769 resultados para Revisão sistemática da literatura


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Streptococcus suis is considered worldwide as one of the pathogens of biggest health and economic impact in the swine industry. Among the serotypes described as zoonotic, serotype 2 is the most frequently isolated from diseased animals and humans in most countries. The study of the epidemiology of S. suis infections in Brazil is important and may help in the development of effective control measures. The aim of this study was to conduct a critical review of Brazilian literature, with support of the world literature, addressing the diagnosis of the agent and its prevalence in clinically ill animals and healthy carriers, especially regarding to the prevalence of the serotype 2 in the country.

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ISO 26000, published in 2010, focuses on corporate social responsibility. This study presents a systematic review conducted in ISI Web of Knowledge (Web of Science) and Elsevier's Scopus databases to answer the following question: What are the barriers and motivators affecting the adoption of ISO 26000 by organizations? The articles were selected using filters that applied two inclusion criteria. The data were summarized in a table covering the concepts of ISO 26000, the motivators, and the barriers. The motivators were globalization or competition in international markets, congruence with management systems, reputation or image, relationship with employees and improvement of the organizational environment, improvement in the relationship with external stakeholders, competitive advantage and strategy, guide to corporate social responsibility (CSR), and reduction of business risks. The barriers were lack of alignment between CSR and organizational strategy; business (national and international); unfamiliarity with ISO 26000; lack of communication, tools and sensitivity to the subject; short-term focus; knowledge management; fear of not fulfilling the standard; and financial resources. Finally, an agenda for future studies was prepared.

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Ante a modernidade, a informação está em toda parte, tornando-se grande o desafio de separar as informações atualizadas das ultrapassadas, as confiáveis das questionáveis e as reais das imaginadas. Em relação aos medicamentos, a despeito dos inegáveis avanços terapêuticos, os produtos farmacêuticos passaram a sofrer uso indiscriminado e irracional. Não se pode negar, que o uso racional de medicamentos implica o conhecimento específico e atualizado sobre os mesmos, como também de profissionais envolvidos e compreensão dos pacientes sobre a importância do tratamento. Na expectativa de se contribuir para dirimir as frequentes dúvidas em relação aos medicamentos, reduzir as ocorrências do surgimento de doenças iatrogênicas e esclarecer ao usuário, conseguindo-se a consciência sobre os riscos da automedicação é que entram em cena os Centros de Informação sobre Medicamentos. Estes são locais, onde se acumulam, organizam, processam, avaliam e se informa sobre medicamentos, com o objetivo de melhorar a saúde. No Brasil, após cerca de 30 anos de experiência em Kentucky, EUA, alguns profissionais e acadêmicos atentaram-se à necessidade e importância da existência de tais Centros. Ante ao exposto, a partir de uma revisão não sistemática da literatura, no presente trabalho foram relatadas a importância, necessidade e desafios para se implementar um Centro de Informação sobre Medicamentos

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Many studies inform that with aging process there’s a drop, not only in the cognitive functions, but also in the functional fitness. This drop can damage the old people’s daily activities, making them lose their independence. These declines can be softened with the practice of physical exercises. So, the aim of this study is to develop a systematic review in the literature which is the quantity of lectures done using the Square Stepping Exercise, we use a follow keyword “Square Stepping Exercise”. We performed a search in the following databases: PUBMED, Portal de Periódicos CAPES, Google Acadêmico e Catálogo Athena (acervo da Biblioteca de todos os campus da UNESP). Those procedures were complemented for manual searches in the references of the found lectures, like the access to the curriculum vitae, plataforma Lattes. There were analyzed articles, in Portuguese and English. Language were selected 11 studies (2 monografies, 1 masters lecture, 1 experience relatorie, 1 book chapter and 6 articles). The references found had improvement in motor and cognitive aspects. With this review, it was concluded that the SSE showed itself as a useful method to get better and/or maintain the analyzed aspects. It’s also necessary new studies with different populations, tips of analyse, periods of time and other aspects

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This work provides a systematic and critical review of part of the scientific production of its author. It includes three research topics, namely salmonellosis, brucellosis, and leishmaniasis. Each one of these topics is discussed in individual chapters. Most of the data discussed here refers to pathology, pathogenesis, hostpathogen interactions, innate immunity, and diagnosis of these diseases. Instead of being organized as a traditional literature reviews, the chapters actually emphasize the scientific contribution of the author’s publications in each of these fields.

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The relationship of Orthodontics and Endodontics is being clarified with the development of evidence-based dentistry. However, few studies have reported the repair of periapical lesions with orthodontic treatment. Therefore, the aim of this study was to evaluate the available evidence on periapical repair of endodontically treated teeth during orthodontic movement. The strategy used was the electronic search with keywords and criteria including studies published up to July 2011. It was also carried out qualitative assessment of the articles methodology. Although a significant number of studies have reported this topic, only two filled the criteria for inclusion in this systematic review. The results obtained in the literature suggest that orthodontic treatment should be interrupted to perform endodontic treatment. During this therapy, the use of root canal dressing based on calcium hydroxide for at least 14 days, and sealer with adequate biological property are indicated. After this phase, orthodontic movement of the endodontically treated teeth can be resumed without waiting period.

