2 % of the students use the Internet on a daily basis; only one student stated that he did not use the Internet. Of the students interviewed, 63.34 % did not know any form of distance education. As a consequence, 97.5 % had never taken part in a distance education course and 62.5 % stated that they did not know whether they would. Conclusions: results show that odontology students are prejudiced against nontraditional learning modes, though they use the Internet on a regular basis. Despite the existence of legislation regulating distance education, students are still concerned about its quality and legality.

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

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Objective: To evaluate the efficacy of platelet-rich plasma regarding healing, pain and hemostasis after total knee arthroplasty, by means of a blinded randomized controlled and blinded clinical study. Methods: Forty patients who were going to undergo implantation of a total knee prosthesis were selected and randomized. In 20 of these patients, platelet-rich plasma was applied before the joint capsule was closed. The hemoglobin (mg/dL) and hematocrit (%) levels were assayed before the operation and 24 and 48hours afterwards. The Womac questionnaire and a verbal pain scale were applied and knee range of motion measurements were made up to the second postoperative month. The statistical analysis compared the results with the aim of determining whether there were any differences between the groups at each of the evaluation times. Results: The hemoglobin (mg/dL) and hematocrit (%) measurements made before the operation and 24 and 48hours afterwards did not show any significant differences between the groups (p > 0.05). The Womac questionnaire and the range of motion measured before the operation and up to the first two months also did not show any statistical differences between the groups (p > 0.05). The pain evaluation using the verbal scale showed that there was an advantage for the group that received platelet-rich plasma, 24hours, 48hours, one week, three weeks and two months after the operation (p < 0.05). Conclusions: In the manner in which the platelet-rich plasma was used, it was not shown to be effective for reducing bleeding or improving knee function after arthroplasty, in comparison with the controls. There was an advantage on the postoperative verbal pain scale.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Background: Abdominal obesity is an important cardiovascular risk factor. Therefore, identifying the best method for measuring waist circumference (WC) is a priority. Objective: To evaluate the eight methods of measuring WC in patients with acute coronary syndrome (ACS) as a predictor of cardiovascular complications during hospitalization. Methods: Prospective study of patients with ACS. The measurement of WC was performed by eight known methods: midpoint between the last rib and the iliac crest (1), point of minimum circumference (2); immediately above the iliac crest (3), umbilicus (4), one inch above the umbilicus (5), one centimeter above the umbilicus (6), smallest rib and (7) the point of greatest circumference around the waist (8). Complications included: angina, arrhythmia, heart failure, cardiogenic shock, hypotension, pericarditis and death. Logistic regression tests were used for predictive factors. Results: A total of 55 patients were evaluated. During the hospitalization period, which corresponded on average to seven days, 37 (67%) patients had complications, with the exception of death, which was not observed in any of the cases. Of these complications, the only one that was associated with WC was angina, and with every cm of WC increase, the risk for angina increased from 7.5 to 9.9%, depending on the measurement site. It is noteworthy the fact that there was no difference between the different methods of measuring WC as a predictor of angina. Conclusion: The eight methods of measuring WC are also predictors of recurrent angina after acute coronary syndromes. Key words: Evaluation; Acute Coronary Syndrome; Abdominal Circumference

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The aim of this study was to verify the carrot cooking most suitable method to minimize nutrient losses. Carrot peel slices were subjected to pre cooking tests that were initiated with 0.5 min of duration and then increased in 0.5 min successively. The carrot pieces texture was monitored during the pre tests so all would havethe same texture independent of the type of cooking. The degree of softennes was evaluated by pressuring the pieces between the toes. The carrot pulp and pell were subjected to four types of heat treatment (pressure, immersion, microwave, and steam), after that they were pounded with a food processor and stored at -18 ºC. The nutritional analyses were as follow: The evalu determination of proteins, lipids, fibers, sugars reducers, total of ascorbic acid content and minerals (iron, calcium, zinc, magnesium, potassium, phosphorus, and calcium). The analyses were accomplished with fresh carrot and after cooking with the different methods. The peel of the carrot presented as amounts of proteins, lipids, fibers percentages, sugars reducers, total and ascorbic acid content equivalent to the pulp. In addition, the minerals content was superior in the peel in relation to the pulp, presenting respective percentages of 38,10%, 95,12%, 47,04%, 58,88%, 70,27% and 21,27%. There were nutrient losses in relation to the raw vegetable, when the carrot pieces were submitted to the different cooking methods. The methods of steaming and microwave had lower nutritional losses.

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

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Este estudo teve por objetivo validar as características definidoras do diagnóstico de enfermagem "Comunicação prejudicada ao paciente submetido à laringectomia total." Para sua realização, optou-se pelo modelo validação de conteúdo diagnóstico (CDV) de FEHRING (1986, 1987). Coletaram-se os dados por meio de uma escala de freqüência do tipo Likert, composta por vinte e seis características definidoras da lista oficial da North American Nursing Diagnosis Association (NANDA) e três características definidoras fictícias. Participaram do estudo vinte e seis enfermeiros assistenciais e docentes. Os resultados demonstraram uma CDV total de 0,84 para as características definidoras maiores e CDV total de 0,69 para as características definidoras menores. Reconheceu-se que o estudo validou as características definidoras preconizadas pela NANDA para o diagnóstico de enfermagem comunicação prejudicada.

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

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Objetives: Determine the stability of tibial and femoral components of 20 cementless knee arthroplasties with rotating platform. Methods: The 20 patients (20 knees) underwent an analysis of dynamic radiographs with an image amplifier and maneuvers of varus and valgus which were compared to static frontal and lateral radiographs of the knees and analyzed by two experienced surgeons in a double-blind way. Results: We could observe in this study that both methods showed very similar results for the stability of the tibial and femoral components (p<0.001) using the Kappa method for comparison. Conclusion: The tibial component was more unstable in relation to the femoral component in both static and dynamic studies. Level of Evidence IV, Case Series.