350 resultados para HD6983 .N35


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A Qualidade de Vida (QV) em pacientes com câncer de cabeça e pescoço é afetada por fatores relacionados à doença e seu tratamento. Este estudo teve por objetivo avaliar a QV em pacientes com câncer de localização na cabeça e no pescoço, relacionado-a as condições de saúde bucal. Foram examinados 30 pacientes com diagnóstico de câncer de cabeça e pescoço. Foram pesquisadas variáveis socioeconômicas, hábitos e aspectos associados ao tumor, além de variáveis relacionadas à saúde bucal — CPOD, Uso e Necessidades Protéticas, Xerostomia e Consulta ao Dentista nos últimos seis meses, Mucosite e Mutilação. O questionário utilizado para avaliação da QV foi o EORTC QLQ-C30, e o módulo específico para câncer de cabeça e pescoço H&N35. A QV, no primeiro momento do estudo, foi considerada mediana, o nível funcional moderado e baixa sintomatologia. Não houve correlação estatisticamente significativa entre os componentes perdido e cariado do CPOD com a QV. O grupo de pacientes que necessitava de próteses relatou Desempenho Funcional e Função Social menores do que aqueles que não necessitavam. A Fadiga, a Dor e a Insônia foram maiores para o primeiro grupo. O grupo de pacientes com xerostomia demonstrou menor QV, menor nível funcional e maior sintomatologia quando comparado com aqueles sem queixa de xerostomia. O grupo dos fumantes apresentou maior sintomatologia e pior nível funcional do que os não-fumantes. Não foram encontradas diferenças significativas de QV entre os indivíduos que ingeriam ou não chimarrão. A QV dos pacientes no acompanhamento foi semelhante à primeira parte do estudo, porém houve aumento dos sintomas e diminuição do nível funcional. O CPOD aumentou, e o uso de próteses decresceu, enquanto a necessidade das mesmas aumentou Não foi possível verificar a associação entre a QV e a Mucosite, pois poucos pacientes foram afetados por esta condição. A Mutilação foi correlacionada negativamente com o Desempenho Funcional, Náusea e Vômito e Perda de Apetite. Apenas a avaliação clínica das variáveis de saúde bucal foi insuficiente para predizer a correlação entre a condição de saúde bucal e a QV, porém é essencial a atuação de uma equipe multidisciplinar de cuidado oncológico, na qual o cirurgião-dentista deve estar inserido de modo a minimizar os danos à saúde bucal desses pacientes, auxiliando na construção de uma melhor QV.

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Pós-graduação em Pesquisa e Desenvolvimento (Biotecnologia Médica) - FMB

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Background: Acute coronary syndromes (ACS) in very young patients have been poorly described. We therefore evaluate ACS in patients aged 35 years and younger. Methods: In this prospective cohort study, 76 hospitals treating ACS in Switzerland enrolled 28,778 patients with ACS between January 1, 1997, and October 1, 2008. ACS definition included ST-segment elevation myocardial infarction (STEMI), non-ST-segment elevation myocardial infarction (NSTEMI), and unstable angina (UA). Results: 195 patients (0.7%) were 35 years old or younger. Compared to patients N35 years, these patients were more likely to present with chest pain (91.6% vs. 83.7%; P=0.003) and less likely to have heart failure (Killip class II to IV in 5.2% vs. 23.0%; Pb0.001). STEMI was more prevalent in younger than in older patients (73.1% vs. 58.3%; Pb0.001). Smoking, family history of CAD, and/or dyslipidemia were important cardiovascular risk factors in young patients (prevalence 77.2%, 55.0%, and 44.0%). The prevalence of overweight among young patients with ACS was high (57.8%). Cocaine abuse was associated with ACS in some young patients. Compared to older patients, young patients were more likely to receive early percutaneous coronary interventions and had better outcome with fewer major adverse cardiac events. Conclusions: Young patients with ACS differed from older patients in that the younger often presented with STEMI, received early aggressive treatment, and had favourable outcomes. Primary prevention of smoking, dyslipidemia and overweight should be more aggressively promoted in adolescence.

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Hrsg. von Josef Natonek

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In-situ geotechnical measurements of surface sediments were carried out along large subaqueous dunes in the Knudedyb tidal inlet channel in the Danish Wadden Sea using a small free-falling penetrometer. Vertical profiles showed a typical stratification pattern with a resolution of ~1 cm depicting a thin surface layer of low sediment strength and a stiffer substratum below (quasi-static bearing capacity equivalent: 1-3 kPa in the top layer, 20-140 kPa in the underlying sediment; thickness of the top layer ca. 5-8 cm). Observed variations in the thickness and strength of the surface layer during a tidal cycle were compared to mean current velocities (measured using an acoustic Doppler current profiler, ADCP), high-resolution bathymetry (based on multibeam echo sounding, MBES) and qualitative estimates of suspended sediment distributions in the water column (estimated from ADCP backscatter intensity). The results revealed an ebb dominance in sediment remobilization, and a general accretion of the bed towards low water. A loose top layer occurred throughout the tidal cycle, likely influenced by bedload transport and small events of suspended sediment resettlement (thickness: 6 +-2 cm). Furthermore, this layer showed a significant increase in thickness (e.g. from 8 cm to 16 cm) related to periods of overall deposition. These findings imply that dynamic penetrometers can conveniently serve to (1) quantify potentially mobile sediments by determining the thickness of a loose sediment surface layer, (2) unravel sediment strength development in potentially mobile sediments and (3) identify sediment accumulation. Such data are an important complement and add a new geotechnical perspective during investigations of sediment remobilization processes in highly dynamic coastal environments.

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This paper examines the factors that prevent slum children aged 5 to 14 from gaining access to schooling in light of the worsening urban poverty and sizable increase in rural-to-urban migration. Bias against social disadvantage in terms of gender and caste is not clearly manifested in schooling, while migrated children are less likely to attend school. I argue that the lack of preparation for schooling in the pre-schooling ages and school admission procedures are the main obstacles for migrated children. The most important implication for universal elementary education in urban India is raising parental awareness and simplifying the admission procedures.

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This short essay, built on a foundation of more than a decade of fieldwork in the hydrocarbon-rich societies of the Arabian peninsula, distills a set of overarching threads woven through much of that time and work. Those threads include a discussion of the social heterogeneity of the Gulf State citizenries, the central role of development and urban development in these emergent economies, the multifaceted impact of migrants and migration upon these host societies, and the role of foreign 'imagineers' in the portrayal of Gulf societies, Gulf values, and Gulf social norms.

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Migrant and labor issues are a primary concern in the Arab Gulf countries. With focus on the economic and political conditions that influence actors' decisions when framing labor policies, this study analyzes how preferences of such policies are formed and explains why the governments of the Arab Gulf countries attempt to implement less economical policies. The findings suggest that governments avoid concessions for enterprises required to implement more economical policies and chose uneconomical ones to maintain authoritarian regimes.