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A utilização do sêmen resfriado na espécie equina é amplamente difundida, no entanto, quando se trata do sêmen congelado existem certos entraves, os quais tornam o emprego desta biotécnica limitado. Porém seu uso está crescendo e com isso pesquisas com meios diluidores e protocolos de congelação têm sido realizados, a fim de se estabelecer um protocolo que seja eficiente para a congelação do sêmen da maioria dos garanhões. Essa revisão sistemática tem como objetivo a análise de estudos que tratam da congelabilidade do sêmen equino, bem como os principais componentes de um meio diluidor, a fim de demonstrar suas funções e fornecer alternativas para a substituição ou associação, principalmente de crioprotetores. Para tanto, foram utilizadas bases de dados com a seguinte estratégia: criopreservação, congelamento, diluentes, crioprotetores, glicerol, leite, sêmen e equino, presentes no título ou resumo. Dentre os artigos encontrados foram selecionados 15 artigos nas línguas portuguesa, espanhola e inglesa, publicados em revistas científicas ou teses de mestrado, doutorado e trabalhos de conclusão de curso. Tais artigos permitiram concluir que não existem protocolos de congelamento definidos para grupos de animais, mas que deve ser observado cada indivíduo, ressaltando sua peculiaridade e estabelecendo o melhor diluente e protocolo

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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)

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

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The granulomatous lesions are frequently founded in infectious diseases and can involve the larynx and pharynx and can cause varying degrees of dysphonia and dysphagia. There is still no systematic review that analyzes effectiveness of speech therapy in systemic granulomatous diseases. Research strategy: A systematic review was performed according to Cochrane guideline considering the inclusion of RCTs and quasi-RCTs about the effectiveness of speech-language therapy to treat dysphagia and dysphonia symptoms in systemic granulomatous diseases of the larynx and pharynx. Selection criteria: The outcome planned to be measured in this review were: swallowing impairment, frequency of chest infections and voice and swallowing symptoms. Data analysis: We identified 1,140 citations from all electronic databases. After an initial shift we only selected 9 titles to be retrieved in full-text. After full reading, there was no RCT found in this review and therefore, we only described the existing 2 case series studies. Results: There were no randomized controlled trials found in the literature. Therefore, two studies were selected to be included only for narratively analysis as they were case series. Conclusion: There is no evidence from high quality studies about the effectiveness of speech-language therapy in patients with granulomatous diseases of the larynx and pharynx. The investigators could rely in the outcomes suggested in this review to design their own clinical trials.

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OBJECTIVE: The aim of this study was to gather information and discuss the predictability of implant-supported prostheses in patients with bruxism by performing a literature review. METHODS: In order to select the studies included in this review, a detailed search was performed in PubMed and Medline databases, using the following key words: bruxism, dental implants, implant supported prosthesis, and dental restoration failure. Items that were included are: case reports, randomized controlled trials, in vitro studies, literature and systematic reviews, with or without meta-analysis, of the last 20 years that addressed the theme. Articles without abstracts, animal studies, articles in languages other than English and articles from journals unrelated to the dental field were excluded. RESULTS: after analysis according to inclusion and exclusion criteria, 28 articles were selected from a total of 54. It is known from the array of scientific articles which have assessed, either through retrospective, prospective or experimental studies, that the biomechanical and biological impact of bruxism on implant-supported prostheses is small, and that the literature has contributed little to exemplify the prosthetic limits of safety for the specialist from a clinical point of view. CONCLUSION: Although there is still no general consensus on this matter, most of the literature review articles do provide clinical guidelines that contribute to implant supported prostheses longevity and stability in patients with bruxism.

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Embora haja consenso sobre a validade e facilidade do uso da antropometria na classificação da obesidade abdominal, ainda não existe consenso sobre a nomenclatura da medida e os sítios anatômicos para sua obtenção. Desta forma, o objetivo deste estudo foi analisar de forma crítica o uso da circunferência da cintura ou abdominal em adultos para aferição da obesidade abdominal. Foi realizada uma revisão sistemática a partir de busca em bases de dados indexadas MEDLINE (PubMed) e Scientific Eletronic Library Online (SciELO). Foram revisados artigos publicados no período compreendido entre 2003 e 2009. Quanto à nomenclatura, apesar dos National Institutes Health tratarem circunferência da cintura e abdominal como sinônimos, os pesquisadores internacionais, tem preferido o uso do termo circunferência da cintura. Quanto ao sítio anatômico para a medida, falta ainda consenso entre os pesquisadores e orientação da International Diabetes Federation (IDF). Considerando que os atuais pontos de corte para as populações de origem européia foram elaborados a partir dos sítios anatômicos estabelecidos pela OMS 1989, torna-se razoável a adoção desta referência. Sobre os pontos de corte, a proposta da IDF representa resultado de um consenso internacional e avalizado pela Sociedade Brasileira de Cardiologia.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)